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BOOKWALTER Retractor System C A T A L O G “GOOD EXPOSURE IS THE KEY TO GOOD SURGERY” – John Bookwalter, M.D. 175727.qx7:P 2/25/08 6:54 AM Page OFC1
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Page 1: Bookwalter Catalog

BOOKWALTER™ Retractor SystemC A T A L O G

“GOOD EXPOSURE IS THE KEYTO GOOD SURGERY”

– John Bookwalter, M.D.

175727.qx7:P 2/25/08 6:54 AM Page OFC1

Page 2: Bookwalter Catalog

Hello,

Our goal from the beginning has been to provide the working surgeon with a tablefixed retractor that enables the best possible surgical exposure through any givenincision.

We at Codman are constantly trying to improve the genuine BOOKWALTER RetractorSystem and each of its components to meet the changing needs of the surgicalcommunity and to maintain Codman’s position as the world leader in table fixedretraction.

We have three guiding principles for this retractor system:

• First, is to keep making it better. Like you, I count on this retractor and use it everyday. It needs to be the best it can be.

• Second, insuring all new and improved components are backwards compatible.

• Third, providing you with highly skilled field sales representatives. We believe in training our sales force to a very high standard. Their extensivetraining includes time in the operating room with me. This enablesthem to in-service and support you, our customers, to help you fullybenefit from the advantages of the genuine BOOKWALTERRetractor System.

I would like to thank you for your help in making the BookwalterRetractor the most widely used device of its kind available in theworld.

Sincerely

John R. Bookwalter, M.D.

John R. Bookwalter, M.D.

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K I T S

S E T U P S

C O M P O N E N T S

S T O R A G E

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I N D E X

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Obese [Kits & Accessories] 3 - 5

General [BOOKWALTER II] 6 - 7

IMA 8 - 9

Rectal 10 - 11

Small Incision 12 - 13

Spinal 14 - 15

Vaginal 16 - 17

Page

Abdominal Aortic Aneurysm 18

Anterior Lumbar Interbody Fusion 19

Page

Table Post 21

Post Coupling 21

Vertical Extension Bar 21

Horizontal Bars 22

Adjustable Frames 23

Hooks 23

Rings 24 - 27

Ratchets 28

Ratchet Extender 28

Rakes 28

Blades 29 - 35

Twister Ratchet 29

Blade Holder 33

Page

Spinal Retractor Case 37

BOOKWALTER II Blades & Accessories Case 37

BOOKWALTER II Table Fixation & Ring Case 38

ACT2™ Container System for the BOOKWALTER II Kit 39

Page

Indices 40 -41

S U G G E S T E D K I T S

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com2

BOOKWALTER RETRACTOR IN THE BEGINNING…

The idea for the BOOKWALTER Retractor first occurred to Dr. Bookwalter in the middle of the night in 1964, whenhe fell asleep holding a retractor during an emergency operation. Upon awakening, he found that it had notmattered that he had fallen asleep and he began to think about the possibility of replacing hand-held retractorswith a mechanical device.

Initially, he experimented with the Smith Retractor, a table-fixed retractor sold by CODMAN as early as 1954. Itfastened to the table at two points and various retractor blades could be moved and tightened around theperimeter. While on active duty at Fort Bragg in 1970-1972, Dr. Bookwalter made extensive modifications to aSmith Retractor, and later showed these modifications to the people at Codman, with whom he was developing apistol grip needle holder. Attention shifted to the retractor, and over the next 3 years from about 1975 to 1978,development progressed, ending with an over the drapes table post, an oval ring, retractor blades on ratchet barswith straight ratchet mechanisms. The ratchet idea had come from the Bailey Gibbon Rib Approximator. As soonas the product was on the market, it was obvious that improvements were needed. This led to the very earlyaddition of the tilt ratchet mechanism, which allowed the retractor blade to toe in, much as the hand-held retractorwas toed in. In 1985, under the direction of then product director, David Hable, the horizontal flex bar and thesegmented rings were added, both of which have been continuously developed and improved to the present time.

In 1991, the tilt ratchet mechanism was modified so that the release was on the side rather than at the back. Thiswas to facilitate using the ring for rectal, vaginal, and orthopedic surgery, where the ring was perpendicular to thefloor. Moving the ratchet release to the side allowed both levers to be released with a single squeeze of thethumb. Initially, the levers overlapped. This allowed inadvertent release at certain angles and was supercededfairly quickly by our current design in which the levers are very close together but not overlapping.

In 2003, we introduced the most significant improvement to the retractor in the last 10 years. The ROTILT RatchetMechanism, rotates the tilt ratchet allowing the retractor blades to toe in, in planes other than the flat plane of thering. It adds another degree of freedom, which is critically important in retracting deep tissues and permits preciseblade placement while retaining the ability to quickly reposition the blade when necessary.

We move into the 21st century with continued commitment to provide the best table-fixed retractor in the world.We are committed to making new additions and improvements compatible with products already in the field, sothat the value of products already sold is enhanced by our improvements rather than made obsolete.

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B O O K W A L T E R C A T A L O G

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 3

For use in surgical procedures when patients are large or morbidly obese.This Kit is a complete stand alone system

For use in surgical procedures when patients are large or morbidly obese.Kit components to be added to existing BOOKWALTER Retractor System foruse on large or morbidly obese patients.

