Surgical Instrument Sets

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INSTRUMENT SETS OB/GYN SURGICAL INSTRUMENT SETS OB/GYN SETS Sklar® 98-1400 GYN ABDOMINAL SET PRODUCT NUMBER DESCRIPTION FEATURES QUANTITIES 10-1808 E-Z Lock Instrument Stringer 8" x 2½" 1 10-4394 SklarLite™ Mid-Size Container 18¼" x 11" x 6" Non-Perforated Bottom 1 10-4484 SklarLite™ Mid-Size Wire Basket 16" x 10" x 4" 1 16-1615 Sklar Edge™ Mayo Dissecting Scissor TC, Curved, 9" 1 19-2280 Russian Tissue Forceps 8" 2 34-1414 Ochsner Trocar 14 French, 10 Fr Catheter 1 36-2275 Allis Tissue Forceps 5x6 Teeth, 7½" 8 52-2970 Jorgenson Scissor Strong Curve, 9" 1 90-2680 Phaneuf Forceps Angled, 8¼" 4 90-3025 O'Sullivan O'Connor Abdominal Retractor With 3 Interchangeable Blades, 2 Small / 1 Large 1 90-5500 Sims Curettes #0, Sharp 2 91-1070 Barrett Tenaculum Forceps Straight, 7" 2 91-1298 Schroeder Tenaculum Forceps Rounded Tips, 10" 2 91-1465 Staude-Moore Tenaculum Forceps 6½" 2 91-2282 Jacobs Vulsellum Forceps Straight, 8¼" 2 98-1401 RADICAL VULVECTOMY SET PRODUCT NUMBER DESCRIPTION FEATURES QUANTITIES 06-2903 Scalpel Handles #3 2 06-2907 Scalpel Handle #7 1 10-1810 E-Z Lock Instrument Stringers 10" x 2½" 2 10-4096 SklarLite™ Full Size Container 23" x 11" x 6" Non-Perforated Bottom 1 10-4290 SklarLite™ Full Size Wire Basket 21¼" x 10" x 4" 1 16-1510 Sklar Edge™ Mayo Dissecting Scissor TC, Straight, 6¾" 1 16-1610 Sklar Edge™ Mayo Dissecting Scissor TC, Curved, 6¾" 1 16-1905 Sklar Edge™ Metzenbaum Lahey Scissor TC, Delicate, Curved, 5¾" 1 16-2110 Sklar Edge™ Metzenbaum Scissor TC, Curved, 7" 1 17-1550 Halsted Mosquito Forceps Curved, 5" 4 17-2262 Rochester-Pean Forceps Curved, 6¼" 16 17-2862 Rochester-Ochsner Forceps Straight, 1x2 Teeth, 6¼" 8 17-2880 Rochester-Ochsner Forceps Straight, 1x2 Teeth, 8" 10 17-3055 Crile Forceps Straight, 5½" 4 17-3155 Crile Forceps Curved, 5½" 18 19-1060 Dressing Forceps Serrated, 6" 2 19-1080 Dressing Forceps Serrated, 8" 2 19-1260 Tissue Forceps 1x2 Teeth, 6" 2 19-1280 Tissue Forceps 1x2 Teeth, 8" 2 21-8031 TC Mayo Hegar Needle Holders Serrated, 6" 2 21-8032 TC Mayo Hegar Needle Holders Serrated, 7" 2 36-2160 Allis Tissue Forceps 4x5 Teeth, 6" 10 42-1865 Weitlaner Retractors 3x4 Teeth, Blunt, 6½" 2 47-2852 Lorna-Edna Towel Clamps 5½" 2 47-2955 Backhaus Towel Clamps 5¼" 2 50-1290 Cushing Vein Retractors 9" 2 50-1472 Adson Forceps Curved, 7¼" 4 50-3047 Adson Tissue Forceps 1x2 Teeth, 4¾" 2 52-5177 DeBakey Atraumatic Forceps 2mm, 7¾" 2 55-2880 Gemini Clamps Delicate, Angled, 8" 4 www.sklarcorp.com Sklar® 800.221.2166 574 Hospital.

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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.
