Panorama-Maxi Combination Retractor for Ultimate Depth and Area Control in Superlative Surgery
The KOCHER-LANGENBECK RETRACTOR 80mm x 16mm is a CE-Class I medical device manufactured according to ISO 13485:2016. This Panorama-Maxi variant represents the absolute top tier of combination retractors, developed for procedures requiring simultaneous maximum area and depth retraction. With a blade width of 80 mm and a height of 16 mm, this specialty instrument provides unprecedented control over extremely voluminous and deeply located tissue.
Product Highlights:
✔ Certified according to ISO 13485:2016
✔ CE Marking Class I (Regulation (EU) 2017/745)
✔ Panorama-Maxi Special Variant with maximum dimensions in width and height
✔ Ultra-wide AND ultra-tall Langenbeck blade (80x16mm) for simultaneous area and depth retraction
✔ Maximally reinforced 2- to 3-toothed Kocher blade for critical holding tasks under extreme conditions
✔ High-performance stainless steel 1.4441 – biocompatible, extremely corrosion-resistant, and designed for maximum bending strength
✔ Tested Biocompatibility according to ISO 10993
✔ Special block forging with three-dimensional reinforcement structure
✔ Optimal length of 21.5 cm for deepest surgical approaches with greatest possible area effect
✔ Sterilizable and reusable
Advantages of the Kocher-Langenbeck Retractor (80x16mm):
• Dual Retraction Advantage: Combines the greatest possible width (80 mm) with maximum height (16 mm) for unsurpassed tissue control.
• Complete Exposure: Enables retraction of entire anatomical compartments, creating an operative visual field of exceptional depth and width.
• Reduced Instrument Density: In special situations, can replace an entire set of several smaller retractors, improving overview in the surgical field.
• Critical Stability: The massive construction provides reliable hold even under extreme traction forces, as encountered in bariatric or revision surgery.
• Strategic OR Management: Allows the surgeon to control large tissue blocks with one instrument while parallel precise holding tasks are possible.
Technical Specifications:
• Model: Kocher-Langenbeck Retractor, Panorama-Maxi Variant
• Overall Length: 21.5 cm
• Blade 1 (Langenbeck): Ultra-wide AND ultra-tall, 80 mm x 16 mm
• Blade 2 (Kocher): Maximally reinforced, 2- to 3-toothed grasping blade with broadened tooth base
• Material: High-performance surgical steel 1.4441 / AISI 316L
• Construction: Block-forged with integrated reinforcement ribs for multi-directional stability
• Blade Shape: Asymmetric – one side panoramically wide and deep, one side multi-toothed and ultra-stable
• Handle: Wide power grip with anatomical profile and safety zones for two- to three-handed guidance
• Surface: High-gloss polished on blades, grip area matte for optimal hold
• Special Feature: Tailor-made instrument for the most demanding exposure challenges in modern high-performance surgery.
• Risk Class: I according to Regulation (EU) 2017/745 (MDR)
Exclusive Fields of Application (Highly Specialized):
• Hyper-Complex Bariatric Surgery: Retraction of the massively thickened abdominal wall in morbid obesity with BMI > 60.
• Oncologic Super-Major Resections: En-bloc resections of giant retroperitoneal or intrapelvic tumor masses.
• Orthopedic Maximum Exposure: Complete exposure of the pelvis during internal hemipelvectomies or the entire spine during correction surgeries.
• Polytrauma Damage-Control Surgery: Simultaneous exposure of abdomen, retroperitoneum, and pelvis in life-threatening injury patterns.
• Experimental Surgery & Training: For highly specialized training centers that must demonstrate extreme anatomical exposure.
Critical Warning and Application Notes (Mandatory):
• FOR SURGICAL SPECIALISTS WITH DOCUMENTED EXPERIENCE IN HANDLING MAXIMUM-SIZE INSTRUMENTS ONLY. Use by non-certified personnel is a safety hazard.
• Treat Kocher blade with highest alert level: Application exclusively under direct visual contact on massive osseous or fascial landmarks. Any contact with visceral, vascular, or neural structures is unacceptable.
• Triple Safety Procedure Mandatory: 1. Instrument integrity check, 2. Tissue check before contact, 3. Assistant-verified positioning.
• Respect physical limits: The combined leverage effects of width AND height generate extreme forces. Always work with assisting counter-traction. Single-handed guidance is strictly prohibited.
• Mandatory macroscopic and (if available) microscopic inspection for material fatigue before use, especially at critical transitions.
• This is not a routine instrument. Use only after strict indication and risk-benefit assessment by the lead surgeon.
• Special reprocessing protocols required to avoid cleaning and sterilization deficits at this scale.
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