Product Portfolio Overview 2018

Transcription

1 Product Portfolio Overview 2018

2 Presentation Overview Company History Overview Holding & Positioning Devices Laparoscopic Instrumentation Open Surgery Products Mediflex Resources

3 Corporate Timeline

4 Why Mediflex Mediflex Surgical Products is a leader in the design, manufacturing, and distribution of surgical devices including Laparoscopic Holding & Positioning Devices, Laparoscopic & Table-Mounted Retractors, and Instruments for General Laparoscopic and Bariatric Surgery. Our innovative line of surgical devices ensures that you will have the instruments you need, when you need them. Holding Arms & Positioners The gold standard for Surgical Holders and Positioners in laparoscopic surgery Laparoscopic Surgical Instruments The industries most comprehensive source for durable, reliable and innovative instruments Laparoscopic Disposable Products Cost effective reposable and disposable Laparoscopic Devices for surgical professionals Table Mounted Retractor Systems Uniquely engineered Table Mounted Retractor Systems used by medical professionals worldwide

5 Holding & Positioning Devices PRODUCT LINE OVERVIEW

6 Surgical Holding & Positioning Arms BENEFITS OVERVIEW FlexArm TM PLUS OR efficiency; saves time and labor Can be used to free up OR personnel for other tasks Stable image reduces procedure time Superior viewing, precision and safety Gives surgeons precise control over the position of cameras, retractors etc. Eliminates movement and fatigue of human holders May prevent work-related injuries (ie back aches) Easily conforms to virtually any necessary position Reduction in organ trauma associated with hand held retraction Reduced endoscope tip cleanings StrongArm TM Versatility Attaches easily and securely to OR Table, no tools required Can hold a wide variety of scopes and instruments Available in a variety of system/set-up configurations

7 FlexArm TM PLUS PRODUCT FEATURES / APPLICATIONS Single FlexArm TM Provides static image required by all surgeons Ability to make adjustments intra-operatively when arm is tensioned Twin FlexArm TM System Monolithic FlexArm TM One-piece system with built in Rail Clamp Low profile handle remains vertical to prevent field interference Easy, quick to set-up. Few handle turns to go from loose to rigid Holds virtually any instrument, retractor or scope Wear resistant, extended product life Combo StrongArm TM FlexArm TM System Ideal for holding devices that need to be occasionally moved or repositioned during surgery; Laparoscopes Fundus graspers in lap-chole Bowel Grasper in Urological cases Kidney Retraction Uterine Manipulators Fatty tissue or other retraction requirements

8 FlexArm TM PLUS STERILE DRAPING INSTRUCTION Mediflex arms applicable to sterile draping FlexArm TM Plus Systems QC Monolithic FlexArm Plus, QC Hex Fitting QG5 Monolithic FlexArm Plus, 5mm Quick-Grip Tip QG10 Monolithic FlexArm Plus, 10mm Quick-Grip Tip QC Univ. Single FlexArm Plus System, QC Hex Fitting QCLR Univ. Single FlexArm Plus System, Long Reach, QC Hex Fitting QC-BSO1 Univ FlexArm Plus only, w/distal Swivel Opt, QC Hex Fitting Long Reach Monolithic FlexArm Plus, QC Hex Fitting StrongArm TM Systems LP StrongArm Single Arm Front-Mount, QC Fitting, Long Post SA StrongArm Single Arm, w/short Distal Arm, QC Fitting, Rail Clamp TM StrongArm Top-Mount Single Arm, QC Fitting, Rail Clamp StrongArm, Single Arm, Front Mount, QC Fitting, Rail Clamp StrongArm, Cvd Post Sys, Short Distal Arm, QC Fitting, Rail Clamp Top Mount Strong Arm Plus Single Arm, QC Fitting, Rail Clamp