BOOKWALTER OBESE PATIENT RETRACTOR KIT18” Table Post

Product Code Description

BW1046BKIT Kit Includes:

BW0144005 BOOKWALTER 18” Table Post

BW1043016 BOOKWALTER 2” x 10” Malleable Blade

BW1043029 BOOKWALTER 3” x 10” Malleable Blade

BW1045069 BOOKWALTER 4” x 8” Malleable Blade

BW1045000 BOOKWALTER 2” x 8” Kelly Blade

BW1271017 BOOKWALTER 3 1/2” x 2 3/4” Balfour Blade

BW1045176 BOOKWALTER 3 1/2” x 10”Harrington Blade

BW0338014 BOOKWALTER Ratchet Extender

BW0338015 BOOKWALTER Twister Ratchet

50-4561 Horizontal Bar

50-4562 Post Coupling

50-4563 Medium Oval Ring

50-4564 2” x 3” Kelly Blade

50-4565 2” x 4” Kelly Blade

50-4580 Tilt Rachet Mechanism (6 each)

BOOKWALTER OBESE PATIENT ACCESSORIES KIT18” Table Post

Product Code Description

BW1046BRT Kit Includes:

BW0144005 BOOKWALTER 18” Table Post

BW1043016 BOOKWALTER 2” x 10” Malleable Blade

BW1043029 BOOKWALTER 3” x 10” Malleable Blade

BW1045069 BOOKWALTER 4” x 8” Malleable Blade

BW1045000 BOOKWALTER 2” x 8” Kelly Blade

BW1271017 BOOKWALTER 3 1/2” x 2 3/4” Balfour Blade

BW1045176 BOOKWALTER 3 1/2” x 10”Harrington Blade

BW0338014 BOOKWALTER Ratchet Extender

BW0338015 BOOKWALTER Twister Ratchet

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com4

For use in surgical procedures when patients are large or morbidly obese.This Kit is a complete stand alone system.

BOOKWALTER OBESE PATIENT RETRACTOR KIT24” Table Post

Product Code Description

BW1045BKIT Kit Includes:

BW0144003 BOOKWALTER 24” Table Post

BW1043016 BOOKWALTER 2” x 10” Malleable Blade

BW1043029 BOOKWALTER 3” x 10” Malleable Blade

BW1045069 BOOKWALTER 4” x 8” Malleable Blade

BW1045000 BOOKWALTER 2” x 8” Kelly Blade

BW1271017 BOOKWALTER 31/2” x 2 3/4” Balfour Blade

BW1045176 BOOKWALTER 3 1/2” x 10” Harrington Blade

BW0338014 BOOKWALTER Ratchet Extender

BW0338015 BOOKWALTER Twister Ratchet

50-4552 Horizontal Bar

50-4566 Post Coupling

50-4557 Medium Oval Ring

50-4568 2” x 3” Kelly Blade

50-4565 2” x 4” Kelly Blade

50-4580 Tilt Rachet Mechanism (6 each)

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B O O K W A L T E R C A T A L O G

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 5

For use in surgical procedures when patients are large or morbidly obese.Kit components to be added to existing BOOKWALTER retractor system foruse on large or morbidly obese patients.

BOOKWALTER OBESE PATIENT ACCESSORIES KIT24” Table Post

Product Code Description

BW1045BRT Kit Includes:

BW0144003 BOOKWALTER 24” Table Post

BW1043016 BOOKWALTER 2” x 10” Malleable Blade

BW1043029 BOOKWALTER 3” x 10” Malleable Blade

BW1045069 BOOKWALTER 4” x 8” Malleable Blade

BW1045000 BOOKWALTER 2” x 8” Kelly Blade

BW1271017 BOOKWALTER 3 1/2” x 2 3/4” Balfour Blade

BW1045176 BOOKWALTER 3 1/2” x 10”Harrington Blade

BW0338014 BOOKWALTER Ratchet Extender

BW0338015 BOOKWALTER Twister Ratchet

175727:P 2/18/08 9:49 AM Page 5

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com6

The BOOKWALTER Kit II can be used effectively for many procedures, such as;abdominal hysterectomy, appendectomy, and transplant procedures.

BOOKWALTER RETRACTOR KIT II

Product Code Description

50-4542 Kit Includes:

50-4581 Table Post

50-4552 Horizontal Bar

50-4554 1” Post Coupling

50-4557 Medium Oval Ring

50-4561 2” x 6” Malleable Retractors (2 each)51mm x 152mm

50-4568 2” x 3” Kelly Retractors (2 each)51mm x 76mm

50-4562 2” x 4” Kelly Retractor51mm x 101mm

50-4576 Balfour Retractor

50-4579 Ratchet Mechanisms (2 each)

50-4580 Tilt Ratchet Mechanisms (6 each)

50-4583 Segmented Ring

50-4562 1 1/2” x 6” Malleable Retractor38mm x 152mm

50-4563 3” x 6” Malleable Retractor76mm x 152mm

50-4564 2” x 5” Kelly Retractor51mm x 127mm

50-4565 2” x 6” Kelly Retractor51mm x 152mm

50-4582 Horizontal Flex Bar

50-4566 Harrington Retractor

50-4577 Gelpi Retractor

Accessories:

50-4507 Table Fixation & Ring Case

50-4508 Blades & Accessories Case (see Trays, Bookwalter)

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B O O K W A L T E R C A T A L O G

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 7

BOOKWALTER RETRACTOR KIT II

Description

The appropriate ring (medium oval and segmented areincluded in kit) is selected, attached to the horizontalbar (or horizontal flex bar) and centered over theoperative site, not necessarily over the incision.

Select the appropriate retractor blades, and attachedthem to the ring via the quick release ratchetmechanisms.

The blades are positioned to provide optimal exposure.Readjustment, repositioning or replacement is fast andsimple.

