S & T
We are proud to introduce our well balanced range of fine microsurgical instruments of high quality and world wide recognized precision.
The improvement and development of instruments for the extremely demanding field of microsurgery moves irresistibly ahead.
For S&T it is an honour and privilege to work closely with many of world leading micro surgeons and to develop together with them new instruments for even safer and even more precise operations. The production for instruments for special needs is our strength. We always have an open ear for new ideas.
If a special need arises in the course of your work which is not met by any of our standardised instruments don’t hesitate to contact us. The production of extremely fine, precise and functional instruments is our speciality. Quality is our principle.
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S&T Sutures for Microsurgery
All micro needles are work hardened of high quality stainless AISI 300 series steel. Grinding geometry and overall work procedures facilitate frictionless tissue penetration. The flat pressed body assures an optimal stability in the needleholder, the side pressing guarantees best bending resistance. All manufacturing processes are rigidly inspected under the microscope. A final inspection of each suture-needle-combination assures a high quality product. The thread to needle attachments is tested to higher requirements than USP specifications.
Nylon
Polyamid 6.6, monofilament, black
- the standard microsurgical suture
- smooth surface for easy passage through tissue
- allows accurate placement of knots
- reduced tissue reaction
Choose out of the following products:
- Type V Taper Point: Standard needle for all types of anastomoses
- Type C Taper-Lux: Excellent for anastomosis of vessels and nerves
- Type M Lancet Point, flat: The ophthalmic needle with the outstanding features
Instrument Sets
Our instrument sets are specified according to these guide lines:
- highest flexibility available
- range of instruments covers all standard situations
- selection under economic aspects
Choose from the following sets for detailed information:
Basic Lab Set
Microset F [Flat Handle], Basic Lab Set, Art-No. 00767
Basic Hand Surgery Set
Microset F [Flat Handle], Basic Hand Surgery Set, Art-No. 00768
Hand Surgery Basic Set
Microset R [Round Handle], Basic Hand Surgery Set, Art-No. 00769
Basic Reconstructive Surgery Set
Microset F [Flat Handle], Basic Reconstructive Surgery Set, Art-No. 00770
Basic Reconstructive Surgery Set
Microset R [Round Handle], Basic Reconstructive Surgery Set, Art-No. 00771
Perforator Flap Set by Blondeel
Microset R [Round Handle], Perforator Flap Set by Blondeel, Art.-No. 00664
Combined Basic Hand- and Reconstrutive Surgery Set
Microset F [Flat Handle], Combined Basic Hand- and Reconstructive Surgery Set, Art-No. 00794
Combined Basic Hand- and Reconstructive Surgery Set
Microset R [Round Handle], Combined Basic Hand- and Reconstructive Surgery Set, Art-No. 00795
Scissors
All 
microsurgical scissors are skillfully handcrafted to microsurgical scissors feature: exacting standards. You will immediately notice the advantages of these scissors:
- Flawless design due to years of experience in the field
- A uniquely smooth cutting action due to precise engineering
- Minimum closing pressure in operation due to equal pressure distribution along the blades
Microsurgical Scissors Patterns:
Dissektion:
This pattern features curved blades with tips that are rounded to avoid possible damage to structures during dissection.
SDC = scissors, dissection, curved
Adventitia:
This pattern features straight blades with tips that are pointed for fine trimming and suture cutting.
SAS = scissors, adventitia, straight
Nerven/Sehnen:
This pattern features straight blades with one finely serrated blade, ensuring a controlled even cut when preparing tissue such as nerves or tendons. Due to design characteristics, serrated scissors provide exceptionally smooth cutting action compared to other serrated scissors.
T = nerve, fine serrated
We have the following scissor types on offer:
- SDA-Type Scissors: SDA-type scissors were specifically developed for fine line dissection in the extremities and in similar applications. Unlike other dissecting scissors, the blades are straight. These scissors are held between thumb (top position) and index, stabilized with the middle and ring finger. You will immediately notice that handling the scissors in this position is easier than the usual “chuck grip”.
- Serrated Scissors: The unique design of these handcrafted scissors ensure very smooth movement, despite the serrations. Pay attention to the different machining on the surfaces. For the very best results, the surfaces need to be adapted to their specific functions.
- Dissecting Scissors: Microsurgical scissors in the S&T product offering are available in either dissecting or adventitia patterns. The distinction lies in the sharpness of the tips and the curvature of the blades. Dissecting scissors are rounded at the tip with a radius of 0.3 mm, with blades that are slightly curved on the flat. Adventitia scissors are very sharp at the tip, with straight blades.
- Adventita Scissors: Microsurgical scissors in the S&T product offering are available in either dissecting or adventitia patterns. The distinction lies in the sharpness of the tips and the curvature of the blades. Dissecting scissors are rounded at the tip with a radius of 0.3 mm, with blades that are slightly curved on the flat. Adventitia scissors are very sharp at the tip, with straight blades.
