- SKU: APS-57-0724-BD
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Condition:
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
Condition: Factory New
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Country of Origin: GermanyCountry of Origin: GermanyCountry of Origin: GermanyCountry of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:Country of Origin:
- Weight: 1.0 lb
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The displayed information indicates the present stock level of this item. Additional quantity is available and may have an extended estimated delivery range. We will provide you with regular updates throughout the order process.
Items shipped from the manufacturer
This item will be shipped directly from the manufacturer to your doorstep, ensuring that you receive the newest product available. The estimated delivery range provided is based on the manufacturer's inventory levels and is subject to change depending on the quantity ordered. We ship items as soon as they become available, so if you order multiple quantities, you may receive them in separate shipments.
Special order item
A special order item will need to ship to our warehouse from the manufacturer before then shipping to you. The estimated delivery range that you see is based on the information that we receive from the manufacturer, which is also contingent upon your ordered quantity and the current inventory levels of the manufacturer. We will ship the items to you as soon as they become available, which may result in multiple shipments if you order more than one quantity.
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MPN: 57-0724-BD
MPN: 59-4180J
MPN: 57-0763
MPN: 53-1651LED
MPN: 53-1102
MPN: 53-1648LED
MPN: 31-0402
MPN: 53-1131
MPN: 31-5108
MPN: 53-1100
MPN: 53-1125
MPN: 53-1127
MPN: 53-1130
MPN: 53-1225
MPN: 53-1230
MPN: 53-1232
MPN: 53-1233
MPN: 53-1235
MPN: 53-1240
MPN: 53-1250
MPN: 53-1255
MPN: 53-1512
MPN: 53-1524
MPN: 53-1661
MPN: 53-1661T
MPN: 53-1662
MPN: 53-1662T
MPN: 53-1663
MPN: 53-1663T
MPN: 53-1664
MPN: 53-1664T
MPN: 53-1675RC
MPN: 53-4000
MPN: 57-1100
MPN: 57-1102
MPN: 57-2022
MPN: 57-2098
MPN: 58-1200-BD
MPN: 58-2200-BD
MPN: 58-3200-BD
MPN: 58-3200J-BD
MPN: 58-4200-BD
MPN: 58-4200J-BD
MPN: 58-5200-BD
MPN: 59-1200-BD
MPN: 30-7623
MPN: 30-0204
MPN: 30-0202
MPN: 31-1104
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Description
| SKU | MPN | OPTION | DESCRIPTION | EST. TO SHIP |
|---|---|---|---|---|
| APS-57-0724-BD | 57-0724-BD | Symmetry Kerrison Rongeur, 40° Up, Ceramic Coated, Micro, 4.0mm, 9.0 mm Opening, 7in | Symmetry Kerrison Rongeur, 40° Up, Ceramic Coated, Micro, 4.0mm, 9.0 mm Opening, 7in (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-59-4180J | 59-4180J | RapidClean Kerrison Rongeur, Micro, Regular Footplate w/Ejector, 40° Up, 4mm, Convertible, 7in, 178mm | RapidClean Kerrison Rongeur, Micro, Regular Footplate w/Ejector, 40° Up, 4mm, Convertible, 7in, 178mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-57-0763 | 57-0763 | Symmetry Kerrison Rongeur, Micro, Thin Footplate, 40° Up, 3mm, 9mm Opening, 8in, 203mm | Symmetry Kerrison Rongeur, Micro, Thin Footplate, 40° Up, 3mm, 9mm Opening, 8in, 203mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1651LED | 53-1651LED | RapidClean Kerrison Rongeur, E Detachable Lumbar, 40" Up, 5.0 mm, 9" | RapidClean Kerrison Rongeur, E Detachable Lumbar, 40" Up, 5.0 mm, 9" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1102 | 53-1102 | Symmetry Rongeur, Lempert, Curved | Symmetry Rongeur, Lempert, Curved (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1648LED | 53-1648LED | RapidClean Kerrison Rongeur, Detachable Lumbar with Ejector, 40 degrees Up, 4mm, 9", 229mm | RapidClean Kerrison Rongeur, Detachable Lumbar with Ejector, 40 degrees Up, 4mm, 9", 229mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-31-0402 | 31-0402 | Symmetry Rongeur, Ruskin Mini, Straight, 2 mm, 6", 152 mm | Symmetry Rongeur, Ruskin Mini, Straight, 2 mm, 6", 152 mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1131 | 53-1131 | Symmetry Rongeur, Stille-Luer, Curved | Symmetry Rongeur, Stille-Luer, Curved (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-31-5108 | 31-5108 | Rongeur, Leksell, 8mm, Slightly Curved Handle, 9" | Rongeur, Leksell, 8mm, Slightly Curved Handle, 9" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1100 | 53-1100 | Rongeur, Beyer, Double-Action, 180mm | Rongeur, Beyer, Double-Action, 180mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1125 | 53-1125 | Rongeur, Leksell Laminectomy, Regular, Wide | Rongeur, Leksell Laminectomy, Regular, Wide (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1127 | 53-1127 | Rongeur, Leksell Laminectomy, Regular, Narrow | Rongeur, Leksell Laminectomy, Regular, Narrow (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1130 | 53-1130 | Rongeur, Stille-Luer, Straight, 222mm | Rongeur, Stille-Luer, Straight, 222mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1225 | 53-1225 | Rongeur, Symmetry, IVD, 6mm x 12mm | Rongeur, Symmetry, IVD, 6mm x 12mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1230 | 53-1230 | Rongeur, Cushing, IVD, Straight, 7" | Rongeur, Cushing, IVD, Straight, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1232 | 53-1232 | Rongeur, Cushing, IVD, Up, 7" | Rongeur, Cushing, IVD, Up, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1233 | 53-1233 | Rongeur, Cushing, IVD, Down, 7" | Rongeur, Cushing, IVD, Down, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1235 | 53-1235 | Rongeur, Love-Gruenwald IVD, Straight, 7" | Rongeur, Love-Gruenwald IVD, Straight, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1240 | 53-1240 | Rongeur, Spurling IVD, Straight, 7" | Rongeur, Spurling IVD, Straight, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1250 | 53-1250 | Rongeur, Delicate IVD, Straight, 152mm | Rongeur, Delicate IVD, Straight, 152mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1255 | 53-1255 | Rongeur, Peapod IVD, 136mm | Rongeur, Peapod IVD, 136mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1512 | 53-1512 | Kerrison Rongeur, Cervical, Thin Footplate, 40 Degrees Up, 2mm, 7" | Kerrison Rongeur, Cervical, Thin Footplate, 40 Degrees Up, 2mm, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1524 | 53-1524 | Kerrison Rongeur, Cervical, Thin Footplate, 40 Degrees Up, 2mm, 8" | Kerrison Rongeur, Cervical, Thin Footplate, 40 Degrees Up, 2mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1661 | 53-1661 | Sharp Kerrison Rongeur Tips, 1mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, 1mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1661T | 53-1661T | Sharp Kerrison Rongeur Tips, Thin Footplate, 1mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, Thin Footplate, 1mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1662 | 53-1662 | Sharp Kerrison Rongeur Tips, 2mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, 2mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1662T | 53-1662T | Sharp Kerrison Rongeur Tips, Thin Footplate, 2mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, Thin Footplate, 2mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1663 | 53-1663 | Sharp Kerrison Rongeur Tips, 3mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, 3mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1663T | 53-1663T | Sharp Kerrison Rongeur Tips, Thin Footplate, 3mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, Thin Footplate, 3mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1664 | 53-1664 | Sharp Kerrison Rongeur Tips, 4mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, 4mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1664T | 53-1664T | Sharp Kerrison Rongeur Tips, Thin Footplate, 4mm Tip, Single Use, 3/bx | Sharp Kerrison Rongeur Tips, Thin Footplate, 4mm Tip, Single Use, 3/bx (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-1675RC | 53-1675RC | Sharp Kerrison RapidClean Rongeur Handle, for 8" Kerrison | Sharp Kerrison RapidClean Rongeur Handle, for 8" Kerrison (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-53-4000 | 53-4000 | Rongeur, Decker Micro, Straight, 152mm | Rongeur, Decker Micro, Straight, 152mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-57-1100 | 57-1100 | Kerrison Rongeur, Curved Up, 2mm, 8" | Kerrison Rongeur, Curved Up, 2mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-57-1102 | 57-1102 | Kerrison Rongeur, Curved Up, 3mm, 8" | Kerrison Rongeur, Curved Up, 3mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-57-2022 | 57-2022 | Rongeur, Cushing IVD, Straight, 2mm x 10mm, 7" | Rongeur, Cushing IVD, Straight, 2mm x 10mm, 7" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-57-2098 | 57-2098 | Rongeur, Decker, Straight, 2mm x 6mm Cups, 6" | Rongeur, Decker, Straight, 2mm x 6mm Cups, 6" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-1200-BD | 58-1200-BD | Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 1mm, 8" | Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 1mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-2200-BD | 58-2200-BD | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 2mm, 8" | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 2mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-3200-BD | 58-3200-BD | Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 3mm, 8" | Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 3mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-3200J-BD | 58-3200J-BD | RapidClean Kerrison Rongeur, Micro, Thin Footplate w/Ejector, 40 Degree Up, Ceramic Coated, Convertible, 3mm, 8" | RapidClean Kerrison Rongeur, Micro, Thin Footplate w/Ejector, 40 Degree Up, Ceramic Coated, Convertible, 3mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-4200-BD | 58-4200-BD | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 4mm, 8" | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 4mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-4200J-BD | 58-4200J-BD | RapidClean Kerrison Rongeur, Micro, Thin Footplate w/Ejector, 40 Degree Up, Ceramic Coated, Convertible, 4mm, 8" | RapidClean Kerrison Rongeur, Micro, Thin Footplate w/Ejector, 40 Degree Up, Ceramic Coated, Convertible, 4mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-58-5200-BD | 58-5200-BD | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 5mm, 8" | RapidClean Kerrison Rongeur, Micro, Thin Footplate, 40 Degree Up, Ceramic Coated, Convertible, 5mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-59-1200-BD | 59-1200-BD | RapidClean Kerrison Rongeur, Micro, Thick Footplate, 40 Degree Up, Ceramic Coated, Convertible, 1.0mm, 8" | RapidClean Kerrison Rongeur, Micro, Thick Footplate, 40 Degree Up, Ceramic Coated, Convertible, 1.0mm, 8" (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-30-7623 | 30-7623 | Symmetry Rongeur, Lempert, Curved, Slender Pattern, 6 2/3 in, 169 mm, Reusable | Symmetry Rongeur, Lempert, Curved, Slender Pattern, 6 2/3 in, 169 mm, Reusable (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-30-0204 | 30-0204 | Symmetry Rongeur, Friedman, Curved, 2 mm Jaw, Delicate, 5 1/2 in, Reusable | Symmetry Rongeur, Friedman, Curved, 2 mm Jaw, Delicate, 5 1/2 in, Reusable (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-30-0202 | 30-0202 | Symmetry Rongeur, Friedman Micro, Curved, 1.7 mm Jaw, Very Delicate, 5 1/2 in, Reusable | Symmetry Rongeur, Friedman Micro, Curved, 1.7 mm Jaw, Very Delicate, 5 1/2 in, Reusable (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
| APS-31-1104 | 31-1104 | Symmetry Rongeur, Beyer, Curved, 4mm, 7 1/8in, 181mm | Symmetry Rongeur, Beyer, Curved, 4mm, 7 1/8in, 181mm (US Only) (Not Available For Sale into Canada) | 4-5 Weeks |
Frequently asked questions
What procedures use these Rongeurs?
These Aspen Surgical Rongeurs are precision instruments engineered for the delicate grasping, biting, and excising of bone and tissue during demanding surgical procedures. They are designed to meet diverse surgical needs, supported by an extensive range of specialized configurations (Kerrison, Leksell, Stille-Luer, etc.).
Common applications include:
- Spinal and Orthopedic Procedures: Configurations like the Leksell Laminectomy Rongeur are specifically suited for bone and tissue resection in these areas.
- Fine Dissection Work: Instruments with Micro jaw options (available down to 1.7 mm) are ideal for delicate internal surgeries requiring meticulous control.
Specific features, such as Ceramic Coating and Ejector mechanisms, further enhance performance during these specialized procedures.
Are single-use sharp Kerrison tips available?
Yes, the Aspen Surgical line includes Sharp Kerrison Rongeur Tips designed for single use.
This option provides several benefits:
- Guaranteed Sharpness: Ensures optimal cutting performance for delicate procedures every time.
- Sterility: Promotes maximum safety and reduces reprocessing complexity.
These tips are intended for single use only, unlike some reusable models within the Rongeur line.
Does the rongeur line offer specialized jaw and cup sizes?
Yes, the Aspen Surgical Rongeur line offers an extensive selection of specialized jaw, tip, and cup sizes crucial for precision in demanding surgical procedures. This variety supports everything from micro-procedures to more extensive bone removal.
