DOCSLIB.ORG

Append Ndectomy TERI JUNGE, CST/CFA CASE STUDY

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Append Ndectomy TERI JUNGE, CST/CFA CASE STUDY Append ndectomy TERI JUNGE, CST/CFA CASE STUDY r Mitchell has a 46-year- of urinary tract infection. Dr old female patient in the Mitchell’s preliminary diagnosis emergency department is appendicitis. He would like to who presented with perform an appendectomy, using D right lower quadrant the traditional approach, as soon pain, diarrhea, fever, nausea and as possible. The patient has no vomiting. Upon physical exam, she known allergies. exhibits rebound tenderness over U se the information provided McBurney’s point. Her CBC shows in the sample preference card and an elevated white blood cell instrument list (Tables 1 and 2) as count. Her pregnancy test is nega- resources for completing the case tive and her UA shows no sign study. FEBRUARY 2003 The Surgical Technologist 9 226 FEBRUARY 2003 CATEGORY 1 Editor’s Note SUPPLY LIST: An example of a completed case study for an appendec- PACK Customized basic pack tomy follows. Suggested variations for the appendecto- BASIN SET Double my case study report include:Pediatric patient, pregnant GLOVES Surgical Technologist—Scrub patient, endoscopic approach, change of diagnosis dur- Role (STSR); surgeon; surgical ing the procedure (eg ovarian cyst). assistant (sizes of choice—recom- mend double gloving) BLADES #10 x 2 Preoperative Phase DRAPES 4 towels; laparotomy sheet with vertical fenestration PLANNED PROCEDURE: Appendectomy DRAINS Usually not needed; Penrose or drain of surgeon’s choice available SURGEON’S NAME: Dr Mitchell DRESSINGS Bacitracin ointment; Telfa; 4x4 gauze; 2" paper tape DEFINITION, PURPOSE, AND EXPECTED OUTCOME OF PROCE­ SUTURE Ties: 2-0 Vicryl Reel DURE: Appendectomy—removal of the appen­ Pursestring: 3-0 Vicryl SH dix. Usually performed when appendix is Peritoneum: 2-0 Vicryl CT-1 inflamed to prevent rupture. Fascia: 2-0 Vicryl CT-1 x 2 Sub-Q: None PATIENT’S AGE AND GENDER: 46-year-old female Skin: Staples pADDITIONAL PATIENT INFORMATION: No known allergies MEDICATIONS AND RELATED SUPPLIES: Bupivacaine 0.5% available for postoperative pain control, control PREOPERATIVE DIAGNOSIS: Appendicitis syringe, and 25 gauge 1ž" needle DIAGNOSTIC EXAMS AND PERTINENT RESULTS: History— OTHER: N/A right lower quadrant pain, diarrhea, fever, nau­ sea and vomiting; CBC—elevated white blood PLANNED ANESTHETIC: General cell count; pregnancy test—negative; UA—no sign of urinary tract infection; physical exam— PLANNED INCISION AND DESCRIPTION: McBurney’s inci- rebound tenderness over McBurney’s point sion—The McBurney’s incision is a right lower quadrant (RLQ) incision. McBurney’s point is RELEVANT ANATOMY: Layers of the abdominal wall; two-thirds the distance between the umbilicus peritoneal cavity; colon (specifically the appen­ and the anterior superior spine of the ilium. dix and cecum); female reproductive system; The incision is perpendicular to, one-third urinary system above, and two-thirds below the imaginary line between the umbilicus and the ilium. The inci­ RELATED PATHOLOGY: Appendicitis; peritonitis; sion may be adjusted slightly to coincide with Meckel’s Diverticulum; consider the possibility the most tender point. The incision may also that the condition could have a gynecologic ori­ be placed slightly more laterally to coincide gin (eg ovarian cyst) with the lateral edge of the rectus abdominis allowing maximal exposure. The Rocky-Davis EQUIPMENT LIST: Electrosurgical unit; suction appa­ transverse incision is occasionally used as an ratus; headlamp (available) alternative. INSTRUMENT LIST: Minor instrumentation set; medi­ PATIENT POSITION AND NECESSARY POSITIONING SUPPLIES: um Richardson retractor Supine with both arms extended and secured on The Surgical Technologist FEBRUARY 2003 10 armboards; foam headrest and elbow pads; safe- ative activities, respond to hand signals and ty strap applied two inches proximal to the knees anticipate, or predict, the needs of the patient and other surgical team members. SKIN