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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.
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Vantage by Integra® Miltex® Surgical Instruments
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STILLE Surgical Instruments Kirurgisk Perfektion I Närmare 180 År Surgical Perfection for Almost 180 Years
STILLE Surgical Instruments Kirurgisk perfektion i närmare 180 år Surgical Perfection for almost 180 years I närmare 180 år har vi utvecklat och tillverkat de bästa kirurgiska For almost 180 years, we have developed and manufactured the best instrumenten till världens mest krävande kirurger. Vi vill rikta ett stort surgical instruments for the world’s most demanding surgeons. tack till alla våra trogna kunder och samtidigt välkomna våra nya kunder. We would like to extend a heartfelt thank you to all our loyal I den här katalogen presenterar vi vårt kompletta sortiment av customers and a warm welcome to our new customers. In this catalog STILLEs original instrument. we present our complete range of STILLE original surgical instruments. Precision, hållbarhet och känsla är typiska egenskaper för alla Precision, durability and feel are characteristic qualities of all STILLE STILLE-instrument. Den stora majoriteten är handgjorda av våra instruments. The vast majority are handcrafted by our highly skilled skickliga instrumentmakare Eskilstuna. Instrumentets resa från rundstål instrument makers in Eskilstuna, west of Stockholm, Sweden. The instru- till ett färdigt instrument är lång, och består av många tillverkningssteg. ments’ journey from a rod of stainless steel to a finished instrument is a STILLEs unika tillverkningsmetod och användning av enbart det bästa long one, involving multiple stages. STILLE’s unique method of crafting its materialet ger våra instrument deras unika känsla och hållbarhet. instrument materials, and its usage of only the very highest-grade steels, give our instruments their unique feel and durability. I det första kapitlet hittar du våra saxar, allt från vanliga operationssaxar till våra unika SuperCut och Diamond SuperCut-saxar.
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Dear Customer, Sontec Instruments, Inc. is a family owned & operated medical company, providing personalized service featuring the finest in surgical instrumentation for over half a century. Our surgical instruments encompass the entire human anatomy including specialty products specific to small and large animal surgery. Owner of Sontec Instruments, Dennis Russell Scanlan III and his sons, Johann, Stefan and Angus Scanlan bring with them a lifetime of experience creating the highest quality products made by the world’s leading manufacturing facilities featuring, cutting edge robotic technology, handmade workmanship combined with an understanding how to make exactly what our valued customers have come to expect. Dennis R. Scanlan, III President & CEO and his wife Caron C. Scanlan thank you, for the opportunity to present our specialty Equine catalog. Sincerely, Dennis Russell Scanlan III Printed 8/20 Colorado, USA / 1.800.821.7496 / www.SontecInstruments.com 1 Table of Contents Important Information . 4 Rongeurs ..............33 Equine Specialty . 55 Forceps . 121 Retractors ............149 Scissors. 159 Needle Holders . 209 Index ................228 Colorado, USA / 1.800.821.7496 / www.SontecInstruments.com 3 IMPORTANT INFORMATION Troubleshooting Guide Guarantee & Repairs Policy System Needle Holders • Equine (Arthroscopic) • Repair is necessary when needle holder Problem Cause Solution Sontec® surgical instruments are guaran- • Eye no longer securely holds needle when teed to be free of defects in materials and • Neurology & Orthopedic locked on the second ratchet tooth, and workmanship. Any Sontec® instrument that • Orthopedic & Arthroscopic needle turns easily by hand Rust Worn chrome plating on Be aware of plating condition and remove from is defective will be repaired or replaced at our • Urology brass instruments service when wear is visible.
