Biliary and Pancreatic

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    Cook® Cytology

    CytoMax II® Double Lumen Biliary Cytology Brush

    • Used to collect cells from the biliary system
    • The double lumen feature provides wire guide access to the desired location during cell collection and facilitates wire guide exchange
    • The device is supplied sterile and is disposable – intended for single use only

    *Recommended Tracer Metro Direct Wire Guide sold separately.

    Howell Biliary Introducer

    • Used for aspiration biopsy in the biliary system and if desired for the introduction of other biopsy devices
    • This device may be introduced over a pre-positioned 0.35 inch wore guide
    • The device is supplied sterile and is disposable – intended for single use only

    *Recommended Tracer Metro Direct Wire Guide sold separately

    Howell Biliary Introducer Brush

    • Used to collect cells from the biliary system
    • This device is used in conjunction with the Howell Biliary Introducer
    • The device is supplied sterile and is disposable – intended for single use only

    *Recommended Tracer Metro Direct Wire Guide sold separately. For use with Howell Biliary Introducer

    Howell Biliary Introducer Forceps

    • Used to obtain endoscopic mucosal tissue biopsies and/or foreign body retrieval
    • This device is used in conjunction with the Howell Biliary Introducer
    • These devices are supplied non-sterile and are reusable if device integrity is intact

    *Recommended Tracer Metro Direct Wire Guide sold separately. For use with Howell Biliary Introducer

    Howell Biliary Introducer Needle

    • Used for aspiration biopsy in the biliary system
    • This device is used in conjunction with the Howell Biliary Introducer
    • The device is supplied sterile and is disposable – intended for single use only

    *Recommended Tracer Metro Direct Wire Guide sold separately. For use with Howell Biliary introducer

    Howell Biliary Aspiration Needle

    • Used for aspiration biopsy in the biliary system
    • Stylet is packaged with needle
    • The device is supplied sterile and is disposable – intended for single use only

     

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    Cook® Dilation Catheters

    Cotton® Graduated Dilation Catheter

    • Used to dilate the papillary orifice, biliary strictures or pancreatic strictures
    • Radiopaque band provides fluoroscopic visualisation
    • The device is supplied sterile and is disposable – intended for single use only

    Geenen® Graduated Dilation Catheter

    • Used to dilate pancreatic strictures or stenotic minor papilla
    • Radiopaque band provides fluoroscopic visualisation
    • The device is supplied sterile and is disposable – intended for single use only

    Soehendra® Biliary Dilation Catheter

    • Used to dilate the papillary orifice, biliary strictures or pancreatic strictures
    • Radiopaque band provides fluoroscopic visualisation
    • The device is supplied sterile and is disposable – intended for single use only
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    Cook® Drainage Sets

    Nasal Biliary Drainage Sets

    • Used for temporary endoscopic drainage and biliary duct through the nasal passage by use of an indwelling catheter
    • The device is supplied sterile and is disposable – intended for single use only

    Nasal Pancreatic Drainage Set

    • Used for temporary endoscopic drainage of the pancreatic duct through the nasal passage by use of an indwelling catheter
    • The device is supplied sterile and is disposable – intended for single use only
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    Cook® ERCP Catheters

    Glo-Tip® ERCP Catheter/ERCP Catheter with Radiopaque Bands

    • Single lumen ERCP catheter used for endoscopic cannulation of the ductal system
    • The Glo-Tip ERCP Catheters allow injection of contrast or provides the ability to maintain wire guide access to the desired duct for the introduction of compatible devices
    • The device is supplied sterile and is disposable – intended for single use only

    Glo-Tip II Double Lumen ERCP Catheter

    • Double lumen catheter used for endoscopic cannulation of the ductal system featuring DomeTip technology
    • The double lumen feature allows injection of contrast while providing wire guide access to the desired duct. All catheters have three etched markings at the radiopaque distal tip.
    • Used for endoscopic cannulation of the ductal system
    • The device is supplied sterile and is disposable – intended for single use only