PREP—TYPE AND PARAMETERS: Shave probably • Pass the scalpel (“skin knife”—#10 blade on a not necessary for female patient; Betadine 5- #3 knife handle) to the surgeon’s dominant minute prep that extends from the mid-chest to hand in accordance with school or facility the thighs and laterally as far as possible policy (use of a safe transfer technique may be necessary). DRAPE APPLICATION: Four towels (cloth or adhesive) • Prepare electrosurgical pencil and/or hemo­ exposing the RLQ; laparotomy sheet; apply light stats for use. handles and secure electrosurgical pencil cord • Expect the surgeon to place the scalpel on the and suction tubing Mayo stand. Keep hands out of the way. PRACTICAL CONSIDERATIONS: If a surgical assistant is 2. Hemostasis is achieved by the surgeon while the surgical not available, the STSR will be expected to fill the assistant maintains tension on the wound edges and FIGURE 1 Making the incision. scrub and assistant roles simultaneously. A removes excess blood and electrosurgical plume, as major instrumentation set should be available. needed. • Pass the electrosurgical pencil to the sur- Intraoperative Phase geon’s dominant hand. This section shows each procedural step, fol­ • Alternatively or additionally, hemostats lowed by the role of the surgical technologist- (curved Criles are appropriate for the adult scrub role (STSR). patient) may be needed. - Pass the Crile(s) to the surgeon’s domi­ 1. The surgeon incises the skin over McBurney’s point. The nant hand. surgical assistant maintains tension on either side of the - Pass the electrosurgical pencil or suture wound. material (2-0 Vicryl reel) to the surgeon. • Ensure readiness of all equipment and sup­ - If suture is used by the surgeon, pass the plies. suture scissors (straight Mayo) to the sur­ • Expect the use of nonverbal communication gical assistant. during the procedure. Observe the intraoper­ - Repeat the previous steps as needed. FEBRUARY 2003 The Surgical Technologist 11 - Retrieve all items, clean as needed, and • Retrieve the electrosurgical pencil, clean the place in their designated storage locations tip as needed, and place in the holster when on the Mayo stand. Reuse is anticipated. not in use. Reuse is anticipated. • Pass the suction tubing with the Yankauer tip • Prepare the scalpel (“deep knife”—#10 blade attached to the surgical assistant, if necessary. on a #3 knife handle) for use. (The suction apparatus is typically posi­ tioned on the sterile field near the surgical 4. The surgeon makes a small incision (nick) with the assistant’s dominant hand. Typically, it is not scalpel in the aponeurosis of the external oblique. necessary for the STSR to pass or retrieve the • Pass the scalpel to the surgeon’s dominant suction apparatus during the procedure.) hand. Reuse is anticipated. • Provide the electrosurgical pencil to the sur­ • Retrieve the scalpel and place it in its desig­ geon, as needed. Retrieve the electrosurgical nated storage location (usually on the back pencil, clean the tip as needed, and place in table). Reuse of the “skin knife” is not antici­ the holster when not in use. Reuse is antici­ pated. pated. FIGURE 2 Exposing the appendix. • Provide additional surgical sponges, as need- • Prepare the Metzenbaum scissors and the tis- ed. First, place the fresh sponge(s) near the sue forceps with teeth for use. wound edge(s); then remove the soiled • Expect the surgeon to place the scalpel on the sponge(s) from the surgical site and place in Mayo stand. Keep hands out of the way. the kick bucket. • Prepare two small retractors (such as US 5. The aponeurosis of the external oblique is opened (in the Army) for use. direction of its fibers) to the length of the skin incision with a Metzenbaum scissors by the surgeon. 