1www.dtrmedical.com
GYNAECOLOGY
www.dtrmedical.comDTR Medical® is a registered trade mark of DTR Medical Ltd.
Sterile Single-useThe beauty is in the evolution
DTR Medical Limited17 Clarion Court, Enterprise Park, Swansea SA6 8RF UKTelephone: +44 (0)1792 797910 Fax: +44 (0)1792 797955 [email protected]
2 3Your Sterile Single-use Gynaecology Instruments, With Confidence www.dtrmedical.com
GYNAECOLOGY 2019 Edition
ContentsAspirating Needle 4
Spackman Insufflation Cannula 5
Cervical Biopsy Punch 6-7
Tischler Biopsy Punches 8
Endometrial Sampling 9
LLETZlearn Training Simulator 10-11
Desjardins Forceps 12
Forceps 12-14Including Rampley Sponge Holder, Teale Vulsellum, Rotunda Vulsellum & Bonney Uterine Polyp Forceps
Scissors 15-16 Including Episiotomy, Stevens Tenotomy, American Pattern Umbilical Cord, Busch Umbilical & Mayo Scissors
LLETZ Loops & Balls 17
Obstetrics & Maternity Packs 18Including Delivery, Perineal Suture & Maternity Packs
Dental Syringe 19
Endocervical Specula 19Including Kogan & Kurihara Endocervical Speculum & Sims Uterine Sound
Metal Cusco Speculum 20-21Including Insulated with Smoke Tube, Non-Insulated with Smoke Tube & Non-Insulated without Smoke Tube
INNOVATION � QUALITY � SERVICE
Cost effective Save Money – Increase Productivity� Theatre and clinic time is reduced� Diminished re-processing, repairs
and replacement
Matching reusable standardsSave Time - Reprocessing� First time sharpness � Consistently clean
Suitable for high risk proceduresSave Lives - Contamination� Cross-infection is eliminated� Risk is avoided
YOUR STERILE SINGLE-USE SOLUTION
� Single-use removes difficulty of cleaning occluded acorn end
� Adjustable vulsellum plate� Moveable acorn option available� Specially designed for an effective
manipulation of the uterus and injection of fluid� Atraumatic tips to reduce uterine
perforation risk
Spackman Insufflation Cannula
luerconnector
moveable acorn
adjustablevulsellum plate
Moveable Acorn
Spackman Insufflation Cannula
SPACKMAN INSUFFLATION CANNULA SPC1001 Spackman Insufflation Cannula, double packed 10 unitsSPC1001-M Spackman Insufflation Cannula with Movable Acorn, double packed 10 units
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Cannula and Biopsy Needles
■ Stainless steel cannula with 18g needle for laparoscopic aspiration
■ Single-use avoids difficult to clean cannula and needle with stepped joint
■ Extra long 335mm length suitable for patients of all sizes
■ Optimum first-time sharpness of needle for ease of use
■ Available in 3.5 and 5mm diameter cannulas complete with Luer connection
65mmtip length
65mmtip length
ASN2018
25mmtip length
1.3mmtip width
Looking for Vulsellum Forceps? See p13
ASPIRATING NEEDLE ASN2018 Aspirating Needle 335 x 3.5mm (18g) with Luer, double packed 20 unitsASN5018 Aspirating Needle 335 x 3.5mm (18g) with Luer, double packed 50 unitsASN2518 Aspirating Needle 335 x 5mm (18g) with Luer, double packed 20 units
Ergonomic handledesigned for comfort
Low profile jaw enables easier access
� New top jaw is now stronger than titanium, and 4x the strength of previous jaw
� Allows a biopsy to be taken from a hardened cervix� Low profile jaw provides better access to the
transformation zone when it migrates into the endocervical canal
� Metal jaw ensures a sharp, clean cut� 360 degree rotation enables enhanced patient
interaction� Ideal for busy clinics� Useful for increased HPV testing demands� Cost effective with no repair bills
Cervical Rotating Biopsy Punch Featuring New Top Jaw
The handle contains 20% renewable material sourced from technical starch
Did you know this instrument is renewably sourced?
“It’s excellent that you have improved the new jaw on the Cervical Rotating Biopsy Punch, it is much stronger and removes previous issues we had taking a biopsy from a hardened cervix. It is great that you have taken our feedback on board and made this improvement to the instrument, thank you.”
