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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. -
Catalogue of Surgical Instruments, for Sale by Codman & Shurtleff, 13
CATALOGUE OF jittigical KttjgtrttittitttjGi, FOR SALE BY CODMAI & SHUETLEPF, 13, Tremont Street, Boston. Amputating Case, containing the following warranted instruments of first quality and finish, in handsome brass-hound Rosewood Case, 16 inches long, 4\ wide, and high: — Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, four Amputating Knives, Tenaculum, Tourniquet, half-dozen assorted Needles, and Ligature Silk, . $25.00 Amputating Case, Mahogany, 16 inches long, 4\ wide, 8j high, containing the following instruments, of plainer finish than the above, first quality, war- ranted : — Capital Saw, Metacarpal Saw, four Am- putating Knives, Bone Forceps, Slide-catch Artery Forceps, Tenaculum, Tourniquet, four assorted Needles, and Ligature Silk 20.00 Amputating Case, Mahogany, inches long, 6 wide, 2f high, containing: — Capital Saw, Metacarpal Saw, three Amputating Knives, large Scalpel, Spring-catch Artery Forceps, Bone Forceps, Tena- culum, Tourniquet, one dozen assorted Needles, and Ligature Silk 18.50 2 CODMAN AND SHURTLEFF’S Amputating and Trepanning Case, Rosewood, brass bound, 16 inches long, wide, 3 high, containing the following instruments of first quality and finish, warranted:— Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, three Amputating Knives, large Scalpel, Tenaculum, Tourniquet, half-dozen assorted Needles, two Tre- phines, Hey’s Saw, Elevator, Brush, and Ligature Silk $35.00 Amputating and Trepanning Case (Parker’s Com- pact), Rosewood, brass bound, 12 inches long, 4 wide, 2J high, containing the following ivory- mounted instruments of best quality and finish, warranted:— Capital Saw, Metacarpal Saw, Hey’s Saw, three Amputating Knives adapted to one handle by screw, Finger Knife, Spring-catch Artery Forceps, Bone Forceps, Tenaculum, Tourniquet, Trephine, Elevator, Brush, six assorted Needles, and Ligature Silk 35.00 Amputating Cases fitted up to order, at prices corres- ponding with number and style of instruments. -
Model for Teaching Cervical Dilation and Uterine Curettage
Model for Teaching Cervical Dilation and Uterine Curettage Linda J. Gromko, MD, and Sam C. Eggertsen, MD Seattle, W a s h in g to n t least 15 percent of clinically recognizable pregnan METHODS A cies terminate in fetal loss, with the majority occur ring in the first trimester.1 Cervical dilation and uterine The fabric model was developed under the guidance of curettage (D&C) is frequently important in the manage physicians at the University of Washington Department ment of early pregnancy loss to control bleeding and re of Family Medicine and is commercially available.* The duce the risk of infection. D&Cs are also done for thera model, designed to approximate a 10-week last-menstrual- peutic first trimester abortions in family practice settings. period-sized uterus, is supported by elastic “ligaments” Resident experience may vary greatly, and some may feel on a wooden frame (Figure 1). A standard Graves spec inadequately trained in this procedure. The initial use of ulum can be inserted into the “vagina,” permitting vi gynecologic instruments (ie, tenaculum, sound, dilators, sualization of a cloth cervix. After placement of a tena curette) can feel awkward to the learner, and extensive culum onto the cervix, a paracervical block can be verbal tutoring may be discomfiting to the awake patient. demonstrated and the uterus sounded. Progressive dilation Training on a model can reduce these problems. After with Pratt or Denniston dilators follows: a drawstring al gaining basic skills on a model, the resident can focus on lows for the cervix to retain each successive degree of di gaining additional skills and refining technique during pa lation. -
Usefulness of the Harmonic Scalpel in Thyroid Surgery
ORIGINAL ISSN: 2005-162X J Korean Thyroid Assoc 2012 November 5(2): 138-142 ARTICLE http://dx.doi.org/10.11106/jkta.2012.5.2.138 Usefulness of the Harmonic Scalpel in Thyroid Surgery Hwan Choe, Kwang-Yoon Jung, Soon-Young Kwon, Jeong-Soo Woo, Min Woo Park and Seung-Kuk Baek Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea Background and Objectives: The harmonic scalpel using the ultrasonic energy is able to grasp and divide tissue while sealing small vessels in narrow operating fields. The aim of the present study was to evaluate the usefulness of the harmonic scalpel in thyroid surgery. Materials and Methods: This study was performed for 247 patients who underwent thyroidectomy. According to the use of harmonic Scalpel, the patients could be divided into two groups: the conventional technique (CT) group of knot tying and the harmonic scalpel (HS) group. Results: For hemithyroidectomy, operation time and hospital stay were shorter in the HS group compared with the CT group (p＜0.05). For total thyroidectomy with central neck dissection (CND), operation time, total drainage volume, drain removal date, and hospital stay were significantly reduced in the HS group (p＜0.05). Among the patients who underwent total thyroidectomy with CND with the HS, one patient (2.9%) showed transient recurrent laryngeal nerve palsy. Transient hypoparathyroidism showed significantly lower incidence in the HS group (p＜0.05). Conclusion: HS might be cost-effective by reducing operation time and hospital stay -