- Scissors by Blondeel: These scissors were designed by Professor Phillip Blondeel for use in breast reconstruction utilizing a perforator flap. While the ring handle configuration makes these suitable as preparation scissors for fine structures, the round handle, spring instrument configuration, with the curved blades, is extremely useful for fine trimming and dissection work. In skilled hands, this instrument will perform tasks for which you might normally need different instruments.
- Westcott scissors: Westcott scissors feature finer blades than regular Westcotts, originally used in plastic surgery. the typical shape of the blades remains.
- Vannas scissors: Originally designed for ophthalmic procedures, the vannas scissors are applied in vascular surgery, too. They feature finer, smaller and shorter blades.
Forceps
All Forceps are handcrafted under the microscope, to the highest standards. Each forcep is inspected utilizing rigid QC standards, assuring you consistently well made instruments, designed specifically for microsurgery.
Please choose from the following categories for details:
- S&T Classic Line: One of the greatest obstacles at the inception of microsurgery was finding the instruments that were delicate enough to facilitate the job. Macro instruments were obviously too crude for the tasks in question. And so the quest started for more appropriate instruments, and ended with S&T’s development of a CLASSIC LINE – a line that is routinely used to this day. The S&T CLASSIC LINE forceps were originally developed out of jeweler’s forceps, as they were the finest forceps available. This is still evident in the number that defines a specific version, or in the abbreviation use of ‘JF’, which stands for Jeweler Forceps.
- InertS&Teel Forceps: Magnetization of instruments is a frequent cause of some annoyance in microsurgery. The high grade heat-hardened stainless steel from which many instruments are made is magnetizable. However, we can offer you the choice of INERTEEL instruments which solve the problem at the source.
- CryS&Tal SuperGrip Forceps: Micro, tungsten carbide tips feature durable jaws and assist in the gripping of the needle and suture with less pressure. The forceps also allow for the gripping of tissue with less pressure, thus minimizing slippage and trauma. They also allow for a more secure grip when compared with conventional forceps.
- Fixation Forceps: Our 1×2 tooth-fixation forceps features very fine teeth to minimize trauma. The grip is more than sufficient for all standard situations in microsurgery.
- Balance Forceps: Balanced instruments are designed to put the centre of gravity (the balance point) in the web space between the thumb and index finger. This is accomplished by adding a slight counter weight to the proximal end of the instrument. The design of balanced instruments enhances tactile feel, aiding in better control and precision. Balanced instruments are less tiring to handle, especially during lengthy procedures. Round handle balanced instruments have better handling characteristics than the standard (non-balanced) round handle instruments.
- Forceps by Pierse: Distinguished by their minute “hole in the tip”, Pierse forceps were originally designed to hold the sclera – the most slippery tissue in the body. As their remarkable gripping power has been appreciated, their use has gradually spread from eye surgery to wider microsurgical fields. The two minute tissue contact pads, backed by the tissue retention hole, securely grip tissue while minimizing trauma to the tissue. This is much better than the interlocking jaws of a conventional fine toothed forceps. For grasping and holding tissues as diverse as vascular sheath, epineurium, vas deferens or fallopian tube, Pierse forceps are among the most indispensable instruments of a microsurgeon.
- Multipuropse Forceps by Sørensen: These designs by Jesper Sørensen, M.D., Ph.D., are useful in all plastic and reconstructive surgery procedures. The working tips are configured to enable their use as dilators at the front but also as needle holders and tying forceps further in the back.
- Platform Forceps: Platform (“Plateau”) forceps were initially developed for the US market. The plateau depicts the usable area with “guaranteed” parallel closure. In this way a reliable grip on sutures can be ensured.
- Forceps by Banis: This handy instrument, with its delicate curved tip, is designed for end-to-side anastomosis. It is specifically intended to make the work of the surgeon’s left hand easier. In passing the needle it provides internal counter-pressure or external edge-eversion, even at those angles where a straight forceps would be of little help. It is also an excellent suture tying instrument.
- Tubing Inducer Forceps: These forceps are used to introduce micro catheters into blood vessels for medication and diagnostic purposes.
S&T Micro Clamps
Clamp pressure is determined by the closing force of the clamp (in grams), divided by the area of the vessel wall that is compressed between the jaws (in square millimeters). Thus, the smaller the vessel, the higher the pressure exerted.
Despite the wide range of closing forces, the pressure exerted by each clamp, big or small, remains consistent throughout the series. Each size of clamp exerts a pressure of 5g/mm2 when used on the largest vessel in its range, and 15g/mm2 when used on the smallest vessel. Even at the higher range, S&T’s micro clamps have the gentlest working pressure of any small vessel clamp available.