Helen Crookes,Senior Sister, Calderdale Royal Hospital
"The new forceps are really decent. No problems at all and very good specimen is obtained."
Garima Srivastava, Homerton University Hospital
“I love the Cervical Rotating Biopsy Punch. You can really notice the difference in how the product performs so much, that I do not have any problems using it on more demanding patients. The product feels sharp like a hot knife through butter.”
Gill Costello, Sister, Northwick Park Hospital
Rotating head provides easier positioning and secures visibility
NEW
Side A Top B
x
y
Sample C
Tischler 3.6mm 5.2mm x 3.1mm y 7.5mm X
Baby Tischler 3.8mm 5.2mm x 2.6mm y 8.5mm X
Cervical Rotating 3.6mm 5.2mm x 3.0mm y 7.5mm 3
Biopsy Punch
A B Sample Rotation
BENEFITS OF A LOW PROFILE JAW
CERVICAL ROTATING BIOPSY PUNCH CBR1041 Cervical Rotating Biopsy Punch, double packed 10 units
MA
NUFACTURED IN W
ALES
MA
NUFACTURED IN
W
ALE
S
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Tischler Biopsy Punches
■ High quality stainless steel instruments for a consistent and precise biopsy ■ Sharp first time action to minimise trauma
Tischler
Baby Tischler
3.1mm x 7.5mm cut size
2.6 x 8.5mm cut size
TISCHLER CERVICAL BIOPSY PUNCHES CBT1001 Tischler Cervical Biopsy Punch 230mm, double packed 10 unitsCBT1001B Baby Tischler Cervical Biopsy Punch 230mm, double packed 10 units
Endometrial Sampling
■ Two and Four Hole Pipette provides improved sampling ■ Pipette has enhanced flexibility and longitudinal strength to
aid a quick and easy insertion ■ Pipette is the instrument of choice when used to obtain
clearly differentiated endometrial tissue without the need for anaesthesia
■ Reliable supply, supported by strong service ■ Endosampler features luer lock for larger and multiple
sampling
SIGNIFICANT COST SAVINGS
Pipette IV EndosamplerPipette II
Pipette II
Pipette IV
MEDGYN PRODUCTS 022734 Medgyn Pipette II hole 25 units022730 Medgyn Pipette IV hole 25 units022720 Medgyn Endosampler 25 units
� The reusable LLETZlearn® Training Simulator has been designed in conjunction with LLETZlearn®, to provide excellence in Colposcopy training
� Enables trainees to gain confidence before working on a patient
� Can be used with electro-surgical tools to mimic real life treatment
� Improves skill and eliminates risk to patients in Colposcopy treatment
LLETZlearn® Training Simulator
LLETZLEARN TRAINING SIMULATOR LTZ011 LLETZlearn® Training Simulator 1 unit
Simple assembly. Easy to clean
Securely hold specimen in place during procedure
REUSABLE
UK
MA N U FA C T U R
ED
UK
MA N U F A C T U
RE
D
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Training SimulatorInstructions for use P R A C T I C A L T R A I N I N G I N C O L P O S C O P Y
t +44 (0)1792 797910 e [email protected] w www.dtrmedical.comTO EXPERIENCE THE PRECISION OF DTR MEDICAL STERILE SINGLE-USE INSTRUMENTS PLEASE CONTACT US
Preparation for the Procedure1. Insert and secure a treatment speculum into the vagina model
opening
2. Attach a suction tube to the smoke outlet pipe on the speculum
3. Set-up and align a Colposcope to obtain an optimum view of the sample
4. Connect a patient return electrode pad onto the stainless metal plate and attach the long cable to an Electrosurgical Machine (See Appendix 1)
5. Attach a pencil cable connector to the Electrosurgical Machine
6. Assemble the sterile electrically charged diathermy Loop to the head of the hand-held Pencil, using a small, medium or large loop. Hold this instrument as you would a writing pencil ensuring it remains sterile. Do not touch the loop
7. Switch on the power to the Electrosurgical Machine, to send power to the diathermy Loop and electrode Pad. If the contact between the electrode pad and the specimen is correct the indicator light on the Electrosurgical Machine will switch to Green
8. Switch on the power to the Colposcope. Focus the lens as required
9. Set the power output on the Electrosurgical Machine to the following settings;
Medium loop Cut: 50 – 60
Coagulation: 50 – 60 for specimen. NOTE: These settings are ONLY to be used when working on a specimen
10 Switch on the smoke evacuation suction system
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10
Aftercare1. Turn off external power supplies
2. Remove all attached equipment used in steps 5-10
3. Unattach the cable connector
4. Detach the cylinder and clean down specimen holder with an alcohol wipe
1234
Vulva
CylinderSpiked
Specimen Holder
Metal Plate
Base
Appendix 1.How to attach the Patient Return Electrode Pad onto the stainless metal plate – Adult or Paediatric TypePaediatric type: The advantage of using a paediatric pad is that it is smaller, fits easily onto the plate – and does not need to be folded.
