DOCSLIB.ORG

Federal Chargemaster Price Transparency Edgewood (2).Xlsx

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Federal Chargemaster Price Transparency Edgewood (2).Xlsx EDGEWOOD SURGICAL HOSPITAL CHARGES Federal reporting rules require hospitals to maintain a catalog of thousands of procedure codes, code descriptions and list prices in a complex accounting tool, known as the hospital chargemaster. The prices listed on the chargemaster do not reflect what patients will ultimately pay as insurance companies negotiate discounts on the list prices. In addition, co-pays, co-insurance and deductibles can also bring additional discounts before a final charge is determined. To get an accurate estimate of what your out of pocket expenses will be, contact us at (724) 646-0400, Monday through Friday, from 8 a.m. – 4:30 p.m. Chg Code Description Chg Amt 1 NF-HUMULIN R INJ SOLN 100U/1ML $61.61 99077 EXTENDED RECOVERY ROOM PER MINUTE $15.00 99078 OBSERVATION 1-4 HOURS $550.00 99079 OBSERVATION >5 HOURS **EACH** $15.00 99085 OR TIME PER MINUTE COMPLEX (>3 STAFF) $197.00 99086 OR TIME PER MINUTE MAJOR (3 STAFF) $136.00 99087 OR TIME PER MINUTE MINOR (1-2 STAFF) $93.00 99088 SURGICAL NEUROMONITORING $1,350.00 99089 SURGICAL EYE LASER $1,743.00 99090 PAIN MANAGEMENT PER MINUTE $187.00 99091 OR TIME PER MINUTE ADDITIONAL STAFF $1.00 99092 FORCE TRIAD RENTAL $350.00 99093 YAG LASER CHARGE $1,182.00 99094 PAIN MANAGEMENT PER MINUTE RF $326.00 99100 CONS SEDATION (SAME DOC) <5YR 30-MIN $302.00 99101 CONS SEDATION (SAME DOC) <5YR 30-MIN $302.00 99102 CONS SEDATION (SAME DOC) ADD'S 15-MIN $151.00 99103 CONS SEDATION (DIFF DOC) <5YR 30-MIN $302.00 99104 CONS SEDATION (DIFF DOC) >5 YR 30-MIN $302.00 99105 CONS SEDATION (DIFF DOC) ADD'L 15-MIN $151.00 99200 EMERGENCY ROOM/CLINIC VISIT NON-SURGICAL $404.00 100081 GOWN L $3.08 100253 XXX TAPE, PAPER MICROPORE 2 10YDS $0.72 103577 PVP PREP PAD POVDONE IODINE, 10% $0.03 400254 EPI-PEN INJECTOR .3MG $142.78 500000 ROOM-BOARD/PRIVATE $1,077.00 900300 MD INSERT SEMICOSTRAINED 10MM S4 $2,500.00 900301 MD SPHERE FEMUR CEMENTED RT S4 $1,000.00 900302 RESTORATION ADM SHELL LEFT 54 $1,500.00 900303 127 SZ 10 SECUR-FIT ADVANCED STEM $2,400.00 900304 RESTORE ADM X3 INSERT ID 28MM FOR CUP OD $1,000.00 900305 V40 BIOLOX DELTA HEAD 28MM+4 $800.00 901114 TIBIA-5DEGREE STEMMED SIZE E(ZIMMER) $950.00 919191 ALBUMIN $51.00 919192 ..TEST ONLY CBC W/DIFF $75.60 1000002 ALCOHOL ISOPROPYL 70% 16OZ BOTTLE $1.69 