TITANO Instruments and more. TITANO The natural extension of your hand!

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1 TITANO Instruments and more TITANO The natural extension of your hand!

2 TITANO No matter what Oertli operating equipment you prefer to use, you will always hold the same exquisite TITANO instruments in your hand! The TITANO name is synonymous with incomparable functionality, ergonomics and quality. Oertli products are manufactured by Oertli world class since 1955.

3 Phaco instruments With an external diameter of 13 mm, an internal infusion line and a feather-light weight of only 47 grams, the all-titanium Hexadisq phaco handpiece has set the standard since Oertli phaco instruments and accessories are inter-coordinated components of the SCT (stable chamber technology) system. They have been especially optimised for CMP (cool micro pulse) phaco. CMP signifies the lowest possible energy, no burns, a stable anterior chamber and a clear cornea on the first post-operational day.

4 HEXADISQ phaco handpiece VG HEXADISQ phaco handpiece 6-crystal design, 12-month guarantee, ideal for CMP technique and all Oertli phaco tips including phaco fragmentation Excellerator phaco tips better sealing of the incision fewer cavitation bubbles Excellerator 1 Excellent emulsification, no vacuum collapse, stable anterior chamber, no turbulences, high holding force more inflow less vacuum surge better emulsifikation Excellerator 2 Like Excellerator 1, however for a particularly high vacuum, preferred for venturi VV Excellerator 1 titanium tip, 15 VV Excellerator 2 titanium tip, 15 VV Excellerator 1 titanium tip, 30 VV Excellerator 2 titanium tip, 30 VV Excellerator 1 titanium tip, 45 Phaco instruments 4

5 Ergo Excellerator For particularly hard nuclei and small pupil cases VV Ergo Excellerator titanium tip 30 Leuenberger tip For particularly hard nuclei, high holding force VV Leuenberger titanium tip 30 VV Leuenberger titanium tip 45 Phaco fragmentation VV Pars Plana titanium tip for phaco fragmentation CMP tips for MICS For bi-manual technique. Use in conjunction with CMP I/A instruments (page 10). VV G CMP titanium tip VV G CMP titanium tip E Titanium key for phaco tips Suitable for all listed tips 5 Phaco instruments

6 Irrigation sleeves VV Silicone standard irrigation sleeve, transparent VV Silicone 20G irrigation sleeve, transparent, for use with VV for 2.5 mm incisions VV No Burn irrigation sleeve Prevents burns VV Silicone test chamber Recommendations: All phaco instruments are fully autoclavable for multiple use. We grant a 12-month warranty on phaco handpieces. Phaco tips and irrigation sleeves need to be replaced more frequently. Worn phaco tips cut poorly and generate bubbles, worn sleeves result in reduced infusion with poor chamber stability and an increased risk of burns. Replace tips and sleeves after 50 operations! Single-use sterile tips, sleeves and test chambers are contained in the sterile VV621011A (CataRhex) and VV630011A (OS3) phaco packs. They are not available individually. Phaco instruments 6

7 Irrigation / aspiration Quick Tip I/A instrument This elegant instrument with slender ergonomic styling is manufactured entirely in titanium and weighs only 13 grams. Tip changeover and turning is a sterile process and only takes seconds. TITANO I/A instruments are designed to complement Oertli operating equipment perfectly and will guarantee an extremely stable anterior chamber. Particular attention has been given to the design of the I/A ports. The tips glide gently and smoothly through the incision. A linear override function in both the CataRhex and OS3 units ensures highly efficient capsule cleaning and cortex aspiration.

8 Quick Tip system Thanks to the advanced fast-lokking mechanism, all Quick Tip tips can be exchanged in a matter of seconds whilst retaining sterility and turned to your preferred position. The I/A tubes can be attached and disconnected without a twisting action. This allows a rapid changeover between the phaco and I/A handpiece. VE Quick Tip I/A handpiece VE Irrigation handpiece VE Luer adapter for I/A handpiece VE VE Straight I/A tip, 1.8 mm diameter, 0.35 mm opening VE Angled I/A tip, 1.8 mm diameter, 0.35 mm opening Irrigation / aspiration 8

9 VE Binkhorst I/A tip, 1.8 mm curved, requires 3 mm incision VE Straight aspiration tip, 0.35 mm opening VE Angled aspiration tip, 0.35 mm opening Bi-manual I/A instruments Separate, compact, hand-held aspiration and infusion instruments are introduced either through a paracentesis and phaco incision or through two paracenteses. This technique offers excellent manoeuvrability and accessibility within the entire capsule. VE Bi-manual instrument set VE Bi-manual instrument set, roughened for capsular polishing 9 Irrigation / aspiration