Adult type:
1. Peel back the white paper backing 2/3 to expose the sticky surface (Image 1)
2. Fold the sticky pad ensuring the pad covers the blue safety strip and extends beyond the blue strip and press it down in order that it is folded flat (Image 2)
3. Remove the white paper from the remaining 1/3 of the pad and adhere this section to the stainless metal plate on the simulator
4. Attach the long cable to an Electrosurgical Machine
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1
2
� Curved shaft for clearer visibility in the cervical os
� Smooth atraumatic edges for increased patient comfort and safety
� Designed to meet specified gynaecology requirements
� Used in endometrial polyp removal� Ergonomic streamlined design improves
visibility when removing tissue or opening the cervical os
Desjardins Forceps
“The Desjardins Forceps are very light and easy to use and will be more comfortable for patients. Have the advantage of having a curve on them and this means that you can actually target what you want without your hand or the stalk of the forceps being in your field of view. You actually can see into the endocervix much more easily than some of the larger forceps.”
Dr Theodora Pepera,St George's Hospital NHS Trust & Parkside Hospital
DESJARDINS FORCEPSDJF2201 Desjardins Forceps 220mm, double packed 20 units
12mmtip length
6mmtip width
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Forceps
Vulsellum Forceps
■ High quality stainless steel for good tissue grasping ■ Jaw with 3:4 teeth and 230mm length ■ Curved to aid positioning ■ Complementary to Spackman Insufflation Cannula
■ High quality stainless steel for good tissue grasping ■ Jaw with 1:1 teeth and precise action ■ Straight 265mm length to suit most procedures ■ Complementary to Spackman Insufflation Cannula
■ Strong jaws with an effective locking ratchet for effectively holding swabs and gripping tissue during procedures
■ Robust grip
10mm jaw width
TEALE VULSELLUM FORCEPS VFT1001 Teale Vulsellum Forceps, double packed 10 units
ROTUNDA VULSELLUM FORCEPS VFR1001 Rotunda Vulsellum Forceps, double packed 10 units
Looking for Spackman Insufflation Cannula?See p5
RAMPLEY SPONGE HOLDER RSH2181 Rampley Sponge Holder 180mm, double packed 20 unitsRSH2241 Rampley Sponge Holder 240mm, double packed 20 units
8mmtip width
12mmtip length
106mmtip length15mm
tip width
Bonney Uterine Polyp Forceps
� Slender strong jaw with precision aligned tips, suitable for many procedures such as polyp and coil removal
� Effective ratchet that enables a strong and robust grip, superior to the plastic Rampley Sponge Holder alternatives
� 6mm head sizes that improve visibility and access
“Doctors are very happy with the Bonney Uterine Polyp Forceps and cannot see the difference with a reusable alternative.”
St Peter's Hospital, Chertsey Gynaecology Department
“Strong with dependability and a narrow head for perfect endosurgical use.”
