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ENDOSCOPES FORANESTHESIOLOGY ANDEMERGENCY MEDICINE

6th EDITION 1/2018

DIRECT LARYNGOSCOPY

VIDEO INTUBATION SYSTEMS

BRONCHOSCOPES AND TRACHEOSCOPES FOR FOREIGN BODY REMOVAL

COMPONENTS, SPARE PARTS

BASIC SETS1

KARL STORZ OR1 NEO®, TELEPRESENCEHYGIENE, ENDOPROTECT17

AN-SET 1-8

2 AN-LA, AN-GR, AN-LA-ACC 9-26

3 AN-DAM, AN-DAM-V,AN-DAM-F, AN-DAM-ACC 27-100

4 AN-BRO 101-116

5 AN-VC 117-130

6 AN-SP SP 1-16

INSTRUMENT CARTS

PagesChapter

ENDOSCOPES FOR ANESTHESIOLOGY AND EMERGENCY MEDICINE

6th EDITION 1/2018

Information on events is available on the KARL STORZ websitewww.karlstorz.com

3-17© All pictures, photos and product descriptions are the intellectual

property of KARL STORZ SE & Co. KG.Utilisation and copies by third parties have to be authorized. All rights reserved.

Important Notes:

It is recommended to check the suitability of the product for the intended procedure prior to use.

Endoscopes and accessories contained in this catalog have been designed in part with the cooperation ofphysicians and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture indi-vidual components, these are made according to proprietary KARL STORZ plans or drawings. Furthermore,these products are subject to strict quality and control guidelines of the KARL STORZ group. Both contractualand general legal provisions prohibit subcontractors from supplying components manufactured by order ofKARL STORZ to competitors.

Any assumptions that competitors’ endoscopes and accessories are acquired from the same suppliers as theKARL STORZ products are not correct. Moreover, endoscopes and instruments provided by competitors arenot manufactured according to the design specifications of KARL STORZ. This means it cannot be assumedthat these endoscopes and accessories – even if they look identical on the outside – are constructed in thesame manner and have been tested according to the same criteria.

Standardized Design and Labeling

KARL STORZ participates both in national and international bodies involved in the development of standardsfor endoscopes and endoscopic accessories. Standardized design and development therefore have long beenimplemented consistently by KARL STORZ. The user can rest assured that all products by the KARL STORZgroup have been designed and constructed not only in compliance with strict internal quality guidelines, butalso with international standards. All data relevant for safe use, such as viewing direction, sizes and diame-ters, or notes regarding sterilization of telescopes, are applied to the instruments, have been formulatedaccording to international standards, and therefore provide reliable information.

As we constantly seek to improve and modify our products, we reserve the right to make changes in designthat vary from catalog descriptions.

Original or Counterfeit

KARL STORZ products are name brand articles renowned around the world and represent the state of the artin important areas of healthcare. A large number of “copy cat” products are currently being offered in manymarkets. These products are designed intentionally to resemble KARL STORZ products and use marketingstrategies that at least point out their compatibility with KARL STORZ products. These products are by nomeans genuine products, since genuine KARL STORZ products are sold worldwide exclusively under thename of KARL STORZ, which appears on the packaging and the product. In the absence of such labeling,the product is not from KARL STORZ.

KARL STORZ, therefore, is unable to ensure that such products are actually compatible with genuineKARL STORZ products or can be used with them without injury to the patient.

1BASIC SETS

2 AN-SET 2 A

Basic Sets for Intubation

1-99

7

Airway Management Set

Intubation Set Prehospital,ULM model

11300 B3

8400 C1 ●

8403

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8403

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MIL

#1

Special Features:●● Recommended bag for storing the entire

intubation equipment●● Padded bag designed for difficult working and

environmental conditions in prehospital settings●● Recommended intubation set for prehospital

intubation and mobile settings●● Suitable for direct and indirect intubation●● With component to facilitate the attachment of

a suction catheter, O2 catheter or AINTREEcatheter

●● Always ready for use thanks to exchangeableand rechargeable battery pack

●● Intelligent power management withrechargeable Li-ion batteries and capacityindicator

●● Completely watertight (IPX08)

●● Simultaneous documentation of freeze frames(JPEG) and video sequences (MPEG4) oninternal memory in real time

●● Additional standard: RTCA/DO-160F●● MAGILL forceps, modified by BOEDEKER,

for video-assisted foreign body removal

8400 C1

Intubation Set Prehospital, ULM model

* including USB data cable, ** included with 8403 XDK

AN-SET 3 A

1-99

7

3

● ● –

– ● ● ● ● ●

●

8091

20M

AGIL

L Fo

rcep

s, fo

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n,

mod

ified

1130

2 B

D2

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.7 m

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cm

1033

1 B

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8090

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AGIL

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5 cm

1130

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ight

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asks

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8091

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8403

XD

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,

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27677 BK

8403 YE

–– ●

– – – – –

Airway Management Set

Special Features:● The set for all demands in Difficult Airway

Management● 2 different intubation endoscopes● 5 different laryngeal masks● 2 laryngeal tubes, size 3 and 4● Instruments for cricothyrotomy● LED battery light source allows operation

without AC power connection● Sturdy case

11300 B3

4 AN-SET 4

1-02

4

Airway Management SetBasic Set

Difficulties in securing the airways in intraclinicalsettings – whether expected or unexpected – cannotalways be avoided.

If intubation problems are foreseeable, an elective fiberoptic intubation, preferably under topical anesthesiaand light sedation should be regarded as the “goldstandard.”

If “cannot intubate” or even “cannot ventilate – cannotintubate” situations occur unexpectedly, fast and well-considered action becomes necessary in order tomanage an acute life-threatening situation for thepatient. Any person wishing to perform an intubationmust be able to answer the question: “What do I do, ifthe intubation is unsuccessful?” Once the situation hasoccurred, there is no time for lengthy consideration.For this reason, organizations such as the AmericanSociety of Anesthesiologists (ASA) or EuropeanResuscitation Council (ERC) developed algorithms forsuch situations that range from a procedure usingmodified laryngoscope blades to instruments such asthe laryngeal tube or laryngeal mask through toconiotomy, in order to enable the intubator to achievethe greatest benefit for his/her patients.

The prerequisite for successful airway management isthat the user has an advance plan for proceeding incase of difficulties; that he/she has both theoreticalknowledge and practical experience in alternativetechniques and, above all, that these instruments canalso be made available in a sufficiently short time. Thisproblem can be handled relatively easily in the ORsetting but becomes considerably more difficult withregard to intubation problems in emergency patientson a ward.

This Airway Management Set was developed toprovide the entire line of recommended instrumentsand equipment for expectedly and unexpectedlydifficult airway management. With its relatively lowweight, small dimensions and a LED battery-poweredlight source, this set can be used quickly and flexibly. Inaddition to flexible fiber optics, this set also providesthe user with a retromolar intubation endoscope, alaryngeal tube, standard and intubation laryngealmasks as well as instruments for a coniotomy.

Prof. Dr. Dr. med. M.D.W. LIPP, Dr. N. GOLECKI,Johannes Gutenberg University Mainz,

Germany

11300 B3

Recommended Set for Difficult and Standard Intubation

5AN-SET 5 B

1-02

5

Airway Management SetBasic Set

For further product information see pages 18, 22, 26, 88, 93, 99

Recommended Set for Difficult and Standard Intubation

11300 B3 Airway Management Set, for the difficult airwayincluding:Intubation Fiberscope, 3.7 mm x 65 cmRetromolar Intubation Endoscope, 5 x 40, autoclavableBattery Light Source LED for EndoscopesMask Adaption “MAINZ Adaptor”, blue, package of 5Laryngeal Tube, size 4Laryngeal Tube, size 3Spiral Tube, size 6, for single useLaryngeal Mask, standard, reusable, size 1Laryngeal Mask, standard, reusable, size 2Laryngeal Mask, standard, reusable, size 4Intubation Laryngeal Mask, reusable, size 3Intubation Laryngeal Mask, reusable, size 4Laryngeal Mask Tube, diameter 7 mmLaryngeal Mask Tube, diameter 7.5 mmLMA Tube StabilizerMAGILL Forceps, length 25 cmScalpel, for single use, package of 10COTTLE Nasal Speculum, blade length 55 mm, length 13 cmEmergency Laryngoscope Blade, cold light, universal sizeHandle Sleeve, ISO 7376Battery Insert Set LED, with capCaseCleaning BrushPressure Compensation CapLeakage TesterIrrigation Adaptor, for machine cleaning, reusableSuction Valve, for single use, package of 20LIPP Tube HolderTube Holder, for ETTBronchoscope Insertion Tube, size 4Bronchoscope Insertion Tube, size 2Plug, black, package of 10

Components/Spare Parts see chapter 6

6 AN-SET 6 B

Intubation Set -C22-, ULM ModelBasic Set

4-12

1

Establishing a secure airway is the top priority in mostalgorithms for emergency patient care. In prehospitalemergency medicine, endotracheal intubation (ETI) iswidely accepted as the “gold standard”. However,prehospital ETI faces many obstacles that are notencountered with ETI in the clinical setting: The workenvironment is often cramped and optimal positioningof the patient is far more difficult to achieve than on anoperating table. The emergency physician has noknowledge of the previous airway management historyof the individual patient. In addition, the compromisedvital functions of emergency patients frequently forcethe emergency physician to act swiftly.

As difficult intubation is often associated with difficultlaryngoscopy, video laryngoscopes prove useful forequipment optimization. To ensure first pass success,however, the video laryngoscope should be used in thefirst intubation attempt and not as an alternative whenother intubation attempts with standard laryngoscopeshave failed. This method offers several advantages:The prospects of first pass success in airwaymanagement are greatly enhanced thanks to improvedlaryngoscopy conditions.

Emergency physicians who routinely use video laryn-goscopes have more experience with using this technicalaid and will have no problems handling the product.

Emergency patients have a markedly reduced hypoxiatolerance due to illness or injury. Consequently, optimalconditions for time-sensitive airway securement haveto be created during the first intubation attempt. Thevideo laryngoscope should not be used as an extraalternative as this only prolongs the time needed for a

definitive secure airway and to oxygenate the patient.One of the many distinguishing features of the C-MAC®

video laryngoscope from KARL STORZ is the pos-sibility to combine indirect, video laryngoscopicvisualization with direct laryngoscopy via a standardMACINTOSH blade, without the need to change thelaryngoscope.

On the CHRISTOPH 22 rescue helicopter in Ulm, a C-MAC® video laryngoscope has been routinely used(for every (!) prehospital intubation) since 2009 while theC-MAC® PM with the folding monitor on the handle hasbeen used exclusively since 2011. This monitor isalways in the direct view of the emergency physician.

Whereas intubation with the MACINTOSH blades 2, 3and 4 is almost always successful, the use of a malle-able intubation catheter is a useful aid for intubationwith a curved D-BLADE. In addition to the MILLERblades in sizes 0 and 1, this tool is also included in theinstrument set on the CHRISTOPH 22 helicopter for theintubation of pediatric patients.

The new, robust and water-resistant intubation bag -C22-offers clearly arranged storage for the C-MAC® PM aswell aforementioned blades, a malleable intubationcatheter, a set of tubes and fixing material in theemergency backpack.

Based on many years of experience, we can stronglyrecommend the C-MAC® PM video laryngoscope forthe prehospital setting. Like any other equipment to beused on patients, the medical practitioner shouldreceive instructions on handling the video laryngo-scope and become thoroughly familiar with its use.

B. HOSSFELD, M.D., Bundeswehrkrankenhaus Ulm,

Germany

The C-MAC Video Laryngoscope in Prehospital Emergency Medicine

7AN-SET 7 D

4-12

1

Intubation Set Prehospital, ULM ModelBasic Set


8400 C1 Intubation Set Prehospital, ULM modelincluding:C-MAC® Video Laryngoscope MAC #3C-MAC® Video Laryngoscope MAC #4C-MAC® Video Laryngoscope MIL #1Battery, for C-MAC® PM, rechargeableC-MAC® PM Set, including USB data cable andprotection capCharging Unit, for C-MAC® PMBag, for intubation set -C22-, ULM modelMAGILL Forceps, for adults, modifiedMAGILL Forceps, for children, modifiedC-MAC® PM Connecting Cable

8403 HXK C-MAC® Video Laryngoscope D-BLADE Set, for adults,CMOS technology, for difficult intubation, with C-MAC®

system interface, documentation of images and videosequences via BlueButton, with catheter introduction sizes16 – 18 Fr., including C-MAC® GUIDE adapted to bladeshape, for use with C-MAC® Connecting Cable 8403 X forC-MAC® Monitor 8403 ZX or C-HUB® II 20 2903 01 as wellas C-MAC® PM 8403 XDincluding:C-MAC® GUIDE

n

For further product information see pages 26, 42-44, 47-51

Optional

8403 XDP 8403 XD

8403 GXC

8403 AX

8403 BX

8403 YZ

8403 XD

809120809125

8403 XDA8403 XDL

DIRECT LARYNGOSCOPY

LARYNGOSCOPE BLADES, COLD LIGHT(XENON/LED), HANDLES, HANDLE SLEEVES,BATTERY INSERTS . . . . . . . . . . . . . . . . . . .11-25

ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . .26

2

11AN-LA 1 B

Laryngoscope Blades

1-99

2

● MACINTOSH Laryngoscope Blades● MILLER Laryngoscope Blades● PHILIPS Laryngoscope Blades● Emergency Laryngoscope Blades● Laryngoscope Blades for Pediatrics

● Handles, with battery inserts● Handles, with rechargeable battery inserts

12 AN-LA 2 B

1-99

2

MACINTOSH Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated

size 58541 AA

size 48541 A

size 38541 B

size 28541 C

size 18541 D

size 08541 E

Illustrations may not be to scale.

13AN-LA 3 C

1-99

4

MACINTOSH Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated

8541 AA MACINTOSH Laryngoscope Blade, size 5

85468546 LD18549 LDX8546 AK85478547 AK8547 BK8547 LDX85488548 LDX1

8541 AA – E

8541 A Same, size 48541 B Same, size 38541 C Same, size 28541 D Same, size 18541 E Same, size 0

Handles 8546, 8547 and 8548 as well as compatible Light Sources see pages 22-24

14 AN-LA 4 C

1-99

3

size 48537 A

size 38537 B

size 28537 C

size 18537 D

size 08537 E

MILLER Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated


15AN-LA 5 B

1-99

4

MILLER Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated


8537 A – E

8537 B Same, size 38537 A MILLER Laryngoscope Blade, size 4

8537 C Same, size 28537 D Same, size 18537 E Same, size 0


16 AN-LA 6 E

1-02

3

PHILIPS Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated

size 28535 C

size 18535 CA


17AN-LA 7 D

4-12

1

PHILIPS Laryngoscope BladesCold Light – Fiber Optic Light Carrier Incorporated

8535 C PHILLIPS Laryngoscope Blade, size 28535 CA Same, size 1

8535 C/CA



18 AN-LA 8 D

1-99

5

Emergency Laryngoscope BladeCold Light – Fiber Optic Light Carrier Incorporated

The blade design allows it to replace the MACINTOSHlaryngoscope blades, size 2 – 4, which are traditionallyused. The working length of the blade is 120 mm,putting it exactly between the length of theMACINTOSH 3 and 4 to enable intubation under largeanatomical conditions.

The blade tip has a width of 11 mm, corresponding tothe MACINTOSH laryngoscope blade, size 2, allowingintubation of emergency patients from one year of ageto adult. The tapered shape of the blade is especiallyhelpful. Along with the required length, the blade alsohas the correct width for the respective age group.

An inadvertent introduction of the blade too deeply inthe case of children is also prevented by 2 approxi-mating, weight-calibrated markings on the front andrear of the blade.

The blade is only slightly curved, especially in the front,making intubation of small children easier.

The tapering of the blade from 0° at the tip to 20° at therear permits a better view when introducing the bladehorizontally. Together with the very low height of16 mm, this also facilitates rapid intubation in emer-gency situations and when the mouth opening islimited, as well as its low profile enables fast intubationin emergency situations and where the mouth openingis restricted, especially when performed by lesspracticed persons.

By limiting the selection to just two intubation blades,uncertainty about choosing the correct blade sizeunder urgent treatment conditions is greatly diminished.

AGNNArbeitsgemeinschaft in Nord-

deutschland tätiger Notärzte e.V.Germany

8535 B

Special Features:● The special design of the blade makes it suitable

for intubating both small children and adults.● The thin front section makes this blade very

suitable for ENT, e.g., hypertrophic tonsils.● The overall low height of this blade permits easy

intubation even when patients cannot open theirmouth wide, e.g., in case of lockjaw or poorrelaxation.

● Forward placement of the light outlet providesgood illumination.

● Less space is required at the worksite with justone blade size (helpful for rescue services).

● Uniform blade sizes enable easier andstandardized training, e.g., for emergencymedical personnel.

19AN-LA 9 D

2-07

2

Emergency Laryngoscope BladeCold Light – Fiber Optic Light Carrier Incorporated

8535 B Emergency Laryngoscope Blade, universal size



8535 B

20 AN-LA 10 E

1-99

3

Laryngoscope Blades for PediatricsCold Light – Fiber Optic Light Carrier Incorporated

large8537 F

medium8537 G

small8537 H


21AN-LA 11 D

4-12

1

8537 F Laryngoscope Blade for Pediatrics, large


Handle 8547 see pages 23, 24

Laryngoscope Blades for PediatricsCold Light – Fiber Optic Light Carrier Incorporated

8537 G Same, medium8537 H Same, small

8537 F – H

22 AN-GR A

1-99

5

8546 Handle Sleeve, with green silicone coating, ISO 7376, autoclavable,standard P-GRIP® handle, for use with Inductive Charging Unit 8546 LE1,Battery Insert Xenon 8546 AK, Battery Insert LED 8546 LD1, rechargeable,Battery Insert Set LED 8549 LDX and cold light laryngoscopes

Standard Handle with Light Sourcesfor Cold Light Laryngoscope Blades

8546 8546 LD1

8546 LD1 Battery Insert, rechargeable, length 12 cm, for Handle Sleeve 8546, with high-power LED, > 56 lm / > 100 klx, lithium-ion battery insert, burning time at 100%brightness 240 min, charging via Inductive Charging Unit 8546 LE1

8546 AK Battery Insert Set Xenon, length 12 cm, with 2 Batteries 121306 S andXenon Lamp 8546 XA

121306 S Batteries, baby cells, LR 14, for Battery Insert Set Xenon 8546 AK, package of 2

8546 XC Xenon Lamp, 2.5 V, for Battery Insert Sets 8546 AK, 8547 AK and 8547 BK,package of 6

Special Features:● Rechargeable lithium-ion batteries● Extremely bright LED of more than

50 lm/> 100 klx● Absolute white light due to LED technology

(5500 K)● Special lens system allows optimal light

adjustment at the blade connector

● LED provides a lifetime of more than50,000 hours

● Burning time up to 240 min at 100% brightness● Rechargeable lithium-ion batteries,

>1000 charging cycles● ISO 7376 compatible

8549 LDX 8546 AK

8549 LDX Battery Insert Set LED, length 12 cm, with high-power LED, > 56 lm / >100 klx,burning time at 100% brightness > 120 min, for use with Handle Sleeve 8546 and coldlight laryngoscopesincluding:2x Batteries, Mignon cells, LR 06, 1.5 VCap


LED Inserts

Xenon Inserts

23AN-GR 1 D

1-99

3

8547 Handle Sleeve, with green silicone coating, ISO 7376, autoclavable, slender P-GRIP®

handle, for use with battery insert set LED, slim 8547 LDX, battery insert sets Xenon,slim 8547 AK, 8547 BK and cold light laryngoscopes

Slim Handle with Light Sourcesfor Cold Light Laryngoscope Blades

8547 8547 BK

8547 AK Battery Insert Set Xenon, length 12 cm, with 2 Batteries 121306 KS andXenon Lamp 8546 XA

8547 BK Battery Insert Set Xenon, slim, rechargeable, length 12 cm, charging viaInductive Charging Unit 8546 LE1, for use with Handle Sleeve 8547 and coldlight laryngoscopes, with Xenon Lamp 8546 XA

8546 XC Xenon Lamp, 2.5 V, for Battery Insert Sets 8546 AK, 8547 AK and 8547 BK,package of 6

121306 KS Batteries, Mignon cells, LR 06, 1.5 V, package of 2, for use with Battery Insert8547 AK and Battery Insert Set High-Power LED 8549 LDX

8547 LDX 8547 AK

8547 LDX Battery Insert Set LED, slim, length 12 cm, with high-power LED, burning timeat 100% brightness > 120 min, functions with 1x AA battery, for use with HandleSleeve 8547 and cold light laryngoscopesincluding:BatteryCap


LED Inserts

Particularly suitable for use with blade sizes 0 and 1

Xenon Inserts

24 AN-GR 2 D

1-99

5

8548 Handle Sleeve, with green silicone coating, ISO 7376, autoclavable, shortP-GRIP® handle, for use with Battery Insert Set LED 8548 LDX1 and coldlight laryngoscopes

8548 LDX1 LED Battery Insert Set, length 6 cm, with high-power LED, > 56 lm / > 100 klx,burning time at 100% brightness > 120 min, for use with Handle Sleeve 8548 andcold light laryngoscopesincluding:Cap

Short Handle with Light Source (Stubby)for Cold Light Laryngoscope Blades

8548

Special Features:● Extremely powerful LED with over

56 lm/ > 100 klx● Absolutely white light thanks to LED technology

(5500 K)● Small handle with photo battery

● Optimal light adjustment at the laryngoscopethanks to a special lens system

● LED service life of more than 50,000 hours● Burning time up to 240 min at 100% brightness● ISO 7376 compatible

8548 LDX1

25AN-GR 3 D

2-07

1

Special Features:●● Modified with larger inner diameter for the new

P-GRIP® handles●● Backward compatible with previous handles●● No open contacts thanks to inductive

technology●● No corrosion or contact problems●● Service life is extended by eliminating voltage

peaks●● Rechargeable battery inserts can be charged

with or without the handle sleeve; also in sterilepackaging

●● For use with LED or rechargeable Xenon handles

Inductive Battery Chargerfor Rechargeable Laryngoscope Handles

8546 R1 Reduction Sleeve, for use with Inductive Charging Unit 8546 LE1 andHandle 8547 with Battery Insert 8547 B

8546 LE1 Inductive Charging Unit, for two battery inserts with handle sleeve(chrome-plated and with green silicone coating), with fully integratedmains adaptor and power adaptor for EU, UK, USA/JP and Australia,power supply 110 – 240 VAC, 50/60 Hz, suitable for wipe disinfection

11301 DH Holder, for mounting on a surface, for use with Charging Units 11301 DG,8546 LE, 8546 LE1 and 8401 XDL

8546 LE1

26 AN-LA ACC A

1-99

4

794014 ROCHESTER-PEAN Artery Forceps,anatomical, straight, length 14 cm

8400 A Bag for Intubation Set,splash-protected

809125 MAGILL Forceps, modified, length 25 cm,suitable for endoscopic foreign body removal,for use with video laryngoscopes sizes 2 – 4809125

809120

809025809020

809025 MAGILL Forceps, for the introduction ofendo-tracheal tubes, for adults, length 25 cm

809020 Same, for children, length 20 cm

809120 MAGILL Forceps, for children, modified,length 20 cm, suitable for endoscopic foreignbody removal, for use with videolaryngoscopes size 1 and 2

Accessoriesfor Cold Light Laryngoscope Blades

VIDEO INTUBATIONSYSTEMS

C-MAC® MONITOR, C-MAC® PM, C-HUB® II, C-MAC® VIDEO LARYNGOSCOPES, C-MAC® S VIDEO LARYNGOSCOPES . . . .41-57

FLEXIBLE INTUBATION VIDEO-ENDOSCOPES (FIVE), FIVE S, C-MAC® VS, VIDEO RHINO-LARYNGOSCOPES, VIDEO OTOSCOPES . . . . . . . . . . . . . . . . .58-82

C-CAM®, FLEXIBLE INTUBATIONFIBERSCOPES, RETROMOLAR INTUBATION ENDOSCOPES . . . . . . . . . .83-100

3

28

Airway Management

AN-DAM

4-12

1

Intu

bat

ion

Vid

eo E

ndo

sco

pes

Eye

pie

ce E

ndo

sco

pes

Vid

eo L

aryn

go

sco

pes

29

7-05

2

AN-DAM 1 A

Airway Management

Anesthesia/ORThe patient is prepared for surgery in this area – with endotracheal intubation playing amajor role. Hence this area is predestined for airway management system and,consequently, the entire C-MAC® system. The anesthesiologst must be able to masterthe challenges of the normal as well as the expected difficult and unexpected difficultairways. The product portfolio from KARL STORZ offers the right solution for thispurpose.

