The Green Surgery Report – Surgical Products

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The Green Surgery Report (a) presents the first detailed account of how to reduce the environmental impact of surgical care.

One of its focus areas is surgical products and, in particular, how to minimise waste material and energy at all stages of a product’s life cycle.

By applying circular economy concepts to healthcare products, significant carbon emission reductions can be achieved. Ways to do this include reducing, reusing, recycling, and renewing surgical products (through repair or remanufacture).

The report gives seven recommendations for making these improvements. Below we have outlined how the Stille instruments that we supply to hospitals meet these aims.

Seven Surgical Care Product Section Recommendations:

1. Ensure that design and manufacture of products minimise the environmental impact throughout the product lifespan

Stille strives to make products that can be used for decades. This reduces the consumption of raw materials as well as the energy and carbon dioxide emissions that are the inevitable by-product of prospecting, mining, enrichment, processing and transport.

By manufacturing high-quality products with a long lifespan, Stille minimizes the amount of carbon dioxide emissions per procedure for each instrument.

Some of Stille’s XE instruments are also made with more environmentally friendly Chrome-free coating. This thin layer diamond-like-carbon proprietary technology aims to reduce discoloration, improve instrument durability and help to create a more sustainable environment.

2. Ensure that modes of distribution with lowest environmental impact are chosen

By choosing to distribute surgical instruments made in Sweden, rather than further afield, such as China or Pakistan, there are fewer miles involved in shipping the instruments to our Sheffield HQ, than with some UK instrument distributors.

What’s more, as part of Cairn Technology’s yearly Carbon Reduction Plan, we constantly monitor our carbon equivalent emissions for Scope 3 Category 4, with a view to minimising these wherever possible. For example, we encourage Stille to ship instruments from several orders to us at the same time, where this is practicable for our customers.

3. Reduce and rationalise equipment

Stille surgical instruments are warrantied for 30-year of use, meaning that you can reduce the number of times you need to reorder specific types of instruments for your sets.

This in turn means that fewer carbon emissions are generated by Stille instrument usage compared to disposable instrument alternatives or reusable instruments that are only warrantied for a couple of years.

4. Switch from single-use to reusable equivalents where available

The Report says that average reductions in carbon footprint of 38-56% are achieved through switching from single-use to reusable equipment.

By choosing Stille reusable surgical instruments over single-use disposable alternatives you can not only reduce cost in use per procedure, but also the carbon footprint of your instrument inventory.

5. Optimise reprocessing of reusable equipment

Stille instruments are designed to optimise cleaning and sterilisation. Not only does the instrument coating help to reduce the risk of corrosion and pitting, the actual design of the instruments allows them to be disassembled in cases where the SSD team need access to hard-to-reach areas.

6. Extend the lifespan of reusable products through repair and remanufacturing

Stille instruments are handmade through 70 steps to optimise strength, durability and precision. What’s more, they are designed with maintenance in mind to maximize longevity.

One example of this, is the SuperCut scissors that come with a removable screw. Not only does this allow for better cleaning, but also for the blades to be restored to their original condition by Stille’s service technicians.

7. Optimise waste

By choosing Stille instruments, that in some cases have still been found in use 50 years after manufacture, you can minimise the amount of waste generated in the whole process of making and disposing of the instruments.

More tips from The Green Surgery Report

Click here to read The Green Surgery Report in full and find out other ways in which you can minimise the environmental impact of surgical care in your hospital.

To find out more about Stille instruments click here or email info@cairntechnology.com to request further information or pricing.

 

 

References:
(a) Brighton & Sussex Medical School, Centre for Sustainable Healthcare, and UK Health Alliance on Climate Change (2023). Green surgery: Reducing the environmental impact of surgical care (v1.1). London: UKHACC. https://ukhealthalliance.org/sustainable-healthcare/green-surgery-report/

Ruth Palfreyman and Olivia Athersych boost mat sales

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Ruth Palfreyman, Area Sales Manager for London and the South East.

Ruth Palfreyman, Area Sales Manager, Cairn Technology Ltd

Ruth Palfreyman and Olivia Athersych have worked hard to enhance sales of Cairn Technology’s absorbent mat range this year, with sales in January alone being 50% higher than in the year before.

Both Area Sales Managers for Sheffield-based medical product sales company, Cairn Technology, Ruth’s sales territory covers London and the much of the South of England, whilst Olivia’s covers the North of England and Scotland.

