Instrument Tray

Instrument tray

Micro Surgical Sterilization Tray / Container includes base, lid and silicone insert.
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Key Benefits

Unique, “grid” system in all bases, trays and lids, makes it easy to install the mat or insert required to protect your delicate instruments properly.

All bases have pebble-type surface to keep mats from sticking to the bases during sterilization process.

Dimensions of each tray are designed to accommodate a variety of instrument sizes and shapes.

Features Overview

High Quality Material

Durable advanced designed tray Molded from General Electric’s ULTEM® resin, using mold flow analysis to guarantee product strength, structural integrity and extended life cycle

Sterilizable by all standard methods of sterilization (autoclave, steam, dry heat, chemical)

Dimensions

6.0″W x 10”L x .75”H and 6.0”W x 10”L x 1.5H”

Stackable Trays

Integral feet in bases and corner ridges on lids allow for easy and organized handling in autoclaves and storage

Flexible for You

Layout options to fit your centers needs. Finger-tip mats

Includes

Base, lid, and silicone insert

Pricing

$99 for one
SKU # 6602 and 6603

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Mooreville Needle Introducer

Mooreville Needle Introducer

The first new needle introducer in 40 years. The Furlow Needle Introducer was made available 40 years ago. Recently, it was noted that the Furlow design, which is a closed system, can harbor proteinaceous material in its interior and thus bacteria, which can be a source of contamination at the time of the prosthesis introduction (https://doi.org/10.1038/s41443-020-0256-2). This dooms the implant and can be disastrous to the patient. The Mooreville Needle Introducer has an open design made from two halves which come apart for easy cleaning and sterilization.

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Key Benefits

Smooth surface. No indents to collect bacteria. Comes apart for internal cleaning.

Features Overview

High Quality Material

Top grade surgical steel

Can be resterilized

Easy to Clean

Two mirror halves, which can come apart, allowing for easy cleaning

Two halves

Each piece forms a central channel, when together, through which the pusher travels

Length

18 cm

Width

9 mm

Pricing

$1099 per item

SKU # 9909

Patent Pending

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Prosthesis Component Introducer (PCI)

Prosthesis Component Introducer (PCI)

The prosthesis component introducer was improved by increasing the length of the beaks to accommodate all body habitus. They come in 3 beak lengths: 5, 7.5 and 12 cm.

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Key Benefits

Makes introduction of prosthesis components easier with the increased beak length. It works well from both the supra-pubic approach as well as from the penoscrotal one.

Features Overview

High Quality

Made from surgical steel

Three Sizes

5, 7.5, and 12 cm beaks

pci1-header-or-featured

Pricing

$299 for one

$489 for two (different sizes)

$749 for three (different sizes)

SKU # 9904

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The New Ectopic Wilson Reservoir Clamp (NEWRC)

The New Ectopic Wilson Reservoir Clamp (NEWRC)

The NEWRC is longer than the current ectopic clamp. It is designed to create an ectopic location for the prosthetic reservoir in the lower abdomen.
The NEWRC was conceived and is recommended by Dr. Steve Wilson.

Steven K. Wilson, MD, FACS, FRCS

Editor-In-Chief ISSM Video Journal of Prosthetic Urology

2007 Wilson Chair of Prosthetic Urology, U of AR

2010 St. Paul’s Medal: British Association Urologic Surgeons

2013 F Brantley Scott Award of Excellence

2017 Living Legend Award: Society Urologic Prosthetic Surgeons

Former Professor Urology: University of AR for Medical Sciences

The NEWRC was conceived and is recommended by Dr. Steve Wilson.

Steven K. Wilson, MD, FACS, FRCS

Editor-In-Chief ISSM Video Journal of Prosthetic Urology

2007 Wilson Chair of Prosthetic Urology, U of AR

2010 St. Paul’s Medal: British Association Urologic Surgeons

2013 F Brantley Scott Award of Excellence

2017 Living Legend Award: Society Urologic Prosthetic Surgeons

Former Professor Urology: University of AR for Medical Sciences

Our Customers Said

I have used the (New Wilson Ectopic Reservoir) Clamp with great success. Very nice design.
J. Francois Eid, MD
Clinical Associate Professor of Urology Weill-Cornell Medical College Director, Advanced Urological Care, PC

Key Benefits

It allows placement of a prosthesis reservoir in an ectopic location with less likely bladder side effects and no visibility. The Clamp has atraumatic grasping.

