Profile: Combined Instruments (Pvt.), Ltd. is a manufacturer and exporter of general surgery instruments. Our products include cotton applicators, scalpel blades, depth gauge, ear speculum holders, biopsy & suction instrument, orthopedic clamps, bone plates, disposable surgical instruments, surgical cutters, periodontic knives and ophthalmic retractors.

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• Hemostats (FDA Code: HRQ / 878.4800) A manual surgical instrument for general use is a nonpowered, hand-held, or hand-manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, blood lancet, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892.

• Hertz Frequency Tuning Fork

• Hexagonal Needle Holder

• Hot Cystoscopic Rongeur (FDA Code: KDO / 876.1500) An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.

• Hysteroscopic Insufflator (FDA Code: HIG / 884.1700) A hysteroscopic insufflator is a device designed to distend the uterus by filling the uterine cavity with a liquid or gas to facilitate viewing with a hysteroscope.

• Illuminated Speculum (FDA Code: FXF / 878.1800) A speculum is a device intended to be inserted into a body cavity to aid observation. It is either nonilluminated or illuminated and may have various accessories.

• Infant Lacrimal Dilator

• Infant Mouth Gag

• Infant Tongue Depressor (FDA Code: FMA / 880.6230) A tongue depressor is a device intended to displace the tongue to facilitate examination of the surrounding organs and tissues.

• Interconnected Metal Sound (FDA Code: FBS / 876.4590) An interlocking urethral sound is a device that consists of two metal sounds (elongated instruments for exploring or sounding body cavities) with interlocking ends, such as with male and female threads or a rounded point and mating socket, used in the repair of a ruptured urethra. The device may include a protective cap to fit over the metal threads.

• Internal Ear Prosthesis (FDA Code: FZD / 878.3590) An ear prosthesis is a silicone rubber solid device intended to be implanted to reconstruct the external ear.

• Internal Nasal Splints

• Intrauterine Catheter and Introducer (FDA Code: HGS / 884.2700) An intrauterine pressure monitor is a device designed to detect and measure intrauterine and amniotic fluid pressure with a catheter placed transcervically into the uterine cavity. The device is used to monitor intensity, duration, and frequency of uterine contractions during labor. This generic type of device may include the following accessories: signal analysis and display equipment, patient and equipment supports, and component parts.

• Junior Tongue Depressor (FDA Code: FMA / 880.6230)

• Knee Self-Retaining Retractors

• Lacrimal Dilator (FDA Code: HNW / 886.4350) A manual ophthalmic surgical instrument is a nonpowered, handheld device intended to aid or perform ophthalmic surgical procedures. This generic type of device includes the manual corneal burr, ophthalmic caliper, ophthalmic cannula, eyelid clamp, ophthalmic muscle clamp, iris retractor clip, orbital compressor, ophthalmic curette, cystotome, orbital depressor, lachrymal dilator, erisophake, expressor, ophthalmic forcep, ophthalmic hook, sphere introducer, ophthalmic knife, ophthalmic suturing needle, lachrymal probe, trabeculotomy probe, cornea-sclera punch, ophthalmic retractor, ophthalmic ring (Flieringa), lachrymal sac rongeur, ophthalmic scissors, enucleating snare, ophthalmic spatula, ophthalmic specula, ophthalmic spoon, ophthalmic spud, trabeculotome or ophthalmic manual trephine.

• Lacrimal Dilators and Cannulas

• Lacrimal Dilators and Probes

• Lacrimal Probes (FDA Code: HNL / 886.4350)

• Lacrimal Sac Rongeur (FDA Code: HNG / 886.4350)

• Laryngeal Trocar (FDA Code: KAB / 874.4420)

• Laryngoscope/Nasopharyngoscope (FDA Code: EQN / 874.4760) A nasopharyngoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the nasopharyngoscope and is intended to examine or treat the nasal cavity and nasal pharynx. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel and flexible plastic. This generic type of device includes the antroscope, nasopharyngolaryngoscope, nasosinuscope, nasoscope, postrhinoscope, rhinoscope, salpingoscope, flexible foreign body claw, flexible biopsy forceps, rigid biopsy curette, flexible biospy brush, rigid biopsy forceps and flexible biopsy curette, but excludes the fiberoptic light source and carrier.

• Lateral Vaginal Retractor

• Left Hand Needle Holders

• Ligature Passing and Knot Tying Instrument (FDA Code: HCF / 878.4800)

• Lighted Ear Curettes

• Magnesium Tuning Forks

• Manual Osteotome (FDA Code: GFI / 878.4800)

• Manual Stethoscope (FDA Code: LDE / 870.1875) A manual stethoscope is a mechanical device used to project the sounds associated with the heart, arteries, and veins and other internal organs.

• Mastoid Chisel (FDA Code: JYD / 878.4800)

• Mastoid Rongeurs (FDA Code: JZA / 874.4420)

• Measuring Gauge (FDA Code: JYJ / 874.4420)

• Mechanical Urethral Dilator (FDA Code: FAH / 876.5520) A urethral dilator is a device that consists of a slender hollow or solid instrument made of metal, plastic, or other suitable material in a cylindrical form and in a range of sizes and flexibilities. The device may include a mechanism to expand the portion of the device in the urethra and indicate the degree of expansion on a dial. It is used to dilate the urethra. This generic type of device includes the mechanical urethral dilator, urological bougies, metal or plastic urethral sound, urethrometer, filiform, and filiform follower.

• Metal Vaginal Speculum (FDA Code: HDF / 884.4520) An obstetric-gynecologic general manual instrument is one of a group of devices used to perform simple obstetric and gynecologic manipulative functions. This generic type of device consists of the following:

• Metal/Plastic Urethral Sound (FDA Code: FBX / 876.5520)

• Micro Castroviejo Needle Holder with Stopper

• Micro Needle Holder

• Micro Needle Holder Round Handle

• Micro Needle Holders with Flat Handles

• Micro Needle Holders with Lightweight Plastic Handles

• Micro Ophthalmic Scissors

• Micro Spring Handle Needle Holder

• Microsurgical Ear Hook (FDA Code: JYL / 874.4420)

• Microvascular Needle Holders

• Middle Ear Chisel (FDA Code: JYE / 874.4420)

• Mini-Lacrimal Probes

• Mouth Gags (FDA Code: KBN / 874.4420)

• Nasal Chisel (FDA Code: KAN / 878.4800)

• Nasal Curette (FDA Code: KAP / 874.4420)

• Nasal Knife (FDA Code: KAS / 874.4420)