Whilst Ruth has spent 7 years at Yorkshire-based Cairn Technology, Olivia has now been with the company for 12 years.

As well as selling absorbent mats for theatres, scrub rooms and other medical settings, they also sell Stille surgical instruments to theatre managers, consultant surgeons and instrument managers.

Absorbent Theatre Mats

Cairn’s absorbent mat range includes superabsorbent mats for theatre floors, anti-skid absorbent mats for scrub areas, hybrid mats for very wet procedures, and sterile mats for use next to the patient’s skin. To view our mat range just click here: https://cairntechnology.com/fluid-management/

Stille Surgical Instruments

Cairn Technology’s range Stille surgical instrument range includes instruments for a variety of disciplines including, general, plastic, ENT, cardiothoracic, orthopaedic and microsurgery, plus much more.

Warrantied for 30 years of use, they are handmade for exceptional handling, precision and durability. For more information click here: https://cairntechnology.com/surgical-instruments/

Can Ruth and Olivia help you?

Olivia Athersych, Areas Sales Manager for the North and Scotland

If you are a UK hospital interested in trialling some free samples of our absorbent mats, feel free to contact us.

For Ruth Palfreyman email ruth.palfreyman@cairntechnology.com or for Olivia Athersych email olivia.stokes@cairntechnology.com and they will be happy to help you.

Or call the team on 0333 015 4345.

 

 

 

Helping you towards Net Zero with medical devices

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Are you aiming to reach Net Zero with the medical devices that you use in your hospital? Do you know that you can cut costs, waste and carbon emissions with Stille’s handcrafted surgical instruments?

Swedish surgical instrument brand, Stille, is renowned for its durability, precision and handling. In fact, Stille is so sure of the quality of its products that every instrument is warrantied for 30 years.

But how can handcrafted instruments made from high quality stainless steel and titanium be more cost-effective than cheaper reusable instruments, or even disposable ones?

The answer is revealed by analysing Cost-per-Use. Take a pair of Stille scissors costing £150 that is used for 30 years and another brand costing £80 that is used to its maximum warranty of 10 years. You can quickly calculate how much cheaper Stille instruments are per use. Just see below.

Reusable surgical instruments made by Stille offer reduced lifetime cost and carbon emissions,

Further cost savings

As Stille instruments last for a minimum of 30 years if used, cared for, and serviced correctly, you will also save on the cost of purchasing a greater volume of instruments over that 30-year period.

So, if you are considering buying a cheaper instrument that is half the price of a Stille one, but is only warrantied for 10 years, you will end up paying a third more over the 30-year period than by investing in Stille instruments. In other words, £240 for three £80 instruments, instead of £150 for one Stille equivalent.

Environmental Benefits

Every surgical instrument that is made takes its toll on the environment through extraction of materials, manufacturing and shipping. By using Stille instruments instead of shorter-lasting reusables or disposables, you can significantly reduce the carbon footprint of your surgical instrument inventory.

What’s more, you will not only be reducing the number of surgical instruments that need to be disposed of at the end of their useful life, but you will also be able to minimise the carbon emissions associated with the disposal of the instruments used in your hospital.

To view our 2024 Carbon Reduction Plan, click here.

 

Do you want to view the Stille range?

To see the Stille range of instruments, just click here to browse our website.

Or if you would like to handle the instruments to get more of a feel for them, just call 0333 015 4345 to speak to our team or email us at info@cairntechnology.com.

If you can’t find what you need in the Stille range, we also offer other quality instrument brands for such things as laparoscopic surgery. Just contact us to let us know what you are looking for.

 

Cairn sees record year for Stille surgical instruments

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Sales of Stille surgical instruments rocketed for Cairn Technology in 2024, up by over 70% on the previous 12-month period.

The handmade instruments are becoming a much more established and well-know brand amongst consultant surgeons in the UK who are looking for high performance instrumentation that will last for at least 30 years of service.

“Our Stille surgical instruments are particularly popular with consultant surgeons specialising in plastic/reconstructive, cardiothoracic and orthopaedic surgery”, says Sharon Evans, Product Sales and Marketing Manager at Cairn Technology.

