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
Oct 26, 2014
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
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.
175727.qx7:P 2/25/08 6:57 AM Page IFC2
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
Page
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
175727:P 2/18/08 9:49 AM Page 3
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)
175727:P 2/18/08 10:13 AM Page 4
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
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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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 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.
175727:P 2/18/08 9:50 AM Page 9
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.
175727:P 2/18/08 9:51 AM Page 11
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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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 13
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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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 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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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 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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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 19
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
175727.qx7:P 2/25/08 7:29 AM Page 20
For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com
B O O K W A L T E R C A T A L O G
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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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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.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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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.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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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 29
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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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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.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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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 31
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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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.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)
175727:P 2/18/08 10:18 AM Page 32
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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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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.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”
175727:P 2/18/08 10:19 AM Page 34
For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 35
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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)
175727:P 2/18/08 9:56 AM Page 35
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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For more information, contact your Codman Sales Representative • For product information, call (800) 225-0460 • www.codman.com 37
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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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 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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P R O D U C T C O D E I N D E X
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
175727:P 2/18/08 10:20 AM Page 40
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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B O O K W A L T E R C A T A L O G
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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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