The use of lasers for ablative surgery for tissue removal has become increasingly popular. To meet the demand, Pilling has a complete line of laryngoscopes and accessories available for use in laser surgery. All of our laser instruments have a non-reflective, dull finish to reduce the chance of the laser beam reflecting off the instrument. Pilling is continuing to work with leading surgeons in the development of more advanced instruments for use in laser surgery to meet this
ever-increasing demand.
利用激光燒蝕手術去除組織變得越來越流行。為了滿足需求，Pilling在雷射手術治療中使用喉鏡及配件的完整產線。
我們所有的雷射治療儀器有不反光的，無光澤的光潔度，以減少雷謝光束反射機會的儀器。Pilling繼續在開發更多的工作與領先的外科醫生在雷射手術中使用的先進的儀器，以滿足不斷增加的需求。

PILLING BIVALVE LASER LARYNGOSCOPES
These special scopes are modified designs of the Dedo-Pilling Anterior Commissure and Ossoff Posterior Commissure micro and laser laryngoscopes.
• The Dedo Anterior Commissure scopes provide minimal chance of teeth breakage, yet offers optimum microscopic visibility.
• The Ossoff Posterior Commissure scopes provide the ability to lift the endotracheal tube and permit entrance and microscopic visibility beyond the vocal cords.
• These scopes provide increased visibility at the surgical site through expansion and distension of the split tubes. Double-action type with lower blade separated
PILLING雙變量雷射喉鏡
這些特殊的喉鏡被修改Dedo-Pilling前聯體和Ossoff後聯體微型雷射喉鏡的設計。
•Dedo-Pilling前連的喉鏡提供破損的機會微乎其微，但提供了最佳顯微能見度。
•Ossoff後路的合縫喉鏡提供的能力，並可讓顯微的能見度超過在聲帶入口和解除氣管插管。
這些喉鏡在手術部位的擴張和腹脹分割管提供更高的能見度。

PILLING-DEDO DOUBLE-ACTION LASER LARYNGOSCOPES
Features:
• Lower blade separation provides an increased operative area for ease of instrumentation.
• Distal expansion of the lower blade allows maximum visibility of the cords and beyond.
• Non-reflective internal surface minimizes laser beam deflection.
• Removable handle reduces weight during insertion. This handle can be attached to the standard laryngoscope holder (502245), or Tobey Laryngoscope Holder 502248, or adapted for use with the Boston University System (502260).
• Smoke evacuation channel is permanently attached and extends distally for maximum removal of laser plume.
• One large fiberoptic light carrier is supplied with attached cable for optimum distal lighting.
Both styles of bivalve Laser Larynogoscopes have O.D. measurements which can exceed the anatomical limits for their intended patient size.
A thumb operated lever allows the physician to tactily gauge the degree of pressure exerted.
Double-action type with lower blade separated and expanded
雙動式與下葉片分離和擴充Dedo-Pilling雙動雷射喉鏡
特點：
•下部葉片分離提供了手術面積增加，為易用儀器。
•遠端擴充下刀片，允許超越最大能見度。
•不反光的內部表面，最大限度地減少雷射光束偏轉。
•可拆卸的手柄在插入過程中減輕重量。這個手柄可以連接到標準喉鏡支架（502245），或托比喉鏡支架 502248，或適用於波士頓大學系統（502260）使用。
•煙霧排氣通道使最高雷射柱去除率被永久連接和向遠端延伸。
•大型光纖光載波提供最佳遠端照明連接的電纜。
這兩種風格雙殼類雷射Larynogoscopes的有外徑測量它可以超過解剖其預定病人尺寸的限制。拇指操作桿，允許醫生可觸知衡量施加壓力的程度。

Pilling® Bivalve Laser Laryngoscopes are modified designs of the Pilling®-Dedo Anterior Commissure and Ossoff Posterior Commissure Micro and Laser Laryngoscopes.”
Supplied with one light carrier permanently attached to fiber optic cable.