9 FlexArm TM Plus Twin Laparoscopic System PRESS RELEASE / VIDEO / BROCHURE

10 FlexArm TM USER GUIDE Plus Twin Laparoscopic System

11 FlexArm TM TALKING POINTS Plus Twin Laparoscopic System No other company has this surgical holding and positioning system. Mediflex has been the pioneer and market leader in flexible surgical arm technology worldwide for 50 years. Versatile system to accommodate an array of procedures in multiple specialties. Recent advances in the FlexArm Plus technology permit greater holding strength for effective, atraumatic liver retraction, ergonomic handles, more rapid set-up and tightening of the arm and increased durability for a longer life. The System offers maximum efficiency for a more fluid surgery and operating room environment which reduced procedure time. The image is completely static throughout the procedure which provides optimal viewing, particularly with 3D/4D technology. Less scope cleanings compared to assistant holder. The surgeon can make incremental adjustments to the arms for repositioning the endoscope or manipulating the retractor for better field viewing or to permit venous circulation during lengthy retraction of the liver. Permits solo-surgery. Staff can be performing more functional activities. Residents can be more engaged in learning rather than concentrating on holding scope or retractor. Simple set-up, cleaning and sterilization procedures.

12 StrongArm TM PRODUCT FEATURES / APPLICATIONS Field Post mount for height adjustability Twin arm system Top mount with Bookler Clasper Holds virtually any instrument, retractor or endoscope Single tensioning, ergonomic knob locks/unlocks all three joints simultaneously Quick-Connect tip for versatility of adding various distal tips Wide variety of configurations; Top Mount, Front Mount, Short Arm and Goose Neck For use in both open and laparoscopic procedures Maximum holding capability, ideal for; Liver Retraction for Bariatric patients including: Sleeve Gastrectomy,Gastric Bypass, Lap banding Liver Retraction Nissen Fundoplication Colectomy Bowel retraction Robotic procedures Front mount StrongArm PLUS with Universal TMR

13 Surgical Holding & Positioning Arms TIPS AND RAIL CLAMP Quick -Connect Tip Distal Tip Options Quick-Connect Hex Fitting Fixed or non-fixed; Arms can be ordered with fixed tips Various configurations to hold virtually any instrument, retractor or endoscope Quick-Grip Tip 5mm Quick-Grip Tip 10mm Stainless Steel Tip mm Delrin Tip mm XL Tip mm - Automatic holding - Atraumatic grip, can prevent scope damage -Adjustable holding -For oversized or odd shaped holding requirements Rail Clamp Heavy Duty Rail Clamp Fits all standard OR tables Prevents rotation of arm post

14 Nathanson Retractor Systems FEATURES / BENEFITS Widest variety on the market, 3 dia. options Used in Bariatric and GERD procedures Percutaneous Reduces lateral trocar StrongArm TM Long Reach Nathanson System Eliminates the need of assistant to hold the liver retractor - FlexArm TM Plus Nathanson System Reduced trauma compared to hand-held Hexagonal lock virtually eliminates retractor slippage and rotation Versions with extended distal tips for thicker abdominal walls

15 FlexArm TM Plus ROBOTIC-ASSISTED SURGERY Maximum surgical efficiency Reduces procedure costs Rapid set-up, flexible positioning; FlexArm does not block or hinder robotic arm movement Eliminates staff member, especially during Whipple and lap. hysterectomy procedures Atraumatic, static retraction of organs Complimentary instrumentation and accessories FlexArm Plus holding Lapro-Flex Retractor; used to push the left liver lobe out of the way in upper GI surgery FlexArm Plus holding uterine manipulator in GYN procedure

16 StrongArm TM ROBOTIC-ASSISTED SURGERY Robotic Sleeve Gastrectomy Dr. Candice Silverman

17 Nathanson Hook Retractors CLINICAL APPLICATION TIPS 1 2 Tips for installing Hooks: Establish visualization with a laparoscope. Make 90 degree percutaneous incision with 5mm trocar, 2 fingers left of the mid-line sub-xiphoid. Surgeon can feel for the edge of the liver before making puncture (1) Expand the hole with forceps to create a direct access point for the hook into the ab. cavity (2) Remove the trocar, the hook will be inserted percutaneously Insert the Hook with the neck perpendicular to the patient torso (3-4) Slide the Hook underneath the liver (5) 3 Tips for utilizing the FlexArms (6): Bring the FlexArm closest to the patients head towards the proximal end of the Hook. Slide the hexaganol Hook end into the distal end of the FlexArm and lock. Proceed to tighten the FlexArm cable from the large handle at the proximal end. If using a Twin FAP System, bring the second FlexArm and attached the arm (with the already attached 72162) and connect to the laparoscope. Tighten the large handle at the proximal end. 4 5 Benefits: Reduction of two assistants (one for liver retractor and one for scope management) Surgeon has a controlled operating atmosphere (as seen in the video). Atraumatic Liver retraction (as opposed to fan retractors or hand held retraction) FlexArm creates a static monitor view while allows the surgeon to adjust the scope incrementally without having to untighten the arm. Arm allows the surgeon to lower the liver for venous flow in longer cases. Use of Nathanson Hook reduces the need for a lateral port (cost savings for hospital). Hook design allows for the entire surface of the liver to be lifted, hence giving optimal vision of the esophagus and stomach. 6

