John Weiss Catalogue
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Noelle La Croix Article Ophthalmic Instrumentation
1 Ophthalmic instrumentation Specialized instruments are required for delicate ocular surgery. The American Conference of Veterinary Ophthalmologists (ACVO) asserts that microsurgery of the cornea and intraocular structures should only be performed by or under the supervision of a board-certified ophthalmologist. However, there are surgeries of the ocular adnexa that can be comfortably performed by other qualified veterinarians. This article will describe the minimal instrumentation (an “eye pack”) necessary for a general practitioner to perform these procedures (Table 1). Ophthalmic instruments are typically no larger than a pen or pencil and have been designed solely for wrist or finger manipulation to maximize precision. Extraneous motions, including that of a surgeon’s elbows or shoulders, decrease surgical accuracy. To further limit sway, ophthalmic surgeons tend to remain seated with their forearms resting upon their operating table. Magnifying surgical loupes and brightly-lit surgical fields are also required for most procedures. Surgical eye pack forceps are used to manipulate adnexal tissues (eyelids, blood vessels and conjunctiva) and to grasp cilia and foreign bodies with precision (Figure 1). For adnexal manipulation serrated instruments, such as Brown-Adson tissue forceps, are used to grasp palpebrae and membrana nictitans. Desmarres Chalazion forceps can be used to hold adnexa in place while providing hemostatis. Bishop Harman iris forceps are ideal for manipulation of the conjunctiva, and Hartman Mosquito forceps can be used for hemostatis. Smooth-tipped instruments, such as Jeweler’s forceps or Barraquer cilia forceps, are ideal for grasping cilia or foreign bodies. Surgical eye packs also include instruments to cut and/or separate ocular adnexa without significant tissue damage (Figure 2). -
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy
Medical Coverage Policy Effective Date ............................................. 7/10/2021 Next Review Date ....................................... 3/15/2022 Coverage Policy Number .................................. 0554 Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy Table of Contents Related Coverage Resources Overview .............................................................. 1 Balloon Sinus Ostial Dilation for Chronic Sinusitis and Coverage Policy ................................................... 2 Eustachian Tube Dilation General Background ............................................ 3 Drug-Eluting Devices for Use Following Endoscopic Medicare Coverage Determinations .................. 10 Sinus Surgery Coding/Billing Information .................................. 10 Rhinoplasty, Vestibular Stenosis Repair and Septoplasty References ........................................................ 28 INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. References to standard benefit plan language and coverage determinations do not apply to those clients. Coverage Policies are intended to provide guidance in interpreting certain standard benefit plans administered by Cigna Companies. Please note, the terms of a customer’s particular benefit plan document [Group Service Agreement, Evidence -
Lawtonelite Series Brochure
LawtonElite Series Mizuho America, Inc. 30057 Ahern Avenue Note: Mizuho America is constantly improving its Union City, CA 94587 products. All specification are subject to change Telephone: 510-324-4500 without notice. Toll Free: 800-699-2547 Fax: 510-324-4545 mizuho.com 2021 © Mizuho America ABPM 040 REV D LawtonElite Microscissors LawtonElite Series An intricately crafted, comprehensive micro instrumentation series for neurovascular • Ultra-thin and sharp blades with curved tips and skull base procedures. • Reusable and reposable options • Non-slip, counter-balanced, ergonomic handles SERIES INCLUDES: • Reusable and Reposable Micro Scissors • Can be used as a curved microdissector in closed position • Neurovascular Bypass