- BrandEthicon
The circular Circular sshivayushche-cutting devices sshivayushche-cutting the devices Ethicon Endo-Surgery (PPH tool kit) are intended for formation of circular anastomoz of type "the end in the end", "the end sideways". Devices with an external diameter of head of 21, 25, 29, 33 mm are issued. For adaptation to concrete clinical situations and taking into account preferences of surgeons each model is produced in two modifications: with straight lines (SDH, Es-Dee-Eych) and bent (CDH, Si-Di-Eych) a trunk. Length of devices allows to form anastomoza from the place of introduction of the device at a great distance. The circular sshivayushche-cutting devices form a two-row circular mechanical seam by means of the brackets from titanic alloy located in chessboard order. The edge from steel of the 400th series guarantees the most careful formation of an anastomoz. The compressions of fabrics regulated degree and height of closing of brackets promote adequate compression of fabrics, the correct formation of brackets, providing a reliable hemostasis, good blood supply in a zone of an anastomoz and its tightness. Existence of tactile and sound indication of a proshivaniye allows the surgeon to control process of formation of an anastomoz. Troakar is built in a working part of circular devices that promotes atraumatic introduction of the tool to a gleam of hollow body. Existence of an additional troakar in a delivery set for carrying out a head of the device through a wall of hollow body. Formation of an adequate internal gleam of an anastomoz, a low profile of a removable head, the mechanism of bystry opening and closing of the device provide safe extraction of the device from a zone of an anastomoz. The rubberized handles and ergonomic design of devices are developed for convenience of work of the surgeon. Thanks to simplicity of formation of anastomoz and usability the circular sewing devices widely are used when forming gastroentero-and gastroduodenoanastomoz, a resection obodochny, sigmovidny and a rectum, in many cases allowing to avoid imposing of an external stoma. PPH is modification of the circular sewing device with not separated head adapted for carrying out a circular resection of a mucous rectum and surgical treatment of hemorrhoids. Having all advantages of the circular sewing devices, RRN allows to create wide mucous and submucous anastomoz a rectum above the gear line. One of the most significant characteristics of the devices PPH is the adjustable height of closing of brackets that provides individual approach to fabrics of various thickness and promotes a reliable hemostasis. Gemorroidopeksiya across Longo with use of RRN is characterized by considerable decrease in expressiveness intra-and a postoperative pain syndrome and bystry return of the patient to a normal way of life.
PPH SET
The tool kit for carrying out a gemorroidopeksiya by Longo's method or surgical treatment to a rektotsela includes: the circular sshivayushche-cutting device with a direct trunk and a fixed head, a circular anal dilator, a napravitel of threads and transparent anoskop for formation of a kisetny seam.
SCOPE:
surgical treatment of hemorrhoids and to the rektotsela
MAIN CHARACTERISTICS:
Circular device: The fixed head
Diameter of a head: 33 mm
Diameter of a knife: 24,4 mm
Trunk form: straight line
Quantity of rows of a skobochny seam: 2
Height of closing of brackets: reguliruyemaya0,75-1,5 mm (PPH03) or 1,0–2,5 mm (PPH01)
Height of a leg of an open bracket: 4,25 mm (PPH03) and 5,5 mm (PPH01)
Material of brackets: titanic alloy
Total of proshivaniye: 1
Transparent anoskop: A window with a corner 90 °
Marker notches for exact formation of a kisetny seam
QUALITATIVE MECHANICAL SEAM:
Tselnolity basic part of a head of the device and adjustable height of closing of a bracket provide controlled degree of a compression of the stitched fabrics that guarantees high-quality formation of brackets of uniform height on all length of a seam.
Properties of titanic alloy from which brackets are produced prevent the return opening of already created brackets
FLEXIBILITY AND USABILITY:
Adjustable degree of a compression of fabrics allows to adapt to any clinical situation.
Well visualized compression scale with marking on height of the closed bracket simplifies use of the device.
The antiskid covering and ergonomic design facilitate use and control of the device (only PPH03).
The fixed head provides ease of manipulation with the device in operational space.
The cut laying provides tactile and sound control at a proshivaniye and a section of fabrics.
Existence of a safety lock interferes with a casual proshivaniye.
The window of a transparent anoskop at an angle 90 ° provides a good viewing angle when forming a kisetny seam.
