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Liga V®
dical Devices Medical Devices Medical Devices Medical Devices Medical Devices
L V®
Liga Ligating clips are The LigaV® clips are delivered in colour
im
implantable medical devices. They are coded cartridges to ensure easy and intuitive
widely used in surgery for marking and identification. A cartridge includes 6 clips what
ligating purposes. Medical practitioners ensures economical and comfortable use of
value the product for its hemostatic features. the product in the operation theatre.
The product offered by Grena Ltd. is Clip appliers with proper sized jaws depending
supplied with inner and outer surreys that on the clip should be used.
shall enhance its functions. The inner The product is disposable, sterilised with EO.
assure proper grip on the tissue and enable
its proper nourishment whereas the outer
improve affixing of the clip in the applier.
The LigaV® clips are manufactured of
apyrogenic titanium which ensures proper
V-shaped
level of biocompatibility. The applied titanium
ligating
technology guarantees the product meets clips
the requirements of even the most
demanding clinical institutes.
The product is offered in 4 standard sizes
ensuring every user will be able to find
appropriate clip for the given tissue.
0301-01S S 0,59-0,75 6 50
Small
0301-01M M
Medium
0,84-1,00 6 50
0301-01ML ML 1,16-1,32 6 20
Medium-Large
0301-01L L 1,26-1,42 6 20
Large
Pcs
REF Clip size Jaw type
per box
Endo-surgery appliers
1
STANDARD 1
1
Endoscopic front - loaded 11
0301-02ME M
11
clip applier 0301-02MLE ML 1
0301-02LE L 1
1
1
ENDO SURGERY
Endoscopic side - loaded 0301-02MLES ML 1
clip applier
PREMIUM
0301-02MEP M 1
0301-02MLEP ML 1
0301-02LEP L 1
PREMIUM
PREM
MIUM
M IUM
Endo-surgery appliers
ML
L 10mm
Premium
mium clip
S PREMIUM appliers are made of
Open-surgery appliers
Liga V® Pcs
REF Clip size Applier length
per box
Open-surgery appliers
1
STANDARD 0301-02S15 S 15 11
0301-02S20 S 20 11
0301-02S28 S 28 11
1
1
0301-02M15 M 15 11
0301-02M20 M 20 11
0301-02M28 M 28 1
0301-02ML20 ML 20 1
0301-02ML28 ML 28 1
OPEN SURGERY
0301-02L20 L 20 1
0301-02L28 L 28 1
PREMIUM
0301-02S15P S 15 1
0301-02S20P S 20 1
0301-02S28P S 28 1
0301-02M15P M 15 1
0301-02M20P M 20 1
0301-02M28P M 28 1
0301-02ML20P ML 20 1
0301-02ML28P ML 28 1
0301-02L20P L 20 1
0301-02L28P L 28 1
Accessories
Grena Ltd.
Rev. 03/ 14.09.2011 1000 Great West Road, Brentford, Middlesex, TW8 9HH, UK
www.grena.co.uk
dical Devices Medical Devices Medical Devices Medical Devices Medical Devices
Vclip® ligating clips are implantable The product is offered in 5 standard
medical devices. They are widely sizes ensuring every user will be
used in surgery for marking and able to find appropriate clip for the
ligating purposes. Medical given tissue. The Vclip® clips are
practitioners value the product for its delivered in colour coded cartridges
hemostatic features. to ensure easy and intuitive
The product offered by Grena Ltd. is identification. A cartridge includes 6
supplied with inner surreys that shall clips what ensures economical and
enhance its functions by assuring comfortable use of the product in the
proper grip on the tissue and operation theatre.
enabling its proper nourishment. Premium clip appliers are made of
Microstructural outer surface of clip highest quality surgical grade steel.
legs and their divergence improves Handle rings are color coded
affixing of the clip in the applier. matching cartridge hue.
The Vclip® clips are manufactured of
apyrogenic titanium which ensures
proper level of biocompatibility. The
applied technology guarantees the Chevron-shaped
product meets the requirements of titanium ligating
clips
even the most demanding clinical
institutes.
