Symmetry Surgical Ligation Solutions

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Ligation Solutions

Symmetry Surgical Ligation Solutions Advanced Design, Reliable Results Symmetry Surgical is proud to bring you ligation solutions that are clinically and economically advantageous. Vesolock Polymer Ligation System Advanced polymer clip design Vesocclude Titanium Ligation System Advanced titanium clip design Vesolock VersaPak Sterilization Solutions for both 33 cm and 45 cm appliers 2

Table of Contents 4 8 Symmetry Surgical Vesolock Polymer Ligation System Vesolock Applier Program 9 Symmetry Surgical Vesocclude Titanium Ligation System 13 Vesocclude Applier Program 14 Sterilization Solutions Vesolock VersaPak 3

Introducing Vesolock Polymer Ligation System Enhanced clip design Additional teeth for increased security Designed for effortless clip loading Haptic feedback when closed 4

Vesolock Polymer Ligation System Advanced Clip Design Polymer locking clips are designed to provide security on vessels and reduce lateral clip slippage. Smooth v-shape tips designed for easier closing/latching Well-defined teeth engineered to provide enhanced grip. Polymer clips are engineered to help eliminate thermal damage caused by energy-based ligation devices. More defined edges to push through connective tissue. Appliers are engineered for security, and help eliminate clip fallout. Fingers guide applier for easy clip loading. Cartridge system contains barium to improve detection. Adhesive tape on base allows adherence to any sterile surface. Large base with deep side grooves make handling easy. Cartridges are color coded to match appliers, designed to ensure proper loading and clip placement. Available in packages of 6 for economical use. 5

Vesolock Polymer Ligation System Versatile Appliers for Open and Endoscopic Procedures Endoscopic Appliers Minimally Invasive: Comes in 5mm and 10mm options. Available for medium-large, large and extra large clips, in 33cm and 45cm lengths. Ease of Use: Color coded appliers to correspond to appropriate clip. Security: Reinforced shaft to ensure secure placement of clip in applier jaws. Cost Savings: Manual ligation can provide significant cost savings. Open Appliers Improved Handling: SureGrip Design and flexible hinge. Versatile: Open appliers designed for easy cleaning, providing easy access to the box lock. Open Applier Protection Plan All open appliers have a limited lifetime warranty. Appliers will be repaired or replaced at no charge. SureGrip grooved shanks designed to improve handling for the surgeon. 6

Vesolock Polymer Ligation System Sizing Chart: Vessel/Tissue Bundle Diameter Medium Large 3-10 mm Large 5-13 mm Extra Large 7-16 mm Polymer Ligating Clips Part Number Clip Size Clips/Cartridge Cartridges/Box 51114V Medium Large 6 14 61114V Large 6 14 71114V Extra Large 6 14 Open Surgical Ligating Appliers Part Number Clip Size Length SureGrip Jaw Type 71582V Medium Large 8 (20cm) Yes Curved 71587V Medium Large 8 (20cm) Yes 70 71512V Medium Large 11 (28cm) Yes Curved 71517V Medium Large 11 (28cm) Yes 70 71682V Large 8 (20cm) Yes Curved 71687V Large 8 (20cm) Yes 70 71612V Large 11 (28cm) Yes Curved 71617V Large 11 (28cm) Yes 70 71712V Extra Large 11 (28cm) Yes Curved 71717V Extra Large 11 (28cm) Yes 70 Endoscopic Appliers Part Number Clip Size Diameter Length Jaw Type 81500V Medium Large 5mm 13 (33cm) Straight 91500V Medium Large 5mm 18 (45cm) Straight 81602V Large 10mm 13 (33cm) Curved 91602V Large 10mm 18 (45cm) Curved 81702V Extra Large 10mm 13 (33cm) Curved 91702V Extra Large 10mm 18 (45cm) Curved Clip Removers Part Number Style Clip Size Diameter Length Jaw Type 971511V Open Medium Large/Large 11 (28cm) Straight 71711V Open Large/Extra Large 11 (28cm) Straight 81501V Endoscopic Medium Large/Large 5mm 13 (33cm) Straight 81701V Endoscopic Large/Extra Large 10mm 13 (33cm) Straight 91501V Endoscopic Medium Large/Large 5mm 18 (45cm) Straight 91701V Endoscopic Large/Extra Large 10mm 18 (45cm) Straight Visit symmetrysurgical.com or contact your local Sales Representative for more information. Distributed by: 7