18 Nathanson Hook Retractors NEW ROBOTIC HOOKS Shortened proximal end shaft permits lower positioning of StrongArm to eliminate Robot interference Standard Shaft, 18cm XL-R12 Robotic Shaft, 12cm XL-R6 Robotic Shaft, 9cm NEW PRODUCTS Ref. No XL-R9 Ref. No XL-R12 Medium 6.5mm Nathanson Retractor, Long Tip, Robotic Shaft 9cm Medium 6.5mm Nathanson Retractor, Long Tip, Robotic Shaft 12cm

19 Nathanson Hook Retractors FEATURES / CONFIGURATIONS The unique shape makes the Mediflex Nathanson Hooks the only device that can retract the entire liver. Quick -Connect feature accommodates of all Mediflex Holders and Positioners. Extra Small, 5mm hook is perfect for Pediatric G.E.R.D. procedures such as Nissan REF NO DESCRIPTION APPLICATION Small, 3.0mm Extra Small, 5.0mm Small, 5.0mm Medium, 5.0mm Large, 5.0mm Set of 5.0mm: S,M,L GERD C* Medium, 6.3mm GERD / Bariatric Small, 6.5mm Medium, 6.5mm Large, 6.5mm Set of 6.5mm: S,M,L XL XL XL XL-R XL-R12 Med, 6.5mm,1.9cm Long Tip Lg, 6.5mm, 1.9cm Long Tip Set of 6.5mm: S, XL-M, XL-L Med. 6.5mm, 1.9cm Long Tip, 9cm Shaft Med. 6.5mm, 1.9cm Long Tip, 12cm Shaft Bariatric procedures For thicker abdominal walls Robotic-Assisted * Original (Cook Medical) version

20 Surgical Holding & Positioning Arms STERILIZATION TRAYS / CONTAINERS Wide variety of container systems to accommodate all Mediflex products Wrapable Sterilization Trays Components and accessories

21 Universal Stabilizer Arm / CardioFlex TM Retractors NEW PRODUCTS CardioFlex TM Retractors 2 Finger, Short MF-CFR-2S 3 Finger, Short MF-CFR-3S 2 Finger, Long MF-CFR-2L Industry leading, proprietary flexible/locking arm technology Low-profile to optimize surgical field viewing 3 Finger, Long MF-CFR-3L Reusable, wear-resistant design Clamp housing enables easy attachment to other platforms Ergonomic handle designed to tension arm with minimal turns Quick-connect tip for rapid accessory attachment

22 Universal Stabilizer Arm / NEW CardioFlex PRODUCT TM Retractors ORDERING GUIDE REF NO L MF-CFR-2S MF-CFR-3S MF-CFR-2L MF-CFR-3L DESCRIPTION Universal Stabilizer Arm - Standard 6 3/4 (17cm) Arm Length Universal Stabilizer Arm - Long 9 (22.5cm) Arm Length CardioFlex TM Retractor - 2 Finger, Short 2 1/8 (5.4cm) L x 1 3/8 (3.5cm) W, Shaft Length 1 ¼ (3.2cm) Disposable, 5 per Box CardioFlex TM Retractor - 3 Finger, Short 2 1/8 (5.4cm) L x 2 3/8 (6cm) W, Shaft Length 1 ¼ (3.2cm) Disposable, 5 per Box CardioFlex TM Retractor - 2 Finger, Long 3 1/2 (8.9cm) L x 1 3/8 (3.5cm) W, Shaft Length 1 ¼ (3.2cm) Disposable, 5 per Box CardioFlex TM Retractor - 3 Finger, Long 3 1/2 (8.9cm) L x 2 3/8 (6cm) W, Shaft Length 1 ¼ (3.2cm) Disposable, 5 per Box