Critical Care MedicineA significant percentage of airway complications occur in the intensive care unit. In mostcases, access to the head is severely restricted, the patient is not fasting and the airwayconditions of the patient are not clear. Each intubation, extubation or reintubation istherefore difficult to access. The fast and mobile C-MAC® system from KARL STORZ offersseveral solutions for these challenges. The main fields of application of its broad portfolioare chiefly bronchial lavage, inspection of the upper and lower airways as well as the opticalmonitoring of percutaneous tracheostomy. The flexible intubation video endoscopes (FIVE)provide support with straightforward handling, excellent image quality and a systemsolution.

Emergency RoomAs all emergency cases enter the clinic here, the risk of unexpected difficult intubations ismost likely in this area. The C-MAC® video laryngoscope system can provide rapidassistance and safety for both experienced and inexperienced emergency physicians.Furthermore, additional components can be connected to the C-MAC® monitor such as, forexample, the video rhino-laryngoscope or the video otoscope for rapid and straightforwardinspection of the upper airways or the auditory meatus. Thanks to the broad productportfolio, the user is ideally equipped for different requirements in the emergency room.

Prehospital Emergency MedicineAn estimated 150 – 200 intubations a year are performed on German rescue helicopters;even fewer intubations are carried out by ground-based rescue services. However, thesepatients constitute up to 50% of unexpected difficult airways. This is more often due toadverse conditions than the airway conditions of the patients. The C-MAC® videolaryngoscope system offers valuable assistance in these circumstances. Itsweatherproof, robust design is geared towards extreme conditions and the standardMACINTOSH and MILLER video laryngoscopes are easy to use, even for inexperiencedintubators. These can also be used for direct laryngoscopy, if required.

30 AN-DAM 2 A

7-05

2

For the Greatest ChallengesSpinal injuries, trauma patients, maxillofacial injuries – you can count on KARL STORZ tohelp you master the most difficult airway situations. We are the only company to offersuch a comprehensive range of endoscopic solutions for difficult airway management.

The Clever Alternative for ExpertsThe C-MAC® VS offers a proven alternative for managing difficult airways. The videostylet is more robust than a flexible intubation fiberscope and is especially designed forthe difficult airway. A restricted mouth opening or cervical spine immobilization are onlytwo indications for this video endoscope.

Airway Management

VersatilityAirway management is not confined to a specific location. In ORs, emergency rooms,intensive care units through to prehospital emergency settings, medical practitioners areconfronted with the challenges of a difficult airway. KARL STORZ offers mobile and opti-mal solutions for managing difficult airway situations wherever and whenever they occur.

All a Matter of OrganizationOur videocarts – ranging from the space-saving and functional mobile stand to the indi-vidually configurable airway management cart – combine ergonomics with functionalityand are therefore customized to meet all necessary requirements. Our TROLL-E airwaytrolley provides the optimal solution for your equipment for any algorithm, regardless ofits definition.

Optimal VisualizationVideo-assisted intubation using a laryngoscope offers tremendous advantages overconventional laryngoscopy. Indirect laryngoscopy widens the angle of view from approx.10° to 80°. This factor alone enables most difficult intubation cases to be downgraded tostandard intubation. The major advantage of the C-MAC® video laryngoscope is the factthat it allows optimal use of both direct and indirect larnygoscopy for teaching andtraining purposes or under critical lighting conditions.

Solutions to Meet your NeedsFrom the MACINTOSH laryngoscope to the MILLER laryngoscope or the emergencylaryngoscope, KARL STORZ offers you a wide range of laryngoscopes. The main featureof these laryngoscopes, however, is the LED handle which offers unique benefits. All ourlaryngoscopes are, of course, compatible with DIN ISO 7376 standards.

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Tradition with a FutureFrom video laryngoscope to video laryngoscope system

1st Generation: KARL STORZ developed, in conjunction with Prof. ILIAS (Vienna, Austria), the firstvideolaryngoscope for routine use in anesthesiology. This mobile instrument wasequipped with the state-of-art TELE PACK monitor technology available at thetime.

2nd Generation: The second model was developed in conjunction with Prof. BERCI/Dr. KAPLAN(Los Angeles, USA) and was equipped with MVM technology (Micro VideoModule). This resulted in a smaller camera and, consequently, improved ease ofuse.

3rd Generation:V-MAC® – this innovative development employed DCI® technology (Direct Cou-pled Interface) and enabled several instruments to be connected to a DCI®

camera system via a one-chip camera head.

4th Generation:The C-MAC® video laryngoscopes have been equipped with a CMOS chip, LEDand Li-ion batteries ever since the first generation. This makes the videolaryngoscope more mobile and portable and allows more flexible use.

2000

2001

2003

2008

C-MAC® as SystemFIVE (flexible intubation video endoscope) can be directly connected to theC-MAC® monitor. This marks the beginning of a complete system for airwaymanagement.

2012

5th Generation:Video laryngoscopy from KARL STORZ has reached its latest evolutionary step.Featuring a new design, enhanced image quality and a new KARL STORZinterface, the C-MAC® video laryngoscopes are setting the trend for airwaymanagement. The C-MAC® system has become even more flexible andmultifunctional thanks to its new interface.

2016

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From Direct Laryngoscopy to theC-MAC® POCKET MONITOR SystemThe development from a complex functional system to frugal innovation

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2000Rüsch X-Lite® – Dismantablehandle with exchangeable blades;image transmission integrated inthe blade; handle fitted with videocamera; relatively large and heavylight & image transmission

John Knox McEwanperforms the 1storotracheal intubation

KARL STORZdevelops the 1st videolaryngoscope.

Prof. Peter Bumm – Head ofENT at Augsburg CentralHospital (Zentralklinikum) inGermany performs the 1st videolaryngoscopy using a rigidendoscope from KARL STORZ.

1543 1855

1878 1895 19411943

1989

Manuel Garciais generally regarded as apioneer in laryngoscopywhen he viewed thevocal cords with the useof a dentist’s mirror.

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Andreas Vesalius performs the 1stendotracheal intubation on ananimal and recognizes its usefor humans

System Features

2001MVM Video Laryngoscope –Micro Video Module ensurescompatibility with other intubationendoscopes at the same videocontrol unit for the first time

2003DCI® Video Laryngoscope – bladeand handle are combined in a fixedunit; camera head is inserted intothe handle; image and videodocumentation possible for thefirst time; image adjustmentdirectly on the handle; ergonomichandle design

2000

Alfred Kirsteinperforms the 1stlaryngoscopy

Robert Arden Millerinvents the MILLERlaryngoscope

Sir Robert ReynoldsMacintoshinvents theMACINTOSHlaryngoscope blade

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Prof. Berci/Dr. Kaplandevelop, in conjunctionwith KARL STORZ, the2nd generation of videolaryngoscopes with MVMtechnology.

V-MAC® – the3rd generation ofvideo laryngoscopeswith DCI® technologyfrom KARL STORZ.

C-MAC® – the 4th generation ofvideo laryngoscopes, nowequipped with CMOStechnology from KARL STORZ.

2012

C-MAC® – the 5th generation hasbecome more flexible andversatile with the C-MAC®

system interface. Thepremium class of videolaryngoscopy.

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2016

2008C-MAC® Video Laryngoscope –imaging via CMOS video chip;electronic module replaces camerahead; improved hygiene: contactand blade geometries simplified;less control buttons on the handle:image & video capture

20121st C-MAC® Video Laryngoscopewith monitor on the handle;electronic module and monitorform a portable unit; OTI display:monitor with 3-axis articulation;monitor completely watertight(IPX8)

2016C-MAC® POCKET MONITOR –2nd generation; compatibilityexpanded through theintegration of the C-MAC®

system interface; one-buttontechnology: BlueButton fordocumentation; closed system:electronic unit integrated in thehandle; hygiene: completelywatertight system (IPX8);battery management:replaceable battery

20012003

2008

1. C-MAC® videolaryngoscope with amonitor on the handle

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Meet the ExpertsProf. Dr. med. V. DÖRGES

Intubation via direct laryngoscopy provides the userwith an angle of view of approx. 10° – 15°. The specialcamera technology of the video laryngoscope directsthe observer’s eye to the blade tip, providing an angleof view of approx. 60° – 80°. This principle of videolaryngoscopy offers the user a much larger and moredetailed view of the larynx, which greatly increasespatient safety. Improved visualization of the videolaryngoscope means that the instrument exertsconsiderably less force on the patient’s jaw duringlaryngoscopy. This alone greatly reduces the risk ofdental damage resulting from intubation.

Not only do the video laryngoscopes from KARL STORZprovide a decisive advantage for daily use and difficultairway management, they are also very effective teach-ing and training tools for novices. The trainee canobserve the entire procedure for laryngoscopy andintubation on the monitor and not over the shoulder ofthe instructor – mostly with little success – as is thecase in direct laryngoscopy or intubation. It alsoenables the instructor to supervise the trainee at eachstep on the monitor and, if necessary, offer moreappropriate help.

The recording function key on the handle enables stillimages and video sequences for laryngoscopy andintubation to be captured and stored in a simple andstraightforward manner. This data is ideally suited fortraining and documentation purposes, especially in thecase of difficult intubation.

Based on 70 years of experience in endoscopy and 20years of experience in the field of video laryngoscopy,the new C-MAC® video laryngoscope fromKARL STORZ combines various technical disciplines.Great attention has again been paid to actual marketrequirements such as handling, hygiene, mobility,

Benefits of Video Laryngoscopy

Large image approx. 60° – 80°

Video Laryngoscopy

Conventional angle of view approx. 15°

Direct Laryngoscopy

Image: Prof. Dr. med. F. PÜHRINGER,Kreisklinikum Reutlingen, Germany

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Meet the ExpertsProf. Dr. med. V. DÖRGES

The C-MAC PM® was completely redesigned,specifically for mobile and prehospital use. In addition toits familiar benefits, the pocket monitor features a 3.5"display, replaceable and rechargeable batteries in amonitor with a running time of 1 hour as well as thepossibility to capture and archive images and videos.The data documented in the hard disk integrated in themonitor can be read directly on a PC/laptop with thehelp of a USB cable.

universal use and robustness in the process. As aresult, the system is suitable for routine clinicalprocedures in the OR, the intensive care unit and theemergency room as well as for prehospital proceduresusing ground or air-based life-saving equipment.

The stainless steel laryngoscope blade can bereprocessed at temperatures up to 93° and, therefore,meets all hygienic standards. Furthermore, the blade’soptimized (minimized) height and flattened proximalend ensures minimal discomfort for the patient, evenwhen the oral aperture is greatly restricted. The originalMACINTOSH blade shape is available in sizes 2, 3 and4. Two highly curved blades, the D-BLADE and D-BLADE ped., are available for difficult airways inadults and children. MACINTOSH 0 as well as MILLER0 and 1 blade shapes are available for use inneonatology and pediatrics.

Optimal visualization is allowed with the high-resolution CMOS chip via the approx. 60° angle of viewas well as high-power LED illumination. In addition,fogging of the telescope due to the heating-up of theLED is practically eliminated. To enable safe navigation,the blade tip generally appears at the top of the imageborder. The C-MAC® system is ready for use withinseconds. Rechargeable lithium-ion batteries guaranteeuse for two hours – equivalent to approx. 200intubations.

The monitor is made of shock-resistant plastic and isalso splash-proof (IP54). A resolution of 1280 x 800pixels makes the screen very fast. The videolaryngoscope enables individual images as well asvideo sequences to be captured and stored on a SDcard in a JPEG or MPEG4 format. Complicated menunavigation was consistently avoided. The documentedimages and videos can now be replayed on a laptop orPC or can also be directly displayed on the C-MAC®

monitor (8403 ZXK)

It is now possible to connect two endoscopes to themonitor at the same time so that any alternativeintubation aid that may be required can be connectedin advance and is thus immediately available ifnecessary. The lightweight C-MAC® system can bestored in a practical, water-repellent protective bag andis, therefore, ideal for prehospital use.

The blades with completely redesigned shorter andergonomic handles contain all the electronics in acompact, closed housing. The connector positioned ontop allows all blades to be directly connected with theC-MAC PM® or to the C-MAC® monitor with a suitablecable as before.

AGNNArbeitsgemeinschaft in Nord-

deutschland tätiger Notärzte e. V,Germany

Image: Dr. med. B. HOSSFELD,Bundeswehrkrankenhaus Ulm, Germany

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Meet the ExpertsProf. Dr. F. PÜHRINGER, Dr. C. REX

Guidelines and algorithms are playing an increasinglygreater role in shaping modern medicine. This is awelcome development in terms of patient safety andfor providing the best treatment options possible.However, various national algorithms on the“unexpected difficult airway” do not seem to provideconcrete and practical proposals but rather list diverseoptions for each escalation step. This is why we firmlybelieve that national algorithms should only form thebasis for “local, department-specific algorithms”. Inemergency situations, it is imperative not to provokeany loss of time through unnecessary discussions(such as “what do we do now” or “which tool shouldwe now use”) but to take action according to clearguidelines based on algorithms that have beendeveloped and firmly implemented in the local clinicalsituation.

The establishment and implementation of our localalgorithm for the unexpected difficult airway raisesquestions with regard to structural, economic, medicaland educational aspects and, of course, whichprocedure can be considered as the most practical andfeasible for plan A, plan B, plan C and plan D. Anothercrucial factor to be considered is the type of equipmentto be used and which systems can be combined via amodular structure so that no staff member has to leavethe scene of an emergency to retrieve equipment. It isalso important to determine which techniques feature asteep learning curve and which techniques can becontinuously trained in the everyday clinical practice toensure successful implementation in emergencysituations. From an economic point of view, it shouldbe determined whether reusable equipment or single-use material is preferable in routine clinical use in viewof the desired goal of continuous training.

Based on the principle that only the techniques that areused and practiced on a daily basis are effective andsuccessful in emergency situations, we developed andimplemented the “Reutlingen Algorithm for theUnexpected Difficult Airway”. This algorithm is basedon the principle of prevention on the one hand and theoptimal utilization of limited resources and goodtrainability in everyday clinical practice on the other.

In our view, the recommendations of many nationalalgorithms do not explicitly mention that anesthesiainduction should not be performed unless adequatepreoxygenation with a defined end-tidal O2 target value(etO2) is first achieved. In Reutlingen, we have thereforedetermined that preoxygenation of the patient using a

well-sealed face mask should take place up to an end-tidal oxygen concentration of >80% O2 before ahypnotic agent can be administered. This consistentlyenables the time up to a possible desaturation to besignificantly extended (up to 9 minutes) if intubationdifficulties are encountered.

There is no doubt that video laryngoscopy provides amuch better view of the larynx than conventionallaryngoscopy. Nevertheless, there are always caseswhere tube placement can be difficult despite excellentvisibility. This is why we chose to use the C-MAC®

video laryngoscope as the standard procedure in ourclinic (plan A). Optimal handling as well as speedy andcompetent decision-making in critical situations is onlypossible through routine use of the instrument. Theview that classical laryngoscopy can no longer bemastered due to a lack of training because of videolaryngoscopy can be contradicted: Classical laryngo-scopy can indeed be learned when using aMACINTOSH blade with the C-MAC® system by turn-ing the monitor away from the intubator. This featuremakes the C-MAC® an excellent teaching tool. Ourclinic has clearly seen a dramatic reduction in difficultintubations since the widespread implementation ofvideo laryngoscopy. Nevertheless, it has been impor-tant for us to define adequate and easy-to-masteralternative options (plans B, C and D).

We use the retromolar intubation endoscope as plan B.This is mainly because the initial plan to intubate thepatient should not be discarded. Thanks to themodular principle of the Storz system (where theretromolar intubation endoscope can be quickly andeasily connected via C-CAM® to the C-MAC® monitor),no staff member has to leave the scene so that plan Bcan be initiated immediately.

In comparison to other fiber optic procedures, thelearning curve for the retromolar intubation endoscopeis very steep. After approx. 30 intubations, the flat partof the learning curve has already been achieved andonly approx. 25 seconds is required to performsuccessful intubation. As training with the retromolarintubation endoscope is easy and fast in the day-to-day clinical routine, this technique is also appropriatefor use with large teams. In our clinic, we performintubations with the retromolar intubation endoscopein many operating rooms on a daily basis according tothe principle “continuous training” and the “teamconcept”. We are thus able to achieve acceptance ofthis technique among medical and nursing staffs.

The development and implementation of a local algorithm for the unexpected difficult airway

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Meet the ExpertsProf. Dr. F. PÜHRINGER, Dr. C. REX

STANDARD: Sufficient preoxygenation(etO2 > 80 %)

PLAN A: Video laryngoscope (C-MAC®) – 2 attempts: D-BLADE if applicable● Optimization of positioning

(Cushion, BURP)● Seek help● Maintain oxygenation

PLAN B: BONFILS (or C-MAC® VS)● Median access

PLAN C: Laryngeal mask – ProSeal LMA● For ventilation and intubation (Cook

and flexible fiber optics, FIVE)

PLAN D: Cricothyreotomy – Quick Trach/ scalpel-bougie technique

In summary, we consider the modular C-MAC® system– consisting of the C-MAC® video laryngoscope and C-CAM®, which allows the connection of both theretromolar intubation endoscope and the conventionalfiberscope as well as the new FIVE (Flexible IntubationVideo Endoscope) – to be the ideal technical basis formodern airway management. Bearing in mind thatvisualization for the entire team as well as steeplearning curves and continuous training determine asuccessful outcome in emergency situations, we haveestablished our algorithm with this equipment. Themodular C-MAC® system provides excellent supportand offers decisive advantages from an economicpoint of view.

Prof. Dr. F. PÜHRINGER, Dr. C. REX,Klinikum am Steinenberg, Reutlingen

Klinik für Anästhesiologie und Operative IntensivmedizinGermany

Good and effective assistance from the medical staff isessential for successful use of the retromolar intuba-tion endoscope: Using the Esmarch technique (jawthrust maneuver), the tongue and epiglottis are effect-ively lifted from the posterior pharyngeal wall in orderto access the larynx by the assistant. Visualization ofthe procedure on the C-MAC® monitor enables allparticipants to successfully coordinate airway mani-pulation.

Should plan B fail, use of the ProSeal laryngeal mask isdefined as plan C in our algorithm. When intubation isnot successful, oxygenation becomes the top priority.The ProSeal larynx mask of the 2nd generation LMA isthe supraglottic airway device of choice for routine useand is therefore used in emergency situationsaccording to our philosophy: “Only items used on adaily basis can be successfully used in the OR”.Should oxygenation and ventilation of the patient bepossible, an “exchange maneuver” is performed. Usingflexible fiber optics (a conventional fiberscope via C-CAM® or the flexible intubation video endoscopeFIVE) and under direct vision via the C-MAC® monitor, itis possible to insert a tube through the laryngeal maskvia an exchange catheter using the Seldingertechnique. Again it is important to note that this“exchange maneuver” can also be easily practiced inthe daily clinical routine. The training of fiber opticintubation on anesthetized patients is also performeddaily in an operating room and is an integral part of ourAirway Management Program.