Vclip ®
Micro Small Medium Medium-Large Large
SX S M ML L
Compatible 50º - 60º 50º - 60º 50º - 60º 50º - 60º 50º - 60º
V-shaped jaws V-shaped jaws V-shaped jaws V-shaped jaws V-shaped jaws
with appliers cross-section cross-section cross-section cross-section cross-section
Quantity
Pcs per Cartridges
/
cartridge per box
6/30 6/30 6/30 6/20 6/20
Pcs
REF Clip size Applier length
per box
Open-surgery appliers
1
STANDARD 0301-07SX15* micro 15 11
1
0301-07SX20 micro 20 1
1
0301-07S15 small 15 11
0301-07S20 small 20 11
1
0301-07S28* small 28 11
0301-07M15 medium 15 1
0301-07M20 medium 20 1
0301-07M28 medium 28 1
OPEN SURGERY
0301-07ML20 medium-large 20 1
0301-07ML28 medium-large 28 1
0301-07L20 large 20 1
0301-07L28 large 28 1
* Manufactured on request
SX S M ML L
M ML L
PREMIUM PREMIUM
Premium clip appliers are made of the highest quality surgical grade steel.
Vclip ®
Endo-surgery appliers
STANDARD
Endoscopic clip applier 0301-07ME medium front - loaded 10 1
0301-07MLE medium-large front - loaded 10 1
ENDO SURGERY
0301-07LE large front - loaded 12 1
PREMIUM
Endoscopic clip applier 0301-07MEP medium front - loaded 10 1
0301-07MLEP medium-large front - loaded 10 1
0301-07LEP large front - loaded 12 1
M ML L XL
POLYMER
POLYMER
NON-
ABSORBABLE
MEDIUM MEDIUM-LARGE
POLYMER
POLYMER
NON-
ABSORBABLE
POLYMER
POLYMER
NON-
ABSORBABLE
LARGE
POLYMER
POLYMER
EXTRA-LARGE
NON-
ABSORBABLE
Polymer Ligating Clips
4 pcs per cartridge REF: 0301-03M04 REF: 0301-03ML04 REF: 0301-03L04 REF: 0301-03XL04
6 pcs per cartridge REF: 0301-03M REF: 0301-03ML REF: 0301-03L REF: 0301-03XL
TM
Open-surgery appliers
Standard
20 cm 0301-04M20 0301-04ML20 0301-04L20 0301-04XL20
OPEN SURGERY
27 cm 0301-04M27 0301-04ML27 0301-04L27 0301-04XL27
ck’a V Ligat
®
li
of C ing
Endo-surgery appliers
es Cl
ur
ENDO SURGERY
t ip
Standard
a
s:
x 0301-04MLE 0301-04LE 0301-04XLE
fe
gn
Premium x 0301-04MLEP 0301-04LEP 0301-04XLEP ---------------------------- self-leading lock = no scissoring of the clip
---------------
i
des
of unique
Endo-surgery clip remover
non-absorbable polymer = unlimited hold-on time
t age
Quantity
Quantity
Quantity
Quantity
re
living hinge e g -----------------------
-------------------- precision bosses = security in the applier – no dropouts,
= flexibility during tak no slip-back, tactile feedback on loading
opening and closing, Surgeons can
no overclosing
Grena Ltd.
1000 Great West Road, Brentford, Middlesex, TW8 9HH, UK
Rev. 04/10.09.2012 www.grena.co.uk
level of biocompatibility together with structural and This combination leads to extreme time savings.
dimensional stability over time which is necessary for M 2 mm-7 mm VL]HVWROLJDWHWLVVXHVWUXFWXUHVIURPPPWRPP
long lasting patient safety. In number of procedures Click’a ® Ligating Clips V OLJDWHXSWRPPWLVVXHWKURXJKDPPWURFDURUXSWRPPWKURXJK
succesfuly replace endostaplers or harmonic scalpel DPPWURFDU
binding the same security level with cost savings. ML 3 mm-10 mm HDV\ORDGLQJV\VWHP
Of great importance is low interference with CT UHPRYHUVDYDLODEOHWRXQORFNWKHFOLS
scanning, radiotransparency in X-ray and the highest FOLSVGHOLYHUHGLQFRORUFRGHGFDUWULGJHVWRHQVXUHHDV\DQGLQWXLWLYH
safety in MRI resulting in lack of artifacts. L 5 mm-13 mm identification.
FOLSVSHUFDUWULGJHWRHQVXUHHFRQRPLFDODQGFRPIRUWDEOHXVHRIWKH
7 mm-16mm product
XL
FPFPDQGFPDQJOHGFOLSDSSOLHUVZLWKSURSHUVL]HGMDZV
FRORUFRGHGULQJVRIWKHDSSOLHUVIRULQWXLWLYHLGHQWLILFDWLRQ
M ML L XL
Surgical
Procedure Why Click’aV®? Tissue Structure
Approach
RIGHT, LEFT AND Saves time due to tissue penetration, tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring, ability Gastro colic ligament, right & left colic vessels or branches, ileo colic vessels or branches, LAP ML L XL
MIDDLE COLECTOMY to encompass more tissue, highest stability and security on tissue. Does not interfere with CT and MRI imaging. middle colic vessels or branches, sigmoid vessels, superior hemorrhoidal vessels, inferior OPEN M ML L XL
mesenteric vessels or branches.