10 CMP I/A instruments for MICS VE G Irrigation chopper CMP VE G Irrigation chopper CMP VE G Aspiration handpiece CMP VE G Aspiration handpiece CMP VE G Irrigation handpiece CMP VE G Irrigation handpiece CMP Irrigation / aspiration 10

11 Bipolar diathermy Elegant and slender diathermy handpieces, together with attachable tips that use platinum electrodes, combine to make Oertli diathermy a precision instrument for extremely wide-ranging applications: micro and macro-haemostasis, capsulotomy and, recently, glaucoma surgery. In 1972, Oertli was the fist company to introduce bipolar diathermy in the eye. The determination of frequency and material, in collaboration with Prof. Klöti, continues to prove itself optimal right to this day, both for haemostasis as well as for tissue dissection. All Oertli operating systems are equipped with a HF control generator to facilitate extremely precise regulation and modulation of diathermy output. The CataRhex and OS3 systems also support the Instant Diathermy function.

12 Diathermy handpieces Housings in titanium, gold-plated contacts, 3-metre cable, autoclavable VE Diathermy handpiece, long, particularly suitable for posterior chamber surgery VE Diathermy handpiece, short Diathermy tips All tips have platinum electrodes and gold-plated contacts Note: Diathermy tips should either be cleaned immediately upon removal from the eye, or kept moist until they are cleaned and prepared for re-use. This will prevent tissue remnants from sticking to tips and prolong the service life of tips. VE Eraser tip for macro-diathermy, 50 bevelled VE Endo-diathermy tip 20G VE Endo-diathermy tip 23G VE Endo-diathermy tip 25G VE Endo-diathermy tip 20G, tapered to 0.45 mm, for good visibility and intricate work on the retina Bipolar diathermy 12

13 Combined tips VE Endo-diathermy tip 20G, with infusion VE Endo-diathermy tip 20G, with light; recommended for the Instant Diathermy function. Capsulotomy Moving without pressure over the capsule suffices. VE Capsulotomy tip VE Capsulotomy tip, especially for the post-operative treatment of shrunken capsules Glaucoma tips VE Tip for IDK glaucoma surgery (Svend V. Kessing) VE Tip for STT glaucoma surgery (Bojan Pajic, Grigoris Pallas) Bipolar forceps VE Bipolar forceps, curved, for haemostasis and co-aptation of the conjunctiva 13 Bipolar diathermy

14 Vitrectomy cutters Oertli makes no distinction between an anterior and a posterior vitrectomy. Responding exactly to its pedal controller, the electrically-operated SUS cutter will make a precise, single cut action and operate at speeds of up to 1200 cuts per minute as an efficient high-speed cutting tool. The pneumatic Twinac cutters are even faster. SUS cutting heads feature a variable opening and are all manufactured with a hand finish. This explains the unique quality of cuts. Oertli set a solitary standard in 1971 for the quality of cuts with the Klöti stripper. The unmatched quality of cuts provided by this instrument lives on today in Oertli high-speed vitrectomy cutters. While vitrectomies have become a common surgical procedure, Oertli cutting quality continues to remain unique.

15 SUS Disposable (single-use) cutter with electric drive Suitable for use with all Oertli control units VE SUS Magnetic drive. Autoclavable, simple to clean using a rinsing sleeve. Variable aspiration opening, 3-metre cable, 1200 cuts/minute VV SUS Cutting head, 20G, guillotine Sterile, single-use, box of 6 Hand finished Twinac SPS single-use cutter with pneumatic drive Suitable for use with the Oertli OS3 The operation of the pneumaticallydriven Twinac vitrectomy cutter is based on a distinctive, dualaction drive concept: both the cutting as well as the aspiration cycle are controlled by compressed air. This method allows for particularly precise control over the vitrectomy process, ranging from a single cut through to 2500 cuts per minute (dependent on the control unit). An additional advantage of the Twinac s dual action is the loss of vibrations commonly associated with models equipped with return springs. The ergonomics are outstanding. Both fingertip guidance (extension sleeve removed) as well as a pencil-type grip are possible. VV Twinac vitrectomy stripper 20G Sterile, single-use, box of 10 VV Twinac vitrectomy stripper 23G Sterile, single-use, box of 10 VV Twinac vitrectomy stripper 25G Sterile, single-use, box of Vitrectomy cutters