23 Laparoscopic Instrumentation PRODUCT OVERVIEW

24 Lapro-Flex Articulating Retractors FEATURES / BENEFITS Reusable articulating technology used to retract organs and structures in laparoscopic procedures Innovative tip design ensures minimally space is required inside the abdomen to form the retractor shape Easy activation using actuating knob until shape forms completely Triangle Base Finger Style Full range of tip configurations REF. NO. DESCRIPTION Atraumatic tip and shaft High precision machining to ensure flexible joints retain original integrity Very low incidence of cable breakages Finger Style 90 degrees, 38cm mm Triangle Base, 32cm A 60mm Triangle Base, Angled, 32cm mm Triangle Base, 32cm A 80mm Triangle Base, Angled 32cm Validated cleaning / sterilization protocol

25 Lapro-Flex Articulating Retractors OPPORTUNITY Ethicon/J&J disposable Goldfinger Endoscopic Dissector (Product Code GOLD1) IS NO LONGER AVAILBLE Opportunity to promote/sell Mediflex s Finger-Style Lapro-Flex Ref. No (shown above) WHY MEDIFLEX Reusable, durable, cost-effective Articulating technology used for dissection and retraction in laparoscopic procedures Easy activation using actuating knob for tip manipulation Atraumatic tip and shaft 90 degree articulation, 38cm shaft length

26 Needle Holders PRODUCT LINE OVERVIEW Modular Laparoscopic Needle Holder 3 pieces, easier to clean and sterilize compared to single piece instruments Lightweight, ergonomic handle Insert allows for variable tip positioning On/Off ratchet for needle stability For large sets, fewer complete instruments; dramatic cost savings Cost-effective compared to disposable instruments

27 Needle Holders PRODUCT LINE OVERVIEW Laparoscopic Needle Holder Simple, one-piece instrument Stainless steel axial handle On/Off ratchet handle Flush port for cleaning

28 Cutting Edge TM FEATURES / BENEFITS Disposable Tip Instruments Ratchet Handle Safety Features Innovative design with ball and socket AND threads to prevent inadvertent detachment A hard silicone insert isolates metal threads to eliminate tissue contact to help prevent electrosurgical injury Sharp, sterile tip for every procedure Easy assembly Reusable, Lightweight Handle and Shaft Superior Shaft and Tip insulation Assortment of tip configurations; Scissors, Dissector, Grasper Ratcheted and non-ratcheted Handles with Cautery Post Shafts sizes; 33cm and 45cm lengths

29 Deluxe Modular Instruments FEATURES / BENEFITS Insert Shaft Interchangeable Handles, Shafts and Inserts RELIEF, Ratcheted/non-ratcheted Handles Shafts available in 36 and 45cm lengths; 26cm available upon request 40 different configurations of inserts/tips Easy to clean, assemble and sterilize Three simple steps securely assembles the system Can be pre-assembled prior to sterilization Color Ring Non-Ratchet Handle Ratchet Handle Instruments can be color coded Five color coded nose cone bands available Can identify type of instrument, procedure set or surgeon Low cost per procedure

30 Pivotable thumb ring RELIEF TM Patent Pending ERGONOMIC HANDLE INSTRUMENT

31 RELIEF TM TM OVERVIEW Ergonomic Laparoscopic Handle A simple yet effective solution to address muscle tension and chronic symptoms caused from endoscopic instrumentation use Addresses repetitive motion injuries experienced by laparoscopic surgeons Thumb ring of Relief Handle pivots and adapts to the thumbs movement in all directions The thumb can follow its natural sequence of movements Surgeon has less stress with grasping movements Tension on all muscles of the hand, arm and shoulder is eliminated Through relaxed motion sequences, tactile perception is dramatically increased

32 RELIEF TM TM OVERVIEW Ergonomic Laparoscopic Handle Problems with conventional endoscopic instrument handles Rigid pistol handle is widely used and resembles a scissors grip which restricts the hand s natural movement dramatically. Open/close feature is controlled by the thumb and middle finger. The finger rings force the thumb into a unnatural posture when making a gripping motion. Extensive muscle tension of the hand, arm and shoulder results from repetitive gripping motions. Thumb saddle joint experiences mechanical stress which results in chronic, painful inflammation.