    Classic ERCP Catheter

    • Used for endoscopic cannulation of the ductal system
    • The Classic ERCP Catheter allows injection of contrast or provides the ability to maintain wire guide access to the desired duct for the introduction of compatible devices. All catheters have three, 3mm markings at the distal tip
    • This device is supplied sterile and is reusable if the device integrity is intact

    Haber RAMP™ Catheter

    • Used for endoscopic cannulation of the ductal system
    • The triple lumen feature allows injection of contrast while providing wire guide access to the desired duct
    • The device is supplied sterile and is disposable – intended for single use only

    Side Arm Adapter

    • Used for injection of sterile water or contrast through catheters during wire guide use
    • The device is supplied sterile and is disposable – intended for single use only
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    Cook® Evolution® Biliary Controlled-Release Stent

    Evolutionary Design

    In palliating the biliary tract you need a stent that facilitates accurate placement, maintains patency and that minimizes.  Our stent delivers all three.
    Evolutionary Precision
    Maximized pushability and minimal stretching as a result of Cook's patent pending Flexor® Plus technology, means you can get your stent to the exact position you require.
    Evolutionary Control
    The only stent delivery system on the market that features truly controlled release and recapturability through our trigger deployment system.
    This device is used in palliation of malignant neoplasms in the biliary tree.  This device is supplied sterile and is disposable – intended for single use only.
    Order
    Number 
     Reference
     Part Number
    Body
    Diameter
    mm
    Flange
    Diameter
    mm 
    Stent
    Length
    cm 
    Delivery
    System
    Diameter
    Fr 
    Minimum
    Accessory
    Channel
    mm
     UNCOVERED
     G23123 EVO-8-9-4-B 8 9 4 8.5 9
     G23124 EVO-8-9-6-B 8 9 6 8.5 9
     G23125 EVO-8-9-8-B 8 9 8 8.5 9
     G23126 EVO-8-9-10-B 8 9 10 8.5 9
     G23127 EVO-10-11-4-B 10 11 4 8.5 11
     G23128 EVO-10-11-6-B 10 11 6 8.5 11
     G23129 EVO-10-11-8-B 10 11 8 8.5 11
     G23130 EVO-10-11-10-B 10 11 10 8.5 11
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    Cook® Extraction Balloons

    D.A.S.H.® Extraction Balloon with Multiple Sizing

    • Used for endoscopic removal of biliary stones. The device may be introduced over a pre-positioned .025” wire guide
    • Integrated D.A.S.H. hub provides wire guide access while conveniently allowing contrast injection and balloon inflation/deflation
    • The device is supplied sterile and is disposable – intended for single use only

    CAUTION: This product contains natural rubber latex, which may cause allergic reactions.

    Tri-Ex® Radiopaque Balloon with Multiple Sizing

    • Used for endoscopic removal of biliary stones
    • Three separate lumens allow for contrast injection without compromising wire guide movement
    • The device is supplied sterile and is disposable – intended for single use only

    CAUTION: This product contains natural rubber latex, which may cause allergic reactions.

    Bouncer™ Multi-Path Occlusion Balloon

    • Used for endoscopic removal of biliary stones
    • There are individual lumens for wire guide placement and contrast injection
    • The device is supplied sterile and is disposable – intended for single use only

    CAUTION: This product contains natural rubber latex, which may cause allergic reactions.

     

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    Cook® Extraction Baskets

    The Web® Extraction Basket

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Compatible with Conquest TTC and Soehendra Mechanical Lithotriptor
    • The device is supplied sterile and is disposable – intended for single use only

    The Web® II Double Lumen Extraction Basket

    • Used for endoscopic removal of biliary stones and foreign bodies
    • The double lumen feature provides wire guide access to the desired location during extraction and facilitates wire guide exchange
    • Not for use with mechanical lithotriptor
    • The device is supplied sterile and is disposable – intended for single use only

    Memory® Basket 5 FR Soft Wire

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Not for use with mechanical lithotriptor
    • The device is supplied sterile and is disposable – intended for single use only

