Special Medical Technology

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Content

Introduction

Electrosurgery

Cryosurgery

Thermosurgery

Certification

Contacts

Specialization

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About us

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• Company name: Speciální Medicínská Technologie Special Medical Technology

• SMT was founded in 1990

• We are manufacturer and seller of Electrosurgical and

Cryosurgical devices and accessory

• Certifications: Quality System ISO 13485:2003 CE MARK 1014 Free Sales Certificate (FSC)

• Located in Prague, Czech Republic, Europe

We have exported to 52 countries:

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About us

What we do

Surgery

Dermatology

Gynecology

Dentistry

Ophthalmology

ENT

Endoscopy

Veterinary

Cosmetics

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The company's orientation and main operational areas include the development, design, manufacture, sales and service of the ELECTROSURGICAL and CRYOSURGICAL systems, instruments, tools and accessories for various human medical specializations.

Cryosurgical and Electrosurgical devices designed for:

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General information

High frequency / Radio Frequency

Electrosurgery / electrocautery / diathermy

Monopolar and bipolar

Cut, coagulate or fulgurate tissue

Electrosurgery

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General information: Electrosurgery is the application of a high-frequency electric current to biological tissue as a means to cut, coagulate or fulgurate tissue. Its benefits include the ability to make precise cuts with limited blood loss

HF /RF Electrosurgery systems

Electrosection

Electrocoagulation

Electrodessication

Electrofulguration

Epilation

Electrosurgery

Electrosurgery

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The electric current never comes into contact with the patient.

Dielectric heating, produced by rotation of molecular dipoles in high frequency alternating electric field. This effect is most widely used in microwave ovens which operate at gigahertz frequencies.

Electrocautery

Diathermy

Electrosurgery

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In Electrosurgery the electricity used is not ordinary domestic electric power, but something nearer to radio waves. Always alternating current, the frequency involved is typically around 200,000 cycles per second (200KiloHertz)

The reason for use of high frequency is that such a form of electric current can pass through the body without causing Electric Shock

In 95% cases we can say that Electrosurgical device = Electrocautery or Diathermy device

Electrosurgery

Electrosurgery

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• Radio frequency (RF) is a rate of oscillation in the range of around 200 kHz to 4MHz, which corresponds to the frequency of radio waves, and the alternating currents which carry radio signals.

• SMT devices work at 460 kHZ!

Radio frequency (RF)/ High Frequency (HF)

Electrosurgery

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Monopolar

Electrosurgery

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Monopolar vs. Bipolar

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Cut, coagulate or fulgurate tissue

Electrosurgery

Power 60W

Outputs CUT, BLEND, COAG

Modes Monopolar or Bipolar

Dimensions 2 45x160x75 mm

Switch: Foot controlled pneumatic (M & B) and hand controlled for

Neptun

SMT ESU 60 M SMT ESU 60 B SMT ESU 60 Neptun

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Electrosurgery

Power 75 W (in monopolar mode at loading 500 Ohms)

Outputs CUT, BLEND, COAG, MICRO (EPI)

Modes Monopolar and Bipolar for all outputs

Dimensions 245x250x75 mm

Switch Foot controlled pneumatic

SMT 75 MB

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Electrosurgery

SMT BM

Power 100; 125; 170W

Outputs CUT, BLEND, COAG, MICRO (EPI)

Modes Monopolar and Bipolar for all outputs

Dimensions 250x290x75 mm

Switch Foot controlled pneumatic

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Electrosurgery

SMT BM M

Power 150; 200; 250; 300; 350; 400 W

Outputs CUT, BLEND, COAG, MICRO, SPRAY

Modes Monopolar and Bipolar for all outputs

Dimensions 310x290x75 mm

Switch Hand (electric) / Foot (pneumatic)