Symmetry Vesolock Polymer Ligation Clip Applier Programs Symmetry Surgical is committed to providing expertly crafted appliers to customers who purchase its Vesolock Polymer Ligation. Symmetry offers warranty and repair programs on those appliers to ensure that they always perform to the highest standards. Applier Repair/Replace Program Symmetry Surgical s Vesolock polymer open and endoscopic appliers are available for purchase and come with very strong warranties. ENDOSCOPIC Appliers: Vesolock endoscopic appliers purchased from Symmetry Surgical come with a limited two-year warranty under which we will repair and replace endoscopic appliers for two years from the date of purchase at no charge. OPEN Appliers: Vesolock open appliers purchased from Symmetry Surgical come with a Limited Lifetime Warranty. Under this warranty Symmetry Surgical will repair or replace any open Vesolock appliers that fail to perform to specifications, at no charge, as long they have not been serviced or repaired by an unauthorized third party and have only been used to apply Vesolock Polymer Ligation Clips. ENDOSCOPIC & OPEN appliers already owned by the hospital: Symmetry Surgical offers a free repair service regardless of manufacturer. If the applier is deemed unrepairable, Symmetry Surgical will work with you to order a replacement applier suitable for Vesolock Polymer Ligation Clips. 8

Our Vesocclude product line includes safe, secure titanium clips, appliers with SureGrip technology and convenient, easy-to-use cartridges. Superior clip features are designed to engulf tissue with precise tip-to-tip closure and provide a firm, secure grip on vessels. Clip loading is easy with color-coded cartridges and appliers as well as our patented push-and-click system, which provides clear feedback when a clip is loaded correctly. SureGrip grooved shanks on open appliers designed to improve surgeon handling. Vesocclude Titanium Ligation Clips & Appliers 9

Superior Clip Design Chevron shape designed to engulf tissue with precise tip-to-tip closure. Heart-shaped grooved wire designed to provide a firm, secure grip on vessels. Heart-shaped cross section designed to maximize surface-to-surface contact with applier jaw. Deeper transverse grooves designed to resist slipping across vessels for secure grip. Deeper center valley designed to provide more tissue space for added grip. Loading is easy with our patented push and click system that provides feedback when a clip is loaded. Cartridge system contains barium to improve detection. Applier fingers provide a guide for ease of loading each clip into the applier. After loading, fingers remain in a down position to indicate the clip has been loaded. Advanced Cartridge System Adhesive tape on base allows adherence to any sterile, dry surface. Available in cartridges of six and 24 clips. Tab lock-outs and large base with deep side grooves increase clip visibility and make handling easy. Cartridges are color-coded to match appliers, ensuring proper loading. 10

Versatile Appliers for Open and Endoscopic Procedures Flush port designed to allow thorough cleaning. Endoscopic appliers available for medium clips with 33cm length as well as medium-large and large clips in 33cm and 45cm lengths. Curved 55 70 SureGrip grooved shanks designed to improve handling for the surgeon. Open appliers designed for easy cleaning, providing easy access to the box lock. 11

Vesocclude Titanium Ligation System Titanium Ligating Clips Part Number Clip Size Clips/Cartridge Cartridges/Box 20130 Small, Narrow Titanium Clips 6 30 20425 Small, Narrow Titanium Clips 24 25 30130 Small, Wide Titanium Clips 6 30 30425 Small, Wide Titanium Clips 24 25 40130 Medium Titanium Clips 6 30 40425S Medium Titanium Clips 24 25 50120 Medium Large Titanium Clips 6 20 50415 Medium Large Titanium Clips 24 15 60120 Large Titanium Clips 6 20 60415 Large Titanium Clips 24 15 Open Surgical Ligating Appliers Part Number Clip Size Length SureGrip Jaw Type 70262 Applier, Small, Narrow 6 (15cm) No Curved 70282 Applier, Small, Narrow 8 (20cm) Yes Curved 70282L Applier, Small, Narrow, Long 8 (20cm) Yes Curved 70285 Applier, Small, Narrow 8 (20cm) Yes 55 70285L Applier, Small, Narrow, Long 8 (20cm) Yes 55 70212 Applier, Small, Narrow 11 (28cm) Yes Curved 70212L Applier, Small, Narrow, Long 11 (28cm) Yes Curved 70362 Applier, Small, Wide 6 (15cm) No Curved 70382 Applier, Small, Wide 8 (20cm) Yes Curved 70385 Applier, Small, Wide 8 (20cm) Yes 55 70312 Applier, Small, Wide 11 (28cm) Yes Curved 70462 Applier, Medium 6 (15cm) No Curved 70482 Applier, Medium 8 (20cm) Yes Curved 70485 Applier, Medium 8 (20cm) Yes 55 70412 Applier, Medium 11 (28cm) Yes Curved 70415 Applier, Medium 11 (28cm) Yes 55 70417 Applier, Medium 11 (28cm) Yes 70 70582 Applier, Medium Large 8 (20cm) No Curved 70585 Applier, Medium Large 8 (20cm) No 55 70512 Applier, Medium Large 11 (28cm) Yes Curved 70515 Applier, Medium Large 11 (28cm) Yes 55 70682 Applier, Large 8 (20cm) No Curved 70685 Applier, Large 8 (20cm) No 55 70612 Applier, Large 11 (28cm) Yes Curved 70615 Applier, Large 11 (28cm) Yes 55 70617 Applier, Large 11 (28cm) Yes 70 70060 Remover - Universal 6 (15cm) Straight 70010 Remover - Universal 11 (28cm) Curved Endoscopic Appliers Part Number Clip Size Diameter Length Jaw Type 80402X Medium 13 (33cm) 7mm Curved 80502X Medium Large 13 (33cm) 10 / 11mm Curved 90502 Medium Large 18 (45cm) 10 / 11mm Curved 80602 Large 13 (33cm) 12mm Curved 90602 Large 18 (45cm) 12mm Curved 12 Visit symmetrysurgical.com or contact your local Sales Representative for more information.

