Instruments for Cardiac and Vascular Surgery
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Clinical Case: Post-Procedure Thrombophlebitis
Clinical Case: Post-procedure Thrombophlebitis A 46 year old female presented with long-standing history of right lower limb fatigue and aching with prolonged standing. Symptoms –Aching, cramping, heavy, tired right lower limb –Tenderness over bulging veins –Symptoms get worse at end of the day –She feels better with lower limb elevation and application of elastic compression stockings (ECS) History Medical and Surgical history: Sjogren syndrome, mixed connective tissue disease, GERD, IBS G2P2 with C-section x2, left breast biopsy No history of venous thrombosis Social history: non-smoker Family history: HTN, CAD Allergies: None Current medications: Pantoprazole Physical exam Both lower limbs were warm and well perfused Palpable distal pulses Motor and sensory were intact Prominent varicosities Right proximal posterior-lateral thigh and medial thigh No ulcers No edema Duplex ultrasound right lower limb GSV diameter was 6.4mm and had reflux from the SFJ to the distal thigh No deep venous reflux No deep vein thrombosis Duplex ultrasound right lower limb GSV tributary diameter 4.6mm Anterior thigh varicose veins diameter 1.5mm-2.6mm with reflux No superficial vein thrombosis What is the next step? –Conservative treatment – Phlebectomies –Sclerotherapy –Thermal ablation –Thermal ablation, phlebectomies and sclerotherapy Treatment Right GSV radiofrequency ablation Right leg ultrasound guided foam sclerotherapy with 0.5% sodium tetradecyl sulfate (STS) Right leg ambulatory phlebectomies x19 A compression dressing and ECS were applied to the right lower limb after the procedure. Follow-up 1 week post-procedure –The right limb was warm and well perfused –There was mild bruising, no infection and signs of mild thrombophlebitis –Right limb venous duplex revealed no deep vein thrombosis and the GSV was occluded 2 weeks post-procedure –Tender palpable cord was found in the right thigh extending into the calf with overlying hyperpigmentation. -
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. -
Five-Year Results of a Merger Between Vascular Surgeons and Interventional Radiologists in a University Medical Center
From the Eastern Vascular Society Five-year results of a merger between vascular surgeons and interventional radiologists in a university medical center Richard M. Green, MD, and David Waldman, MD, PhD, for the Center for Vascular Disease* Rochester, NY Objectives: We examined economic and practice trends after 5 years of a merger between vascular surgeons and interventional radiologists. Methods: In 1998 a merger between the Division of Vascular Surgery and the Section of Interventional Radiology at the University of Rochester established the Center for Vascular Disease (CVD). Business activity was administered from the offices of the vascular surgeons. Results: In 1998 the CVD included five vascular surgeons and three interventional radiologists, who generated a total income of $5,789,311 (34% from vascular surgeons, 24% from interventional radiologists, 42% from vascular laborato- ries). Vascular surgeon participation in endoluminal therapy was limited to repair of abdominal aortic aneurysms (AAAs). Income was derived from 1011 major vascular procedures, 10,510 catheter-based procedures in 3286 patients, and 1 inpatient and 3 outpatient vascular laboratory tests. In 2002 there were six vascular surgeons (five, full-time equivalent) and four interventional radiologists, and total income was $6,550,463 despite significant reductions in unit value reimbursement over the 5 years, a 4% reduction in the number of major vascular procedures, and a 13% reduction in income from vascular laboratories. In 2002 the number of endoluminal procedures increased to 16,026 in 7131 patients, and contributions to CVD income increased from 24% in 1998 to 31% in 2002. Three of the six vascular surgeons performed endoluminal procedures in 634 patients in 2002, compared with none in 1998. -
The World of SURGICAL INSTRUMENTS
Textbook Preview The World of SURGICAL INSTRUMENTS The Definitive Inspection Textbook 501 full color pages 1,198 high resolution photos Glossy, hard cover Lay flat design by RICK SCHULTZ SCISSORS Frequently Asked Questions Q: Do all scissors go dull? A: Yes. Every scissor goes dull no matter what size, specialty, manufacturer, or design. Q: Does sterilization dull a scissor? A: Generally, no. However, when old autoclaves produce dirty steam, the scissor blade edges can become stained, which can cause the scissor not to cut. Q: Can all scissors be resharpened? A: Yes. Every scissor can be resharpened. Make sure the repair vendor is properly trained, especially on SuperCut scissors (black-handled). Q: How often should scissors be tested? A: Scissors should be tested 1 to 2 times per week. The proactive approach is picking 2 days per week as scissor testing days. Using an instrument tracking system will allow the facility to track sharpening frequency. Eventually, a large percentage of scissors will be sharp. Q: Is the scissor testing standard red and yellow scissor test material? A: Yes. The industry standard is to use red scissor test material for scissors longer than 41⁄2" in overall length and yellow scissor test material for scissors that measure 41⁄2" and shorter. Yellow scissor test material is used on 41⁄2" scissors. Q: Do all repair technicians know how to sharpen scissors? A: No. Experience and proper training is key, and many times repair technicians are learning on your expensive instrument inventory. The hospital should verify how many months of training/employment the repair technician has. -