The Clamp
Anatomy of a wall
Finger placement of ectopic reservoir
Reservoir in groin after finger placed ectopic reservoir
The Wilson Clamp allows the creation of a pouch in a non-visibnle position
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In Practice
Clamp showing how high the ectopic reservoir will be placed.
Atraumatic tip does not injure reservoir. Deaver in inguinal ring allows passage of reservoir in high abdominal wall location.
Reservoir location through a penoscrotal incision is above umbilicus.
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In Practice
Clamp showing how high the ectopic reservoir will be placed.
Atraumatic tip does not injure reservoir. Deaver in inguinal ring allows passage of reservoir in high abdominal wall location.
Reservoir location through a penoscrotal incision is above umbilicus.
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Features Overview

High Quality Material

Top grade surgical steel

Length

14 in

Pricing

$695 for one

SKU # 9903

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Wilson Backward Cutting Scissor Set

Wilson Backward Cutting Scissors Set

The Wilson Supercut Backward Cutting Scissor Set contains 2 scissors, a 7 and 8″ scissors for prosthetics implants in fibrotic corpora. The larger scissor is designed for the proximal corpora and the smaller one for distal work.”

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Key Benefits

Helps in corporeal dissection in fibrotic corpora prior to the placement of penile prosthesis.

Method of Use

Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.

Method of Use

Once access to the corpora is obtained advance the scissor in a closed position and pull back with the arms spread.

Features Overview

Length

7” and 8" Wilson Backward Cutting Scissors

The Wilson Backward Cutting Scissors Set and the Mooreville Double Bladed Advanced Cavernotomes in the traveling instrument tray.

Pricing

$699 per set

SKU # 6601

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Wilson-Mooreville Backward Cutting Scissors

Wilson-Mooreville Backward Cutting Scissors

The Wilson-Mooreville scissors were designed to improve the creation of space in deeply scarred corpora by the addition of lateral serrations. The scissors come in two different widths and two different tip lengths to accommodate most situations.

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Key Benefits

Lateral serrations, which are hidden when the scissor is closed and exposed when open, cutting on the way out of the corpora.

Features Overview

Length

21 cm (8") long

Two Widths

7 mm (distal corpora) and 10 mm (proximal corpora) width

Two Scissor Front Lengths

4.5 cm and 8.2 cm

Wilson-Mooreville-Scissors2

Pricing

$745 per set

SKU # 6611

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Trans-Urethral Supra-Pubic Tube Guide (TUSP)

tusp

Trans-Urethral Supra-Pubic Tube Guide (TUSP)

The TUSP was designed by Steven Ochs, a practicing urologist with Urology One in Canton, Ohio. 

Trans-Urethral Supra-Pubic Tube Guide – The TUSP is a reusable surgical tool designed to assist the urologist in placing suprapubic tubes using the retrograde technique. It addresses the shortcoming of the Lowsley retractor to provide a safer and more efficient placement of the suprapubic tube. The TUSP features a hollow shaft that will allow the passage of up to an 18F Foley following the removal of its cannulated end piece.

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Key Benefits

Easy to use, minimally invasive, retrograde approach when antegrade approach not feasible.