                                                  CLOSED      NOMINAL        CLOSED
CATALOG                    OVERALL       MIN.        PROXIMAL       MAX.      REPLACE.
NUMBER      SIZE          LENGTH         I.D.        DIMENSIONS      O.D.       CARRIER
522290     Adult            179 mm      13.2 mm    22.0 x 20.0 mm 33.0 mm   527860
522292     Adolescent    136 mm       9.8 mm    21.0 x 26.0 mm 32.0 mm   527863

直接喉鏡下手術適用于：
1.間接喉鏡檢查和纖維喉鏡檢查不能明確診斷者。
2.間接喉鏡和纖維喉鏡下喉部良性腫瘤摘除未成功者。
3.臨床上疑為喉部惡性腫瘤，間接喉鏡和纖維喉鏡下活檢不能明確診斷者。
4.喉部異物。
5.小兒支氣管鏡檢查時，借助于側開式直達喉鏡找到聲門，導入支氣管鏡。

The Ossoff Posterior Commissure Scope provides the ability to lift the endotracheal tube and permit entrance and microscopic visibility beyond the vocal cords. This
scope provides increased visibility at the surgical site through expansion and distension of the split tubes.
Supplied with one light carrier permanently attached to
fiber optic cable for maximum illumination.

                                       CLOSED          NOMINAL       CLOSED
CATALOG            OVERALL    MIN.           PROXIMAL         MAX.       REPLACE.
NUMBER    SIZE    LENGTH     I.D.             DIMENSIONS       O.D.       CARRIER
522291    Adult    178 mm     12.7 mm       22.0 x 26.0 mm   33.0 mm   527860

Pilling surgical bougies have a latex-free silicone casing with calibration marks.
Because the silicone surface is non-slip when dry and slippery when wet, it gives you a good grip, yet allows for easier, less traumatic insertion.
And, unlike rubber, it won’t cause problems for patients who are allergic to latex.

The calibration marks, along with the radio-opaque material in the flexible tip of the Maloney-style, make it simple for you to determine the exact depth of insertion.

Pilling surgical dialators are date stamped and include a three-year guarantee.

So consider our new bougies for everything they have, but even better, for the things they don’t have.

Pilling的手術通條具有校準標記且無乳膠的矽膠套管。

由於有機矽表面防滑設計當在乾燥時滑濕的時候，它為您提供了良好的抓握性能，既使創傷小也可以更容易的插入。而且，非橡膠材質，它不會造成對乳膠過敏的患者的問題。

校準標記，隨著不透射線Maloney性質的靈活的尖端材料，使您可以輕鬆確切插入確定深度。

HURST TUNGSTEN-FILLED ESOPHAGEAL BOUGIES
These tungsten-filled bougies have rounded distal tips.
The closure on the proximal end is drilled through from side-to-side so a wrist cord may be used. 75 cm approximate overall length.

這些充滿鎢的通條圓潤端。近端上的封閉鑽通，從一側到另一側，因此可用於手腕線。 75公分約總長度。

MALONEY TAPERED TUNGSTEN-FILLED ESOPHAGEAL BOUGIES
This tungsten-filled bougie provides a single style of dilator for treating cardiospasm, esophagitis, stenosis, and other esophageal diseases. The small, flexible tip is easily introduced through the cricopharynx area, cardioesophageal junction, or stenosis. Once the tip is through the involved area, the tapered end allows the single bougie to dilate this portion of the esophagus to its maximum limit. All sizes start at 14 French diameter at distal tip, increasing to full diameter over a 15.2 cm length. 75 cm approximate overall length.

這填充鎢通條提供了一個單一擴張器的樣式用於治療賁門痙攣，食道炎或食道狹窄，及其他食道疾病。小型，靈活的尖端容易引入通過環咽的區域，賁門交界處，或狹窄。 一旦針尖是通過所涉及的區域中，錐形端允許單探條擴張了這個部分的食道到其最大極限。
所有尺寸開始在14Fr遠端尖直徑，提高全直徑超過15.2公分長。總長度近75公分。

治療方案:
成人食管擴張可在表面麻醉下施行，對兒童或不能很好配合者，應行全身麻醉。擴張器的種類甚多，如水銀探子(Maloney dilators)、球囊擴張器及沙氏擴張器(Savary-Guillard)等。
擴張時，先經口在食管鏡或X 線透視下放入引導鋼絲，然后套入擴張探條。
套入的擴張探條應涂擦液狀石蠟(石蠟油)，由細而粗逐步擴大。每次擴張更換探子不得超過3條，探子應在狹窄部位停留數分鐘后再更換下一型號探子，開始擴張間隔時間每周1 次，逐步延長至每個月1 次。擴張至直徑1.5cm 而狹窄不再縮小才算成功。一般擴張時間需要半年至1 年，如以后再次發生狹窄，可按上述擴張方法重新開始。為增強擴張治療的效果，有的作者于擴張時在病灶內注射皮質激素，經臨床病例對比觀察
，此法可減少擴張的次數，提高治療的效果。