Cook® Cytology

Biliary Cytology Brush
  • Additional Information
  • Ordering Information

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http://www.cookmedical.com/

CytoMax II® Double Lumen Biliary Cytology Brush

Order NumberCatheter Fr SizeCatheter LengthCatheter Filiform Tip LengthWire Guide DiameterMinimum Accessory Channel
CK-DLB-21-1.56.0200cm1.5cm.021 *2.8mm
CK-DLB-21-3.56.0200cm3.5cm.021 *2.8mm
CK-DLB-35-1.58.0200cm1.5cm.035 *2.8mm
CK-DLB-35-3.58.0200cm3.5cm.035 *2.8mm
CK-DLB-358.0200cmNone.035 *2.8mm

Howell Biliary Introducer

Order NumberCatheter Fr SizeCatheter LengthCatheter Tip French SizeWire Guide DiameterMinimum Accessory Channel
CK-HBI-110200cm6.035 *3.7mm

Howell Biliary Introducer Brush

Order NumberBrush LengthBrush DiameterBrush Tip LengthCable LengthWire Guide Diameter
CK-HBIB-12.5cm3mm1.5cm200cm.035 *

Howell Biliary Introducer Forceps

Order NumberForceps Head Cup DiameterForceps Head TypeShaft Length
CK-HBIF-1.5-2201.5Non-Spiked220cm
CK-HBIF-1.5-220-S1.5Spiked220cm

Howell Biliary Introducer Needle

Order NumberCatheter French SizeCatheter LengthNeedle GageNeedle Tip Length
CK-HBIN-225.0200cm21.57.0mm

Howell Biliary Aspiration Needle

Order NumberCatheter French SizeCatheter LengthNeedle GageNeedle Tip LengthMinimum Accessory Channel
CK-HBAN-1-227.0200cm227.5mm2.8mm

Cook® Cytology

Cook® Dilation Catheters
Cook® Savary-Gilliard® Dilators
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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

 

Related Products

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    TaeWoong Niti-S™ Comvi™ Biliary Stent

    Malignant Biliary Strictures

    • Triple layered construction:  Bio-compatible PTFE membrane tube is held between an inner and outer unfixed cell structure mesh
    • PTFE membrane prevents risks of tissue invasion
    • Outer wire mesh prevents the risk of migration
    • Unfixed cell structure enables stent conformable to curved tortuous biliary duct
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    Cook® Sphincterotomes

    D.A.S.H.® Sphincterotome

    • Used for cannulation of the ductal system and for sphincterotomy. If preloaded, also aids in bridging difficult strictures during ERCP
    • The system allows wire guide access to the desired duct during cannulation and sphincterotomy. Contrast may be injected through an integrated hub
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length/Type

    Sphincterotome Tip

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-DASH-21-480

    5.5

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .021inch 480cm

    2.8mm
    CK-DASH-21

    5.5

    25mm/ Monofilament

    Dome

    .021 inch*

    2.8mm
    CK-DASH-21-480

    5.5

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .021inch 480cm

    2.8mm
    CK-DASH-1

    6.0

    25mm/ Monofilament

    Dome

    .025 inch*

    2.8mm
    CK-DASH-260

    6.0

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .025inch 260cm

    2.8mm
    CK-DASH-480

    6.0

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .025inch 480cm

    2.8mm
    CK-DASH-35-480

    7.0

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .025inch 480cm

    2.8mm

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

    Tri-Tome pc® Triple Lumen Sphincterotome

    • Used for cannulation of the ductal system and for sphincterotomy
    • Pre-curved radiopaque tip provides optimal cutting orientation. The triple lumen feature allows wire guide access during sphincterotomy and allows contrast injection through a separate lumen
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length/Type