If oxygenation and ventilation with the laryngeal maskis not possible, then cricothyrotomy as a last resort isused as plan D. We currently use the Quick-Trachsystem which also features a rapid learning curve andis trained once a year on an animal model. We areaware of the fact that the “scalpel bougie technique” isconsidered to be more effective and successful on aninternational level. However, as long as we do not seeadequate teaching and training opportunities, weconsider a more difficult but better trainable approachto be more appropriate.

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Meet the ExpertsDr. S. MERZ

Airway Management in the Emergency Room

The number of medical emergencies continues to risein Germany. More and more emergency rooms are nowstand-alone departments within hospitals.

All patients who face danger to life and limb receiveurgent medical assistance in the emergency room.Emergency rooms are available to patients 24 hours aday, 365 days a year. The entire personnel are trainedto deal with any acute life-threatening situations.

The causes of life-threatening situations presented bypatients in emergency rooms are very varied and oftendiverse. Breathing disorders represent a large and verysignificant aspect.

The possible causes for breathing disorders are listedin the table below:

Possible causes of respiratory distress:● Injuries to the airway● Glottal edema● Epiglottitis● Pneumothorax● Bronchial asthma● COPD● Pneumonia● Pulmonary edema● Pleural effusions● Bronchial carcinoma● Pulmonary embolism● Neuromuscular disorders

A top priority in the emergency room is to secureand/or restore breathing.

Some patients are already intubated when they arrivein the emergency room so that the task of the attendingphysician is to check the airway and to continue

respiration. Other patients arrive with insufficientspontaneous respiration or with non-invasive ventila-tion and are accompanied by an emergency servicesphysician. The physicians in the emergency room mustthen decide if there is an indication for intubation.

Securing or restoring adequate oxygenation andventilation is crucial. All physicians working in theemergency room must be capable of securing theairway. This requires knowledge of the anatomy as wellas physiology and pathophysiological changes.Furthermore, they must be familiar with all materials,instruments and equipment at their disposal.

Patients arriving in the emergency room are frequentlyunannounced and obtaining a patient history is oftennot possible.

Examination of the airway in the trauma room isconsiderably more difficult and problematic thanelective intubation. Nevertheless, the indication for oragainst intubation must be decided quickly.

If a decision is made to perform intubation, then patientpreparation must take place immediately and withoutdelay. Each member of the emergency room teammust be able to prepare for intubation according to achecklist and an established algorithm.

In our clinic, the C-MAC® video laryngoscope isprimarily used for intubation in the emergency setting.

The use of video laryngoscopy enhances the safety ofthe patient. The intubation process can be displayed orvisualized for the entire team. Any problems that mayoccur can be treated under direct vision. The impact ofassistance can also be clearly presented or visualized.

Various complications, e.g., hypoxia, a fall in bloodpressure etc., may arise during intubation. These mustbe avoided whenever possible. The so-called FirstPass Success should thus be achieved. Intubationmust be uncomplicated, fast and proceed successfullyfrom the first step onwards.

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The need to use auxiliary tools, such as a bougie or aMAGILL forceps, is better understood and can beimplemented in a timely fashion if there is a view of theairway. It also makes it easier for the entire team toperceive and understand the need for any changes tothe procedure, e.g., for an alternative airway. Inaddition, all members of the team should be able toidentify a difficult airway. Often only seconds to a fewminutes are available for this realization.

It is useful to have algorithms in place for the intubationprocess that familiarize the medical personnel withvarious steps in airway management in terms of theequipment available to them in their own emergencyroom.

Our clinic has developed an algorithm for airwaymanagement that the personnel are expected toobserve. In addition to plan A, the emergency roomalso has a plan B and plan C.

All materials and instruments are kept on an airwaycart. The personnel are prepared and trained forintubation in appropriate training courses.

New physicians are trained in the use of the videolaryngoscope as well as intubation techniques for bothdirect and indirect laryngoscopy. The instructors canobserve the new staff members throughout all phasesof intubation and are able to supervise the process.

The use of the C-MAC® system also provides theopportunity to discuss the intubation afterwards bymeans of documentation such as video sequences orphotos.

Reprocessing of the C-MAC® system blade is straight-forward and fast. The blade can be machine cleanedup to a temperature of 93 °C. If this is not possible, theblade can be reprocessed via specially validated wipedisinfection (the Tristel company).

All in all, the use of the C-MAC® video laryngoscopehas allowed us to take another step towards theimprovement of patient safety. It has also enabled us tointegrate a visualization system into the daily clinicalroutine that facilitates teamwork as it keeps the entireteam informed about day-to-day handling as well asdifficult airway management.

For Plan B in airway management at our emergencydepartment, we stock supraglottic devices (laryngealmasks, laryngeal tubes) as well as the C-MAC® videostylet (C-MAC® VS). This rigid stylet with movable tipallows intubation even in patients with a very smallmouth opening, e.g., lockjaw due to an abscess. Thestylet can be inserted into the mouth using theretromolar technique or in the midsagittal plane. Afterreaching the glottal level, the tube is advanced undervisualization on the monitor. If the view is obstructed byblood or mucous, a high flow of oxygen is fed into thestylet through a port on the tube holder. On the onehand, this provides apnoeic oxygenation during theintubation process and, on the other hand, blood andmucous are moved away from the tip of the stylet toensure a clear view.

We consider the C-MAC® VS, which we have integra-ted into our algorithm, to be an excellent addition to thematerials and instruments we keep in stock.

Sabine MERZ, M.D.Zentrale Notaufnahme

Schwarzwald-Baar Klinikum Villingen-SchwenningenChristoph 11

Germany

Meet the ExpertsDr. S. MERZ

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Video Systems for Airway Management

When KARL STORZ continues to expand its highlysuccessful C-MAC® product family with the fifthgeneration of video laryngoscopes and a wide range ofnew instruments, customers can justifiably expectmore than superficial adaptations to current chiptechnology. The outstanding feature of the new-

generation C-MAC® platform is the universal C-MAC®

system interface. The result is the new C-MAC®

system, which is now even more flexible and offers theuser numerous possibilities for securing the airway.

We understand Airway Management!

Endoscopes/Fiber-scopes (eyepiece)

C-CAM® E-Box

C-MAC® MonitorC-MAC® PM

POCKET MONITOR

OR1™ Monitor

C-HUB® II

Video Stylet

C-MAC®

Connecting Cable

C-MAC® S C-MAC® C-MAC® VS

Video Laryngoscopes

FIVE FIVE S

Flexible Intubation Video Endoscopes

C-MAC® SIMAGER

C-MAC® SPediatricIMAGER

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C-MAC® MonitorThe heart of the C-MAC® system

Special Features:● Two endoscope inputs: Rapid toggling at the

front end possible -> your “plan B” is alreadyconnected

● HDMI output for connection to anexternal monitor

● Playback of images and videos on the C-MAC®

and an external monitor possible● Documentation of still images (JPEG) and video

sequences (MPEG4) on a SD memory card inreal time

● Data backup also possible on USB flash drive

● 7" TFT wide angle view display (160°) withpremium image quality

● Connection for C-MAC® system endoscopes● Weighs only 1000 g● Can be run while charging and with

rechargeable Li-ion batteries● New design; easy to clean (IP54)● System open to future C-MAC® components

(forward and backward compatible)

8403 ZXK C-MAC® Monitor for CMOS Endoscopes Set, screen size 7"with 1280 x 800 pixel resolution, two camera inputs, a USB and aHDMI port, optimized user interface, video and image capture inreal time on SD card, playback of recorded video clips and stillimages, data transfer from SD card to USB flash drive possible,splash-proof according to IP54, suitable for wipe disinfection,shock-resistant ABS plastic housing, intelligent powermanagement with rechargeable Li-ion batteries, VESA 75mounting option, power adaptor for EU, UK, USA and Australia,power supply 110 – 240 VAC, 50/60 Hz, for use with CMOS videoendoscopesincluding:SD Card ULTRA, 8 GBProtection CapVESA 75 Quick ClipMains Adaptor Set

8403 ZXK 8403 X

8403 X C-MAC® Connecting Cable, with C-MAC® system interface,for C-MAC® Monitor 8403 ZXK or C-HUB® II 20 2903 01, length200 cm, for use with C-MAC® video laryngoscopes 8403 xxx

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C-MAC® PM – The POCKET MONITORThe C-MAC® system for mobile use

The C-MAC® PM is as easy to handle as a direct laryn-goscope but offers all the advantages of indirect laryn-goscopy. Robust and easy to handle, the C-MAC® PMis ideal for prehospital use. The OTI display allows easyhandling and is therefore always ready for use. Thetwo-axis system allows the position of the monitor tobe adjusted according to individual needs.

For quality assurance, the C-MAC® PM guaranteesreal-time documentation of images and videosequences (up to 50 minutes) on a hard drive. Dataexport takes place via USB transmission.

The POCKET MONITOR was specifically designed foremergency settings (pre- and in-hospital). Its 3.5"monitor delivers a contrast-rich image, even in brightsunlight. The C-MAC® PM is guaranteed to bewaterproof (protection class IPX8). It can be used withany endoscope with a C-MAC® system interface suchas, for example, the C-MAC® VS.

Consequently, it is an ideal complement to the C-MAC®

system.

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Special Features:● Universal C-MAC® system interface, tailored to

your airway management● Exchange of C-MAC® video laryngoscopes and

the C-MAC® VS within seconds● Documentation of images (JPEG) and video

sequences (MPEG4) on internal memory inreal time

● High-resolution 3.5" wide-view angledisplay (160°)

● No additional on/off buttons thanks tothe “Open-to-Intubate display” (OTI)

● Due to the closed design, the entirePOCKET MONITOR unit can be fullyimmersed in disinfection solution (IPX8)

● One hour operating time● Always ready for use thanks to

exchangeable, replaceable battery● Rechargeable Li-ion battery with capacity

control and intelligent power management● Suitable and validated for the following low-

temperature reprocessing methods: Manualcleaning and disinfection, sterilization withSteris®, Sterrad® and High-Level Disinfection(HLD) acc. to US standards and Tristel Trio WipesSystem

● Additional standard: RTCA/DO-160F

8403 XDK

8403 XDK C-MAC® PM Set, unit with LCD monitor and power supply for all C-MAC®

laryngoscopes, with C-MAC® system interface, screen size 3.5",documentation of images and video sequences saved on internalmemory, monitor movable via two rotation axes, rechargeable Li-ionbattery, 1 h operation time, exchangeable battery pack, 2 h charging time,power management with capacity indicator, protection class IPX8, for usewith C-MAC® Video Laryngoscopes 8403 xxxincluding:Battery, rechargeableUSB Data CableProtection Cap, for reprocessing

Components/Spare Parts see chapter 6Intubation Set Prehospital, ULM Model 8400 C1 see page 6

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8403 XDA Battery, rechargeable Li-ion battery for power supplyof C-MAC® PM 8403 XD, charging via Charging Unit8403 XDL, optimal operation time of 60 min, suitablefor wipe disinfection

8403 XDL 8403 XDA

8403 XDL Charging Unit, for one rechargeable battery forC-MAC® PM, with power supply and mainsadaptor for EU, UK, USA and Australia, powersupply 100 – 240 VAC, 50/60 Hz, suitable for wipedisinfection, for use with Battery 8403 XDA andC-MAC® PM 8403 XD

8403 XDD USB Data Cable, USB 2.0 port, for data transfer fromC-MAC® PM 8403 XD to a computer, length 200 cm

8403 XDP C-MAC® PM Connecting Cable, for the transmission ofdigital signals from C-MAC® PM 8403 XD to C-MAC®

Video Laryngoscopes 8403 xxx (C-MAC® systeminterface), length 50 cm

8403 XDP 8403 XDD


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C-HUB® IIComponents for the C-MAC® system

Nothing could be easier

C-HUB® II was specially designed for the integration ofexisting installations. With extensive connectivity viaUSB 2.0, HDMI and S-Video, it can easily be connectedto computers and monitors as well as the OR1™ system.

The galvanic isolation in the C-HUB® II makes it possibleto link medical-grade products to non-medical equip-ment (e.g., computers/monitors).

C-HUB® II is compatible with all endoscopes in the C-MAC® family.

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C-HUB® IIComponents for the C-MAC® system


20 2903 01 C-HUB® II Camera Control Unit, for use with C-CAM®

Camera Head 20 2901 32, Electronic Module 8402 X, C-MAC®

Connecting Cable 8403 X or compatible CMOS videoendoscopes, Interfaces: USB 2.0, S-Video output (NTSC),HDMI output, power socketincluding:Power Supply, including country-specific plugsS-Video (Y/C) Connecting CableUSB Connecting CableKARL STORZ Video Editor

8403 XA Extension Cable, length 200 cm, for the transmission of analogand digital signals, dustproof according to IP50 standards (notwaterproof), for use with C-HUB® II Camera Control Unit20 2903 01 and C-MAC® Monitor 8403 ZX in conjunction with allendoscopes of the KARL STORZ Office Line (8-pin instruments)

20 290301

Special Features:● Can be connected to all endoscopes in the

C-MAC® family● Video editor for displaying, recording, and

processing endoscopic image material● Highest safety standards thanks to galvanic

isolation

● Plug & Play unit can be connected to an existingcomputer

● Extensive connection possibilities via USB 2.0,HDMI and S-Video

47AN-DAM-V 15 A

2-09

2

C-MAC® Video Laryngoscopesfor direct and indirect endotracheal intubation

n

48 AN-DAM-V 16 A

4-12

18403 EXC

8403 EXC Same, size 0

8403 KXC Same, size 2

8403 KXC/AXC/BXC

8403 BXC C-MAC® Video Laryngoscope MAC #4, CMOS technology,with MACINTOSH laryngoscope blade, size 4, with C-MAC®

system interface, documentation of images and videosequences via BlueButton, for use with C-MAC® ConnectingCable 8403 X for C-MAC® Monitor 8403 ZX or C-HUB® II20 2903 01 as well as C-MAC® PM 8403 XD

8403 AXC Same, size 3

MACINTOSH C-MAC®

Video Laryngoscopesfor direct and indirect endotracheal intubation

n

Special Features:● Robust yet light: Great stability and shock

resistance; light alloy design● Meets the highest ergonomic standards –

specially shaped and shortened handle● Proximal slanted blade protects teeth● BlueButton: Documentation via innovative

multifunctional button and individual colorcoding

● Blade tips of all blade types visible for safenavigation

● Universal C-MAC® system interface forC-MAC® Monitor 8403 ZX andC-MAC® PM 8403 XD

● Suitable and validated for the followingreprocessing methods up to max. 93 °C:Manual/machine cleaning and disinfection,sterilization with Steris®, Sterrad® and High-LevelDisinfection (HLD) acc. to US standards as wellas the Tristel Trio Wipes System

MACINTOSH● For direct and indirect laryngoscopy● For routine clinical use and training● Original English MACINTOSH blade shape

P R EM I UM

49AN-DAM-V 17 A

4-12

1

8403 BX C-MAC® Video Laryngoscope MAC #4, CMOS technology, withMACINTOSH laryngoscope blade, size 4, with C-MAC® systeminterface, documentation of images and video sequences viaBlueButton, with catheter introduction sizes 16 – 18 Fr., for useC-MAC® Connecting Cable 8403 X for C-MAC® Monitor 8403 ZXor C-HUB® II 20 2903 01 as well as C-MAC® PM 8403 XD

8403 AX Same, size 3, with catheter introduction sizes 14 – 16 Fr.

MACINTOSH C-MAC®


n

Special Features:MACINTOSH● For direct and indirect laryngoscopy● For routine clinical use and training● Original English MACINTOSH blade shape● With catheter introduction for positioning a

suction catheter, O2 catheter or an AINTREEcatheter

8403 AX/BX

P R EM I UM

50

5-18

AN-DAM-V 18 A

8403 DXC/GXC

8403 DXC Same, size 0

8403 MXC

8403 MXC C-MAC® Video Laryngoscope MIL #2, CMOS technology,with MILLER laryngoscope blade, size 2, with C-MAC® systeminterface, documentation of images and video sequences viathe BlueButton, for use with C-MAC® Connecting Cable 8403 Xfor C-MAC® Monitor 8403 ZX or C-HUB® II 20 2903 01 as wellas C-MAC® PM 8403 XD

8403 GXC Same, size 1

MILLER C-MAC®


n

Special Features:MILLER● For pediatrics and neonatology● Particularly flat model; anatomically

optimized tip● For direct and indirect laryngoscopy● For routine clinical use and training

P R EM I UM

51

5-18

AN-DAM-V 19 A

C-MAC® Video Laryngoscopes D-BLADEfor direct and indirect endotracheal intubation

n

Special Features:D-BLADE● Special curved blade shape for

difficult intubation● With catheter introduction

8403 HXP

8401 DS C-MAC® GUIDE, guide rod made of stainless steel withatraumatic tip, distal region is adapted to the blade shape of theC-MAC® video laryngoscope D-BLADE, fixation of endotrachealtube with the integrated tube holder possible, package of 10,for use with C-MAC® video laryngoscopes

8403 HXK

8403 HXK C-MAC® Video Laryngoscope D-BLADE Set, for adults, CMOStechnology, for difficult intubation, with C-MAC® system interface,documentation of images and video sequences via BlueButton, withcatheter introduction sizes 16 – 18 Fr., including C-MAC® GUIDEadapted to blade shape, for use with C-MAC® Connecting Cable8403 X for C-MAC® Monitor 8403 ZX or C-HUB® II 20 2903 01 as wellas C-MAC® PM 8403 XDincluding:C-MAC® GUIDE

8403 HXP C-MAC® Video Laryngoscope D-BLADE, pediatric, CMOStechnology, for difficult intubation in children, with C-MAC®

system interface, documentation of images and videosequences via the BlueButton, for use with C-MAC® ConnectingCable 8403 X for C-MAC® Monitor 8403 ZX or C-HUB® II20 2903 01 as well as C-MAC® PM 8403 XD

Optional Accessories:

8401 DS

P R EM I UM

52

4-12

1

AN-DAM-V 20

In view of the familiar benefits of the reusable C-MAC®

video laryngoscopes, great value was also attached tomaintaining the standard MACINTOSH blade shape forsingle-use C-MAC® S video laryngoscopes as well. TheD-BLADE is also available as a C-MAC® S version. TheIMAGER enables blades to be exchanged in secondsand, as a camera, it forms the interface to the C-MAC®

monitor. Flexibility and mobility are preserved while theotherwise necessary time-consuming transport andreprocessing steps could be reduced to a minimum.

The special design of the C-MAC® S video laryngo-scope enables the blade to be discarded along with thehandle after use so that the risk of cross-contaminationis drastically reduced. A hygienic guard at the proximalhandle offers the IMAGER additional protection. Theproduct design ensures that C-MAC® S video laryngo-scopes are extremely break-resistant.

C-MAC® S Video LaryngoscopesThe C-MAC® system for single use

53

4-12

1

AN-DAM-V 21 A


n

8403 XSI C-MAC® S IMAGER, with C-MAC® system interface, formanual and machine disinfection up to 65 °C and HighLevel Disinfection (HLD) acc. to US standards, for use withC-MAC® Connecting Cable 8403 X, C-MAC® Monitor8403 ZX, C-MAC® PM 8403 XD or C-HUB® II 20 2903 01and single-use C-MAC® S video laryngoscopes 051113-10,051114-10, 051116-10

Special Features:● Handling tailored to meet stringent hygiene

standards● Risk of cross-contamination drastically reduced:

Hygienic guard at the proximal end of the handleoffers protection

● Exchange of C-MAC® S video laryngoscopeswithin seconds

●● Universal C-MAC® system interface for C-MAC® Monitor 8403 ZX and C-MAC® PM 8403 XD as well as C-HUB® II 20 2903 01

● Suitable and validated for the following lowtemperature reprocessing methods up to max.65 °C: Manual/machine cleaning anddisinfection, sterilization with Steris® and High-Level Disinfection (HLD) acc. to US standards aswell as the Tristel Trio Wipes System

8403 XSI

54

4-12

1

AN-DAM-V 22 A

MACINTOSH C-MAC® SVideo LaryngoscopesThe C-MAC® system for single use

n

051113-10051114-10

051114-10* C-MAC® S Video Laryngoscope MAC #4, withMACINTOSH laryngoscope blade, size 4, for single use,package of 10, for use with C-MAC® S IMAGER 8402 XS,8403 XS or 8403 XSI

051113-10* Same, size 3

Special Features:● Blade and handle form one continuous piece:

Optimal protection against cross-contamination● Extremely break-resistant● Ergonomically shaped handle● Compact design

● For use with C-MAC® S IMAGER● For direct and indirect laryngoscopy● For routine clinical use and training● With original MACINTOSH blade shape

*

55

4-12

1

AN-DAM-V 23 A

C-MAC® S Video Laryngoscopes D-BLADEThe C-MAC® system for single use

Special Features:● Special curved blade shape for

difficult intubation● With short handle

051116-10

051116-10* C-MAC® S Video Laryngoscope D-BLADE, withlaryngoscope blade for difficult intubation, for singleuse, package of 10, for use with C-MAC® S IMAGER8402 XS, 8403 XS or 8403 XSI

8401 DS C-MAC® GUIDE, guide rod made of stainless steel withatraumatic tip, distal region is adapted to the blade shape of theC-MAC® video laryngoscope D-BLADE, fixation of endotrachealtube with the integrated tube holder possible, package of 10,for use with C-MAC® video laryngoscopes


8401 DS

*

56 AN-DAM-V 24 A

5-18


n

8403 XSPK C-MAC® S Pediatric IMAGER Set, with C-MAC® systeminterface, for manual and machine disinfection up to 65 °C andHigh Level Disinfection (HLD) acc. to US standards, for use withC-MAC® Connecting Cable 8403 X, C-MAC® Monitor 8403 ZX,C-MAC® PM 8403 XD or C-HUB® II 20 2903 01 and single-useC-MAC® S video laryngoscopes 051110-10, 051111-10including:Pressure Compensation CapLeakage Tester

Special Features:● Handling tailored to meet stringent hygiene

standards● C-MAC® S video laryngoscope exchange within

seconds● For use with C-MAC® Monitor 8403 ZX and

C-MAC® PM 8403 XD as well as C-HUB® II20 2903 01

● Suitable and validated for the following low-temperature reprocessing methods up to max.65 °C: Manual/machine cleaning and disin-fection, sterilization with Steris® and High-LevelDisinfection (HLD) acc. to US standards as wellas the Tristel Trio Wipes System

8403 XSPK

57

5-18

AN-DAM-V 25 A

MILLER C-MAC® S Video LaryngoscopesThe C-MAC® system for single use

051111-10 051110-10

051111-10 C-MAC® S Video Laryngoscope MILLER #1, forsingle use, package of 10, for use withC-MAC® S Pediatric IMAGER 8403 XSP/XSPK

051110-10 Same, size 0

Special Features:● Blade and handle form one continuous piece:

Optimal protection against cross-contamination● Extremely break-resistant● Ergonomically shaped handle● Compact design

● For direct and indirect laryngoscopy● For routine clinical use and training● With original MILLER blade shape

*

58 AN-DAM-V 26 A

5-18

FIVEFlexible Intubation Video Endoscopes

The Flexible Intubation Video Endoscope (FIVE) fromKARL STORZ offers the anesthesiologist and intensivecare physician a range of flexible endoscopes fordiagnosis and therapy that are not only technologicallyadvanced but have been completely redesigned.Available with outer diameters of 6.5 mm, 5.5 mm,4 mm and 3 mm, the first three FIVE models mentionedare equipped with a working channel.