1000003 ALCOHOL PREP PADS $0.01 1000005 STENT TRABECULAR MICRO BYPASS G2-M-IS $1,675.00 1000006 BLADES #15 $0.14 1000008 BLADES BEAVER 6400 $7.97 1 of 143 Chg Code Description Chg Amt 1000009 ELECTROSURGICAL BOVIE EXTENDER 6 $4.85 1000010 ELECTROSURGICAL BOVIE PENCIL 10 $3.85 1000011 ELECTROSURGICAL BOVIE SCRATCHER $0.60 1000012 VL ESCHAR RESISTANT TIP $7.50 1000013 ELECTROSURGICAL BOVIE TIP-VL NEEDLE TIP $1.20 1000014 LENS INTRA OC (RESTORE) SV25T0 $895.00 1000015 BOWL STER 16OZ $0.72 1000016 TUBE ENDO ORAL CUFFED RAE 6.0MM $5.02 1000017 TUBE ENDO ORAL CUFFED RAE 7.0MM $5.02 1000018 LIGHT HANDLE COVER LB53 $1.34 1000019 CT APPLICATORS PK-1 $0.77 1000020 IV START KIT $0.89 1000022 DRAIN BARD LOW SUCTION HEMOVAC $9.46 1000023 DRAIN JACKSON-PRATT 15FR ROUND $19.85 1000024 JP 100 ML RESEVOIR CLOSED WOUND SX EVAC $35.03 1000025 DRAIN PENROSE 1/4 X12 $0.34 1000026 DRAPE LARGE TOWEL 17 X23 (1010) $0.91 1000027 XXXDRAPE U-DRAPE ADHESIVE 47 X51 $5.31 1000028 DRAPE BACK TABLE COVER $2.00 1000029 DRAPE BACK TABLE COVER 44X75 $2.27 1000030 DRAPE C-ARM LARGE $3.76 1000033 DRAPE INCISE LG $5.80 1000034 DRAPE INCISE MED $1.48 1000035 DRAPE INCISE IOBAN II VI-DRAPE 13X13 $4.77 1000036 DRAPE MAYO STAND REINFORCED COVER $1.50 1000037 DRAPE IMPERVIOUS U-DRAPE ref# 2499 $2.13 1000038 PROCLAIM 7 ELITE IPG W/PAT CONTR NON FED $16,500.00 1000039 DRESSING, ADAPTIC 3X3 $0.28 1000040 PROCLAIM 7 ELITE IPG W/PAT CONTROL FED $15,000.00 1000041 NONADHERING DRESSING, ADAPTIC 3X8 $0.66 1000042 BANDAGE ADHSV FABRIC STRIP 1X3 $0.02 1000043 DRESSING, BANDAIDS 2 X 4 1/2 BX/50 $0.06 1000045 DRESSING, COBAN 4 $1.87 1000047 ABD PAD TENDERSORB 7.5X8 $0.24 1000054 DRESSING, KLING 2 STER 2X4.1YDS BANDAGE $0.43 1000055 DRESSING KLING 3 STER 3X2.1YDS, BANDAGE $0.27 1000056 DRESSING, STERI-STRIP 1/4 X4 PK $1.01 1000057 DRESSING STERI-STRIP 1/2 X4 $0.90 1000058 XXTEGADRM W/WIN 2-3/8X2-3/4 XX $0.26 1000059 XXTEGADERM 6CM X 7CMXX $0.82 1000060 DRESSING TELFA STR 4 X3 $0.14 1000061 DRESSING TELFA STR 8 X3 $0.55 1000062 TRANSPARENT FILM DRESSING 6-1/8 X 3-3/8 $1.31 1000063 DRESSING WEBRIL 2 STER $0.62 1000064 DRESSING WEBRIL 3 STER $1.48 1000065 DRESSING WEBRIL 4 STER $1.83 1000066 DRESSING WEBRIL 6 STER $3.68 1000067 DRESSING XEROFORM STR 1 X8 $0.52 1000068 DRESSING XEROFORM 5 X9 $0.59 1000069 BANDAGE,ESMARK 4 $2.80 1000070 BANDAGE, ESMARK 6 X3YDS $4.02 1000071 CONFIDERM SPT GLOVES MCKESSON SIZE 7 $1.31 2 of 143 Chg Code Description Chg Amt 1000072 GLOVES MICROPTIC 6.5 $1.04 