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Instrumantation Usage-Endoscopic 40 cards
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traumatic, spring activated, one use; ex: pulling out the gallbladder
cupped jaws, used to grasp stones, must go atraumatic, spring activated through a 10mm port
atraumatic, used to grasp bowel or lung, ratcheted handle
you can bovie with this instrument, it is ratcheted, atraumatic, can be used on a variety of tissue, no teeth
used only for biopsy, will grasp whatever he is biopsing and pull out, non ratcheting, 5mm port
do not confuse with Duval, atraumatic, can grasp bowel, appendix, ratcheted, 10mm port
one time use, not used as often, when you open this you need to be scrubbed in and get this instrument, can not open onto field well, used just like the Endo Babcock
used just like hemoclip appliers, used to clamp vessels, cystic duct and cystic artery, you load the same as the regular hemoclip appliers. One time use.
atraumatic, like your DeBakey, insulated so that when the bovie hits it it doesn’t burn the patient.
used for dissection, can use a bovie with this one, rotates, non-ratcheted
can bovie through it, used for dissection, jaws look like dolphin nose
curved tip! Used for dissection
rotates, non ratcheted, keep cap on so that abdomen doesn’t deflate, suction can be hooked up to this
just like they sound. Works like a bovie- cuts through tissue, cauterizes the bleeders, insulated, rotates
closed has to have the needle threaded through it whereas with the open the suture just clicks through the opening. Knot is tied on the outside of the trocar then slid down where he needs it.
used mainly on hernias, does not go through the port itself, just commonly used to close the port hole for the laparoscopic instruments
will not fit through a port with needle loaded, hold suture not needle until inside the body, more commonly used, tungsten carbide jaws.
to retract liver or lung. Always pass it to the doctor closed. Available in reusable or disposable.
used to retract tissue when you close the umbilicus; always have 2 up.
you will hook up the bovie and it will fry the tissue, used to cauterize the gallbladder out of the liver bed, doctor uses a foot pedal to control instead of the button, mono-polar
more commonly used to dissect the gallbladder off of the liver bed
an electrode like all others, not commonly used, insulated
NON DISPOSABLE, DO NOT BEND!! Before you ask your circulator to turn it on you need to plug it into the scope because if not it will burn through whatever it is pointed at. White balance it before you pass it off on something totally white
non disposable, non metal end gets passed off to the circulator. Metal end will hook to your port and varies needle. Will be disposed off after being processed x amount of times.
may or may not be disposable depending on the packaging it came in and you opened it from
30 degree is very difficult to manage, will not fit through a 5mm port. Most commonly used. Camera hooks up to the end and light source will hook up through the piece on underside. Need to be extremely careful when handling because it is very $$
what is used to de-fog the scopes- you will put it on before you place the scopes inside the body
5mm is most commonly used, when unsure if you will be able to do the laprascopic case and the doctor needs to double check the doctor will do a 5mm incision to look and if they procede they will go to
one time use, will only be used at the beginning go f the case, needs to go in sharps container, pass with a syringe of saline (usually), usually keeps the CO2 from backtracking.
not reusable, comes in two pieces, sharper than reusable trocar. Make sure that all ports are closed before you pass them, dispose of in sharps container. Since it has a rubber stopper you can use a 5mm in a 10m
only some guns will go through it, blunt tip, used when they know there are adhesions
can cauterize, used for cutting tissue
aka TLC, staples and cuts, re-loadable, used on bowel resections, be sure to pass it closed
also called the “tacker”, used to sew in the mesh or tack it up against the wall of the abdomen, one time use, once the loads are gone you have to get a new gun
used in laprascopic cases to hold Cautery, suction, etc
reducing the size of the trocar
used to do cholangiogram laprascopicly, be sure to flush with salin, be sure there are no bubbles because if there are they will look like stones, always lable what is saline or what is dye, you can wear lead or sand behin
come in various sizes, used to pull out specimens
gas sterilized not steam steralized
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