Electrosurgical & Smoke Evacuation Products

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www.deroyal.com Electrosurgical & Smoke Evacuation Products

DeRoyal proudly presents the highest quality and broadest selection of cautery pencils, electrodes, grounding pads, and smoke evacuation products for the surgical market. All DeRoyal Electrosurgical Products are indemnified for use with most ESU generators that are available. 2

Table of Contents electrosurgical pencils Hand-Activated Electrosurgical Pencils................................. 3 Suction Coagulators........................................... 5 electrodes Single-Use Electrodes.......................................... 6 PTFE Coated Laprascopic Electrodes................................. 7 specialty electrodes Micro Needles.............................................. 8 LLETZ Electrodes............................................ 8 arthroscopic electrodes Arthroscopic Electrodes......................................... 9 dispersive electrodes Hydrogel & Adhesive Gel Dispersive Electrodes........................... 10-11 electrosurgical essentials Electrode Tip Cleaner.......................................... 12 Disposable Bipolar Cord......................................... 12 smoke evacuation systems & products Crystal Vision Smoke Evacuation Machine............................... 16 ExtendEVAC Smoke Evacuation Pencils and Attachments..................... 17 Smoke Evacuation Machine Filters and Adapters.......................... 18-19 Universal Smoke Evacuation Attachments and Accessories..................... 20 Smoke Evacuation Tubing & Accessories for Laparoscopic or Laser Procedures.......... 21 Disclaimer................................................ 23 All DeRoyal smoke evacuation products are available bulk non-sterile by deleting zeros after the dash and adding an NS to the end of any product number. DeRoyal products may be covered by one or more of the following U.S. or Foreign patents 5,693,044, 5,431,650, 5,318,516, 5,199,944, 5,108,389, EP 0538 6 41, 592 08 677.1-08, 6,099,525, 6,142,995, 6,458,125B1, and D501, 047S. Other U.S. and/or foreign patents may be pending. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 3

Electrosurgical Pencils Hand-Activated Electrosurgical Pencils Hand-Activated Electrosurgical Pencils Three-prong plug fits most electrosurgical generators Assortment available in 10 and 15 for easy set up and drapeability PTFE coated electrodes available designed to reduce tissue adhesion Product No. Sterile Uncoated Sterile PTFE Coated OEM Non-Sterile Uncoated OEM Non-Sterile PTFE Coated Description 88-000031 88-000041 88-000003 88-000006 Rocker Switch Pencil 88-000032 88-000042 88-000004 88-000007 Button Switch Pencil 88-000001 88-000021 N/A N/A Rocker Switch Pencil w/holster 88-000002 88-000022 N/A N/A Button Switch Pencil w/holster 88-001501 88-001521 N/A 88-101521 Rocker Switch Pencil w/15 Cord, Holster 88-001502 N/A N/A 88-101522 Button Switch Pencil w/15 Cord, Holster 88-000051 N/A N/A N/A Rocker Switch Pencil w/holster, Tip Cleaner 88-000052 N/A N/A N/A Button Switch Pencil w/holster, Tip Cleaner 88-000008 N/A N/A N/A Holster 88-000222 N/A N/A N/A Button Switch Pencil w/1 Needle, Holster All packaged Sterile, 1/Pk, 25 Pks/Bx, 2 Bxs/Cs. All Non-Sterile pencils are 100/Cs, holster sold separately. 88-000032 88-000031 4

Electrosurgical Pencils Suction Coagulators Increased efficiency during procedures requiring controlled fluid evacuation Suction and coagulation can be performed independently or simultaneously Foot switching or hand switching coag activation to accommodate preferences Vented handle for suction control Handle ergonomically designed to provide a sure grip when wet and improve tactile sensitivity Flexible configuration allows clinician to match instruments to specific surgical need KW-30-5200 Product No. Description KW-30-5200* 10FR Suction Coagulator w/hand Switch Activation 88-2505-10FR* 10FR Suction Coagulator w/foot Switch Activation All Packaged Sterile, 1/Pk, 10 Pks/Cs. *WARNING - This product can expose you to chemicals including di(2-ethylhexyl)phthalate, which is known to the State of California to cause cancer and birth defects or other reproductive harm. For more information, go to www.p65warnings.ca.gov. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 5