1000073 TEGADERM + PAD 3587 $1.05 1000074 GLOVES MICROPTIC 7.5 $0.90 1000076 GLOVES MICROTOUCH 6.5 $0.36 1000077 GLOVES MICROTOUCH 7.0 $0.36 1000078 GLOVES MICROTOUCH 7.5 $0.61 1000079 GLOVES MICROTOUCH 8.5 $0.36 1000080 GLOVES PROTEGRITY 8.5 $1.08 1000081 GOWN L $3.39 1000082 GOWN XL $3.70 1000084 HYDROGEN PEROXIDE H2O2 $0.53 1000085 LUBRICATING JELLY 4OZ $1.46 1000086 MARKING PEN-GREEN $0.98 1000087 MASTISOL VL STR TIP 2/3CC $1.92 1000088 XXXSTENT CYPASS MICRO $1,700.00 1000089 LENS TORIC IOL SA6AT4 $495.00 1000090 LENS INTRA OC (RESTORE) SV25T2 $895.00 1000091 NEEDLE 21GX1 BX/100 $0.03 1000092 NEEDLE 20GX1 1/2 (for platelet inj.) $0.03 1000093 NEEDLE 23GX1 $0.03 1000094 LENS TORIC IOL SA6AT6 $495.00 1000095 NEEDLE 27G X 1 1/4 $0.05 1000096 NEEDLE 30GX 1/2 BX/100 $0.07 1000097 NEEDLE HYPO 30GX1 $0.07 1000098 MAGNETIC PAD (NEEDLE COUNTER) $0.89 1000099 LENS RESTOR TORIC IOL SND1T3 16.D $895.00 1000101 XXXSOL IV NSS 1000ML $0.76 1000102 SOL IV NSS 3000ML $8.29 1000103 SPONGE LAP 12X12 $1.12 1000104 LENS TORIC IOL SA6AT3 19.0D $495.00 1000106 SPONGE RAYTEC PK/10 $1.49 1000107 STAPLE REMOVER DISP (3M) $1.85 1000108 STAPLER SKIN 35WD FIXED HEAD (DEROYAL) $7.45 1000109 LENS RESTOR TORIC IOL SND1T4 25.D $895.00 1000110 STOCKINETTE 6 $3.23 1000111 LENS TORIC IOL SA6AT5 $495.00 1000112 SWIFT LOCK (ABBOTT) $127.75 1000113 SYRINGE TB 1ML LUER LOCK TIP $0.11 1000114 SYRINGE 1ML W/O NEEDLE $0.25 1000115 SYRINGE LL 3ML $0.08 1000116 SYRINGE LL 5ML $0.07 1000117 SYRINGE LL 10CC $0.01 1000118 LENS TORIC IOL SA6AT7 $495.00 1000119 SYRINGE LL 30CC $0.23 1000120 SYRINGE 60CC LUER LOCK $0.33 1000121 SYRINGE 60ML ASEPTO $0.67 1000123 SUCTION TIP FRAZIER W/VENT 10FR $0.97 1000125 SUCTION TUBE YANKAUER NON-VENTED $0.54 1000126 TUBING SUCTION 10FT $0.87 1000128 TUBING PATIENT $20.00 1000136 ACL GRAFT PASSER $64.00 1000165 BLADE MICRO RECIPROCATER $5.00 3 of 143 Chg Code Description Chg Amt 1000166 BLADE MINI DRIVER $5.00 1000167 BLADES SAG SAW 4.5 $4.02 1000169 BLADES SAG SAW 9.5 $4.02 1000171 BUR 2.0 SIDE-CUTTER $10.20 1000172 BUR 2.4 RND $10.60 1000175 BUR 6.5 RND $13.80 1000189 CANNULA CLEAR 6.5X73 $20.83 1000191 CANNULA 8.25CMX9 BLUE $25.00 1000199 CERVICAL NEEDLE (LG)PK/2 $3.47 1000200 FIBER WIRE 2-0 $22.00 1000202 GUIDE PIN DRILL PT $42.56 1000203 GUIDE PIN $30.00 1000204 FIBER WIRE $11.60 1000206 SCREW, INTERFER SCREW 8X20 FULL THR $76.00 1000207 SCREW, INTERFER SCREW 8X25 FULL THR $76.00 1000208 SCREW, INTERFER SCREW 9X20 FULL THR $76.00 