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Abdominal Retractor Tray. Harrington / Sweethart / Valentine. Wide Deaver. Richardson. Malleables Ribbons. Baby Deaver. Blades 2 short 2 long. Bladder Blade. Balfour Retractor. Wing Nut →.
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Harrington / Sweethart / Valentine Wide Deaver Richardson Malleables Ribbons Baby Deaver
Blades 2 short 2 long Bladder Blade Balfour Retractor Wing Nut → Abdominal retractor Bladder blade optional depending where the retractor is used Surgeon may want two of these in some large abdominal procedures
INTESTINAL or BOWEL CLAMPS From Intestinal Instrument Tray
Carmalt Heavy jaws with longitudinal serrations Doyen (curved and straight) Thin jaws with longitudinal serrations Are shodded when used Glassman (angled/straight) INTESTINAL TRAY CLAMPS considered clamping/occluding instruments
Miscellaneous instrument MAYO GALLSTONE SCOOP Accessory Cooping gallstones
CLIP or LIGACLIP APPLIERS • Are used for ligating vessels in multiple specialties • Are a method of mechanical hemostasis • Surgeon preference as to whether he or she ties off vessels or clips them • Sequence would be: clip, clip, cut (metz) • Always keep clips loaded • You will have them in pairs • Cartridges are disposable and countable items • Cartridges are color coded to match the appliers • Are different companies that manufacture these • Do not attempt to load Ethicon clips onto Horizon appliers and vice versa (you wouldn’t put Ford parts on a Toyota) • May find incorporated in an instrument tray or wrapped separately in pairs • Should they not hold the clip or the tips cross over, you need to replace it • Also check tips for ensuring they do not cross over as this could damage a structure!
MEDIUM CLIP or LIGACLIP APPLIERS Regular length SMALL LARGE
MEDIUM REGULAR LONG REGULAR Clip Appliers Long Length LARGE LONG MEDIUM LONG
Ethicon laparoscopic clip applier Davis & Geck AutoSuture Clip Applier DISPOSABLE CLIP APPLIERS Are pre-loaded with multiple clips Each tells you how many clips it holds
McCullough Suction Tip See in Neuro Notice tip has holes in it Frazier Suction Tips Come 6Fr-16Fr Disposable or Non-disposable Stylets are for cleaning out if clogged
Tonsil tip (fine tipped yankauer) 2 pieces Non-disposable Yankauer 2 pieces Disposable Yankauer YANKAUER SUCTION TIPS
POOLE SUCTION TIPS For Abdominal suctioning Disposable and non-disposable Count as two pieces
Laparoscopic Tower Monitor Keyboard Camera box Light source Insufflator safe settings 12-18mm/Hg Establishes “pneumoperitoneum” to separate abdominal viscera organs which prevents inadvertent injury Printer
Insufflation Tubing Light Cord Camera Telescope
Pass off this end to circulator (filter end) as CO2 is not sterile And must pass through the filter prior to being inside of a patient Insufflation Tubing
Operative Telescope Diagnostic Telescope
Core Dynamics: trocars, cannulas (sizes 5mm-12mm), obturators, sheaths, reducer caps
Disposable Trocars and Cannulas (bladed and non-bladed) Sizes 5mm-12mm