33 RELIEF TM TM Ergonomic Laparoscopic Handle INSTRUMENT COMPATIBILITY Cutting Edge TM Disposable Tip Laparoscopic Instruments Deluxe Modular Laparoscopic Instruments

34 RELIEF TM TM Ergonomic Laparoscopic Handle SUMMARY OF BENEFITS Thumb ring of Relief Handle pivots and adapts to the thumbs movement in all directions The thumb can follow its natural sequence of movements Surgeon has less stress with grasping movements Tension on all muscles of the hand, arm and shoulder is eliminated Through relaxed motion sequences, tactile perception is dramatically increased

35 TM Modular III Basic Laparoscopic Instruments PRODUCT LINE OVERVIEW Insert Tip Shaft Handle Economical line of 3-piece laparoscopic instruments Available as complete instruments or components Wide insert/tip pattern selection 33cm Shafts in 5 or 10mm dia.; 45cm Shaft in 5mm dia. 360 Rotatable Shaft Durable handle with monopolar post

36 Specialty Instruments FEATURES / BENEFITS Wave Grasper Retraction Grasper Slide-Lock Graspers Attraumatic tissue grasping and retraction Reliable and durable jaw control Finger tip rotation for optimal one-hand operation Multiple configurations; Single/Double Action Jaws Knot Pushers Multi-purpose, also used as palpation probe 5mm dia, 26cm or Anvil 33cm lengths Graspers Depth markings One-piece w/ Ratchet Handle Flush Port Anvil Grasper One-piece Instrument with flush port 360 rotation knob Ratcheted handle to lock jaws in place

37 MicroGrip TM Ratcheting Graspers FEATURES / BENEFITS -AVafJA Designed to secure and manipulate soft tissue and organs percutaneously during traditional and singleport laparoscopic procedures Alligator Grasper Laparoscopic or percutaneous; 2.7mm dia, 28cm long Ratcheted handle, one-hand operation Bowel Grasper Eliminates need for additional trocar and suture closure of incision Blunt dissecting tip Clutch Grasper Multiple jaw/tip configurations Reposable, steam autoclavable

38 Lap-Rack TM FEATURES / BENEFITS Convenient laparoscopic instrument and accessory holding system Holds all standard laparoscopic instruments 3mm-12mm dia Provides surgeon immediate access to instruments, minimizes instrument exchanges with surgical tech Cantilever-style rack attaches directly to the surgical table rail Enhances cord management by holding cautery handpieces, suction/irrigators and the harmonic scalpel

39 Laparoscopic/Perc Closure Devices PRODUCT FEATURES & BENEFITS Suture Grasper Closure Device Suture Grasper Guide Top views 2 Guide Holes Rigid introducer for passing sutures through all tissue layers Supplied sterile, disposable, 10/bx Cone shaped guide for closure of laparoscopic port sites Stainless Steel, reusable 4 Guide Holes Enables surgeon to rapidly close each laparoscopic port or incision securely and safely Simple, efficient single-hand function Accommodates any suture size Cost-effective design permits multiple site closure with a single device, per procedure 3 configurations for different port diameters; 10mm, 10/12mm, 15mm Accurately angles the Suture Grasper Closure Device to capture all tissue layers for full closure of fascia and peritoneum Prevents loss of pneumoperitoneum during port site closure

40 NEW Suture Grasper Device PRODUCT FEATURES & ORDERING INFO SafePass TM Protects against needle injury Product Code: Ref. No. D2001 RSG-14SP Sterile, Disposable 10/Bx Large spring jaw Innovative, patent pending tip design to increase patient safety against needle injury Spring-loaded blunt stylet springs forward rapidly and smoothly once peritoneal cavity is entered Unique grasping channel Unique grasping channel with spring jaw provides atraumatic suture retrieval Blunt retractable safety tip protects anatomy Prevents suture fraying and breakage during application Suture held securely in place