Instrumentation • Micro Dissectors Titanium, Straight • 6.0 cm Working Length • 18.0 cm Total Length Designed in collaboration with • Reusable MICHAEL T. LAWTON, MD Titanium, Bayonet President and CEO, Barrow Neurological Institute • 7.6 cm Working Length Professor and Chair, Neurosurgery Chief, Neurovascular Surgery • 18.5 cm Total Length • Curved Left or Right • Reusable Michael T. Lawton MD is the chairman of the Department of Neurological Surgery at the Barrow Neurological Institute, as well as its President and Chief Executive Officer and the Robert F. Spetzler Endowed Chair in Neurosciences. He is chief of vascular Reposable, Straight and skull base neurosurgery, specializing in the surgical treatment of aneurysms, • 5.0 cm Working Length arteriovenous malformations, arteriovenous fistulas, cavernous malformations, and • 18.0 cm Total Length cerebral revascularization, including carotid endarterectomy. As the leader of the largest • Lifespan Up to 10 Procedures cerebrovascular center in the country, he has experience in surgically treating over 4800 • Always Sharp brain aneurysms and over 900 AVMs. -
672 Rapid Development of Visual Field Defects Associated with Vigabatrin Therapy
Case report The incidence of penetrating injury is thought in part to be due to globe shape, with myopic eyes being at A 64-year-old woman presented to eye casualty with a greater risk. Vohra and Good7 suggest, however, that a second episode of right dacryocystitis. The visual acuity medial canthal approach is the safest, especially in larger was 6/6 bilaterally. She was given a 7 day course of oral globes? This is because of a reduction in the equatorial amoxicillin 500 mg t.d.s. with flucloxacillin 250 mg q.d.s. width to axial length ratio in high degrees of axial and was reviewed when the infection had settled. myopia. Inflammation of the tissues surrounding the Syringing showed patent canaliculi with regurgitation usual landmarks, for example following dacryocystitis, and she was listed for dacryocystorhinostomy (DCR) as in this patient, can alter the anatomy of the injection under local anaesthesia. site and increase the risk of perforation. MeyerS reports In the anaesthetic room the patient was sedated with some success with topical anaesthetic techniques which 2.5 mg of intravenous midazolam. Two drops of would eliminate the risk of penetrating ocular injury. amethocaine were instilled into both eyes. Two puffs of Early diagnosis and treatment of ocular perforations 2% lignocaine spray were applied to the right nasal are essential for a good visual outcome6,9 and therefore passage. A nasal pack of 5% cocaine with adrenaline was there should be a high index of suspicion in those cases placed in the right nasal antrum. A local anaesthetic where the injections are excessively painful, or mixture containing 4 ml of 2% lignocaine with 1:200 000 ineffective, or if there is hypotony of the globe or a adrenaline and 4 ml of 0.75% bupivacaine was decrease in visual acuity. -
Quality of Vision in Eyes with Epiphora Undergoing Lacrimal Passage Intubation
Quality of Vision in Eyes With Epiphora Undergoing Lacrimal Passage Intubation SHIZUKA KOH, YASUSHI INOUE, SHINTARO OCHI, YOSHIHIRO TAKAI, NAOYUKI MAEDA, AND KOHJI NISHIDA PURPOSE: To investigate visual function and optical PIPHORA, THE MAIN COMPLAINT OF PATIENTS WITH quality in eyes with epiphora undergoing lacrimal passage lacrimal passage obstruction, causes blurred vision, intubation. discomfort, and skin eczema, and may even cause so- E DESIGN: Prospective case series. cial embarrassment. Several studies have assessed the qual- METHODS: Thirty-four eyes of 30 patients with ity of life (QoL) or vision-related QoL of patients suffering lacrimal passage obstruction were enrolled. Before and from lacrimal disorders and the impact of surgical treat- 1 month after lacrimal passage intubation, functional vi- ments on QoL, using a variety of symptom-based question- sual acuity (FVA), higher-order aberrations (HOAs), naires.1–8 According to these studies, epiphora negatively lower tear meniscus, and tear clearance were