3. The wound edges are retracted by the surgical assistant. • Pass the Metzenbaum scissors to the sur- The incision is deepened through the subcutaneous tis­ geon’s dominant hand and a tissue forceps sue layer to the aponeurosis of the external oblique with with teeth to the opposite hand. the electrosurgical pencil by the surgeon. • Retrieve the scalpel and place it in its desig­ • Pass the US Army retractors to the surgical nated storage location (usually on the Mayo assistant with the shallow ends toward the stand). Reuse is anticipated. wound. The Surgical Technologist FEBRUARY 2003 12 6. The edges of the external oblique are retracted by the 10. The surgeon uses blunt dissection to split the transversus surgical assistant exposing the internal oblique. muscle in the direction of its fibers to expose the preperi­ • Larger retractors will likely be needed; the toneal fat. surgical assistant will probably switch to the • Retrieve the US Army retractors, clean as deep end of the US Army without the assis­ needed, and place in their designated storage tance of the STSR. locations on the Mayo stand. Reuse is antici­ • Retrieve the scissors and tissue forceps, clean pated. as needed, and place in their designated stor­ • Provide the electrosurgical pencil to the sur- age locations on the Mayo stand. Reuse is geon, as needed. Retrieve the electrosurgical anticipated. pencil, clean the tip as needed, and place in • Prepare the scalpel for use. the holster when not in use. Reuse is antici­ pated. 7. The fascia of the internal oblique is incised in the direc­ tion of the muscle fibers by the surgeon. 11. The preperitoneal fat is retracted laterally by the surgi­ • Pass the scalpel to the surgeon’s dominant cal assistant to expose the peritoneum. hand. • A moistened sponge on a stick may be useful • Expect the surgeon to place the scalpel on the to sweep the preperitoneal fat to the side. Mayo stand. Keep hands out of the way. • Anticipate opening of the peritoneum. - Moistened laparotomy sponges replace all 8. The surgeon separates (splits) the internal oblique in the 4x4 sponges. First, place two laparotomy direction of its fibers using caution to protect the iliohy­ sponges near the wound edges; then pogastric nerve. remove the 4x4s from the surgical site and • The surgeon will likely use his or her fingers place in the kick bucket.
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]
  • 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.
    [Show full text]
  • The Basic Surgery Kit
    GLOBAL EXCLUSIVE > SURGERY > PEER REVIEWED The Basic Surgery Kit Jan Janovec, MVDr, MRCVS VRCC Veterinary Referrals Laurent Findji, DMV, MS, MRCVS, DECVS Fitzpatrick Referrals Considering the virtually limitless range of surgical instruments, it can be difficult to assemble a cost-effective basic surgery kit. Some instruments may misleadingly appear multipurpose, but their misuse may damage them, leading to unnecessary replacement costs or, worse, intraoperative accidents putting the patient’s safety at risk. Many instru- ments are available in different qualities and materials (eg, tungsten carbide instruments— more expensive but much more resistant to wear and corrosion than stainless steel) and Minimal Basic Surgery Kit varied sizes to match the purpose of their use as well as the size of the surgeon’s hand. n 1 instrument case Cutting Instruments n 1 scalpel handle Scalpel n 1 pair Mayo scissors The scalpel is an indispensible item in a surgical kit designed to make sharp incisions. Scalpel incision is the least traumatic way of dissection, but provides no hemostasis. n 1 pair Metzenbaum scissors Scalpel handles come in various sizes, each accommodating a range of disposable n 1 pair suture scissors blades (Figure 1). Entirely disposable scalpels are also available. n 1 pair Mayo-Hegar needle holder Scissors n 1 pair Brown-Adson tissue forceps Scissors are used for cutting, albeit with some crushing effect, and for blunt dissection. n 1 pair DeBakey tissue forceps Fine scissors, such as Metzenbaum scissors (Figure 2), should be reserved for cutting n 4 pairs mosquito hemostatic forceps and dissecting delicate tissues. Sturdier scissors, such as Mayo or suture scissors, are designed for use on denser tissues (eg, fascia) or inanimate objects (eg, sutures, drapes).
    [Show full text]
  • 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.