41 Suture Grasper Device APPLICATIONS VENTRAL HERNIA MESH FIXATION Allows the surgeon to temporarily fixate the mesh corners or center prior to final placement; prevents mesh migration PORT CLOSURE Without extending the incision, enables the surgeon to rapidly close each laparoscopic port securely and safely while pneumoperitoneum is maintained ORGAN ANCHORING Facilitates percutaneous anchoring of organs PERCUTANEOUS SUTURING Excellent choice in any procedure requiring percutaneous suturing in lieu of utilizing an additional trocar VESSEL LIGATION Tying a knot around a bleeding vessel too large to coagulate can provide effective hemostasis

42 Suture Grasper Device & Guide CLINICAL FOOTAGE Trocar Port Closure Suture Grasper Port Closure Outside View Suture Grasper Port Closure Inside View /watch?v=hcrpv_izqqk atch?v=mgjgldwmpv8

43 TM Cholangiography Devices PRODUCT LINE OVERVIEW Product Code D1004 Metal tapered tip is easily inserted and fixated in cystic duct Product Codes D1005 / D1006 Rapid set-up, tapered tip provides easy access and duct insertion Metal catheter tip allows for tactile feedback and prevents catheter collapse Clip is secured behind rigid, bulb-shaped tip preventing withdrawal and extravasation during contrast injection Clip is secured without collapsing catheter or contrast extravasation Accommodates all cystic duct sizes Traditional port insertion or percutaneous approach

44 TM Disposable Cholangiography Catheters PRODUCT LINE OVERVIEW Mediflex offers a variety of solutions to perform rapid, safe and effective intraoperative cholangiograms and common bile duct exploration. Product Code: D (40.64cm) flexible catheter with metal tip, for open or laparoscopic use 14g radiolucent percutaneous Introducer Sterile, 10 per box Product Code: D (27cm) rigid catheter for port or percutaneous use Angled for ease of insertion into the cystic duct, particularly in a lateral approach Product Code: D g radiolucent percutaneous Introducer Sterile, 10 per box 13 (33cm) rigid catheter for use through a 5mm port Angled tip for ease of insertion into the cystic duct, particularly in a lateral approach 5mm radiolucent Introducer Sheath with gas seal Sterile, 6 per box Accessory MicroGrip TM 2.7mm Percutaneous Ratcheting Grasper / Retractor A reposable instrument which eliminates a port - used for retraction and stabilization during cholangiogram and cholecystectomy Alligator Grasping Jaw Ref. No A

45 TM Liquid Scope Warmer PRODUCT LINE OVERVIEW Easy to use pre-surgical Scope Warmer activates in seconds. Quickly warms laparoscopes and endoscopes to body temperature, greatly reducing fogging during procedures. Snap closures Activation disk Simple activation by bending metal disk to start warming action Warms scopes within 2 minutes Disposable, sterile packaged - single-use. Latex,DEHP, and alcohol free Inexpensive, cost-effective Ref. No per box, Sterile Accommodates most scope diameters

46 Versa Lifter Band NEW PRODUCT Internal, Dynamic Liver Retractor Hands-free solution for optimal surgical field exposure Atraumatic, cushioned liver suspension with adjustable distance and angle of retraction Eliminates port dedicated for retraction saving time and money Fully compatible with robotic procedures Easy, rapid set-up REF. NO. DESCRIPTION UOM VBN10A05 Versa Lifter Band 5cm Needle 5 / Box VBN10X05 Versa Lifter Band 6.5cm Needle (for bariatric or thicker abdominal wall) 5 / Box

47 Versa Lifter Needle NEW PRODUCT Internal, Dynamic, Hands-Free Retractor Hands-free solution for optimal surgical field exposure Dynamic suspension with adjustable distance and angle of retraction Eliminates port dedicated for retraction saving time and money Fully compatible with robotic procedures Two needle lengths to accommodate different abdomen thicknesses Easy, rapid set-up REF. NO. DESCRIPTION UOM VN10A05 Versa Lifter Needle 5cm Needle 5 / Box Versa Lifter Needle is highly effective to suspend the following organs; - Peritoneum - Colon - Stomach - Gallbladder - Bladder CHOLECYSTECTOMY COLECTOMY VN10X05 Versa Lifter Needle 6.5cm Needle (for bariatric or thicker abdominal wall) 5 / Box - Bowel