“At exhibitions, we often come across theatre staff and surgeons that have been using Stille for decades and are very familiar with the brand. We have also had a lot of interest from new clinics setting up. They want to deliver the very best for their customers and recognise that using Stille instruments can be an important part of that.”

What sets Stille surgical instruments apart

As Stille instruments are handcrafted in Sweden through 70 stages from high quality stainless steel or titanium, they deliver exceptional durability, precision and handling.

Designed for optimal cleaning and maintenance, they come with a 30-year warranty, with some instruments still in use in some hospitals after 50 years.

Watch this video to see how Stille instruments are manufactured and repaired by skilled craftspeople.

Interested in Stille instruments?

If you would like to see or handle any Stille instruments, or get a quotation for them, just call the Cairn Technology surgical instrument team on 0333 015 4345 or email us at info@cairntechnology.com

You can also click here to find out more about our Stille surgical instrument range

4 Reasons to Invest in Stille Cardiothoracic Instruments

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Cardiothoracic instruments need to be precise, durable and easy to handle in order to provide the consultant cardiothoracic surgeon with optimum support. Here, we look at four good reasons to invest in Stille’s offering:

1. Cardiothoracic scissors that provide the ultimate cut

Stille made the original SuperCut scissors combining one knife blade and one scissor blade for precise cutting to the very tip.

Stille’s vascular scissors and dissecting scissors embrace this design, giving the surgeon exceptional cutting performance in delicate procedures.

Stille’s SuperCut vascular scissors come with fine or extra fine blades at 25°, 45°, 60°, 90° and 125° angles.

Its wide range of Stille SuperCut Mayo and Metzenbaum style dissecting scissors include delicate scissors with diamond coated blades for extended durability, and ergonomic versions for reduced hand fatigue.

 

2. Micro instruments for fine work through to heavy duty

Stille’s range of micro instruments is ideal for cardiovascular and cardiothoracic surgery. From ultra fine scissors to heavy duty needle holders and atraumatic forceps, the surgeon has an extensive range to choose from.

For surgeons preferring to use titanium for reduced user fatigue during procedures, Stille also offers titanium models of its micro needle holders and micro forceps.

 

3. Reduced carbon footprint

As Stille’s instruments are handmade through 70 stages with high quality stainless steel or titanium, they come with a warranty of 30 years, provided they are used, serviced and maintained as advised.

This means that their use involves a much lower carbon footprint for NHS and private hospitals, compared to disposable instruments or reusable instruments that are only warrantied for a couple of years use.

You can find out more how Stille surgical instrument help hospitals reduce their carbon footprint by clicking here.

 

4. Ease of maintenance for SSD

During manufacturing, Stille pays particular attention to both to the quality of finish on the instruments and effective design for maintenance, making it the ideal choice for your Sterile Services Department.

Even when servicing Stille instruments, its craftsman can take used instruments apart for optimum refurbishing, bringing them back to their original condition, before sending them back to you.

You can click here to find out how used Stille scissors are brought back to top condition during instrument servicing.

Want to find out more about our cardiothoracic instruments?

To read about Stille’s range of cardiovascular and cardiothoracic instruments, including vascular forceps, vascular clamps, nerve hooks and retractors, click here.

Alternatively, call us on 0333 015 4345 to discuss your needs.

 

Advances in Plastic Surgery

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Plastic surgery has undergone remarkable transformations in recent years, with technological advances and innovative techniques revolutionizing the field. These innovations not only enhance the outcomes of procedures but also contribute to improved safety, reduced recovery times, and increased patient satisfaction. In this article, we will explore some of the cutting-edge innovations in plastic surgery that are shaping the future of the industry.

1. 3D Printing Technology: Precision in Reconstruction

One of the most groundbreaking innovations in plastic surgery is the integration of 3D printing technology. This technology allows surgeons to create precise, customized implants and prosthetics tailored to individual patient needs. In reconstructive surgery, 3D printing has been particularly beneficial, enabling surgeons to replicate intricate anatomical structures with remarkable accuracy. This has led to more natural-looking results and improved functionality for patients undergoing procedures such as breast reconstruction or facial reconstruction.

2. Augmented Reality (AR) in Surgical Planning

Augmented Reality is making its mark in plastic surgery by offering surgeons a dynamic and interactive tool for preoperative planning. With AR, surgeons can visualize and manipulate three-dimensional images of a patient’s anatomy in real time. This allows for more accurate planning of incisions, implant placement, and other surgical interventions. By enhancing surgical precision and reducing the margin of error, AR is contributing to safer surgeries and better outcomes.