1000209 SCREW,INTERFER SCREW 9X25 FULL THR $76.00 1000210 SCREW, INTERFER 7X20 W/SHTH $76.00 1000211 SCREW, INTERFER SCREW 7X25 W/SHTH $76.00 1000212 SCREW, INTERFER SCREW 8X25 W/SHTH $92.00 1000214 KNIFE ACUFEX HOOK $21.76 1000215 KNIFE ACUFEX ROSETTE $24.48 1000216 KNIFE ACL GRAFT 10MM $111.80 1000217 KNIFE ACL GRAFT 11MM $57.20 1000220 MENISCUS ARROW SHEATH $30.00 1000221 ORTHO-FIX WRIST FIXATOR $975.00 1000223 QUESTAS ANCHORS 1.9 $200.00 1000224 QUESTAS ANCHORS 5.0 $200.00 1000226 SCREW CANC 6.5 X 40MM $69.00 1000227 SCREW CANC 6.5 X 45MM $69.00 1000228 SCREW CANC 6.5 X 35MM $69.00 1000231 SUTURE GRASPER 30-DEGREE $227.00 1000237 TROCAR TIP 2.4 DRILL BIT $78.34 1000244 ASPIRATOR PROBE SYSTEM 1 $68.85 1000255 CUP MEDICINE 1 OZ SL/100 $0.01 1000259 INSTR WASHER HINGE-FREE $69.84 1000260 INSTR WASHER KLENZYME $22.25 1000272 STEAM TAPE (1 X60 YD) $2.64 1000273 STERIS CHEM MONITORS $33.00 1000274 DESCALER 1-GALLLON $16.51 1000275 I/A POLYMER COAXIAL CONICAL 0.3MM $12.00 1000278 WRAP 24 X 24 $0.47 1000279 WRAP 36 X36 $93.60 1000283 FILTER STERIS ONE A $51.85 1000284 FILTER STERIS ONE B $125.10 1000285 FILTER STERIS ONE A & B $155.55 1000286 FILTER STERIS ONE AIR $33.15 1000288 FLUID PORT ADAPTER KIT $19.00 1000290 CIRCUIT BOARD $105.00 1000293 ABDOMINAL BINDER 1-PANEL 27-48 $8.59 1000294 ACE 2 $0.94 1000295 ACE 3 ELASTIC BANDAGE STERILE 3X5YD $3.02 4 of 143 Chg Code Description Chg Amt 1000296 ACE 4 ELASTIC BANDAGE 4X5YDS STERILE $2.28 1000297 ACE 6 ELASTIC BANDAGE 6X5YDS STERILE $1.71 1000298 IV ADAPTER SPIKE $1.87 1000301 BETADINE PREP SOLUTION 32OZ $11.92 1000302 BETADINE SOLN 8 OZ $2.36 1000303 CAST TAPE 2 $2.70 1000304 CAST TAPE 3 $2.84 1000305 CAST TAPE 4 $2.87 1000306 CANNULA INFUSION 25G SINGLE $60.90 1000307 TROCAR PLUGS 25GA $48.67 1000314 PADDING UNDERCAST 4 $0.67 1000317 DRESSING, TUBEGAUZE 1-1/8 50YD $11.42 1000318 DRESSING, TUBEGAUZE 7/8 50YD $9.47 1000319 FINGER SPLINT 4-5/8 $0.22 1000320 FINGER SPLINT 6 $0.25 1000322 IMMOB KNEE 19 XLARGE $34.97 1000323 IMMOB KNEE 19 LARGE $34.88 1000324 IMMOB KNEE 19 MEDIUM $34.53 1000325 IMMOB KNEE 19 SMALL $34.53 1000326 IMMOB KNEE 23 SMALL $27.48 1000327 IMMOB KNEE 23 MEDIUM $34.97 1000328 IMMOB KNEE 23 LARGE $27.48 1000329 IMMOB KNEE 23 XLARGE $27.48 1000330 IMMOBILIZER SHOULDER W/SWATHE MEDIUM $10.28 1000334 IMMOB ULTRA-SLING MED $53.55 1000336 IMMOB WRIST LEFT $28.33 1000337 IMMOB
Load more

Recommended publications
  • 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.
