Sterile Single-use Intelligent precision

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NEUROSURGICAL Sterile Single-use Intelligent precision www.dtrmedical.com 1

INNOVATION QUALITY SERVICE Matching reusable standards Save Time - Reprocessing First time sharpness Instrument damage/blockage is limited Suitable for high risk procedures Save Lives - Contamination Cross-infection is eliminated Risk is avoided NEUROSURGICAL Contents General & Vascular 4-5 Including Silicone Slings & Tibbs Arterial Cannula Kerrison Rongeur 6 Cawthorne Hooks & Points 6 Neuro Burr Tray 7 Gigli Saw Blade & Handle 8 Retractors 8-9 Including Kilner, Alms & Jefferson Suction Handles 10-15 Including Frazier, Micro, Zoellner (with Fine Ends) & House Suction Bipolar Forceps 15-16 Including Bayonet Bipolar Forceps Micro Needle Electrodes 17 2017 Edition Cost effective Save Money Increase Productivity Theatre and clinic time is reduced Diminished re-processing, repairs and replacement YOUR STERILE SINGLE-USE SOLUTION 2 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 3

General and Vascular INCLUDES GREEN COLOUR* UNIQUE RANGE Atraumatic oval cross section for less damage during surgery Tibbs Arterial Cannula Radiopaque and biocompatible medical grade silicone SILICONE SLINGS 1.5mm Slings SM2100 Multicoloured Slings 1.5mm packed x 5, double packed SM2103 Red Slings 1.5mm, double packed SM2104 Blue Slings 1.5mm, double packed SM2105 Yellow Slings 1.5mm, double packed SM2106 White Slings 1.5mm, double packed SM2002* Multicoloured Slings 2mm packed x 5, double packed (includes green colour) SM2008 Sling Multipack 2mm, (Red x 3, Blue x 3, Yellow x 1, White x 1), double packed SM2030 Red Slings 2mm, double packed SM2040 Blue Slings 2mm, double packed SM2050 Yellow Slings 2mm, double packed SM2060 White Slings 2mm, double packed SM2513 Red Slings 5mm, individually double packed SM2514 Blue Slings 5mm, individually double packed Individually packed to avoid wastage Easier to use than reprocessing very fine tube lumens High quality stainless steel suitable for clinicians to bend shape Removes contamination risks through flushing 2mm Slings Bend us, shape us TAC20SC TAC20LC 5mm Slings Our range of Tibbs can be bent to shape due to t heir high quality stainless steel construction TAC20XLC TAC20XXLC TIBBS STANDARD SIZES HEPARIN NEEDLE HFN2001 Heparin Flushing Needle 46mm, double packed HFN2081 Heparin Flushing Needle 85mm, double packed TAC20LC Tibbs Arterial Cannula Large Cone std length, double packed TAC20SC Tibbs Arterial Cannula Small Cone std length, double packed TAC20LO Tibbs Arterial Cannula Large Olive std length, double packed TAC20SO Tibbs Arterial Cannula Small Olive std length, double packed 3.2 x 5.5mm 85mm Heparin 46mm 2.5 x 4mm olive Micro Olive TIBBS SPECIAL SIZES 4 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise TAC20MO Tibbs Arterial Cannula Micro Olive 2.5mm OD std length, double packed TAC20XLC Tibbs Arterial Cannula X Large Cone 8mm OD extra long, double packed TAC20XXLC Tibbs Arterial Cannula XX Large Cone 12.25mm OD extra long, double packed TAC2003 Tibbs Arterial Cannula Set of 3 sizes (Large Olive, Large Cone & X Large Cone), double packed www.dtrmedical.com 5 5