Instead of using the technique with fiber optic bundlesfor image transmission that has been popular for manyyears, visualization is now provided by means of ahigh-resolution CMOS chip at the distal tip of the endo-scope. Instead of a circular image, the image is dis-played in a 4:3 format that fills the entire screen. Thisinnovative technology (which is also used in otherproducts such as, for example, the proven C-MAC®

video laryngoscopes) guarantees a high-resolutionimage display. The FIVE is operated with the C-MAC®

monitor. All functions, e.g., image and video docu-mentation are also available here. A major innovation isthe absence of a classical eyepiece. Thanks to the plug& play technology, this eliminates the need to focusand refocus the camera or to connect and regulate thelight source.

The FIVE is used for a wide range of indications. Inanesthesiology, expected intubation problems are themain field of application. Despite the fact thatintubation in many of these situations are currentlyperformed with video laryngoscopes under anesthesia,intubation on awake or lightly sedated patients withspontaneous respiration using the flexible intubationendoscope still has the highest recommendationgrade, according to the S1 guidelines on airwaymanagement by the German Society of Anesthesiologyand Intensive Care Medicine (DGAI) in 2015 (“shouldbe applied”). Further areas of application in anesthesiaare intubation in the case of an unexpectedly difficultrespiratory airway as well as intubation via supraglotticairways, e.g., the intubation laryngeal mask (ILMA) orthe intubation larynx (iLTS-D).

Both the S1 guidelines of the DGAI and the BritishDifficult Airway Society (DAS) discourage “blind”advancement of the endotracheal tube and insteadrecommend intubation under visualization with the helpof a flexible endoscope. Furthermore, a flexibleendoscope with appropriate dimensions is consideredto be essential for verifying the position of doublelumen tubes or for the placement of endobronchialblockers in thoracic anesthesiology.

Diagnosis, and often treatment, with the FIVE is one ofthe most commonly performed invasive procedures inintensive care medicine. For these interventions inparticular, a reliable technique with high-resolutionimage display and precise control is essential to reducethe procedure time to a minimum on patients who areoften critically ill and have restricted respiration.

The working channel with a diameter between 3 mmand 1.5 mm – depending on the thickness of the entireendoscope – offers diverse possibilities. Duringintubation, it allows the suctioning of secretion or bloodas well as the administration of oxygen or a localanesthetic. In intensive care medicine, the applicationrange of the working channel is typically expanded toinclude the extraction of biological material (bronchialsecretions and bronchoalveolar lavage fluid) formicrobiological and cytological diagnosis. Specialinstruments that can be inserted through the workingchannel also allow the use of brush swabs or tissuebiopsies. Foreign bodies can be removed with the helpof special grasping forceps and, finally, medicationscan be administered, e.g., vasoconstrictors for theendobronchial hemostasis of hemoptysis.

In conclusion, the FIVE forms the cornerstone of aninnovative and forward-looking concept of intercom-patible C-MAC® components based on CMOS tech-nology, making the FIVE suitable for use in anes-thesiology, in the intensive care unit as well as inclinical and prehospital emergency medicine.

Prof. Dr. med. C. BYHAHN,Evangelisches Krankenhaus Oldenburg,

Germany

FIVE for Anesthesiology and Intensive Care Medicine

59AN-DAM-V 27 A

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1


The FIVE 6.5, FIVE 5.5, FIVE 4.0 and FIVE 3.0 flexibleintubation video endoscopes from KARL STORZ set anew direction for airway management. The convenient4:3 rectangular image format provides a better overviewof the working area. Similar to the C-MAC® videolaryngoscopes, the flexible intubation video endoscopedelivers clear, pixel-free images without a Moiré pat-tern.

The flexible intubation video endoscopes can bedirectly connected to the C-MAC® monitor. Thisenables immediate changeover to the C-MAC® videolaryngoscope, if required.

Real-time documentation can be directly started fromthe FIVE. The FIVE thus represents a further componentwithin the C-MAC® system.

60

5-18

AN-DAM-V 28 A

FIVE 6.5The flexible intubation video endoscope for universal use

n

Special Features:● Working channel of 3 mm●● Designed for use in the intensive care unit● Suitable for inspection of the respiratory tracts

and suction of bronchial mucus● ETT with good gliding properties● For the placement of Endotracheal Tubes (ETT)

as of size 7 mm● For versatile use in foreign body removal● Ergonomic design; acoustic and tactile zero

position control

● For use with the new C-MAC® Monitor 8403 ZXand the new C-HUB® II 20 2903 01

● High image resolution and video imaging in 4:3format – no tunnel vision

● For airway inspection● Practical tube fixation with special adaptor●● Suitable and validated for the following low-

temperature reprocessing methods up to max.65 °C: Manual/machine cleaning anddisinfection, sterilization with Steris®, Sterrad®

and EtO gas; High-Level Disinfection (HLD) acc.to US standards

11304 BCXK Flexible Intubation Video Endoscope Set 6.5 x 65,CMOS technology, with suction valve, for use withC-MAC® Monitor 8403 ZX and C-HUB® II 20 2903 01Direction of view: 0°Angle of view: 100°Working length: 65 cmTotal length: 94 cmWorking channel inner diameter: 3.0 mmDistal tip outer diameter: 6.5 mmDeflection up/down: 180°/140°

11304 BCXK

Components/Spare Parts see chapter 6Optional Accessories for FIVE see page 79

61AN-DAM-V 29 A

4-12

,1

nFIVE 5.5The flexible intubation video endoscope for universal use

Special Features:● Exceptional stiffness with very good guidance

properties● Ergonomic design; acoustic and tactile zero

position control● ETT with good gliding properties● For the placement of Endotracheal Tubes (ETT)

as of size 6 mm● For use with the new C-MAC® Monitor 8403 ZX

and the new C-HUB® II 20 2903 01● High image resolution and video imaging in 4:3

format – no tunnel vision

● For position check of Double Lumen Tubes (DLT)in adults

● For airway inspection● Practical tube fixation via special adaptor●● Suitable and validated for the following low-



11303 BNXK Flexible Intubation Video Endoscope Set 5.5 x 65,CMOS technology, with suction valve, for use withC-MAC® Monitor 8403 ZX and C-HUB® II 20 2903 01Direction of view: 0°Angle of view: 100°Working length: 65 cmTotal length: 94 cmWorking channel inner diameter: 2.1 mmDistal tip outer diameter : 5.5 mmDeflection up/down: 140°/140°

11303 BNXK


62 AN-DAM-V 30 A

5-18

FIVE 4.0The flexible intubation video endoscope for universal use

Special Features:● Exceptional stiffness with very good guidance

properties● Ergonomic design; acoustic and tactile zero

position control● ETT with good gliding properties● For the placement of Endotracheal Tubes (ETT)

as of size 4.5 mm● For use with the new C-MAC® Monitor 8403 ZX


format – no tunnel vision

● For position check of Double Lumen Tubes (DLT)in adults




11302 BDXK Flexible Intubation Video Endoscope Set 4.0 x 65,CMOS technology, with suction valve, for use withC-MAC® 8403 ZX and C-HUB® 20 290301Direction of view: 0°Angle of view: 100°Working length: 65 cmTotal length: 94 cmWorking channel inner diameter: 1.5 mmDistal tip outer diameter: 4.1 mmDeflection up/down: 140°/140°

11302 BDXK


63

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AN-DAM-V 31 A

FIVE 3.0The flexible intubation video endoscope for pediatrics

Special Features:● Small diameter yet exceptional stiffness with

very good guidance properties● Ergonomic design; acoustic and tactile zero

position control● For the placement of Endotracheal Tubes (ETT)

as of size 3.5 mm● ETT with good gliding properties● For use with the new C-MAC® Monitor 8403 ZX


format – no tunnel vision● Two LED’s at the distal tip; optimal illumination



and EtO gas; High-Level Disinfection (HLD) acc.to US standards and the Tistel Trio WipesSystem

11301 ABXK Flexible Intubation Video Endoscope Set 3.0 x 52,CMOS technology, with suction valve, for use withC-MAC® Monitor 8403 ZX and C-HUB® II 20 2903 01Direction of view: 0°Angle of view: 100°Working length: 52 cmTotal length: 72 cmDistal tip outer diameter: 2.85 mmDeflection up/down: 140°/140°

11301 ABXK


64

5-18


AN-DAM-V 32 A

Please note that the accuracy of the ETT diameter may vary depending on the manufacturer’s quality.

Intu

batio

n Vi

deo

Endo

scop

e

CM

OS

tech

nolo

gy

Order No.

Def

lect

ion

up/d

own

Dire

ctio

n of

vie

wA

ngle

of v

iew

Wor

king

leng

th

Tota

l len

gth

Wor

king

cha

nnel

inne

r di

amet

er

Dis

tal t

ip o

uter

dia

met

erR

ecom

men

ded

ETT

diam

eter

as

of**

13242 XL Leakage Tester, with bulb andmanometer

11301 CFX Tube Holder, for use with Flexible IntubationVideo Endoscopes 11304 BCX, 11303 BNX,11302 BDX and 11301 ABX

11025 E Pressure Compensation Cap, for ventilationduring gas and plasma sterilization

29100 Plug, for LUER-Lock irrigation connectorfor cleaning, black, autoclavable,package of 10

10310 Same, size 2, insertion length 65 mm

10309 Bronchoscope Insertion Tube, size 4, withintegrated mouthpiece, insertion length 85 mm,made from EVA, sterile, for single use, packageof 10

Accessories included in delivery:

11025 E

11301 CFX

29100

13242 XL

27677 SM Case for Flexible Endoscopes, with accessories

27677 SL Case for Flexible Endoscopes, without accessories

**

11303 BNXK

11304 BCXK

5.5 x 65

6.5 x 65

0° 100° 65 cm

0° 100° 65 cm

94 cm 2.1 mm 5.5 mm

94 cm 3.0 mm 6.5 mm

6.0 mm

7.0 mm

140°

°140

180°

140°

10309/10310

27677 SL/SM

11302 BDXK4.0 x 65 0° 100° 65 cm 94 cm 1.5 mm 4 mm 4.5 mm

140°

°140

11301 ABXK3.0 x 52 0° 100° 52 cm 72 cm - 2.85 mm 3.5 mm

140°

°140

65

5-18

AN-DAM-V 33

Cas

e

Pre

ssur

eC

ompe

nsat

ion

Cap

Leak

age

Test

er

Tube

Hol

der

Cle

anin

g B

rush

Plu

g

Irrig

atio

n A

dapt

or

Suct

ion

Valv

e

Bro

ncho

scop

eIn

sert

ion

Tube

Accessories (included in delivery)

27677 SM 11025 E 13242 XL 11301 CFX 110940-50

27677 SM 11025 E 13242 XL 11301 CFX 110950-50

29100

29100

11301 CD1

11301 CD1

11301 CE1

11301 CE1

1030910310

1030910310

110930-50 Cleaning Brush, length 90 cm, brush diameter 1.7 mm,unsterile, for single use, package of 50, for use withflexible endoscopes with working channel diameters1.2 – 1.5 mm

110940-50 Cleaning Brush, with double-sided brush, length 90 cm,brush diameter 2.6 mm, unsterile, for single use, package of50, for use with flexible endoscopes with working channeldiameters 2 – 2.3 mm


11301 CD1 Irrigation Adaptor, for machine cleaning, reusable, for use withFlexible Intubation Video Endoscopes 11301 BNX, 11302 BDX,11303 BNX and 11304 BCX

11301 CE1 Suction Valve, for single use, package of 20, for use withFlexible Intubation Video Endoscope 11301 BNX, 11302 BDX,11303 BNX and 11304 BCX

8403 YZ Protection Cap, for the C-MAC® system interface on C-MAC®

Video Laryngoscopes 8403 xxx and C-MAC® PM 8403 XD aswell as C-MAC® Connecting Cable 8403 X

110950-50110940-50

110930-50

11301 CD1

11301 CE1

8403 YZ

27677 SM 11025 E 13242 XL 11301 CFX 110930-50 29100 11301 CD1 11301 CE1 1030910310

27677 SL 11025 E 13242 XL 11301 CFX - 29100 - - 1030910310

110950-50 Cleaning Brush, with double-sided brush, length 120 cm,brush diameter 3.2 mm, unsterile, for single use, package of50, for use with flexible endoscopes with working channeldiameters 2.6 – 3 mm

*

*

*

Bio

psy

Forc

eps

110284-10

110284-10

-

-

*

66

FIVE SThe flexible intubation video endoscope for single use

n

The new single-use FIVE S (Flexible Intubation VideoEndoscope) from KARL STORZ offers a single-usesolution that is impressive in every respect. Itscompatibility to the multifunctional C-MAC® monitorallows the new FIVE S to be perfectly integrated intothe existing C-MAC® system. Although the new FIVE Sis a flexible endoscope for single use, image quality isnot compromised. Instead the endoscope fits seam-lessly into the excellent image quality of the FIVEproduct family and is therefore a successful addition tothe product portfolio.You can continue to enjoy the unique benefits of the C-MAC® system that allows you to switch to analternative endoscope within seconds so that plan B is

always at the ready. The special sheath design providesthe proper rigidity to ensure the handling you alreadyknow from the reusable flexible endoscopes.Furthermore, the gliding properties of the tube havebeen enhanced. Due to the sterile packaging andelimination of the reprocessing step, permanentavailability can be ensured. Consequently, workflowsno longer need to be adapted to product availabilityand thus gain flexibility and speed.

5-18

AN-DAM-V 34

FIVE S 3.5The flexible intubation video endoscope for single use

n

67

091361-06* Flexible Intubation Video Endoscope 3.5 x 65,sterile, for single use, package of 6, for use withE-Box TP 010Direction of view: 0°Angle of view: 90°Working length: 65 cmOuter diameter: 3.5 mmWorking channel diameter: 1.2 mmDeflection up/down: 140°/140°

091361-06

*

TP 010 E-Box, for flexible video endoscopes for single use,compatible with C-MAC® Monitor 8403 ZX and C-HUB® II20 2903 20

Special Features:● Compatible with C-MAC® Monitor 8403 ZX and

C-HUB® II 20 2903 01● Excellent image quality● Video imaging in 4:3 format – no tunnel vision● Brightness can be adjusted to ambient

conditions within seconds● Possible to switch to an alternative endoscope

within seconds● Highest hygiene standards with permanent

availability ● Endoscope in sterile packaging● Compact design and ergonomic handle shape

● Outstanding rigidity with very good tubeguidance

● Good ETT gliding properties due to specialsheath design

● For the placement of Endotracheal Tubes (ETT)as of size 4.5 mm

● Checks positioning of the Double Lumen Tube(DLT)

● For inspection of the airways● Practical tube fixation thanks to the special

endoscope geometry● Documentation and data backup

5-18

AN-DAM-V 35

68


n


091261-06








● For the placement of Endotracheal Tubes (ETT)as of size 4 mm





*

5-18

AN-DAM-V 36


n

69


091251-06








● For the placement of Endotracheal Tubes (ETT)as of size 4 mm





*

5-18

AN-DAM-V 37

70

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AN-DAM-V 38

nC-MAC® VSThe intubation video endoscope with the deflectable tip

The C-MAC® Video Stylet (C-MAC® VS) is an innovativeintubation video endoscope with a deflectable tip atthe distal end. To complement the existing applicationoptions of the C-MAC® video laryngoscopes in flexibleintubation or video-assisted laryngoscopy withdifferent blade shapes, the C-MAC® VS combines thediverse properties of various intubation endoscopes.

The design of the C-MAC® VS differs in that itcombines the properties of both flexible and rigidintubation endoscopes. The result is a hybrid of theflexible intubation endoscope and the retromolarintubation endoscope. It features a flexible tip that canbe steered via the handle and allows precise guidanceof the instrument up to the glottis.

This hybrid design combines all options of the variousintubation endoscopes and is unique in laryngoscopy.The intuitive maneuvering of the endotracheal tubewithin the oropharynx is facilitated by the rigid part ofthe instrument while the flexible tip permits the user-controlled deflection of the tube in the glottis. Thisfeature is currently unmatched in video laryngoscopy. Itis very helpful in patients with a very small mouthopening or limited spinal mobility as well as in obesepatients and those with obstructive pathologies.Compared to video-assisted laryngoscopy, a smallermouth opening is sufficient to advance into theoropharynx. In addition, the loaded tube protects thelens from soiling by secretions. In comparison toflexible instruments, the largely rigid C-MAC® VS iseasier to maneuver than a flexible instrument but stilloffers the same flexibility during use thanks to thedeflectable tip.

The insertion technique corresponds to that of otherintubation endoscopes. Lubricant is applied to thetube, which is loaded onto the instrument in such away that it just barely extends beyond the distal end.Any conventional laryngoscope can be used to openthe mouth, but this step is not required. Simply liftingthe jaw with the left hand creates sufficient space toinsert the C-MAC® VS in the midsagittal plane in thedirection of the posterior pharynx.

Through a video image captured at the tip of the instru-ment, the structures of the soft palate and uvula aredisplayed after insertion into the mouth. The rigiddesign of the new C-MAC® VS also allows the gentleadvancement of the loaded endotracheal tube pastany potential pharyngeal obstruction into the supra-glottic area. Deflecting the tip in this position displaysthe larynx on the video image. In the immediate vicinityof the vocal cords (visible on the left and right on thevideo image), the endotracheal tube is advanced intothe glottis while the instrument remains in place.Straightening the tip facilitates advancing the tube overthe instrument so that the latter can be retracted andremoved from the endotracheal tube.

If the midsagittal technique is problematic, the C-MAC®

VS can also be inserted using the retromolar techniqueto improve the maneuverability of the instrument withinthe oropharynx. In case of problems inserting the tubedespite a sufficient view of the laryngeal inlet, theendotracheal tube can be rotated with or without theinstrument or lifted by deflecting the distal end. Duringrotation, however, the tip deflection should be de-activated by lifting the control lever at the handle.

Ansgar M. BRAMBRINK, MD, PhDDepartment of Anesthesiology

Columbia University Medical CenterNew York, USA

C. HAGBERG, MD Anesthesiology,Critical Care and Pain Medicine

The University of TexasHouston, USA

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C-MAC® VSThe intubation video endoscope with the deflectable tip

n

The C-MAC® VS (Video Stylet) can be considered asthe successor to the legendary retromolar intubationendoscope and assumes the function of a con-ventional backup device for other C-MAC® com-ponents. It is of particular benefit, however, for indi-cations with restricted mouth opening or cervical spineproblems. The patented distal angulation, which allowssimultaneous bending of the attached ETT, provideseven more possibilities for swift and systematic place-ment of the ETT. Despite enormous bending forces, thedistal bend can easily be adapted to specific ana-tomical conditions. The high-resolution CMOS chipensures clear, pixel-free images in a 4:3 format withoutthe Moiré effect.

“What you see – is what you get” – this applies to the C-MAC® VS in any position as the camera is protected inthe ETT. The C-MAC® video stylet is directly connectedto the C-MAC® monitor. This makes it possible to switchto another C-MAC® component within a very short time.Real-time documentation can be started directly fromthe C-MAC® VS. The C-MAC® VS is another componentin the C-MAC® system.

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10331 BXK

Special Features:● Patented distal deflection mechanism with

passive return, also with ETT● Deflection up to 60° with loaded ETT● For the placement of ETT as of size 6 mm● Universal C-MAC® system interface for

C-MAC® 8403 ZX and C-MAC® PM 8403 XD● BlueButton: Documentation with the innovative

multifunctional button and individual colorcoding

● Particularly suitable for the unexpected difficultairway

● Particularly suitable for patientswith cervical spine problems orrestricted mouth opening

● Suitable and validated for the following low-temperature reprocessing methods up to max.65 °C: Manual/machine cleaning anddisinfection, sterilization with Steris® and High-Level Disinfection (HLD) acc. to US standards aswell as the Tristel Trio Wipes System

10331 BXK C-MAC® VS Set, rigid intubation video endoscope, withdeflectable tip, CMOS technology, with C-MAC® systeminterface, documentation of images and video sequences viaBlueButton, for use with C-MAC® Connecting Cable 8403 X forC-MAC® Monitor 8403 ZX or C-HUB® II 20 2903 01 as well asC-MAC® PM 8403 XDDeflection up/down: 60°/0°Direction of view: 0°Angle of view: 100°Working length: 41 cmTotal length: 60 cmDistal tip outer diameter: 5.5 mm

C-MAC® VSThe intubation video endoscope with the deflectable tip

n

P R EM I UM

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AN-DAM-V 41

Video Rhino-Laryngoscope and OtoscopeDiagnostic tools for connection to the C-MAC® monitor

The C-MAC® system offers numerous possibilities notonly for airway management but also for other types ofexaminations as well. The video rhino-laryngoscope istherefore used for both FEES (Functional EndoscopicEvaluation of Swallowing) diagnostics and to evaluateswelling in the pharynx and larynx prior to extubation inthe intensive care unit.