Surgical Technique for ColMed TUSPTM
Step One
Use an appropriate sterile catheter. Lubricate and confirm it fits within the TUSP cannula. Lubricate and screw the trocar tip into the distal end of the cannula until flush — it is secure with minimum finger tightening.
Step Two
Place the patient in lithotomy position and prep with appropriate sterilizing solution. Perform cystoscopy to survey the anatomy of the urethra and bladder. If there is risk of urethral trauma, consider pre-placement of a guide wire (<0.038 in). Determine the optimal location for the trocar to exit the abdominal wall, and mark.
Step Three
Place the TUSP retrograde through the urethra, into the bladder. For a male, place penis on stretch. While gently angulating the handle, palpate for the tip of the device near the exit mark.
Step Four
Make an incision in the skin approximate 1 cm above the tip. While maintaining deflection on the abdominal wall with the TUSP, dissect the intervening tissue with electro-cautery until trocar emerges from the incision. Continue to push the trocar through incision about 5 cm. Remove the trocar tip and leave the cannula above the incision a few cm.
Step Five
Guide the lubricated catheter into the cannula about 25 cm (10 in) until it appears at the handle opening. If catheter buckles while advancing, push on it closer to the entry of the cannula.
Step Six
While holding the catheter at incision site, slowly withdrawal the TUSP from the urethra. Then using cystoscopic guidance retrograde through urethra, withdraw the catheter tip retrograde into the bladder by pulling externally above the incision site.
Step Six
Step Seven
Once the catheter is within the bladder lumen, inflate the balloon to recommended volume. Then gently approximate the balloon against the anterior bladder wall. Secure the catheter externally with a suture.
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Method of Use

Method of Use

Surgical Technique for ColMed TUSPTM
Step One
Use an appropriate sterile catheter. Lubricate and confirm it fits within the TUSP cannula. Lubricate and screw the trocar tip into the distal end of the cannula until flush — it is secure with minimum finger tightening.
Step Two
Place the patient in lithotomy position and prep with appropriate sterilizing solution. Perform cystoscopy to survey the anatomy of the urethra and bladder. If there is risk of urethral trauma, consider pre-placement of a guide wire (<0.038 in). Determine the optimal location for the trocar to exit the abdominal wall, and mark.
Step Three
Place the TUSP retrograde through the urethra, into the bladder. For a male, place penis on stretch. While gently angulating the handle, palpate for the tip of the device near the exit mark.
Step Four
Make an incision in the skin approximate 1 cm above the tip. While maintaining deflection on the abdominal wall with the TUSP, dissect the intervening tissue with electro-cautery until trocar emerges from the incision. Continue to push the trocar through incision about 5 cm. Remove the trocar tip and leave the cannula above the incision a few cm.
Step Five
Guide the lubricated catheter into the cannula about 25 cm (10 in) until it appears at the handle opening. If catheter buckles while advancing, push on it closer to the entry of the cannula.
Step Six
While holding the catheter at incision site, slowly withdrawal the TUSP from the urethra. Then using cystoscopic guidance retrograde through urethra, withdraw the catheter tip retrograde into the bladder by pulling externally above the incision site.
Step Six
Step Seven
Once the catheter is within the bladder lumen, inflate the balloon to recommended volume. Then gently approximate the balloon against the anterior bladder wall. Secure the catheter externally with a suture.
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Features Overview

High Quality Material

Surgical Stainless Steel

Sterilizable, reusable

TUSPTM Features

a patent-pending “soft dimple-thread," which permits the smallest size cannula (23.8 Fr) to be used with the largest sized catheter (21.5 Fr)

Pricing

$1,799 per unit

$50 for shipping

SKU # 2201

Uramix does not endorse any particular code for billing purposes. These codes are only provided for information purposes.

 

1,2,3 cms.gov

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Mooreville-Wilson Preparation Tool

Mooreville-Wilson Preparation Tool

Serial dilation with Hegar or Brooks dilators has been largely abandoned by today’s prosthetic urologists…introducing the first innovation in corpora preparation in 35 years. The two preparation tools for setting up the corpora to receive a penile prosthesis have sizes: 9-11 mm and 10-12 mm. They do the work of 4 Brooks Dilators plus a measuring tool.

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Key Benefits

Smooth surface. No indents to collect bacteria.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.
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Method of Use

Combine dilating and measurement in one easy step.

Method of Use

Combine dilating and measurement in one easy step.