Saves time due to tissue penetration, tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring, Inferior mesenteric vessels or branches, sub hemorrhoidal vessels, middle hemorrhoidal LAP ML L XL
ANTERIOR
OPEN M ML L XL
COLO-RECTAL RESECTION ability to encompass more tissue, highest stability and security on tissue. Does not interfere with CT and MRI imaging. vessels
LAP ML L XL
APPENDECTOMY Saves cost due to endostaplers replacement. Tactile feedback ensures correct closure in poor visibility location. No clip dropouts. Appendiceal mesenteric arteries and veins, appendiceal stump OPEN M ML L XL
General Surgery
LAP ML L
CHOLECYSTECTOMY One clip for ligation of the cystic duct even when enlarged. Excellent stability and security on tissue. Cystic artery, cystic duct OPEN M ML L
Saves time due to tissue penetration, tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring, ability LAP ML L XL
Gastric arteries, gastro epiploic artery, gastro colic vessels, gastro splenic vessels
GASTRECTOMY OPEN M ML L XL
to encompass more tissue, highest stability and security on tissue resulting in fast ligation of the short gastric vessels. Does not
interfere with CT and MRI imaging.
LAP ML L XL
SPLENECTOMY Excellent stability and security on tissue. Splenic artery, splenic vein, gastrosplenic vessels OPEN M ML L XL
Saves time due to tissue penetration, tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring, ability Short gastric vessels LAP ML L XL
NISSEN FUNDOPLICATION
to encompass more tissue, highest stability and security on tissue resulting in fast ligation of the short gastric vessels. Does not OPEN M ML L XL
interfere with CT and MRI imaging.
Easy to apply in a surgical field with difficult or limited exposure due to excellent stability in the applier. No clip dropouts. Does not Vas deferens, puboprostatic ligaments, superficial periprostatic veins, dorsal vein complex, LAP ML L XL
PROSTATECTOMY interfere with CT and MRI imaging. preprostatic vein OPEN M ML L XL
LAP ML L
Urology
ADRENALECTOMY
Security due to latch mechanism, tactile feedback on closure and excellent stability on tissue. No clip dropouts. Does not interfere Adrenal artery, adrenal vein
OPEN M ML L
with CT and MRI imaging.
LAP ML L XL
Security due to latch mechanism, tactile feedback on closure and excellent stability on tissue. No clip dropouts. Does not interfere Ureter, renal vein, renal artery, gonadal vein, adrenal vein, lumbar vein OPEN
NEPHRECTOMY M ML L XL
with CT and MRI imaging.
Gynecology
Both in total abdominal and laparoscopically assisted vaginal hysterectomies offers extreme security due to latch mechanism, Round ligament, uterine artery, ovarian ligament, infundibuloplevic ligament, Falllopian LAP ML L XL
HYSTERECTOMY OPEN M ML L XL
tactile feedback on closure and excellent stability on tissue. tubes
Thoracic
Surgery
LAP XL
LOBECTOMY Saves time due to tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring. Extreme stability and Lobar vein and artery M ML L XL
security on vessel. Does not interfere with CT and MRI imaging. OPEN
Vascular
Surgery
Saves time due to tissue penetration, tactile feedback on loading, tactile feedback on closure, no clip dropouts, no scissoring, Saphenofemoral junction, saphenous vein junction
LAP
VARICOSE VEIN SURGERY ability to encompass more tissue, highest stability and security on vessels. OPEN M ML L
CABG Extreme security of IMA and Saphenous stumps ligation. Much easier and faster access vs. suture ties. IMA artery stump, saphenous vein and stumps LAP XL
Vascular
Surgery
Cardio
OPEN M ML XL
ABDOMINAL
Extreme security on vessel. Tactile feedback on closure. Does not interfere with CT and MRI imaging. Lumbar artery and veins, branch vessels of the aorta LAP XL
AORTIC ANEURYSM
OPEN M ML L XL
E.N.T.
LAP
THYROIDECTOMY Extreme stability and security on vessel. Thyroid artery, thyroid pedicle OPEN M ML
Surgeon is fully responsible to choose proper size of the clip and must determine how many clips is necessary to achieve satisfactory hemostasis and closure security. Ligated structure sizes for each clip size is given for general information purposes only. Make sure clip’s size is appropriate for the structure to be ligated. Clip should completely encompass the vessel or tissue structure.
