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TOOLS and EQUIPMENT Orthotic 561
TOOLS AND EQUIPMENT Orthotic 561 Tools Shoe Stretchers............................562 Brannock Measuring Device..................562 Mixing Bowls ..............................562 Aluminum Cast Mandrels ....................562 Laminating Fixtures.........................563 Vises and Yates Clamps.................563-564 Measuring Devices .....................564-567 Hex Sets and Balldrivers.................567-569 Screw and Drill Gages ......................569 Cutting Nippers ............................570 Plastering Tools............................571 Shears and Scissors ....................571-572 Blades, Knives and Surforms .............572-575 Rivets, Punch Sets and Eyelets ...........576-579 Reamers .................................579 Needle Kit ................................579 Deburring Tool.............................579 Rout-A-Burr ...............................579 Precision Oiler.............................580 Countersinks ..............................580 Adjustable Bits.............................580 Tools Ball Set Tool . 580 Micro Torches and Heat Guns ............580-582 Cast Spreaders and Cutters ..............583-584 Alignment Fixtures .........................584 Benders and Contouring Iron .............584-585 Equipment Carvers, Cutters and Routers.............585-588 Sanding Accessories............ 589-591, 601-603 Sewing and Patching Machines ...............592 Drill Press ................................593 Band Saws . .594-595 Dust Collectors ........................596-597 -
SURGICAL INSTRUMENTS Veterinarians Are the Doctors Specializing in the Health of Animals
SURGICAL INSTRUMENTS Veterinarians are the doctors specializing in the health of animals. They do the necessary surgical operations and care for the well-being of the animal creatures. The very basic thing they need in a certain operation and care are the veterinary instruments. This will serve as the main allay of every veterinarian in providing care. (1) What are surgical instruments? Surgical instruments are essentially gadgets planned in an uncommon manner to perform particular capacities amid a surgical operation to improve viability and accomplishment of the surgery. (1) 4 Basic types of surgical instruments Surgical instruments are specially designed tools that assist health care professionals car- ry out specific actions during an operation. Most instruments crafted from the early 19th century on are made from durable stainless steel. Some are designed for general use, and others for spe- cific procedures. There are many surgical instruments available for almost any specialization in medicine. There are precision instruments used in microsurgery, ophthalmology and otology. Most surgical instruments can be classified into these 4 basic types: Cutting and Dissecting – these instruments usually have sharp edges or tips to cut through skin, tissue and suture material. Surgeons need to cut and dissect tissue to explore irregular growths and to remove dangerous or damaged tissue. These instruments have single or double razor- sharp edges or blades. Nurses need to be very careful to avoid injuries, and regularly inspect these instruments before using, for re-sharpening or replacement. 11 Iris Scissors 2016 – 1 – LV01-KA202 – 022652 This project is funded by the European Union Clamping and Occluding – are used in many surgical procedures for compressing blood vessels or hollow organs, to prevent their contents from leaking. -
Catalogue of Surgical Instruments, for Sale by Codman & Shurtleff, 13
CATALOGUE OF jittigical KttjgtrttittitttjGi, FOR SALE BY CODMAI & SHUETLEPF, 13, Tremont Street, Boston. Amputating Case, containing the following warranted instruments of first quality and finish, in handsome brass-hound Rosewood Case, 16 inches long, 4\ wide, and high: — Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, four Amputating Knives, Tenaculum, Tourniquet, half-dozen assorted Needles, and Ligature Silk, . $25.00 Amputating Case, Mahogany, 16 inches long, 4\ wide, 8j high, containing the following instruments, of plainer finish than the above, first quality, war- ranted : — Capital Saw, Metacarpal Saw, four Am- putating Knives, Bone Forceps, Slide-catch Artery Forceps, Tenaculum, Tourniquet, four assorted Needles, and Ligature Silk 20.00 Amputating Case, Mahogany, inches long, 6 wide, 2f high, containing: — Capital Saw, Metacarpal Saw, three Amputating Knives, large Scalpel, Spring-catch Artery Forceps, Bone