Using the Mooreville-Wilson Prep Tool
Prepping the corpora to receive the prosthesis.
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Features Overview

Made from surgical steel. Can be sterilized

Length

27 cm long

Available in

9-11 and 10-12 mm diameters

Pricing

$549 for one

$899 for two

SKU # 9906

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The Mooreville II

DBACNewHandle-(1)-2

The Mooreville II

Double-Bladed Advanced Cavernotome

The Double-Bladed Cavernotome is an advancement on the original cavernotome for more challenging cases of severely scarred corpora. The cavernotome gets two cutting blades, which are sharper and rise from a beveled surface within the circumference of the dilator and the blades do not exceed this perimeter, for a precise and controlled cut or shaving action. Now available with fixed posts.
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Key Benefits

Easier and faster creation of an intracorporeal space in scarred genitalia from previous surgery or disease (i.e. – Peyronie’s, Sickle Cell). The cavernotome is great at removing bacterial film from previously infected corpora.

Play Video

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation

Method of Use

A new double-bladed cavernotome with improved coring ability and ease of use.

  • Entry to fibrotic corpora needs to be accessed by scalpel & extended both proximally & distally to allow entry to dilator
  • Working element should initially be directed laterally
  • Cutting of fibrotic tissue can be obtained longitudinally & also in a rotating shaving action
  • Dilators are used in succession to the desired size
  • Dilators can be used in nonfibrotic corpora for speedier dilation
Play Video

Features Overview

High Quality Material

Top grade surgical steel, does not need resharpening

Long-lasting

Both the instrument and the handle are autoclavable

The main Set

6 cavernotomes with diameters between 6, 7, 9, 10, and 11 mm

The X-Large Set

3 cavernotomes with diameters between 12, 13, and 14mm

graded in centimeters

Cavernotomes can also be used as a measuring tool

Working element

2 parallel blades of 5 cm

Length

23.5 cm

More Control

Additional handle for increased torque in difficult dilations, flat surface on the same plane as the blade for ease of orientation

The Handle

Easily mountable and removable for use and cleaning

Tapered head

Rounded protective tip

Blade Height

Height of blade does not exceed circumference of the dilator

Blade Details

Two blades advanced to within 0.5 cm of the tip

Includes

EVA cases, combining the protection of a hard case with the versatility and portability of a soft case

Pricing

$2,899 for full set (6)

$2,699 for any five

$2,399 for any four

$1,999 for any three

$1,999 for X-Large set (3),

$4,299 for the full set (6) and X-tra large set (3)

SKU # 9907

Case study

The cavernotomes were used in nineteen patients with corporeal fibrosis. The etiology of the fibrosis was removal of previously infected prosthesis (15), extensive fibrosis from recurrent priapism secondary to sickle cell disease (2), pharmacologic injection program and subsequent Winter shunts (2). One of the patients whose prosthesis was removed for infection also had a tip erosion on the contralateral side necessitating the creation of a subcapsular space for the insertion of a new cylinder.

Surgical Technique

After a small corporotomy is created, the cavernotomes are introduced and moved in an oscillating motion resulting in forward advancement. If more resection is needed, rotation of the cavernotomes will create a “shaving” action which removes 1 mm strips of fibrotic tissue.

  • Cutting can be done both in a longitudinal, up and down, movement, or in a “drilling” rotational movement.
  • The largest size (13 mm) corresponds to standard cylinder diameter. Dilation to 10 mm is necessary for insertion of the Furlow tool or the Mentor NB cylinder base. Dilation to 11 mm is necessary for the insertion of the AMS CXM base.
  • Internal cutting of the fibrosis obviates extensive corporotomies and results in quicker procedures.
  • The cavernotome’s design and oscillating advancement promote safe dilation without perforation.

Cavernotome being used to dilate fibrotic corpora

All uses of the cavernotomes resulted in successful implantation of inflatable cylinders or semimalleable rods without urethral injury or corporal perforation.

  • Fifteen of the patients received downsized prosthesis (13 Alpha NB, 2 AMS 700 CXM).
  • Of the remaining four patients, three patients were implanted with Mentor Alpha 1 standard size cylinders, and 1 patient was implanted with an AMS semimalleable prosthesis.
  • Graft material was not required and only two patients required additional distal penile incisions for optimum cylinder tip placement.
  • Average operative time was 51 minutes (39-86 minutes range).