20 years
LIGATING CLIPS
TITANIUM CLIPS
Medium-
TITANIUM Micro Small Medium Large
Large
TITANIUM CLIPS
Medium-
TITANIUM Small Medium Large
Large
POLYMER CLIPS
Medium- Extra-
POLYMER Medium Large
Large Large
Grena Ltd.
1000 Great West Road, Brentford, Middlesex, TW8 9HH, UK
www.grena.co.uk
20 years
SRG-U
SRG
REF Staple load Staple type
SSG-15W 15 wide
SSG-25W 25 wide
SSG-35W 35 wide
SSG-55W 55 wide
SSG-15R 15 standard
SSG-25R 25 standard
SSG-35R 35 standard
SSG-55R 55 standard
SSG-15H 15 high
SSG-25H 25 high SRG-T
SSG-35H 35 high
SSG-55H 55 high
Compatible with
Product REF
staples
Remover SRG-T wide, high
Remover SRG-U wide, standard, high
Grena Ltd.
1000 Great West Road, Brentford, Middlesex, TW8 9HH, UK
www.grena.co.uk
0202-20007SSXCH18
cannula control (Ch) of tube
(mm)
(cm) box
Suction cannulas
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
0202-20007SSXCX18
/20 /22/ 24/ 28/ 30 G Suction set – Standard
Curved
NO 18/ 20/ 22/ 24/ 28/ 30
Suction sets
7 200 26
0202-20007SSXSH18 cannula
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G The offered products can be used for blood and other fluids removal during open surgery while the
Straight
0202-20007SSXSX18
NO 18/ 20/ 22/ 24/ 28/ 30 product is connected to external source of suction.
/20 /22/ 24/ 28/ 30 G
The product can be delivered as the cannula itself or together with attached tubing.
0202-21007SSXCH18 The Suction sets consist of any suction cannula and any tubing.
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Curved
0202-21007SSXCX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G Suction set – Standard The tube can be fitted with large, small or none female connector.
7 210 26
0202-21007SSXSH18 cannula
YES 18/ 20/ 22/ 24/ 28/ 30 The cannula can be attached to any standard connecting tube.
/20 /22/ 24/ 28/ 30 G
Straight
0202-21007SSXSX18 All the cannulas can be curved or straight. They can also be fitted with suction control or not.
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
There are three types of cannulas available – bulb rigid, rigid and standard.
0202-30007SSXCH18 The suction cannulas are offered as curved or straight. They can be fitted with a bulb or not.
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Curved The standard suction cannulas are available in various sizes – from 12 to 32 (in Charrier scale).
0202-30007SSXCX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G Suction set – Standard The product is disposable, sterilised with EO.
7 300 24
0202-30007SSXSH18 cannula
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Straight
0202-30007SSXSX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G There are various tubes available:
– internal diameter: 5 mm, 6mm and 7mm
0202-35007SSXCH18
YES 18/ 20/ 22/ 24/ 28/ 30
– length 200cm, 210cm, 300cm, 350cm and 380cm
/20 /22/ 24/ 28/ 30 G
Curved
0202-35007SSXCX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G Suction set – Standard
7 350 22
0202-35007SSXSH18 cannula
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Straight
0202-35007SSXSX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
0202-38007SSXCH18
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Curved
0202-38007SSXCX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G Suction set – Standard
7 380 22
0202-38007SSXSH18 cannula
YES 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
Straight
0202-38007SSXSX18
NO 18/ 20/ 22/ 24/ 28/ 30
/20 /22/ 24/ 28/ 30 G
All sets are also available with connecting tubes All Standard suction cannulas and sets are also available
of internal diameter 6mm. without grid.
Example for ordering: In the reference number the last letter is replaced with X.
0202-20007SSBCH (set with 7mm tube) Example for ordering:
0202-20006SSBCH (set with 6mm tube) 0202-XXXCH18X
0202-30007SSXCH YES
Curved
0202-30007SSXCX NO
Suction set – Rigid cannula 22 7 300 24
0202-30007SSXSH YES
Straight
0202-30007SSXSX NO
0202-35007SSXCH YES
Curved
0202-35007SSXCX NO
Suction set – Rigid cannula 22 7 350 22
0202-35007SSXSH YES
Straight
0202-35007SSXSX NO
0202-38007SSXCH YES
Curved
0202-38007SSXCX NO
Suction set – Rigid cannula 22 7 380 22
0202-38007SSXSH YES
Straight
0202-38007SSXSX NO