Product Catalog for CSF Management, Cranial Repair, Critical Care, and Neuroendoscopy
File info: application/pdf · 112 pages · 6.37MB
Product Catalog for CSF Management, Cranial Repair, Critical Care, and Neuroendoscopy
Medtronic offers products for CSF hydrocephalus management, cranial repair, critical care, and neuroendoscopy.
Product Catalog for CSF Management, Cranial Repair, Critical ...
2018-09-24 — Performance level adjustment can also be accomplished with the aid of three hand tools: the locator tool, the adjustment tool, and the indicator tool .
View
Adjustable Pressure Valve - Shunt Catheters - Strata NSC | Medtronic
Full PDF Document
If the inline viewer fails, it will open the original document in compatibility mode automatically. You can also open the file directly.
Extracted Text
PRODUCT CATALOG CSF Management, Critical Care, and Cranial Repair TABLE OF CONTENTS Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page Hydrocephalus Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Critical Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Cranial Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Note: D imensions included in this catalog are for reference only. Neither the finished product, nor materials used during manufacture of product, contain latex. 3 HYDROCEPHALUS THERAPY Contents Valves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Catheters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Shunts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Lumboperitoneal shunts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Reservoirs and Ports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49 Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Note: Dimensions included in this catalog are for reference only. Neither the finished product, nor materials used during manufacture of product, contain latex. 5 VALVES The StrataVariusTM Adjustment System is a battery-powered, handheld instrument that senses the location and orientation of the magnet contained in any Strata-type adjustable valve. The StrataVarius works in conjunction with the StrataVarius Adjustment Tool to change the magnet orientation, and thus the Performance Level (PL) setting of the valve. StrataVariusTM Adjustment System Strata� Included with Product: � StrataVarius System � Adjustment Tool � Strata II Smart Card � Strata NSC Smart Card � Batteries � Storage/Carrying Case � X-Ray Templates � Instruction Manual w 16244COM-1A 18101 45807 � Product Description 45806 StrataVarius Adjustment System 45807 Strata (II) Smart Card (Replacement) 45808 Strata NSC Smart Card (Replacement) 45809 StrataVarius Magnet (Replacement) 45806 45808 Performance level adjustment can also be accomplished with the aid of three hand tools: the locator tool, the adjustment tool, and the indicator tool. The locator tool is used to correctly align and center the tools over the valve, ensuring an accurate adjustment procedure. The magnetic adjustment tool is used to adjust the performance level of the valve, while the indicator tool may be used to verify the valve's performance level setting. Performance Level settings of an implanted Strata II valve may also be confirmed by X-Ray. Strata Valve Adjustment Tools Product 45805 Indicator Tool Locator Tool Adjustment Tool 6 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog VALVES StrataMRTM Adjustment Tools are used to non-invasively adjust and verify the performance level setting of StrataMR valves pre-op and post-op. Not compatible with StrataTM II or StrataTM NSC valves. StrataMR Valve Adjustment Tools Product 45905 1.0 StrataMR Indicator Tool 1.5 0.5 0.5 2.5 2.5 2.0 1.0 1.5 2.0 Locator Tool Adjustment Tool HYDROCEPHALUS THERAPY Dimensions included in this catalog are for reference only. 7 VALVES The Strata II valve was created to allow for preoperative and noninvasive postoperative pressure level adjustments. This adjustment ability is intended to reduce both the potential trauma and cost a patient might endure as a result of valve revisions relating to pressure changes. Neither the finished product, nor materials used during manufacture of product, contain latex. The exterior surface of the Strata II valve with BioGlide is surface modified with a covalently bonded hydrogel. (The exterior of the Delta Chamber mechanism is not surface modified so as not to interfere with valve function). The BioGlide surface has hydrophilic properties for enhanced lubricity. Strata II Valve, Regular Product 42866 92866 Description with BioGlide Strata II Valve, Small Product 42856 92856 with BioGlide Strata Burr Hole Valve Product 42836 8 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog VALVES The StrataTM NSC valve was created to allow for preoperative and noninvasive postoperative pressure level adjustments. This adjustment ability is intended to reduce both the potential trauma and cost a patient might endure as a result of valve revisions relating to pressure changes. Neither the finished product, nor materials used during manufacture of product, contain latex. The exterior surface of the Strata NSC valve with BioGlideTM is surface modified with a covalently bonded hydrogel. The exterior surface has hydrophilic properties for enhanced lubricity. HYDROCEPHALUS THERAPY Strata NSC Valve, Regular Product 42365 92365 Description with BioGlide Strata NSC Valve, Small Product 42355 92355 Description with BioGlide Strata NSC Burr Hole Valve Product 42335 Description Dimensions included in this catalog are for reference only. 9 VALVES The StrataTM NSC LP valve is sized for subcutaneous placement in a lumboperitoneal (LP) shunt. It features an integral lumbar connector and strain relief for easy, non-kinking attachment of the proximal lumbar catheter. The larger valve flange allows the user to suture the valve up to the dermal layer. Neither the finished product, nor materials used during manufacture of product, contain latex. Strata NSC LP Valve Product 44465 Description 10 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog VALVES The DeltaTM valve is designed to minimize overdrainage of CSF and maintain intraventricular pressure (IVP) within a normal physiologic range, regardless of patient position. The normally closed Delta chamber mechanism opens in response to positive intraventricular pressure. Working with the membrane valve, this mechanism minimizes overdrainage by utilizing the principle of hydrodynamic leverage. All Delta valves incorporate an injectable reservoir dome, occluders for selective flushing, and a non-metallic design. The valves are fabricated of dissimilar materials -- polypropylene and silicone elastomer -- reducing valve sticking and deformation. The non-metallic design of the valves ensures non-interference with MRI or CT scans. Neither the finished product, nor materials used during manufacture of product, contain latex. Delta valves are available in multiple configurations meeting the needs of all patient groups. The exterior of Delta valves with BioGlideTM is surface modified with a covalently bonded hydrogel (the exterior of the Delta chamber mechanism is not surface modified, so as not to interfere with the valve function). The BioGlide surface has hydrophilic properties for enhanced lubricity. HYDROCEPHALUS THERAPY Product Dot Codes Performance Level 0.5 Performance Level 1.0 Performance Level 1.5 Performance Level 2.0 Delta Chamber Product 24053 Dimensions included in this catalog are for reference only. 11 VALVES Delta Valve, Regular Product 24048 42822 42823 42824 92822 92823 92824 Performance Level 0.5 1.0 1.5 2.0 1.0 1.5 2.0 Description with BioGlide with BioGlide with BioGlide Delta Valve, Small Product 24147 42812 42813 42814 92812 92813 92814 Performance Level 0.5 1.0 1.5 2.0 1.0 1.5 2.0 Description with BioGlide with BioGlide with BioGlide 12 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog Delta Valve, Neonatal Product 27219-1 27219-5 27219-2 Performance Level 1.0 1.5 2.0 Description VALVES HYDROCEPHALUS THERAPY Dimensions included in this catalog are for reference only. 13 VALVES CSF-Flow Control valves (Contoured valves) are fabricated of dissimilar materials -- polypropylene and silicone elastomer -- reducing valve sticking and deformation. The internal flow path, combined with the membrane valve design, contribute to optimum valve performance. Each valve is individually tested to ensure conformance with individual flow characteristics. All valve designs include integral connectors to facilitate catheter connection. The contoured, burr hole, and ultra small models include central reservoirs with needle guards for percutaneous CSF access. One or two flushing occluders are incorporated in the contoured and ultra small models for selective flushing. The non-metallic design of the valves ensures non-interference with MRI or CT scans. Neither the finished product, nor materials used during manufacture of product, contain latex. CSF-Flow Control valves are available in multiple configurations meeting the needs of all patient groups. The exterior surface of the Contoured valve with BioGlideTM is surface modified with a covalently bonded hydrogel. The BioGlide surface has hydrophilic properties for enhanced lubricity. Product Dot Codes Low-Low Pressure Low Pressure CSF-Flow Control Valve, Contoured Regular Product 23093 42322 42324 42326 92322 92324 Pressure Low-Low Low Medium High Low Medium Description with BioGlide with BioGlide Medium Pressure High Pressure 14 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CSF-Flow Control Valve, Contoured Small Product 27102 42312 42314 42316 92314 Pressure Low-Low Low Medium High Medium Description with BioGlide VALVES HYDROCEPHALUS THERAPY CSF-Flow Control Valve, Ultra Small Product 42410 42412 42414 Pressure Low-Low Low Medium CSF-Flow Control Valve, Button Included with product: � Straight Connector (not shown) Product 24003 LL 24003 L 24003 M Pressure Low-Low Low Medium CSF-Flow Control Valve, Burr Hole Product 42532 42534 42536 42542 42544 42546 Pressure Low Medium High Low Medium High Size 12 mm 12 mm 12 mm 16 mm 16 mm 16 mm 2.5 cm 13.8 mm 4.0 mm 13.8 mm 7.0 mm Dimensions included in this catalog are for reference only. 15 CATHETERS AresTM Ventricular catheters have been shown in laboratory studies to reduce