48 TPEA Lifter NEW PRODUCT Internal, Dynamic, Hands-Free Retractor Hands-free solution for optimal surgical field exposure Dynamic suspension with adjustable distance and angle of suspension Ideal for uterine suspension or sigmoid retraction in lower pelvic surgeries Eliminates port dedicated for retraction saving time and money Fully compatible with robotic procedures Easy, rapid set-up REF NO DESCRIPTION UOM TPL5A180-B10 TPEA Lifter 5cm Needle, 18cm Suture (use with min. 5mm port) 10 / Box TPL5X180-B10 TPEA Lifter 6.5cm Needle, 18cm Suture (use with min. 5mm port) (for bariatric or thicker abdominal wall) 10 / Box TPL10A180-B10 TPEA Lifter 5cm Needle, 18cm Suture (use with min. 10mm port) 10 / Box

49 Open Surgery Products PRODUCT LINE OVERVIEW

50 Table Mounted Retractor Systems PRODUCT LINE OVERVIEW Bookler / Mini-Bookler Systems Field Post mount Tilt Ratchet Segmented Oval and Solid Round Rings Multiple system configurations Procedure specific systems or individual components for custom system, add-on or replacement Multiple mounting options Field / Table Post (standard or Elevator) or StrongArm Plus StrongArm TM Plus for flexibility of movement and eliminating post interference Assorted frame options Solid, Segmented, Split Rings, Segment components Various Ratchet Mechanisms Mini-Bookler System on StrongArm TM Mini-Bookler System Pediatric/adolescent and minimally invasive procedures

51 Table Mounted Retractor Systems PRODUCT LINE OVERVIEW Herbert Dardik, MD Dardik Mini-Bookler Carotid Endarterectomy Retractor System Eliminates hand-held retraction with its inevitable tremor Unlike Weitlaner Retractors, it can lift upwards & outwards creating unparalleled exposure Particularly valuable in difficult patients: short or bull necks, barrel chest, high lesions etc. Facilitates high exposure by having stable retraction and no tremor Ring notches hold Vessel Loops with or without clamps The Retractor is affixed to the OR table, not the patient Mini Twist Ratchet allows very precise retraction watch?v=fyiyzfzlzmg

52 Table Mounted Retractor Systems PRODUCT LINE OVERVIEW Mini-Bookler for Pediatric Urology atch?v=epnc4ljxaes

53 Table Mounted Retractor Systems PRODUCT LINE OVERVIEW Field Post, Horizontal Arm and Coupler Universal Round Bar TM Systems Easy Snap Clamp Multiple mounting options Field/Table Post (standard or Elevator) or StrongArm /StrongArmPLUS Various frame configurations One-piece with integrated Horizontal Bar, Hinged Cross Bar, Angled Arms, Flexible Bridge Quick & easy Snap Clamps Bilateral System for liver transplant, upper abdominal and bariatric surgery StrongArm TM PLUS Bilateral System

54 Retractor Blades PRODUCT LINE OVERVIEW Extensive line of blade configurations Standard and custom blades available for Mediflex Bookler, Universal Round Bar as well as other industry retractor systems such as Thompson, Omni-Tract and Bookwalter. Malleable blades with protected, attraumatic edge Swivel Blades Blade bending tool For Malleable blades Protective edge on Malleable blades Blade Bender

55 FlexGuard TM FEATURES & BENEFITS Open hexagonal cushion serves as a shock absorber Groove for targeted cushion orientation 5mm thick silicone aids in protection of tissue planes Disposable, sterile accessory for selfretaining or manual surgical retractor blades Provides targeted protection from trauma/compression injury to vessels, nerves and organs during pelvic surgery Easy to apply to retractor blades to increase patient safety Remains on the blade throughout the surgery saving OR time Eliminates the need for laparotomy pads/sponges thereby reducing incidence of post-op adhesions