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Electrosurgery

SMT BM M PF

Power 150; 200; 250; 300; 350; 400 W

Outputs CUT, BLEND, COAG, MICRO, SPRAY

Modes Monopolar and Bipolar for all outputs

Dimensions 335x330x100 mm

Switch Hand (electric) / Foot (pneumatic)

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Programmable – up to 12 programs

Electrosurgery

SMT ElectroDENT

Power 75 W (in monopolar mode at loading 500 Ohms)

Outputs CUT, BLEND, COAG

Mode Monopolar

Dimensions 250x290x75 mm

Switch Foot controlled pneumatic

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Electrosurgery

SMT EPI 2000 ZW

Power: 10 W

Fastening diameter of electrode: 0,8 mm

Operational applicator: 9x130 mm

Dimensions: 200x210x40 mm

Switch: Foot controlled pneumatic

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Electrosurgery

SMT BM VET

Power: 120; 140; 180W (in monopolar mode at loading 500 Ohms)

Outputs: CUT, BLEND, COAG, MICRO

Modes: Monopolar and Bipolar for all outputs

Dimensions: 260x250x75 mm

Switch: Foot controlled pneumatic

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Electrosurgery

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Electrosurgery-Accessories

• 2.4 mm Hand

Controlled/electric:

• 2.4 mm / all branches

• 1.6 mm / dental

• 0.8 mm / cosmetics

Foot Controlled/pneumatic:

ESU Pencils

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• Silicone

• Stainless Steel

• Disposable

Neutral Electrodes

• Blades

• BALLs

• Needles

• LOOPs

• Special Mono Tools

• Bipolar Tools

Operating Electrodes

Electrosurgery-Accessories

Suction Unit SMT CEL-1

Dimensions 510 x 250 x 250 mm

Weight 13 kg

Feeding 230 V; 50 Hz

Rated current 6,55 A

Power 1300 W

Protection IP44

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The controlled destruction of tissue by freezing

Cheap, easy, and safe treatment suitable for both hospital and office based practice

Can remove a lesion with excellent cosmetic results and minimal scarring

Cryosurgery

General information

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warts, moles, skin tags, solar keratoses and small skin cancers

liver cancer, prostate cancer, lung cancer, oral cancers, cervical disorders and, more commonly in the past, hemorrhoids

Cryosurgery works by taking advantage of the destructive force of freezing temperatures on cells

for small lesions, liquid nitrogen can be applied using a Cryospray CS1 / CS1 E/ CS1 SM

because liquid nitrogen is extremely cold (-196 °C), the treated area turns white from frost

Uses

Cryosurgery

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Cryosurgery is a minimally invasive procedure, and is often preferred to more traditional kinds of surgery because of its minimal pain, scarring, and cost.

Many benign skin growths can be safely treated with cryosurgery.

Warts and pre-malignant lesions related to chronic sun exposure (known as actinic keratoses) are some of the most commonly treated lesions in Dermatology.

Results

Cryosurgery

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Patients will notice mild swelling and redness immediately after the procedure.

A small blister may appear a few hours after the treatment.

The lesion should be kept dry for the next 24 hours. Gentle cleaning with water and soap is recommended.

Aftercare

Cryosurgery

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Extremly high freezing power and rate Large offer of operating instruments and tips Extremely safety automatic operation Automatically controlled operating temperature Dimensions 250x290x75 mm

Cryosurgery

SMT KCH 450 A (M, MD, MDT)

-190°C/-310°F

Liquid Nitrogen

CRYOSURGERY MICROPROCESSOR

SYSTEM

CRYOSPRAY SMT CS 1

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One hand manipulation Precisely localized destruction Enormous safety Large selection of operation spray jets and contact tips Standard tips: J4, J6, J8 For use with liquid nitrogen only Container Capacity: 0,5L

Cryosurgery

-190°C/-310°F

Liquid Nitrogen

CRYOSPRAY SMT CS 1 SM

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One hand manipulation Precisely localized destruction Enormous safety Large selection of operation spray jets and contact tips Standard tip: J6 For use with liquid nitrogen only Container Capacity: 0,2L