the colonization of gram-positive bacteria on the tubing surface. RivuletTM Ventricular catheters are designed with graduated inlet holes, allowing the inflowing fluid to be evenly distributed across all holes of the catheter. Compare this to a standard catheter where the vast majority of the fluid enters through the holes closest to the valve, while nearly none enters through the holes closest to the tip. Inlet holes are positioned within 1 cm of the tip enabling intraventricular placement further away from the choroid plexus. Ventricular catheters with BioGlideTM are treated with a unique, patented process which covalently bonds hydrogel to the interior and exterior silicone surfaces of the catheter. The BioGlide surface has hydrophilic properties for enhanced lubricity. Innervision Ventricular catheters are designed to be used with a NeuroPENTM endoscope. The NeuroPEN endoscope is used when a physician wishes to place a catheter's tip at a specific intraventricular location or to view intraventricular anatomy. The Innervision ventricular catheter has a slit tip to accommodate passage of the endoscope. Slotted Ventricular catheters feature enlarged rectangular flow holes. These flow holes are recessed in axial channels. Opus Ventricular catheters feature the Opus stylet. The Opus stylet is hollow, allowing the physician immediate visualization of CSF prior to stylet withdrawal. The Opus stylet has a luer lock connector. Passage of CSF may be stopped by covering the luer lock with a finger. Ventricular catheters are available in a wide variety of models. The standard catheters may be ordered in radiopaque (barium impregnated) silicone elastomer tubing, or in translucent, lower durometer (softer) silicone elastomer tubing. The small catheter has the same material characteristics as the standard radiopaque catheter; its smaller diameter is recommended for infants. The snap shunt ventricular catheter is of standard-sized silicone elastomer tubing, and is designed to connect to the CSF-snap shunt assembly. The non-metallic design of ventricular catheters ensures non-interference with MRI or CT scans. Neither the finished product, nor materials used during manufacture of product, contain latex. Ares Antibiotic-Impregnated Ventricular Catheter Standard, Numeric Length Markers, Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet Product 91101 I.D.: 1.3 mm O.D.: 2.5 mm Length: 23 cm 16 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog Ares Antibiotic-Impregnated Catheter Kit Included with product: � Ares Ventricular Catheter � Ares Peritoneal Catheter � Right Angled Clip � Stainless Steel Stylet (Now Shown) Product 95001 Ventricular Catheter Standard, Translucent with Barium Impregnated Stripe, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 24154 Ventricular Catheter Standard or Small Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 41101 41207 Ventricular Catheter Standard, Extra Length Markers Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 9025 CATHETERS 13 numeric length markers, 1 cm spacing from proximal tip, 3 cm to 15 cm I.D.: 1.3 mm O.D.: 2.5 mm Length: 23cm I.D.: 1.3 mm O.D.: 2.5 mm Length: 120 cm 3 numeric length markers at 5, 10 and 15 cm from proximal end 5 10 5 Right angle clip Dimensions included in this catalog are for reference only. 17 HYDROCEPHALUS THERAPY CATHETERS Ventricular Catheter Standard, Pliant, Barium Impregnated, 15 cm Included with product: � Catheter Connector, Right Angle � Stainless Steel Stylet (not shown) Product 41103 18 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Ventricular Catheter with BioGlide Standard, Translucent with Barium Impregnated Stripe, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) � Female Luer Adapter Product 91503 Ventricular Catheter Small, 8 mm Flow Holes, Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 27251 CATHETERS Dimensions included in this catalog are for reference only. 19 CATHETERS Innervision Ventricular Catheter Standard, Translucent with Barium Impregnated Stripe, 15 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) � Female Luer Adapter (BioGlide version only) Product Description 99102 with BioGlide 27240 without BioGlide, Barium Impregnated Innervision Ventricular Catheter Large Diameter, Larger Flow Holes, Barium Impregnated, 15 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 27165 Ventricular Catheter Large Diameter, Larger Flow Holes, Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 20046 I.D.:1.5 mm O.D.: 2.8 mm Length: 23 cm 20 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Slotted Ventricular Catheter Large Diameter, Barium Impregnated, 15 cm Included with product: � Right Angle Clip � Stainless Steel Stylet (not shown) Product 27211 27600 Description Innervision tip Opus Ventricular Catheter Standard or Small, Barium Impregnated, 23 cm Included with product: � Right Angle Clip � Opus Stylet Product 41501 41503 CATHETERS Dimensions included in this catalog are for reference only. 21 CATHETERS Ventricular Catheter Standard, Right Angle, Barium Impregnated Included with product: � Stainless Steel Stylet (not shown) Product 5005 F 5005 E 5005 G 5005 A 5005 I 5005 B 5005 H 5005 C Intracranial Length 4.0 cm 5.0 cm 6.0 cm 7.0 cm 8.0 cm 9.0 cm 10.0 cm 11.0 cm CSF-Snap Shunt Ventricular Catheter Standard, Barium Impregnated Included with product: � Unitized Snap Assembly Reservoir Base, Burr Hole, 6 mm, Shallow Depth � Stainless Steel Stylet (not shown) Product Catheter Length 41404 41405 41406 41407 41408 41409 4.0 cm 5.0 cm 6.0 cm 7.0 cm 8.0 cm 9.0 cm See Intracranial Length Chart 22 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Innervision Snap Shunt Ventricular Catheter Standard, Barium Impregnated Included with product: � Unitized Snap Assembly Reservoir Base, Burr Hole, 6 mm, Shallow Depth � Stainless Steel Stylet (not shown) Product 27065A 27065B 27065C 27065D 27065E 27065F 27065G 27065H Catheter Length 4.0 cm 5.0 cm 6.0 cm 7.0 cm 8.0 cm 9.0 cm 10.0 cm 11.0 cm CSF-Snap Shunt Ventricular Catheter Kit Standard, Barium Impregnated, 15 cm Included with product: � Snap Assembly Reservoir Base, Burr Hole, 6 mm, Shallow Depth � Stainless Steel Stylet (not shown) Product 24094 CATHETERS Dimensions included in this catalog are for reference only. 23 CATHETERS CSF-Snap Assembly Ventriculostomy Reservoir Base Included with product: � Snap Assembly Ventriculostomy Reservoir Base, 6 mm, Shallow Depth Product 27106 24 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CATHETERS HYDROCEPHALUS THERAPY AresTM Peritoneal catheters have been shown in laboratory studies to reduce the colonization of gram-positive bacteria on the tubing surface. Small Lumen Peritoneal catheters feature a small inner diameter that limits fluid flow six times more than a standard peritoneal catheter, when measured at a constant flow rate of 20 ml/hr. Using the Small Lumen peritoneal catheter with an adjustable valve allows the pressure/flow characteristics of the shunt to be customized for each patient's needs. Peritoneal catheters with BioGlideTM are treated with a unique, patented process which covalently bonds hydrogel to the interior and exterior silicone surfaces of the catheters. The BioGlide surface has hydrophilic properties for enhanced lubricity. Peritoneal and Cardiac/Peritoneal catheters are available in a wide variety of models, differentiated by diameter, material type, and tip design. Catheter slits are coated with graphite to prevent silicone edges from cohering during storage. Neither the finished product, nor materials used during manufacture of product, contain latex. Closing Pressure Cardiac/Peritoneal catheter are available in low, medium, or high, and fabricated with the same materials and specifications as the cardiac/peritoneal catheters. The slit openings near the distal tip of the catheter are available in three closing pressure ranges. They are not designed as pressure/flow control valves. They are designed to provide a defined closing pressure range only. The closing pressure range is identified by a dot code at the distal end of the catheter as shown below. Dot Code Closing Pressure Low Medium High Closing Pressure Range (cm H2O) 0.5 � 5.4 5.5 � 9.4 9.5 � 14.4 Ares Antibiotic-Impregnated Peritoneal Catheter Standard, Barium Impregnated, 120 cm Product 93092 Ares Antibiotic-Impregnated Catheter Kit Included with product: � Ventricular Catheter � Peritoneal Catheter � Right Angle Clip � Stainless Steel Stylet (Not Shown) Product 95001 I.D.: 1.3 mm O.D.: 2.5 mm Length: 120 cm 13 numeric length markers, 1 cm spacing from proximal tip, 3 cm to 15 cm I.D.: 1.3 mm O.D.: 2.5 mm Length: 23cm I.D.: 1.3 mm O.D.: 2.5 mm Length: 120 cm Dimensions included in this catalog are for reference only. 25 CATHETERS Peritoneal Catheter Standard, Open End with Wall Slits, Barium Impregnated, 120 cm Product 23047 Peritoneal Catheter Standard Open End with Wall Slits Barium Impregnated, 90 cm Product 43522 Peritoneal Catheter Standard Open End with Wall Slits, Pliant, Barium Impregnated, 90 cm Product 43551 Peritoneal Catheter Standard, Open End with Wall Slits, Translucent with Barium Impregnated Stripe, 90 cm Product 25024 Peritoneal Catheter, Small Lumen Radiopaque core with Translucent Wall, 120 cm Included with product: � Fixation Tab, Large (not shown) Product 43555 26 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Peritoneal Catheter with BioGlide Standard, Translucent with Barium Impregnated Stripe, Open End with Wall Slits, 90 cm Included with product: � Female Luer Adapter Product 93522 Peritoneal Catheter Standard, Open End, Barium Impregnated, 120 cm Product 23092 CATHETERS Dimensions included in this catalog are for reference only. 27 CATHETERS Peritoneal Catheter Small, Open End, with Wall Slits, Barium Impregnated, 90 cm Product 21004 Cardiac/Peritoneal Catheter Small, Barium Impregnated, 90 cm Product 43209 Cardiac Catheter Reduced Tip, Small, Barium Impregnated, 58 cm Product 43418 Cardiac/Peritoneal Catheter Standard, Barium Impregnated, 90 cm Product 43103 10 cm 3 length markers, 10 cm spacing from distal end 4 slit openings located at 90� in catheter wall Reduced Tip I.D.: 0.7 mm O.D.: 1.5 mm Distal Segment I.D.: 1.2 mm O.D.: 2.1 mm Length: 58 cm 28 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Cardiac/Peritoneal