New Victoria Infirmary, GlasgowGynaecology Department
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27mm tip length
6mmtip width
5.25mmtip width
Curved
67mmtip length
53mmtip length
Straight
STEVENS TENOTOMY SCISSORS TSS2001-S Stevens Tenotomy Scissors 115mm Straight, single packed 20 unitsTSC2001-S Stevens Tenotomy Scissors 115mm Curved, single packed 20 unitsTSS2001-D Stevens Tenotomy Scissors 115mm Straight, double packed 20 unitsTSC2001-D Stevens Tenotomy Scissors 115mm Curved, double packed 20 units
Scissors
■ High quality cut ■ It has a slender sharp double-bevelled blade for precise cutting ■ Shorted flat blunt blade for support ■ Sharp blades facilitate insertion in to the vagina
■ Stainless steel sharp/sharp scissors
■ First time sharpness which cut even at the tips
■ Smooth and elegant long handle
■ Allows the surgeon increased grip and control when cutting in small or narrow areas
Braun Stadler Episiotomy Scissors
Stevens Tenotomy Scissors Curved
Waldmann Perineum Episiotomy Scissors
EPISIOTOMY SCISSORS WPS2018 Waldmann Perineum Episiotomy Scissors, double packed 20 unitsBSS2001 Braun Stadler Episiotomy Scissors Angular 145mm, double packed 20 units
BONNEY UTERINE POLYP FORCEPS BPF2001 Bonney Uterine Polyp Forceps 240mm, double packed 20 units
29mm tip length
WIDE RANGE
� Standard shaft fits most electrosurgical pencils
� 150mm Ball Electrodes suitable for larger patient
� High cutting performance with reduced thermal damage to tissue
� Tungsten loops give ideal tension for greater control
� Single-use ensures no cross infection risks or health & safety hazards
LLETZ Loops and Balls
Gap between plastic and ball electrode
Ball Electrodes
Loop Electrodes
Triangle Electrode
LLETZ BALL ELECTRODES
LLETZ TRIANGLE ELECTRODES
ST-99-700 LLETZ Ball Electrode 3mm Ball, 150mm Length 5 units
ST-99-725 LLETZ Triangle Electrode 10mm x 15mm, 128mm Length 5 units
ST-99-701 LLETZ Ball Electrode 5mm Ball, 150mm Length 5 units
LLETZ LOOP ELECTRODES ST-99-710 LLETZ Loop Electrode 10mm x 10mm, 128mm 5 unitsST-99-711 LLETZ Loop Electrode 15mm x 5mm, 128mm 5 unitsST-99-712 LLETZ Loop Electrode 15mm x 8mm, 128mm 5 unitsST-99-713 LLETZ Loop Electrode 15mm x 15mm, 128mm 5 unitsST-99-714 LLETZ Loop Electrode 20mm x 8mm, 128mm 5 unitsST-99-715 LLETZ Loop Electrode 20mm x 12mm, 128mm 5 unitsST-99-716 LLETZ Loop Electrode 20mm x 13mm, 128mm 5 unitsST-99-717 LLETZ Loop Electrode 20mm x 10mm, 128mm 5 units
ST-99-718 LLETZ Loop Electrode 20mm x 15mm, 128mm 5 unitsST-99-719 LLETZ Loop Electrode 20mm x 20mm, 128mm 5 unitsST-99-720 LLETZ Loop Electrode 25mm x 10mm, 128mm 5 unitsST-99-721 LLETZ Loop Electrode 5mm x 5mm, 128mm 5 unitsST-99-722 LLETZ Loop Electrode 10mm x 5mm, 128mm 5 unitsST-99-723 LLETZ Loop Electrode 10mm x 7mm, 128mm 5 unitsST-99-724 LLETZ Loop Electrode 10mm x 8mm, 128mm 5 units
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Scissors
■ Wide range for different procedures ■ Straight and curved variants
Straight Curved
American Pattern Umbilical Cord Scissors
Mayo Scissors
Busch Umbilical Scissors
2.5mmtip width
140mm 140mm
SCISSORS USC2001 American Pattern Umbilical Cord Scissors 100mm, double packed 20 unitsBUS2002 Busch Umbilical Scissors 160mm, double packed 20 unitsMSS2141 Mayo Scissors Straight Bevelled Blade 140mm, double packed 20 unitsMSC2141 Mayo Scissors Curved Bevelled Blade 140mm, double packed 20 unitsMSS2171 Mayo Scissors Straight Bevelled Blade 170mm, double packed 20 unitsMSC2171 Mayo Scissors Curved Bevelled Blade 170mm, double packed 20 units
28mmtip length
82mmtip length
69mmtip length
67mmtip length
28mmtip width
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OBSTETRICS AND MATERNITY PACKS
DPWK0505 � Busch Umbilical Scissors 160mm� Waldmann Perineum Episiotomy Scissors 180mm� Kocher-Ochsner Forceps 185mm� Rampley Sponge Holder 240mm x 2
