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INSTRUMENTS and SUTURES

INSTRUMENTS and SUTURES. BKN. Instruments and Sutures. Basic and Plastic Trays Needle Drivers Forceps Scissors. Basic Set . Needle Holder Scissors Thumb forceps with teeth for grasping tissue. Custom Basic Instrument Tray. Optionals.

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INSTRUMENTS and SUTURES

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  1. INSTRUMENTS and SUTURES BKN

  2. Instruments and Sutures • Basic and Plastic Trays • Needle Drivers • Forceps • Scissors

  3. Basic Set • Needle Holder • Scissors • Thumb forceps with teeth for grasping tissue

  4. Custom Basic Instrument Tray

  5. Optionals • Separate scissors for suture cutting, debridement and dissection (suture scissors, iris scissors and metzenbaums respectIvel (suture scissors, iris scissors and metzenbaums respectively • Forceps for clamping (hemostats) • Scalpel • German middle quality or better, not disposable are recommended • For plastic cases use tungsten carbide tipped needle holders

  6. E.D. Plastics Tray

  7. How to use a needle holder • Load body of needle at tip of jaws, 1/3 of way from swage and at 90 degree angle • Grasp holder with whole hand, no fingers in rings • Enter skin at angle of 90 degrees or more away from wound • Roll the instrument to give a circular needle track, if you can achieve a wider knot at bottom, this everts the skin

  8. Arm at end of driver, perpendicular and at back 1/3 of needle

  9. Holding driver for plastic closure

  10. Left Handed Webster Needle Driver

  11. Castroviejo needle driver for loops and 8-0

  12. How to use thumb forceps • Hold like chop sticks • grasp superficial fascia not skin • or use one arm like a skin hook

  13. Using forceps

  14. Adson’s and Skin Hook

  15. Sutures, Dissection, Tissue

  16. Castroviejo corneal scissors with angle

  17. How to control scissors for suture cutting • Thumb and ring finger in rings, index at fulcrum guides tips • For cutting knots on absorbables, slide tips down suture tails to the knot, rotate the tips slightly to avoid cutting it

  18. Scissors control

  19. How to use scissors for undermining • curved preferable, tips up • dissect bluntly, in plane between superficial and deep fascia

  20. Undermining to relieve tension

  21. No touch option to minimize risk of blood born disease • Combined needle holder and suture scissors (Olsen-Hegar) • Combined tissue grasping and knot tying forceps (Adsons with teeth and knot tying platform)

  22. Absorbable Sutures

  23. Nonabsorbable Sutures

  24. Tapered and Cutting Needles

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