Cleaning, Disinfection and Sterilization Guide
CLEANING, DISINFECTION AND STERILIZATION GUIDE Revision 5.2 Copyright 2016, Brainlab AG Germany. All rights reserved. TABLE OF CONTENTS TABLE OF CONTENTS GENERAL INFORMATION...................................................................................................7 Contact Data and Legal Information......................................................................................................7 Contact Data................................................................................................................................................7 Legal Information .........................................................................................................................................8 Symbols .......................................................................................................................................................9 Symbols Used in This Guide ........................................................................................................................9 Hardware Symbols.....................................................................................................................................10 Hardware....................................................................................................................................................13 Using the Hardware ...................................................................................................................................13 Documentation .........................................................................................................................................14 -
RELATIVE VALUE UNITS (RVUS) and RELATED INFORMATION—Continued
Federal Register / Vol. 68, No. 158 / Friday, August 15, 2003 / Proposed Rules 49129 ADDENDUM B.—RELATIVE VALUE UNITS (RVUS) AND RELATED INFORMATION—Continued Physician Non- Mal- Non- 1 CPT/ Facility Facility 2 MOD Status Description work facility PE practice acility Global HCPCS RVUs RVUs PE RVUs RVUs total total 42720 ....... ........... A Drainage of throat ab- 5.42 5.24 3.93 0.39 11.05 9.74 010 scess. 42725 ....... ........... A Drainage of throat ab- 10.72 N/A 8.26 0.80 N/A 19.78 090 scess. 42800 ....... ........... A Biopsy of throat ................ 1.39 2.35 1.45 0.10 3.84 2.94 010 42802 ....... ........... A Biopsy of throat ................ 1.54 3.17 1.62 0.11 4.82 3.27 010 42804 ....... ........... A Biopsy of upper nose/ 1.24 3.16 1.54 0.09 4.49 2.87 010 throat. 42806 ....... ........... A Biopsy of upper nose/ 1.58 3.17 1.66 0.12 4.87 3.36 010 throat. 42808 ....... ........... A Excise pharynx lesion ...... 2.30 3.31 1.99 0.17 5.78 4.46 010 42809 ....... ........... A Remove pharynx foreign 1.81 2.46 1.40 0.13 4.40 3.34 010 body. 42810 ....... ........... A Excision of neck cyst ........ 3.25 5.05 3.53 0.25 8.55 7.03 090 42815 ....... ........... A Excision of neck cyst ........ 7.07 N/A 5.63 0.53 N/A 13.23 090 42820 ....... ........... A Remove tonsils and ade- 3.91 N/A 3.63 0.28 N/A 7.82 090 noids. -
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 -
Caring for Your Urinary (Foley) Catheter
Caring for Your Urinary (Foley) Catheter This information will help you care for your urinary (Foley) catheter while you’re at home. You have had a urinary catheter (a thin, flexible tube) placed in your bladder to drain your urine (pee). It’s held inside your bladder by a balloon filled with water. The parts of the catheter outside your body are shown in Figure 1. Catheter Care ● You need to clean your catheter, change your drainage bags, and wash your drainage bags every day. ● You may see some blood or urine around where the catheter enters your body, especially when walking or having a bowel movement. This is normal, as long as there’s urine draining into the drainage bag. If there’s not, call your healthcare provider. ● While you have your catheter, drink 1 to 2 glasses of liquids every 2 hours while you’re awake. ● Make sure that the catheter is in place in a tension free manner. The catheter should not be tight and should sit loosely. Showering ● You can shower while you have your catheter in place. Don’t take a bath until after your catheter is removed. ● Make sure you always shower with your night bag. Don’t shower with your leg bag. You may find it easier to shower in the morning. Cleaning Your Catheter You can clean your catheter while you’re in the shower. You will need the following supplies: 1. Gather your supplies. You will need: ○ Mild soap ○ Water 2. Wash your hands with soap and water for at least 20 seconds. -