The BOOKWALTER Retractor provides simple, multi-directional exposure for a broad range of surgicalprocedures.

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com8

K I T S

50-4675

BOOKWALTER IMA RETRACTOR KIT

Product Code Description

50-4600 Provides the tools to elevate andretract the sternum for efficientdissection of the internal mammaryartery.

Kit Includes:

50-4552 Horizontal Bar1” diameter (25mm) 14 1/4” length (36cm)

50-4554 Post Coupling1” diameter (25mm)

50-4581 Table Post1” diameter (25cm)

50-4601 IMA Cross Bar12” length (30cm)

50-4602 IMA Ratchet Mechanism (2 each)

50-4603 IMA Retractor Blade (2 each)12” length (30cm)

50-4604 IMA Storage Case

50-4675* IMA T-Crossbar

*Not included in kit

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 9

BOOKWALTER IMA RETRACTOR KIT

Description

Once the horizontal bar is stabilized via the table postcoupling the IMA cross bar is inserted and securedparallel with the patient’s chest.

With table post attached to the O.R. table at the level ofthe axilla, the horizontal bar end is positioned betweenthe nipple and the sternum approximately 8” above thepatient.

The IMA retractors are inserted into the IMA ratchetmechanisms, and placed individually onto the crossbar.The crossbar safety clips are then locked.

The BOOKWALTER IMA Retractor Kit affords thesurgeon specific and independent retraction for efficientdissection of the internal mammary artery.

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com10

The Rectal Retractor Kit components are designed for use with existingBOOKWALTER kit components to meet the requirements of rectical procedures.

BOOKWALTER RECTAL KIT

Product Code Description

50-4546 Kit Includes:

50-4584 BOOKWALTER Small Round Ring 8 1/2” I.D. (216mm)

50-4585 BOOKWATER Rectal Blades small(2 each) 3” x 7” (76mm x 178mm)

50-4586 BOOKWALTER Rectal Blades large(2 each) 4” x 6” (101mm x 152mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 11

With the end of the O.R. table dropped, the patient inthe high-lithotomy position (or Bowie position, ifpreferred), the table post is parallel to the floor.

BOOKWALTER RECTAL KIT

Description

The BOOKWALTER Rectal Kit offers “hands-free”exposure for the surgical procedure.

The small round ring is grasped at the 5 o’clockposition. The horizontal flex bar is then joined to thetable post via the post coupling.

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com12

The Small Incision Kit components are designed for use with existing BOOKWALTER kitcomponents to meet the requirements of procedures where a small incision is preferred.

BOOKWALTER SMALL INCISION KIT

Product Code Description

50-4578 Kit Includes:

50-4584 BOOKWALTER Small Round Ring 8 1/2” I.D. (216mm)

50-4577 GELPI Point Blade

50-4574 KELLY Blade 1” x 1 1/2” (25mm x 38mm)

50-4575 KELLY Blade 1” x 2 1/2” (25mm x 63mm)

Also Available (not pictured)

50-4563 KELLY BladeWidth 2” (51mm)Depth 2” (51mm)

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The small round ring is selected, attached to thehorizontal flex bar (or horizontal bar) and centered overthe operative site, not necessarily over the incision.

BOOKWALTER SMALL INCISION KIT

Description

The appropriate small incision blade — 1” X 1 1/2”(25mm x 38mm) Kelly, 1” x 2 1/2” (25mm x 63mm)Kelly or Gelpi — is selected and attached to the smallround ring. Usually the blade is connected to aratchet mechanism before the ratchet mechanism ispositioned on the ring.

The blades are positioned to provide optimal exposurefor hermia repair and appendectomy, as well ascholecystectomy and some vascular procedures.Adjustment, positioning, and placement of retractorblades is fast and simple.

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com14

BOOKWALTER SPINAL RETRACTOR KIT

Product Code Description

50-4631 Kit Includes:

50-4581 BOOKWALTER Table Post 1”

50-4582 BOOKWALTER Horizontal Flex Bar

50-4552 BOOKWALTER Post Coupling 1” x 1”

50-4635 BOOKWALTER Small Round RingSegments (1 pair)

50-4636 BOOKWALTER Straight Ring Segment4” (1 pair)

50-4637 BOOKWALTER Straight Ring Segment6” (1 pair)

50-4638 BOOKWALTER Straight Ring Segment8” (1 pair)

50-4579 BOOKWALTER Ratchet Mechanism (6 each)

50-4580 BOOKWALTER Tilt Ratchet Mechanism(4 each)

50-4639 SCOVILLE Hook Retractor, Small (2 each)

50-4640 SCOVILLE Hook Retractor, Large (2 each)

50-4641 MEYERDING Retractor, Small (2 each)

50-4642 MEYERDING Retractor, Medium (2 each)

50-4643 MEYERDING Retractor, Large (2 each)

50-4644 Deep Rake Retractor, Small (2 each)

50-4645 Skin Rake Retractor, Medium (2 each)

50-4646 Skin Rake Retractor, Large (2 each)

50-4647 BOOKWALTER Spinal Retractor

Storage/Sterilizing Case

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 15

The patient is in a modified prone position with thesegmented spinal ring centered over the incision andattached to the horizontal flex bar.

As surgery proceeds through the skin and subcutaneouslayers, shallow skin rakes retract these tissues.

As the para-spinal muscles are dissected, the shallowinstruments are replaced with either deep rakes orMeyerding retractors.