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 -
Miltex® Ophthalmic Instruments
OPHTHALmic INSTRUMENTS MILTEX ® OPHTHALMIC INSTRUMENTS The MILTEX® name is synonymous with unparalleled quality and service to our customers and surgical instrumentation produced with the utmost attention to consistent detail. The MILTEX® Ophthalmology product line includes both premium-grade German and American crafted stainless steel surgical instrumentation manufactured to exacting specifications. The surgical “feel” of our instruments, the outstanding cutting ability and the attention to delicate detail are just a few of the aspects that allow our products to outperform and stand out from the competition. This catalog presents our comprehensive offering of instruments necessary to support the innovative surgical techniques and advances in the field of Ophthalmology. In addition to our Ophthalmic offering, Miltex provides instruments to meet a variety of clinical needs for other specialties including: Plastic Surgery, Dermatology, Otolaryngology, Microsurgery, Gynecology, General Surgery as well as several other markets. General Information: Photographs in this catalog are close to actual size except where otherwise noted. Many illustrations are enlarged to show detail. Surgical instruments shown in this catalog are made of high quality surgical grade stainless steel, unless otherwise noted. Illustrations and content provide general description only and may be subject to change. Some products in this catalog may not be available for sale in the European Union. Miltex and Miltex Redefining Excellence are registered trademarks of Miltex, -
UW HEALTH JOB DESCRIPTION Radiologic Tech - Interventional Job Code: 500006 FLSA Status: Non-Exempt Mgt
UW HEALTH JOB DESCRIPTION Radiologic Tech - Interventional Job Code: 500006 FLSA Status: Non-Exempt Mgt. Approval: G. Greenwood Date: March 2020 C. Hassemer Department : Interventional Radiology/AFCH Hybrid HR Approval: J. Theisen Date: March 2020 OR/OR22 (80240/14930/52580) JOB SUMMARY The Radiologic Tech - Interventional functions independently as a member of the Vascular and Interventional Radiology (VIR), Neuro Endovascular Radiology and Vascular Surgery teams. Team members include registered nurses, IR imaging technologists, nurse practitioners, physician assistants, IR fellows and residents, neurosurgery fellows and residents, vascular surgery fellows and residents, and faculty physicians. This individual is responsible for helping perform a variety of complex specialized tasks operating fluoroscopy, computed tomography, laser, and ultrasonography equipment during vascular and neuroradiology angiographic and interventional procedures. This individual is responsible for helping develop and implement systems to assure the smooth and efficient flow of patients for procedures in the Interventional labs. Duties for this position include but are not limited to: circulating and scrubbing roles during procedures, patient teaching, assisting with patient care within scope of practice, inventory management and schedule coordination. This position requires the individual to be flexible in their work schedule. This individual has previous radiologic technologist work experience, or is a graduate of an accredited IR Technologist training program. -
Our Vascular Surgery Capabilities Include Treatment for the Following
Vascular and EXPERIENCE MATTERS Endovascular The vascular and endovascular surgeons at LVI are highly experienced at performing vascular surgery and Surgery minimally invasive vascular therapies, and they are leading national experts in limb salvage. We invite you to consult with us, and allow us the opportunity to share our experience and discuss the appropriateness of one Our vascular surgery or more of our procedures for your patients. capabilities include treatment for the following conditions: Abdominal Aortic Peripheral Aneurysm Aneurysm Peripheral Artery Aortic Dissection Disease Aortoiliac Occlusive Portal Hypertension Disease Pulmonary Embolism Ritu Aparajita, MD Tushar Barot, MD Atherosclerosis Renovascular Vascular Surgeon Vascular Surgeon Carotid Artery Disease Conditions Chronic Venous Stroke Insufficiency Thoracic Aortic Deep Vein Aneurysm Thrombosis Vascular Infections Fibromuscular Vascular Trauma Disease Medicine Vasculitis Giant Cell Arteritis Visceral Artery Lawrence Sowka, MD Mesenteric Ischemia without limits Aneurysm Vascular Surgeon 1305 Lakeland Hills Blvd. Lakeland, FL 33805 lakelandvascular.com P: 863.577.0316 F: 1.888.668.7528 PROCEDURES WE PERFORM Minimally Angiogram and Arteriogram Endovascular treatment These vascular imaging tests allow our vascular Performed inside the blood vessel, endovascular specialists to assess blood flow through the arteries treatments are minimally invasive procedures to treat invasive and and check for blockages. In some cases, treatments peripheral artery disease. may be performed during one of these tests. Hybrid Procedures for Vascular Blockage surgical Angioplasty and Vascular Stenting Combines traditional open surgery with endovascular Angioplasty uses a balloon-tipped catheter to open a therapy to repair vessels or place stents, when an blocked blood vessel. Sometimes, the placement of endovascular procedure by itself is not possible for treatment a mesh tube inside the artery is required to keep the the patient. -