    [Show full text]
  • (12) United States Patent (10) Patent No.: US 6,652,450 B2 Neisz Et Al
    USOO665245OB2 (12) United States Patent (10) Patent No.: US 6,652,450 B2 Neisz et al. (45) Date of Patent: Nov. 25, 2003 (54) IMPLANTABLE ARTICLE AND METHOD FOREIGN PATENT DOCUMENTS FOR TREATING URINARY INCONTINENCE USING MEANS FOR REPOSITONING THE RE 5, c. 33. IMPLANTABLE ARTICLE EP O470308 A1 2/1992 EP O 650 703 A1 6/1994 (75) Inventors: Johann J. Neisz, Coon Rapids, MN (US); John W. Westrum, Jr., Prior (List continued on next page.) Lake, MN (US); Christopher H. Porter, Woodinville, WA (US) OTHER PUBLICATIONS Beck, Peter R. et al., Treatment of Urinary Stress Inconti (73) ASSignee: η Mystems Inc., nence With Anterior Colporrhaphy, Obstetrics and Gynecol InnelOn Ka, ogy, vol 59 (No. 3), pp. 269-274 (Mar. 1982). (*) Notice: Subject to any disclaimer, the term of this Es ES, MD, A Modified Play t atent is extended or adjusted under 35 patient Bladder Neck Suspension System, Journal of Urol C. 154(b) by 0 days ogy, vol. 152, pp. 23.16-2320 (Dec. 1994). a -- y yS. Benderev, Theodore V., MD, Anchor Fixation and Other Modifications of Endoscopic Bladder Neck Suspension, (21) Appl. No.: 09/917,562 Urology, vol 40, No. 5, pp. 409–418 (Nov. 1992). (22) Filed: Jul. 27, 2001 Das, Sakti et al., Laparoscopic Colpo-Suspension, The O O Journal of Urology, vol. 154, pp. 1119-1121 (Sep. 1995). (65) Prior Publication Data Gilja, Ivan et al., A Modified Raz Bladder Neck Suspension US 2002/0107430 A1 Aug. 8, 2002 Operation (Transvaginal Burch), The Journal of Urology, vol. 153, pp. 1455–1457 (May 1995).
    [Show full text]
  • Floor Grade Instruments
    DIGITAL ORDER FORM YOU MUST DOWNLOAD THIS FILE TO COMPLETE FLOOR GRADE INSTRUMENTS 1. PLEASE COMPLETE THE INFORMATION BELOW Account Name__________________________________________________ Contact Name ___________________________________________________________ Customer Acct. Number (STERIS IMS) ___________________ Phone Number __________________________________________________________ Fax Number _____________________________________________________ Email Address ____________________________________________________________ Shipping PO# _______________________ Address _____________________________________City __________________________________State ________ Zip_____________ 2. ENTER PACKAGE QUANTITY IN THE SPACES PROVIDED: SCISSORS ITEM # DESCRIPTION QTY PR.113-104 Iris | Straight | 4.5in | Qty 25 PR.113-105 Iris | Curved | 4.5in | Qty 25 PR.113-009 PR.113-11158 Lister | Bandage | 5.5in | Qty 25 PR.113-11159 Lister | Bandage | 7.5in | Qty 25 PR.113-1441 Lister | Bandage | 4.5in | Qty 25 PR.113-052 Littauer | Stitch | 15.5in | Qty 25 PR.113-0521 Littauer | Stitch | 4.5in | Qty 25 PR.113-007 Mayo | Straight | 5.5in | Qty 25 PR.113-010 PR.113-009 Mayo | Straight | 6.75in | Qty 25 PR.113-010 Mayo | Curved | 6.75in | Qty 25 PR.113-018 Metzenbaum | Curved | 7in | Qty 25 PR.113-016 Metzenbaum | Curved | 5.75in | Qty 25 PR.113-1121 Metzenbaum | Curved | 5.75in | Qty 25 PR.113-055CBB CONTINUE THROUGH THE NEXT PAGES, ENTERING QUANTITY. SEND FORM TO [email protected]. 1 SCISSORS ITEM # DESCRIPTION QTY PR.113-0063 Voper | Blunt | Straight
    [Show full text]
  • Fine Surgical Instruments for Research™ Hsin-Yi Road, Sec