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Instruments 449-478 4/3/06 10:42 AM Page 449
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5. Uterine Aspiration Procedure Manual Vacuum Aspiration (Mva) Electric Vacuum Aspiration (Eva)
5. UTERINE ASPIRATION PROCEDURE MANUAL VACUUM ASPIRATION (MVA) ELECTRIC VACUUM ASPIRATION (EVA) This section contains information on early uterine aspiration with manual and electric vacuum, used for both abortion* and management of early pregnancy loss. You will train in the use of vacuum equipment, steps in the uterine aspiration procedure, and tissue evaluation. Although most early uterine aspiration procedures are technically straightforward, some present challenges. Management of the more complex cases and complications will also be discussed. CHAPTER LEARNING OBJECTIVES Following chapter completion and hands-on experience, you should be better able to: □ List the steps of the uterine aspiration procedure and tips for dilation. □ Identify and correctly use equipment for manual vacuum aspiration. □ Consistently use the ‘no touch technique’ while providing uterine aspiration, and describe its importance. □ Evaluate products of conception for presence of appropriate gestational tissue. □ Assess and manage challenges and complications related to uterine aspiration. READINGS / RESOURCES: □ National Abortion Federation (NAF). Management of Unintended and Abnormal Pregnancy (Paul M. et al, Wiley-Blackwell, 2009) • Chapter 10: First Trimester Aspiration Abortion • Chapter 13: The Challenging Abortion • Chapter 15: Surgical Complications: Prevention and Management * “Aspiration abortion” is the term we use instead of “surgical abortion”, as suggested in Weitz et al. 2004. First-trimester abortions are most often completed through either electric or manual aspiration – typically simple procedures that can be safely undertaken in a regular exam room, with local &/or oral analgesics and little recovery time. The abortion procedure can also be called “suction abortion.” Use of the term “surgical” connotes cutting of tissue, in a process likely to take place in a hospital operating room.
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Dilatation & Evacuation (D&E) Reference Guide
Dilatation & Evacuation (D&E) Reference Guide INDUCED ABORTION AND POSTABORTION CARE AT OR AFTER 13 WEEKS GESTATION (‘SECOND TRIMESTER’) © 2017, 2018 Ipas ISBN: 1-933095-98-9 Citation: Edelman, A. & Kapp, N. (2018). Dilatation & Evacuation (D&E) Reference Guide: Induced abortion and postabortion care at or after 13 weeks gestation (‘second trimester’). Chapel Hill, NC: Ipas. Ipas works globally so that women and girls have improved sexual and reproductive health and rights through enhanced access to and use of safe abortion and contraceptive care. We believe in a world where every woman and girl has the right and ability to determine her own sexuality and reproductive health. Ipas is a registered 501(c)(3) nonprofit organization. All contributions to Ipas are tax deductible to the full extent allowed by law. For more information or to donate to Ipas: Ipas P.O. Box 9990 Chapel Hill, NC 27515 USA 1-919-967-7052 www.ipas.org Cover photo: © Richard Lord The photographs used in this publication are for illustrative purposes only; they do not imply any particular attitudes, behaviors, or actions on the part of any person who appears in the photographs. Printed on recycled paper. Dilatation & Evacuation (D&E) Reference Guide: INDUCED ABORTION AND POSTABORTION CARE AT OR AFTER 13 WEEKS GESTATION (‘SECOND TRIMESTER’) Alison Edelman Senior Clinical Consultant, Ipas Professor, OB/GYN Oregon Health & Science University Nathalie Kapp Associate Medical Director, Ipas MD, MPH About Ipas Ipas works globally so that women and girls have improved sexual and reproductive health and rights through enhanced access to and use of safe abortion and contraceptive care.
