Head Holding System. with. Mizuho America, Inc.

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Head Holding System Hongo Shintoku Building F, 3-38- Hongo, Bunkyo-ku, Tokyo 3-33, JAPAN Phone: +8-3-385- F a x: +8-3-388-5 U R L: www.mizuhomedical.co.jp E-mail: sales-dept@mizuhomedical.co.jp Caution Prior to using the product, carefully read and comprehend the contents of the user manual and product packaging information. Be sure to carry out without fail the periodic inspections, preoperative or post-operative inspections. For after-sale support, contact your local sales representative. with Mizuho America, Inc. U.S. Distributor 35 Ahern Avenue Union City, CA 9458 Phone: 8 699 54 U R L: www.mizuho.com Manufacturer MIZUHO Corporation Tokyo, JAPAN Note :Published specifications are subject to change without prior notice. Details and colors of the images might be different from ones of real products. Sep 6, MM/ Buru Design Rev.(CE)

Attaching the pin Simply push the pin in! Ratchet Slider The mechanism allows for simply pushing threaded pin into Ratchet Slider for securely fixing the skull of the patient without screwing the pin all the way through. Stopper Sleeve The Stopper Sleeve fixes the pin in place preventing it from moving forward. Simply insert the pin forward through the Smart Fix ratchet holes. When the pin tip reaches patient's head, manually rotate the pin to fix the skull. Box Joint The Box Joint allows for easy sliding the Head Holder for turning the head of the patient towards right and left with fixation. After fixing the skull, screw the Stopper Sleeve onto the pin to firmly fix the pin in the Ratchet Slide. Smart Fix is applicable for Conventional Table Attachment and Basal Frame

Head Holding System with Smart Fix While preserving high stability, reliability and performance of the Sugita Multi-Purpose Head Holding System, the Smart Fix design allows for quick and easy adjustments of the skull angle and fixation. Smart Fix Head Holder Set -95- Table Attachment -95-5 -95- -95-34* *not included in set -95- -95-33 Basal Frame and Accessories Head Holding System with Smart Fix -98- -98-3 -98-4 -98-6 -98- -98-9 -98- -954-MM -955- -95- -95- -95-5 -95-33 -95-34* -95- -95-5 Basal Frame/Semi-Circular Frame Hand Rest Adjustable Hand Rest with Dome Screw Instrument Receptacle Cotton Plate Adjustable Hand Rest with Slide Quarter Frame Spring Scalp Hook s, SUS Slide Adjuster for Snake Smart Fix C Holder Smart Fix Box Joint (Including fixing screws) Smart Fix Stopper Sleeve Smart Fix Head Pin, Standard Smart Fix Head Pin, Long Table Attachment for Skytron Navigation Adapter Other Table Attachment Options Set Qty 6 4 4 4 *not included in set -98- -98- -98-9 -98-4 -98-3 -98- -98-6 -95-5 -95-6 8-5- 8-5- Table Attachment for Amsco 8 Table Attachment for Amsco 38 Mayfield Adaptor Attachment for Mayfield Base Unit -954-MM -955-

Metal Head Frame Horseshoe Head Rest 8-3-3 8-3-4 U-Shaped Head Rest L W/Pad Large U-Shaped Head Rest S W/Pad Small -95-MM (standard) -95-MM (adult) -95- L :3 S : -95-3MM (pediatric) L : S : L : S :65 mm -95- -95-MM -95-MM -95-MM -95-3MM SUS = Steel Used Stainless Head Holder w/4 Adult Short Tip Head Pins Head Holder Head Pin, Standard, SUS Head Pin, Short Tip, for Adult, SUS Head Pin, Short Tip, for Pediatric, SUS -95-MM Navigation Adaptor -9-5 Navigation Adaptor -956-6 -5- -5- -956-6 Attachment F- (C-Clamp) Tapered 4 Soft Spatula 6 mm blackened -5- -5- -95- -95-5

Basal Frame Arm Rest As one of the key accessories for microscopic surgery, the Arm Rest allows for surgeon to operate with high stability without blocking the view or obstructing access. Everything a surgeon needs for an operation can be conveniently attached to the Basal Frame. The Instrument Receptacle and the Hand Rest can be attached to both ends of the Basal Frame. The angle and height of the Hand Rest are adjustable per surgeon's needs. The Instrument Receptacle is insulated and can be used for holding bipolar forceps, suction tubes, and other microsurgical instruments. The Quarter Frame and Semi-Circular Frame are used for attaching Scalp Hooks, Cotton Plate, and Snake. Instrument Receptacle -98-9 -98-4 -98-3 -98-6 Easy to Assemble Basal frame is designed for easy-to-assemble for the Semi-Circular Frame. P-

Tapered and Non-Tapered Snake s for Microsurgery Tapered Titanium The tapered design provides greater holding power. Safety, Security, and Stability Mizuho s Snake s provide exceptional stability and control throughout the neurosurgical procedure. Once adjusted and locked down, the arm maximizes balance and holding power, effectively preventing drift and drop that cause spatulas to shift and threaten vulnerable neural and vascular structures. -5- -5- Tapered 4 Tapered 3 Hadeishi Titanium New Ball Joint top retractor, allows the user to easily remove and reposition the spatula with one hand. -5- -5- Tapered 5 mm 3 (Hadeishi Version) Tapered 6 mm 3 (Hadeishi Version) Stainless Steel Two convenient, compatible designs s are available in both tapered and non-tapered designs. Both are fully compatible with Mizuho's F- (C-Clamp) attachment, which affixes directly to any standard headframe in just a few seconds. This timesaving feature is especially beneficial during urgent trauma cases. s can also be quickly attached right to the Sugita Basal Frame using the convenient slide adjustors. Currently, Mizuho offers seven models to choose from in lightweight, corrosion-resistant titanium and traditional stainless steel. - 34444-3 6 3 3 4 4 48 with Single Clamp = Stainless Steel Attachment F- (C-Clamp) s are fully compatible with Mizuho F- (C-Clamp). -5- Attachment F- (C-Clamp)