Catheter Standard, Translucent, 90 cm Product 43111 Cardiac/Peritoneal Catheter Standard, Translucent with Barium Impregnated Stripe, 90 cm Product 25104 Cardiac/Peritoneal Catheter Standard, Barium Impregnated, 110 cm Product 24148 Cardiac/Peritoneal Catheter Standard, Barium Impregnated, 120 cm Product 24010 CATHETERS Dimensions included in this catalog are for reference only. 29 SHUNTS StrataTM Shunt combines either the Strata II valve or Strata NSC valve with integral catheters. The Strata shunt assembly includes an integral distal catheter. The Strata unitized shunt includes an integral ventricular catheter and integral distal catheter. Neither the finished product, nor materials used during manufacture of product, contain latex. The Strata shunts can be adjusted to five different performance level settings pre- and post-operatively. The Strata snap shunt assemblies include integral snap assembly ventriculostomy reservoir domes. When used with a snap assembly reservoir base, a complete shunt can be assembled without the need for ligatures. The exterior surface of the Strata shunt with BioGlideTM is surface modified with a covalently bonded hydrogel. (The exterior of the DeltaTM Chamber mechanism is not surface modified so as not to interfere with valve function). The BioGlide surface has hydrophilic properties for enhanced lubricity. Strata II Shunt Assembly, Small Included with product: � Strata II Valve, Small, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Subcutaneous Catheter Passer, 60 cm (not shown) Product 46856 27814 Distal Catheter Length 120 cm 90 cm 30 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog Strata II Shunt Assembly, Regular Included with product: � Strata II Valve, Regular, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Subcutaneous Catheter Passer, 60 cm (not shown) Product 46866 27815 Distal Catheter Length 120 cm 90 cm Strata Burr Hole Shunt Assembly Included with product: � Strata Burr Hole Shunt : � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated Product 46837 Distal Catheter Length 120 cm Strata NSC Shunt Assembly, Small Included with product: � Strata NSCValve, Small, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Peritoneal Catheter Passer, 60 cm (not shown) Product 46655 Distal Catheter Length 120 cm Strata NSC Shunt Assembly, Regular Included with product: � Strata NSCValve, Regular, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Peritoneal Catheter Passer, 60 cm (not shown) Product 46665 Distal Catheter Length 120 cm SHUNTS Dimensions included in this catalog are for reference only. 31 HYDROCEPHALUS THERAPY SHUNTS Strata NSC Burr Hole Shunt Assembly Included with product: � Strata NSC Burr Hole Shunt Assembly: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated Product 46636 Strata NSC Shunt Assembly, with BioGlide Included with product: � Strata NSC Valve, Small or Regular, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Translucent with Barium Impregnated Stripe � Disposable Peritoneal Catheter Passer, 60 cm (not shown) � Female Luer Adapter and Prefill Tubing (not shown) Product 96655 96665 Valve Size Small Regular Strata II Shunt Assembly, with BioGlide Included with product: � Strata II Valve, Small or Regular, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Translucent with Barium Impregnated Stripe � Disposable Peritoneal Catheter Passer, 60 cm (not shown) � Female Luer Adapter and Prefill Tubing (not shown) Product 27818 27819 Valve Size Small Regular 8 slit openings in catheter wall 32 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Strata II Snap Shunt Assembly, Small Included with product: � Strata II Valve, Small, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27816 Strata II Snap Shunt Assembly, Regular Included with product: � Strata II Valve, Regular, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27817 SHUNTS Dimensions included in this catalog are for reference only. 33 SHUNTS Strata II Shunt Assembly, Small with Integral Ventriculostomy Reservoir Included with product: � Strata II Valve, Small, with: 1.5 mm � Integral Ventriculostomy Reservoir, Regular Depth, 6 mm � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated Product 27923 34 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Strata NSC Snap Shunt Assembly, Small Included with product: � Strata NSC Valve, Small, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27739 Strata NSC Snap Shunt Assembly, Regular Included with product: � Strata NSC Valve, Regular, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27740 SHUNTS Dimensions included in this catalog are for reference only. 35 SHUNTS Strata II Snap Shunt Assembly, Small, with BioGlide Included with product: � Strata II Valve, Small, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Translucent with Barium Impregnated Stripe � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27822 Strata II Snap Shunt Assembly, Regular, with BioGlide Included with product: � Strata II Valve, Regular, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Translucent with Barium Impregnated Stripe � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 27823 36 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog SHUNTS DeltaTM Shunt combines the Delta valve with integral catheters. The Delta shunt assembly includes an integral distal catheter. The Delta unitized shunt includes an integral ventricular catheter and integral distal catheter. Neither the finished product, nor materials used during manufacture of product, contain latex. The non-metallic design ensures non-interference with MRI or CT scans. The Delta snap shunt assemblies include integral snap assembly ventriculostomy reservoir domes. When used with a snap assembly reservoir base, a complete shunt can be assembled without the need for sutures. The exterior surface of the Delta shunt with BioGlideTM is surface modified with a covalently bonded hydrogel (the exterior of the Delta Chamber mechanism is not surface modified so as not to interfere with valve function). The BioGlide surface has hydrophilic properties for enhanced lubricity. HYDROCEPHALUS THERAPY Product Dot Codes Performance Level 0.5 Performance Level 1.0 Delta Shunt Assembly, Regular Included with product: � Delta Valve, Regular, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Subcutaneous Catheter Passer, 60 cm (Not Shown) Product P/L 46822 1.0 46823 1.5 46824 2.0 * Disposable Subcutaneous Catheter Passer Not Included Performance Level 1.5 Performance Level 2.0 Dimensions included in this catalog are for reference only. 37 SHUNTS Delta Shunt Assembly, Small Included with product: � Delta Valve, Small, with: � Integral Peritoneal Catheter, Standard, Open End with Wall Slits, Barium Impregnated � Disposable Subcutaneous Catheter Passer, 60 cm (Not Shown) Product P/L 46812 1.0 46813 1.5 46814 2.0 38 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Delta Snap Shunt Assembly Included with product: � Delta Valve, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Standard, Open with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Catheter Product Valve Size Length P/L 25121-1 Small 120 cm 1.0 25121-5 Small 120 cm 1.5 SHUNTS Peritoneal Segment I.D.: 1.3 mm O.D.: 2.5 mm Length: 90 cm or 120 cm Dimensions included in this catalog are for reference only. 39 SHUNTS Delta Snap Shunt Assembly, Neonatal Included with product: � Delta Valve, Neonatal, with: � Integral Ventriculostomy Reservoir Dome, Snap Assembly � Integral Peritoneal Catheter, Open End, Barium Impregnated � Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product P/L 46832 1.0 46833 1.5 46834 2.0 40 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog SHUNTS CSF-Flow Control Shunt combines the CSF-flow control valve with integral catheters. The CSF-flow control shunt assembly includes an integral distal catheter. The CSF-flow control unitized shunt includes an integral ventricular catheter and integral distal catheter. The non-metallic design ensures non-interference with MRI or CT scans. CSF-Snap Shunt Assemblies include an integral snap assembly ventriculostomy reservoir dome. When used with a snap assembly reservoir base, a complete shunt can be assembled without the need for ligatures. The non-metallic design of the valves, reservoirs, and catheters ensures non-interference with MRI or CT scans. Neither the finished product, nor materials used during manufacture of product, contain latex. HYDROCEPHALUS THERAPY Product Dot Codes Low-Low Pressure Low Pressure CSF-Shunt Assembly, Contoured Regular Included with product: � CSF-Flow Control Valve, Regular, with: � Integral Cardiac/Peritoneal Catheter, Standard, Barium Impregnated, 90 cm Product 46642 46644 46646 Pressure Low Medium High Medium Pressure High Pressure Dimensions included in this catalog are for reference only. 41 SHUNTS CSF-Shunt Assembly, Contoured Small Included with product: � CSF-Flow Control Valve, Small, with: � Integral Cardiac/Peritoneal Catheter, Standard, Barium Impregnated Product 46622 46624 46626 Pressure Low Medium High CSF-Shunt Assembly, Contoured Small Included with product: � CSF-Flow Control Valve, Small, with: � Integral Peritoneal Catheter, Small, Open End with Wall Slits, Barium Impregnated Product 9009 B-M Pressure Medium 42 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CSF-Shunt Assembly, Ultra Small Included with product: � CSF-Flow Control Valve, Ultra Small, with: � Integral Peritoneal Catheter, Small, Open End with Wall Slits, Barium Impregnated, 90 cm Product 22017 B-LL 22017 B-L 22017 B-M Pressure Low-Low Low Medium CSF-Snap Shunt Assembly, Ultra Small Included with product: � CSF-Flow Control Valve, Ultra Small, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter Standard, Open End with Wall Slits, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 46560 46562 46564 Pressure Low-Low Low Medium CSF-Snap Shunt Assembly, Button Included with product: � CSF-Flow Control Valve, Button, with: � Integral Snap Assembly Ventriculostomy Reservoir Dome � Integral Peritoneal Catheter, Open End with Wall Slits, Small, Barium Impregnated � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 46540 46542 46544 Pressure Low-Low Low Medium SHUNTS Dimensions included in this