A specialized hook of Trabeculectomy
by intraocular approach
Original-ed.
M-2215S

M-2215L

M-2215R

TMH ORIGINAL edition,
Tanito ab interno Trabecrotomy
Micro-hook (Designed by Prof. TANITO)
M-2215S Straight whole length 101mm
M-2215L

Left

whole length 100mm

M-2215R

Right

whole length 100mm

M-2215SS

Set of all three hooks

MOVIE

material: SUS

M-2215SS a set of all three hooks comeswith a sterilization tray M-2700A

Original-ed. initial model

Original-ed. current model

extension

庄司 ed.

Comment from Prof. Masaki Tanito(Department of Ophthalmology, Faculty of Medicine, SHIMANE University)
It is a specialized hook of Trabeculectomy byintraocular approach. There are 3 types of hooks ;one is a straight type for ear or upper approach,and the rests are a left and a right angled type fornasal approach. By incising the hook tip intoSchlemmʼs canal smoothly
along trabecula dye band under angle prism
observation, surgeons can move the procedure
directly to Trabeculectomy. The depth at which the tip of the hook can beseen through the trabecular meshwork is appropriate.
The hook has such a tip design that surgeons can feel the resistance oftrabecula incision, when, in order to avoid damage of Schlemmʼs canal
outer wall, the insertion of the hook tip is too deep, and in this case,
Trabeculectomy should be performed at the depth without any resistanceby pulling the hook tip to a bit shallow location.

Inheriting the TMH ORIGINAL-ed.
In wider and thinner incision.

M-2220S

M-2220L

M-2220R

TMH SHOJI edition,
Tanito ab interno Trabecrotomy Micro-hook(Designed by Dr. SHOJI)
M-2220S Straight whole length 101mm
M-2220L

Left

whole length 105mmM-2220R

Right

whole length 105mm

M-2220SS

Set of all three hooks

material: SUS

Comparison with the original edition.
enlargementby 25%

slimming
down
Original-ed.

庄司 ed.

MOVIE

Comment from Dr. Takuhei Shoji (KOEDO EYE CLINIC in SAITAMA)
It is an evolved version of Tanito abinterno Trabeculectomy Micro Hook thatwasvery well received.
Inherited the basic concept of theoriginal Tanito hook, this hook canenlarge the incision area byapprox.25%,compared to the original
version and secure the same incisionarea as that by Rotom with conventional
external approach.
In addition, it enables to prevent damage of Schlemmʼ s canal outerwall and the safe incision by slimmed down the bend part. Moreover,
the angle type for nasal incision improves the visibility at incision byincreasing the length to the bend part.

Extraction of the intraocular lens in one action

Hydrophilic Lens
Extraction

Trifocal Lens
Extraction

Also suitable for ICL setting
MOVIE

MOVIE

DS-2022S

DS-2022L

Comment from Dr. Santaro Noguchi (ASUCA EYE CLINIC in SENDAI)

Noguchi Lens GrabberⅡ(Desingend by Dr. NOGUCHI)
DS-2022S whole length 137mm /shaft 13.5mm /diameter 19G
DS-2022L whole length 159mm /shaft 36.0mm /diameter 19G
Material : Titun(tips:SUS)ICL was, basically, extracted from small cut
after intraocular division. However, Lens
Grabber has made the extraction possible
operated at one action. The enlargement ofthe
incision wound is small. Especially, it is goodnews for surgeons to extract hydrophilic lens orsilicon lens much easier, since both of them are
diﬃcult to operate for extraction.
Lens Grabber updated to version.2 has
increased its folding force, to enhance one action extracting rate of lensand decreased the rate of loss and damage of the forceps, by increasing.
their design strength. In addition, it became possible to extract silicon lensby one action without division, and for a long version, to attach ICL to thecartridge easily and safely like PACman Forceps.

Pupillary extension can be operated safely and reliably
with these two hooks.
MOVIE

M-127T
MOVIE

M-128TTOME1 Hook
(Designed by Dr. TOMEMORI)
M-127T

whole length: 97mm

material: SUS

TOME2 Push-hook(Designed by Dr. TOMEMORI)
M-128T

whole length: 97mm/tip size:0.9x1.5mm

material: SUS

Comment from Dr. Ryota Tomemori (TOMEMORI EYE CLINIC in WAKAYAMA)「In such cases as microcoria or IFIS, pupillary extented
operation is required during surgery. Any unreasonable
operation may harm
pupillary margin, iris, or angle to lead to hyphemia. In orderto prevent such situations and for smooth insertion,①tome 1hook,②tome2 push hook are developed. By using two hooks like inthe video, it is possible to prevent tissue damage anddecrease post operative inﬂammation.
①can be used for the operation of taking the ring out of theinjector or attaching it to iris. The top is processed in a round shape to prevent damages ofiris and anterior capsule of lens. It can also be used for nucleus treatment or adjusting thelocation of intraocular lens.
②is used for the insertion at twelve oʼclock. It is designed, when the ring is pushed,to control the ring location without sliding, and after insertion, to take oﬀ naturally
without any damage for iris, if this instrument is pulled out straight.
Basically, two hooks are operated shrinking the ring like a diamond type pantographon a train. According to iris condition, only ② can be used for insertion.