    INTERNATIONAL Scissors, Bone Instruments Fine Science Tools Inc. & Scalpels 202-277 Mountain Highway pages 3–61 North Vancouver, British Columbia Canada V7J 3T6 Telephone 800-665-5355 / 604-980-2481 Fax 800-665-4544 / 604-987-3299 E-Mail [email protected] Web finescience.ca Fine Science Tools (USA) Inc. 373-G Vintage Park Drive F Forceps & Hemostats Foster City, California 94404-1139 I pages 63–97 Telephone 800-521-2109 / 650-349-1636 N Fax 800-523-2109 / 650-349-3729 E E-Mail [email protected] Web finescience.com S C I E Fine Science Tools GmbH N Vangerowstraße 14 C 69115 Heidelberg Germany E Telephone +49 (0) 62 21 - 90 50 50 Fax +49 (0) 62 21 - 90 50 590 T Probes, Needle Holders, O E-Mail [email protected] Thread, Retractors & Clamps Web finescience.de O pages 99–133 L S InterFocus Ltd. Pentagon Business Park Cambridge Road Linton, Cambridge CB21 4NN C United Kingdom A Telephone +44 (0)1223 894833 T Fax +44 (0)1223 894235 A Surgical & Laboratory E-Mail [email protected] L Accessories Web surgicaltools.co.uk O pages 135–161 G 2 Muromachi Kikai Co., Ltd. 0 4-2-12, Nihonbashi-Muromachi 1 Chuo-ku 4 Tokyo 103-0022 Japan Telephone (03) 3241-2444 Fax (03) 3241-2940 E-Mail [email protected] Student Quality Instruments Web muromachi.com pages 163–167 Proserv Instruments Co., Ltd. 7F-2, No. 413 Fine Surgical Instruments for Research™ Hsin-Yi Road, Sec. 4 Taipei, Taiwan R.O.C. Telephone (02) 27230455 Fax (02) 27230799 2014 E-Mail [email protected] Web proserv.com.tw TABLE OF CONTENTS | CATALOG 2014 Scissors 3 – 37 Spring 3 – 14 WE PROUDLY STOCK Fine 15 – 30 Surgical 31 – 37 Bone Instruments 38 – 51 DUMONT® Rongeurs 38 – 41 A selection of over 50 of the most popular Cutters 42 – 49 Other Bone Instruments 50 Dumont forceps are offered in this catalog.
    [Show 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
    [Show full text]
  • Product Catalog
    precision crafted quality PRODUCT CATALOG www.medicaldevicepurchase.com 1-916-663-4165 2 precision crafted quality A letter from our CEO: Medical Device Purchase is a company started by my father and me almost 10 years ago. We knew the road ahead for MDP would be challenging and that we would inevitably face giant corporations that had been established in the industry for decades. Many said we would not even last two years. However, our approach was different from our competitors. We wanted to create a friendlier environment for healthcare professionals searching for industry-leading surgical products. How? By providing more—and higher quality—options. Our mission was to provide a welcoming environment where customers could enjoy a uniquely approachable buying experience. We wanted to build a brand that focused on creating efficiency and reliability so that our clients could spend more time on the things that really matter. Dr. Ray, our co-founder, passed away earlier this year, but the legacy of Medical Device Purchase lives on as we continue to grow and expand as a cutting edge company blazing new trails in the world of surgical products. Sincerely, Orin Ray www.medicaldevicepurchase.com 3 About MDP WHO WE ARE AND WHAT WE DO Medical Device Purchase is a leading supplier of premium quality surgical products, committed to satisfying the ever-growing demands of the healthcare community. We provide a new level of reliability, efficiency, and value by using applications, performance products, and technology unlike any any other supplier in the the industry. OUR MISSION As the cost of healthcare continues to rise, MDP remain committed to reducing your overhead.