catalog are for reference only. 43 HYDROCEPHALUS THERAPY LUMBOPERITONEAL SHUNTS Strata NSC Lumboperitoneal (LP) Shunt Systems provide continued cerebrospinal fluid flow from the subarachnoid space into the peritoneal cavity. The Strata NSC Lumboperitoneal valve allows the physician to adjust the pressure/flow performance pre-and post-implantation to address changing patient needs. The Strata NSC LP valve is sized for subcutaneous placement. It features an integral lumbar connector and strain relief for easy, non-kinking attachment of the proximal lumbar catheter. The Small Lumen Peritoneal catheter includes a small (0.7 mm) inner lumen to preserve distal shunt resistance, as well as a radiopaque core and translucent wall to minimize tissue contact with barium. Lumboperitoneal catheter systems are designed to divert CSF from the lumbar subarachnoid space to the peritoneal cavity. The L/P shunt systems are comprised of barium impregnated lumboperitoneal catheters, fixation tabs, and separately available CSF-lumboperitoneal reservoirs. Neither the finished product, nor materials used during manufacture of product, contain latex. Valves and reservoirs are designed to allow injection or sampling through the dome using a 25-gauge or smaller noncoring needle. Strata NSC LP Shunt Kit with Closed Tip Lumbar Catheter Included with product: � Strata NSC Lumboperitoneal Valve � Lumbar Catheter, Closed Tip, Barium Impregnated � Peritoneal Catheter, Small Lumen, Open End, Radiopaque Core, with Translucent Wall � Touhy Needle, 14-Gauge with Huber Tip � Fixation Tab, Lumbar (2) � Fixation Tab, Large (1) � Blunt Needle, 20-Gauge � Guidewire with Adjustable Stop � Strain Relief � Product 44420 Numeric length markers spaced 1 cm apart 44 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Strata NSC LP Shunt Kit with Closed Tip Lumbar Catheter and Integral Peritoneal Catheter, Small Lumen Included with product: � Strata NSC Lumboperitoneal Valve � Integral Lumbar Catheter, Closed Tip, Barium Impregnated � Integral Peritoneal Catheter, Small Lumen, Open End, Radiopaque Core, with Translucent Wall � Touhy Needle core, 14-Gauge with Huber Tip � Fixation Tab, Lumbar (2) � Fixation Tab, Large (1) � Blunt Needle, 20-Gauge � Guidewire with Adjustable Stop � Strain Relief Product 44430 Strata NSC LP Shunt Kit with Open Tip Lumbar Catheter Included with product: � Strata NSC Lumboperitoneal Valve � Lumbar Catheter, Open Tip, Barium Impregnated � Peritoneal Catheter, Small Lumen, Open End, Radiopaque Core, with Translucent Wall � Touhy Needle, 14-Gauge with Huber Tip � Fixation Tab, Lumbar (2) � Fixation Tab, Large (1) � Strain Relief Product 44421 LUMBOPERITONEAL SHUNTS Numeric length markers spaced 1 cm apart Fixation Tab, Large 21 mm Fixation Tab, Lumbar 44 mm Strain Relief 4 rows of 3 holes each 12 mm Length markers spaced 1 cm apart I.D.: 0.7 mm O.D.: 1.5 mm Length: 84 cm 1.7 cm 11 cm 11 cm 8.9 cm I.D.: 1.8 mm O.D.: 2.2 mm Dimensions included in this catalog are for reference only. 45 LUMBOPERITONEAL SHUNTS Lumbar Catheter Kit, Closed Tip, 84 cm Included with product: � Lumbar Catheter, Closed Tip, Barium Impregnated � Touhy Needle, 14-Gauge with Huber Tip � Fixation Tab, Lumbar (2) � Blunt Needle, 20-Gauge � Guidewire with Adjustable Stop � Strain Relief Product 44405 4 rows of 3 holes each Numeric length markers spaced 1 cm apart I.D.: 0.7 mm O.D.: 1.5 mm Length: 84 cm 1.7 cm 11 cm 11 cm 8.9 cm I.D.: 1.8 mm O.D.: 2.2 mm Fixation Tab, Lumbar Blunt Needle Strain Relief O.D.: 0.46 mm 46 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Lumbar Catheter Kit, Open Tip, 84 cm Included with product: � Lumbar Catheter, Open Tip, Barium Impregnated � Touhy Needle, 14-Gauge with Huber Tip � Fixation Tab, Lumbar (2) � Blunt Needle, 20-Gauge � Strain Relief Product 44406 LUMBOPERITONEAL SHUNTS 4 rows of 3 holes each Length markers spaced 1 cm apart I.D.: 0.7 mm O.D.: 1.5 mm Length: 84 cm 1.7 cm 11 cm 11 cm 8.9 cm I.D.: 1.8 mm O.D.: 2.2 mm Fixation Tab, Lumbar Blunt Needle Strain Relief Peritoneal Catheter, Small Lumen Radiopaque core with Translucent Wall, 120 cm Included with product: � Fixation Tab, Large (not shown) Product 43555 Dimensions included in this catalog are for reference only. 47 LUMBOPERITONEAL SHUNTS CSF-Lumboperitoneal Catheter System Included with product: � Lumboperitoneal Catheter, Barium Impregnated, 84 cm � Catheter Connector � Fixation Tab (3 each) � Blunt Needle, 20-gauge � Tuohy Needle, 14-gauge with Huber Tip Product 44410 Length 84 cm Pressure/Flow @20 mL/hr 14.0-24.0 cm H2O I.D.: 0.7 mm O.D.: 1.5 mm Length: 84 cm Lumboperitoneal catheter connector 11 cm 8.9 cm I.D.: 1.8 mm O.D.: 2.2 mm CSF-Lumboperitoneal Shunt, T-Tube Included with product: � Lumboperitoneal Catheter, T-Tube � Catheter Connector � Fixation Tabs (2 each) Product 44520 Catheter connector CSF-Lumboperitoneal Shunt, K-Tube Included with product: � Lumboperitoneal Catheter, K-Tube � Catheter Connector � Fixation Tab, Large � Fixation Tab, Lumboperitoneal � Blunt Needle, 20-gauge Product 23069 Fixation tab, Fixation tab, Catheter Large Lumboperitoneal connector Blunt needle 48 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY RESERVOIRS AND PORTS CSF-Ventricular Reservoirs are available in several configurations differentiated by inlet connector orientation and dome diameter. Each model has an injectable translucent silicone elastomer dome, polypropylene needle guard, radiopaque silicone elastomer ventricular catheter with right angle clip (side inlet models), and a stainless steel stylet or quick-release introducer. The reservoirs are designed to tolerate punctures with a 25-gauge or smaller non-coring needle. Connectors facilitate attachment of a ventricular catheter. The 12 mm convertible reservoir, specifically designed for use in neonates, is fabricated with a short, preformed, right angle intracranial catheter. Convertible reservoirs may be converted to CSF Shunt components by cutting off the outlet tube plug and connecting the outlet tube to a shunt valve. CSF-Ventriculostomy Reservoirs and Ventriculostomy Reservoir Kits are burr hole models, some featuring removable reservoir caps. All models can be easily converted to a CSF-flow control valve component. The reservoir domes are designed to tolerate punctures with a 25-gauge or smaller non-coring needle. CSF-Ventricular Access Ports are fabricated with a molded, firm polypropylene base which helps to prevent needle penetration, invested in a silicone elastomer housing. The port septums have an inner ring design for location of the injection site. The septum will tolerate punctures with a 25-gauge or smaller non-coring needle. The non-metallic design of the reservoirs and ports ensures artifact-free MRI and CT scans, and will not block the effects of radiation therapy. Neither the finished product, nor materials used during manufacture of product, contain latex. CSF-Ventricular Reservoir 12 mm, Convertible, with Integral Right Angle Ventricular Catheter, Small, Barium Impregnated Included with product: � Stainless Steel Stylet (not shown) � Tubing Plug Product 44100 44101 Intracranial Length 2.0 cm 3.0 cm Fluid Volume 0.1 mL 0.1 mL CSF-Ventricular Reservoir 12 mm, with Integral Right Angle Ventricular Catheter, Small, Barium Impregnated Product 20038A 20038B 20038C 20038D Intracranial Length 2.0 cm 3.0 cm 4.0 cm 5.0 cm Fluid Volume 0.1 mL 0.1 mL 0.1 mL 0.1 mL Dimensions included in this catalog are for reference only. 49 RESERVOIRS AND PORTS CSF-Ventricular Reservoir 12 mm Convertible with Integral Right Angle Ventricular Catheter, Standard, Barium Impregnated Included with product: � Tubing Plug � Stainless Steel Stylet (not shown) Product 9013A 9013B 9013F Intracranial Length 5.0 cm 6.0 cm 7.0 cm Fluid Volume 0.1 mL 0.1 mL 0.1 mL CSF-Neonatal Reservoir 10 mm with Integral Right Angle Ventricular Catheter, Small, Barium Impregnated Included with product: � Tubing Plug � Stainless Steel Stylet (not shown) Product 24106A 24106B 24106C 24106D 24106E Intracranial Length 3.0 cm 4.0 cm 5.0 cm 6.0 cm 7.0 cm Fluid Volume 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL CSF-Neonatal Reservoir 10 mm with Integral Right Angle Ventricular Catheter, Small, Barium Impregnated Product 23038A 23038B 23038C 23038D 23038E Intracranial Length 2.0 cm 3.0 cm 3.5 cm 4.0 cm 4.5 cm Fluid Volume 0.1 mL 0.1 mL 0.1 mL 0.1 mL 0.1 mL 50 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CSF-Ventricular Reservoir 12 mm, Side Inlet Connector Product 22039 Fluid Volume 0.1 mL CSF-Ventricular Reservoir 12 mm, Convertible with Integral Side Inlet Connector Product 9053 Fluid Volume 0.1 mL CSF-Ventricular Reservoir 12 mm, with Integral Inlet and Outlet Connectors Product 24084 Fluid Volume 0.1 mL CSF-Ventricular Reservoir 12 mm, Bottom Inlet Connector Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Stainless Steel Stylet (not shown) Product 21029 Fluid Volume 0.1 mL RESERVOIRS AND PORTS Dimensions included in this catalog are for reference only. 51 HYDROCEPHALUS THERAPY RESERVOIRS AND PORTS CSF-Ventricular Reservoir Side Inlet Connector Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Right Angle Clip � Stainless Steel Stylet (not shown) Product 44102 44103 Reservoir Dia. Fluid Volume 18 mm 28 mm 0.3 mL 1.1 mL CSF-Ventricular Reservoir 18 mm, Convertible with Integral Side Inlet Connector Product 9019 Fluid Volume 0.3 mL CSF-Ventricular Reservoir 28 mm, Bottom Inlet Connector Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Stainless Steel Stylet (not shown) Product 44104 44105 Description Fluid Volume Convertible 1.1 mL 1.1 mL 52 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY CSF-Ventricular Reservoir 12 mm Burr Hole, with Integral Inlet and Outlet Connectors Product 21000A Fluid Volume 0.6 mL CSF-Ventricular Reservoir 12 mm, Burr Hole Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Stainless Steel Stylet (not shown) Product 44111 44113 Description Fluid Volume Convertible 0.6 mL 0.6 mL RESERVOIRS AND PORTS 12 mm Dimensions included in this catalog are for reference only. 53 RESERVOIRS AND PORTS CSF-Ventricular Reservoir 12 mm Burr Hole, with Integral Ventricular Catheter, Small, Barium Impregnated, 5.5 cm Included with product: � Disposable Quick-Release Ventricular Catheter Introducer (not shown) Product 