    Memory® Basket 7 FR Hard Wire

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Not for use with mechanical lithotriptor
    • The device is supplied sterile and is reusable

    Memory® Basket 7 FR Soft Wire

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Compatible with Conquest TTC and Soehendra Mechanical Lithotriptor
    • The device is supplied sterile and is reusable

    Memory® Basket Eight Wire

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Not for use with mechanical lithotriptor
    • The device is supplied sterile and is disposable – intended for single use only

    Mini Basket

    • Used for endoscopic removal of biliary stones and foreign bodies
    • Not for use with mechanical lithotriptor
    • The device is supplied sterile and is disposable – intended for single use only

    Conquest TTC™ Lithotriptor Cable

    • Used to mechanically crush stones in the biliary duct when other methods of endoscopic removal have failed
    • The “through the channel” lithotripter cable accepts baskets compatible with the Soehendra Lithotriptor Handle
    • The device is supplied sterile and is disposable – intended for single use only

    Soehendra® Lithotriptor Handle

    • Used to mechanically crush stones in the bile duct when other methods of endoscopic removal have failed
    • This device is supplied non-sterile and is reusable.
    • Handle and cable sold separately

     

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    Cook® Fusion ERCP Catheters

    Fusion OMNI ERCP Catheter

    • Used for endoscopic cannulation of the ductal system
    • New DomeTip™ design potentially provides easier access and less trauma during cannulation
    • The device is supplied sterile and is disposable – intended for single use only

    Fusion ERCP Catheter

    • Used for endoscopic cannulation of the ductal system
    • The device is supplied sterile and is disposable – intended for single use only

     

    Order Number

    French Size

    Catheter Length

    Catheter Tip

    Wire Guide Diameter*

    Minimum Accessory Channel
    CK-FS-GT-OMNI

    7.0

    200cm

    Dome

    .035inch*

    4.2mm
    CK-FS-GT-2

    6.0

    200cm

    Dome

    .035inch*

    3.2mm

    *Recommended Fusion Wire Guide sold separately

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    Cook® Inflation Device

    Used while performing balloon dilation procedures to inflate the balloon, monitor the pressure within the balloon and deflate the balloon.

    • Easy to read luminescent dial
    • Ergonomically shaped 20 cc barrel
    • Quick release lock lever mechanism
    • Maximum pressure of 30 atmospheres
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    Cook® Manometry

    Biliary Manometry Catheter Set

    • Used for motility studies in the common bile duct, pancreatic duct, Sphincter of Oddi and duodenum
    • The device is supplied sterile and is disposable – intended for single use only
    Order NumberCatheter French SizeCatheter LengthCatheter Markings & HolesWire Guide LengthWire Guide* Diameter
    CK-BMCG-15.0200cmTen 1mm Markings & Holes 2mm Apart480cm.018 inch

    *Cope Wire Guide Included

    Lehman Sphincter of Oddi Manometry Catheter

    • Used for motility studies in the common bile duct, pancreatic duct, Sphincter of Oddi and duodenum
    • The device is supplied sterile and is disposable – intended for single use only
    Order NumberCatheter French SizeCatheter LengthCatheter Tip LengthCatheter TipWire Guide* Diameter
    CK-SOM-18-S-LEHMAN-NG5250cmShort – 5mm3.5Fr.018 inch
    CK-SOM-18-L-LEHMAN-NG5250cmLong – 1.5cm3.5Fr.018 inch

    *Recommended Roadrunner wire guide sold separately

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    Cook® Needle Knives

    Huibregtse® Single Lumen Needle Knife

    • Used for accessing the common bile duct when standard methods of cannulation have been exhausted
    • The PreCurve facilitates tip position
    • The device is supplied sterile and is disposable – intended for single use only
    Order NumberFrench SizeLengthPapillotome Exposed Cutting WireWire Guide* DiameterMinimum Accessory Channel
    CK-HPC-25200cm4mm0.0352.0mm

