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Abdominal Retractor Tray

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aimon
28 diapositives · 922 Views · Sep 12, 2014

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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Abdominal Retractor Tray
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  1. Abdominal RetractorTray

  2. Harrington / Sweethart / Valentine Wide Deaver Richardson Malleables Ribbons Baby Deaver

  3. 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

  4. INTESTINAL or BOWEL CLAMPS From Intestinal Instrument Tray

  5. 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

  6. Miscellaneous instrument MAYO GALLSTONE SCOOP Accessory Cooping gallstones

  7. Clip Appliers

  8. 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!

  9. MEDIUM CLIP or LIGACLIP APPLIERS Regular length SMALL LARGE

  10. MEDIUM REGULAR LONG REGULAR Clip Appliers Long Length LARGE LONG MEDIUM LONG

  11. 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

  12. The multitude!

  13. Suction Tips

  14. 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

  15. Tonsil tip (fine tipped yankauer) 2 pieces Non-disposable Yankauer 2 pieces Disposable Yankauer YANKAUER SUCTION TIPS

  16. POOLE SUCTION TIPS For Abdominal suctioning Disposable and non-disposable Count as two pieces

  17. Laparoscopic Equipment, Instrumentation, Supplies

  18. 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

  19. Insufflation Tubing Light Cord Camera Telescope

  20. 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

  21. Operative Telescope Diagnostic Telescope

  22. Core Dynamics: trocars, cannulas (sizes 5mm-12mm), obturators, sheaths, reducer caps

  23. Disposable Trocars and Cannulas (bladed and non-bladed) Sizes 5mm-12mm

  24. Port placement

  25. The room

  26. Clamp your cords