20028 Fluid Volume 0.6 mL CSF-Neonatal Reservoir 10 mm, with Bottom Inlet Connector Product 22104 Fluid Volume 0.1 mL CSF-Neonatal Reservoir Flat Dome with Integral Ventricular Catheter, Small, Barium Impregnated Included with product: � Ventricular Catheter, Small, Barium Impregnated Product 22101E 22101C 22101B 22101D Catheter LengthFluid Volume 2.0 cm 2.5 cm 3.5 cm 4.0 cm 0.1 mL 0.1 mL 0.1 mL 0.1 mL 54 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CSF-Ventriculostomy Reservoir 6 mm, Burr Hole Included with product: � Catheter Connector � Tubing Plug Product 44210 44200 Depth Fluid Volume Shallow (0.5 mm) Regular (2 mm) 0.10 mL 0.15 mL CSF-Ventriculostomy Reservoir Kit Included with product: � CSF-Ventriculostomy Reservoir, 6 mm, Burr Hole, Regular Depth � Ventricular Catheter, Standard, Barium Impregnated, 15 cm � Catheter Connector � Tubing Plug � Stainless Steel Stylet (not shown) Product 44201 Fluid Volume 0.15 mL CSF-Ventriculostomy Reservoir Kit Included with product: � CSF-Ventriculostomy Reservoir, 6 mm, Burr Hole, Shallow Depth � Ventricular Catheter, Standard, Barium Impregnated, 15 cm � Catheter Connector � Tubing Plug � Stainless Steel Stylet (not shown) Product 44211 Fluid Volume 0.10 mL RESERVOIRS AND PORTS Catheter Connector Catheter Connector Catheter Connector Dimensions included in this catalog are for reference only. 55 HYDROCEPHALUS THERAPY RESERVOIRS AND PORTS Ventriculostomy Reservoir Assembly Included with product: � Ventriculostomy Reservoir, Burr Hole, 6 mm, Regular Depth, with integrated Reservoir Base � Catheter Connector, Straight � Tubing Plug 1.5 mm Product 27051 Fluid Volume 0.10 mL Catheter Connector CSF-Snap Assembly Ventriculostomy Reservoir Kit Included with product: � Snap Assembly Ventriculostomy Reservoir Dome, with Integral Tubing, Standard, 6 cm, Barium Impregnated � Snap Assembly Ventriculostomy Reservoir Base, 6 mm, Burr Hole, Shallow Depth � Tubing Plug � Catheter Connector, Straight � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) � Stainless Steel Stylet (not shown) Product 22050B 6 cm Catheter Connector CSF-Snap Assembly Ventriculostomy Reservoir Dome Included with product: � Snap Assembly Ventriculostomy Reservoir Dome with Integral Tubing, Standard, Barium Impregnated, 15 cm � Tubing Plug � Catheter Connector � Snap Assembly Prefill Adapter (not shown) � Blunt Needle, 16-gauge (not shown) Product 24085 Catheter Connector 56 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY CSF-Ventricular Port 16 mm, Bottom Inlet Connector Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Stainless Steel Stylet (not shown) Product 44000 Fluid Volume 0.3 mL CSF-Ventricular Port 16 mm, Side Inlet Connector Included with product: � Ventricular Catheter, Small, Barium Impregnated, 23 cm � Stainless Steel Stylet (not shown) � Right Angle Clip Product 44010 Fluid Volume 0.3 mL RESERVOIRS AND PORTS Dimensions included in this catalog are for reference only. 57 ACCESSORIES Catheter Connector Straight, Nylon Product 45103 Catheter Connector Straight, Stainless Steel Product 25027 Catheter Connector Lumboperitoneal Product 21066 Catheter Connector Stepdown Included with product: � Silicone Tubing, Standard, 5 cm, Barium Impregnated Product 22063 Catheter Connector Right Angle Product 45104 15 mm 12 mm 14 mm I.D.: 0.8 mm O.D.: 1.8 mm 14 mm 13 mm 13 mm 58 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Catheter Connector 3-Way Product 45105 Catheter Connector 3-Way, All Male Connectors Product 20033 Fixation Tab Silicone, Barium Impregnated Product 25077 8023B Fits Tubing Size of: 1.5 mm O.D. 2.5 mm O.D. Right Angle Clip Product 3008B Fits Tubing Size of: 2.5 mm O.D. ACCESSORIES 20 mm 15 mm Dimensions included in this catalog are for reference only. 59 ACCESSORIES Female Luer Lock Connector with Integral Plug Product 24114 9041 Fits Tubing Size of: 0.7 mm I.D. 1.3 mm I.D. Blunt Needle 20-gauge, Individually Packaged Product 21048 Snap Assembly Prefill Adapter Included with product: � Blunt Needle, 16-gauge Product 23067 Standard Stylet Product 27938 60 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog HYDROCEPHALUS THERAPY Tuohy Needle, 14-gauge with Huber Tip Product 24043 27186 Length A 8.9 cm 12 cm Guidewire Straight, Fixed Core, Teflon Coated Included with product: � Adjustable Stop Product 21038 Snap Assembly Tool (Reusable, provided non-sterile) Product 45402 ACCESSORIES I.D.: 1.8 mm O.D.: 2.2 mm I.D.: 1.6 mm Wire O.D.: 0.46 mm Wire Length: 100 cm Dimensions included in this catalog are for reference only. 61 ACCESSORIES Subcutaneous Catheter Passer (Reusable, provided non-sterile) Product 48403 48405 Length 38 cm 60 cm Disposable Subcutaneous Catheter Passer Product 48407 48409 Length 38 cm 60 cm 62 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE Contents External Drainage Catheters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 Becker EDMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Exacta EDMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Duet EDMS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Basic EDM Systems & Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Ventriculostomy Kits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97 Subdural Evacuation Port System (SEPSTM). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 Note: Dimensions included in this catalog are for reference only. Neither the finished product, nor materials used during manufacture of product, contain latex. 63 EXTERNAL DRAINAGE AND MONITORING External Drainage and Monitoring Products meet a variety of needs for CSF drainage and flow rate and pressure monitoring. From the complete closed drainage and monitoring system of the BeckerTM EDMS to the Ventriculostomy Kit -- all products are designed for convenience in emergency situations. EDM ventricular catheters with BioGlideTM are treated with a unique, patented process which covalently bonds hydrogel to the interior and exterior silicone surfaces of the catheter. When hydrated, the catheters become hydrophilic and lubricious, for ease of insertion. EDM ventricular catheters with BioGlide have bullet-shaped tips, which are filled with radiopaque (tantalum impregnated) silicone elastomer. EDM ventricular catheters are fabricated of radiopaque (barium impregnated) silicone tubing, and are packaged with stainless steel stylets inserted into the lumen. To minimize flow obstruction, the catheters have larger diameter flow holes and a larger inside diameter. All EDM ventricular catheters include luerlock connectors to facilitate catheter connection to an external drainage system. EDM ventricular catheters (REF Nos. 46118 and 96118 only) include a trocar for catheter tunneling. The non-metallic design of the external drainage catheters ensures non-interference with MRI or CT scans. Neither the finished product, nor the materials used during manufacture of all external drainage catheters, contain latex. Small External Ventricular Catheters EDM Ventricular Catheter Barium Impregnated, 20 cm Included with product: � Catheter, 20 cm (REF. No. 46115) � Luer Connector with Integral Plug � Fixation Collar � Stainless Steel Stylet Product 27156 EDM Ventricular Catheter Barium Impregnated, 20 cm Included with product: � Catheter, 20 cm (REF. No. 46115) � Luer Connector with Integral Plug � Fixation Collar � Stainless Steel Stylet � Trocar Product 27384 64 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING EDM Ventricular Catheter Barium Impregnated, 20 cm Included with product: � Luerlock Connector with Integral Plug � Stainless Steel Stylet Product 46115 EDM Ventricular Catheter Barium Impregnated, 23 cm Included with product: � Catheter, 23 cm (REF No. 41101) � Luer Connector with Integral Plug � Stylet � Trocar � Right Angle Clip Product 26057 65 EXTERNAL DRAINAGE AND MONITORING Standard External Ventricular Drainage Catheters EVD Ventricular Catheter Barium Impregnated, 20 cm Included with product: � Numerical length markers � 5 cm spacing from proximal end with dots in between � Luer Connector with Red End Cap, � Fixation Collar, � Stainless Steel Stylet � Trocar Product 27659 10 15 20 25 30 35 1.5 2.8 10 15 20 25 30 35 1.5 2.8 EDM Ventricular Catheter Translucent, with Striped Tubing, 35 cm Included with product: � Stainless Steel Stylet � Trocar � Luerlock Connector � Luer End Cap Product 27695 66 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING EDM Ventricular Catheter Barium Impregnated, 35 cm Included with product: � Trocar � Luerlock Connector � Red End-Plug � Fixation Collar � Stainless Steel Stylet Product 46118 Large External Ventricular Drainage Catheters EDM Ventricular Catheter Translucent, with Striped Tubing, 35 cm Included with product: � Trocar � Stainless Steel Stylet � Red End-Plug � Luerlock Connector Product 27703 EDM Ventricular Catheter Translucent, 35 cm Included with product: � Stainless Steel Stylet � Luerlock Connector Product 26020 67 EXTERNAL DRAINAGE AND MONITORING EDM Ventricular Catheter Translucent, 35 cm Included with product: � Trocar � Stainless Steel Stylet � Luerlock Connector � Red-End Plug Product 27637 68 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING EDM Ventricular Catheter, with BioGlide Translucent with Barium Stripe, 35 cm Included with product: � Trocar � Angled Luer Adapter � Integral Female Luer Adapter � Luer End Cap � Stainless Steel Stylet Product 96118 EDM Ventricular Catheter with BioGlide Translucent, with Striped Tubing, 35 cm Included with product: � Trocar � Stainless Steel Stylet � Red End-Plug � Luerlock Connector Product 27705 69 EXTERNAL DRAINAGE AND MONITORING VentriClearTM II Ventricular Drainage Catheter Set with Cook SpectrumTM Antibiotic Impregnation Included with Product: � Stainless Steel Stylet � Trocar � Luer Lock Connecter � Strain Relief � Cap for Luer Lock Connecter � Silicon Fixation Collar � Barium Impregnated Stripe Antibiotics Impregnated into Catheter: � Minocycline � Rifampin Product 50318 5-Pack Numerical length markers on shaft, 1 cm spacing, from 3 cm to 33 cm 70 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING External Ventricular Catheters Catalog Number Length Inner Dia. Outer Dia. 26020 26057 27156 27384 27637 27659 27695 27703 27705 46115 46118 50318 96118 35 cm 23 cm 20 cm 20 cm 35 cm 20 cm 