Once exposure of the surgical area is achieved,multiple retractors can be positioned at any location onthe segmented ring. This feature offers surgeons theflexibility to accommodate any size patient. Thisdrawing depicts one method of achieving a wide lateralexposure over multiple spinal levels.

BOOKWALTER SPINAL RETRACTOR SYSTEM

Description

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K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com16

MAGRINA BOOKWALTER VAGINAL RETRACTOR KIT

Product Code Description

50-4547 Kit Includes:

50-4590 Vaginal Retractor Ring I.D. 8” x 10 1/2” (203mm x 206mm)

50-4591 Lateral Retractor Blade (2 each) 1” x 3” (25mm x 89mm)

50-4592 Deaver Blade, Small1” x 3 1/2” (25mm x 89mm)

50-4593 Deaver Blade, Large 1” x 5” (25mm x 127mm)

50-4594 Posterior Blade 1” x 4 1/2” (114mm)

50-4554 Post Coupling 1”

50-4582 Horizontal Flex Bar

50-4581 Table Post 1”

50-4580 Tilt Ratchet Mechanism (4 each)

ALTERNATIVE SET UP

Product Code Description

50-4689 Pelvic Segmented Ring

50-4690 Pelvic Ring (Not shown)

SP01043-93 Malleable Blade with lip 1” X 4” (25mm X 102mm)(2 each)

SP00144-1 Table Post 1” (8” length)

50-4589 ROTILT(4 each)

50-4591 Lateral Retractor Blade (2 each)1” X 3” (25mm X 89mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 17

MAGRINA-Bookwalter VAGINAL RETRACTOR KIT

Description

The distal end of the horizontal flex bar is connected tothe table post and tightened via the post coupling.Grasp the vaginal ring at the 5 o’clock position with thehorizontal flex bar, and secure.

With the end of the O.R. table dropped, table postparallel to the floor, and the patient in the high-lithotomyposition, the vaginal ring is positioned with the 20-degree break at the level of the posterior vaginal wall.

With posterior (6 o’clock), lateral (4 and 8 o’clock) andDeaver (12 o’clock) retractor blades positioned, optimalexposure is realized.

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S U G G E S T E D K I T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com18

CODMAN SUGGESTED ABDOMINAL AORTIC ANEURYSM KIT

Product Code Description

50-4581 Table Post, 12”

50-4554 Post Coupling, 1”

50-4558 Oval Ring, Small

50-4557 Oval Ring, Medium, 10 1/2” x 14”

50-4556 BW Oval Ring, Large

50-4561 Malleable Retractors (2 each), 2” x 6”

50-4568 Kelly Retractors (2 each), 2” x 3”

50-4569 Kelly Retractor, 2” x 4”

50-4576 Balfour Retractor, 2 5/8” x 3”

50-4580 Tilt Ratchet Mechanisms (4 each)

SP01043-8 Malleable Retractor, 2” x 8”

50-4582 Horiz Flex Bar, 1” Dia

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CODMAN SUGGESTED BOOKWALTER ALIF KIT

Product Code Description

BW0144005 18" Table Post (prefer over 24")

50-4581 12" Table Post

50-4554 Post Coupling (2 each)

50-4568 Wishbook Retractor

50-4569 SM Wishbook Retractor

50-4580 Tilt Ratchet Mechanism (2 each)

50-4589 ROTILT Ratchet Mechanism (8 each)

50-4757 Radiolucent Blade Attachments (4 or 5 each)

50-4760 5" x 2" Radiolucent Retractor Blades

50-4761 6" x 2" Radiolucent Retractor Blades

50-4653 1" x 5" Radiolucent Retractor Blades

50-4656 1" x 6" Radiolucent Blades

50-4568 2" x 3" Kelly Retractor Blades (2 each)

50-4569 2" x 4" Kelly Retractor Blade (3 each)

50-4570 2" x 5" Kelly Retractor Blade (2 each)

50-4571 2" x 6" Kelly Retractor Blade

50-4576 Balfour Retractor (2 each)

BW1045176 Deep Harrington Retractor Blade

J142345B2B Table Fixation and Ring Case

JI42345B2A Blades & Accessories Case

MDA9999X Starter Kit

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C O M P O N E N T S

BOOKWALTER SYSTEM

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The genuine BOOKWALTER Retractor Systemavailable only from Codman

Fully adjustableWISHBOOK armscontour to the patient,eliminating the need formultiple frames/rings

The ROTILT provides lockablerotation of the tilt ratchet withseven indexed positionsalong an ark of 60 degrees

The WISHBOOKone-piece framereduces criticalset-up time

The ROTILT permits closerduplication of the original function

of a toed-in hand held retractor

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BOOKWALTER TABLE POST

Product Code Description

50-4581 12” (25mm)

BW0144003 24” (61mm)

BW0144005 18” (46mm)

SP00144-1 8” (20mm)

BOOKWALTER POST COUPLING

Product Code Description

50-4554 For 1” (25mm) system

BOOKWALTER VERTICAL EXTENSION BAR

Product Code Description

50-4553 Length 12” (30.5mm)Diameter 1” (2.5cm)

Must be used with 50-4554 post coupling

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C O M P O N E N T S

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com22

BOOKWALTER HORIZONTAL BAR

Product Code Description

50-4552 Length 14 1/4” (36.5cm) Diameter 1” (2.5cm)

BOOKWALTER HORIZONTAL FLEX BAR

Product Code Description

50-4582 Length 14 1/2” (47cm)Diameter 1” (2.5cm) 360° rotation

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 23

50-4648

50-4649

BOOKWALTER WISHBOOK ADJUSTABLE FRAME

Product Code Description

50-4648 Frame 15.8” Cross Arm 18.15”