Electrodes Single-Use Electrode PTFE coated electrodes available designed to reduce tissue adhesion Product offering includes most widely used blades, needles, and ball electrodes available for specific applications Available in regular and extended lengths to access deep cavities ENT/Modified versions available in coated or stainless steel Product No. Description Uncoated Uncoated ENT/Modified PTFE Coated PTFE Coated ENT/Modifed 88-000013 88-000M13 88-000013C 88-000M13C 1 Blade Electrode 88-000012 88-000M12 88-000012C 88-000M12C 1 Needle Electrode 88-000011 88-000M11 88-000011C 88-000M11C 6 Blade Electrode 88-000010 88-000M10 88-000010C 88-000M10C 6 Needle Electrode N/A N/A 88-000015C N/A 4 Blade Electrode 88-000014 N/A N/A N/A 3 /16 Ball Electrode All Packaged Sterile, 1/Pk, 25 Pks/Cs. OEM Availability: For Non-Sterile number, replace the initial 0 after dash with 1, i.e. 88-100013C, 100/Cs. 88-000011C PTFE Coated 88-000M10C PTFE Coated ENT/Modified 88-000M12 Uncoated ENT/Modified 88-000013 Uncoated 88-000014 Uncoated 6

Electrodes PTFE Coated Laparoscopic Electrodes PTFE coated electrodes available designed to reduce tissue adhesion Product offering that includes most widely used tips and lengths for specific applications Helps provide excellent dissection and coagulation Fully insulated shaft prevents stray current and unwanted burns Disposable, convenient, and cost-effective ELECTRODE TIP STYLES Standard Blade Round Spatula Product No. Tip Style & Description Stem Qty. 88-0017 Standard Blade, 33 cm (14.2 ) Pencil 6/Bx 88-0018 Round Spatula, 33 cm (14.2 ) Pencil 6/Bx 88-0019 Curved Spatula, 33 cm (14.2 ) Pencil 6/Bx 88-0019S Curved Spatula, 33 cm (14.2 ) Split 6/Bx 88-0019L Curved Spatula, 45 cm (17.7 ) Pencil 6/Bx 88-0019LS Curved Spatula, 45 cm (17.7 ) Split 6/Bx 88-0020 L Hook, 33 cm (14.2 ) Pencil 6/Bx 88-0020S L Hook, 33 cm (14.2 ) Split 6/Bx 88-0020L L Hook, 45 cm (17.7 ) Pencil 6/Bx 88-0020LS L Hook, 45 cm (17.7 ) Split 6/Bx 88-0021 J Hook, 33 cm (14.2 ) Pencil 6/Bx 88-0021S J Hook, 33 cm (14.2 ) Split 6/Bx 88-0021L J Hook, 45 cm (17.7 ) Pencil 6/Bx 88-0021LS J Hook, 45 cm (17.7 ) Split 6/Bx 88-0022 Needle, 33 cm (14.2 ) Pencil 6/Bx 88-0022S Needle, 33 cm (14.2 ) Split 6/Bx 88-0024 Ball, 33 cm (14.2 ) Pencil 6/Bx 88-0100 L Wire, 33 cm (14.2 ) Pencil 6/Bx 88-0100S L Wire, 33 cm (14.2 ) Split 6/Bx 88-0100L L Wire, 45 cm (17.7 ) Pencil 6/Bx 88-0100LS L Wire, 45 cm (17.7 ) Split 6/Bx 88-0105 J Wire, 33 cm (14.2 ) Pencil 6/Bx 88-0105S J Wire, 33 cm (14.2 ) Split 6/Bx OEM Availability: Add NS to the end of the part number for Non-Sterile items, 100/Cs. Curved Spatula L Hook J Hook Needle L Wire J Wire STEMS Pencil Stem Split Stem 88-0017 DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 7

