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Bipolarelectrosurgery,Strictlyconfidential.OnlyforemployeesoftheB.BraunGroup.Copyingevenpartiallynotallowed.,BASISProductTrainingBipolarelectrosurgery,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,Bloodvesselsystemofthehead,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,CranialNeurosurgeryTrauma(Skull/Brain-Injuries,Fractures,Bleeding)TumorsVascularDiseases(Aneurysms,AVM)VentricularDiseases(Hydrocephalus)AllNerveDiseases(Pain)MalformationFromBirth(Pediatric)SpinalNeurosurgeryTrauma(Spine-Injuries,Fractures,Bleeding)TumorsDiscSurgery(herniatedvertebraldisc),Bipolarelectrosurgery,History2800BCFirstdescriptionaboutheatasatreatmentduringsurgery1870PhysicalBasicResearchesontheinfluenceofelectricitytohumanbodytissueUseofRedHotPlatinumWire1900ProducingofHF-current1930ESUwithhighvoltagetube1970ESUwithtransistors,Bipolarelectrosurgery,PrincipalUsedtostopbleedingduringtheoperationprocedure.ThetechniqueisnamedasBIPOLARProcedureiscalledCOACULATIONInternationalcolorcodeisBLUE,Bipolarelectrosurgery,EquipmentHF-Unite.g.GN060BipolarCablee.g.GN073BipolarInstrumente.g.GK770RAneutralelectrode,whichyouneedformonopolarHF-surgery,isnotnecessary!,unit,cable,instrument,Bipolarelectrosurgery,CoagulationProcessThetemperatureraisestoapprox.80CelsiusThecellwatervaporizesandthevesselshrinksAgglutinationcausedbycollagenstopsthebleedingBecauseofthetemperaturethevessels“coagulate”likeanegginhotfriedpan.,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,GN060MacroModefrom10to50WattMicroModefrom0,1to10Watt4MemoryButtonEasyUP-andDOWN-ButtonAccessories:Footswitche.g.GK226RemoteControlGN064Auto-Activation-OptionGN062,Manual:TA021243Catalogue:C30481,Bipolarelectrosurgery,Switchingon/off,Micro/Macrosettings,Switchautomaticmode/footswitchmode,Dosage:reduction/increase,Memory:Storageof4values,SocketforbipolarCablewithbananaplug,Socketforbipolarcable,Socketforfootswitch,Display,Bipolarelectrosurgery,BipolarForcepsYASARGILForcepsCASPARForcepsSINTRAMForcepsSpecialModelsAccessories:BipolarCablesAdaptersIrrigationunitSiliconTubes,Manual:TA009724Catalogue:C30481,Bipolarelectrosurgery,Increasedspringtension(comparedtoCasparForceps):forpreparationandspreadingoftissue!theusualchangeofforcepsisnotnecessaryTipsarerounded,grippingsurfaceisfinelyworkedSolid,yellowinsulationcoatingFamousmicroformdesign,YasargilForceps,Bipolarelectrosurgery,CasparForceps,PurecoagulationforcepsLowspringtension(comparedtoYasargilForceps)SlimanddelicateformInsulationbydoublecoatingForcepstipswithroundedpolishedsurfacesinordertoreducetissueadhesion,Bipolarelectrosurgery,SintramForceps,MostcommonforcepsPreciousmetaltipsHighconductivity,causedbySintram-alloy,leadstoSlowheatingupofforcepstipswhichReducesadherenceoftissueMediumspringtension,SpecialAlloy:Lessheatingupatthetipcausesthenon-stickingeffect.Sintramenablesa“heat-flow”fromthetiptotherestoftheinstrument.Thereforethetipstayslongercool.,Bipolarelectrosurgery,CoagulationPreparationRetractionGraspingIrrigation(Rinsingofbloodforvisualizationoffineanatomicstructures)ForusewithGN090JetIrrigationUnit,Clue:Theirrigationhelpstoavoidtissueadhesionduringsurgeryandclearsthefieldbefore,afterandduringcoagulation.,SpecialForcepsIrrigation/CoagulationForceps,Bipolarelectrosurgery,GN090unitforuseincombinationwithIrrigation/CoagulationForceps,AdjustableParameters:DropsizeDropfrequencyForusewiththeUnitGN060Accessories:FootswitchGN092PressureCuffGN093IrrigationTubesGN094(packageof10)ConnectioncableGN090830,Manual:TA021676Catalogue:C30481,Clever:Thesecondfootswitchallowstheforcepstoactasanirrigationcannula,enablingyoutocleanorexposewhenneeded.,Bipolarelectrosurgery,Switchingon/off,dropfrequency,dropfrequencyafteractivation,dropfrequencybeforeactivation,dropfrequencyduringactivation,dropsize,SocketsforHF-unitconnection,loadswitch,Modeselection,Bipolarelectrosurgery,CompleteSystem,Bipolarelectrosurgery,T-shapedtipForsafegraspingandcoagulationindeep-seatedoperationareasNoperforation/damageofdelicatewallofthepituitary,SpecialModels:T-ShapePituitaryCoagulationForceps,Bipolarelectrosurgery,SpecialModels:LandoltPituitaryCoagulationForceps,TubularShaftDesign(slidesbackandforth“)Graspingdespitenarrowapproachpossible!,Bipolarelectrosurgery,SpecialbipolarForcepsforTumorResectionRingShapedtipsDifferentdiameterYASARGILDesignorIrrigationModel,SpecialModelsRingCoagulationForceps,Bipolarelectrosurgery,StraightdesignBlackInsulationDifferentLengthsDifferentforcepstipsMediumSpringTension,SpecialModelsMicro/StandardCoagulationForceps,Bipolarelectrosurgery,Cables,SingleUseCableGK211NocleaningandsterilizationisrequiredBananaplug10cablesperbox,SterilepackagingReusableCableForAesculap,Martin,WolfunitsForCodman,ValleylabandOlympusunitsForErbeandStorzunitsForBowa,Sring,Lamidey,EMCConmedunits,ForAesculapTabConnectorandUS-roundpin,CatalogueC30481,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,RepairofdefectunitsatAesculapTechnicalServiceProvisionofdifferentaccessoriescompatibletocompetitiveHF-productsProvisionofworkshopunits(alsoforhospitalsasreplacementduringtherepairofanunitatAesculap)Provisionofsamplesforcongresses/exhibitionsInstructionsforuse/servicemanuals(availableintheextranet),Service,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,EstimatedNEUROTOTALMARKETVOLUMEforBipolarsurgery:approx.45Mio.Euro33%-units(approx.15Mio.)66%-ForcepsandCables(approx.30Mio.),Pie-Chart:estimatedmarketshareforBipolarBusinessworldwide,Bipolarelectrosurgery,Since2000wehavesoldover60000BipolarForcepsworldwide!TOP10countries2005,piecesexTUT1.Japan:1,3332.Germany:1,1333.China:11304.USA:9185.Italy:6016.Turkey:5377.France:2718.UK:2569.Austria:25010.India:236,TotalSalesin20054000000,Bipolarelectrosurgery,AnatomyIndicationProductServiceMarketCompetitionMethodology,Bipolarelectrosurgery,Fehling,Sutter,Codman,Kirwan,Integra,ERBE,Bissinger,Valleylab,VMller,www.fehling-instruments.de,www.erbe-,egra-,Bipolarelectrosurgery,ISOCOOLForceps24exchangeabletips,8”,8.5”,8.75”,10”MALISForceps23MalisForcepsIrrigationForceps44differentspatterns(Malis,Rhoton,Yasargil,Hardy)SmalltipForceps37patternsunder0.5mmALLOYoftenTitaniumIntotal165Forceps,96areTitaniumForcepsAlwaysthesamespringtensionSpecialpatternsDifferentpatterns:Adson,CoaptationorJewelerstype,ADSON-Form,Malis-Forceps,Bipolarelectrosurgery,RugglesApfelbaumSurgicalInstrumentsRugglesMicrosurgicalBipolarForcepsIrrigationForceps27differentpatterns(Hardy/Yasargil)RoundhandledForceps24differentpatternsALLOYoftenTitaniumIntotal144Forceps,42areTitaniumForcepsSpecialitiesNotinsulatedForceps(17patterns),angledtips(39patterns),Bipolarelectrosurgery,GoldStandardforBipolarElectroSurgerywithinNeurosurgeryintheUSA.,uniquepatentedwaveformwhichreducesstickingandextendstheforcepslife.tw

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