50-4649 Frame 12.3” Cross Arm 18.15”

BOOKWALTER-SCOVILLE HOOK

Special Device Description

50-4639 Small 2” (50mm)

50-4640 Large 3 1/4” (83mm)

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C O M P O N E N T S

24 For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com

BOOKWALTER SPINAL RETRACTOR RING

Product Code Description Length

50-4635 Small Round Ring 8” (203mm) Segments, Pair

50-4636 Straight Ring 4” (101mm)Segments, Pair,

50-4637 Straight Ring 6” (152mm)Segments, Pair

50-4638 Straight Ring 8” (203mm)Segments, Pair

BOOKWALTER ROUND RING SEGMENTS

Product Code Description Inner Diameter

50-4634 Medium, 1 pr. 10 ” (263mm)

50-4635 Small, 1 pr. 8 1/2” (216mm)

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BOOKWALTER OVAL RINGS

Product Code Description

50-4556 LargeWidth (I.D.) 12” (267mm)Length (I.D.) 18 1/2” (470mm)

50-4557 Medium Width (I.D.) 10 1/2” (267mm) Length (I.D.) 14 1/2” (368mm)

50-4558 Small Width (I.D.) 8” (203mm)Length (I.D.) 12 1/4” (311mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com26

BOOKWALTER ROUND RINGS

Product Code Description

50-4584 Small8 1/2” I.D. (216mm)

50-4684 Small with suture slots9 1/2” I.D. (240mm)

50-4559 Medium10 1/2” I.D. (266mm)

50-4560 Large12 1/2” I.D. (317mm)

BOOKWALTER ELIPTICAL SEGMENTED RING

Product Code Description

50-4595 15” (380mm) x 14 1/2” (368mm)

BOOKWALTER PELVIC RETRACTOR RINGS

Product Code Width Length

50-4689 8” (203mm) 10 1/2” (266mm)

50-4690* 8” (203mm) 10 1/2” (266mm)

*Without segments, not shown.

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BOOKWALTER SEGMENTED RING

Product Code Description

50-4587 SmallI.D. 8 1/2” x 14” (216mm x 356mm) Consisting of (1) 8 1/2” Round Ringand (2) 4” straight segments.

50-4583 MediumI.D. 10 1/2” x 19 1/2” (266mm x 495mm)Consisting of (1) 10 1/2” Round Ringand (2) 8” straight segments.

50-4588 LargeI.D. 12 1/2” x 19 1/2”(317mm x 495mm)Consisting of (1) 12 1/2” Round Ringand (2) 6” straight segments.

MAGRINA BOOKWALTER VAGINAL RETRACTOR RING

Product Code Width Length

50-4590 8” (203mm) 10 1/2” (266mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com28

50-1579 50-4580

50-4589

BOOKWALTER STANDARD RATCHET MECHANISMS

Product Code Description

50-4579 BOOKWALTER Standard RatchetMechanism

50-4580 BOOKWALTER Tilting RatchetMechanism

50-4589 BOOKWALTER Rotilt RatchetMechanism

BOOKWALTER RATCHET EXTENDER

Product Code Description

BW0338014 Ratchet Extender*

*For additional length when needed using BOOKWALTER Retractor Blades.

BOOKWALTER RAKE RETRACTORS

Product Code Width Depth

50-4644 3 Prongs2/3” (17mm) 3/4” (19mm)

50-4645 4 Prongs 3/4” (19mm) 1/3” (8.4mm)

50-4646 6 Prongs1” (29mm) 1/3” (8.4mm)

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BOOKWALTER BALFOUR BLADE

Product Code Width Depth

50-4576 2 5/8” (67mm) 3” (76mm)

BOOKWALTER GELPI POINT RETRACTOR BLADE

Product Code Width Depth

50-4577

BOOKWALTER-HARRINGTON RETRACTOR BLADE

Product Code Width Depth

50-4566 2 ?” (63mm) 5 5/8” (143mm)

BOOKWALTER TWISTER RATCHET

Product Code Description

BW0338015 Blade tension mechanismAdded support when settingretraction

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com30

BOOKWALTER-KELLY RETRACTOR BLADES

Product Code Width Depth

50-4574 KELLY Blade1” (25mm) 1 1/2” (38mm)

50-4563 Modified2” (51mm) 2” (51mm)

50-4575 KELLY Blade 1” (25mm) 2 1/2” (63mm)

50-4565 Modified2” (51mm) 1 1/2” (38mm)

50-4572 Standard 2” (51mm) 2 1/2” (64mm)

50-4568 Modified 2” (51mm) 3” (76mm)

50-4569 Modified 2” (51mm) 4” (102mm)

50-4570 Modified 2” (51mm) 5” (127mm)

50-4571 Modified 2” (51mm) 6” (152mm)

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BOOKWALTER MALLEABLE RETRACTOR BLADES

Product Code Width Length

50-4561 2” (51mm) 6” (152mm)

50-4562 1 1/2” (38mm) 6” (152mm)

50-4567 3” (76mm) 6” (152mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com32

MALLEABLE BLADES WITH LIP

Product Code Width Length

50-4672 11/2” (38mm) 6” (152mm)

50-4673 2” (51mm) 6” (152mm)

50-4674 3” (76mm) 6” (152mm)

SUPER* MALLEABLE BLADES WITH LIP*Thinner stainless steel provides greater malleability

Product Code Width Length

50-4669 11/2” (38mm) 6” (152mm)

50-4670 2” (51mm) 6” (152mm)