35.5 cm 35.5 cm 35.5 cm 20 cm 35 cm 33 cm 35 cm 2.6 mm 1.3 mm 1.3 mm 1.3 mm 2.6 mm 1.5 mm 1.5 mm 2.0 mm 2.0 mm 1.3 mm 1.5 mm 1.5 mm 1.5 mm 4.9 mm 2.5 mm 2.5 mm 2.5 mm 4.9 mm 2.8 mm 2.8 mm 3.1 mm 3.1 mm 2.5 mm 2.8 mm 2.8 mm 2.8 mm Flow Hole Size 2.2 mm 0.5 mm 1.1 mm 1.1 mm 2.2 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm 1.1 mm Translucent Catheter Yes No, Barium Impregnated No, Barium Impregnated No, Barium Impregnated Yes No, Barium Impregnated Yes, with Barium Stripe Yes, with Barium Stripe Yes, with Barium Stripe No, Barium Impregnated No, Barium Impregnated Yes, with Baruim Stripe Yes, with Baruim Stripe Dots or Numeric BioGlide Right Angle Antibiotic Length Markers Coating Clip Impregnated Dots - - - Dots - Yes - Dots - - - Dots - - - Dots - - - Numeric & Dots - - - Numeric - - - Numeric - - - Numeric Yes - - Dots - - - Dots - - - Numeric - - Yes Numeric Yes - - EVD Catheter Accessories Catalog Number 9041 23021 25123 8023 B Description Luerlock w/ integral cap, to fit 1.3mm catheters Luer lock w/ non-vented Red cap to fit 1.5mm ID catheters Trocar with Protective Sheath Fixation collar for catheters w/ OD <2.5mm CRITICAL CARE External Ventricular Drainage (EVD) Catheters Numeric Length Markers Dot Length Markers Dot and Numeric Length Markers I.D. = Inner Diameter O.D. = Outer Diameter 71 EXTERNAL DRAINAGE AND MONITORING EDM Catheter Accessories EDM lumbar catheters are made from radiopaque (barium impregnated) kink-resistant silicone tubing. Accessories include fixation tabs to anchor the catheter and luerlock connectors for catheter and drainage system attachment. Silicone strain reliefs are included with each catheter to reduce catheter stress and prevent the catheter from kinking at the luerlock connection. A 14-gauge Tuohy needle is also included to facilitate percutaneous catheter placement without need for laminectomy. Maneuverability of the closed tip catheter is increased by a stainless steel-coated guidewire with adjustable stop. The non-metallic design of the external drainage catheters ensures non-interference with MRI or CT scans. All external drainage catheters are manufactured with components that do not contain latex. Female Luer Lock Connector with Integral Plug 1.3 mm I.D. Product 9041 Female Luer Connector and End-Plug Cap for EDM Drainage Catheters with an ID of 1.5 mm Included with product: � Female Luer Connector � Red End Plug Product 23021 Trocar for Tunneling EDM Ventricular Catheters Product 25123 Fixation Tab for Catheters with Outer Diameter Less than 2.5mm Product 8023 B I.D.: 2.5mm 72 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING Lumbar Drainage Catheters EDM Lumbar Catheter Open Tip, Barium Impregnated, 24 cm Included with product: � Tuohy Needle, 14-gauge, with Huber Tip � Luerlock Connector with Integral Plug � Fixation Tab � Strain Relief Product 46418 I.D.: 1.8mm O.D.: 2.2mm EDM Lumbar Catheter Barium Impregnated, 80 cm Included with product: � Tuohy Needle, 14-gauge, Huber Tip � Luerlock Connector with Integral Plug � Fixation Tab (2 each) � Blunt Needle, 20-gauge � Guidewire with Adjustable Stop (with closed tip only) � Strain Relief Product 46419 - Closed Tip 46420 - Open Tip I.D.: 1.8mm O.D.: 2.2mm CRITICAL CARE O.D.: 0.46mm 73 EXTERNAL DRAINAGE AND MONITORING Lumbar Catheter Accessories Female Luer Lock Connector with Integral Plug Product 24114 Fits Tubing Size of: 0.7 mm I.D. Longer 14-gauge Tuohy Needle with Huber Tip Product 27186 I.D.: 1.8mm O.D.: 2.2mm External Lumbar Catheters Catalog Number Length 46418 46419 46420 24 cm 80 cm 80 cm Lumbar Catheter Accessories Catalog Number 24114 27186 Inner Dia. 0.7 mm 0.7 mm 0.7 mm Outer Dia. 1.5 mm 1.5 mm 1.5 mm Internal Volume 0.09 mL 0.308 mL 0.308 mL Tip Type Open Tip Closed Tip Open Tip Description Luer lock and integral cap, to fit 0.7mm ID catheters 12 cm, 14G Touhy Needle 74 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING Standard BeckerTM External Drainage and Monitoring System Product Features: � Hydrophobic Vent � Blue Striped Tubing � Two Latex-free Injection Sites � Cord and Cord Lock � 50 mL Graduated Drip Chamber � Removable Drainage Bag, 700 mL � Transducer Attachment Site � Instructions Printed on System Panel Standard Becker External Drainage and Monitoring System (English language instructions) Included with product: � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Patient Line Product 46128 With Single Injection Site (not shown) � Standard Becker with Red Warning Tape around Patient Line Sample Site � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Patient Line Product 24146 75 EXTERNAL DRAINAGE AND MONITORING BeckerTM External Drainage and Monitoring System with Stop Below Drip Chamber and Needleless Injection Sites Included with product: � Hydrophobic Vent � Locking Bracket and Locking Cord � 50 mL Graduated Chamber � Removable Drainage Bag, 700 mL � Two Transducer Attachment Sites � Clearly Marked Ventricular Access � Instructions Printed Directly on System Panel � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Line � Y-port on Patient Line Product 27670 27670 76 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING Standard Becker without Ports on Patient Line Included with product: � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � No Stopcock on Patient Line Product 27767 Standard Becker with 72" Patient Line and SmartSiteTM Needleless Sample Sites Included with product: � SmartSiteTM Needleless Sample Site � Blue Striped Patient Line � Stopcock on Patient Line � Stopcock below Drip Chamber Product 27761 77 EXTERNAL DRAINAGE AND MONITORING Standard Becker with Green Striped Patient Line Standard Becker with Green Striped Patient Line and Anti-Reflux Valve Included with product: � Baxter InterlinkTM Needleless Injection Sites � Green Striped Patient Line � Stopcock on Patient Line � Y-port on Patient Line � Anti-Reflux Valve on Patient Line Product 25120 Standard Becker with Green Striped Patient Line and SmartSiteTM Needleless Sample Sites Included with product: � SmartSiteTM Needleless Sample Site � Green Striped Patient Line � Stopcock on Patient Line � Y-port on Patient Line � Stopcock below Drip Chamber Product 27873 Standard Becker with 72" Green Striped Patient Line and SmartSiteTM Needleless Sample Sites Included with product: � SmartSiteTM Needleless Sample Site � Green Striped Patient Line � Stopcock on Patient Line � Stopcock below Drip Chamber Product 27931 78 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING CRITICAL CARE European Version of Becker System European* Version Becker External Drainage and Monitoring System (Multi-language instructions) Included with product: � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Patient Line Product 46129 European* Becker with Anti-Reflux Valve on Patient Line Included with product: � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Patient Line � Y-port on Patient Line � Anti-Reflux Valve on Patient Line Product 27672 European* Version of Becker System with Green Striped Tubing Included with product: � Baxter InterlinkTM Needleless Injection Sites � Green Striped Patient Line � Stopcock on Patient Line Product 27702 European* Version of Becker System with Blue Striped Tubing and SmartSiteTM Needleless Injection Sites that are Bonded Connections Included with product: � SmartSiteTM Needleless Sample Site � Blue Striped Patient Line � Stopcock on Patient Line Product 27779 *European Version includes multi-language labeling stickers for back panel 79 EXTERNAL DRAINAGE AND MONITORING Becker Systems with EVD Catheter Included European* Version of Becker System with Green- Striped Tubing and Standard EVD Catheter (REF No. 46118) Included with product: � Baxter InterlinkTM Needleless Injection Sites � Green Striped Patient Line � Stopcock on Patient Line Product 27811 * European Version includes multi-language labeling stickers for back panel Becker External Drainage and Monitoring System Packaged with 35cm EDM Ventricular Catheter (REF No. 46118)(Becker REF No. 46129) Included with product: � Baxter InterlinkTM Needleless Injection Sites � Blue Striped Patient Line � Stopcock on Patient Line Product 26040 80 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING Replacement Drainage Bag for Becker System, 700 mL Included with product: � Braided Cord (not shown) Product 46124 46430 Quantity Single 10 pack carton CRITICAL CARE 81 EXTERNAL DRAINAGE AND MONITORING Becker Quick-Attach Pole Clamp with Laser Level* Product 46137 * For use with all Becker External Drainage and Monitoring Systems Replacement Laser Assembly Product 27613 For use with Exacta Pole Clamps REF No.'s 46711, 46715 For use with EDM Quick Attach Pole Clamp REFNo. 46137 82 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING Becker Drainage Systems Catalog Number 24146 Catheter Included No Sample Site Tubing Patient Line Stopcock on Patient "Y-Site" On Patient Type Stripe Color Tubing Length Line Line Stopcock or Y-Site under Drip Chamber Interlink Blue 60" Yes - Y-Site 25120 No Interlink Green 63" Yes Yes Y-Site 26040 46118 Interlink Blue 60" Yes - Y-Site 27609 No Interlink Blue 60" Yes - Y-Site 27670 No Interlink Blue 60" Yes - Stopcock 27672 No Interlink Blue 60" Yes Yes Y-Site 27702 No Interlink Green 60" Yes - Y-Site 27761 No SmartSite Blue 72" Yes - Stopcock 27767 No Interlink Blue 63" - - Y-Site 27779 No SmartSite Blue 60" Yes - Y-Site 27811 46118 Interlink Green 60" Yes - Y-Site 27873 No SmartSite Green 60" Yes Yes Stopcock 27931 No SmartSite Green 72" Yes - Stopcock 46128 No Interlink Blue 60" Yes - Y-Site 46129 No Interlink Blue 60" Yes - Y-Site International Version Yes Yes Yes Yes Yes Yes Anti-Reflux Valve on Patient Line - Yes - Yes - Becker System Accessories Catalog Number 46124 46430 46137 27613 Description Becker Replacement Drainage Bag, (single pack) Becker Drainage Bag (10 pack) Becker Quick Attach Pole Clamp w/ Laser Replacement Laser for Becker Quick Attach Pole Clamp CRITICAL CARE 83 EXTERNAL DRAINAGE AND MONITORING Exacta Drainage Systems Medtronic's innovative ExactaTM External Drainage and Monitoring System delivers efficiency, simplicity, and the means to laser level the system for managing external CSF drainage. The versatile system may be used for ventricular or lumbar drainage and has a reusable pole-clamp scale, which helps to reduce waste disposal and inventory levels. Medtronic ExactaTM Drainage System Product Features: Reusable Pole Clamp � Two scales, mm of Hg and cm of H2O � Accurate Laser Leveling Device � Extended Negative Scale for Lumbar Drainage Disposable Drainage System � Small Profile Design � Hydrophobic vent � Two Latex-free Needleless Injection Sites* � 50 or 100 mL Graduated Drip Chamber � Removable Drainage Bag (600 mL) � Two Transducer Attachment Sites � Clearly Marked Ventricular Access * Note: All Medtronic Exacta Systems are designed with the Baxter InterlinkTM Needleless Injection Sites, unless otherwise noted. 