assessed. affects QoL physically and socially; however, surgical An FVA measurement system was used to examine treatment can improve QoL. Increased tear meniscus changes in continuous visual acuity (VA) over time, owing to inadequate drainage contributes to blurry and visual function parameters such as FVA, visual main- vision.9 However, quality of vision (QoV) has not been tenance ratio, and blink frequency were obtained. fully quantified in eyes with epiphora, and the effects of Sequential ocular HOAs were measured for 10 seconds lacrimal surgery on such eyes are unknown. after the blink using a wavefront sensor. Aberration Dry eye, a clinically significant multifactorial disorder of data were analyzed in the central 4 mm for coma-like, the ocular surface and tear film, may cause visual distur- spherical-like, and total HOAs. -
The Introductory Guide/Basic Course #1 Chapter I About Sklar for 123 Years, Sklar Has Set the Standard for Surgical Instrumentation
Surgical Instruments: The Introductory Guide/Basic Course #1 Chapter I About Sklar For 123 years, Sklar has set the standard for surgical instrumentation. In 1892, German born instrument maker John Sklar, founded the company to fill a need for American made surgical instruments and the rest is history. Sklar rose to prominence during World Wars I and II and was awarded the principal contract as the surgical instrument provider for the United States military. This contract established Sklar as the industry leader and placed it on the forefront of the surgical marketplace, where it went on to receive Certificates of Merit and Achievement from the U.S. Navy and six Army Navy “E” Production Awards. During the 1930s, Sklar’s research department helped to develop a stainless steel alloy especially suited to the manufacture of surgical instruments. The company’s investment in research was justified long-term; most surgical instruments are still made of long-lasting, rust resistant, stainless steel. Today, Sklar is headquartered in West Chester, Pennsylvania where it remains the authority on the manufacture of high quality surgical instruments to medical professionals in 75 countries worldwide. Throughout its history, Sklar has collaborated with leading surgeons and medical facilities to develop thousands of unique surgical instrument patterns. In recent years, Sklar has expanded its product line to include more than 19,000 precision crafted, stainless steel instruments: the largest offering of surgical instruments in the world. Specialty practices include: OB/GYN, Orthopedic, ENT, Cardiovascular, Endoscopic, Dermatology, Podiatry, Veterinary, Dental, etc. The prevention and reduction of healthcare associated infection (HAI) is a top priority in medical facilities today. -
STILLE Surgical Instruments Kirurgisk Perfektion I Närmare 180 År Surgical Perfection for Almost 180 Years
STILLE Surgical Instruments Kirurgisk perfektion i närmare 180 år Surgical Perfection for almost 180 years I närmare 180 år har vi utvecklat och tillverkat de bästa kirurgiska For almost 180 years, we have developed and manufactured the best instrumenten till världens mest krävande kirurger. Vi vill rikta ett stort surgical instruments for the world’s most demanding surgeons. tack till alla våra trogna kunder och samtidigt välkomna våra nya kunder. We would like to extend a heartfelt thank you to all our loyal I den här katalogen presenterar vi vårt kompletta sortiment av customers and a warm welcome to our new customers. In this catalog STILLEs original instrument. we present our complete range of STILLE original surgical instruments. Precision, hållbarhet och känsla är typiska egenskaper för alla Precision, durability and feel are characteristic qualities of all STILLE STILLE-instrument. Den stora majoriteten är handgjorda av våra instruments. The vast majority are handcrafted by our highly skilled skickliga instrumentmakare Eskilstuna. Instrumentets resa från rundstål instrument makers in Eskilstuna, west of Stockholm, Sweden. The instru- till ett färdigt instrument är lång, och består av många tillverkningssteg. ments’ journey from a rod of stainless steel to a finished instrument is a STILLEs unika tillverkningsmetod och användning av enbart det bästa long one, involving multiple stages. STILLE’s unique method of crafting its materialet ger våra instrument deras unika känsla och hållbarhet. instrument materials, and its usage of only the very highest-grade steels, give our instruments their unique feel and durability. I det första kapitlet hittar du våra saxar, allt från vanliga operationssaxar till våra unika SuperCut och Diamond SuperCut-saxar. -