50-4671 3” (76mm) 6” (152mm)

BOOKWALTER-MEYERDING RETRACTOR BLADES

Product Code Width Length

50-4641 Small2/3” (17mm) 2 1/3” (6cm)

50-4642 Medium1” (25mm) 3 1/3” (8.5cm)

50-4643 Large2” (50mm) 3 3/4” (9.5cm)

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For use with the BOOKWALTER DISPOSABLE RADIOLICENT THIN BLADES

6 lengths: 4”, 5”, 6”, 7”, 8” and10”

3 widths: 1”, 2”, and 2 1/2”

DISPOSABLE RADIOLUCENT THIN BLADES

Product Code Width Length

50-4650 1” (25mm) 4” (102mm)

50-4651 2” (51mm) 4” (102mm)

50-4652 21/2” (63mm) 4” (102mm)

50-4653 1” (25mm) 5” (127mm)

50-4654 2” (51mm) 5” (127mm)

50-4655 21/2” (63mm) 5” (127mm)

50-4656 1” (25mm) 6” (152mm)

50-4657 2” (51mm) 6” (152mm)

50-4658 21/2” (63mm) 6” (152mm)

50-4659 1” (25mm) 7” (178mm)

50-4660 2” (51mm) 7” (178mm)

50-4661 21/2” (63mm) 7” (178mm)

50-4662 1” (25mm) 8” (203mm)

50-4663 2” (51mm) 8” (203mm)

50-4664 21/2” (63mm) 8” (203mm)

50-4665 1” (25mm) 10” (254mm)

50-4666 2” (51mm) 10” (254mm)

50-4667 21/2” (63mm) 10” (254mm)

RADIOLUCENT BLADE HOLDER

Product Code Description

50-4677 Square

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com34

BOOKWALTER RECTAL BLADES

Product Code Width Length

50-4585 Small7/8” 2 7/8” (73mm)

50-4586 Large7/8” 3 7/8” (98mm)

BOOKWALTER-RICHARDSON BLADES

Product Code Description

50-4596 Blade Set

50-4597 3/4” x 1”

50-4598 3/4” x 2”

50-4599 1” x 1 1/4”

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MAGRINA-BOOKWALTER VAGINAL RETRACTOR DEAVER BLADES

Product Code Width Length

50-4592 Small1” (25mm) 3 1/2”

50-4593 Large1” (25mm) 5” (127mm)

MAGRINA-BOOKWALTER VAGINAL RETRACTOR LATERAL BLADE

Product Code Width Length

50-4547 45° angle

1” (25mm) 3” (76mm)

MAGRINA-BOOKWALTER VAGINAL RETRACTOR POSTERIOR BLADE

Product Code Length Width

50-4594 4 1/2” (114mm) 1” (25mm)

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com36

S T O R A G E

BOOKWALTER STORAGE SYSTEMS

Codman offers 2 options for storing and sterilizing your BOOKWALTER Retractorsystems and components. Whether your facility cleans and sterilizes instruments instorage/sterilization trays that are wrapped or rigid container systems are usedCodman can assist you with your storage/sterilization tray/container needs.

1. Storage Sterilization:

Codman has a variety of storage/sterilization cases designed to fit your specificBOOKWALTER Kits. The BOOKWALTER II cases provide an etched drawing of theexact layout of the components. This feature not only assists in the secureplacement of each component but also insures that all components are returned tothe kit after use.

2. Rigid Container System:

Codman is pleased to represent the ACT2 Container system by Medin. This uniquely designed system offers many benefits:

• Manufactured from clear-coated aluminum they are lighter, more space efficientand stronger than other systems

• Smooth cam-lock latching mechanism insuring positive gasket seal

• Advanced filter system: rivet-less, puncture proof filter protection, aninterchangeable filter plate provides easy to use filters and field replaceablegaskets.

• Tamperguard+™ integrated tamper proof device and data card. Combinesthree functions into one, process verification, data entry area, and security

• Space saving design; only requires a 1-inch clearance between the innerbasket and the container (competitive products often require 2 inches or more).Containers “nest” when stacked providing more space efficiencies

• The inner basket is laid out to specifically fit the BOOKWALTER RetractorSystem with an etched layout display to assist in replacing component after use.

Your Codman Sales Representative can assist you in choosing the right system for your facility.

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B O O K W A L T E R C A T A L O G

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BOOKWALTER SPINAL RETRACTOR STORAGE/STERILIZING CASE

Product Code Description

50-4647 Length 19 1/2” (50cm)Width 13 1/2” (34cm)Depth 4” (10cm)

BOOKWALTER BLADES AND ACCESSORIES CASE

Product Code Description

50-4508 31 1/16” x 13 1/8” x 22 1/8” Sterilization: SteamDesigned to hold the followingBOOKWALTER components:

50-4579 Straight Ratchets (2each)

50-4580 Tilt Ratchets (6each)

50-4554 Post Coupling

50-4566 Harrington Blade

50-4571 Kelly Blade 2” x 6”

50-4570 Kelly Blade 2” x 5”

50-4569 Kelly Blade 2” x 4”

50-4568 Kelly Blade 2” x 3” (2 each)

50-4576 Balfour Blade 2” x 3”

50-4577 Gelpi-Blade

50-4567 Malleable Blade 3” x 6”

50-4562 Malleable Blade 1 1/2” x 6”

50-4561 Malleable Blade 2” x 6” (2 each)

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S T O R A G E

For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com38

BOOKWALTER TABLE FIXATION AND RING CASE

Product Code Description

50-4507 Dimensions: 2 3/4” x 13 1/8” x 22 1/8” Sterilization: Steam Designed to hold the following BOOKWALTER components:

50-4581 Table Post

50-4582 Horizontal Flexbar

50-4552 Horizontal Bar

50-4583 Medium Segmented Ring

50-4557 Medium Oval Ring

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 39

*BOOKWALTER Retractor sold separately.