Specialty Electrodes Micro Needles Precision in cutting and coagulation without the expense of a laser Ultra-sharp tip allows use of extremely low wattage Tungsten tip for heat resistance Insulated within 3 mm of tip to allow deep tissue access without the risk of accidental burns 88-103 Product No. Description Quantity 88-103 3cm Micro Needle 10/Cs 88-104A 4cm Micro Needle Electrode 10/Cs 88-112A 2cm Micro Needle w/3 mm 45º Angle 10/Cs 88-117 Micro Needle w/45º Angle 10/Cs OEM Availability: Add NS to the end of the above product numbers for Non-Sterile items, 100/Cs. LLETZ Electrodes Wire loop tungsten electrodes Greater precision and durability than stainless steel Resists breakage at higher generator levels Excellent stability against flexing or bending during surgical use Quality loops that minimize thermal damage and present good histopathology specimens Ideal for outpatient or office surgery Available in a variety of loop sizes 88-1559 Product No. Description Quantity 88-1559 10 mm x 10 mm LLETZ Loop Electrode 10/Cs 88-1560 15 mm x 12 mm LLETZ Loop Electrode 10/Cs 88-1561 20 mm x 12 mm LLETZ Loop Electrode 10/Cs 88-1562 20 mm x 15 mm LLETZ Loop Electrode 10/Cs 88-1563 3 mm Diameter LLETZ Ball Electrode 10/Cs 88-1564 5 mm Diameter LLETZ Ball Electrode 10/Cs 88-1565 5 mm x 5 mm LLETZ Square Loop Electrode 10/Cs 88-1566 10 mm x 4 mm LLETZ Square Loop Electrode 10/Cs 88-1567 10 mm x 8 mm LLETZ Square Loop Electrode 10/Cs Add NS to the end of the above products for Non-Sterile items, 100/Cs. 8

Specialty Electrodes Arthroscopic Electrodes For use in arthroscopic procedures where irrigating solutions are used in conjunction with an electrosurgical pencil Insulation extending to the electrode tip for precise energy delivery Transparent insulation improves surgeon s tip visualization Stabilizing electrode cap ensures a safe connection from electrode to pencil Compatible with all pencils for ease of conversion 6 ½ (16.51 cm) length 88-2510 Product No. Description Quantity 88-1510 Insulated Arthroscopic Hook Electrode, 90 Degree Angle 10/Cs 88-1511 Insulated Arthroscopic Hook Electrode, 45 Degree Angle 10/Cs 88-1512 Insulated Arthroscopic Angled Blade Electrode, 90 Degree Angle 10/Cs 88-1513 Arthroscopic Angled Blade Electrode, 90 Degree Angle 10/Cs 88-2510 Rocker Pencil w/88-1510 Electrode 10/Cs 88-2512 Rocker Pencil w/88-1512 Electrode 10/Cs 88-2610 Push Button Pencil w/88-1510 Electrode 10/Cs 88-2613 Push Button Pencil w/88-1513 Electrode 10/Cs 88-1510 DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 9

Dispersive Electrodes FlexiPad and Adhesive Gel Dispersive Electrodes Strong adhesion, yet gentle removal Standard plugs work with most electrosurgical generators Flexible 10 cord for easy set up and drapeability Impermeable foam backing and non-conductive adhesive border securely seal out fluids creating a moisture-safe barrier Thin, flexible hydrogel, or adhesive gel pads conform to a variety of anatomical sites and allows easy removal without pulling hair or injury to skin FlexiPad has unique shape and advanced hydrogel to better conform and adhere to body contours Product No. Description FlexiPad Adhesive Gel N/A 88-000201 Adult Mono/Standard Pad 88-104 88-000202 Adult Dual Conductor Pad 88-106 N/A Adult Dual Conductor Pad w/15 Cord N/A 88-000302 Pediatric Dual Conductor Pad All packaged Non-Sterile, 1/Pk, 50 Pks/Bx, 1 Bx/Cs. FlexiPad Adhesive Gel 88-106 88-000202 10

Dispersive Electrodes Hydrogel Corded & Non-Corded Corded: Offering mono and dual conductor styles Strong adhesion yet gentle removal hydrogel is compatible with most skin types Designed to accommodate adult, infant and pediatric patients Standard 3-prong plug fits most major brands of generators 10 pre-attached cord for convenience and ease of use Non-Corded: Reusable cord provides a more cost effective option and generates less waste Strong adhesion yet gentle removal hydrogel is compatible with most skin types Designed to accommodate adult, infant and pediatric patients Corded Product No. Description Size Quantity 88-000101 Hydrogel, Mono/Standard Pad (non-rem) w/cord (10 ) Adult 100 per Case 88-000102 Hydrogel, Dual Conductor (REM) Pad with Cord (10 ) Adult 100 per Case 88-000104 Hydrogel, Dual Conductor (REM) Pad with Cord (10 ) Pediatric 100 per Case 88-000106 Hydrogel, Dual Conductor (REM) Pad with Cord (10 ) Infant 100 per Case 88-000102 Non-Corded Product No. Description Size Quantity 88-000102W Hydrogel, Dual Conductor (REM) Pad without Cord Adult 100/Case 88-000104W Hydrogel, Dual Conductor (REM) Pad without Cord Pediatric 100/Case 88-000106W Hydrogel, Dual Conductor (REM) Pad without Cord Infant 100/Case Reusable Cord 88-000100W Reusable cord for use with non-corded pads All 20/Case 88-000102W 88-000100W Dispersive Electrode Sizing Patient Weight Pad Size < 11 lbs. Infant 11-33 lbs. Pediatric > 33 lbs. Adult DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 11