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. -
Vitreo Retina Surgical Instruments Catalog 2014
BR554-14 General Information Vitreo Retina Instruments: Trocar Set WARRANTY/GUARANTEE All ASICO ophthalmic instruments are unconditionally guaranteed for life against manufacturing defects in material and workmanship when used for their intended surgical purpose and cared for in accordance with recommended procedure. In the event any ASICO instrument should fail as a result of a manufacturing defect in material or workmanship, it will be replaced or repaired at no charge. TERMS OF PAYMENT Invoices are payable on receipt. If payment is received after the initial 30-day period, a finance charge of 1.5% for an annual rate of 18% will be charged. SHIPPING Shipments of surgical instruments are made via FedEx Second Day Air. Shipment can also be made via UPS or DHL upon customer request, with a valid shipping account number for requested shipping vendor. If customer uses their shipping account number a handling fee will still apply to the order. ORDERS Orders can be placed through our toll-free customer service line, 1-800-628-2879, by fax, by calling 1-630-986-8032 or by emailing [email protected]. PRICES Prices are in US Dollars and are subject to change without notice. RETURN POLICY All products returned to ASICO must be accompanied by a return authorization number. This number can be obtained by contacting ASICO by phone or email. Merchandise should be carefully packaged, shipped prepaid, insured and mailed to the Westmont office. Each shipment must be accompanied by a document showing the full name and address of a sender, list of items, and the reason for return. -
Laparoscopic Instruments
Laparoscopic Instruments Product Catalog Aesculap Laparoscopy 2 Table of Contents Introduction 4-5 Ligation 101-107 Advanced Energy 7-9 DS Clips 102-105 Caiman® Vessel Sealers 8-9 Challenger™ Ti-P 106-107 Monopolar Instruments 11-69 Access & Closure 109-123 Advanced Energy Single Use 12-15 Access Instruments 110 Reposable 16-17 Insufflation 111 Reusable 18-73 Rigid Trocars 112-113 3.5 mm mini 20-23 3.5 mm 113 Scissors 24-29 5 mm 114 Dissecting Forceps 30-35 10 mm 115 Monopolar Instruments Grasping Forceps 36-57 12 mm 116 Biopsy Forceps 58-61 HASSON 117 Spare parts 3.5 mm, 5 mm & 10 mm 62-63 Accessories & Spare Parts 118 Assembly/Disassembly 64-66 Additional Instruments 119 Electrodes 68-69 Flexible Trocars 120-121 Bipolar Instruments Bipolar Instruments 70-74 7 mm & 13 mm 120 Single use 70-71 Accessories & Spare Parts 121 Reusable 72-74 Closure 122-123 Assembly/Disassembly 74 Instruments 123 Specialty Instruments 75-100 Endoscopes 125-127 Slide Lock Graspers 76 Specialty Instruments Endoscopes 126 Bulldog Clips 77 Light Cables 127 Video-Assisted Thorascopic Surgery (VATS) 78-89 Care & Storage 129-138 Advanced Urology 90-91 Services 139-143 Needle Holders & Suturing 92-93 Ligation Index 144-151 Retractors 94-95 Nathanson Retractors 96-97 Suction/Irrigation 98 Suction/Irrigation with Monopolar 99 Closure & Miscellaneous Instruments 100 Access Endoscopes Storage & Care 3 History Blending Old World Craftsmanship with Modern Technology Aesculap AG World Headquarters in Tuttlingen, Germany Our founding father: Aesculap Gottfried Jetter As the -
Handling of Instruments
Limbs & Things TM learning online Handling of Instruments Overview If you are new to suturing, you will need to learn to recognize each of the instruments you are going to use, understand their function and practise the basic techniques of using them. 1 Scalpel A scalpel is a razor-edged blade on a handle. There are two types of surgical scalpel: reusable and disposable. Reusable scalpels consist of a blade that is replaced after every use, attached to a stainless steel handle that can be sterilised and re-used multiple times. In a hospital setting, this type is more likely to be used in order to reduce waste and to allow doctors to work with a variety of blades and handle sizes. Disposable surgical scalpels are usually single-piece with a plastic handle. This is the type provided in our Hands-on Kit for practice. Although you will use the same scalpel multiple times for practice, in a clinical setting you would dispose of the entire scalpel after a single use. 1.1 Principles A scalpel is essential for incising the skin and for sharp dissection. Held flat, it can also be useful for carefully undermining the skin edge to relieve tension. A razor edged blade engages over a flange on the scalpel handle. Several sizes of scalpel handle are available and size 3 is appropriate for most purposes. Each handle can be fitted with disposable blades of different shapes. The scalpel can be held in one of two ways: - For making large incisions e.g. laparotomy, and subcutaneous fat dissection, hold the scalpel like a table knife, with your index finger guiding the blade.