Vesocclude Titanium Ligation Clip Applier Programs Symmetry Surgical offers two programs to provide appliers to customers using our Vesocclude Titanium Ligation Clips, demonstrating our commitment to providing expertly crafted appliers that are inspected and maintained to the highest standards. Applier Purchase Program Symmetry Surgical s Vesocclude open and endoscopic appliers are available for purchase and come with very strong warranties. OPEN Appliers: Purchased Open Appliers come with a Limited Lifetime Warranty. Symmetry Surgical will maintain, repair or replace your Open Vesocclude appliers, at no charge, as long as the Open appliers are only used to apply Vesocclude Titanium Ligation Clips and the appliers have not been serviced or repaired by a third-party vendor. ENDOSCOPIC Appliers: Purchased endoscopic appliers come with a limited two-year warranty under which we will repair, replace, and maintain endoscopic appliers for two years from the date of purchase. Applier Loaner Program Symmetry Surgical will loan a sufficient supply of open appliers to accounts that agree to purchase our Vesocclude Titanium Ligation Clips. The number of appliers loaned will be based on Vesocclude Titanium Ligation Clip volume. Loaned appliers, valued at $143 each, will be provided at no charge to the hospital and are only intended for use with Vesocclude Titanium Ligation Clips (loan agreement required). In addition, Symmetry Surgical will maintain, replace or repair loaner appliers at no charge to the hospital. Should a hospital decide to discontinue use of Vesocclude Titanium Ligation Clips, the appliers must be returned to Symmetry Surgical in good condition, normal wear and tear excepted, to avoid a charge. 13

sterilization solutions Introducing Vesolock VersaPak Trays Durable Instrument trays designed for 33 cm and 45 cm Vesolock clip appliers and removers Ease of Use Brackets accommodate 3 mm, 5 mm, 10 mm laparoscopic instruments Versatile Pre-configured trays can be used in conjunction with rigid sterilization containers or FDA cleared sterilization wrap 50-8615: Vesolock VersaPak Standard Length 50-8616: Vesolock VersaPak Extended Length Visit symmetrysurgical.com or contact your local Sales Representative for more information. Vesolock VersaPak Trays Vesolock VersaPak Trays CODE DESCRIPTION CODE DESCRIPTION 50-8615 Vesolock VersaPak Standard Length 50-8616 Vesolock VersaPak Extended Length 50-8546 VersaPak Full DIN Aluminum Tray Lid 50-8618 VersaPak Extended Length Aluminum Tray Lid Designed to hold the following instruments Endoscopic Clip Appliers CODE DESCRIPTION 81500V Medium Large 5 mm, 13 in (33 cm) Straight Designed to hold the following instruments Endoscopic Clip Appliers CODE DESCRIPTION 91500V Medium Large 5 mm, 18 in (45 cm) Straight 81602V Large 10 mm, 13 in (33 cm) Curved 91602V Large 10 mm, 18 in (45 cm) Curved 81702V Extra Large 10 mm, 13 in (33cm) Curved 91702V Extra Large 10 mm, 18 in (45cm) Curved Endoscopic Clip Removers Endoscopic Clip Removers CODE DESCRIPTION CODE DESCRIPTION 81501V Endoscopic Medium Large/Large 5 mm, 13 in (33 cm) Straight 91501V Endoscopic Medium Large/Large 5 mm, 18 in (45 cm) Straight 81701V Endoscopic Large/Extra Large 10 mm, 13 in (33 cm) Straight 91701V Endoscopic Large/Extra Large 10 mm, 18 in (45 cm) Straight 14

Contact your Symmetry Surgical representative for more information about our ligation portfolio. 3034 Owen Drive Antioch, TN 37013 615.883.9090 800.251.3000 customerservice@symmetrysurgical.com symmetrysurgical.com SM0068 2017 Symmetry Surgical, Inc. All rights reserved.