*BOOKWALTER Retractor sold separately.

ACT2TM CONTAINER SYSTEM*

ACT2 CONTAINER FOR BOOKWALTER II RETRACTOR SYSTEM & ACCESSORIES

Product Code Description

J142345BIA* Perforated top and bottom (gravity)K124345BIA* Perforated Top (Vacuum)

Holds same components as theCodman Bookwalter Sterilizationcase 50-4508.

50-4579 Straight Ratchets (2each)

50-4580 Tilt Ratchets (6each)

50-4554 Post Coupling

50-4566 Harrington Blade

50-4571 Kelly Blade 2” x 6”

50-4570 Kelly Blade 2” x 5”

50-4569 Kelly Blade 2” x 4”

50-4568 Kelly Blade 2” x 3” (2 each)

50-4576 Balfour Blade 2” x 3”

50-4577 Gelpi-Blade

50-4567 Malleable Blade 3” x 6”

50-4562 Malleable Blade 1 1/2” x 6”

50-4561 Malleable Blade 2” x 6” (2 each)

ACT2 CONTAINER FOR BOOKWALTER II RETRACTRO RINGS & POSTS

Product Code Length /Description

J142345BIB* Perforated top & bottom (gravity)K142345BIB* Perforated top (Vacuum)

Holds same components as theCodman Bookwalter Sterilizationcase 50-4507.

50-4581 Table Post

50-4582 Horizontal Flexbar

50-4552 Horizontal Bar

50-4583 Medium Segmented Ring

50-4557 Medium Oval Ring

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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com40

50-4507. . . . . . . . . . . . . . 6, 3850-4508. . . . . . . . . . . . . . 6, 3750-4542 . . . . . . . . . . . . . . . . 650-4546. . . . . . . . . . . . . . . . 1050-4547. . . . . . . . . . . . . 16, 3550-4552 . . . . . . . 4, 6, 8,14, 3950-4553. . . . . . . . . . . . . 21, 22

50-4554 . . . . . 6, 8, 16, 18, 19, . . . . . . . . . . . . . . . . 21, 37, 39

50-4556. . . . . . . . . . . . . 18, 2550-4557. . . . . . 4, 6, 18, 25, 3950-4558. . . . . . . . . . . . . 18, 2650-4559 . . . . . . . . . . . . . . . 2650-4560 . . . . . . . . . . . . . . . 2650-4561 . . . 3, 6, 18, 31, 37, 3950-4562. . . . . . 3, 6, 31, 37, 3950-4563. . . . . . . . . 3, 6, 12, 3050-4564. . . . . . . . . . . . . . . 3, 650-4565. . . . . . . . . . 3, 4, 6, 3050-4566. . . . . . 4, 6, 29, 37, 3950-4567. . . . . . . . . . 31, 37, 39

50-4568 . . . . . . . . 4, 6, 18, 19, . . . . . . . . . . . . . . . . 30, 37, 39

50-4569. . . . 18, 19, 30, 37, 3950-4570 . . . . . . . 19, 30,37, 3950-4571. . . . . . . 19, 30, 37, 3950-4572. . . . . . . . . . . . . . . . 3050-4574. . . . . . . . . . . . . 12, 3050-4575. . . . . . . . . . . . . 12, 3050-4576 . . 6, 18, 19, 29, 37, 3950-4577. . . . . 6, 29, 12, 37, 3950-4578 . . . . . . . . . . . . . . . 1250-4579. . . . . 6, 14, 28, 37, 39

50-4580 . . . 3, 4, 6, 14, 16, 18, . . . . . . . . . . . . . 19, 28, 37, 39

50-4581. . . . . . 6, 8, 14, 16, 18. . . . . . . . . . . . . 19, 21, 38, 39

50-4582 . . 6, 14, 16, 18, 22, 3950-4583. . . . . . . . . . . 6, 27, 3950-4584. . . . . . . . . . 10, 12, 2650-4585 . . . . . . . . . . . . 10, 3450-4586. . . . . . . . . . . . . 10, 3450-4587 . . . . . . . . . . . . . . . 2750-4588 . . . . . . . . . . . . . . . 2750-4589. . . . . . . . . . 16, 19, 2850-4590. . . . . . . . . . . . . 16, 2750-4591. . . . . . . . . . . . . . . . 1650-4592. . . . . . . . . . . . . . . . 1650-4592 . . . . . . . . . . . . . . . 3550-4593. . . . . . . . . . . . . 16, 3550-4594. . . . . . . . . . . . . 16, 3550-4595. . . . . . . . . . . . . . . . 2650-4596 . . . . . . . . . . . . . . . 3450-4597. . . . . . . . . . . . . . . . 3450-4598. . . . . . . . . . . . . . . . 3450-4599. . . . . . . . . . . . . . . . 34

50-4600. . . . . . . . . . . . . . . . . 850-4601. . . . . . . . . . . . . . . . . 850-4602 . . . . . . . . . . . . . . . . 850-4603 . . . . . . . . . . . . . . . . 850-4604 . . . . . . . . . . . . . . . . 850-4631. . . . . . . . . . . . . . . . 1450-4634. . . . . . . . . . . . . . . . 2450-4635. . . . . . . . . . . . . 14, 2450-4636. . . . . . . . . . . . . 14, 2450-4637. . . . . . . . . . . . . 14, 2450-4638. . . . . . . . . . . . . 14, 2450-4639. . . . . . . . . . . . . 14, 23