As seen in Wilson’s Perils and Pitfalls of Penile Prosthesis Surgery, Tobias S. Kohler, MD, Nikhil Gupta, MD, Steven K. Wilson, MD, 2nd edition, January 2018

references

Bruce B. Garber, Caitlin Lim.  “Inflatable Penile Prosthesis Insertion in Men with Severe Intracorporal Fibrosis.” Current Urology  (2017)  10:92–96.

Michael Mooreville, Sorin Adrian, John R. Delk, and Steven K. Wilson.  “Implantation of Inflatable Penile Prosthesis in Patients with Severe Corporeal Fibrosis: Introduction of a New Penile Cavernotome.”  The Journal of Urology 162 (1999).

Steve K. Wilson. “Reimplantation of inflatable penile prosthesis into scarred corporeal bodies”. International Journal of Impotence Research (2003) 15, Suppl 5, S125-S128.

Cylinder insertion into scarred corporal bodies: prosthetic urology’s most difficult challenge: some suggestions for making the surgery easier

Instrument Cleaning

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Monitor for Urologic Resection Fluid

Monitor for Urologic Resection Fluid2

MONITOR FOR UROLOGIC RESECTION FLUID

The Uramix Monitor of Urologic Resection Fluid – MURF – is a portable electronic fluid monitor, which monitors fluid use during urologic endoscopic procedures, and provides sound alerts to allow for the timely replacement of fluid bags. This avoid unnecessary interruptions during the procedure or increased vision obscuring bleeding.

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Key Benefits

Easy to use and improves fluid management during endoscopic procedures.

Method of Use

The MURF is made to be user-friendly.

  • Hang the device first on the pole used to hang the fluid bags without any bags on it.
  • Pres “ON/OFF” key. The screen will display (8888) and the buzzer will utter the sound of being turned on.
  • Wait for 2-3 seconds until the (0.00 or 0.000) is displayed on the screen. The device is ready for monitoring.
  • Press the “TARE” key (zero) and the screen will display “0.000”. The device is ready for monitoring.
  • Hang one or two fluid bags on the device hook. The screen will display the weight/volume of the bags.
  • The device monitors fluid use and will give several sound warnings to warn operator when it is time to switch or replace fluid bags.
  • The device will give distinct warning sounds at 250 ml and at 100 ml of actual fluid to give the operator time to get ready to either switch bags or replace bags. The actual reading on the monitor might be different as the device also takes into consideration the weight of the bag or bags (up to two).
  • Press “ON/OFF” key to turn off.
  • The electronic monitor will not auto turn off; user should turn it off manually

Method of Use

The MURF is made to be user-friendly.

  • Hang the device first on the pole used to hang the fluid bags without any bags on it.
  • Pres “ON/OFF” key. The screen will display (8888) and the buzzer will utter the sound of being turned on.
  • Wait for 2-3 seconds until the (0.00 or 0.000) is displayed on the screen. The device is ready for monitoring.
  • Press the “TARE” key (zero) and the screen will display “0.000”. The device is ready for monitoring.
  • Hang one or two fluid bags on the device hook. The screen will display the weight/volume of the bags.
  • The device monitors fluid use and will give several sound warnings to warn operator when it is time to switch or replace fluid bags.
  • The device will give distinct warning sounds at 250 ml and at 100 ml of actual fluid to give the operator time to get ready to either switch bags or replace bags. The actual reading on the monitor might be different as the device also takes into consideration the weight of the bag or bags (up to two).
  • Press “ON/OFF” key to turn off.
  • The electronic monitor will not auto turn off; user should turn it off manually

Features Overview

Critical for Surgery

Prevents running out of fluid during critical parts of procedures

Easy to Use

Connects between hanging pole and bags

Sound Alerts

Provides sound alerts to notify surgical staff to change bags before they are empty

Aids Visibility

Helps prevent “red outs” (loss of visibility)

Prevent Clots

Helps prevent clot formation during “red outs”

Monitor for Urologic Resection Fluid2
Stay on Schedule

Avoids delays in procedure time

Safety is Paramount

Adds to patient safety

Easy To Power

Electronic Fluid Monitor uses 2 AAA batteries

Compact

Portable, pocket-sized, and easily stored

Reusable

No more single-use

Reliable

Consistent performance

Pricing

$355 for one

$595 for two

SKU # 5501

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