Kerrison Rongeur Neuro Burr Tray 200mm shaft length with 40 degree up bite Well balanced stainless steel construction KERRISON RONGEUR KRU1101 Kerrison Rongeur Punch 1mm jaw, length 200mm with 40 degree up bite, double packed 10 units KRU1201 Kerrison Rongeur Punch 2mm jaw, length 200mm with 40 degree up bite, double packed 10 units KRU1301 Kerrison Rongeur Punch 3mm jaw, length 200mm with 40 degree up bite, double packed 10 units KRU1401 Kerrison Rongeur Punch 4mm jaw, length 200mm with 40 degree up bite, double packed 10 units KRU1501 Kerrison Rongeur Punch 5mm jaw, length 200mm with 40 degree up bite, double packed 10 units FOR HIGH RISK CASES Custom pack for craniotomies and burr holes in skull Options include Hudson or McKenzie Perforators Hudson Brace suitable for other Perforators NEURO BURR TRAY NBT0501 Neuro Burr Tray, double packed 5 units NBT0501-H Neuro Burr Tray including Hudson Perforator, double packed 5 units 1mm jaw precise cutting jaw 2mm jaw 3mm jaw 4mm jaw 5mm jaw Kilner Scissors 120mm Mosquito Artery Forceps 125mm Straight Cawthorne Hook 1.5mm 90 degree Adson Periosetal Forceps BP Handle No. 3 BP Handle No. 7 Hudson Conical Burr Mackenzie Skull Perforator Drill Jefferson Retractor, Self-Retaining 140mm Mayo-Hegar Needle Holder 150mm Straight Hudson Brace Adson Dissecting Forceps Toothed 120mm Hudson Perforator 12mm Cutting Diameter (included only in NBT0501-H) COMING SOON 90 Up-bite option Hooks and Points Choice of 90 degree hook or point Customised Burr trays also available Contact us on +44 (0)1792 797910 CAWTHORNE CTH2901-D Cawthorne Hook 1.5mm 90 degree black, double packed CTP2001-D Cawthorne Straight Point black, double packed 0.4 x 2mm hook Hook Point Hook Point 6 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 7

Saws CHOICE OF LENGTHS Gigli Saw Blade Handles Stainless steel for sharp first-time performance Overcomes cleaning and reprocessing difficulties Suitable for high risk cases GIGLI SAW BLADES & HANDLES GBH1002 Gigli Saw Blade Handles, double packed 10 units GSN2001 Gigli Saw Blade 300mm x 1, double packed GSN2003 Gigli Saw Blades 300mm x 3, double packed GSN2061 Gigli Saw Blade 600mm x 1, double packed GSN2101 Gigli Saw Blade 1000mm x 1, double packed Gigli Saw Blade Strong stainless steel construction Precise self-retaining ratchet Interlocking jaws for ease of placement JEFFERSON RETRACTOR JSR1001 Jefferson Retractor, Self-Retaining 140mm, double packed 10 units Retractors Double ended First time sharpness for precision KILNER CATSPAW RETRACTOR KCP2001 Kilner Catspaw Retractor, double packed 15.5mm head length 2.2mm width of prong Stainless steel hook, available in two sizes Sharp point for accurate positioning Latex free 2mm silicone 180mm ties Pack of five for varying wound sizes FISH HOOK RETRACTOR FHR0510 Fish Hook Retractors x 5 with Silicone Loop, double packed 10 units FHRP0510 Paediatric Fish Hook Retractors x 5 with Silicone Loop, double packed 10 units Rigid stainless steel construction Four hook proximal screw action ALMS RETRACTOR ALR1071 Alms Retractor Small 78mm length, double packed 10 units ALR1101 Alms Retractor Large 103mm length, double packed 10 units Dual points for accurate positioning Pack of two, suitable for most procedures Overcomes cleaning and reprocessing difficulties YASARGIL RETRACTOR YHR0210 Yasargil Spring Hooks x 2, double packed 10 units Small Large 8 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 9