Primary External Dacryocystorhinostomy
11 Primary External Dacryocystorhinostomy Richard H. Hart, Suzanne Powrie, and Geoffrey E. Rose The watering eye may be the result of excessive tear production, abnor- malities of lid position or movement, lacrimal canalicular pump failure, or obstruction of the outfl ow tract. With external dacryocystorhinos- tomy (DCR), the lacrimal sac is directly incorporated into the lateral wall of the nose, so that the canaliculi drain directly into the nasal cavity. The aims of surgery are twofold: to eliminate fl uid and mucus reten- tion within the lacrimal sac and prevent sac enlargement (as a muco- cele) – the latter leading to intermittent viscous ocular discharge – and to bypass the higher hydraulic resistance of the nasolacrimal duct, thereby increasing tear conductance and aiding the relief of epiphora. Indications for Surgery 1. Primary acquired nasolacrimal duct obstruction 2. Secondary acquired nasolacrimal duct obstruction attributed, for example, to dacryolithiasis, endonasal surgery, infl ammatory nasal or sinus disease, or prior midfacial injury 3. Persistent congenital nasolacrimal duct obstruction, often after unsuccessful probing or intubation of the nasolacrimal duct 4. Functional obstruction of lacrimal outfl ow with decreased tear conductance as a result of: (a) Stenosis, but not occlusion, of the nasolacrimal duct (b) Lacrimal canalicular pump failure from age-related laxity of the lower eyelid, or after facial nerve palsy 5. Acute or chronic dacryocystitis; the former group requiring initial treatment with systemic antibiotics Surgical Principles External DCR should establish a low-resistance drainage pathway between the conjunctival tear sac and the nasal cavity, by conversion of the lacrimal sac into part of the lateral nasal wall. -
Surgery Instrumnts Khaled Khalilia Group 7
Surgery Instrumnts khaled khalilia Group 7 Scalpel handle blade +blade scalpel blade disposable fixed blade knife (Péan - Hand-grip : This grip is best for initial incisions and larger cuts. - Pen-grip : used for more precise cuts with smaller blades. - Changing Blade with Hemostat Liston Charrière Saw AmputationAmputati knife on knife Gigli Saw . a flexible wire saw used by surgeons for bone cutting .A gigli saw is used mainly for amputation surgeries. is the removal of a body extremity by trauma, prolonged constriction, or surgery. Scissors: here are two types of scissors used in surgeries.( zirconia/ ceramic,/ nitinol /titanium) . Ring scissors look much like standard utility scissors with two finger loops. Spring scissors are small scissors used mostly in eye surgery or microsurgery . Bandage scissors: Bandage scissors are angled tip scissors. helps in cutting bandages without gouging the skin. To size bandages and dressings. To cut through medical gauze. To cut through bandages already in place. Tenotomy Scissors: used to perform delicate surgery. used to cut small tissues They can be straight or curved, and blunt or sharp, depending upon necessity. operations in ophthalmic surgery or in neurosurgery. 10 c”m Metzenbaum scissors: designed for cutting delicate tissue come in variable lengths and have a relatively long shank-to-blade ratio blades can be curved or straight. the most commonly used scissors for cutting tissue. Use: ental, obstetrical, gynecological, dermatological, ophthalmological. Metzenbaum scissors Bandage scissors Tenotomy scissors Surgical scissors Forceps: Without teeth With teeth Dissecting forceps (Anatomical) With teeth: for tougher(hart) tissue: Fascia,Skin Without teeth: (atraumatic): for delicate tissues (empfindlich): Bowel Vessels. -