Cryosurgery

-190°C/-310°F

Liquid Nitrogen

CRYOSPRAY SMT CS 1 E

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One hand manipulation Precisely localized destruction Enormous safety Large selection of operation spray jets and contact tips Standard tip: J6 For use with liquid nitrogen only Container Capacity: 0,5L

Cryosurgery

-190°C/-310°F

Liquid Nitrogen

CRYO-S

Nitrous oxide N2O – minus 89°C (-128°F)

Carbon dioxide CO2 – minus 79°C (-110°F)

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Cryosurgery

Electric Mini Classic

Fast and effective freezing of tissue Exchangeable contact or spray-type

KL Nitrogen Containers

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Transportation of liquid nitrogen Can be used in cryogenic instalation Container Capacity: 7L/20L/32L

Cryosurgery

PIPE 1

Comfortable withdrawal of liquid nitrogen from KL Dewar dusk Keeps pressure from 20 kPa – 30 kPa

THERMOCAUTER TEK 1

4 operational instruments Operational temp. +700 ÷ 900 °C Recharger unit - Stand Operational tips

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Thermosurgery

THERMOCAUTER TEK 11

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1 operational instrument Operational temp. +700 ÷ 900 °C Independent on the mains Operational tips

Thermosurgery

Certification

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Speciální Medicínská Technologie, s.r.o. Special Medical Technology, Co. Ltd.

Address: Papirenska 114/5, Praha 6, 160 00, Czech Republic

E-mail: smt-praha@smt-praha.com

Website: www.smt-praha.com

Managing Director: Eng. Lukas Krotil Krotil@smt-praha.com

Contact

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Special Medical Technology

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SPECIALISATION

General Surgery

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SMT BM M PF 300W

SMT BM M PF 350W

SMT BM M PF 400W

SMT BM M 300W

SMT BM M 350W

SMT BM M PF 400W

General Surgery

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• Menetriere disease

• Malignant neoplasia

• Gastrointestinal stromal tumors

• Gastric carcinoma

Used for:

Gastrectomy

Preparation of the gastroduodenal artery, dissection of the lymphatic tissue.

Gastrectomy is the surgical removal of all or part of the stomach.

General Surgery

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• Struma

• Thyroid carcinoma

• Autonomous adenom

Used for:

Thyroidectomy with BiClamp

Use of the BiClamp enables a ligature-free ablation of the upper and lower pole vessels. No foreign material remains behind at the operation site.

Thyroidectomy is a surgical procedure in which all or part of the thyroid gland is removed.

General Surgery

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• Diverticulosis (in the case of peritonitis, abscesses or fistulas)

• Ulcerative colitis

• colon carcinoma

• Bowel obstruction

Used for:

Colectomy

Sealing and dissection of the tissue structures.

Colectomy is the excision of the colon or of a portion of it.

General Surgery

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• Recurrent tonsillitis

• Obstructive tonsillar hyperplasia

• Focal infections

• Tonsillar abscess

Used for:

Tonsillectomy by BiClamp

The anterior palatal arch is incised with the bipolar forceps.

Tonsilectomy is the excision of tonsils, treatment of chronic infection of the tonsils .

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SMT BM GYN/SURG 125 W

SMT BM M PF 300W

SMT BM M PF 350W

SMT BM M PF 400W

Gastroenterology

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• Polyps (flat, raised lesions, sessile, waisted or stalked polyps

Used for:

Polypectomy is the removal of a polyp.

Ablation of stalked polyps

Polypectomy with ENDO CUT

Gastroenterology

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• Cholelitiasis with biliary obstruction (gallstones with bile duct blockage)

• Benign papillary stenoses

• Narrowing of the minor duodenal papilla with pancreas divisum

Used for:

Papillotomy is an incision into a papilla; usually in reference to the major duodenal papilla.