84 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING A Exacta Drainage System Standard Exacta with Baxter InterlinkTM Needleless Injection Sites, and 50 mL Drip Chamber Product 46700 A Exacta (50 mL) with Baxter InterlinkTM Needleless Injection Sites and EDM Ventricular Catheter, REF No. 46118 Product 27581 A Exacta (50 mL) with Baxter InterlinkTM Needleless Injection Sites, Glued Stopcock and Green Striped Patient Line Product 27666 A A Exacta (50 mL) with Baxter InterlinkTM Needleless Injection Sites, Cord and Cord Lock Product 27636 A Exacta (50 mL) Red-Capped Needleless Injection Sites Product 27732 A Exacta (50 mL) with SmartSiteTM Needleless Injection Sites Product 27785 B Exacta Drainage System Exacta (100 mL) with Baxter InterlinkTM Needleless Injection Sites Product 46705 B Exacta (100 mL) with Baxter InterlinkTM Needleless Injection Sites, Graduated Drip Chamber, Cord, Cord Lock and EDM Ventricular Catheter (REF No. 46118) Product 27795 B CRITICAL CARE 85 EXTERNAL DRAINAGE AND MONITORING Exacta Pole Clamp, Reusable Product 46711 Description with Laser Level Exacta Pole Clamp, Reusable (Extended Negative Scale) Product 46715 Description with Laser Level (-25 cm H2O) 46711 86 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING Exacta Drainage Bag, 600 mL Product 46710 46712 Quantity Single 10 pack carton Needleless Injection Sites (for reference only) A B C A Baxter InterlinkTM Needleless Injection Sites used with BDTM Blunt Plastic Cannula B SmartSiteTM Needleless Injection Site C Red-Capped Needleless Injection Site CRITICAL CARE 87 EXTERNAL DRAINAGE AND MONITORING Exacta Drainage Systems Catalog Number Catheter Included 27579 27581 27636 27666 27732 27785 27795 27861 46700 46705 46118 - - 46118 - Drip Chamber Size (ml) 50 50 50 50 50 50 100 50 50 100 Injection Site Type Tubing Stripe Color Patient Line Tubing Length Stopcock on Patient Line "Y-Site" On Patient Line Anti-Reflux Valve on Patient Line Cord with Cord-Lock Interlink Blue 72" Yes Yes - - Interlink Blue 60" Yes - - - Interlink Blue 60" Yes - - Yes Interlink Green 60" Yes - - - Red Capped Luer Connection Blue 60" Yes - - - SmartSite Blue 60" Yes - - - Interlink Blue 60" Yes - - Yes Interlink Green 60" Yes - Yes - Interlink Blue 60" Yes - - - Interlink Blue 60" Yes - - - Exacta System Accessories Catalog Number 27613 46711 46715 46710 46712 Description Laser Replacement Assembly Exacta Pole, Reusable, -5 cm H2O scale, with Laser Level Exacta Pole, Reusable, -25 cm H2O scale, with Laser Level Replacement Drainage Bag for the Exacta External Drainage and Monitoring System (single pack) Replacement Drainage Bag for the Exacta External Drainage and Monitoring System (10 pack) 88 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRITICAL CARE EXTERNAL DRAINAGE AND MONITORING Duet Drainage Systems DuetTM External Drainage and Monitoring Systems General Product Features � Streamlined design � Completely disposable � Can be hung from string or attached to IV pole via integrated pole clamp � Identifiable green striped patient line tubing � Two latex-free needleless injection/sampling sites � Supplied with either SmartSiteTM or InterlinkTM needleless injection sites � Main-system stopcock for attachment of external pressure transducer � Hydrophobic vent � Drip chamber capacity of 75 ml � Removable drainage bag with 600 ml capacity � Rotating pressure scales to provide both ventricular and lumbar drainage options � Pressure scales with large easy to read numbers (mm of Hg or cm of H20) � Can be used with Clear-SiteTM laser level � Magnifying lens on front of drip chamber � MRI Conditional (when Clear-Site laser has been removed) 89 EXTERNAL DRAINAGE AND MONITORING DuetTM External Drainage and Monitoring Systems Duet External Drainage and Monitoring System with Baxter InterlinkTM Needleless Injection Sites Product 46913 Duet External Drainage and Monitoring System with Baxter InterlinkTM Needleless Injection Sites, packaged with an 80 cm, closed tipped, EDM Lumbar Drainage Catheter (REF No. 46419) Product 46917 Duet External Drainage and Monitoring System with SmartSiteTM Needleless Injection Sites Product 46914 Clear-SiteTM Laser Level Product 46918 Duet External Drainage and Monitoring System with Baxter InterlinkTM Needleless Injection Sites, packaged with a 35 cm EDM Ventricular Drainage Catheter (REF No. 46118) Product 46915 Replacement Drainage Bag for the Duet External Drainage and Monitoring System (single pack) Product 46911 Duet External Drainage and Monitoring System with SmartSiteTM Needless Injection Sites, packaged with a 35 cm EDM Ventricular Drainage Catheter (REF No. 46118) Product 46916 Replacement Drainage Bag for the Duet External Drainage and Monitoring System (10 pack) Product 46912 InterlinkTM is a registered trademark of Baxter International, Inc. SmartSiteTM is a registered trademark of Cardinal Health, Inc. 90 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING Duet Drainage Systems Catalog Number Ventricular Catheter Included 46913 46914 46915 46916 46917 46118 46118 - Lumbar Catheter Included 46419 Injection Site Type Interlink SmartSite Interlink SmartSite Interlink Drip Chamber Size (ml) 75 75 75 75 75 Patient Line Tubing Color Green Green Green Green Green Patient Line Tubing Length 60" 60" 60" 60" 60" Duet System Accessories Catalog Number 46918 46911 46912 Description ClearSite Laser Level Replacement Drainage Bag for the Duet External Drainage and Monitoring System (single pack) Replacement Drainage Bag for the Duet External Drainage and Monitoring System (10 pack) CRITICAL CARE 91 EXTERNAL DRAINAGE AND MONITORING Basic External Drainage and Monitoring Systems EDM Drainage Assembly with 120 mL Graduated Chamber Included with product: � EDM Drainage Bag, 700 mL � Braided Cord (not shown) � Graduated Pressure Tape Scale (not shown) � Anti-Reflux Valve Product 46422 EDM Kit, with Becker EDMS Drainage Bag, 700 mL, and EDM Patient Connection Line Assembly Included with product: � Drainage Bag (REF No. 46124) � Patient Line (REF No. 46126) Product 25068 EDM Ventricular Drainage Kit Included with product: � EDM Catheter, 35 cm (REF No. 46118) � Trocar, 15 cm � Female Luerlock Connector � Fixation Collar � Stainless Steel Stylet (not shown) � Red End-plug � Becker Drainage Bag, 700 mL (REF No. 46124) � Patient Line (REF No. 46126) Product 20034 92 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING EDM Ventricular Drainage Kit Included with product: � Becker EDM Ventricular Catheter, Barium Impregnated, 20 cm (REF No. 46115) � Luerlock Connector with Integral Plug � Stainless Steel Stylet (not shown) � Becker EDMS Drainage Bag, 700 mL � Braided Cord (not shown) � EDM Patient Connection Line Assembly Product 25030 EDM Ventricular Drainage Kit with 120 mL Graduated Chamber Included with product: � EDM Drainage Assembly � EDM Ventricular Catheter, 35 cm, Barium Impregnated (REF No. 46118), with Trocar � Stainless Steel Stylet (not shown) � Luerlock Connector � Red End-Plug � Fixation Collar � EDM Drainage Bag, 700 mL (REF No. 46124) � Braided Cord (not shown) � Graduated Pressure Scale Tape (not shown) � Anti-Reflux Valve Product 27297 46141 Quantity Kit (single) 5 pack carton CRITICAL CARE 93 EXTERNAL DRAINAGE AND MONITORING Basic Lumbar Drainage Systems EDM Lumbar Drainage Kit Included with product: � EDM Lumbar Catheter, 80 cm, Barium Impregnated � Tuohy Needle, 14-gauge, with Huber Tip � Blunt Needle, 20-gauge � Fixation Tabs (2) � Luerlock Connector with Integral Plug � Strain Relief � EDM Patient Connection Line Assembly � EDM Drainage Bag, 700 mL � Braided Cord (not shown) � Guidewire with Adjustable Stop (with closed tip only; not shown) Product Quantity 27303 Open Tip (Kit), Single 27304 Closed Tip (Kit), Single (not shown)* 46441 Open Tip, 5 pack carton (not shown) 46442 Closed Tip, 5 pack carton (not shown)* *See REF No. 46419 for illustration of a Closed Tip Lumbar Catheter. 94 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog EXTERNAL DRAINAGE AND MONITORING EDM Lumbar Drainage Kit with 120 mL Graduated Chamber Included with product: � EDM Drainage Assembly � Lumbar Catheter, 80 cm, Closed Tip, � Barium Impregnated � Tuohy Needle, 14-gauge, with Huber Tip � Guidewire with Adjustable Stop � Strain Relief � Fixation Tabs (2) � Luerlock Connector with Integral Plug � Blunt Needle, 20-gauge � EDM Drainage Bag, 700 mL � Braided Cord (not shown) � Graduated Pressure Scale Tape (not shown) � Anti-Reflux Valve Product 27302 46440 Quantity Kit (Single) 5 pack carton CRITICAL CARE 95 EXTERNAL DRAINAGE AND MONITORING General Drainage Accessories EDM Patient Connection Line Assembly Product 46126 EDM Patient Connection Line Assembly with No Stopcock Product 23045 Longer 14-gauge Tuohy Needle with Huber Tip Product 27186 I.D.: 1.8mm O.D.: 2.2mm 96 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog Ventriculostomy Kit Product 46156* * Not available in Europe Included with product: Description Razor Sponge Stick PVP Scrub Pack PVP Solution, 4 oz. Clear Fenestrated Procedure Drape with Adhesive Blotting Towels Luerlock Syringe 23-gauge x 1-1/2" Needle 18-gauge x 1-1/2" Needle #11 Scalpel #15 Scalpel Adson Forcep with Teeth Skin Marker with 6" Ruler Mosquito Forcep, Curved Webster Needle Holder Small Self-Retaining Retractor Cranial Hand Drill with Adjustable Chuck 5/32" Drill Bit with Adjustable Stop 1/4" Drill Bit with Adjustable Stop Allen Wrench Prep Tray Instrument Tray CSR Wrap, 36" x 36" 30 cc 1% Lidocaine with Epinephrine and Leaflet 4-0 Nylon Suture with FS-2 Needle Blunt Suture Scissors PVP Ointment 4" x 4" 12-ply Gauze Culture Tube with Screw Cap Transparent