3. Non-Surgical Innovations: Thread Lifts and Injectable Fillers

Advancements in non-surgical procedures have gained significant popularity in recent years. Thread lifts, for example, involve the use of dissolvable threads to lift and tighten sagging skin, providing a minimally invasive alternative to traditional facelifts. Injectable fillers, on the other hand, have seen continuous improvement with the introduction of new formulations and techniques, offering more natural and longer-lasting results without the need for surgery.

4. Regenerative Medicine: Stem Cells and Tissue Engineering

The integration of regenerative medicine into plastic surgery is opening new possibilities for tissue repair and regeneration. Stem cell therapy is revealing its potential to enhance wound healing and promote the regeneration of damaged tissues. Tissue engineering involves the creation of artificial tissues and organs using a combination of cells, biomaterials, and growth factors. These approaches hold promise for improving the outcomes of reconstructive and cosmetic surgeries.

5. Robot-Assisted Surgery: Precision and Efficiency

Robot-assisted surgery is becoming increasingly prevalent in plastic surgery, offering surgeons enhanced precision and control. These robotic systems can perform complex procedures with smaller incisions, resulting in less scarring and faster recovery times. The integration of robotics is particularly beneficial in procedures such as microsurgery, where precision is crucial for success.

Combining Advances in Plastic Surgery with Trusted Methods

Plastic surgeons continue to embrace innovations and advances to deliver improved results and reduced recovery times.

In addition, by using the very best existing technology in plastic surgery, such as hand-crafted surgical instruments that are designed to last decades and offer exceptional performance, the plastic surgeon can embrace both tried-and-tested and innovative solutions for optimum outcomes.

From SuperCut scissors, that offer precise cutting to the very tip, to double action rongeurs that enable the jaws to stay in orientation, high quality surgical instruments that are specifically designed for the task at hand remain one of the most powerful assets for the plastic surgeon. Click here to find out more about how we can support advances in plastic surgery.

 

 

Recyclable MedTech for Supply Chain Decarbonisation

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Recyclable MedTech presents an important opportunity to tackle greenhouse gas emissions as part of the NHS Net Zero strategy.

As a whole, the supply chain accounts for 62% of the NHS’s carbon emissions, with medical equipment equating to 10% of the total (1).

By avoiding medical products that only allow for a ‘make-use-waste’ linear lifecycle, and opting instead for those that can be recycled at end-of-life, NHS procurement departments can benefit from a circular value system that also assists with supply chain decarbonisation.

Saving Money with Recyclable MedTech

Recyclable medical equipment not only provides value whilst being used, but also minimizes value leakage at the outflow stage.

This is particularly the case where NHS hospitals are remunerated for allowing manufacturers to collect and recycle their products.

Take for example Hupfer’s surgical instrument baskets. These come with an End-of-Life Product Recovery Scheme that allows NHS hospitals to earn rebates, support the circular economy and boost their sustainability performance.

As soon as Hupfer stainless-steel instrument baskets come to the end of their working life, Hupfer deducts their scrap value from the hospital’s new quote and recycles them.

Or if the hospital doesn’t want to order any more new baskets, Hupfer will help the hospital to find a local recycling company to ensure recovery.

To find out more about Hupfer’s recyclable MedTech click here.

Reducing Carbon Emissions with Recyclables

Waste reduction is also a key benefit of products with a ‘use-recycle-reinvest’ purchasing profile.

By repurposing used medical devices through recycling, carbon emissions are reduced as fewer new products need to be manufactured from scratch.

According to ‘Delivering a ‘Net Zero’ National Health Service’ medical devices represent one of the top areas of opportunity for the NHS to reduce its carbon footprint, along with supply chain, estates and facilities, pharmaceuticals and travel.

With the NHS spending £10 billion a year on medical technology including syringes, surgical instruments and pacemakers, it is clear to see how recycling can provide NHS procurement with a significant reduction in both spend and carbon emissions.

Minimising the need to recycle

It’s also important to minimise the amount of recycling of Medtech products in the first place by investing in the highest quality reusable technology. For example, some reusable surgical instruments may be recyclable, but if they are only warrantied to last for a couple of years that can generate a lot in terms of carbon emissions, compared to an instrument that typically lasts between 30 and 70 years.

