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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 • Basic and Plastic Trays • Needle Drivers • Forceps • Scissors
Basic Set • Needle Holder • Scissors • Thumb forceps with teeth for grasping tissue
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
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
Arm at end of driver, perpendicular and at back 1/3 of needle
How to use thumb forceps • Hold like chop sticks • grasp superficial fascia not skin • or use one arm like a skin hook
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
How to use scissors for undermining • curved preferable, tips up • dissect bluntly, in plane between superficial and deep fascia
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)