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Surgical Instruments Catalog Home // Scissors Scissors 055502 : Iris Barraquer Scissors Curved, 18 mm blades, 5-3/4" (14.5 cm) 357653 : You-Potts Vascular Scissors Narrow, thin blade and round spring handles designed for a more precise and controlled arteriotomy. 357653: Angled 45, 7-3/8" (18.5 cm) 357643 : You-Potts Vascular Scissors Narrow, thin blade and round spring handles designed for a more precise and controlled arteriotomy. 357643: Angled 120, 7" (18 cm) 506476 : Jako-Kleinsasser Micro-Laryngeal Scissors These Pilling Micro-laryngeal Scissors were designed specifically for everyday-use micro- surgery. They feature a slender 2 mm diameter stem with miniature distal jaws in the shape of scissors and are made of dull finished... 464610 : Mayo Dissecting Scissors, TC Weck Pattern, bright finish. Round blade. 464610: Straight, 6-1/2" (16.5 cm) 506478 : Jako-Kleinsasser Micro-Laryngeal Scissors These Pilling Micro-laryngeal Scissors were designed specifically for everyday-use micro- surgery. They feature a slender 2 mm diameter stem with miniature distal jaws in the shape of scissors and are made of dull finished... 506475 : Jako-Kleinsasser Micro-Laryngeal Scissors These Pilling Micro-laryngeal Scissors were designed specifically for everyday-use micro- surgery. They feature a slender 2 mm diameter stem with miniature distal jaws in the shape of scissors and are made of dull finished... 352145 : Castroviejo Scissors Spring handle for maximum control. Angled 45, 9 mm blades, 4-1/8" (10.5 cm) 357691 : Micro Vascular Scissors 357691: Angled 120 degrees, 7 mm blades, 6-1/4" (16 cm) 342221 : Jamison-Metzenbaum Tenotomy Scissors Curved, 7" (18.0cm) 464715 : Metzenbaum Scissors Curved, 7" (18.0cm), TC 790315 : Vernon Wire Scissors Straight, Serrated, 7 1/2" (19.0cm) 506477 : Jako-Kleinsasser Micro-Laryngeal Scissors These Pilling Micro-laryngeal Scissors were designed specifically for everyday-use micro- surgery. -
Fine Surgical Instruments for Research™
FINE SCIENCE TOOLS CATALOG 2021 FINE SCIENCE TOOLS CATALOG FINE SURGICAL INSTRUMENTS FOR RESEARCH™ TABLE OF CONTENTS | CATALOG 2021 Scissors 3 – 35 Spring 3 – 14 Fine 15 – 28 Letter from the Managing Partner Surgical 29 – 35 Bone Instruments 36 – 49 Rongeurs 36 – 38 Dear Customers, Cutters 39 – 47 Other Bone Instruments 47 – 48 After my uncle and founder of Fine Science Tools, Hans, handed Curettes & Chisels 49 over the management of the company to my cousin Rob and I Scalpels & Knives 50 – 61 last year, a lot has happened. Coming to FST as an “outsider”, my primary goal was to learn everything about the products, customers and the entire company. From my very first day, Forceps 63 – 91 I learned just how much my uncle Hans and the excellent Dumont 63 – 73 managerial team, Rob, Michael and Christina were able to Fine 72 – 80 grow the company over the last 45 years from a single office in Moria 74 S&T 75, 77 Vancouver into a global enterprise, a tremendous achievement Standard 81 – 91 that they should be proud of. Through excellent customer Hemostats 92 – 97 service, impeccable product quality and a passionate team, FST has become a household name in surgical and microsurgical instruments and accessories. During the COVID19 pandemic and the following worldwide lockdown, whether at their home office or on-site, our teams Probes & Hooks 99 – 103 around the world were able to provide our customers with the Spatulae 102 – 105 instruments and accessories they needed. Under challenging Hippocampal Tools & Spoons 106 – 107 circumstances, we kept our warehouses open in order to ship Pins & Holders 108 – 109 products to research laboratories, biotech’s and academic Wound Closure 110 – 121 institutions around the world while our support staff actively Needle Holders & Suture 110 – 118 Staplers, Clips & Applicators 119 – 121 continued to provide assistance to all customer questions and Retractors 122 – 129 inquiries. -
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular