Kelly Proctoscope with Light Source – 22 x 90 mm for Anorectal Examination

Kelly Proctoscope with Light Source, SKU PSPS-002, is a reusable rigid proctology examination instrument manufactured from German stainless steel for direct visualization and controlled access to the anal canal and distal rectum. The 22 mm diameter x 90 mm working configuration combines a tubular scope body, removable obturator, lateral operating handle, flared proximal viewing opening, and detachable illumination assembly. During insertion, the obturator occupies the lumen and presents a smooth rounded leading profile; after positioning, it is withdrawn so the internal channel can be used for illuminated inspection and passage of appropriately sized swabs, suction tips, biopsy forceps, or treatment accessories. The side handle allows controlled rotation and withdrawal during circumferential mucosal assessment, while the light attachment directs illumination along the examination corridor. Colorectal surgeons, general surgeons, proctologists, and gastrointestinal procedure teams use this pattern for proctoscopy, anoscopy, internal hemorrhoid assessment, evaluation of rectal bleeding, anal fissure inspection, fistula opening localization, distal rectal lesion examination, targeted biopsy access, and postoperative review after hemorrhoidectomy, fistulotomy, fissure surgery, or local anorectal procedures. It is intended for hospitals, colorectal clinics, ambulatory surgery centers, and operating or procedure rooms.

Tubular Geometry, Obturator Insertion and Illuminated Viewing Mechanism

The Kelly pattern uses a straight rigid tube to maintain a defined 22 mm examination corridor through the anal canal. Its cylindrical geometry prevents the surrounding walls from collapsing into the visual pathway while the clinician inspects the lumen under direct illumination. The removable obturator fits through the scope body before introduction and closes the distal opening with a rounded contour, reducing mucosal catching against an exposed tube edge during advancement. Once the instrument reaches the intended depth, the obturator is removed to expose the full bore for inspection and accessory passage. The flared proximal opening forms a broad entry to the working channel and helps the operator maintain orientation while viewing the illuminated field. A lateral handle projects away from the visual axis, allowing the surgeon to rotate, stabilize, advance, or withdraw the instrument without obstructing the proximal aperture. The detachable light-source assembly couples illumination to the examination path so mucosal color, vascular change, bleeding points, ulceration, and visible lesions can be assessed with improved field definition. Because the device relies on a fixed tubular lumen rather than expanding blades, exposure remains constant during rotation and staged withdrawal.

Anorectal Examination Workflow and Procedure-Specific Use

For diagnostic proctoscopy, the assembled instrument is lubricated with the obturator seated within the tube and introduced through the anal canal under controlled pressure. After the 90 mm working section is positioned, the obturator is removed and the illumination attachment is engaged so the operator can inspect the canal, dentate-line region, hemorrhoidal cushions, and accessible distal rectal mucosa. During internal hemorrhoid assessment, gradual rotation and withdrawal permit circumferential review of prolapse, congestion, friability, active bleeding, ulceration, or tissue changes after office-based treatment. In patients presenting with lower rectal bleeding, the fixed lumen assists localization of distal mucosal lesions, traumatic injury, postoperative sites, or bleeding hemorrhoidal tissue. For suspected fistula-in-ano, direct visualization can support identification of an internal opening before probing or definitive operative planning. The channel also permits targeted swabbing, suction, or biopsy of a visible abnormality with slender accessories that fit the bore. Following hemorrhoidectomy, fistulotomy, fissure surgery, or local rectal excision, colorectal and general surgical teams can use the scope to assess healing, residual bleeding, scar formation, stenotic change, or mucosal irregularity in outpatient or theatre-based follow-up.

22 mm x 90 mm Configuration and Component Selection

The 22 mm x 90 mm configuration is selected when the clinical objective requires a rigid anorectal viewing channel with greater reach than a short anoscope while remaining compact for routine proctology work. The 22 mm caliber provides space for direct inspection and limited accessory passage without using the wider exposure created by a bivalve rectal speculum. The 90 mm working length allows examination beyond the immediate anal canal into the lower rectum, supporting evaluation of hemorrhoidal disease, bleeding sources, distal lesions, and postoperative tissue. The scope body is the primary access component and preserves the circular examination corridor throughout rotation. The obturator is the insertion component; its smooth rounded end shields the open distal tube during entry and is removed when visualization begins. The lateral handle supplies directional control during advancement, stabilization, circumferential turning, and stepwise withdrawal. The flared proximal opening keeps the working entrance accessible for viewing and small accessory instruments. The detachable illumination assembly provides focused light along the lumen, which is especially important when differentiating vascular, inflammatory, traumatic, or postoperative changes. Together, these components form a reusable diagnostic configuration suited to standard adult anorectal examination workflows.