Wound Dressing Quantity 2 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20 3 1 Ventriculostomy Kit � European Does not include Lidocaine with Epinephrine, PVP Scrub, PVP Solution, or PVP Ointment Product 46154 VENTRICULOSTOMY KIT CRITICAL CARE 97 CRITICAL CARE Cranial Hand Drill Included with product: � Adjustable Chuck � 5/32" Drill Bit with Adjustable Stop � 1/4" Drill Bit with Adjustable Stop � Allen Wrench Product 24050 98 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog SUBDURAL EVACUATION PORT SYSTEM (SEPSTM) SEPS - Subdural Evacuating Port System Product 11-0401-CAL* Kit Includes: Description Evacuating Port Drill Bit Safety Stop Collar Stop Collar Setscrew L-Key Hex Wrench Suction Reservoir Silicone Tubing 6" Plastic Ruler Hand Drill Adson Forceps, 1 x 2 Teeth Adson Forcep, Serrated Needle Holder Skin Retractor #11 Scalpel With Handle #15 Scalpel With Handle Iris Scissors Razor 12cc Syringe 18G x 1.5" Filtered Needle 25G x 1.5" Needle 25G x 5/8" Needle 18G x 3.5" Spinal Needle 3-0 Nylon Sutures Fenestrated Drape Absorbent Towels Gauze Sponges TegadermTM Wound Dressing Medicine Cups Skin Marker IFU ChloraPrepTM Applicator PVP Ointment 1% Lidocaine with Epinephrine * Not available in Europe Quantity 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 10 2 2 1 1 1 3 1 CRITICAL CARE 99 SUBDURAL EVACUATION PORT SYSTEM (SEPSTM) SEPS - Subdural Evacuating Port System Product 11-0401-CE Kit Includes: Description Evacuating Port Drill Bit Safety Stop Collar Stop Collar Setscrew L-Key Hex Wrench Suction Reservoir Silicone Tubing 6" Plastic Ruler Hand Drill Adson Forceps, 1 x 2 Teeth Adson Forcep, Serrated Needle Holder Skin Retractor #11 Scalpel With Handle #15 Scalpel With Handle Iris Scissors Razor 12cc Syringe 18G x 1.5" Filtered Needle 25G x 1.5" Needle 25G x 5/8" Needle 18G x 3.5" Spinal Needle 3-0 Nylon Sutures Fenestrated Drape Absorbent Towels Gauze Sponges TegadermTM Wound Dressing Medicine Cups Skin Marker IFU Quantity 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 10 2 2 1 1 100 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRANIAL REPAIR Contents TiMeshTM Cranial Plating System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102 DurepairTM Dura Regeneration Matrix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 NeurayTM Surgical Patties and Strips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Note: Dimensions included in this catalog are for reference only. Neither the finished product, nor materials used during manufacture of product, contain latex. 101 TIMESHTM CRANIAL PLATING SYSTEM 1.5/1.6 mm System Screws -- Titanium (ASTM F-136) � 1.6 mm Screws are compatible with all 1.5 mm Plates Cruciate, Self-Tapping Screws Product 015030 015040 015050 Diameter (mm) 1.5 1.5 1.5 Length (mm) 3 4 5 Quantity/Pkg. 6 6 6 Dia. = 1.5 mm Length Cruciate, Rescue Screws Product 018030 018050 Diameter (mm) 1.8 1.8 Length (mm) 3 5 Quantity/Pkg. 6 6 Dia. = 1.8 mm Length Cruciate, Self-Drilling Screws (SDS) Product 9001635 9011635 9001640 9011640 Diameter (mm) 1.6 1.6 1.6 1.6 Length (mm) 3.5 3.5 4.0 4.0 Quantity/Pkg. 6 1 6 1 Cruciate, Rescue Screws ( for SDS) Product 8001830 8011830 8001850 8011850 Diameter (mm) 1.8 1.8 1.8 1.8 Length (mm) 3 3 5 5 Quantity/Pkg. 6 1 6 1 Dia. = 1.6 mm Length Dia. = 1.8 mm Length Cruciate Self-Tapping Head Cruciate Self-Tapping Head Cruciate Self-Drilling Head Cruciate Self-Tapping Head 102 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRANIAL REPAIR TIMESHTM CRANIAL PLATING SYSTEM Plates -- CP Titanium (ASTM F-67): Grades 1, 3 Straight Plates, Standard Product 015-040 015-042 015-044 015-246 015-247 015-016 015-017 015-018 No. of Holes 2 2 2 4 4 20 20 20 Shaft Size (mm) 4 8 12 2.5 5 3.3 4 5 Straight Plates, Rigid Product 015-040-C 015-042-C 015-044-C No. of Holes 2 2 2 Shaft Size (mm) 4 8 12 Curved Plates, Standard Product 015-090 No of Holes 12 Description Curved Plate Square and Rectangle-Plates, Standard Product 015-257 015-258 No. of Holes 4 4 Description Standard Plate, Square Small Rectangle H Plates, Standard Product 015-160 No. of Holes 7 Hole Config. 3H x 1H x 3H 103 TIMESHTM CRANIAL PLATING SYSTEM Plates -- CP Titanium (ASTM F-67): Grades 1, 3 T Plates, Standard Titanium Product 015-130 No. of Holes 6 Hole Config. 3H x 3H Shaft Size (mm) 2.5 Y Plates, Standard Titanium Product No. of Holes Hole Config. Shaft Size (mm) 015-230 015-233 6 1H x 1H x 4H 2.5 6 3H x 3H 2.5 Double Y Plates, Standard Titanium Product No. of Holes Hole Config. Shaft Size (mm) 015-236 6 3H x 3H 2.5 015-237 6 3H x 3H 5 X Plates, Standard Titanium Product 015-255 No. of Holes 4 Bur Hole Covers, Standard Titanium Product 015-262-11 015-262-14 015-262-18 Dia. (mm) 11 14 18 Description Fan Blade Fan Blade Fan Blade Bur Hole Covers, Standard Titanium Product 015-260-11 015-260-14 015-260-18 Dia. (mm) 11 14 18 Description Mesh Mesh Mesh 104 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRANIAL REPAIR TIMESHTM CRANIAL PLATING SYSTEM Mesh -- Titanium (ASTM F-67): Grades 1, 3 Grids, Standard Titanium Product 015-2001-4 015-2001-5 Shaft Length (mm) Description 4 Grid, 115 x 75 mm x 0.6 mm 5 Grid, 113 x 78 mm x 0.6 mm Grids, Rigid Titanium Product 015-2001-4-C 015-2001-5-C Shaft Length (mm) Description 4 Grid, 115 x 75 mm x 0.6 mm 5 Grid, 113 x 78 mm x 0.6mm Square-Rectangle Grid, Standard Titanium Product Description 015-2010 Square-Rectangular Gridmesh, 45 x 55 mm x 0.6 mm Isogrid, Standard Titanium Product 015-2050 Description Isogrid, 75 x 72 mm x 0.6mm FlexMeshTM Product 8001511-3 8001511-6 8001521-3 8001521-6 8001523-6 8001531-6 8001533-6 Description 50 mm x 56 mm, 0.3 mm thickness, CP 1 (Std.) 50 mm x 56 mm, 0.6 mm thickness, CP 1 (Std.) 113 mm x 77 mm, 0.3 mm thickness, CP 1 (Std.) 113 mm x 77 mm, 0.6 mm thickness, CP 1 (Std.) 113 mm x 77 mm, 0.6 mm thickness, CP 3 (Rigid) 148 mm x 148 mm, 0.6 mm thickness, CP 1 (Std.) 148 mm x 148 mm, 0.6 mm thickness, CP 3 (Rigid) Rigid Cranial Mesh Product 016-200 016-152 016-128 016-120 016-100 Description 200 mm x 200 mm x 0.6 mm 152 mm x 152 mm x 0.6 mm 128 mm x 79 mm x 0.6 mm 120 mm x 120 mm x 0.6 mm 100 mm x 100 mm x 0.6 mm 105 TIMESHTM CRANIAL PLATING SYSTEM Mesh -- Titanium (ASTM F-67): Grades 1, 3 Panels, Standard Product 235 Description Mesh, 128 x 79 mm x .6 mm, Nonchamfered Holes Mesh -- Titanium (ASTM F-67) Grids Product 000-2090 Description Sugar Mesh, 75 mm x 45 mm x 0.15 mm 106 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog TIMESHTM CRANIAL PLATING SYSTEM General Instrumentation LegendTM Twist Drill Product 8TD154 8TD156 8TD158 8TD174 8TD176 8TD178 8TD204 8TD206 8TD208 Description Tip Diameter (mm) 1.5 mm, 4 mm Depth 1.5 1.5 mm 6 mm Depth 1.5 1.5 mm, 8 mm Depth 1.5 1.7 mm, 4 mm Depth 1.7 1.7 mm, 6 mm Depth 1.7 1.7 mm, 8 mm Depth 1.7 2 mm, 4 mmDepth 2.0 2 mm, 6 mm Depth 2.0 2 mm, 8 mm Depth 2.0 Tip Length (mm) 4.0 6.0 8.0 4.0 6.0 8.0 4.0 6.0 8.0 CRANIAL REPAIR 107 TIMESHTM CRANIAL PLATING SYSTEM General Instrumentation Plate Cutters Product 433 Description 433 Scissor, Short Angled Screwdriver Product 8001201 8001205 8001215 Description Modular Screwdriver Handle 1.6 mm, Cruciate, Self-Drilling, Shaft 1.5 mm, Cruciate, Self-Tapping, Shaft 8001201 8001205, 8001215 108 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog CRANIAL REPAIR TIMESHTM CRANIAL PLATING SYSTEM Storage Trays and Containers 1.5 Self-Tapping (Cruciate or Quadrive) Cranial Fixation System (Assembly) (not shown) Product 8001501 Description System includes the following: 8009000 8009002 8009008 8001503 8001505 Base Plate Caddy Front Lid Top Lid (shown) Screw Caddy (1.5 Self Tapping Only) (not shown) 1.6 Self-Drilling (Cruciate) Cranial Fixation System Assembly Product 8001602 Description System includes the following: 8009000 8009002 8009008 8001603 8001605 Base Plate Caddy Front Lid Top Lid Screw Caddy (1.6 SDS only) 8001602 8009002 8001603 8009000 8009008 8001605 109 DUREPAIRTM DURA REGENERATION MATRIX DurepairTM Dura Regeneration Matrix is a collagen implant indicated as a dura substitute for the repair of the dura mater. Durepair is supplied sterile, in a double-peel package, and is intended for single (one-time) use-only. Durepair is available in a variety of sizes intended to be cut by the surgeon to the desired shape. DurepairTM is manufactured from bovine skin, one of the purest sources of collagen that is commercially available. The source material is solely derived from cattle obtained in compliance with United States and European regulatory requirements.* Dura repair may be required during the following neurosurgical and spinal procedures: � Cranial reconstruction � Tumor removal - all craniotomies � Skull base � Spinal procedures � Neurovascular procedures � Posterior fossa decompressions � Aneurysm clipping CE Cleared Products (For purchase in CE Regulated Markets) Product Description 61111 61106 61100 61105 61110 Durepair Dura Regeneration Matrix, 1" x 1" (2.5cm x 2.5cm) Durepair Dura Regeneration Matrix, 1" x 3" (2.5cm x 7.5cm) Durepair Dura Regeneration Matrix, 2" x 2" (5cm x 5cm) Durepair Dura Regeneration Matrix, 3" x 3" (7.5cm x 7.5cm) Durepair Dura Regeneration Matrix, 4" x 5" (10 cm x 12.5cm) FDA Cleared Products (For purchase in FDA Regulated Markets) Product Description 62111 62106 62100 62105 62110 62158 Durepair Dura Regeneration Matrix, 1" x 1" (2.5cm x 2.5cm) Durepair Dura Regeneration Matrix, 1" x 3" (2.5cm x 7.5cm) Durepair Dura Regeneration Matrix, 2" x 2" (5cm x 5cm) Durepair Dura Regeneration Matrix, 3" x 3" (7.5cm x 7.5cm) Durepair Dura Regeneration Matrix, 4" x 5" (10 cm x 12.5cm) Durepair Dura Regeneration Matrix, 5" x 8" (12.5 cm x 20 cm) *Integra: PS-004rev13 Product Specifications for Durepair 110 CSF Management, Critical Care, Cranial Repair and Neuroendoscopy Products Catalog Rx only. Refer to product instruction manual/package insert for instructions, warnings, precautions and contraindications. For further information, please call Medtronic Neurosurgery at 888.580.8860 and/or consult Medtronic's website at www.medtronic.com. Medtronic 5290 California Avenue Irvine, California, 92617 USA (800) 874-5797 USA/Canada (800) 468-9713 FAX � 2020 Medtronic . All rights reserved . Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic . All other brands are trademarks of a Medtronic company . UC201709479bEN