    [Show full text]
  • Product Catalog Stainless Steel Vaginal Specula
    PRODUCT CATALOG STAINLESS STEEL VAGINAL SPECULA Graves Speculum Product No. Description LTL-GS300 Graves Speculum, Small 3” x .75” LTL-GS400 Graves Speculum, Medium 4” x 1.5” LTL-GS450 Graves Speculum, Large 4.50” x 1.5” LTL-GS700 Graves Speculum, XL 7” x 1.5” Pederson Speculum Product No. Description LTL-PS305 Pederson Speculum, Virginal 3” x .5” LTL-PS300 Pederson Speculum, Small 3” x 1” LTL-PS400 Pederson Speculum, Medium 4” x 1” LTL-PS450 Pederson Speculum, Large 4.5” x 1” LTL-PS455 Pederson Speculum, Extra Narrow 4.5” x .5” LTL-PS700 Pederson Speculum, XL 7” x 1” Open Sided Speculum Product No. Description LTL-WGR400 Weisman-Graves Speculum, Medium, Right Open 4” x 1.5” LTL-WGR450 Weisman-Graves Speculum, Large, Right Open 4.5” x 1.5” LTL-WGL400 Weisman-Graves Speculum, Medium, Left Open 4” x 1.5” LTL-WGL450 Weisman-Graves Speculum, Large, Left Open 4.5” x 1.5” LTL-WPR400 Weisman-Pederson Speculum, Medium, Right Open 4” x 1” LTL-WPR450 Weisman-Pederson Speculum, Large, Right Open 4.5” x 1” LTL-WPL400 Weisman-Pederson Speculum, Medium, Left Open 4” x 1” LTL-WPL450 Weisman-Prderspm Speculum, Large, Left Open 4.5” x 1” *We also offer wide view (4cm) and full view (7cm) openings. 1 | TOLL FREE 1 [800] 910-8303 FAX 1 [805] 579-9415 WWW.LTLMEDICAL.NET BIOPSY PUNCHES Standard Style Rotating Style Tischler [Morgan] 7mm x 3mm Baby Tischler 4mm x 2mm Tischler Kevorkian 9.5mm x 3mm Product No. Description Product No. Description Product No.
    [Show full text]
  • 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
    [Show full text]
  • 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.
    [Show full text]
  • Inhaltsverzeichnis Index Index Indice Alfabético Indice
    Inhaltsverzeichnis Index Index Indice alfabético Indice Inhaltsverzeichnis Index Index Indice alfabético Indice E-01 Inhaltsverzeichnis Index Index Indice alfabético Indice A B Accessories for sterilization container ......... 88-38 to 88-41 BABCOCK seizing forceps ........................................ 64-02 Adenotome LAFORCE .............................................. 46-19 BABINSKY percussion hammer ............................... 02-07 ADLERKREUTZ thumb and tissue forceps ............... 10-04 BACKHAUS-CLIP tube holder towel clamp .............. 14-03 ADSON BABY hemostatic forceps ............................ 12-09 BACKHAUS KOCHER towel clamp .......................... 14-02 ADSON-Baby retractor .............................................. 18-15 BACKHAUS towel clamp ........................................... 14-02 ADSON BAGGISH uterine biopsy specimen forceps ............. 70-45 bone rongeur ........................................................ 32-03 BAILEY-BABY rib contractor ..................................... 56-18 ADSON-BROWN thumb and tissue forceps ............. 10-03 BAILEY-GIBBON rib contractor ................................. 56-18 ADSON BAILEY rib contractor ............................................... 56-18 elevator ................................................................. 32-21 BAINBRIDGE hemostatic forceps ............................................... 12-09 atraumatic forceps ................................................ 13-09 hypophyseal forceps ............................................
    [Show full text]
  • AUA BLUS Handbook of Laparoscopic and Robotic Fundamentals
    AUA BLUS Handbook of Laparoscopic and Robotic Fundamentals Sean Collins, Daniel S. Lehman, Elspeth M. McDougall, Ralph V. Clayman, and Jaime Landman ©American Urological Association Education & Research, Inc. Table of Contents 1. Introduction 2. Patient selection a. Indication b. contradindications c. special considerations 3. Physiologic effects of pneumoperitoneum a. Renal surgery transperitoneal b. Renal surgery retroperitoneal c. Hand-assisted laparoscopic nephrectomy d. Prostatectomy 4. Getting Started 5. Patient positioning a. Renal surgery transperitoneal b. Renal surgery retroperitoneal c. Hand-assisted laparoscopic nephrectomy d. Prostatectomy 6. Strategic placement of surgical team and operating room (OR) equipment 7. Access a. Primary access b. Renal surgery transperitoneal trocar placement c. Renal surgery retroperitoneal trocar placement d. Secondary access e. Retroperitoneal primary and secondary access f. Hand-assisted laparoscopic nephrectomy trocar placement g. Prostatectomy trocar placement 8. Instrumentation a. Trocars i. Cutting ii. Dilating iii. Radially dilating b. Bipolar cautery c. Monopolar cautery d. Ultrasonic instrumentation e. Vessel sealing devices i. LigaSure ii. Enseal f. Staplers g. Vascular clamps h. Suture anchors i. Titanium clips j. Locking clips q. Retractors r. Hemostatic agents s. Hand Assisted devices 2 9. Technique for Transperitoneal Laparoscopic Nephrectomy 10. Complications of laparoscopic surgery 3 Chapter 1. Introduction The American Urological Association (AUA) has prepared this handbook for all those new to laparoscopy. Rather than being a detailed surgical atlas, this is a handbook designed to introduce the fundamental principles of laparoscopy including: indications and contraindications for laparoscopy, the physiologic effects of pneumoperitoneum, patient positioning; abdominal access and trocar placement; strategic placement of the operating room (OR) team and equipment, overview of laparoscopic instrumentation, and complications unique to laparoscopic surgery.
    [Show full text]
  • 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.
    [Show full text]
  • TRIMLINE® ACDF INSTRUMENT SET Cat
    SOFAMOR DANEK ® TrimLine Anterior Cervical Discectomy & Fusion Instrument Set A comprehensive color coded, streamlined cervical instrument set designed specifically for ACDF procedures. Anterior Cervical Discectomy and Graft Curettes Fusion Instrument Set Placement Instruments Color coded handles to differentiate sizes The TrimLine ACDF Instrument Set has been designed Can be used with autograft or allograft Hand polished cutting specifically for standard cervical anterior approaches, Holder/Introducer will not leave a hole in surfaces to help discectomies, and fusions. It includes instruments necessary the graft maintain sharp edges to perform the cervical exposure, decompression, graft harvest, Ergonomically designed handles Fully machined and placement. Instruments are color coded to simplify components to enhance identification and this feature allows the procedure to product run more smoothly. Instruments can be purchased consistency separately or as part of the TrimLine Set. Kerrisons Color coded handles to differentiate sizes Hand polished cutting surfaces to help maintain sharp edges Fully machined components to enhance product consistency Pin Distraction Set Universally acceptable Self-Retaining instruments Retractors Improved pin strength Right and left options Generic blade for use with either fixed or rotating Hand-Held modular blade handles Retractors Modular blade handles can be removed after retractor frame is added Aluminum blades for better imaging Improved side-loading connection mechanism Ergonomically
    [Show full text]
  • 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.
    [Show full text]
  • 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.
    [Show full text]
  • Early Activation of Artificial Urinary Sphincter: a Pilot Study
    Early Activation of Artificial Urinary Sphincter: A Pilot study Abstract: Urinary incontinence or loss of bladder control is a troublesome issue for all affected patients. The causes of urinary incontinence and its treatment options vary widely. A commonly encountered reason for urinary incontinence in men is related to treatment for prostate cancer. These treatment options can range from surgical removal of the prostate, external beam radiation therapy, and/or brachytherapy, the insertion of radioactive implants directly into the tissue. Mild cases of incontinence are responsive to more conservative measures, but moderate to severe cases often require placement of an artificial urinary sphincter. Typically, these devices are left deactivated for a period of 4- 6 weeks following implantation to allow swelling to subside before use. We hypothesize that the device could be activated within an earlier timeframe without increasing the risk of complications. No studies to date have evaluated this; therefore we plan to conduct a prospective study in which we will activate the device 3 weeks after placement and monitor for complications. Aim of the study: To assess the safety and feasibility of early activation of an artificial urinary sphincter and assess whether or not this increases the risk of postoperative complications. We hypothesize that a period of 3 weeks should allow adequate time for the resolution of urethral and scrotal swelling following artificial urinary sphincter placement, and that activation of the device at that time, as opposed to traditional 4-6 weeks post-operatively, will lead to improved patient satisfaction with no increase in postoperative complications. Background: Urinary incontinence is one of the most common complications following surgical treatment of prostate cancer via radical prostatectomy.
    [Show full text]
  • 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.
    [Show full text]