56 FlexGuard TM Retractor Blade Cushion OVERVIEW Sterile, disposable FlexGuard is adhered to any blade with cushion oriented for maximum protection FlexGuard remains on the blade and won t shift intra-operatively Bulky sponges hinder visualization, dry tissue, shift resulting in ineffective protection and may cause post-op adhesions Tissue remains healthy after hours of retraction with a FlexGuard protected blade Tissue damage resulting from retractor blade without FlexGuard

57 FlexGuard TM SUMMARY OF BENEFITS Effective - Saves Time The adhesive attachment of FlexGuard TM to the retractor blade ensures targeted protection throughout the surgery. Lap pads are difficult to place properly and tend to move. In addition, they are usually ineffective and need to be checked periodically which increases surgical time and presents challenges. Patient Safety FlexGuard TM applied to any retractor blade will protect vessels and nerves as well as reduce risk of injury to the liver and other organs. Used in place of lap pads and sponges, FlexGuard TM eliminates associated foreign debris, thus post-operative issues. Improved Exposure The low profile FlexGuard TM is applied in line with the blade curvature essentially becoming part of the blade. Lap pads or sponges are bulky and can obstruct the surgical field. Better Outcomes FlexGuard TM may reduce post-operative inflammation, adhesions, neuropathies and chronic pain which will result in earlier ambulation, better diet tolerance overall a more rapid recovery requiring less pain medication with a higher rate of patient satisfaction.

58 Accessories PRODUCT LINE OVERVIEW Flex-Light Malleable Fiber Optic Light Pipe Attaches to Table Mounted Retractor Systems to provide light into surgical field Supplied with adaptors for Storz/Olympus, ACMI fiberoptic cables

59 Neurosurgical Retractor System PRODUCT LINE OVERVIEW TM Davida Neurosurgery System Advanced Retractor and Hand Stabilization System Flexible holding arms for adjustable retractor and instrument positioning Ergonomic handrests to minimize fatigue and tremor Instrument holder to reduce instrument exchange Available in Stainless Steel or Titanium Designed by I.M. Greenberg, MD and Mediflex s Founder, David T. Adler, inventors of the original Greenberg System

60 Surgical Stays Ref. No. 4012B Ref. No. 4005S Ref. No. 4005B Surgical Stays, 12mm Blunt Hook Surgical Stays, 5mm Sharp Hook Surgical Stays, 5mm Blunt Hook Sterile, Disposable 4 Stays per pk, 5 pks per box

61 Retractor Ring Product Line NEW PRODUCT VersaTrac TM Retractor Ring offers Versatile retraction opportunities: Ref. No HP Self-Retraining Retractor Ring (Ref. No without Hex Post) Retractor Ring stabilized with FlexArm TM or StrongArm TM (for procedures where ring must be elevated from patient ie: thyroid surgery - Ref. No with Hex Post) Retraction using Surgical Stays Retraction using Bookler Ratchets and Retractor Blades Ref. No VersaTrac TM Retractor Ring Ref. No Ref. No HP VersaTrac TM Retractor Ring, Hex Post Other configurations coming soon

62 Disposable Light Cartridge NEW PRODUCT Provides light within the surgical area Adheres to malleable retractor blades On/Off button Won t heat-up Adhesive Backing ON/OFF Button

63 Mediflex Resources Website / Intranet Interactive Website Access full product line with images and specifications - Search by procedure or Ref. No. via search box. - Extensive line of blade configurations Password protected Intranet - Access all literature - Access primary regulatory documents - Instructions For Use (IFU) - Educational resources

64 Mediflex Resources Facebook / YouTube Facebook Page Posting of clinical use of Mediflex products - Announcement of exhibitions and educational opps - PLEASE SEND US CLINICAL IMAGES with brief description to Joan s cell via text or WhatsApp: Mediflex YouTube Channel Key product/procedure video footage - Announcement of exhibitions and educational opps

65 Mediflex Resources Literature / Order Form

66 Mediflex Resources Organization Support Team Product Management / Marketing Joan Carter x326 jcarter@mediflex.com V.P. / International Sales Manager Daniel Adler x343 dadler@mediflex.com Regulatory Manager Keith Donaldson x345 kdonaldson@mediflex.com Customer Svc / Sales Support Nicole Ellis Stephanie Soliman Kyle Cosgrove orders@mediflex.com

67 THANK YOU