50-4640. . . . . . . . . . . . . 14, 2350-4641. . . . . . . . . . . . . 14, 3250-4642. . . . . . . . . . . . . 14, 3250-4643. . . . . . . . . . . . . 14, 3250-4644. . . . . . . . . . . . . 14, 2850-4645 . . . . . . . . . . . . 14, 2850-4646 . . . . . . . . . . . . 14, 2850-4647. . . . . . . . . . . . . 14, 3750-4648 . . . . . . . . . . . . . . . 2350-4649. . . . . . . . . . . . . . . . 2350-4650. . . . . . . . . . . . . . . . 3350-4651. . . . . . . . . . . . . . . . 3350-4652. . . . . . . . . . . . . . . . 3350-4653. . . . . . . . . . . . . 19, 3350-4654. . . . . . . . . . . . . . . . 3350-4655. . . . . . . . . . . . . . . . 3350-4656. . . . . . . . . . . . . 19, 3350-4657. . . . . . . . . . . . . . . . 3350-4658. . . . . . . . . . . . . . . . 3350-4659. . . . . . . . . . . . . . . . 3350-4660. . . . . . . . . . . . . . . . 3350-4661. . . . . . . . . . . . . . . . 3350-4662. . . . . . . . . . . . . . . . 3350-4663. . . . . . . . . . . . . . . . 3350-4667. . . . . . . . . . . . . . . . 3350-4669. . . . . . . . . . . . . . . . 3250-4670. . . . . . . . . . . . . . . . 3250-4671. . . . . . . . . . . . . . . . 3250-4672. . . . . . . . . . . . . . . . 3250-4673. . . . . . . . . . . . . . . . 3250-4674. . . . . . . . . . . . . . . . 3250-4675 . . . . . . . . . . . . . . . . 850-4677. . . . . . . . . . . . . . . . 3350-4684 . . . . . . . . . . . . . . . 2650-4689. . . . . . . . . . . . . 16, 2650-4690. . . . . . . . . . . . . 16, 26

Product Code Page Product Code Page Product Code Page

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50-4757. . . . . . . . . . . . . . . . 1950-4760. . . . . . . . . . . . . . . . 1950-4761. . . . . . . . . . . . . . . . 19

BW0144003 . . . . . . . . 4, 5, 21BW0144005 . . . . . . . 3, 19, 21

BW0338014 . . . . . . 3, 4, 5, 28BW0338015 . . . . . . 3, 4, 5, 29

BW1043016 . . . . . . . . . 3, 4, 5BW1043029 . . . . . . . . . 3, 4, 5

BW1045000 . . . . . . . . . 3, 4, 5BW1045069 . . . . . . . . . 3, 4, 5BW1045176 . . . . . . . . . 3, 4, 5BW1045BKIT . . . . . . . . . . . 4, 5

BW1046BKIT . . . . . . . . . . . . . 3BW1046BRT . . . . . . . . . . . . . . 3

BW1271017 . . . . . . . . . 3, 4, 5

J142345B2B. . . . . . . . . . . . . 19J142345BIA . . . . . . . . . . . . . 39J142345BIB . . . . . . . . . . . . . 39J142345B2A . . . . . . . . . . . . 19

K124345BIA. . . . . . . . . . . . . 39K142345BIB . . . . . . . . . . . . . 39MDA9999X . . . . . . . . . . . . . 19

SP00144-1 . . . . . . . . . . . 16, 21

SP01043-8 . . . . . . . . . . . . . . 18SP01043-93 . . . . . . . . . . . . 16

B O O K W A L T E R C A T A L O G

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Product Code Page Product Code Page

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To insure your BOOKWALTER Retractor Systems arealways performing at peak efficiencies Codmanoffers you the following courtesy programs.

CODMAN BOOKWALTER RETRACTORCourtesy Programs

1. BOOKWALTER INSPECTIONYour Codman Instrument Specialist will inspect yourBOOKWALTER Retractors and identify

■ Missing Parts/Components■ Parts Needing Repair/Replacement■ Parts Needed for Standardization■ Reallocation/Utilization of Spare Parts

This program will insure that you have complete,functioning sets and that you are maximizing usageof all genuine BOOKWALTER parts. You will beprovided with an updated inventory list to assist inannual budget planning.

2. BOOKWALTER IN-SERVICEYour Codman Instrument Specialist will arrange aBOOKWALTER Retractor in-service with your hospitalOR teams, training coordinator, and/or SPD to trainor refresh hospital personnel on;

■ The value of the BOOKWALTER Retractor■ Set-up and use■ Cleaning and sterilization■ Storage

ASK YOUR CODMAN INSTRUMENT SPECIALISTABOUT THESE VALUABLE FREE SERVICES TODAY!

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RET-29-000 02/08 JC/UM

3 2 5 P a r a m o u n t D r i v e , R a y n h a m , M A 0 2 7 6 7 • ( 5 0 8 ) 8 8 0 - 8 1 0 0

CODMAN® is a registered trademark of Codman & Shurtleff, Inc.

BOOKWALTER™ is a trademark of Codman & Shurtleff, Inc.

ACT2™ is a trademark of Medin Corp.

For more information, contact your CODMAN Sales Representative

For product information, call (800) 225-0460 • www.codman.com©2008 Codman & Shurtleff, Inc. All rights reserved.

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