In the emergency room, this short and flexible endo-scope provides a fast and convenient solution for theassessment of trauma and swelling in the upper respi-ratory tract.

The video otoscope can also be used to visualizeswelling and inflammation in the auditory canal. Thisincreases the value of the C-MAC® system and elimi-nates the need to acquire additional video towers.

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AN-DAM-V 42

Special Features:● “All-in-one” solution meets convenience – the

video rhino-laryngoscope in conjunction withthe C-MAC® system allows optimum mobility

● Suitable for universal diagnostics in theemergency room and intensive therapy

● High image resolution and video imaging in 4:3format – no tunnel vision

● Integrated LED light source for optimalillumination

● 140° deflection in both directions● Suitable and validated for the following low-

temperature reprocessing methods up to max.65 °C: Manual/mechanical cleaning anddisinfection, sterilization with Steris®, Sterrad®


11101 CMK CMOS Video Rhino-Laryngoscope KITfor use with C-MAC® Monitor 8403 ZXDirection of view: 0°Angle of view: 85°Working length: 30 cmOuter diameter: 3.7 mmDeflection up/down: 140°/140°

Video Rhino-Laryngoscopefor diagnostics in the emergency room and intensive therapy

11101 CMK

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AN-DAM-V 43

Special Features:● “All-in-one” solution meets convenience – the

video otoscope in conjunction with the C-MAC®

system allows optimum mobility● For imaging and documentation of the auditory

canal and eardrum● High-resolution sensor● Integrated LED illumination with high light

intensity

● High-quality optical system● Optimal hygiene thanks to exchangeable,

single-use ear specula● Lightweight, ergonomic design● Manual focus ring

Video Otoscopefor diagnostics in the emergency room and intensive therapy

121200 K

121200 K CMOS Video Otoscope KIT, with integrated LED illumination,for use with C-HUB® II 20 2903 01, Monitor 8402 ZX andMonitor 8403 ZXincluding:Ear Speculum, outer diameter 4 mm, black, unsterile,for single use, package of 100

121204 Ear Speculum, for CMOS video otoscope and USB videootoscope, outer diameter 4 mm, black, unsterile, for singleuse, package of 1000

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Accessoriesfor the C-MAC® system

Please note: The products displayed above are not included in the intubation bag.

8403 YD Protective Bag, blue, for C-MAC® system, madeof water-resistant and sturdy material, washable,separate compartments for the monitor and threeC-MAC® video laryngoscopes

8403 YE Bag for Intubation Set -C22-, ULM model, made ofwater-resistant and sturdy material, washable, twoseparate compartments for C-MAC® videolaryngoscopes with C-MAC® PM and for conventionallaryngoscopes, for use with C-MAC® PM8401 XD/8403 XD, C-MAC® Video Laryngoscopes8401 xxx/8403 xxx and conventional laryngoscopes

8403 XDD USB Data Cable, USB 2.0 port, for data transferfrom C-MAC® PM 8403 XD to a computer, length200 cm

8403 XDP C-MAC® PM Connecting Cable, for thetransmission of digital signals from C-MAC® PM8403 XD to C-MAC® Video Laryngoscopes 8403 xxx(C-MAC® system interface), length 50 cm

8403 YD 8403 YE

n

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77

Please note: The products displayed above are not included in the intubation bag.

Accessoriesfor the C-MAC® system

20 0402 82 USB Flash Drive, 32 GB, for use with IMAGE1 SCONNECT®, IMAGE1 ICM, TECHNO PACK® X/Xe,TECHNO PACK® T LED, all TELE PACK X andTELE PACK X LED models and the C-MAC® monitor

39501 LC3 Wire Tray for Cleaning, Sterilization andStorage, for three C-MAC® video laryngoscopeblades, with silicone holders and lid, outerdimensions (w x d x h):480 x 250 x 105 mm

8403 YZ Protection Cap, for the C-MAC® systeminterface on C-MAC® Video Laryngoscopes8403 xxx and C-MAC® PM 8403 XD as well asC-MAC® Connecting Cable 8403 X, to protectplug contacts during reprocessing, cap isreusable, for use with C-MAC® ConnectingCable 8403 X, C-MAC® PM 8403 XD, C-MAC®

Video Laryngoscopes 8403 xxx, ElectronicModules 8401 X/8402 X, C-MAC® S IMAGER8403 XSI, C-MAC® S Pediatric IMAGER8403 XSP and Flexible Intubation VideoEndoscopes (FIVE)

8401 DS C-MAC® GUIDE, guide rod made of stainless steel withatraumatic tip, distal region is adapted to the bladeshape of the C-MAC® video laryngoscope D-BLADE,fixation of endotracheal tube with the integrated tubeholder possible, package of 10, for use with C-MAC®

video laryngoscopes

809125 MAGILL Forceps, modified, length 25 cm,suitable for endoscopic foreign body removal,for use with video laryngoscopes sizes 2 – 4809125

809120809120 MAGILL Forceps, for children, modified,

length 20 cm, suitable for endoscopic foreignbody removal, for use with videolaryngoscopes size 1 and 2

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Accessoriesfor Flexible Intubation Video Endoscopes (FIVE)

10309 Bronchoscope Insertion Tube, size 4,with integrated mouthpiece, insertionlength 85 mm, made from EVA, sterile, forsingle use, package of 10

10310 Bronchoscope Insertion Tube, size 2,with integrated mouthpiece, insertionlength 65 mm, made from EVA, sterile,for single use, package of 10

29100 Plug, for LUER-Lock irrigation connectorfor cleaning, black, autoclavable,package of 10

11301 CFX Tube Holder, for use with Flexible IntubationVideo Endoscopes 11304 BCX, 11303 BNX,11302 BDX and 11301 ABX

27677 SL Case for Flexible Endoscopes, without accessories

Accessories included in delivery



8403 YZ Protection Cap, for the C-MAC® systeminterface on C-MAC® Video Laryngoscopes8403 xxx and C-MAC® PM 8403 XD as well asC-MAC® Connecting Cable 8403 X

110930-50 Cleaning Brush, length 90 cm, brushdiameter 1.7 mm, unsterile, for single use,package of 50

110940-50* Same, length 90 cm, brush diameter 2.6 mm

110950-50* Cleaning Brush, with double-sided brush,length 120 cm, brush diameter 3.2 mm,unsterile, for single use, package of 50

*

27677 SM Case for Flexible Endoscopes, with accessories

11301 CD1 Irrigation Adaptor, for machine cleaning, reusable,for use with Flexible Intubation Video Endoscopes11301 BNX, 11302 BDX, 11303 BNX and 11304 BCX

11301 CE1 Suction Valve, for single use, package of 20,for use with Flexible Intubation VideoEndoscope 11301 BNX, 11302 BDX,11303 BNX and 11304 BCX

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11301 FF2 Adaptor for MIELE Cleaning Machines, withsafety valve, for automatic leakage test of flexibleKARL STORZ endoscopes

11301 GG2 Adaptor, for cleaning and disinfecting theirrigation and working channels of flexibleendoscopes, for MIELE-ETD washer/disinfectors

11301 HH Adaptor for BHT Cleaning Machines,for automatic leakage test of flexibleKARL STORZ endoscopes

11301 BM Adaptor, for leakage test, for Belimedwasher-disinfectors

ET65-778063 Flushing Hose Adaptor, for closing openflushing lines of cleaning machines, for use with11301 FF2 only

11301 KK2 Adaptor, for working channel of flexible endoscopes,for MIELE-ETD 03 washer/disinfectorsPlease note: Adaptors 11301 FF2 and 11301 GG2have to be ordered separately!


110284-10* Biopsy Forceps, with oval jaws, coated,working length 120 cm, sterile, for singleuse, package of 10, for use with flexibleendoscopes with working channels as ofdiameter 2 mm

11301 CA* Leaflet Valve, unsterile, for single use,package of 20

11301 CB1 Suction Valve, reusable, for use with FlexibleIntubation Video Endoscopes 11301 BNX and11302 BDX

39405 AS Plastic Container for Flexible Endoscopes,suitable for gas and hydrogen peroxide(Sterrad®) sterilization and storage, externaldimensions (w x d x h): 550 x 260 x 90 mm,for use with one flexible endoscope

*

*

100010-10 Sealing Cap “Endoscopic Seal”, forworking channels of 3 – 7 Fr. instruments,sterile, for single use, package of 10

80

1-02

3

AN-DAM-ACC 1 C


15006 B “ULTRA STOP” Antifog Solution,25 ml, pipette bottle

15006 C Same, 30 ml, sterile pierce bottle15006 D Same, 15 ml, atomizer bottle

Anti-Fogging Solution

11008 F Cover, for “MAINZ Adaptor”, innerdiameter 3.5 mm, package of 5

11008 D Cover, for “MAINZ Adaptor”, innerdiameter 2 mm, package of 5

11008 C Mask Adaption “MAINZ Adaptor”, forendoscopic inspection and simultaneousrespiration, blue, sterile, package of 5

Respiration

11008 C

15006 B 15006 C 15006 D

11008 D/F

81AN-DAM-V 48

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Eyepiece EndoscopesIntubation Fiberscopes and Retromolar Intubation Endoscopes

The C-CAM® camera head integrates KARL STORZintubation fiberscopes and retromolar intubation endo-scopes into the C-MAC® system. The C-CAM® is a high-quality CMOS camera that meets the high demands ofthe C-MAC® system. The C-MAC® monitor is at the coreof all imaging systems. It also merges the fiberscopeworld and the CMOS world into one unit.

Fiber endoscope illumination is ensured via the high-power LED battery light source. KARL STORZ thusdemonstrates that high quality and mobility need not bemutually exclusive.

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AN-DAM-V 49

C-MAC® MonitorThe heart of the C-MAC® system

Special Features:● Two endoscope inputs: Rapid toggling at the

front end possible -> your “plan B” is alreadyconnected

● HDMI output for connection to anexternal monitor

● Playback of images and videos on the C-MAC®

and an external monitor possible● Documentation of still images (JPEG) and video

sequences (MPEG4) on a SD memory card inreal time

● Data backup also possible on USB flash drive

● 7" TFT wide angle view display (160°) withpremium image quality

● Connection for C-MAC® system endoscopes● Weighs only 1000 g● Can be run while charging and with

rechargeable Li-ion batteries● New design; easy to clean (IP54)● System open to future C-MAC® components

(forward and backward compatible)

8403 ZXK C-MAC® Monitor for CMOS Endoscopes Set, screen size 7" with1280 x 800 pixel resolution, two camera inputs, a USB and a HDMIport, optimized user interface, video and image capture in real time onSD card, playback of recorded video clips and still images, datatransfer from SD card to USB flash drive possible, splash-proofaccording to IP54, suitable for wipe disinfection, shock-resistant ABSplastic housing, intelligent power management with rechargeable Li-ion batteries, VESA 75 mounting option, power adaptor for EU, UK,USA and Australia, power supply 110 – 240 VAC, 50/60 Hz, for usewith CMOS video endoscopesincluding:SD Card ULTRA, 8 GBProtection CapVESA 75 Quick ClipMains Adaptor Set

8403 ZXK 8403 X

8403 X C-MAC® Connecting Cable, with C-MAC® system interface,for C-MAC® Monitor 8403 ZXK or C-HUB® II 20 2903 01, length200 cm, for use with C-MAC® video laryngoscopes 8403 xxx


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AN-DAM-V 50

C-CAM® and C-HUB® IIComponents for the C-MAC® system

20 2903 01 C-HUB® II Camera Control Unit, for use with C-CAM®

Camera Head 20 2901 32, Electronic Module 8402 X, C-MAC®

Connecting Cable 8403 X or compatible CMOS videoendoscopes, Interfaces: USB 2.0, S-Video output (NTSC),HDMI output, power socketincluding:Power Supply, including country-specific plugsS-Video (Y/C) Connecting CableUSB Connecting CableKARL STORZ Video Editor

8403 XA Extension Cable, length 200 cm, for the transmission of analogand digital signals, dustproof according to IP50 standards (notwaterproof), for use with C-HUB® II Camera Control Unit20 2903 01 and C-MAC® Monitor 8403 ZX in conjunction with allendoscopes of the KARL STORZ Office Line (8-pin instruments)

20 2901 32 C-CAM® Camera Head, 8-pin, one-chip CMOS camera head,resolution 640 x 480, focal length f = 20 mm, for use withC-HUB® 20 2901 01 and C-HUB® II 20 2903 01, Monitor 8402 ZXand Monitor 8403 ZX

20 2901 32

20 2903 01 8403 XA

84 AN-DAM-F B

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3

KARL STORZ provides the instruments you need tomeet the special challenges of patients who cannot beintubated with conventional methods. Nasopharyngealawake intubation is regarded as the gold standard ofdifficult airway management. We offer solutions for anychallenge!

Our versatile intubation fiberscopes can be used in allclinical settings whether in intensive care units oremergency rooms as well as for patients with anti-cipated difficult airways during induction. The varioussheath diameters enable you to select the idealinstrument for your patient and allow a swift reactionthanks to the compact, flexible LED light sources.

Intubation FiberscopesFor fiber optic intubation and airway inspection

Intubation fiberscope – eyepiece version, with optional LED battery light source

Special Features:● Sheath stiffness adapted to anesthesiological

requirements● Suitable for both fiber optic intubation and

airway inspection● Patented sheath surface special treatment

requires only minimal lubrication and providesoptimal tube insertion

● Developed for use in the OR, ICU, ER● Even safer tube introduction due to video-

assisted control on the monitor● Tube position of ETT, LMA, DLT can be verified● Video-assisted monitoring for percutaneous

tracheostomy● Adaptable for foreign body removal or bronchial

lavage

● Various outer diameters:5.2; 3.7; 2.8 mm

● Working channel diameters: 2.3; 1.5; 1.2 mm

● Extremely bright, white light due to the LED lightsource with rechargeable Li-ion batteries

● Intubation fiberscope can be directly connectedto the C-MAC® system with the mobile camerahead C-CAM®

● Suitable and validated for the following low-temperature reprocessing methods up to a max.of 65 °C: Manual/mechanical cleaning anddisinfection, sterilization with Steris®, Sterrad®

and EtO gas; High-Level Disinfection (HLD)acc. to US standards

85AN-DAM-F 1 B

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3

Intubation Fiberscope 5.2 x 65The intubation fiberscope for universal use

Intubation Fiberscope 5.2 x 65

The 5.2 x 65 intubation fiberscope creates an ideal bal-ance between image size, working channel size and thenumber of image and light fibers. Effective suction ispossible via the 2.3 mm working channel. The fiber-scope is also suitable for removing foreign bodies or forbronchial lavage. Using a mobile LED light source andC-CAM®, the intubation fiberscope can be directlyconnected to the C-MAC® system.

Special Features:● Suitable for use with endotracheal tubes as of

5.5 mm● Increased stiffness and smoother passage of

the endotracheal tube● For airway inspection● Optimized for use with mobile light sources● Intubation fiberscope can be connected to the

C-MAC® system via the mobile C-CAM® camerahead

● Practical tube fixation via special adaptor● Suitable and validated for the following low-

temperature reprocessing methods up to a max.of 65 °C: Manual/mechanical cleaning anddisinfection, sterilization with Steris®, Sterrad®


11301 BNK1

11301 BNK1 Intubation Fiberscope 5.2 x 65,Direction of view: 0°Angle of view: 120°Working length: 65 cmTotal length: 93 cmWorking channel inner diameter: 2.3 mmDistal tip outer diameter: 5.2 mmDeflection up/down: 140°/140°

Optional Accessories for Intubation Fiberscopes see pages 93 and 96-100Components/Spare Parts see chapter 6

86 AN-DAM-F 2 F

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The 3.7 x 65 intubation fiberscope is a universal work-ing instrument as it provides gold standard intubationfor both adult and pediatric patients. Due to its smalldiameter, it is an excellent tool for the placement ofdouble lumen tubes. Using a mobile LED light sourceand C-CAM®, the intubation fiberscope can be directlyconnected to the C-MAC® system.

11302 BDK2 Intubation Fiberscope 3.7 x 65,Direction of view: 0°Angle of view: 120°Working length: 65 cmTotal length: 93 cmWorking channel inner diameter: 1.5 mmDistal tip outer diameter: 3.7 mmDeflection up/down: 140°/140°

11302 BDK2

Intubation Fiberscope 3.7 x 65The intubation fiberscope for universal use


4.5 mm● Increased stiffness and smoother passage of the

endotracheal tube● Position check of Double Lumen Tubes (DLT)● For airway inspection● Optimized for use with mobile light sources● Intubation fiberscope can be connected to the






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Intubation Fiberscope 2.8 x 65The intubation fiberscope for pediatrics


3.5 mm● Increased stiffness and smoother passage of the

endotracheal tube● Position check of Double Lumen Tubes (DLT)● For airway inspection● Optimized for use with mobile light sources● Intubation fiberscope can be connected to the





The 2.8 x 65 intubation fiberscope is ideal for use inneonatology due to its small outer diameter of 2.8 mm.The special sheath surface combined with increasedstiffness improves the gliding properties of the ETT overstandard intubation fiberscopes. The use of a mobileLED light source enables independent work under opti-mal lighting conditions. Using C-CAM®, the intubationfiberscope can be directly connected to the C-MAC®

system.


11301 AAK1

11301 AAK1 Intubation Fiberscope 2.8 x 65,Direction of view: 0°Angle of view: 90°Working length: 65 cmTotal length: 98 cmWorking channel inner diameter: 1.2 mmDistal tip outer diameter: 2.8 mmDeflection up/down: 140°/140°


88 AN-DAM-F 4 D

Intubation FiberscopesEyepiece Versions

7-05

4

13242 XL Leakage Tester, with bulb and manometer

11301 CF LIPP Tube Holder, for intubation fiberscopes


29100 Plug, for LUER-Lock irrigation connector forcleaning, black, autoclavable, package of 10


10309 Bronchoscope Insertion Tube, size 4, withintegrated mouthpiece, insertion length 85 mm,made from EVA, sterile, for single use, packageof 10


27677 SZ Case, with accessories

Intu

batio

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bers

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ceOrder No.

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diam

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of**

11301 AAK1

11302 BDK2

2.8 x 65

3.7 x 65

0° 90° 65 cm

0° 120° 65 cm

98 cm 1.2 mm 2.8 mm

93 cm 1.5 mm 3.7 mm

11301 BNK15.2 x 65 0° 120° 65 cm 93 cm 2.3 mm 5.2 mm

3.5 mm

4.5 mm

5.5 mm

140°

°140

140°

°140

140°

°140

Bro

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ion

Tube

89AN-DAM-F 5 C

**Please note that the accuracy of the ETT diameter may vary depending on the manufacturer’s quality.Product information on Flexible Bronchoscopes see catalogs THORAX and ENTLED Battery Light Soure for Endoscopes (optional) see page 987-

054

11301 CD Irrigation Adaptor, for machine cleaning,reusable, for fiberscopes

110284-10* Biopsy Forceps, with oval jaws, coated,working length 120 cm, sterile, for single use,package of 10

2x

11301 CE Suction Valve, unsterile, for single use,package of 20



110930-50 Cleaning Brush, length 90 cm, brush diameter1.7 mm, unsterile, for single use, package of 50,for use with flexible endoscopes with workingchannel diameters 1.2 – 1.5 mm

110940-50 Cleaning Brush, with double-sided brush, length 90 cm,brush diameter 2.6 mm, unsterile, for single use, packageof 50, for use with flexible endoscopes with workingchannel diameters 2 – 2.3 mm

*

*

*

Cas

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Pre

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Cap

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Accessories (included in delivery) AdditionalAccessories

11025 E 13242 XL 11301 CF 110930-50 -

11025 E 13242 XL 11301 CF 110930-50 -

11025 E 13242 XL 11301 CF 110940-50

29100

29100

29100

2x11301 CD

2x11301 CD

2x11301 CD

11301 CE

11301 CE

11301 CE

1030910310

1030910310

10309 110284-10

27677 SZ

27677 SZ

27677 SZ

90 AN-DAM-F 6 B

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Retromolar Intubation Endoscopes

Unexpected difficult airways are always an additionalchallenge in airway management. With the retromolarintubation endoscope and its versatile intubation tech-niques, these situations can be brought under control.The endotracheal tube is guided into the trachea underdirect vision while the possibility of simultaneous appli-

cation of oxygen provides more safety. KARL STORZmeets the most stringent hygiene demands – theautoclaving of the SILVER LINE. When connected tothe C-CAM® camera head, these instruments representfurther components of the C-MAC® system.