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Chirurgische Instrumente Surgical Instruments
CHIRURGISCHE INSTRUMENTE SURGICAL INSTRUMENTS SURGICAL INSTRUMENTS Percussion Hammers & Aesthesiometers 01-103 01-102 DEJERINE 01-104 DEJERINE With Needle TAYLOR Size: 200 mm Size: 210 mm Size: 195 mm 01-101 ½ ½ ½ TROEMNER Size: 245 mm ½ 01-109 01-106 01-107 WARTENBERG BUCK RABINER Pinwheal For 01-105 With Needle With Needle 01-108 Neurological BERLINER And Brush And Brush ALY Examination Size: 200 mm Size: 180 mm Size: 255 mm Size: 190 mm Size: 185 mm ½ ½ ½ ½ ½ Page 1 2 Stethoscopes 01-112 01-110 01-111 BOWLES PINARD (Aluminum) aus Holz (Wooden) Stethoscope Size: 155 mm Size: 145 mm With Diaphragm ½ ½ 01-113 01-114 ANESTOPHON FORD-BOWLES Duel Chest Piece 01-115 With Two Outlets BOWLES Page 2 3 Head Mirrors & Head Bands 01-116 01-117 ZIEGLER mm ZIEGLER mm Head mirror only Head mirror only with rubber coating with metal coating 01-118 01-120 ZIEGLER MURPHY Head band of plastic black Head band of celluloid, white 01-119 ZIEGLER Head band of plastic white 01-121 01-122 Head band of plastic, Head mirror with black white, soft pattern plastic head band. Page 3 4 Head Light 01-123 CLAR Head light, 6 volt, with adjustable joint, white celluloid head band, cord with plugs for transformer 01-124 White celluloid head band, only, for 01-125 Spare mirror only, for 01-126 spare bulb 01-127 CLAR Head light, 6 volt, with adjustable joint, white celluloid head band, with foam rubber pad and cord with plugs for transformer 01-128 White celluloid head band, only, for head light 01-129 mirror only, for head light 01-130 spare foam rubber pad, for head band
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Clinical Pearls and Common Pitfalls 1) Use Care with Language: Give
Clinical Pearls and Common Pitfalls 1) Use care with language: give anticipatory statements to patient as you go, − “soften your muscles, take a deep breath, allow your head and shoulders to fall into the pillow” rather than to just “relax” − “you will feel me swabbing here” rather than “I am cleaning” 2) Visualization: − Position the patient far down on the exam table − Ensure adequate lighting (a gooseneck lamp or plastic lighted speculum) − Use the right size and shaped speculum: o if too narrow or too short the speculum will not allow good visualization o go up a size or increase width if needed o it may help to open the speculum blades at the base as well as the tip For the obese patient consider: o a stronger or longer metal speculum o have her hold her knees or legs up if necessary to lift her buttocks o lower the head of the table if necessary o if redundant vaginal tissue obstructs the cervix, consider placing the speculum in a condom then cut a hole at the end of the condom 3) Tenaculum: Always use a tenaculum for IUC placement; traction on the tenaculum straightens the sharp angle between the cervix and uterine body − Hold the tenaculum with your palm up so you can see above it − Take a bite that is about the size of a nickel. A bite that is too small can lead to tearing, too large a bite is unnecessarily painful − Place the bite about halfway between the external os and the edge of the cervix (1.5-3 cm away from the external os.) Any closer may clamp down or obscure the opening so that the sound will not pass through − Only clamp to first or second ratchet, and clamp slowly to minimize pain − If the tenaculum obstructs your view, rather than moving it out of the way, remember to use it.
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8200 • Pipelle® Endometrial Suction Curette Directions for Use (English)
7. For histologic assessment of the specimen, the tip of the sheath should ® now be sectioned just proximal to its distal curette opening (Figure 4). 8200 • Pipelle Endometrial Suction Curette The piston should then be advanced within the sheath to express the specimen from the sectioned sheath into an appropriate transport medium Directions for Use (English) (Figure 5). Figure 4 Figure 5 DESCRIPTION The Pipelle® is a single-use, sterile, disposable, suction curette for obtaining a histologic biopsy of the uterine mucosal lining or sample extraction of uterine menstrual content for microscopic examination or culturing. The device consists of a clear, flexible, polypropylene sheath that is 26.5 cm (overall) 23.5 cm (effective) length with a 3.1 mm OD (Outside Diameter) and a 2.6 mm ID (Internal Diameter). The sheath is marked with colored, graduated markings from 4 cm to 10 cm, distance from the distal tip of the sheath to indicate the depth of insertion of the sheath into the uterus during use (see diagram below). 8. For bacterial culturing of the specimen, leave the piston in its fully withdrawn position and do not section the sheath at its distal curette A B 4 cm 8 cm C D EF opening. Immediately send the entire, intact instrument with the specimen 7 cm 10 cm captured within it to the laboratory with instructions to section the distal tip at a point at least 2 mm proximal to the distal curette opening and then to express the sample by use of the piston onto the appropriate culturing medium.
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