At Cairn Technology, we supply Stille handcrafted instruments that deliver this level of longevity. Find out more about how Stille, endeavours to minimize the impact generated by their business on the climate and the environment by clicking here: https://www.stille.se/about-us/quality/environment/

To keep track of how we here at Cairn Technology are helping hospitals to reduce their carbon footprint, as well as reduce our own CO2e emissions, follow our blog here.

References:

  • NHS England, ‘Delivering a ‘Net Zero’ national health service’.

Plastic Reconstructive and Aesthetic Surgeons! Check out BAPRAS 2024

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Plastic reconstructive and aesthetic surgeons and nurses should make sure that they add the BAPRAS Congress 2024 to their calendars.

Taking place from 4th to 6th December at the International Convention Centre in Newport, South Wales, the event offers a packed programme of interesting talks and presentations.

Day 1

The first day of the congress includes a presentation on the role of microsurgery in trauma, specifically hand-sewn micro-venous anastomosis versus venous coupler in free flap reconstruction.

Another talk will look at mutilating hand injuries, with a case series that explores whether the outcome of traumatic paediatric upper limb peripheral nerve injuries can be predicted using electrophysiology and ultrasound studies.

Day 2

The second day of the congress begins with the Inaugural UK Women in Plastic Surgery Breakfast Symposium and closes with the Annual General Meeting.

During the day, there will a variety of talks including one on a pilot case control study of Roboscope (Robotic Microscope) assisted cleft palate repair, as well as round table discussions on managing Postparetic Facial Synkinesis.

Day 3

The final day features the 7th Plastic Surgery Nurses Education Day with three sessions designed to help plastic surgery nurses to stay up to date with the latest issues.

The closing day will also include a range of talks on topics relating to breast, burns and abdominal wall surgery.

For more details on these talks and others at the BAPRAS Congress 2024 click here.

Plastic, reconstructive and aesthetic surgeons and nurses can also click here to register for the event.

More events for plastic reconstructive and aesthetic surgeons

There are several more plastic surgery events taking place over the Autumn and Winter. Just click here to find out more.

If you are unable to attend these, but you are eager to find high quality surgical instruments for plastic surgery, then feel free to explore our range of hand-crafted Stille instruments for aesthetic, reconstructive and plastic surgery. Just click here to view the Stille instrument range.

 

 

Supporting Sterile Services Departments with quality instruments

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The role of Sterile Service Departments (SSDs) is critical to the smooth running of operating theatres across the UK.

The timely decontamination and turnaround of full sets of instruments that are safe to use and perform to their optimum ability is critical to the smooth running of surgical lists.

But unfortunately, too many SSDs and instrument managers are being hampered by underinvestment in quality instruments, leading to a number of significant issues.

Damaged or missing instruments can cause a range of problems, not just for the sterile services department, but also for surgeons and patients:

  • Surgical procedures can be delayed or cancelled.
  • Hospital stays may be extended, aggravating bed-blocking situations.
  • Interoperative instrument breakage can put patients at risk.
  • Inability to effectively decontaminate instruments risks surgical site infections.

 

A sizeable problem for Sterile Service Departments

An audit carried out by the ABHI on 2020(1) showed that out of 32,000 instruments checked at 48 hospitals, less than 20% were in a good enough condition to be used.

In fact, 31% of the instruments needed to be replaced, 32% needed to be repaired, and 18% had issues with surface finish, including corrosion.

Another report, by Efthymiou and AR Cale(2) in 2022 revealed that surgical equipment failed in 92% of cardiac cases, 80% of which were surgical instruments. The report concluded that there may be as many as 1500 incidents a year of patient harm caused poor quality instruments.

 

Cheap reusable surgical instruments

There are many makes of resusable surgical instruments that are made from high quality stainless steel, are designed for optimum cleaning and come with warranties lasting decades. However, there is no doubt that the cost of investing in these upfront can be significant.

Budgetary pressures can mean that SSDs and instrument managers are forced to order much cheaper instruments. Unfortunately, these often come with only a one- or two-year warranty They are also made with lower quality stainless steel and have a more rudimentary design. This in turn means that decontamination is more difficult and damage more likely.

High quality instruments in contrast are often designed to optimise performance, decontamination and maintenance, even to the extent that their parts can be taken apart during servicing, allowing them to be restored to their original levels of functionality.