The backup instrument in the C-MAC® system in airway management combines technical sophisticationwith utmost reliability

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10331 B2K10332 BK1

LED Battery Light Source for Endoscopes (11301 D1/D3), optional, see page 97


10331 B2K Retromolar Intubation Endoscope Set, with movableeyepiece, autoclavable, 35,000 pixels, outer diameter 5 mm,for ETT > 5.5 mm, working length 40 cm, distal bending 40°including:Tube Holder, for tube fixation and O2 application

Special Features:● SILVER LINE – autoclavable● Particularly suitable for the unexpected difficult

airway● Use in the case of minimal mouth opening

possible● Introduction of the tube under visualization:

What you see – is what you get!● Continuous O2 flow via tube adaptor between

tube and instrument● One-person intubation possible● Extremely bright, white light due to the LED light

source with rechargeable Li-ion batteries


● Suitable and validated for the following low-temperature reprocessing methods up to a max.of 65 °C: Manual/mechanical cleaning anddisinfection, sterilization with Steris®, Sterrad®



10332 BK1 Retromolar Intubation Endoscope, with movable eyepiece, outerdiameter 3.5 mm, for ETT 4 – 5.5 mm, usable sheath length 35 cm,distal bending 40°including:Tube Holder, for tube fixation and O2 application

92 AN-DAM-F 8 C

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11605 CK

LED Battery Light Source for Endoscopes (11301 D1/D3), optional, see page 97

11605 CK Intubation Endoscope Set, with eyepiece, outer diameter2 mm, for ETT 2.5 – 3.5 mm, working length 22 cm, distalbending 40°, angle of view 80°, for use with LED BatteryLight Sources (11301 D1, D3, D4, DE, DF), C-CAM®

Camera Head (8-pin) 20 2901 32including:CaseTube Holder, for tube fixation, with O2 application

Special Features:● Particularly suitable for the unexpected difficult

airway● Use in the case of minimal mouth opening

possible● Introduction of the tube under visualization:

What you see – is what you get!● Continuous O2 flow via tube adaptor between

tube and instrument● One-person intubation possible

● Suitable and validated for the following low-temperature reprocessing methods up to max.65 °C: Manual/machine cleaning anddisinfection, sterilization with Steris®, Sterrad®



● Recommended for video-assisted intubationwith the DCI® camera to TELE PACK X

n


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AN-DAM-F 9 C

SMART SCOPEAccessories for Intubation Fiberscopes and Endoscopes

Special Features:● Ready for use anywhere and anytime

(Plug & Play)● Ready for immediate use● Allows the recording of photos and videos and

transmission to third parties

● Information can be shared and exchangedwith colleagues

● Compatible with various smartphones andendoscopes

● For iPhone 6/6s and 7 as well as SamsungGalaxy S6 and S7

20 2880 01-I6 SMART SCOPE with iPhone 6/6s Holder, for coupling a smartphonecamera to an endoscope, for straightforward documentation ofendoscopic images or videos on a smartphone, compatible with allendoscopes with standard eyepieces

20 2880 01-S6 SMART SCOPE with Galaxy S6 Holder, for coupling a smartphonecamera to an endoscope, for straightforward documentation ofendoscopic images or videos on a smartphone, compatible with allendoscopes with standard eyepieces

20 2880 01-I6

n

20 2880 01-I7 Same, with iPhone 7/8 holder

20 2880 01-S7 Same, with Galaxy S7 holder

20 2880 01 SMART SCOPE, smartphone adaptor, for coupling asmartphone camera to an endoscope, for straightforwarddocumentation of endoscopic images or videos on asmartphone, compatible with all endoscopes with standardeyepieces and smartphone covers

94 AN-DAM-F 10

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1

Retromolar Intubation EndoscopesIn

tuba

tion

Endo

scop

es

Eyep

iece

Order No.

Dis

tal b

endn

g

2 x 22 11605 CK

3.5 x 35 10332 BK1


5 x 40 10331 B2K

10332 BA Tube Holder for ETT, for tube fixation, withO2 application connection, inner diameter3.5 mm

10332 BA/10331 BA10331 BA Tube Holder, inner diameter 5 mm

95AN-DAM-F 11 C

2-09

2

Ang

le o

f vie

w

Wor

king

leng

th

Tota

l len

gth

Dis

tal t

ip o

uter

dia

met

er

Tube

Hol

der

Accessories(incl. in delivery)

100° 22 cm 32 cm 2.0 mm 10332 BA

100° 35 cm 47 cm 3.5 mm 10332 BA

Please note that the accuracy of the ETT diameter may vary depending on the manufacturer’s quality.

LED Battery Light Source for Endoscopes, optional, see page 97

39501 F

39501 F Wire Tray for Cleaning, Sterilization andStorage of one retromolar intubation endoscope,including holder for light post adaptors, siliconetelescope holders and lid, external dimensions(w x d x h): 570 x 80 x 52 mm


100° 40 cm 52 cm 5.0 mm

Rec

omm

ende

d E

TT

diam

eter

as

of*

2.5 mm

4.0 mm

5.5 mm 10331 BA

*

Please note: The instruments displayed are not included in the sterilization and storage tray.

96 AN-DAM-ACC 2 F

7-05

2

Battery Light Source LED BRITE LITEAccessories for Intubation Fiberscopes and Endoscopes

KARL STORZ offers a comprehensive product range tomanage the expected and unexpected difficult airway.Therefore, it is absolutely necessary to have a mobilelight source which meets the high demands required inthese situations. With over 100 lm/140 lm brightness,

5500 K color temperature and weighing under 120 g,the BRITE LITE battery-operated LED light source setsnew standards.

“All the brightness you need!”

97

1-04

4

AN-DAM-ACC 3

Battery Light Source LED BRITE LITEAccessories for Intubation Fiberscopes and Endoscopes

11301 D3 Same, with coarse thread

Special Features:● Battery light source with extremely high light

intensity● Available as battery and rechargeable version● Absolute white light due to LED technology● Special light focus allows optimal light

adjustment at the endoscope connector ● LED provides up to 50,000 hours

lifetime

● Burning time of 120 min● Waterproof, fully immersible for cleaning

and disinfection (11301 D1/D3)

11301 D1 Battery Light Source LED for Endoscopes, with fine screwthread, boost mode for temporary increase in brightness, burningtime > 120 min, weight approx. 78 g, for use with KARL STORZendoscopes

11301 DE Battery Light Source LED for Endoscopes, rechargeable,with click connection, boost mode for temporary increase inbrightness, color temperature 5500 K, lithium-ion batteries,charging time 60 min, burning time at 100% brightness 40 min,weight approx. 150 g, suitable for wipe disinfection

11301 DF Same, with fast screw thread

11301 DG Charging Unit, for two LED battery light sources, with fixedintegrated power supply and adaptor for EU, UK, USA and Australia,power supply 110 – 240 VAC, 50/60 Hz, suitable for wipedisinfection, for use with Battery Light Source LED 11301 DE/DF

11301 DH Holder, for mounting on a surface, for use with Charging Units11301 DG, 8546 LE, 8546 LE1 and 8401 XDL

121306 P Photo Battery, lithium, 3 V, CR 123 A

11301 D1/D3/DE/DF 11301 DG

98

5-18

AN-DAM-ACC 4 F

Accessoriesfor Intubation Fiberscopes

10309 Bronchoscope Insertion Tube, size 4,with integrated mouthpiece, insertionlength 85 mm, made from EVA, sterile, forsingle use, package of 10


29100 Plug, for LUER-Lock irrigation connector forcleaning, black, autoclavable, package of 10




11301 CF LIPP Tube Holder, for intubation fiberscopes

11301 CD Irrigation Adaptor, for machine cleaning,reusable, for fiberscopes

2x

11301 CE Suction Valve, unsterile, for single use,package of 20

110930-50 Cleaning Brush, length 90 cm, brush diameter 1.7 mm,unsterile, for single use, package of 50

110950-50* Cleaning Brush, with double-sided brush, length120 cm, brush diameter 3.2 mm, unsterile, for singleuse, package of 50

*

110940-50* Same, length 90 cm, brush diameter 2.6 mm

*

99

Accessoriesfor Flexible Intubation Fiberscopes

Optional Accessores:

11301 FF2 Adaptor for MIELE Cleaning Machines, withsafety valve, for automatic leakage test of flexibleKARL STORZ endoscopes

11301 GG2 Adaptor, for cleaning and disinfecting theirrigation and working channels of flexibleendoscopes, for MIELE-ETD washer/disinfectors

11301 HH Adaptor for BHT Cleaning Machines,for automatic leakage test of flexibleKARL STORZ endoscopes

11301 BM Adaptor, for leakage test, for Belimedwasher-disinfectors

ET65-778063 Flushing Hose Adaptor, for closing openflushing lines of cleaning machines, for usewith 11301 FF2 only

11301 KK2 Adaptor, for working channel of flexibleendoscopes, for MIELE-ETD 03 washer/disinfectorsPlease note: Adaptors 11301 FF2 and 11301 GG2have to be ordered separately!

11301 CA* Leaflet Valve, unsterile, for single use,package of 20

11301 CB Suction Valve, reusable

110284-10* Biopsy Forceps, with oval jaws, coated,working length 120 cm, sterile, for single use,package of 10

1-02

5

AN-DAM-ACC 5 E

96 2200 82 Microfiber Bag, for SMART SCOPE

*

100

Accessoriesfor Flexible Intubation Fiberscopes

15006 B “ULTRA STOP” Antifog Solution,25 ml, pipette bottle

15006 C Same, 30 ml, sterile pierce bottle15006 D Same, 15 ml, atomizer bottle

Anti-Fogging Solution

11008 F Cover, for “MAINZ Adaptor”, innerdiameter 3.5 mm, package of 5

11008 D Cover, for “MAINZ Adaptor”, innerdiameter 2 mm, package of 5

11008 C Mask Adaption “MAINZ Adaptor”, forendoscopic inspection and simultaneousrespiration, blue, sterile, package of 5

Respiration

11008 C

15006 B 15006 C 15006 D

11008 D/F

1-02

3

AN-DAM-ACC 6 C

4

BRONCHOSCOPES ANDTRACHEOSCOPES FORFOREIGN BODY REMOVAL

102

Endoscopy for Foreign Body Diagnosisand Extraction

The aspiration of foreign bodies is potentially life-threatening and is associated with morbidity andmortality in both prehospital and clinical settings.Foreign body aspiration occurs most frequently amongchildren aged six months to four years as well as inelderly or neurologically impaired patients. The mostcommon aspirated object is food (primarily nuts,grapes, carrots) or, in the case of older toddlers, smalltoy parts and household objects.

The clinical presentation and spectrum of symptomsfollowing foreign body aspiration can be classified asacute (< 24 h after the incident), subacute (> 24 h) orchronic (weeks, months). Airway obstruction can beeither partial (most cases) or complete (rare) and maybe secondary to compression of the larynx/tracheacaused by a foreign body in the proximal esophagus ora respiratory tract infection induced by a foreign body.

Obtaining a patient history and performing a physicalexamination is critical for detecting foreign bodyaspiration in children presenting with a sudden onset ofsymptoms while eating or playing. Frequently, there isno recall of the aspiration event or it is not witnessed byparents or caregivers. Most cases present with a suddenfit of coughing that gradually subsides or disappearscompletely and may be associated with respiratorydistress, stridor, expiratory wheezing and/or cyanosis.Symptoms can be subtle: What is important is that thepossibility of foreign body aspiration is taken intoconsideration.

Depending on the location, size and consistency of theforeign body, careful auscultation of both lungs inalternation often reveals inspiratory/expiratory stridoror expiratory wheezing. This may be accompanied withunilateral decreased, localized reduced or even absentbreath sounds. In some cases, undetected foreignbody aspiration presents with secondary symptoms inthe form of an acute or chronic respiratory tractinfection, e.g., lobar and/or aspiration pneumonia or achronic cough. The diagnostic value of chest X-rays,particularly with regard to foreign body aspiration,remains controversial. However, chest radiographsprove useful for ingested foreign bodies as, in contrastto aspirated foreign bodies, most ingested foreignbodies are radiopaque.

Foreign body ingestion can lead to the impaction ofcoins, magnets, batteries, sharp or large objects in theproximal esophagus, posing a danger of secondarytracheal compression or grave damage to the mucousmembrane (batteries). This may be indicated bydysphagia or excessive drooling. The ingestion of acidsor alkalis (e.g., bathroom cleaning products) can lead tocoagulative and/or colliquative necrosis of the mucousmembrane. If such symptoms occur or a similar casehistory is presented, it is important to consider foreignbody aspiration or ingestion and to perform a focused

AN-BRO 2 C

5-18

history and physical examination (re-evaluation). If acase history cannot clearly rule out foreign body aspira-tion or ingestion, endoscopy is recommended if anydoubt exists.

The management strategy for the treatment of childrenafter foreign body aspiration or ingestion varies fromfacility to facility. In general, this concerns the followingspecialist disciplines: Pediatrics/pediatric pneumology,ENT medicine, pediatric anesthesia and pediatricintensive care and, in the case of ingestion in the loweresophageal segments, pediatric gastroenterologyand/or pediatric surgery. The disciplines, departmentsand endoscopy services involved should come to anagreement on the evaluation of the patient, indications,timing as well as the anesthetic and endoscopictechniques to be used (what? who? where? when?how?). Often the decision to proceed with foreign bodyendoscopy is a judgement call. The indications forendoscopy should be interpreted more liberally if thereis any doubt.

An interdisciplinary consensus should be reached onpatient eligibility for urgent endoscopy or whether towait for adequate fasting. In general, the possibility ofperforming the intervention at a more convenient timewith the availability of an optimal team should be takeninto consideration.

In the case of an acute aspiration event (< 24 h) or if aforeign body is lodged in the upper respiratory tract(larynx, trachea) and/or if a child presents with acutedyspnea and/or in the case of an infant, an appropriatefasting interval is generally not observed as the foreignbody could become dislodged and cause a completeairway obstruction.

An appropriate fasting interval should, however, beallowed for a subacute aspiration event (> 24 h) orchronic aspiration events (> 2 weeks) or if a foreignbody is lodged in the lower respiratory tract withoutdyspnea.

The presence of esophageal foreign bodies, particularlyimpacted coins, magnets or batteries, is considered tobe an urgent case and children are treated withoutadequate fasting.

The longer a tracheobronchial foreign body remains inthe airway, the more difficult it becomes to remove theoffending object as it may become encased ingranulation tissue within days. Granulated tissue maycause bleeding during foreign body extraction and thusobscure the view of the situation. When evaluatingeligibility for urgent endoscopy, it is important to waituntil the optimal team for emergency endoscopy isassembled and the full functionality of instruments isensured, incl. OR sets for potential emergencyconiotomy or tracheotomy before proceeding toanesthesia induction – unless the situation is life-

103


threatening due to the (immediate risk) of completeairway obstruction. In this situation, emergencyoxygenation, emergency laryngoscopy or emergencyintubation and cardiopulmonary resuscitation naturallyhave top priority. In emergency laryngoscopy for anacute and total airway obstruction, an immediateattempt should be made to remove a supraglotticforeign body with a MAGILL forceps or a similar tool.

If foreign body aspiration seems less likely or theprobability of foreign body aspiration is ruled out in thecase of protracted or chronic symptoms, a less invasiveform of flexible tracheobronchoscopy is preferred atfirst. If, however, foreign body aspiration is probable,rigid tracheo-bronchoscopy is the procedure of choiceas this is a more established approach to the extractionof foreign bodies. Some practitioners prefer a flexibletechnique for extraction, however, it must be possibleto switch to rigid endoscopy at any time in anysituation.

Video Laryngo- and HypopharyngoscopyFor an initial assessment of the hypopharynx, larynx orthe entry to the esophagus, a video laryngoscopysystem with blades in sizes appropriate for all agegroups proves useful. A sufficiently long and slenderMILLER blade is suitable for visualizing the upperesophagus. For the purposes of endoscopy, appropriategrasping instruments as well as a conventional and/ormodified MAGILL forceps (with horizontal opening) and arobust foreign body grasper (e.g., peanut graspingforceps) should be immediately available in case itbecomes necessary to extract foreign bodies from thelarynx or hypopharynx.

Rigid TracheobronchoscopyRigid tracheobronchoscopy is generally used to extractforeign bodies from the airway, especially in children. Atracheoscope with a side vent allows ventilation of thepatient during the procedure (e.g., manual ventilation,relatively high respiratory pressure, uncertain capno-graphy). The grasped foreign body is either captured inthe tracheobronchoscope or directly removed with aforeign body grasper or similar instrument. Rigidtracheoscope tubes in various lengths and sizes,bronchoscope tubes (e.g. DOESEL-HUZLY broncho-scopes, sizes 2.5 – 6), micro laryngoscope tubesranging from very small to large sizes (e.g.,KLEINSASSER, PARSONS, HOLINGER-TUCKER, orBENJAMIN, sizes 1 – 3) as well as straight forward andangled telescopes (0°, 30° and 70°) should be providedfor rigid endoscopy.

In children, the cricoid is the narrowest portion of theupper respiratory tract. For rigid endoscopy, therefore,it is important to select a tube that can pass through thecricoid to prevent the risk of mucosal swelling andpostoperative stridor. To allow ventilation through thetracheoscope and bronchoscope tubes during

endoscopy, suitable telescopes with airtight ports arerequired. So-called optical forceps are available forbronchoscopes from size 2.5. This allows simultaneouspassage of the telescope with a grasping instrumentthrough the tube.

Various suction tubes should also be at hand. Alsouseful are various grasping instruments such as peanutgrasping forceps, alligator, bean jaw forceps as well assmall serrated, double spoon and grasping forceps.

OR assistants, endoscopists and anesthetists shouldbe thoroughly familiar with the instruments used andthe planned procedure. Before induction of anesthesia,all appropriate instruments should be ready for use. Asan established anesthetic technique, particularly forrigid tracheobronchoscopy, Total Intravenous Anes-thesia (TIVA) with muscle relaxation can be recom-mended.

Flexible TracheobronchoscopyIf foreign body aspiration is questionable or if potentialforeign body aspiration can be ruled out, flexibletracheobronchoscopy may be considered as thistechnique is less invasive, potentially less atraumaticand allows a lighter form of anesthesia. For thispurpose, flexible fiberscopes in various sizes should beprovided. Endoscopes with diameters ranging from 2.5to 5 mm cater for all pediatric age groups. Ventilationand oxygenation of the patient during flexibletracheobronchoscopy requires the use of an airwayinterface (Mainz adaptor with laryngeal mask orendotracheal tube and/or FREI endoscopy mask).

If a foreign body is to be removed with a flexibleendoscope (possible from an outer diameter of 3.7 mm),additional flexible instruments such as graspingforceps, foreign body baskets or snares (with diameters1 – 1.8 mm) should be available. To access peripheralforeign bodies, the possibility of inserting a flexiblefiberoptic bronchoscope through a rigid bronchoscopetube can be taken into consideration. The selection ofan appropriate instrument minimizes the risk of aforeign body being released prematurely and causingsecondary trauma. Adequate suction should also beensured. When using flexible endoscopy for foreignbody extraction, the possibility to switch to rigidtracheobronchoscopy should always be anticipatedduring the preparation phase.

EsophagoscopyEsophagoscopy can be performed with rigid or flexibleendoscopes. Foreign bodies in the proximal esophagus,which cannot be accessed with a videolaryngoscopicMILLER blade (see above), can be easily removed witha rigid tube as a rule. Here the foreign bodies arecaptured in the esophagoscope and removed or thetube is advanced to the level of the foreign body, whichis then grasped by an alligator, bean jaw, peanut

AN-BRO 3 B

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104

grasping or spoon forceps and withdrawn through theendoscope. To perform this procedure, pediatricesophagoscopes are required in various lengths andinner diameters. Particularly in the case of sharp-pointedforeign bodies or batteries, possible damage to themucosa should always be assessed. It may also benecessary to fit a nasogastric tube. Flexibleesophagoscopy can prove to be of invaluableassistance, especially for removing foreign bodies fromportions of the lower esophageal segments, i.e. near thecardia. Endoscopes between 2.8 and 6 mm areavailable for this purpose. Foreign bodies can beremoved with small forceps, foreign body baskets orsnares.

