SHARK MEETS PIRANHA
Solutions for enucleation and morcellation
In addition to established methods for the treatment of benign prostatic hyperplasia (BPH), new methods are becoming increasingly important in endourology and a trend towards endoscopic enucleation of the prostate (EEP). More specifically, holmium laser enucleation of the prostate (HoLEP) and thulium laser enucleation of the prostate (ThuLEP) can be observed in recent years. This is also happening since laser enucleation of the prostate is the only therapy recommended for prostates of any size. Richard Wolf offers the user a variety of products in the field of laser surgery and in the field of HF surgery, so that the endourologist can obtain their complete set of resectoscopic instruments from Richard Wolf, regardless of their preferred surgical technique.
SHARK MEETS PIRANHA
The SHARK Resectoscope line has the right instrument for minimally invasive access. As a highly efficient morcellation system the PIRANHA product line completes the package for EEP and fast and precise morcellation of tissue sections, thanks to a specially developed technology.
Together SHARK and PIRANHA reduce surgical times and provide greater safety for their patient.
Faster morcellation times with the PIRANHA System
PIRANHA Blade Vmax
The PIRANHA Enucleation System is complemented with PIRANHA Blade Vmax, the single-use rotation morcellator, which yields significantly faster and more efficient morcellation. The rotation morcellator is an essential component for effective laser enucleation.
- Cutting-blade geometry for sharper cutting characteristics
- No irritating “ping-pong” effect created by small tissue chips
- Disposable, packed sterile
SHARK Resectoscope for EEP
SHARK resectoscopes can be used for laser enucleation of the prostate, as well as for bipolar enucleation.
The details of the required instrument set are provided below with all the advantages at a glance.
SHARK laser resectoscope with laser working insert or laser working element
The advantages at a glance
- High irrigation capacity and selective irrigation flow control through SHARK tip geometry
- Two variants on continuous irrigation inner & outer sheath sets: 22/24 Fr. or 24/26 Fr.
- 24/26 Fr. inner & outer sheath set available with stainless-steel tip for blunt enucleation
- Simple SNAP-ON click mechanism for sheath system and guide tube
- Laser working insert or working element for laser fibers up to 1000 µm
- Laser fibers can be fixed in place with a clamp sleeve
The therapy of benign prostate enlargement is steadily developing in the direction of transurethral endoscopic enucleation. Richard Wolf has developed a special electrode to meet the different requirements of bipolar enucleation.
The advantages of the Bipolar Enucleation Electrode at a glance
1. Distal wedge-shaped surface allows blunt, purely mechanical enucleation, as well as effective vaporization and incision with HF current.
2. Precision electrode head for significantly more precise and finer work with simultaneously high mechanical stability— particularly in apical dissection
3. Unique design for a multitude of applications enables enucleation, coagulation and vaporization.
4. "Donut"–shaped surface The special shape enables effective vaporization and coagulation with little loss of blood and minimized penetration of thermal energy into the surrounding tissue.
5. SHARK tip The atraumatic ceramic tip of the SHARK inner sheath is used to tension the tissue before enucleation.
For additional information concerning the SHARK resectoscope line with outer and inner sheaths, active and passive working elements, monopolar and bipolar electrodes, telescopes, and Pendual camera head, see the SHARK Brochure.
PIRANHA product line
The advantages at a glance
- Outstanding visualization through two integrated irrigation channels
- An outer sheath change is not required for enucleation and morcellation
- High irrigation capacity through a 5.1 mm working channel
- PIRANHA Morcescope can be used for with either 24 Fr. or 26 Fr. SHARK outer sheaths
- Simple SNAP-ON click mechanism for sheath system
- Large, automatic valve prevents water from escaping from the working channel
The advantages at a glance
- High torque for maximum cutting force
- Controlled suctioning of tissue sections
- Separate collection container for collecting the tissue sections
- Histological examination of the morcellated tissue is possible
- Footswitch for easy changeover between the operating modes "PIRANHA Mode" (suction and morcellation) and "Suction Mode" (suctioning of blood clots or the most minute tissue chips)
The advantages at a glance
- High-speed morcellation through a specially developed cutting tooth geometry
- Thanks to a larger suction window there is no ping-pong effect
- Optimal visualization of the cutting window
- More safety through the atraumatic morcellator tip
- Disposable product for maximum sharpness
Voices and opinions
"Again and again I am impressed with the speed and the safety of the new PIRANHA morcellation system, which is even increased though the new Vmax blades. A morcellator that sets the course: removal of a 120 g prostate gland in less than 10 minutes makes the enucleation procedure a very fast and competitive method."
Dr. Fernando Gómez SANCHA, Instituto de Cirugia Urológica Avanzada Madrid, Spain