Suction Handles with suction control Frazier Suction Handles Complete range of sizes from 3 to 7Fg with suction control Available without suction control Working length of 77mm Mini Barron 7Fg size suitable for use with fine end BARRON SUCTION HANDLES BSH2003 Barron Suction Handle 1mm (3Fg), double packed BSH2004 Barron Suction Handle 1.35mm (4Fg), double packed BSH2005 Barron Suction Handle 1.67mm (5Fg), double packed BSH2006 Barron Suction Handle 2mm (6Fg), double packed BSH2007 Barron Suction Handle 2.3mm (7Fg), double packed BLS2101 Mini Barron Suction Handle 98 x 2.33mm OD (7Fg), double packed Strong construction suitable for bending to shape during procedure Single-use avoids the need to restraighten or risk breakage Tip options include non-fenestrated, fenestrated with two holes and cross fenestrated with four holes cross fenestrated with suction control Looking for sterile silicone tubing for use with the following? General catalogue see p32-35 Barron Suction Handle without suction control Supplied straight* Bend to shape for your procedure *Excluding 12Fg range Removes need to clean and reprocess the long narrow lumen BELLUCCI SUCTION HANDLES BLS2001 Bellucci Suction Handle 175 x 2mm OD (6Fg), double packed Bellucci Suction Handle FRAZIER SUCTION HANDLES Metal version of traditional glass suction handle 2mm (6Fg) Suitable for where wide bore is required METAL GLASS-TYPE SUCTION HANDLE GSH2001 Metal Glass-Type Suction handle 200 x 5mm OD (15Fg), double packed FSH2006 Frazier Suction Handle 200 x 2mm OD (6Fg) straight, double packed FSF2006 Frazier Suction Handle 200 x 2mm OD (6Fg) straight, fenestrated, double packed FSF2046 Frazier Suction Handle 200 x 2mm OD (6Fg) straight, cross fenestrated, double packed FSN2426 Frazier Suction Handle 200 x 2mm OD (6Fg), 42 bend, without suction control, double packed 42 bend 2.66mm (8Fg) FSH2008 Frazier Suction Handle 200 x 2.66mm OD (8Fg) straight, double packed FSF2008 Frazier Suction Handle 200 x 2.66mm OD (8Fg) straight, fenestrated, double packed FSF2048 Frazier Suction Handle 200 x 2.66mm OD (8Fg) straight, cross fenestrated, double packed 3mm (9Fg) FSH2009 Frazier Suction Handle 200 x 3mm OD (9Fg) straight, double packed FSF2009 Frazier Suction Handle 200 x 3mm OD (9Fg) straight, fenestrated, double packed FSF2049 Frazier Suction Handle 200 x 3mm OD (9Fg) straight, cross fenestrated, double packed FSN2429 Frazier Suction Handle 200 x 3mm OD (9Fg), 42 bend, without suction control, double packed without suction control 4mm (12Fg) 10 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise FSH2012 Frazier Suction Handle 200 x 4mm OD (12Fg), double packed FSF2012 Frazier Suction Handle 200 x 4mm OD (12Fg), fenestrated, 150 bend, double packed FSF2412 Frazier Suction Handle 200 x 4mm OD (12Fg), cross fenestrated, 150 bend, double packed FSN24212 Frazier Suction Handle 200 x 4mm OD (12Fg), 42 bend, without suction control, double packed www.dtrmedical.com 1111