    *Active cord sold separately

    Huibregtse® Triple Lumen Needle Knife

    • Used for accessing the common bile duct when standard methods of cannulation have been exhausted
    • The PreCurve facilitates tip position
    • The device is supplied sterile and is disposable – intended for single use only
    Order NumberFrench SizeLengthPapillotome Exposed Cutting WireWire Guide* DiameterMinimum Accessory Channel
    CK-HPC-37.0-5.0200cm4mm0.0352.0mm

    *Recommended Tracer Metro Direct Wire Guide sold separately. Active cord sold separately

    Zimmon® Needle Knife Papillotome

    • Used for accessing the common bile duct when standard methods of cannulation have been exhausted
    • Catheter has three etched markings at the distal radiopaque tip
    • The device is supplied sterile and is disposable – intended for single use only
    Order NumberFrench SizeLengthPapillotome Exposed Cutting WireWire Guide* DiameterMinimum Accessory Channel
    CK-PTW-15200cm7mm0.0352.0mm

    *Recommended Tracer Metro Direct Wire Guide sold separately. Active cord sold separately

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    Cook® Plastic Biliary Stents and Introducers

    Oasis® One Action Stent Introduction System

    • Used for endoscopic stent placement to drain obstructed biliary ducts
    • The Oasis is compatible with ST-2 Soehendra Tannenbaum®, Cotton-Huibregtse® and Cotton-Leung® stents
    • Available with or without pre-loaded stent
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Pushing Catheter French Size / Length

    Guiding Catheter French Size / Length

    Guiding Catheter Radiopaque Bands

    Wire Guide* Diameter

    Minimum Accessory Channel
    CK-OA-8.5

    8.5 / 170cm

    5.0 / 205cm

    Four Bands at 5cm Apart

    .035 inch

    3.2mm
    CK-OA-10

    10.0 / 170cm

    6.0 / 205cm

    Four Bands at 5cm Apart

    .035 inch

    3.7mm
    CK-OA-11.5

    11.0 / 170cm

    6.0 / 205cm

    Four Bands at 5cm Apart

    .035 inch

    4.2mm

    *Recommended Tracer Metro Direct wire guide sold separately. Not for use with pigtail stents.
    Includes a pushing catheter and guiding catheter.

    Stent Introducer Sets

    • Used for endoscopic stent placement to drain obstructed biliary ducts
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Guiding Catheter French Size

    Guiding Catheter Length

    Pushing Catheter French Size

    Pushing Catheter Length

    Wire Guide* Diameter

    Minimum Accessory Channel
    CK-SIS-8.5

    5.0

    320cm

    8.5

    170cm

    .035 inch

    3.2mm
    CK-SIS-10

    6.0

    320cm

    10.0

    170cm

    .035 inch

    3.2mm
    CK-SIS-11.5

    6.0

    320cm

    11.0

    170cm

    .035 inch

    3.2mm

    *Recommended Tracer Metro Direct wire guide sold separately. Stents sold separately

    Pushing Catheter

    • Used for endoscopic biliary stent placement to drain obstructed bile ducts
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Pushing Catheter French Size

    Pushing Catheter Length

    Wire Guide* Diameter

    Minimum Accessory Channel
    CK-PC-3

    3.0

    170cm

    .018 inch

    2.0mm
    CK-PC-5

    5.0

    170cm

    .035 inch

    2.0mm
    CK-PC-7

    7.0

    170cm

    .035 inch

    2.8mm
    CK-PC-8.5

    8.5

    170cm

    .035 inch

    3.2mm
    CK-PC-10

    10.0

    170cm

    .035 inch

    3.7mm
    CK-PC-11.5

    11.5

    170cm

    .035 inch

    4.2mm

    *Recommended Tracer Metro Direct or Roadrunner wire guide sold separately. Stents sold separately

    Guiding Catheter

    • Used for endoscopic biliary stent placement
    • Introducer components include a wire guide (if applicable), pushing catheter, and guiding catheter (not included with 7 French and smaller stent introducer sets)
    Order Number