Forceps, Tena- culum, Tourniquet, one dozen assorted Needles, and Ligature Silk 18.50 2 CODMAN AND SHURTLEFF’S Amputating and Trepanning Case, Rosewood, brass bound, 16 inches long, wide, 3 high, containing the following instruments of first quality and finish, warranted:— Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, three Amputating Knives, large Scalpel, Tenaculum, Tourniquet, half-dozen assorted Needles, two Tre- phines, Hey’s Saw, Elevator, Brush, and Ligature Silk $35.00 Amputating and Trepanning Case (Parker’s Com- pact), Rosewood, brass bound, 12 inches long, 4 wide, 2J high, containing the following ivory- mounted instruments of best quality and finish, warranted:— Capital Saw, Metacarpal Saw, Hey’s Saw, three Amputating Knives adapted to one handle by screw, Finger Knife, Spring-catch Artery Forceps, Bone Forceps, Tenaculum, Tourniquet, Trephine, Elevator, Brush, six assorted Needles, and Ligature Silk 35.00 Amputating Cases fitted up to order, at prices corres- ponding with number and style of instruments. -
Model for Teaching Cervical Dilation and Uterine Curettage
Model for Teaching Cervical Dilation and Uterine Curettage Linda J. Gromko, MD, and Sam C. Eggertsen, MD Seattle, W a s h in g to n t least 15 percent of clinically recognizable pregnan METHODS A cies terminate in fetal loss, with the majority occur ring in the first trimester.1 Cervical dilation and uterine The fabric model was developed under the guidance of curettage (D&C) is frequently important in the manage physicians at the University of Washington Department ment of early pregnancy loss to control bleeding and re of Family Medicine and is commercially available.* The duce the risk of infection. D&Cs are also done for thera model, designed to approximate a 10-week last-menstrual- peutic first trimester abortions in family practice settings. period-sized uterus, is supported by elastic “ligaments” Resident experience may vary greatly, and some may feel on a wooden frame (Figure 1). A standard Graves spec inadequately trained in this procedure. The initial use of ulum can be inserted into the “vagina,” permitting vi gynecologic instruments (ie, tenaculum, sound, dilators, sualization of a cloth cervix. After placement of a tena curette) can feel awkward to the learner, and extensive culum onto the cervix, a paracervical block can be verbal tutoring may be discomfiting to the awake patient. demonstrated and the uterus sounded. Progressive dilation Training on a model can reduce these problems. After with Pratt or Denniston dilators follows: a drawstring al gaining basic skills on a model, the resident can focus on lows for the cervix to retain each successive degree of di gaining additional skills and refining technique during pa lation. -
Catheter Associated Urinary Tract Infection (CAUTI) Prevention
Catheter Associated Urinary Tract Infection (CAUTI) Prevention System CAUTI Prevention Team 1 Objectives At the end of this module, the participant will be able to: Identify risk factors for CAUTI Explain the relationship between catheter duration and CAUTI risk List the appropriate indications for urinary catheter insertion and continued use Implement evidence-based nursing practice to decrease the risk and incidence of CAUTI 2 The Problem All patients with an indwelling urinary catheter are at risk for developing a CAUTI. CAUTI increases pain and suffering, morbidity & mortality, length of stay, and healthcare costs. Appropriate indwelling catheter use can prevent about 400,000 infections and 9,000 deaths every year! (APIC, 2008; Gould et al, 2009) 3 2012 National Patient Safety Goal Implement evidence-based practices to prevent indwelling catheter associated urinary tract infections (CAUTI) Insert indwelling urinary catheters according to evidence-based guidelines Limit catheter use and duration Use aseptic technique for site preparation, equipment, and supplies (The Joint Commission (TJC), 2011) 4 2012 National Patient Safety Goal Manage indwelling urinary catheters according to evidence-based guidelines Secure catheters for unobstructed urine flow and drainage Maintain the sterility of the urine collection system Replace the urine collection system when required Collect urine samples using aseptic technique (TJC, 2011) 5 Sources of CAUTI Microorganisms Endogenous Meatal, rectal, or vaginal colonization Exogenous -
Vantage by Integra® Miltex® Surgical Instruments