Electrosurgical Essentials Electrode Tip Cleaner A convenient debris removal system Coated scratch pad eliminates disruptive scraping of electrodes or instruments for quick and easy cleaning of instrument tips Radiopaque element ensures x-ray detectability Adhesive backing securely holds on draped surface Product No. Description Quantity 32-200 2 x 2 Tip Cleaner 1/Pk, 25 Pks/Bx, 4 Bxs/Cs 30-200 2 x 2 Tip Cleaner 1/Pk, 240 Pks/Cs OEM Availability: For Non-Sterile number, add NS, 1000/Cs. Disposable Bipolar Cord For use in conjunction with ophthalmic/neurosurgical microsurgical bipolar forceps Product No. Description Quantity 88-001000 12 Bipolar Cord, Sterile 1/Pk, 10 Pks/Cs OEM Availability: For Non-Sterile number, replace the initial 0 with 1 after dash, 100/Cs. 12

With increased attention on the ills of the surgical plume and ease of elimination through Smoke Evacuation machines, DeRoyal continues to invest in the safety of patients and OR staff with our line of Smoke Evacuation Products and Accessories. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 13

ADVANTAGES FOR OPEN PROCEDURES Hands free smoke evacuation With Crystal Vision, you can choose to use our ExtendEVAC pencil with integral telescoping tip or a regular electrocautery pencil snapped into our convenient smoke evacuator sheath for complete elimination of smoke from the O.R. Both can be conveniently held in one hand by the surgeon, with the evacuator conveniently located for ease of use. ULPA filtration and sensors Crystal Vision s built-in sensors prevent smoke particles from infiltrating the operating room by alerting the operator when ULPA filter is full and stopping the machine automatically if not changed within a few minutes. Easy-to-read console The front panel of Crystal Vision illuminates automatically when room lights are lowered, with red light indicators for high flow and green for low flow. ESU sensor The unit automatically activates when the pencil is activated and stops when the pencil is deactivated for efficient, quiet operation. ADVANTAGES FOR LASER PROCEDURES Meet OSHA guidelines OSHA has stated that all surgical smoke produced by lasers should be properly filtered by a smoke evacuation system as close to the surgical site as possible. Laser Footswitch Sensor The footswitch sensor will automatically activate smoke evacuation once the laser is active. Additional procedures Speculum tubing allows the evacuation of smoke for GYN and ENT removal of nodes, growths and genital warts. Our laser tubing has a male barb that fits perfectly over the smoke evacuation port on most speculums. Occlusion light The Crystal Vision Machine will alert you for any obstructions within the speculum port or tubing during the procedure. Across-the-board safety Using our smoke evacuation system will ultimately remove the toxic smoke to reduce the chance of viral airborne transfer. 14