In conclusion, the following three aspects are essentialin order to ensure safe and effective treatment ofpatients after foreign body aspiration and ingestion:

1. Consider! (Patient history, re-evaluation)

2. If in doubt, perform endoscopy!

3. Interdisciplinary consultation!(What? How? Who? Where? When?)

Based on a summary of the S2k guidelines (AWMF register number001–031): “Interdisciplinary care of children after foreign bodyaspiration and foreign body ingestion”.(www.awmf.org/uploads/tx_szleitlinien/001031l_S2k_Fremdkörperversorgung_Kinder_2016-01.pdf). (Further references with author)

Prof. Dr. med. Christoph Bernhard EICH,Abt. Anästhesie, Kinderintensiv- und Notfallmedizin,

Kinder- und Jugendkrankenhaus Auf der Bult, Hannover,Germany

Prof. Dr. Dr. med. Hans-Jürgen WELKOBORSKY,Klinik für Hals-Nasen-Ohren-Heilkunde,KRH Klinikum Nordstadt, Hannover and

Kinder- und Jugendkrankenhaus Auf der Bult, Hannover (both Germany)


For further information on Bronchoscopes and Laryngoscopes see HNO and THORAX catalogs

AN-BRO 4 B

5-18

105AN-BRO 5 B

3-04

2

Further Sizes and Adaptors see THORAX catalog

10318 BK Universal Bronchoscope, size 8.5,length 43 cmincluding:Fiber Optic Light Carrier

10318 CK Universal Bronchoscope, size 7.5,length 43 cmincluding:Fiber Optic Light Carrier

10318 DK Universal Bronchoscope, size 6.5,length 43 cmincluding:Fiber Optic Light Carrier

10315 N Rubber Telescope Guide

10318 S Instrument Guide, for suction catheter

10318 BK/CK/DK

10315 N10318 S

Universal Bronchoscopes for Adultswith fiber optic light carrier for distal illumination

106

HOPKINS® Telescope and Optical Forceps

Special Features:● The jaws of the forceps are well visualized prior to

and during the procedure10320 AA

For use with Bronchoscope 10318 andOptical Forceps 10350

AN-BRO 6 C

1-99

4

10320 AA HOPKINS® Straight Forward Telescope 0°,diameter 5.5 mm, length 50 cm, autoclavable,fiber optic light transmission incorporated,color code: green

Container for the Sterilization and Storage of Telescopes see HYGIENE catalogFurther Telescopes and Optical Forceps see THORAX catalog

10350 KF Optical Forceps, for the controlled graspingof peanuts and soft foreign bodies, with force-limited handle, incl. cleaning adaptor

10350 HF Optical Forceps, with alligator jaws, for thecontrolled grasping of hard foreign bodies, withforce-limited handle, incl. cleaning adaptor

10350 HF/KF

10350 KF10350 HF

107

Special Features:● The jaws of the forceps are well visualized prior to

and during the procedure

AN-BRO 7 C

4-12

1


For use with Bronchoscope 10318 andOptical Forceps 10352

10352 H/KF

10352 H Optical Forceps, with alligator jaws, for thecontrolled grasping of hard foreign bodies, withforce-limited handle, incl. cleaning adaptor

10352 KF Optical Forceps, for the controlled grasping ofpeanuts and soft foreign bodies, with force-limited handle, incl. cleaning adaptor


10328 AA

Further Telescopes and Optical Forceps see THORAX catalogContainer for the Sterilization and Storage of Telescopes see HYGIENE catalog

10352 H 10352 K

108 AN-BRO 8 A

1-99

3

Further Sizes and Adaptors see THORAX catalog

Pediatric Bronchoscopeswith proximal illumination

10339 A DOESEL-HUZLY Bronchoscope,size 6, length 30 cm

10339 BB Same, size 4.5

10339 CD Same, size 3.5


10101 FA Prismatic Light Deflector, autoclavable, withconnection to fiber optic light cable

10338 S Instrument Guide, for suction catheters

10338 N10338 S

10101 FA

10339 A – CD

Special Features:● Absence of distal light carrier does not restrict

inner diameter● Prismatic Light Deflector 10101 FA inserted

proximally ensures best illumination and enablesfull use of lumen through operating instruments

● Excellent view of operation area● Lateral channel for introducing suction catheters

and fine instruments

10338 RK Telescope Bridge, for fixed position betweenHOPKINS® Telescope 10324 AA and pediatricBronchoscopes 10339 A/B/BB/C/CD/EEE/Gand pediatric Esophagoscopes 12030 A/B/C

10338 RK

109AN-BRO 9 A

3-04

3

HOPKINS® Telescope and Optical Forcepsfor Pediatric Bronchoscopes size 6 – 3.5, length 30 cm

For use with 30 cm DOESEL-HUZLY Bronchoscopes,10339 A/BB/CD

10378 CF Optical Forceps, 2 x 2 teeth, for the controlledgrasping of coins and flat foreign bodies, with force-limited handle, incl. cleaning adaptor


10378 HF Optical Forceps, with alligator jaws, for thecontrolled grasping of hard foreign bodies, withforce-limited handle, incl. cleaning adaptor

10378 KF Optical Forceps, with KILLIAN bean jaws, for thecontrolled grasping of peanuts and soft foreignbodies, with force-limited handle, incl. cleaningadaptor

10378 CF/HF/KF/KSF

Special Features:● Forceps specially designed for hard and soft

foreign bodies allow foreign bodies to beremoved in a controlled manner under precisevisual control

● The small size of the forceps allows insertionthrough pediatric bronchoscopes, size 3.5 andlarger

10378 KSF Optical Forceps, VANCOUVER model, with extradelicate jaws, for the controlled grasping ofpeanuts and soft foreign bodies, with force-limited handle, incl. cleaning adaptor

Container for the Sterilization and Storage of Telescopes see HYGIENE catalogFurther Telescopes and Optical Forceps see THORAX catalog

10378 KF10378 CF

10324 AA

10378 HF 10378 KSF

110 AN-BRO 10 D

5-18

ROBERTS-JESBERG Esophagoscopes andHypopharyngoscopeswith distal and proximal illumination

12060 A ROBERTS-JESBERG Esophagoscope,oval, size 12 x 16, length 50 cm

12060 B Same, length 30 cm

12060 C ROBERTS-JESBERG Esophagoscope,oval, size 10 x 14 mm, length 50 cm

12060 D Same, length 30 cm

12060 F ROBERTS-JESBERG Esophagoscope,oval, size 8 x 12, length 30 cm

12060 H ROBERTS-JESBERG Esophagoscope,oval, size 7 x 10, length 30 cm

12060 S ROBERTS-JESBERG Hypopharyngoscope,oval, size 10 x 14 mm, length 20 cm

EsophagoscopesSize 12 x 16

Size 10 x 14

Size 8 x 12

Size 7 x 9

Hypopharyngoscopes,size 10 x 14

12060 A/C

12060 B/D/F/H

12060 S

111AN-BRO 11 D

5-18

ROBERTS-JESBERG Esophagoscopes andHypopharyngoscopesAccessories

12061 A – C

10101 FA

12070

For proximal illumination

10101 FA Prismatic Light Deflector,autoclavable, with connection to fiberoptic light cable

For distal illumination

12061 A Fiber Optic Light Carrier, length 50 cm,for use with esophagoscopes

12061 B Same, length 30 cm

12061 C Fiber Optic Light Carrier, length 20 cm,for use with hypopharyngoscopes

Further Accessories

12070 Handle, for esophagoscopes

112 AN-BRO 12 D

5-18


Container for the Sterilization and Storage of Telescopes see HYGIENE catalog

12015 AA HOPKINS® Straight Forward Telescope 0°,diameter 5.5 mm, length 53 cm,autoclavable, fiber optic light transmissionincorporated,color code: green

Instruments for use with HOPKINS® Telescope 12015 AA

For use with Esophagoscopes 12060,lengths 50 cm and 40 cm

12016 K Optical Forceps, for the controlledgrasping of peanuts and soft foreign bodies,incl. cleaning adaptor

12016 M Optical Forceps, with alligator jaws, for thecontrolled grasping of hard foreign bodies,incl. cleaning adaptor

12015 AA

12016 X Telescope Guide, for use withEsophagoscopes 12060 A/C/E andHOPKINS® Telescope 12015 AA

12016 X

12016 K/M

12016 K 12016 M

113

5-18

AN-BRO 13 D

Compatible Telescopes see page 109Further Sizes and Adaptors see THORAX catalog

Pediatric Bronchoscopeswith proximal illumination

Special Features:● Absence of distal light carrier does not restrict

inner diameter● Prismatic Light Deflector 10101 FA inserted

proximally ensures best illumination and enablesfull use of lumen through operating instruments

● Excellent view of operation area● Lateral channel for introduction of instruments

and catheters

10338 N

10101 FA

10338 U

12030 A Esophagoscope Tube, size 6, length 30 cm

12030 C Same, size 4

10101 FA Prismatic Light Deflector, autoclavable, withconnection to fiber optic light cable


10338 U Forceps, alligator, spoon-shaped, single actionjaws, semiflexible, sheath diameter 1 mm, withcleaning connector, working length 35 cm

For use through lateral working channel of esophagoscopes,length 30, under control of HOPKINS® Telescope 10324 AA

10338 RK

10338 RK Telescope Bridge, for fixed position betweenHOPKINS® Telescope 10324 AA and pediatricBronchoscopes 10339 A/B/BB/C/CD/EEE/G andpediatric Esophagoscopes 12030 A/B/C

12030 A – G

114 AN-BRO 14 C

1-02

3

Forceps for Bronchoscopy andEsophagoscopyDouble action jaws

10370 H 10370 J 10370 K

10370 H Forceps, alligator, for hard foreign bodies, with LUER-Lock irrigation connector for cleaning, double actionjaws, sheath diameter 2.5 mm, working length 50 cm

10370 J Same, pointed, serrated, for coins and flatforeign bodies

10370 K Same, for peanuts and soft foreign bodies

Sheath diameter 2.5 mm, working length 50 cm

For Adult Bronchoscopes and Esophagoscopes

115AN-BRO 15 C

5-18

For Pediatric Bronchoscopes and Esophagoscopes,sizes 6 and 4

Forceps for Bronchoscopy andEsophagoscopyDouble action jaws

10371 H 10371 J 10371 K

Sheath diameter 2 mm, working length 35 cm

10371 J Same, pointed, serrated, for coins and flatforeign bodies

10371 K Same, for peanuts and soft foreignbodies

10371 H Forceps, alligator, for hard foreign bodies,double action jaws, sheath diameter 2 mm,working length 35 cm

116

10386 A Foreign Body Basket, with ring handle

10386 B Same

10386 A/B

Accessories for Bronchoscopy andEsophagoscopySuction Tubes and Foreign Body Baskets

Further Suction Tube Sizes see THORAX catalog

10383 A – B

10380 A – B

10381 A – B

Suction Tubes

Foreign Body Baskets

Working length 50 cm



10380 A Suction Tube, diameter 4 mm10383 A Suction Tube, with cut-off hole, diameter 4 mm10381 A Suction Tube, with rubber tip, straight, diameter 4 mm


10383 B Suction Tube, with cut-off hole, diameter 3 mm10381 B Suction Tube, with rubber tip, straight, outer diameter 2 mm

10380 B Suction Tube, diameter 3 mm

AN-BRO 14 C

4-12

1

5

INSTRUMENT CARTS

AN-VC 2 B

5-18

UG 110 Equipment Cart, narrow, small, rides on 4 antistaticdual wheels equipped with locking brakes, mainsswitch on cover, energy beam with integratedelectrical subdistributors with 6 sockets, groundingplugs,Dimensions:Equipment Cart: 660 x 1265 x 730 mm (w x h x d),Shelf: 450 x 25 x 510 mm (w x h x d),Caster diameter: 150 mmincluding:Base Module, equipment cart, narrowCover, equipment cart, narrowBeam Package, equipment cart, small2x Shelves, narrowDrawer Unit with Lock, narrow2x Equipment Rails, long2x Mains Cords, length 100 cm

UG 120 Equipment Cart, narrow, tall, rides on 4 antistaticdual wheels equipped with locking brakes, mainsswitch on cover, energy beam with integratedelectrical subdistributors with 12 sockets,grounding plugs,Dimensions:Equipment cart: 660 x 1474 x 730 mm (w x h x d),Shelf: 450 x 25 x 510 mm (w x h x d),Caster diameter: 150 mmincluding:

Base Module, equipment cart, narrow

Cover, equipment cart, narrow

Beam Package, equipment cart, large

3x Shelves, narrow

Drawer Unit with Lock, narrow

2x Equipment Rails, long

Camera Holder

2x Mains Cord, length 100 cm

COR Equipment CartIndividually configurable

118

119

5-18

AN-VC 3 C

Please note: The instruments displayed are not included with the equipment cart.Components/Spare Parts see chapter 6

COR Equipment CartOverview and configuration options

Configuration example 1

Configuration example 2 Configuration example 3

1

2

3

45

67

8

9

0

q

w

e

120 AN-VC 4 C

5-18

Accessoriesfor the COR Equipment Cart

9619 NB 19" HD Monitor, color systems PAL/NTSC, max.screen resolution 1280 x 1024, image format 4:3,power supply 100 – 240 VAC, 50/60 Hz, wall mountwith VESA 100 adaptorincluding:External 24VDC Power SupplyMains Cord

UG 601 Drawer Unit with Lock, small, max. shelf load60 kg, max. drawer load 5 kg, with cable slot,Dimensions: 450 x 126 x 510 mm (w x h x d),for use with Equipment Carts UG xxx

UG 603 Shelf, narrow, load capacity max. 60 kg,Dimensions: 450 x 25 x 510 mm (w x h x d),for use with Equipment Carts UG xxx

UG 501 Monitor Holder Adaptor, for central mounting ofmonitor holding arms on the rear attachment points ofthe COR equipment carts UG xxx for use withUG 500, UG 510 and UG 520

UG 500 Monitor Holder, height adjustable, swiveling andtilting, central mount, swivel range approx. 360°,loading capacity max. 18 kg, with monitor mountVESA 75/100, for use with Equipment Carts UG xxx

UG 630 Bracket, for mounting standard bars (diameter 25 mm)to equipment rails, package of 2

1

2

3

4

5

6

8401 YAA Crossbar, for Stand 8401 YA, 50 cm x diameter 25 mm,for positioning C-MAC® Monitors 8401 ZX, 8402 ZX and8403 ZX, for use with VESA 75 Quick Clip 8401 YCAand Clamp 8401 YB

7

8401 YAB Same, 70 cm x diameter 25 mm8

29005 IFH Holder for Flexible Endoscopes, for mounting tostandard tubes, incl. installation accessories9

ET43-302703 Stainless Steel Round Pipe, length 25 cm,diameter 25 mm, for use with Stand 8401 YA

121

5-18

AN-VC 5 A


11301 BC ProShield Protective Tube, for flexibletelescopes, unsterile, for single use, packageof 10, distal closed, for use with Holderfor Flexible Endoscopes 29005 IFH

0

UG 623 Multifunctional Holder, 2-part, for mounting poles,diameter 25 mm, package of 2, for use withEquipment Carts UG xxx

8401 YB Clamp, VESA 75 standard, for fixation of C-MAC®

monitor to round profile with diameter 20 – 43 mmand square profile with diameter 16 – 27 mm, for usewith Monitors 8401 ZX, 8402 ZX and 8403 ZX

20 9190 10 DVI to HDMI Cable, length 100 cm

UG 610 Sliding Tray Holder, narrow, load capacity max. 10 kg,Dimensions: 450 x 510 mm (w x d), for use withEquipment Carts UG xxx

UG 628 COR Service Cover, straight, small, with lockingscrew and storage tray, for use with CORequipment carts

q

w

e

UG 612 Camera Holder, for mounting camera heads, withdetachable inlays, compatible with all endoscopycameras from KARL STORZ, for use withEquipment Carts UG xxx

UG 609 Bottle Holder, for CO2 bottles, max. diameter 210 mm,Dimensions: 230 x 280 x 210 mm (w x h x d), for usewith Equipment Carts UG xxx

122


10330 BE Fixation Device, for Holder 10330 BC/BD toStandard Equipment Rail 29003 GS, 25 x 10 mm

8403 XSH Holder for C-MAC® S IMAGER, plexiglass tube,distal end open, for fixation to a standard rail, foruse with C-MAC® S IMAGER 8402 XS, 8402 XSB,8403 XS, 8403 XSI and C-MAC® S PediatricIMAGER 8403 XSP

10331 BXH Holder for C-MAC® VS, endoscope holder forRetromolar Intubation Endoscopes 10331 B2K and10332 BK1, made of plexiglass, distal end open,for fixation to a standard rail

AN-VC 4 B

5-18

10330 BC Holder, for Retromolar Intubation Endoscopes10331 B2K and 10332 BK1, made of plexiglass,distal open

123

4-12

1

AN-VC 7 A

TROLL-E Mobile StandThe large solution

20 0200 85 TROLL-E Airway Mobile Stand, rides on 4 antistaticdual wheels, 2 equipped with locking brakes, formounting monitors with VESA 75/100 connection,integrated cable conduit in vertical beam, loadcapacity for monitor: max. 15 kg,Dimensions:Mobile stand: 670 x 1660 x 670 mm (w x h x d),Caster diameter: 100 mmTrolley is delivered unassembled.including:Subrack, for mobile standBeam Module, with tubeDrawerEquipment RailCross Tube AdaptorStainless Steel Round Pipe, length 25 cm

20 0200 85 Configuration example

Please note: Monitor 9619 NB recommendedThe instruments displayed are not included with the equipment cart.


1

2

3

4

5

6

78

9

124 AN-VC 8

4-12

1

TROLL-E Mobile StandThe small solution

20 0200 86 TROLL-E C-MAC® Mobile Stand, rides on4 antistatic dual wheels, 2 equipped with lockingbrakes, with stainless steel tube, Dimensions: Mobile stand: 670 x 1500 x 670 mm (w x h x d),Caster diameter: 100 mmTrolley is delivered unassembled.including:Subrack, for mobile standTop Cover, with guide sleeveStainless Steel Tube, length 135 cmEquipment RailCross Tube AdaptorStainless Steel Round Pipe, length 25 cm

20 0200 86 Configuration example

Please note: The instruments displayed are not included with the equipment cart.Components/Spare Parts see chapter 6

1

3

5

78

125

5-18

AN-VC 9

Accessoriesfor the TROLL-E Mobile Stand

20 0200 47 Shelf, incl. installation accessories, max. capacity12 kg, dimensions: 490 x 395 mm (w x d), for usewith subracks for Mobile Stands 20 0200 60 and20 0200 61

20 0200 68 Subdrawer, incl. installation accessories, lockable,max. load capacity within drawer 5 kg, only formounting below Drawer 20 0200 67 (not for separateuse), dimensions: 485 x 130 x 350 mm (w x h x d)

20 0200 67 Drawer, incl. installation accessories, lockable,max. load capacity on drawer 12 kg and withindrawer 5 kg, dimensions: 485 x 145 x 350 mm(w x h x d), for use with Subracks 20 0200 60 and20 0200 61

20 0200 49 Equipment Rail, for mounting to vertical beam,incl. installation accessories, dimensions:450 x 25 x 10 mm (w x h x d), for use withSubrack for Mobile Stands 20 0200 60 and20 0200 61


1

2

3

4

29005 IFH Holder for Flexible Endoscopes, for mountingto standard tubes, incl. installation accessories


5

6


7

126 AN-VC 10

5-18

29005 AK Wire Tray, for accessories, for mounting to equipmentrails, dimensions (w x h x d): 300 x 200 x 100 mm, foruse with equipment carts

8401 YH Holder Set, for C-MAC®, consisting of two parts:1 holder for five C-MAC® video laryngoscope bladesand 1 holder for one electronic module, made ofthermoplastic material, wipe disinfection, to be fixedto a tray

8

9

0

ET43-304392 Basket Holder, with standard rail with lateral slipprotection (length 450 mm) and one-piece fixationclamps for use and assembly on Stand RodET43-303126

ET43-303125 Basket Holder, with standard rail, length 27 cm,rail support and star grip

Accessoriesfor the TROLL-E Mobile Stand



UG 500 Monitor Holder, height adjustable, swiveling andtilting, central mount, swivel range approx. 360°,loading capacity max. 18 kg, with monitor mountVESA 75/100, for use with Equipment Carts UG xxx


monitor to round profile with diameter 20 – 43 mmand square profile with diameter 16 – 27 mm, foruse with Monitors 8401 ZX, 8402 ZX and 8403 ZX

UG 612 Camera Holder, for mounting camera heads, withdetachable inlays, compatible with all endoscopycameras from KARL STORZ, for use withEquipment Carts UG xxx

127

2-09

2

AN-VC 11

Standfor the C-MAC® Video Laryngoscope

8401 YA Stand, for C-MAC® monitor, height 120 cm,rollable with five feet and antistatic castors,crossbar 25 cm x diameter 25 mm, forpositioning the monitor, with tray forlaryngoscopes, dimensions (w x d x h):30 x 20 x 10 cm

8401 YA Configuration example

Special Features:● Longer equipment rails (45 cm instead of 30 cm)

makes it possible to mount a storage basket anda Bonfils holder

● The new stainless steel star-shaped baseincreases stability, especially under full loadconditions

● Two dual wheels equipped with locking brakes

1

2

3

4

5

6

7

8

128 AN-VC 12

5-18

29005 AK Wire Tray, for accessories, for mounting to equipmentrails, dimensions (w x h x d): 300 x 200 x 100 mm, foruse with equipment carts

ET43-303127 Cross Tube Adaptor, for connecting 2 roundpipes with diameter 25 mm

8401 YH Holder Set, for C-MAC®, consisting of two parts:1 holder for five C-MAC® video laryngoscope bladesand 1 holder for one electronic module, made ofthermoplastic material, wipe disinfection, to be fixedto a tray

29005 IFH Holder for Flexible Endoscopes, for mountingto standard tubes, incl. installation accessories





monitor to round profile with diameter 20 – 43 mmand square profile with diameter 16 – 27 mm, foruse with Monitors 8401 ZX, 8402 ZX and 8403 ZX

1

2

3

4

5

6

7

8

Accessoriesfor the Stand

129

5-18

AN-VC 13

Accessoriesfor the Stand

29005 KHN Camera Holder, for mounting camera heads, withremovable inserts, suitable for all KARL STORZendoscopy camera heads

8401 YAA Crossbar, for Stand 8401 YA, 50 cm x diameter 25 mm,for positioning C-MAC® Monitors 8401 ZX, 8402 ZX and8403 ZX, for use with VESA 75 Quick Clip 8401 YCA andClamp 8401 YB

8401 YAB Same, 70 cm x diameter 25 mm



ET43-302703 Stainless Steel Round Pipe, length 25 cm,diameter 25 mm, for use with Stand 8401 YA

6

COMPONENTS /SPARE PARTS

SP 2

Introduction

Components/spare parts with corresponding order number of the instrument and reference to catalog page

4-12

The chapter “Components / Spare Parts” contains de-tailed information on KARL STORZ instruments.

For easy location and reference, an index is availablewhich lists the order number of the spare parts as wellas those of the entire instrument, set or unit.

Hotline

Queries concerning products, exchange, maintenanceand cleaning can be addressed to Technical Support:+49 (0)7461/708-980, from Monday to Thursday from7 – 8 h and Friday from 7 – 17 h.