Delivery Packdouble packed10 units
DPMS1004-D � Mayo Scissors Curved 170mm � Spencer Wells Forceps 180mm x 2� American Pattern Umbilical Cord Scissors 100mm
Delivery Packdouble packed10 units
DPMS2005-D Obstetrics Delivery Packdouble packed20 units
� Mayo Scissors Straight 170mm � Rampley Sponge Holder 240mm� Spencer Wells Forceps 150mm � Spencer Wells Forceps 200mm � American Pattern Umbilical Cord Scissors 100mm
DPMM1004 Perineal Suture Packdouble packed10 units
� Mayo Hegar Needle Holder 150mm � Mayo Scissors Straight 140mm � Mosquito Artery Forceps 122mm � Adson Toothed Forceps 120mm
DPIM1006-D Delivery Packdouble packed10 units
� Mayo Hegar Needle Holder 130mm� Fine Suture Forceps Serrated 140mm� Micro Mosquito Forceps Curved 120mm� Mosquito Forceps Straight 125mm� Fine Iris Forceps Curved 110mm� Mayo Scissors Straight 140mm
MPMC1005 Maternity Packdouble packed10 units
� Mayo Hegar Needle Holder 150mm � Mayo Scissors Straight 140mm� Crile Artery Forceps Straight 140mm � Adson Dissecting Forceps Toothed 120mm� Adson Dissecting Forceps Non-Toothed 120mm
DTAS1005-D Delivery Packdouble packed10 units
� American Pattern Umbilical Cord Scissors 100mm� Waldmann Perineum Episiotomy Scissors 180mm� Spencer Wells Forceps 150mm
Delivery PacksEXTENDED RANGE
x2
x2
Dental Syringe
Endocervical Specula
■ Suitable for use where needle stick injury is a concern (compliant with EU directive 2010/32/EU – prevention from sharps injuries)
■ Popular top loading style to accommodate 2.2ml vials ■ Barrel diameter is wide enough to take most vials ■ Available in extra long length for use with larger, high BMI patients ■ Designed for administering anaesthetic during a wide
range of procedures
■ Specula with 275mm reach and 25mm jaws ■ Removes the difficulty of cleaning hinge and ratchet ■ Scaled ratchet for controlled visibility
■ Malleable for ease of use ■ 300mm shaft with 10mm graduations
SPECIAL SIZES
■ Strong metal construction ■ Specially engineered to enable a quick and accurate cervical dissection ■ Ergonomic design that allows a secure grip when holding tissue
DGS2001
KURIHARA ENDOCERVICAL SPECULUM KSB1001 Kurihara Endocervical Specula black, double packed 10 units
SIMS UTERINE SOUND USH2001 Sims Uterine Sound, double packed 20 units
DENTAL SYRINGE DGS2001 Dental Syringe 85mm for 2.2ml vial, single packed 20 unitsDGSL2001 Dental Syringe Long 115mm for 2.2ml vial, single packed 20 units
KOGAN ENDOCERVICAL SPECULUM ECF1001 Kogan Endocervical Specula with ratchet, double packed 10 units
2.2mmtip width
110mmtip length
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Metal Cusco Specula
■ Extended range of sizes caters for all patient types with Medium Long, Large Long, Large Extra Long and Broad in addition to the standard sizes usually available
■ Insulated & non-insulated options available
■ Smooth robust design for improved patient and user safety
■ Robust self-retaining screw that holds in place, allowing a sample to be easily taken
■ Durable & improved insulation performance ■ Enables hot Colposcopy procedures to be performed
■ Small XXLong Metal Cusco Specula has been specially designed to improve the examination of post-menopausal women
Cusco Specula Insulated with Smoke Tube Medium
Cusco Specula Metal with Smoke Tube Medium
Cusco Specula Metal Small XXLong
EXTENDED RANGE
Cusco Specula Metal Medium
CUSCO INSULATED SPECULA
CUSCO NON-INSULATED SPECULA
CSI200S Cusco Specula Insulated with Smoke Tube Small, double packed 20 unitsCSI200M Cusco Specula Insulated with Smoke Tube Medium, double packed 20 unitsCSI200ML Cusco Specula Insulated with Smoke Tube Medium Long, double packed 20 unitsCSI200L Cusco Specula Insulated with Smoke Tube Large, double packed 20 unitsCSI100LL Cusco Specula Insulated with Smoke Tube Large Long, double packed 10 unitsCSI100LE Cusco Specula Insulated with Smoke Tube Large Extra Long, double packed 10 unitsCSI100B Cusco Specula Insulated with Smoke Tube Broad, double packed 10 units