ADVANTAGES FOR LAPAROSCOPIC PROCEDURES Clinically superior Crystal Vision automatically removes CO2 gas from abdomen post-procedure reducing post-operative pain by reducing the CO2 trapped inside patient at the end of the procedure. Patient s body will absorb less CO2, producing better patient outcomes by reducing recovery time and medication required post-operatively. The laparoscopic smoke evacuation tubing set conveniently attaches directly to secondary trocar stopcock and is virtually invisible to the physician so it does not change current laparoscopic technique. Constant monitoring of pneumoperitoneal pressure With Crystal Vision, the amount of internal pneumoperitoneal pressure is constantly assessed and automatically reduced when needed to lower potentially dangerous pressure levels. Increases patient comfort By eliminating the CO2 gas, Crystal Vision can eliminate patient discomfort usually associated with remaining gas pockets post-operatively Low flow range Unique to Crystal Vision is its low flow range that is easily adjusted to match the in-flow rate of the insufflator, helping maintain pneumoperitoneal pressure and freeing the surgeon to concentrate on the procedure. Automatic tissue protection response The Crystal Vision pump stops automatically if tissue is accidentally suctioned to minimize potential trauma. Eliminates smoke back-flow into patient With Crystal Vision, clean CO2 gas maintains internal pressure inside the patient, so that smoke is not allowed to infiltrate the surgical site. Manual activation capability Crystal Vision can be manually activated to remove intra-abdominal gases at the end of procedures, eliminating the need to apply hand pressure to the patient s abdomen. Shut-off is automatic when complete. During surgical procedures using laser or electrosurgical unit, the thermal destruction of tissue creates a smoke byproduct. Research studies have confirmed that this smoke plume can contain toxic gases and vapors such as benzene, hydrogen cyanide, and formaldehyde, bioaerosols, dead and live cellular material (including blood fragments), and viruses. At high concentrations, the smoke causes ocular and upper respiratory tract irritation in health care personnel, and creates visual problems for the surgeon. The smoke has unpleasant odors and has been shown to have mutagenic potential. -- Center for Disease Control and Prevention, U.S. Department of Health and Human Services National Institute for Occupational Safety and Health. NIOSH Hazard Controls, Control of Smoke From Laser/Electric Surgical Procedures, September, 1996. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 15

Smoke Evacuation Systems & Products Crystal Vision Smoke Evacuation Machine For use with open and laparoscopic procedures Advanced smoke evacuation unit with the quality, stamina and affordability The clear choice for maximized smoke elimination in the O.R. Non-sterile Product No. Uncoated Description Quantity 88-350D Model 350D Crystal Vision Smoke Evacuation Unit w/esu Sensor for Open & Laparoscopic Procedures 1/Cs 88-360 Model 360 Crystal Vision Smoke Evacuation Unit w/esu Sensor for Open Procedures Only 1/Cs SPECIFICATIONS - MODEL 360, 350-D Size 7.25 H x 14.0 W x 15.0 D Weight Less than 17 pounds Power Requirements 100 240 V.A.C., single phase, 50-60 Hz, 2.5 amp Flow Rate High Flow Range: used in both 350-D and 360 25 100 Liters/Minute ± 10% Low Flow Rate: 350-D only used in laparoscopic and endoscopic procedures 3.5 18 Liters/Minute ± 10% Activation ESU Sensor, laser footswitch sensor, and manual switch The AORN recommended practices for electrosurgery states, Exposure to smoke plume generated during electrosurgery should be reduced. This plume contains chemical by-products, and research suggests that there is little difference between laser and electrosurgical plume. Any smoke plume or noxious fumes are irritating to the respiratory tract. The potential for bacterial and viral contamination from surgical smoke is undefined; however it is known that mutagenicity of the gaseous by-products do exist. A wall suction device with an in-line filter is sufficient in keeping the air clear of smoke, a single - or triple-filter smoke evacuation unit should be used according to the need demonstrated. Regardless of the type of evacuation system used, the capture device should be placed as close as possible to the source of plume generation. -- AORN Journal, Vol. 68, No. 5. Clinical Issues: Smoke Plume, November, 1998. 16

Smoke Evacuation Systems & Products ExtendEVAC Smoke Evacuation Pencils and Attachments Integral to pencil for use with wall suction or any smoke evacuation machine Clear visible tip allows visualization of entire electrode tip Revolutionary low profile ExtendEVAC pencil with integral telescoping smoke evacuation tip Adjusts electrode from 1 to 6 without changing electrode, saving time and money Telescoping smoke evacuation remains close to cautery site for optimum performance Soft tubing with swivel for ease of use ENT version available with clear narrow telescoping tip for tight spaces Product No. Uncoated Product No. Coated 88-000702 88-000722 Description ExtendEVAC Button Switch Pencil w/telescoping Smoke Evacuator Tip, 10 Tubing 3 /8 Diameter, Holster Quantity 1/Pk, 25 Pks/Bx, 1 Bx/Cs N/A 88-015722 ExtendEVAC w/15 Cord, 10 Tubing 3 /8 Diameter, Holster 1/Pk, 25 Pks/Bx, 1 Bx/Cs N/A 88-000725 ExtendEVAC PTFE Blade, 10 Tubing 3 /8 Diameter, Holster 1/Pk, 10 Pks/Bx, 1 Bx/Cs All smoke evacuation products are available bulk Non-Sterile by adding NS to the end of any product number. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 17

Smoke Evacuation Systems & Products Smoke Evacuation Machine Filters and Adapters Everything needed for use with both Crystal Vision machines and a variety of other smoke evacuation units High quality, dependable Competitively priced Non-sterile FILTERS Product No. Uncoated Description Quantity 88-000694 ULPA Water Trap Filter with 3 /8 Tubing Adapter for Crystal Vision Smoke Evacuation Units 1/Pkg, 10 Pkgs/Cs 88-000697 Charcoal Output Filter for Crystal Vision Smoke Evacuation Units 1/Cs 88-000698 Replacement ESU Sensor w/cable for Crystal Vision Smoke Evacuation Units 1/Cs 88-000699 Laser Foot Pedal Sensor w/cable 1/Cs 88-000691 ULPA Filter w/2 Tubing for Wall Suction Evacuation of Smoke 1/Pkg, 10 Pkgs/Cs 88-000447 Footswitch 1/Cs 88-000697 88-000691 88-000698 88-000694 18

Smoke Evacuation Systems & Products ADAPTERS Product No. Uncoated Description Quantity 88-000692 Suction Canister Adapter 30Fr ¼ to 3 /8 10/Cs 88-000693 Tubing Adaptor 88-000693 88-000693 88-000693 88-000693 88-000693 88-000693 88-000693 3 /8 for Crystal Vision Smoke Evacuation ULPA Water Trap filter 88-000689 High Flow Smoke Evacuation Filter for Crystal Vision units 10/Cs 88-000690 Filter Adaptor 3 /8 to 7 /8 for Smoke Evacuation Units from Buffalo Filter, Stackhouse, Class, Sorenson Labs, Nordex Medical, Conmed, and Neptune from Stryker 88-000696 Prefilter Adapter for ValleyLab OptiMumm & Air Force Smoke Evacuation units 10/Cs 71-1165 In-Line T Connector* 10/Cs * To split suction line from regulator between roll stand and smoke evacuation. All smoke evacuation products are available bulk Non-Sterile by adding NS to the end of any product number. Air Force and ValleyLab OptiMumm are trademarks of Medtronics PLC. 10/Cs 10/Cs 88-000692 88-000693 88-000689 88-000690 88-000696 71-1165 DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 19

Smoke Evacuation Systems & Products Universal Smoke Evacuation Attachments and Accessories Universal snap-on sheath attachments convert standard pencil into a smoke evacuation pencil Fits all electrosurgical pencils available on market Also available pre-attached to DeRoyal Cautery Pencil Product No. Uncoated Product No. Coated Description Quantity 88-000600 N/A Universal Smoke Evacuation Attachment w/10 Tubing 3 /8 Diameter 1/Pk, 25 Pks/Bx, 1 Bx/Cs 88-000601 88-000621 88-000602 88-000622 Rocker Switch Pencil w/smoke Evacuation Attachment, 10 Tubing 3 /8 Diameter, Holster Button Switch Pencil w/smoke Evacuation Attachment, 10 Tubing 3 /8 Diameter, Holster 1/Pk, 25 Pks/Bx, 1 Bx/Cs 1/Pk, 25 Pks/Bx, 1 Bx/Cs 88-003590 N/A Universal Smoke Evacuation Attachment w/1 Tubing 3 /8 Diameter 1/Pk, 25 Pks/Bx, 1 Bx/Cs 88-002515 88-002350 88-002516 88-002450 Rocker Switch Pencil w/smoke Evacuation Attachment, 1 Tubing 3 /8 Diameter, Holster Button Switch Pencil w/smoke Evacuation Attachment, 1 Tubing 3 /8 Diameter, Holster 1/Pk, 25 Pks/Bx, 1 Bx/Cs 1/Pk, 25 Pks/Bx, 1 Bx/Cs 88-000611 N/A 5 Extension Tip for Smoke Evac Attachment 1/Pk, 25 Pks/Bx, 1 Bx/Cs All smoke evacuation products are available bulk Non-Sterile by removing initial zeros after the dash and adding NS to the end of any product number (Ex: 88-600NS). 88-000600 With the current recommendations for our health and safety, the DeRoyal smoke evacuator provides smoke evacuation as close to the surgical site as possible. This, coupled with its ease of use for staff and the minimally disruptive noise for surgeons, made it our hospital s choice. -- Teresa Cobleigh, RN, Unit Educator of Surgery, Antelope Valley Hospital, Antelope Valley, CA 20