Vantage® by Integra® Miltex® Surgical Instruments Table of Contents Operating Scissors ................................................................................................................................. 4 Scissors ................................................................................................................................................ 5-6 Bandage Scissors .................................................................................................................................... 7 Dressing and Tissue Forceps ................................................................................................................. 8 Splinter Forceps ...................................................................................................................................... 9 Hemostatic Forceps......................................................................................................................... 10-12 of Contents Table Towel Clamps ......................................................................................................................................... 13 Tubing Forceps .......................................................................................................................................14 Sponge and Dressing Forceps ............................................................................................................. 15 Needle Holders .................................................................................................................................16-17 -
Caring for Your Urinary (Foley) Catheter
Caring for Your Urinary (Foley) Catheter This information will help you care for your urinary (Foley) catheter while you’re at home. You have had a urinary catheter (a thin, flexible tube) placed in your bladder to drain your urine (pee). It’s held inside your bladder by a balloon filled with water. The parts of the catheter outside your body are shown in Figure 1. Catheter Care ● You need to clean your catheter, change your drainage bags, and wash your drainage bags every day. ● You may see some blood or urine around where the catheter enters your body, especially when walking or having a bowel movement. This is normal, as long as there’s urine draining into the drainage bag. If there’s not, call your healthcare provider. ● While you have your catheter, drink 1 to 2 glasses of liquids every 2 hours while you’re awake. ● Make sure that the catheter is in place in a tension free manner. The catheter should not be tight and should sit loosely. Showering ● You can shower while you have your catheter in place. Don’t take a bath until after your catheter is removed. ● Make sure you always shower with your night bag. Don’t shower with your leg bag. You may find it easier to shower in the morning. Cleaning Your Catheter You can clean your catheter while you’re in the shower. You will need the following supplies: 1. Gather your supplies. You will need: ○ Mild soap ○ Water 2. Wash your hands with soap and water for at least 20 seconds. -
Surgical Instruments Ă
SURGICAL INSTRUMENTS Claudia Gherman, ăCiocan, Ovidiu Fabian Learning objectives What you should know The main types of surgical instruments The main instruments used for cutting tissues The main instruments used for tissue manipulation The main instruments used for exposure (retractors) The main instruments used for suturing The functioning principle of electrocautery devices The main laparoscopic instruments What you should do Recognize the main surgical instruments Attach a scalpel blade to a handle/remove it from the handle Hand a scalpel to another person correctly Perform an incision Handle scissors (hold them correctly, cut under visual control, hand scissors to another person) Handle a self-retaining forceps (hold it correctly, grip the tissue, close and open the forceps, hand it to another person) Hold a retractor correctly Hold, close/open and hand over a needle holder correctly Recognize a suturing needle; recognize a sharp needle and an intestinal needle; find on the needle and suture package the main information about the needle Classification In order to perform surgery, the surgical team needs a number of surgical instruments. Each of the thousands of instruments used is designed for a specific function. They can be classified depending on use as follows: Cutting instruments Instruments for tissue grasping and manipulation Instruments for tissue exposure Suturing instruments Hybrid instruments Endoscopic instruments Cutting instruments Scalpels: consist of a handle and a blade; the handle is made of metal (reusable) or plastic (disposable); blades are disposable, of various shapes and sizes. The top of the scalpel handle has a special part, with a groove that allows its sliding into the blade slot and securing of the blade in position. -