Example:

10331 BATube Holder for ETT,for tube fixation, with O2application connection,inner diameter 5 mm

10332 BATube Holder for ETT,for tube fixation, with O2application connection,inner diameter 3.5 mm

Components / Spare Parts Catalog Page

939394

Spare Parts

495 FReceptacle,diameter 9 mm, forWolf fiber optic lightcable

495 GScrew Base, forKARL STORZ fiber opticlight cables and OlympusCorporation

495 F495 G

11331 BA

10331 B2K Retromolar Intubation Endoscope Set10332 BK1 Retromolar Intubation Endoscope11605 CK Intubation Endoscope Set

Table of Contents,Numerical IndexCOMPONENTS / SPARE PARTS

I

INSTRUMENTS

Intubation Sets SP3-SP4

Battery Inserts SP5

Handle Sleeves, Inductive Charging Unit SP6

C-MAC® Monitor SP7

C-MAC® PM – The Pocket Monitor, Charging Unit SP8

Flexible Intubation Fiberscopes SP9

Flexible Intubation Video Endoscopes SP10

Retromolar Intubation Endoscopes SP11

HOPKINS® Telescopes SP12

C-HUB® II SP13

Equipment Carts SP14-SP16

4-12

10309 SP3, SP1010310 SP3, SP1010320 AA SP1210324 AA SP1210328 AA SP1210331 B2K SP 2, SP3, SP1110331 BA SP 2, SP3, SP1110332 BA SP 2, SP1110332 BK1 SP 2, SP1110350 HF SP1210350 KF SP1210352 H SP1210352 KF SP1210378 CF SP1210378 HF SP1210378 KF SP1210378 KSF SP1210605 CK SP 211008 C SP311025 E SP311300 B3 SP311301 AAK1 SP911301 ABXK SP1011301 BC SP1611301 BNK1 SP911301 CB SP911301 CB1 SP1011301 CD SP311301 CD1 SP1011301 CE SP3, SP911301 CE1 SP1011301 CF SP3, SP911301 CFX SP1011301 D3 SP311302 BD2 SP311302 BDK2 SP911302 BDXK SP1011303 BNXK SP1011304 BCXK SP1011605 CK SP1112015 AA SP1212016 K SP1212016 M SP12121306 K SP5121306 KS SP513242 XL SP3

20020049 SP1520020060 SP1520020063 SP1520020064 SP1520020065 SP1520020067 SP1520020085 SP1520020086 SP1520040282 SP720040445-V02 SP1320200073 SP1320288001 SP1120288100-I6 SP1120288100-I7 SP1120288100-S6 SP1120288100-S7 SP1120290120-PS SP1320290301 SP1320290320 SP1320919010 SP727651 AL SP327677 BK SP329100 SP3, SP9, SP10403655 SP3495 F SP 2, SP9, SP11, SP12495 G SP 2, SP9, SP11, SP12547 S SP137854791 SP6809025 SP3809120 SP4809125 SP48295391 SP128400 C1 SP48401 YA SP168401 YAA SP168401 YAB SP168401 YB SP168401 YCA SP78401 YH SP168401 YSD SP78401 YZ SP78403 AX SP48403 BX SP48403 GXC SP48403 XD SP88403 XDA SP4, SP8

8403 XDD SP88403 XDK SP4, SP88403 XDL SP4, SP88403 XDP SP48403 YE SP48403 YZ SP8, SP108403 ZX SP78403 ZXK SP78535 B SP38546 SP3, SP68546 LE1 SP68546 R1 SP68547 SP68547 A SP58547 LD SP58547 LDX SP58548 SP68548 LD1 SP58548 LDX1 SP58549 LD SP58549 LDX SP3, SP58938291 SP58938292 SP58938392 SP59045 A SP39045 B SP39045 D SP39045 I SP39045 L SP39045 M SP39045 N SP39045 O SP39045 P SP39045 T SP39049 A SP39049 B SP3ET27-30-0003148 SP6ET27-30-0003205 SP6ET27-30-0003206 SP6ET27-30-0004077 SP13ET27-30-0004078 SP13ET27-30-0004357 SP13ET27-30-0004370 SP7ET27-30-0004515 SP7ET27-30-0004516 SP7ET27-30-0004517 SP7

Product Page Product Page Product Page

II

Numerical IndexCOMPONENTS / SPARE PARTS

ET27-30-0004518 SP7ET27-30-0004519 SP7ET27-30-0004520 SP7ET27-30-0004943 SP7ET27-30-0005770 SP8ET38-1717715 SP6ET43-302703 SP15

ET43-303127 SP15UG 010 SP14UG 020 SP14UG 041 SP14UG 051 SP14UG 110 SP14UG 120 SP14

UG 601 SP14UG 603 SP14UG 608 SP14UG 612 SP14UG 700 SP14

Product Page Product Page Product Page

SP3AN-SP 2


5

Intubation Sets

11300 B3 Airway Management Set

11302 BD2 Intubation Fiberscope, 3.7 mm x 65 cm10331 B2K Retromolar Intubation Endoscope, 5 x 40, autoclavable11301 D3 Battery Light Source LED for Endoscopes11008 C Mask Adaption “MAINZ Adaptor”, blue, package of 59049 A Laryngeal Tube, size 49049 B Laryngeal Tube, size 39045 I Spiral Tube, size 6, for single use9045 A Laryngeal Mask, standard, reusable, size 19045 B Laryngeal Mask, standard, reusable, size 29045 D Laryngeal Mask, standard, reusable, size 49045 L Intubation Laryngeal Mask, reusable, size 39045 M Intubation Laryngeal Mask, reusable, size 49045 N Laryngeal Mask Tube, diameter 7 mm9045 O Laryngeal Mask Tube, diameter 7.5 mm9045 T LMA Tube Stabilizer809025 MAGILL Forceps, length 25 cm9045 P Scalpel, for single use, package of 10403655 COTTLE Nasal Speculum, blade length 55 mm, length 13 cm8535 B Emergency Laryngoscope Blade, cold light, universal size8546 Handle Sleeve, ISO 73768549 LDX Battery Insert Set LED, with cap27677 BK Case27651 AL Cleaning Brush11025 E Pressure Compensation Cap13242 XL Leakage Tester11301 CD Irrigation Adaptor, for machine cleaning, reusable11301 CE Suction Valve, for single use, package of 2011301 CF LIPP Tube Holder10331 BA Tube Holder for ETT10309 Bronchoscope Insertion Tube, size 410310 Bronchoscope Insertion Tube, size 229100 Plug, black, package of 10

4-12

1

SP4

Intubation Sets


78400 C1 Intubation Set Prehospital, ULM model

8403 AX C-MAC® Video Laryngoscope MAC #38403 BX C-MAC® Video Laryngoscope MAC #48403 GXC C-MAC® Video Laryngoscope MIL #18403 XDA Battery, for C-MAC® PM, rechargeable8403 XDK C-MAC® PM Set8403 XDL Charging Unit, for C-MAC® PM8403 YE Bag, for intubation set -C22-, ULM model809125 MAGILL Forceps, for adults, modified809120 MAGILL Forceps, for children, modified8403 XDP C-MAC® PM Connecting Cable

AN-SP 3

4-12

1

SP5AN-SP 4

4-12

1

Battery Inserts

8938291

8938292

8938292



8548 LDX1 Battery Insert Set LED 24

23

22

8547 A Battery Insert 23

Spare Part

8938291Cap

8549 LDX Battery Insert Set LED

8548 LD1 Battery Insert, high-power LED8938292 Cap

8549 LD Battery Insert, high-power LED121306 KS Battery, Mignon cell, LR 06, 1.5 V8938292 Cap

8547 LDX Battery Insert Set LED

8547 LD Battery Insert, high-power LED121306 K AA Battery8938392 Cap

Spare Part

8938292Cap

AN-SP 5

4-12

1

SP6

Handle Sleeves,Inductive Charging Unit

7854791 7854791



8546 Handle Sleeve 228547 Handle Sleeve 238548 Handle Sleeve 24

Spare Part

7854791Switch Socket

8546 R1

8546 LE1 Inductive Charging Unit, incl. mains adaptor and primary plugs 25

8546 R1Reduction Sleeve

Spare Parts

ET27-30-0003148Primary Plug EU

ET27-30-0003206Primary Plug UK

7854791

ET27-30-0003205Primary Plug Australia

ET38-1717715Plug Adaptor USA/Japan

8546 8547

8548

AN-SP 6

4-12

1

SP7

C-MAC® Monitor


8403 ZXK C-MAC® Monitor for CMOS Endoscope Set 41, 82

Spare Parts

ET27-30-0004515Power Supply, for use withC-MAC® Monitor 8403 ZX

ET27-30-0004517Plug Adaptor UK,for Power SupplyET27-30-0004515

ET27-30-0004516Plug Adaptor EU,for Power SupplyET27-30-0004515

ET27-30-0004370Adaptor Cable USA/JP

ET27-30-0004520IEC (ROW) Plug,for Power SupplyET27-30-0004515

ET27-30-0004518Plug AdaptorUSA/JP, for Power SupplyET27-30-0004515

ET27-30-0004519Plug Adaptor Australia,for Power SupplyET27-30-0004515

20919010DVI to HDMI Cable,length 100 cm

20040282USB Flash Drive, 32 GB

8401 YSDUltra II SD Card, 8 GB

8403 ZX C-MAC® Monitor8401 YSD SD Card ULTRA, 8 GB8401 YZ Protection Cap8401 YCA VESA 75 Quick ClipET27-30-0004943 Mains Adaptor Set

SP8 AN-SP 7

4-12

1

C-MAC® PM – The POCKET MONITOR,Charging Unit

Spare Part

ET27-30-0005770Power Supply Set,power supply 100 –240 V, 50/60 Hz,including country-specific adaptors


8403 XDK C-MAC® PM Set 43


8403 XDL Charging Unit, for C-MAC® PM8403 XDA Battery, for C-MAC® PM, rechargeable

4444

8403 XD C-MAC® PM8403 XDA Battery, rechargeable8403 XDD USB Data Cable8403 YZ Protection Cap, for reprocessing

8403 YZ

SP9AN-SP 8

4-12

1

Flexible Intubation Fiberscopes

29100

11301 CESuction Valve, for singleuse, package of 20


11301 AAK1 Intubation Fiberscope 2.8 x 6511302 BDK2 Intubation Fiberscope 3.7 x 65

85, 8886, 88

11301 BNK1 Intubation Fiberscope 5.2 x 65

87, 88

Spare Parts

495 FReceptacle,diameter 9 mm, forWolf fiber optic light cable


11301 CFLIPP Tube Holder,for intubation fiberscopes

11301 CBSuction Valve, reusable

29100Plug, for LUER-Lockirrigation connector forcleaning, black,autoclavable,package of 10

11301 CF

SP10 AN-SP 9 A

4-12

1

Flexible Intubation Video Endoscopes

11301 CFXTube Holder


11303 BNXK Flexible Intubation Video Endoscope Set 5.5 x 65

11301 ABXK Flexible Intubation Video Endoscope Set 3 x 5211302 BDXK Flexible Intubation Video Endoscope Set 4 x 65

11304 BCXK Flexible Intubation Video Endoscope Set 6.5 x 65 60,6461,6462,6463,64

Spare Parts

11301 CB1Suction Valve,reusable

11301 CE1Suction Valve,for single use,package of 20

29100Plug, for LUER-Lockirrigation connector forcleaning, black,autoclavable,package of 10

11301 CD1Irrigation Adaptor,reusable

8403 YZProtection Cap

10309Bronchoscope InsertionTube, size 4, sterile, forsingle use, package of 10

10310Bronchoscope InsertionTube, size 2, sterile, forsingle use, package of 10

* Spare Parts are only compatible with flexible intubation video endoscopes with working channels.

*

*

*

*

(without working channel)

SP11AN-SP 10 A

4-12

1

495 F495 G

11331 BA

10331 BATube Holder for ETT,for tube fixation, with O2application connection,inner diameter 5 mm

10332 BATube Holder for ETT,for tube fixation, with O2application connection,inner diameter 3.5 mm


9191

Spare Parts



10331 B2K Retromolar Intubation Endoscope Set10332 BK1 Retromolar Intubation Endoscope

9211605 CK Intubation Endoscope Set


9393

20288001 SMART SCOPE20288100-S6 Galaxy S6 Holder

939393

20288100-S7 Galaxy S7 Holder20288100-I6 iPhone 6/6s Holder20288100-I7 iPhone 7/8 Holder


4-12

1

SP12 AN-SP 11 A

495 F495 G


10320 AA HOPKINS® Straight Forward Telescope 0° 10610324 AA HOPKINS® Straight Forward Telescope 0° 109

112107

Spare Parts



HOPKINS® Telescopes

12015 AA HOPKINS® Straight Forward Telescope 0°10328 AA HOPKINS® Straight Forward Telescope 0°


106106107

10350 HF Optical Forceps10350 KF Optical Forceps

107109109

10352 H Optical Forceps

109109

10352 KF Optical Forceps10378 CF Optical Forceps10378 HF Optical Forceps10378 KF Optical Forceps10378 KSF Optical Forceps

Spare Parts

8295391Cleaning Adaptor


11212016 K Optical Forceps11212016 M Optical Forceps

Spare Part

8295391Cleaning Adaptor

4-12

1

SP13AN-SP 12A

C-HUB® II

46


20290301 C-HUB® II Camera Control Unit

20290320 C-HUB® II20290120-PS Power Supply, incl. primary plugs547 S S-Video (Y/C) Connecting Cable20200073 USB Connecting Cable20040445-V02 KARL STORZ Video Editor

ET27-30-0004357Adaptor Australia,for Power Supply20290120-PS

Spare Parts

ET27-30-0004078Adaptor USA/JP,for Power Supply20290120-PS

ET27-30-0004077Adaptor UK, for PowerSupply 20290120-PS andC-HUB® charging units

5-18

SP14 AN-SP 13 A

Equipment Carts

118


UG 120

UG 010 Base Module, equipment cart, narrow

UG 020 Cover, equipment cart, narrow

UG 051 Beam Package, equipment cart, high

UG 603 Shelf, narrow

UG 601 Drawer Unit with Lock, narrow

UG 608 Equipment Rail, long

UG 612 Camera Holder

UG 700 Mains Cord, length 100 cm

UG 120 Equipment Cart

118


UG 110

UG 010 Base Module, equipment cart, narrowUG 020 Cover, equipment cart, narrow

UG 041 Beam Package, equipment cart, small

UG 603 Shelf, narrow

UG 601 Drawer Unit with Lock, narrow

UG 608 Equipment Rail, long

UG 700 Mains Cord, length 100 cm

UG 110 Equipment Cart

4-12

1

SP15AN-SP 14

Equipment Carts

123


20020085

20020060 Subrack, for mobile stand20020063 Beam Module, with tube20020067 Drawer20020049 Equipment RailET43-303127 Cross Tube AdaptorET43-302703 Stainless Steel Round Pipe, length 25 cm

20020085 TROLL-E Airway Mobile Stand

124


20020086

20020060 Subrack, for mobile stand20020064 Top Cover, with guide sleeve20020065 Stainless Steel Tube, length 135 cm20020049 Equipment RailET43-303127 Cross Tube AdaptorET43-302703 Stainless Steel Round Pipe, length 25 cm

20020086 TROLL-E C-MAC® Mobile Stand

SP16 AN-SP 15 A

5-18

Equipment Carts

127128128128129129


8401 YA

8401 YA Stand, for C-MAC® monitor11301 BC ProShield Protective Tube8401 YH Holder Set, for C-MAC®

8401 YB Clamp8401 YAA Crossbar, 50 cm x diameter 25 mm8401 YAB Crossbar, 70 cm x diameter 25 mm

HYGIENECLEANINGSTERILIZATION AND MAINTENANCESTORAGE TECHNIQUES

TELEPRESENCEIMAGING SYSTEMS – DOCUMENTATION

ILLUMINATION – EQUIPMENT CARTS

KARL STORZ OR1 NEO®

ERGONOMICS, SAFETY AND EFFICIENCY IN THE OR

ENDOPROTECT1KARL STORZ SERVICE PROGRAM

7

6-12

KARL STORZ has developed andoptimized a special service programfor the protection of patients, usersand investments: ENDOPROTECT1

ENDOPROTECT1 from KARL STORZprovides a comprehensive range of safeand cost-effective services to meet theneeds of endoscopic equipment ineveryday clinical practice.

ENDOPROTECT1 Service Program:modular – safe – cost-effective

The KARL STORZ OR1 NEO®

objective is to provide an optimaloperating room design for performing minimallyinvasive and conventional surgeries. Customizedto meet disciplinary and interdisciplinary needs,the OR1 NEO® operating room concept offersthe optimal solution to each requirement for anintegrated OR workstation design. The system’smodular design allows all components andfunctionalities to be integrated in the OR1 NEO®

operating room solution and, therefore, become partof the workstation system. Once again,KARL STORZ sets new standards in ergonomics,safety and efficiency in the OR.

■ System integration■ Data management and documentation■ Telemedicine

The OR1 NEO® components provide a customizedsystem and compatible applications. Eachcomponent offers a reliable solution on itsown; the sum of all components forms acomplete multifunctional system.

HYGIENE

CLEANING, STERILIZATION ANDMAINTENANCE, STORAGE TECHNIQUES

- Accessories for maintenance and cleaning- Cases for cleaning and disinfection- Quivers for disinfection and storage of

flexible endoscopes- Wire trays for cleaning, sterilization and storage

of endoscopes, instruments and motoraccessories

- Instrument racks for cleaning, sterilization andstorage

- Plastic containers for cleaning, sterilization andstorage of endoscopes

- Plastic containers for cleaning, sterilization andstorage of endoscopes, camera heads andinstruments

- Stainless steel trays for sterilization and storageof instruments

- Aluminium trays for sterilization and storageof instruments

- Sterilization containers with MicroStop® system- Racks for cleaning, sterilization and storage

of ENT instruments- Aluminium cases for HOPKINS® telescopes- Carrying cases for instruments and accessories

ENDOPROTECT1KARL STORZ SERVICE PROGRAM

■ Repair service■ Set audits■ Training■ OR1™ service■ Hygiene■ ORCHESTRION IMM

TELEPRESENCE

■ Imaging systems■ Documentation■ Illumination ■ Equipment carts

FULL HD – New Vision in Medicine

IMAGE 1 HUB™ HD offers the user the highestimage quality for the precise display of eventhe finest tissue and vascular structures.

IMAGE 1 HUB™ HD enables the connectionof the latest HD camera heads and all standardIMAGE1 camera heads.

Existing IMAGE1 can be updated to enableHD images to be displayed and HD cameraheads to be utilized.

KARL STORZ WIDEVIEW monitors deliveroptimal image display. Using the 16:10 aspect

provides a larger display window and improvesthe viewing ergonomics.


ERGONOMICS, SAFETYAND EFFICIENCY IN THE OR

Request per Business Reply Cardor per FAX+49 (0)7461 708404 or one of KARL STORZ distribution companies– checkmark – provide address – send –

✂

Hospital/Office

Contact

Street

Postal Code

Town/City

Tel.

E-Mail

Address:

REPLY

KARL STORZ SE & Co. KG

Postfach 230

78503 Tuttlingen/Germany

Postagepaid

Please send us detailed information: (please check):

If there are not enough reply cards available, KARL STORZalso offers this service in the Internet:www.karlstorz.com

Please cut out reply card!

✂

✂

❑❑ ENDOPROTECT1

KARL STORZ SERVICE PROGRAM

We are particularly interested in:❏ Repair service❏ Set audits❏ Training❏ OR1™ service❏ Hygiene❏ ORCHESTRION IMM

❑❑ TELEPRESENCE

We are particularly interested in:❏ FULL HD – New vision in medicine❏ Camera systems❏ Data management and documentation❏ Monitors and video printers❏ Light sources❏ Equipment carts

❑❑ KARL STORZ OR1 NEO®


We are particularly interested in:

❏ System integration

❏ Data management anddocumentation

❏ Telemedicine

❑❑ HYGIENE

CLEANING,STERILIZATION ANDMAINTENANCE,STORAGE TECHNIQUES

❑❑ We would like a non-binding consultancy meeting.

Appointment requested with:

✂

✂

If there are not enough reply cards available, KARL STORZalso offers this service in the Internet:www.karlstorz.com

✂

Hospital/Office

Contact

Street

Postal Code

Town/City

Tel.

E-Mail

Address:

REPLY


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❑❑ ENDOPROTECT1

KARL STORZ SERVICE PROGRAM

We are particularly interested in:❏ Repair service❏ Set audits❏ Training❏ OR1™ service❏ Hygiene❏ ORCHESTRION IMM

❑❑ TELEPRESENCE

We are particularly interested in:❏ FULL HD – New vision in medicine❏ Camera systems❏ Data management and documentation❏ Monitors and video printers❏ Light sources❏ Equipment carts

❑❑ KARL STORZ OR1 NEO®


We are particularly interested in:

❏ System integration

❏ Data management anddocumentation

❏ Telemedicine

❑❑ HYGIENE

CLEANING,STERILIZATION ANDMAINTENANCE,STORAGE TECHNIQUES

❑❑ We would like a non-binding consultancy meeting.

Appointment requested with:

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Thorax

Systems for Gastroenterology

Laparoscopy in Surgery,Gynecology, Urology

- Pediatric Laparoscopy

- Minilaparoscopy

Gynecology

Urology

Proctology

Arthroscopy and Sports Medicine

Pediatric Surgery

MTP Single-Use Products


Telepresence

Hygiene

Neurosurgery

Oral and Maxillofacial Surgery

Endoscopes and Instruments for ENT,Esophagoscopy – Bronchoscopy

- Standard Instruments

- Laryngology

- Otology

- Rhinology and Rhinoplasty

- Sinoscopy, Rhinoscopy, Postrhinoscopy

- UNIDRIVE® S III ECO

- UNIDRIVE® S III ENT

Plastic Surgery

Endoscopes for Anesthesiology and Emergency Medicine

Endoscopes and Instrumentsfor Cardiovascular Surgery

REPLY


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Request per Business Reply Cardor per FAX+49 (0)7461 708 404 or one of KARL STORZ distribution companies– checkmark – provide address on back of card – send –

✂

✂

✂

Address:

Hospital/Office

Contact

Street

Postal Code

Town/City

Tel.

E-mail

Catalogs, Catalog excerpts (please check)

Thorax

Systems for Gastroenterology

Laparoscopy in Surgery,Gynecology, Urology

- Pediatric Laparoscopy

- Minilaparoscopy

Gynecology

Urology

Proctology

Arthroscopy and Sports Medicine

Pediatric Surgery

MTP Single-Use Products


Telepresence

Hygiene

Neurosurgery

Oral and Maxillofacial Surgery

Endoscopes and Instruments for ENT,Esophagoscopy – Bronchoscopy

- Standard Instruments

- Laryngology

- Otology

- Rhinology and Rhinoplasty

- Sinoscopy, Rhinoscopy, Postrhinoscopy

- UNIDRIVE® S III ECO

- UNIDRIVE® S III ENT

Plastic Surgery

Endoscopes for Anesthesiology and Emergency Medicine

Endoscopes and Instrumentsfor Cardiovascular Surgery

endoscopes for anesthesiology and … · laryngoscope blades ... chapter pages. endoscopes for...

Documents