    [Show full text]
  • Measurement, Analysis, and Display of Haptic Signals During Surgical Cutting
    Stephanie Greenish Measurement, Analysis, and Vincent Hayward [email protected] Display of Haptic Signals During Center for Intelligent Machines Surgical Cutting McGill University 3480 University Street Montre´al, Qc, Canada H3A 2A7 Vanessa Chial Allison Okamura Abstract Department of Mechanical Engineering The forces experienced while surgically cutting anatomical tissues from a sheep and The Johns Hopkins University two rats were investigated for three scissor types. Data were collected in situ using Baltimore, MD instrumented Mayo, Metzenbaum, and Iris scissors immediately after death to mini- mize postmortem effects. The force-position relationship, the frequency compo- Thomas Steffen nents present in the signal, the significance of the cutting rate, and other invariant Orthopaedic Research Laboratory properties were investigated after segmentation of the data into distinct task phases. Royal Victoria Hospital Measurements were found to be independent of the cutting speed for Mayo and Montre´al, Que´bec, Canada Metzenbaum scissors, but the results for Iris scissors were inconclusive. Sensitivity to cutting tissues longitudinally or transversely depended on both the tissue and on the scissor type. Data from cutting three tissues (rat skin, liver, and tendon) with Metzenbaum scissors as well as blank runs were processed and displayed as haptic recordings through a custom-designed haptic interface. Experiments demonstrated that human subjects could identify tissues with similar accuracy when performing a real or simulated cutting task. The use of haptic recordings to generate the simula- tions was simple and efficient, but it lacked flexibility because only the information obtained during data acquisition could be displayed. Future experiments should ac- count for the user grip, tissue thickness, tissue moisture content, hand orientation, and innate scissor dynamics.
    [Show full text]
  • Supercut & Tungsten Carbide Instruments
    SUPERCUT & TUNGSTEN carBIDE INSTRUMENTS 589 Davies Drive York, PA 17402 toll-free phone 866-854-8300 toll-free fax 866-854-8400 phone 717-840-9335 fax 717-840-9347 email [email protected] www.miltex.com INTRODUCTION The Miltex name is synonymous with premium surgical instrumentation. Manufactured of the highest quality stainless steel forgings by skilled German craftsmen to exacting specifications. The surgical “feel” of our instruments, the superb cutting ability, the smoothly beveled box locks and jaw edges which protect suture material from snags or cutting are just a few features that differentiate and make Miltex products outperform and stand-out from the competition. These premium SuperCut and Tungsten Carbide instruments include a comprehensive offering of scissors, needle holders, forceps, rasps and other specialty patterns. Our instrument selections recognize and meet the variety of clinical needs for all specialties including General Surgery, Plastic Surgery, Dermatology, Ophthalmology, Dentistry, Veterinary and many more. Illustrations and content signify general description only and may be subject to minor changes TABLE OF CONTENTS TABLE OF CONTENTS Scissors .................................................................. 4-19 Forceps ..................................................................20-23 Needle Holders .......................................................24-32 Specialty Patterns .....................................................33 Rasps .....................................................................34-36 www.miltex.com INSTRUMENT GRADES MILTEX® SUPERCUT SCISSORS SuperCut Scissors have a specially designed razor-sharp Razor-Sharp upper blade edge that cuts effortlessly through tissue. The Edge lower blade has micro-fine serrations to hold tissue and prevent slippage. For easy identification, Miltex SuperCut Scissors have two black ring handles. Micro-Fine Serrations SuperCut scissors are designed to cut tissue only. Dropping or mis- handling will cause the razor-sharp edge to nick or become irregular.
    [Show full text]
  • General & Thoracic Simulation Surgery
    GENERAL & THORACIC SIMULATION SURGERY Teaching for Developing Countries Manual Thomas M. Daniel, MD, FACS Professor Emeritus of Surgery, School of Medicine, University of Virginia Version 3.1 May 2016 Table of Contents Preface ......................................................................................................................................................................... 3 GENERAL & THORACIC SIMULATION SURGERY EXERCISES Exercise 1: Gastrojejunostomy ........................................................................................................................ 5 Figure 1 – PlAcement of StAy Sutures .................................................................................... 6 Figure 2 – Gastric Incision .......................................................................................................... 6 Figure 3 – JejunAl Incision .......................................................................................................... 7 Figure 4 – InitiAl Posterior SeromusculAr Suture ............................................................ 7 Figure 5 – Jejunum ApproximAted to StomAch with InitiAl ProximAl and DistAl Sutures ............................................................................................................. 8 Figure 6 – InitiAl Connell Suture PAssing Inside Out Through the DistAl JejunAl Wall .................................................................................................... 8 Figure 7 – Outside In Gastric Suture .....................................................................................
    [Show full text]