    Guiding Catheter French Size

    Guiding Catheter Length

    Compatible Stent** French Size

    Wire Guide* Diameter
    CK-GC-5

    5.0

    320cm

    8.5

    .035 inch
    CK-GC-6

    6.0

    320cm

    10.0 – 11.5

    .035 inch

    *Recommended Tracer Metro Direct wire guide sold separately
    **Stent sold separately

    Soehendra® Stent Retriever

    • Used to cannulate and remove stents from the biliary and pancreatic ducts while maintain wire guide placement
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Retrieved Stent French Size

    Stent Retriever Length

    Wire Guide* Diameter

    Minimum Accessory Channel
    CK-SSR-5

    5.0

    180cm

    .021 inch

    2.8mm
    CK-SSR-7

    7.0

    180cm

    .035 inch

    2.8mm
    CK-SSR-8.5

    8.5

    180cm

    .035 inch

    3.2mm
    CK-SSR-10

    10.0

    180cm

    .035 inch

    3.7mm
    CK-SSR-11.5

    11.5

    180cm

    .035 inch

    4.2mm

    *Recommended Tracer Metro Direct wire guide sold separately
    **Stent sold separately

    Cotton-Leung® (Amsterdam) Biliary Stent Sets or Stent Only

    • Used to drain obstructed biliary ducts
    • Each stent is recommended for use with stent introducer
    • The positioning sleeve included with this set is used to collapse the duodenal flap on the stent to aid introduction into the endoscope channel
    • The device is supplied sterile and is disposable – intended for single use only

    Cotton-Leung® (Amsterdam) Sof-Flex® Biliary Stent Only

    • Used to drain obstructed biliary ducts
    • Made of soft, pliable Sof-Flex radiopaque material for strength and flexibility
    • Each stent is recommended for use with stent introducer
    • The positioning sleeve included with this set is used to collapse the duodenal flap on the stent to aid introduction into the endoscope channel
    • The device is supplied sterile and is disposable – intended for single use only

    ST-2 Soehendra Tannenbaum® Biliary Stent

    • Used to drain obstructed biliary ducts
    • The positioning sleeve included with this stent is used to collapse the duodenal flap on the stent to aid introduction into the endoscope channel
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Stent French Size

    Stent Length*
    CK-TTSO-8.5-5

    8.5

    5cm
    CK-TTSO -8.5-6

    8.5

    6cm
    CK-TTSO -8.5-7

    8.5

    7cm
    CK-TTSO -8.5-8

    8.5

    8cm
    CK-TTSO -8.5-9

    8.5

    9cm
    CK-TTSO -8.5-10

    8.5

    10cm
    CK-TTSO -8.5-11

    8.5

    11cm
    CK-TTSO -8.5-12

    8.5

    12cm
    CK-TTSO -8.5-13

    8.5

    13cm
    CK-TTSO -8.5-14

    8.5

    14cm
    CK-TTSO -8.5-15

    8.5

    15cm
    CK-TTSO -10-5

    10

    5cm
    CK-TTSO -10-6

    10

    6cm
    CK-TTSO -10-7

    10

    7cm
    CK-TTSO -10-8

    10

    8cm
    CK-TTSO -10-9

    10

    9cm
    CK-TTSO -10-10

    10

    10cm
    CK-TTSO -10-11

    10

    11cm
    CK-TTSO -10-12

    10

    12cm
    CK-TTSO -10-13

    10

    13cm
    CK-TTSO -10-14

    10

    14cm
    CK-TTSO -10-15

    10

    15cm
    CK-TTSO -10-15

    10

    15cm
    CK-TTSO -11.5-5

    11.5

    5cm
    CK-TTSO -11.5-6

    11.5

    6cm
    CK-TTSO -11.5-7

    11.5

    7cm
    CK-TTSO -11.5-8

    11.5

    8cm
    CK-TTSO -11.5-9

    11.5

    9cm
    CK-TTSO -11.5-10

    11.5

    10cm
    CK-TTSO -11.5-11

    11.5

    11cm
    CK-TTSO -11.5-12

    11.5

    12cm
    CK-TTSO -11.5-13

    11.5

    13cm
    CK-TTSO -11.5-14

    11.5

    14cm
    CK-TTSO -11.5-15

    11.5

    15cm

    *Length measured between flaps
    **Recommended for use with the Oasis® One Action Stent Introducer System, sold separately