 

Carbon Footprint Considerations

Investing in good quality instruments also makes sense for the NHS’s plans to attain Net Zero. The NHS Carbon Footprint Plus considers an expanded scope of emissions, covering the products procured from its 80,000 suppliers. Sourcing cheap disposable or reusable instruments from thousands of miles away is not a sustainable approach for the long term.

Short-lived instruments also lead to more waste, not only in terms of instrument disposal, but also as a result of the increased number of manufacturing processes involved in making them.

Of course, having safe and complete instrument sets can be enhanced through consistent auditing, maintenance and training, but sterile services managers and instrument managers can only do so much with the instruments that they are given.

As the ABHI 2020 audit concluded, “Investment in the replacement of aged surgical instrument inventory should be considered as a priority for NHS spending” and “The procurement of surgical instruments should be based on overall quality and value, with the demonstration of strong ethical and resilient supply chains recognised and rewarded in purchasing decisions.”

In this way, we can support our Sterile Service Departments to help ensure that instrument performance and availability is always optimised.

References:

Should You Avoid Chrome-Plated Surgical Instruments?

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Chrome-plated surgical instruments have long been a popular choice for hospitals. They are durable and highly resistant to scratching, pealing, flaking, chipping, and corrosion. They’re also easy to clean and sterilise. Plus, smooth chrome-plated surfaces can reduce friction, meaning that instruments move exactly as expected during delicate medical procedures.

If you have heard that the EU is planning to ban chrome-plating on cars due to certain health concerns, then you may also be wondering if it is safe to use chrome on surgical instruments?

What Are the Health Risks of Chrome-Plating?

The chrome-plating process may involve Hexavalent chromium, which is a carcinogen. It may also use lead. If lead gets absorbed through the skin, it can lead to organ damage, and even brain damage. Some chrome plating-processes also use cyanide, which is highly toxic, and cadmium, which has been linked to cancers, as well as kidney and lung failure.

Environmental Impact of Chrome-Plating

The various heavy metals used in the chrome-plating process, as well as being harmful to human health, are also damaging to the environment. There may be a health risk to anyone who lives or works near a metal finishing facility. And if the facility does not treat its wastewater, it can lead to significant environmental concerns.

Should You Avoid Chrome-Plated Surgical Instruments?

There may be certain risks associated with using chrome-plated surgical instruments, as well as the environmental impact of the chrome-plating process. While there is no current or up-coming legislation looking to ban the use of chrome-plated surgical instruments, there are alternatives available.

Surgical Instruments – Chrome-Free Alternatives

If you want to avoid the potential health risks and the environmental impact associated with chrome-plated surgical instruments, the good news is that alternatives are available.

We stock the Stille range of surgical instruments. This range includes the Stille SuperCut XE scissors which  are made with an innovative chrome free coating process. Instead of chrome, they use a thin layer of diamond-like carbon. This makes them reliably durable and highly resistant to discolouration. The coating is also validated to withstand the more common hydro peroxide processes, such as Oxivario disinfection and Sterrad sterilization. What’s more, their dark surfaces reduce reflections to help minimise eye fatigue.

As well as offering dependable performance and unbeatable longevity, the chrome-free plating process also makes Stille instruments much more sustainable. Going chrome-free is a good way to reduce the carbon footprint of your surgical instruments, and this simple choice can also contribute to making your entire theatre more environmentally friendly.

Get Chrome-Free World Leading Stille Surgical Instruments From Cairn Technology

At Cairn Technology, we supply one of the most comprehensive ranges of Stille surgical instruments on the UK market. Our range covers all surgical disciplines, including cardiovascular, thoracic, orthopaedic, plastic surgery, and general surgery.

With their chrome-free plating process, Stille’s SuperCut XE scissors can contribute to a more sustainable theatre environment. On top of that, Stille’s precision surgical instruments come with a 30-year warranty, which is much longer than most other manufacturers.

This is one reason why many of our customers have switched to Stille instruments. As they’re so durable, and offer such a long warranty, these high-quality hand-crafted instruments will not have to be repaired and replaced as often as other instruments. They therefore provide hospitals with a more cost-effective investment over time.

Click here to learn more about our range of Stille surgical instruments, or  contact us to discuss your  our chrome free Stille instruments.