Smoke Evacuation Systems & Products Smoke Evacuation Tubing & Accessories for Laparoscopic or Laser Procedures Laparoscopic tubing used in conjunction with Crystal Vision Machine for automatic smoke removal without loss of pneumoperitoneum Hand-held wand ideal for evacuating smoke during laser procedures Speculum smoke evac tubing fits on speculum port for hands-free smoke removal using wall suction or machine Product No. Description 88-003540 10 Smoke Evac Extension/Speculum Tubing 3 /8 Diameter w/male Barb (Ideal for laser procedures) 88-000695 10 Laparoscopic Smoke Evac Trocar Tubing for Crystal Vision Smoke Evacuation Units 88-000700 Smoke Evacuation Wand, 10 Tubing, High Flow Filter* *Only compatible with Crystal Vision Machine. Packaged Sterile 1/Pk, 25 Pks/Bx, 1 Bx/Cs unless otherwise noted. 88-003540 88-000695 88-000700 DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 21

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Illegal Restraints of Trade DeRoyal electrosurgical products are compatible with any electrosurgical unit on the market, but to be certain and/or to answer any questions the customer might have regarding compatibility, that customer should inquire with the original manufacturer of the electrosurgical unit being used at the customer s facility. Upon any inquiry, the customer may find that some suppliers require purchase of only their accessories as a condition of initial purchase. These suppliers may also state that warranties and/or guarantees would be otherwise invalidated. Typically, according to the Supreme Court precedent and federal law, arrangements (in which the sale or support of one product is conditioned upon the purchase or utilization of a separate product from the same manufacturer/supplier) are often considered to be tying arrangements which may constitute an illegal restraint of trade. Clearly, the important considerations for the customer are the technical and economic comparisons between competing products and DeRoyal electrosurgical products, which are the finest available. DeRoyal Customer Indemnification Policy DeRoyal electrosurgical products carry with them the company s superior workmanship, materials and design, and the further assurance that reasonable care was utilized in the manufacture of these products. DeRoyal will replace, at no charge, any electrosurgical products which fail to meet DeRoyal s standards of workmanship, materials, or design, although DeRoyal will not be responsible for damage after delivery, due to accident, improper use or abuse; or failure to follow instructions provided by DeRoyal. Included in this replacement policy are electrosurgical generators, if damaged, and such damage proven to be solely caused by a defective DeRoyal electrosurgical product or the incompatibility of the DeRoyal product with the electrosurgical generator. Finally, DeRoyal will indemnify the medical facility for any loss or claims for burns proven to be caused by defective DeRoyal electrosurgical products, subject to the conditions that: 1. The medical facility and its associated personnel have, in all respects and at all times, adhered to the instructions provided by DeRoyal. 2. The medical facility has furnished prompt records of any and all claims of damage allegedly caused by defective DeRoyal electrosurgical products by certified mail to DeRoyal at 200 DeBusk Lane; Powell, TN 37849. 3. The medical facility cooperates fully with DeRoyal to solve the problem, and in the investigation and defense of any claim. DISCLAIMER Information provided by DeRoyal to customers and potential customers, treatment and product suggestions, and billing code designations, is provided for the convenience of our customers and does not constitute medical advice. DeRoyal Industries, Inc. 200 DeBusk Lane Powell, TN 37849 888.938.7828 865.938.7828 www.deroyal.com 23

DeRoyal Industries, Inc. 200 DeBusk Lane, Powell, TN 37849 USA 800.DEROYAL or 865.938.7828 Customer Service: 800.251.9864 www.deroyal.com Extend EVAC, FlexiPad, DeRoyal, the DeRoyal logo, Improving Care, Improving Business. are trademarks or registered trademarks of DeRoyal Industries, Inc. 2018 DeRoyal Industries, Inc. All Rights Reserved. Reprint #: 0-1729 Rev. 1/2019