Suction Handles EXTENDED RANGE Dual purpose suction and irrigation with suction control Complete range of sizes from 1.8 to 5mm Single-use overcomes repairs to tips damaged through drilling Particularly suitable for collection of bone dust HOUSE SUCTION HANDLES HST0118/18 House Suction and Irrigation Handle (1.8 x 1.8mm), double packed HST0125/20 House Suction and Irrigation Handle (2.5 x 2mm), double packed HST0130/20 House Suction and Irrigation Handle (3 x 2mm), double packed HST0145/20 House Suction and Irrigation Handle (4.5 x 2mm), double packed HST0145/30 House Suction and Irrigation Handle (4.5 x 3mm), double packed HST0145/45 House Suction and Irrigation Handle (4.5 x 4.5mm), double packed HST0150/45 House Suction and Irrigation Handle (5 x 4.5mm), double packed FENESTRATED HOUSE SUCTION HANDLE HSFL118/18 House Suction Handle Fenestrated (1.8 x 1.8mm), double packed Stainless steel tube with colour coded luer connector for microsuction use Also suitable for use with syringe as irrigation device Available in 86, 110 and 120mm lengths MICRO SUCTION TUBES MSD2001 Micro Suction Device 86 x 2mm OD (6Fg), double packed 86mm MSV508113 Micro Suction (Verhoeven) Red 86 x 2.3mm OD (13g), double packed 50 units MSV508113R Micro Suction (Verhoeven) Red 86 x 2.3mm OD (13g) with 50 units Suction Regulator, double packed MSV508114 Micro Suction (Verhoeven) Green 86 x 2.1mm OD (14g), double packed 50 units MSV508114R Micro Suction (Verhoeven) Green 86 x 2.1mm OD (14g) with Suction Regulator, double packed 50 units MSV508116 Micro Suction (Verhoeven) Cream 86 x 1.65mm OD (16g), double packed 50 units MSV508116R Micro Suction (Verhoeven) Cream 86 x 1.65mm OD (16g) with 50 units Suction Regulator, double packed MSV508117 Micro Suction (Verhoeven) White 86 x 1.47mm OD (17g), double packed 50 units MSV508119 Micro Suction (Verhoeven) Brown 86 x 1.05mm OD (19g), double packed 50 units 110mm MSV50114 Micro Suction (Verhoeven) Green 110 x 2.1mm OD (14g), double packed 50 units MSV50117 Micro Suction (Verhoeven) White 110 x 1.47mm OD (17g),double packed 50 units MSV50119 Micro Suction (Verhoeven) Brown 110 x 1.05mm OD (19g), double packed 50 units MSV50122 Micro Suction (Verhoeven) Black 110 x 0.7mm OD (22g), double packed 50 units MSV50127 Micro Suction (Verhoeven) Clear 110 x 0.4mm OD (27g), double packed 50 units 120mm MSV50214 Micro Suction (Verhoeven) Green 120 x 2.1mm OD (14g), double packed 50 units MSV50217 Micro Suction (Verhoeven) White 120 x 1.47mm OD (17g),double packed 50 units MSV50219 Micro Suction (Verhoeven) Brown 120 x 1.05mm OD (19g), double packed 50 units MSV50222 Micro Suction (Verhoeven) Black 120 x 0.7mm OD (22g), double packed 50 units MSV50227 Micro Suction (Verhoeven) Clear 120 x 0.4mm OD (27g), double packed 50 units UNIVERSAL ADAPTER House style regulator with control Luer connector suitable for Verhoeven and other micro suction tubes Tubing and Verhoeven not included SUCTION REGULATOR DSRP5001 Suction Regulator, double packed 50 units Single-use removes need to clean a very narrow lumen Working length of 77mm SCHUKNECHT SUCTION HANDLES SHK2018 Schuknecht Suction Handle 18swg, double packed SHK2020 Schuknecht Suction Handle 20swg, double packed SHK2022 Schuknecht Suction Handle 22swg, double packed SHK2024 Schuknecht Suction Handle 24swg, double packed 12 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 13

Suction Handles Suction Handles Robust metal taper suitable for refitting during procedure Tear drop control for adjustable suction TAPERED SUCTION HANDLES 190mm TDH2195 Tapered Suction Handle 190mm size 5 with tear drop control, double packed TDH2196 Tapered Suction Handle 190mm size 6 with tear drop control, double packed TDH2197 Tapered Suction Handle 190mm size 7 with tear drop control, double packed 220mm TDH2225 Tapered Suction Handle 220mm size 5 with tear drop control, double packed TDH2226 Tapered Suction Handle 220mm size 6 with tear drop control, double packed TDH2227 Tapered Suction Handle 220mm size 7 with tear drop control, double packed Extra long taper gives a good fit with any suction handle Range of sizes from 18 to 26 standard wire gauge ZOELLNER FINE ENDS SM4018 Zoellner Fine Ends size 18 swg, double packed 50 units SM4020 Zoellner Fine Ends size 20 swg, double packed 50 units SM4022 Zoellner Fine Ends size 22 swg, double packed 50 units SM4024 Zoellner Fine Ends size 24 swg, double packed 50 units SM4026 Zoellner Fine Ends size 26 swg, double packed 50 units Bipolar Forceps ADSON BIPOLAR FORCEPS SU790515044 Adson Bipolar Forceps 150 x 0.5mm, 3m, 4mm Plugs SU791015044 Adson Bipolar Forceps 150 x 1mm, 3m, 4mm Plugs 1mm tip width SU791015044 Special tip to aid anatomical marking Single-use suitable for high risk cases Well balanced instrument comparable to reusable TRANSSPHENOIDAL SUCTION HANDLE TPH2001 Transsphenoidal Suction Handle 1.66mm OD (5Fg) tip, double packed Available with or without fine ends Ergonomic balanced design for ease of use Tube rotation suits left or right handed users Range for theatre and clinic use BIPOLAR CABLE SU11443075 Bipolar Cable, 3m, 4mm pins UK/EU Fitting, single packed SU11443076 Bipolar Cable, 3m, 4mm pins US Fitting, single packed ZOELLNER SUCTION HANDLES SMS4400-S Zoellner Suction Handle, single packed 50 units SMS4418-S Zoellner Suction Handle with 18swg Fine End, single packed 50 units SMS4400-D Zoellner Suction Handle, double packed SMS4400-DS Zoellner Suction Handle with stylet, double packed SMS4418-D Zoellner Suction Handle with 18swg Fine End, double packed Zoellner Suction Handle without Fine End Looking for other Bipolar Forceps? For full range contact us on +44 (0)1792 797910 14 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 15