16 SDS Cutters for limited multiple use Suitable for use with all Oertli control units SDS cutters (semi-disposable strippers) are designed for limited multiple use. An economical solution, however which requires careful cleaning after every operation. Cutters that have become blunt must be disposed of. Resharpening is not possible. Triple blade system. If one blade has become blunt, simply turn the cutting head to a new position. VE SDS Magnetic drive Autoclavable, easy to clean 3-metre cable VV SDS Klöti cutting head 20G Triple blade system The traditional instrument with a recessed aspiration opening; particularly recommended for retinal surgery, for cutting membranes and proliferative structures, for lensectomies and capsulectomies. VV SDS Super cutter 20G.Triple blade system. For anterior vitrectomies and for the rapid removal of the central vitreous body. VV SDS Guillotine cutter 20G VV Micro scissors, membrane peeler/cutter Vitrectomy cutters 16

17 Infusion sleeves for anterior vitrectomies VG Infusion sleeve for SUS and Twinac cutters. Autoclavable, 1.5 mm diameter, with hose tube and luer connector VG Infusion sleeve for SDS cutters Autoclavable, 1.5 mm diameter, with hose tube and luer connector Infusion terminals These autoclavable terminals, which are designed to be sutured to the eye, may be used with BSS or air. Positioning is preferably carried out with the mandrel VE and forceps VE VE Infusion terminal 20G, 2.5 mm long, with tube and luer VE Infusion terminal 20G, 4.0 mm long, with tube and luer VE Infusion terminal 20G, 6.0 mm long, with tube and luer Parsplana micro incision system VV PMS set 23G, box of 10, sterile, single use VV PMS set 25G, box of 10, sterile, single use 17 Vitrectomy cutters

18 Light instruments Oertli TITANO multiple-use light instruments unite excellent ergonomics with simple cleaning and a long service life. The proven design, featuring a flexible silicon sleeve for the protection of the quartz fibre bundle, provides high pliability. Autoclavable. The light sources for Oertli operating equipment are fitted with an adaptor able to accommodate multiple-use light instruments as well as singleuse light conductors (micro-connector). It is possible to connect two light instruments, each with a micro-connector, simultaneously.

19 Autoclavable light instruments VE Illuminator 90, 20G, 2-metre light cable VE Illuminator 60, 20G, 2-metre light cable VE Illuminator 30, 20G, 2-metre light cable VE Illuminator with micro-hook, 20G, 2-metre light cable Single-use light instruments VV Illuminator 90, 20G, micro connector, 10-piece pack, sterile VV Illuminator 90, 23G, micro connector, 10-piece pack, sterile VV Illuminator 90, 25G, micro connector, 10-piece pack, sterile VV Illuminator 60, 20G, micro connector, 10-piece pack, sterile VV Illuminator panorama, 20G, micro connector, 10-piece pack, sterile VV Illuminator with micro-hook, 20G, micro connector, 10-piece pack, sterile 19 light instruments

20 Reprocessing and sterilisation All products marked with a are supplied in a sterile condition and are designed for single use. They must not be reused. All other products can be treated and sterilised in accordance with Oertli instructions TN "Instructions for reprocessing of products designed for reuse". The procedures described in TN have been validated in accordance with ISO The procedure stipulated consists of steam sterilisation in accordance with the standard methods detailed in EN ISO (EN554/ISO11134) and EN13060/EN285. Sterilisation at 134 C / 20 min is permissible. Container recommended for sterilisation: VE Sterilisation container for all Oertli TITANO instruments, with platform and silicon mat, plastic, with labelling plates. Standards and quality assurance Oertli TITANO instruments are manufactured to quality systems ISO 9001 and ISO With few exceptions, these instruments are Class 2A products that may only be used in combination with Oertli control equipment. They conform to one or more of the following standards: EN550, EN554, EN556, EN , EN Oertli uses the following standard dimensions 19 G 1.05 mm 20 G 0.89 mm 23 G 0.64 mm 25 G 0.51 mm All details in this catalogue were correct at the time of publication. There may be changes without notice as a result of enhancements to the design or safety of products. The details specified in the relevant quotation or delivery documentation shall apply. Oertli Instrumente AG CH-9442 Berneck, Schweiz Telefon +41 (0) Fax +41 (0) info@oertli-instruments.com Ecknauer+Schoch ASW.1028.eng.

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