    Solus® Double Pigtail Stent with Introducer

    • Used to drain obstructed biliary ducts
    • Made of soft, pliable Sof-Flex radiopaque material for strength and flexibility
    • Enhanced fluoroscopic visualisation for positioning with two radiopaque bands
    • Each stent is recommended for use with the Solus Stent Introducer System, which includes a pushing catheter and pigtail straightener (if applicable)
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    Pushing Catheter

    Size / Length

    Guiding Catheter Size / Length

    Stent French Size

    Stent Length**

    Wire Guide* Diameter
    CK-ZSS-10-1-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    1cm

    .035 inch
    CK-ZSS -10-3-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    3cm

    .035 inch
    CK-ZSS -10-4-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    4cm

    .035 inch
    CK-ZSS-10-5-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    5cm

    .035 inch
    CK-ZSS -10-7-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    7cm

    .035 inch
    CK-ZSS -10-9-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    9cm

    .035 inch
    CK-ZSS-10-10-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    10cm

    .035 inch
    CK-ZSS-10-12-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    12cm

    .035 inch
    CK-ZSS-10-15-RB

    10Fr / 165cm

    5Fr / 210cm

    10

    15cm

    .035 inch

    *Recommended Tracer Metro Direct wire guide sold separately
    **Length measured from base to base of pigtails

    Zimmon® Biliary Stent Sets or Stent Only

    • Used to drain obstructed biliary ducts
    • Each stent is recommended for use with stent introducer components including a pushing catheter
    • The pigtail straightener included with this stent is used to aid the loading of this stent onto the introducer
    • This device is supplied sterile and is disposable – intended for single use only

    Zimmon Biliary Stent Only

    Order Number

    Stent French Size

    Stent Length*
    CK-ZSO-5-4

    5

    4cm
    CK-ZSO -5-7

    5

    7cm
    CK-ZSO -5-10

    5

    10cm
    CK-ZSO-6-4

    6

    4cm
    CK-ZSO -6-7

    6

    7cm
    CK-ZSO -6-10

    6

    10cm
    CK-ZSO-7-4

    7

    4cm
    CK-ZSO -7-7

    7

    7cm
    CK-ZSO -7-10

    7

    10cm
    CK-ZSO-10-4

    10

    4cm
    CK-ZSO -10-7

    10

    7cm
    CK-ZSO -10-10

    10

    10cm

    *Length measured from base to base of pigtails
    **Recommended for use with Stent Introducer Set or Pushing Catheter, sold separately.

    Zimmon Biliary Stent Set

    Order Number

    Stent French Size

    Stent Length**

    Pushing Catheter Length

    Wire Guide* Diameter
    CK-ZEBD-5-4

    5

    4cm

    170cm

    .035 inch
    CK-ZEBD -5-7

    5

    7cm

    170cm

    .035 inch
    CK-ZEBD -5-10

    5

    10cm

    170cm

    .035 inch
    CK-ZEBD -6-4

    6

    4cm

    170cm

    .035 inch
    CK-ZEBD -6-7

    6

    7cm

    170cm

    .035 inch
    CK-ZEBD -6-10

    6

    10cm

    170cm

    .035 inch
    CK-ZEBD -7-4

    7

    4cm

    170cm

    .035 inch
    CK-ZEBD -7-7

    7

    7cm

    170cm

    .035 inch
    CK-ZEBD -7-10

    7

    10cm

    170cm

    .035 inch
    CK-ZEBD -10-4

    10

    4cm

    170cm

    .035 inch
    CK-ZEBD -10-7

    10

    7cm

    170cm

    .035 inch
    CK-ZEBD -10-10

    10

    10cm

    170cm

    .035 inch

    *Recommended Tracer Metro Direct wire guide sold separately
    **Length measured from base to base of pigtails

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