Answer Key Chapter 1
Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 1 of 101 Answer Key Chapter 1 Introduction to Clinical Coding 1.1: Self-Assessment Exercise 1. The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. 2. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. CPT Code: 27766-LT The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture. Correct code: 52281 4. The operative report states that the physician performed Strabismus surgery, requiring resection of the medial rectus muscle. CPT Code: 67314 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Correct code: 67311 5. The chiropractor documents that he performed osteopathic manipulation on the neck and back (lumbar/thoracic). CPT Code: 98925 Note in the paragraph before code 98925, the body regions are identified. The neck would be the cervical region; the thoracic and lumbar regions are identified separately. Therefore, three body regions are identified. Correct code: 98926 Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 2 of 101 6. -
Images Paediatr Cardiol
RK Kumar and AC Nair. Coil Occlusion of the Large Patent Ductus Arteriosus. Images Paediatr Cardiol. 2008 Jan-Mar; 10(1): 8–26. in PAEDIATRIC CARDIOLOGY IMAGES Images Paediatr Cardiol. 2008 Jan-Mar; 10(1): 8–26. PMCID: PMC3232586 Coil Occlusion of the Large Patent Ductus Arteriosus RK Kumar and AC Nair Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India Contact information: R. K. Kumar, Amrita Institute of Medical Sciences and Research Centre, Elamakkara PO, Kochi 682026, Kerala, India Phone: 91- 484-280-4001599 Fax: 91-484-2802020 ; Email: [email protected] Copyright : © Images in Paediatric Cardiology This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract While coil occlusion is well accepted for the small patent ductus arteriosus (PDA), occlusive devices are preferred for the larger (> 3 mm) ducts by most institutions. Because of costs concerns, occlusive devices are not always realistic in many countries. The technique of simultaneous delivery of multiple coils with bioptome assistance works well for relatively larger ducts. This technique requires careful case selection through echocardiography. The duct anatomy plays a crucial part in determining the suitability for coil occlusion. Coil occlusion has a specific advantage for relatively larger ducts in selected small children and in preterm infants because it is possible to accomplish delivery of multiple coils through relatively small introducer sheaths. In addition, aortic narrowing is less likely because coils compact in the ampulla. -
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. -
Chordee Without Hypospadias Components Steps OR Set-Up 1
Chordee without Hypospadias Components Steps OR Set-up 1. Confirm meatus position, that hypospadias is not present Gauze sponge 2. Crede to confirm urinary stream is axially directed Towel 3. Evaluate for concealment. 1. Strategy Snugger 4. Artificial erection induced PRN “Grandfather forceps” 1. Robot clamp set-up Robot clamp 2. Safely position glans traction hemostat to avoid hitting the 2. Robot setup boy’s head or dislodging ET tube Robot Arm 3. Suture taut, but not tight Marking pen 1. Midline scrotal incision Scalpel 3. Complex scrotoplasy 2. Paired base incision as saw tooth Straight serrated scissors Grandfather forceps Marking pen 4. Reconstruct 1. Normalize preputial meatus 7x7-0 Vicryl (TG 140-8) [J546] - one appearance of skin 2. Rearrange foreskin to approach normal needle cut off “Father” forceps Straight serrated scissors 5-0 Ethibond (RB –1) [X 870] 1. Walk needle from dorsal meatus into lumen 5. Glans suture Straight hemostat 2. Exit needle1/3 of width of glans Needle holder Marking pen “Baby” forceps 1. Crede to assess if urinary stream shows a normal direction Scalpel 2. Expose urethral web skin as “goal posts” Wreck-cel 3. Make urethrotomy incision between the “goal posts” Saline irrigation 6. Urethrotomy 4. Rechecks stream by crede after urethrotomy is complete 7-0 Vicryl (TG 140 - 8)[J546] -one needle cut off Curved Wescott scissors Assorted catheters Straight iris scissors Straight hemostat 1. Advance urethra catheter to peno-scrotal junction “Fathers” foceps 7. Catheterize urethra 2. Check how thin the urethra is 5-0 Ethibond (RB –1) [X 870] 3. Suture ligate catheter to glans traction suture 8 French Red Rubber 5 French Feeding Tube CEVL 2009 Chordee without Hypospadias Components Steps OR Set-up 1.