German Stainless Steel Reprocessing and Procurement Compliance

German stainless steel provides the rigidity needed to preserve tubular geometry during repeated clinical use while offering corrosion resistance under validated cleaning and steam-sterilization cycles. The mirror-polished finish creates a smooth external and internal surface that reduces drag during insertion and supports removal of blood, mucus, lubricant, and other biological soil during decontamination. Reprocessing begins promptly after use by separating the obturator and detachable illumination component from the main body according to the facility protocol, followed by thorough cleaning of the tube, joints, contact surfaces, and accessible channels. The instrument is then rinsed, dried, visually inspected, packaged, and sterilized in a validated autoclave cycle suitable for reusable stainless-steel surgical devices. Inspection should include the distal rim, bore, handle junction, obturator fit, and light-coupling area because deformation or retained debris can interfere with examination or reprocessing. CE marking supports applicable conformity documentation, while ISO 13485 provides a medical-device quality-management framework for controlled manufacture and traceability. For United States purchasing, FDA-compliant procurement documentation should be maintained within the hospital, distributor, or importer qualification process. The reusable construction supports centralized sterile processing, inventory control, and repeat clinical deployment.

SKU	PI-002
Product Name	Kelly Proctoscope with Light Source
Price	$64.00 USD
Size/Gauge Variants	22 mm diameter x 90 mm working length, PSPS-002
Instrument Category	Proctology Instruments / Proctoscopes
Procedure	Proctoscopy, anoscopy, hemorrhoid assessment, rectal bleeding evaluation, anal fissure inspection, fistula assessment, distal rectal lesion examination and postoperative anorectal review
Material	German stainless steel
Finish	Mirror-polished finish
Sterilization	Reusable, autoclavable and compatible with validated steam-sterilization protocols
Instrument Classification	Reusable rigid proctology examination instrument
Reusable	Yes
Certifications	CE marked, ISO 13485 quality system, FDA-compliant procurement documentation
Warranty	1 year
MOQ	1 piece
OEM / Custom Orders	Available for hospitals, distributors and private-label procurement
After-Sale Service	Return and replacement support

How does the Kelly Proctoscope with Light Source differ from a Pratt Rectal Speculum?
The Kelly Proctoscope with Light Source differs from a Pratt Rectal Speculum in the way it creates exposure. The Kelly design uses a fixed cylindrical lumen that maintains a constant 22 mm viewing corridor, whereas the Pratt pattern uses two blades that open laterally after insertion. The Kelly obturator closes the tube during introduction and is removed before inspection, while the Pratt instrument is inserted with its blades approximated and then expanded. A rigid tubular pathway is better suited to circumferential proctoscopic viewing and passage of slender accessories through a defined channel. The Pratt design is selected when adjustable lateral spreading of the anal canal is required for examination or operative access. For illuminated distal rectal inspection, the Kelly configuration provides a stable optical corridor without a blade-opening mechanism.

Why is the 22 mm x 90 mm configuration selected for anorectal examination?
The Kelly Proctoscope with Light Source is configured at 22 mm diameter x 90 mm working length for routine adult anorectal examination. The 22 mm caliber provides sufficient space for direct viewing, suction access, swabbing, and slender biopsy instrumentation while preserving a fixed circular field. The 90 mm reach extends beyond a short anoscopic examination and allows inspection of accessible lower rectal mucosa. During hemorrhoid assessment, this configuration supports circumferential evaluation of the anal canal, dentate-line region, and internal hemorrhoidal cushions. During rectal bleeding or distal lesion evaluation, the working length allows the surgeon to advance into the lower rectum before performing controlled withdrawal. This size is therefore selected when the planned workflow requires both anal-canal visualization and limited distal rectal reach through one rigid scope.

What do CE, ISO 13485 and FDA procurement requirements mean for this instrument?
The Kelly Proctoscope with Light Source is supplied within Peak Surgicals' CE and ISO 13485 procurement framework. CE marking addresses applicable conformity documentation for medical-device distribution in relevant markets. ISO 13485 identifies the quality-management system used for controlled medical-device manufacture, documentation, and traceability. FDA procurement context for United States buyers involves the regulatory, establishment, labeling, import, and device documentation applicable to the supplier and destination market. Hospitals and distributors should retain these records as part of vendor qualification and purchasing documentation. These frameworks support procurement review but serve different regulatory functions and should not be treated as interchangeable certifications.

How are the obturator, handle and illumination assembly used during the procedure?
The principal insertion-control element is the removable obturator, which is seated inside the scope before introduction. Its rounded distal profile covers the open tube edge and provides a smooth leading surface as the assembly passes through the anal canal. After the intended depth is reached, the obturator is withdrawn to expose the lumen for examination. The lateral handle then gives the operator leverage for stabilization, rotation, directional correction, and gradual withdrawal without blocking the proximal viewing opening. The detachable illumination assembly directs light through the rigid corridor so mucosal surfaces and bleeding points remain visible during movement. The Kelly Proctoscope with Light Source therefore relies on obturator placement, handle control, and illuminated visualization rather than a ratchet, pivot, or expanding blade mechanism.

How should hospitals sterilize and manage this reusable proctoscope?
Hospitals and clinics should reprocess the Kelly Proctoscope with Light Source through a validated reusable-instrument pathway after each procedure. The obturator and detachable illumination component are separated from the scope body as required by the facility protocol so all accessible surfaces can be cleaned. The lumen should be brushed and flushed to remove blood, mucus, lubricant, and tissue residue before rinsing and drying. Staff should inspect the distal rim, internal bore, handle junction, obturator fit, and light-coupling area before packaging. The stainless-steel components can then enter a validated steam-autoclave cycle appropriate to the device and local sterile-processing policy. Procurement teams should maintain SKU, warranty, regulatory documentation, inventory records, and supplier traceability for repeat ordering and audit control.