CUSCO NON-INSULATED SPECULA CSM200S Cusco Specula Metal with Smoke Tube Small, double packed 20 unitsCSM200M Cusco Specula Metal with Smoke Tube Medium, double packed 20 unitsCSM200ML Cusco Specula Metal with Smoke Tube Medium Long, double packed 20 unitsCSM200L Cusco Specula Metal with Smoke Tube Large, double packed 20 unitsCSM100LL Cusco Specula Metal with Smoke Tube Large Long, double packed 10 unitsCSM100LE Cusco Specula Metal with Smoke Tube Large Extra Long, double packed 10 unitsCSM100B Cusco Specula Metal with Smoke Tube Broad, double packed 10 units
CUSCO NON-INSULATED SPECULA WITHOUT SMOKE TUBE CMM200S Cusco Specula Metal Small, double packed 20 unitsCMM200M Cusco Specula Metal Medium, double packed 20 unitsCMM200ML Cusco Specula Metal Medium Long, double packed 20 unitsCMM200L Cusco Specula Metal Large, double packed 20 unitsCMM100SE Cusco Specula Metal Small XXLong, double packed 10 unitsCMM100LL Cusco Specula Metal Large Long, double packed 10 unitsCMM100LE Cusco Specula Metal Large Extra Long, double packed 10 unitsCMM100B Cusco Specula Metal Broad, double packed 10 units
Width x Length (mm) Insulated Smoke Tube Metal Smoke Tube Metal w/out Smoke Tube
SMALL 25 X 85mm CSI200S CSM200S CMM200S
MEDIUM 30 X 85mm CSI200M CSM200M CMM200M
MEDIUM LONG 30 X 95mm CSI200ML CSM200ML CMM200ML
LARGE 35 X 95mm CSI200L CSM200L CMM200L
SMALL XXL 25 x 135mm - - CMM100SE
LARGE LONG 35 X 110mm CSI100LL CSM100LL CMM100LL
LARGE XL 35 X 115mm CSI100LE CSM100LE CMM100LE
BROAD 40 X 95mm CSI100B CSM100B CMM100B
LengthWidth
22 Your Sterile Single-use Gynaecology Instruments, With Confidence
Labelling
“Supporting visibility, quality and safety in your supply chain”**
Matching reusable standards We benchmark against reusable British and international standards:
BS 5194-2:1989 Specification for Instruments with Pivot Joints
BS 5194-3:1985 Specification for Dissecting Forceps
BS 5194-4:1985 Specification for Scissors, Shears and other Jointed Instruments
We operate our own UK production facilities equipped with ISO class 7 cleanrooms
Our instruments’ packaging features the latest machine readableGS1-standard barcoded labels for product traceability.
The newly incorporated labelling technology is a timely development with an increasing number of health providers worldwide adopting an ‘eProcurement’ strategy and will provide machine readable product information on all labels to meet expected EU and other regulators demands.
Associated benefits include: ■ Improve patient care and reduce costs
■ Improve stock control
■ One global language
■ Accurately track equipment
“Unique device identification (UDI) compliance represents a significant development for our customers. Automation of information flow will have influences across the whole purchasing and supply process, providing the benefits of superior instrument traceability and improved patient safety.”
“We are working closely with Kodit UDI software to provide our labelling solutions to meet the latest international regulations and we serve as a reference site for other manufacturers to learn from.”
Andrew Davidson(Managing Director of DTR Medical)
For more information on our new product labelling, please contact Customer Services on +44 (0) 1792 797910 or [email protected]
** - GS1 – Global Traceability Standards
24 Your Sterile Single-use Gynaecology Instruments, With Confidence
GYNAECOLOGY
www.dtrmedical.comDTR Medical® is a registered trade mark of DTR Medical Ltd.
Sterile Single-useThe beauty is in the evolution
DTR Medical Limited17 Clarion Court, Enterprise Park, Swansea SA6 8RF UKTelephone: +44 (0)1792 797910 Fax: +44 (0)1792 797955 [email protected]
GYNAE181006