Key available dimensions include:
- Tip/Cup Sizes: Measurements range precisely from 1mm tips up to 8mm cups, including common sizes like 2mm, 3mm, 4mm, and 5mm.
- Specialized Dimensions: Specific, detailed cup measurements are also available, such as 6mm x 12mm.
Does the 'Factory New Condition' guarantee quality?
The Aspen Surgical Rongeurs are explicitly offered in Factory New Condition, which guarantees the instrument is pristine, unused, and fully functional.
This condition ensures:
- Optimal Performance: The instrument is ready for immediate, reliable use in demanding surgical environments.
- Quality Assurance: It meets the stringent quality and manufacturing standards required for these specialized surgical instruments.
Do Symmetry Rongeurs include advanced features?
Yes, the Aspen Surgical line, particularly the Symmetry Kerrison Rongeur, includes several advanced features tailored for specialized surgical procedures, such as orthopedic and spinal surgery.
Key advanced design and material features include:
- Ceramic Coating: Select Kerrison models are available with a ceramic coating for enhanced durability and performance.
- Specialized Angles: Options include configurations with specific angles, such as a 40° Up angle.
- Precision Design: They offer various footplate options (Thin Footplate, Thick Footplate) and incorporate micro-features and convertible handle systems to meet precise surgical requirements.
Are ceramic-coated options available?
Yes, ceramic coating is available on select models within the Aspen Surgical Rongeur product line. This specialized coating is featured primarily on certain Kerrison Rongeur configurations.
The ceramic-coated variants are part of the instruments offering specialized features and precision sizing, ensuring compatibility with demanding procedural requirements, such as those involving spinal applications (IVD, Lumbar, Cervical).
What instrument length options are available?
The Aspen Surgical Rongeurs are offered in various lengths to ensure optimal reach and precision for diverse surgical procedures.
Available instrument lengths documented across configurations include:
- 6 inches (152 mm)
- 7 inches (178 mm or 181 mm)
- 8 inches (203 mm)
- 9 inches (229 mm)
- Specific metric measurements, such as 222 mm
Is a durable ceramic coating available?
Yes, a ceramic coating is available on specific configurations of the Aspen Surgical Rongeurs, along with other specialized features designed for enhanced cleaning and durability.
- Ceramic Coating: Select Kerrison Rongeur models are available with a ceramic finish. This advanced coating is intended to improve the instrument’s performance and make cleaning and reprocessing easier.
- RapidClean Features: For optimal maintenance, certain models in the RapidClean series include specialized designs like convertible mechanisms or detachable lumbar components to ensure efficient and thorough cleaning.
Does the product line include specialized rongeur configurations?
Yes, the Aspen Surgical Rongeur line features an extensive selection of over 40 distinct, specialized configurations designed for precision cutting and bone removal in surgical procedures.
Key specialized types and features include:
- Diverse Patterns: The instruments are available in various patterns, including Kerrison, Leksell, Stille-Luer, Cushing, Lempert, Beyer, and Ruskin Mini rongeurs.
- Precision Sizing: Configurations are precisely sized, offering tip measurements ranging from 1mm to 5mm, ensuring suitability for micro-procedures and specific operative requirements.
- Enhanced Materials: Certain models, such as the Kerrison rongeurs, are available with a Ceramic Coating for potentially improved durability and performance.
- RapidClean Options: Some variants are designated ‘RapidClean,’ indicating enhanced features for ease of cleaning or modular design.
What specialized features do these rongeurs include?
The Aspen Surgical Rongeur line offers specialized features focused on precision, durability, and simplified reprocessing for various bone and tissue manipulation procedures.
Key specialized features include:
- Extensive Configuration Range: These instruments are available in a wide variety of specific surgical patterns, including Kerrison, Lempert, Leksell, Stille-Luer, Cushing, Beyer, and Ruskin Mini styles.
- Optimized Cleaning (RapidClean): Select models are designated as ‘RapidClean’ options, suggesting ease of cleaning through features like convertible or detachable components for simplified reprocessing.
- Enhanced Durability: Certain Kerrison Rongeur variants are available with a Ceramic Coating for potentially improved performance and longevity.
- Precision Sizing and Design: Instruments offer precise sizing for specific surgical requirements. Features include:
- Tip sizes ranging from 1mm up to 5mm.
- Specific footplate options (thin or thick footplates).
- Micro and cervical designs.
Aspen Surgical Rongeur