    Sphincterotome Tip

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-TRI-20

    6.0

    20mm/ Braided

    Dome

    .035*

    2.8mm
    CK-TRI-20M

    6.0

    20mm/ Monofilament

    Dome

    .035*

    2.8mm
    CK-TRI-25

    6.0

    25mm/ Braided

    Dome

    .035*

    2.8mm
    CK-TRI-25M

    6.0

    25mm/ Monofilament

    Dome

    .035*

    2.8mm
    CK-TRI-25-SLT

    6.0

    25mm/ Monofilament

    Dome

    .035*

    2.8mm
    CK-TRI-25M-MET

    6.0

    25mm/ Monofilament

    Dome

    Preloaded with Tracer® Metro Direct .035inch 480cm

    2.8mm
    CK-TRI-30

    6.0

    30mm/ Braided

    Dome

    .035*

    2.8mm
    TRI-30M

    6.0

    30mm/ Monofilament

    Dome

    .035*

    2.8mm

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

    Cotton Cannulatome® II PreCurved Double Lumen Sphincterotome

    • Used for cannulation of the ductal system and sphincterotomy
    • Pre-curved radiopaque tip provides optimal cutting orientation. The double lumen feature allows injection of contrast or wire guide access
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length/Type

    Sphincterotome Tip

    Wire Guide* Diameter

    Minimum Accessory Channel
    CK-CT-20

    6.0

    20mm/ Braided

    Dome

    .035

    2.8mm
    CK-CT-20M

    6.0

    20mm/ Monofilament

    Dome

    .035

    2.8mm
    CK-CT-30

    6.0

    30mm/ Braided

    Dome

    .035

    2.8mm
    CK-CT-30M

    6.0

    30mm/ Monofilament

    Dome

    .035

    2.8mm

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

    MiniTome® PreCurved Double Lumen Sphincterotome

    • Used for cannulation of the ductal system and for sphincterotomy
    • Pre-curved radiopaque tip provides optimal cutting orientation
    • The double lumen feature allows wire guide access during sphincterotomy and facilitates the exchange of wire guided devices
    • Accepts an .021 wire guide
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length

    Cutting Wire Type

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-MT-20

    5.0-4.0

    20mm

    Braided

    .021*

    2.0mm
    CK-MT-20M

    5.0-4.0

    20mm

    Monofilament

    .021*

    2.0mm
    CK-MT-25

    5.0-4.0

    25mm

    Braided

    .021*

    2.0mm
    CK-MT-25M

    5.0-4.0

    25mm

    Monofilament

    .021*

    2.0mm
    CK-MT-30

    5.0-4.0

    30mm

    Braided

    .021*

    2.0mm
    CK-MT-30M

    5.0-4.0

    30mm

    Monofilament

    .021*

    2.0mm

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

    Billroth II Sphincterotome

    • Used for cannulation of the ductal system and for sphincterotomy
    • This device is available in double lumen, allowing injection of contrast or wire guide access to the desired duct during sphincterotomy and facilitating the exchange of wire guided devices
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length

    Cutting Wire Type

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-PTG-20-6BII-NG

    6.0-5.0

    20mm

    Braided

    .035*

    2.8mm

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

    Soehendra® BII Sphincterotome

    • Used for cannulation of the ductal system and for sphincterotomy
    • Pre-curved radiopaque tip provides optimal cutting orientation
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Exposed Cutting Wire

    Length

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-PT-5.5-BII-SOEHENDRA

    5.5

    Variable

    200cm

    .035*

    2.8mm

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

    UTS® PreCurved Ultra Taper Sphincterotome

    • PreCurved radiopaque tip provides optimal cutting orientation
    • The double lumen feature allows injection of contrast or wire guide access during sphincterotomy and facilitates the exchange of wire guided devices
    • The device is supplied sterile and is disposable – intended for single use only
    Order Number

    French Size

    Cutting Wire Length

    Cutting Wire Type

    Wire Guide Diameter

    Minimum Accessory Channel
    CK-UTS-15

    5.0-4.0

    15mm

    Braided

    .021*

    2.0mm
    CK-UTS-20

    5.0-4.0

    20mm

    Braided

    .021*

    2.0mm
    CK-UTS-20M

    5.0-4.0

    20mm

    Monofilament

    .021*

    2.0mm
    CK-UTS-25

    5.0-4.0

    25mm

    Braided

    .021*

    2.0mm
    CK-UTS-25M

    5.0-4.0

    15mm

    Monofilament

    .021*

    2.0mm
    CK-UTS-30

    5.0-4.0

    30mm

    Braided

    .021*

    2.0mm
    CK-UTS-30M

    5.0-4.0

    30mm

    Monofilament

    .021*

    2.0mm

    *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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    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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