Cutting stage during papillotomy procedure.

Papillotomy with ENDO CUT

Gastroenterology

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• Zenker's diverticulum (pouch-like protrusion of the esophageal wall)

Used for:

Argon Plasma Coagulation (APC) treatment is procedure used primarily to control bleeding from certain lesions in the gastrointestinal tract and to debulk tumours.

Zenker´s diverticulum

APC treatment of Zenker´s diverticulum

Gastroenterology

Gynecology

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SMT BM GYN/SURG 125 W

SMT BM M PF 300W

SMT BM M PF 350W

SMT BM M PF 400W

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• Benign, and depending on the indication, malignant changes to the cervix

• Uterus myomatosus (enlarged uterus)

• Adenomyosis uteri (uterine endometriosis)

Used for:

Total Laparoscopic hysterectomy (TLH) is complete removal of the uterus and cervix.

Total Laparoscopic hysterectomy using biclamp.

Gynecology

THL using the biclamp

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• Benign changes to the cervix

• Uterus myomatosus (enlarged uterus)

• Adenomyosis uteri (uterine endometriosis)

• Precancerous conditions

• As part of prolapse surger

Used for:

Vaginal hysterectomy is performed entirely through the vaginal canal.

Amputation of the uterus at the adnexa.

Gynecology

Vaginal Hysterectomy with biclamp

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• Submucous myomas

• Polyps

• Adhesions or septa in the uterine region

• Mucous membrane changes in the uterus (endometrium)

• Metrorrhagia

Used for:

Resection performed through the cervical opening of the uterus.

Transcervical resection

Gynecology

Transcervical resection with bipolar cut

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• Suspicion of lymph node metastasis Used for:

Lymphadenectomy is excision of one or more lymph nodes.

Gynecology

Lymphadenectomy with bipolar LAP scissors

Excision of the lymph node using the bipolar LAP scissors.

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• Benign and malignant changes to the cervix

• Uterus myomatosus (enlarged uterus)

• Adenomyosis uteri (uterine endometriosis)

• Adhesions in the region of the uterus

• Endometriosis

Used for:

Laparoscopic assisted vaginal hysterectomy is the procedure using laparoscopic techniques to remove the uterus and tubes and ovaries through the vagina.

Preparation, coagulation and dissection of the adnexa.

Gynecology

LAVH with LAP Bisect Macro

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• Benign changes to the cervix

• Adenomyosis uteri (uterine endometriosis)

• Uterus myomatosus (enlarged uterus

Used for:

The laparoscopic-assisted supracervical hysterectomy (LASH) is the procedure to remove the uterus without removing the cervix.

Coagulation and dissection of the uterine vessels.

Gynecology

LASH using Bicision

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SMT MB 75W SMT BM DERM 100W

Ophtalmology/Plastic Surgery

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• Chalazion / cyst Used for:

Chalazion removal using needle scalpel.

Chalazion removal

Ophtalmology/Plastic Surgery

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• Entropion / inward-folding eyelid

Used for:

Preparation of the gastroduodenal artery, dissection of the lymphatic tissue.

Eyelid Surgery for Entropium

Ophtalmology/Plastic Surgery

Urology

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SMT BM GYN/SURG 125 W

SMT BM M PF 300W

SMT BM M PF 350W

SMT BM M PF 400W

Urology

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• Muscle-invasive bladder carcinoma Used for:

The laparoscopic cystectomy is the procedure which strips the cyst wall. The portion of the cyst containing the endometrial tissue.

Sealing and dissection of bladder tissue structures.

Laparoscopic Cystectomy

Urology

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• Benign prostatic hypertrophy

• Early bladder cancer, bladder diverticulum

Used for:

Endoscopic removal of the prostate gland or bladder lesions, usually for relief of prostatic obstruction or treatment of bladdermalignancies.

Prostataresection

Transurethral bipolar resection

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