SU781020044 Micro Needle Electrodes Bayonet Bipolar Forceps 1mm tip width TUNGSTEN ELECTRODES ST-99-750 Micro Needle Electrode, Tungsten Tip, 75 x 10mm 10 units ST-99-751 Micro Needle Electrode, Tungsten Tip, 75 x 20mm 10 units Fine stainless steel tips with 1mm or 2mm options Adjustable and universal 4mm plug that is tested to comply with the latest Flying Leads UK legislation High quality cables and connectors deliver consistently repeatable results SU782020044 0.4mm width on all Tungsten electrodes ST-99-750 All Bipolar Forceps are supplied double packed 2mm tip width ST-99-751 SU781020044 non-flying leads SU782020044 BAYONET BIPOLAR FORCEPS SU781020044 Bayonet Bipolar Forceps 200 x 1mm, 3m, 4mm Plugs SU782020044 Bayonet Bipolar Forceps 200 x 2mm, 3m, 4mm Plugs 16 16 Your Your Sterile Single-Use Neurosurgical Instruments, Without Compromise www.dtrmedical.com 17

Labelling Supporting visibility, quality and safety in your supply chain ** Our instruments packaging features the latest machine readable GS1-standard barcoded labels for product traceability. The newly incorporated labelling technology is a timely development with an increasing number of health providers worldwide adopting an eprocurement strategy and will provide machine readable product information on all labels to meet expected EU and other regulators demands. Associated benefits include: Improve patient care and reduce costs Improve stock control One global language Accurately track equipment Unique device identification (UDI) compliance represents a significant development for our customers. Automation of information flow will have influences across the whole purchasing and supply process, providing the benefits of superior instrument traceability and improved patient safety. Matching reusable standards We benchmark against reusable British and international standards: BS 5194-1:1991 (Inc ISO 7153 1:2001) Surgical Instruments - (Metallic Materials and Stainless Steel) BS 5194-2:1989 Specification for Instruments with Pivot Joints BS 5194-3:1985 Specification for Dissecting Forceps BS 5194-4:1985 Specification for Scissors, Shears and other Jointed Instruments We operate our own UK production facilities equipped with ISO class 7 cleanrooms. Our company is fully accredited to: EN ISO 9001:2008 EN ISO 13485:2012 MDD 93/42/EEC We are working closely with Kodit UDI software to provide our labelling solutions to meet the latest international regulations and we serve as a reference site for other manufacturers to learn from. Andrew Davidson (Managing Director of DTR Medical) For more information on our new product labelling, please contact Customer Services on +44 (0) 1792 797910 or info@dtrmedical.com ** - GS1 Global Traceability Standards 18 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise

DTR Medical Limited 17 Clarion Court, Enterprise Park, Swansea SA6 8RF UK Telephone: +44 (0)1792 797910 Fax: +44 (0)1792 797955 info@dtrmedical.com www.dtrmedical.com DTR Medical is a registered trade mark of DTR Medical Ltd. 20 Your Sterile Single-Use Neurosurgical Instruments, Without Compromise NEURO161014