Surgical Instruments Ă
SURGICAL INSTRUMENTS Claudia Gherman, ăCiocan, Ovidiu Fabian Learning objectives What you should know The main types of surgical instruments The main instruments used for cutting tissues The main instruments used for tissue manipulation The main instruments used for exposure (retractors) The main instruments used for suturing The functioning principle of electrocautery devices The main laparoscopic instruments What you should do Recognize the main surgical instruments Attach a scalpel blade to a handle/remove it from the handle Hand a scalpel to another person correctly Perform an incision Handle scissors (hold them correctly, cut under visual control, hand scissors to another person) Handle a self-retaining forceps (hold it correctly, grip the tissue, close and open the forceps, hand it to another person) Hold a retractor correctly Hold, close/open and hand over a needle holder correctly Recognize a suturing needle; recognize a sharp needle and an intestinal needle; find on the needle and suture package the main information about the needle Classification In order to perform surgery, the surgical team needs a number of surgical instruments. Each of the thousands of instruments used is designed for a specific function. They can be classified depending on use as follows: Cutting instruments Instruments for tissue grasping and manipulation Instruments for tissue exposure Suturing instruments Hybrid instruments Endoscopic instruments Cutting instruments Scalpels: consist of a handle and a blade; the handle is made of metal (reusable) or plastic (disposable); blades are disposable, of various shapes and sizes. The top of the scalpel handle has a special part, with a groove that allows its sliding into the blade slot and securing of the blade in position. -
Answer Key Chapter 1
Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 1 of 101 Answer Key Chapter 1 Introduction to Clinical Coding 1.1: Self-Assessment Exercise 1. The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. 2. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. CPT Code: 27766-LT The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture. Correct code: 52281 4. The operative report states that the physician performed Strabismus surgery, requiring resection of the medial rectus muscle. CPT Code: 67314 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Correct code: 67311 5. The chiropractor documents that he performed osteopathic manipulation on the neck and back (lumbar/thoracic). CPT Code: 98925 Note in the paragraph before code 98925, the body regions are identified. The neck would be the cervical region; the thoracic and lumbar regions are identified separately. Therefore, three body regions are identified. Correct code: 98926 Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 2 of 101 6. -
Images Paediatr Cardiol
RK Kumar and AC Nair. Coil Occlusion of the Large Patent Ductus Arteriosus. Images Paediatr Cardiol. 2008 Jan-Mar; 10(1): 8–26. in PAEDIATRIC CARDIOLOGY IMAGES Images Paediatr Cardiol. 2008 Jan-Mar; 10(1): 8–26. PMCID: PMC3232586 Coil Occlusion of the Large Patent Ductus Arteriosus RK Kumar and AC Nair Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India Contact information: R. K. Kumar, Amrita Institute of Medical Sciences and Research Centre, Elamakkara PO, Kochi 682026, Kerala, India Phone: 91- 484-280-4001599 Fax: 91-484-2802020 ; Email: [email protected] Copyright : © Images in Paediatric Cardiology This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract While coil occlusion is well accepted for the small patent ductus arteriosus (PDA), occlusive devices are preferred for the larger (> 3 mm) ducts by most institutions. Because of costs concerns, occlusive devices are not always realistic in many countries. The technique of simultaneous delivery of multiple coils with bioptome assistance works well for relatively larger ducts. This technique requires careful case selection through echocardiography. The duct anatomy plays a crucial part in determining the suitability for coil occlusion. Coil occlusion has a specific advantage for relatively larger ducts in selected small children and in preterm infants because it is possible to accomplish delivery of multiple coils through relatively small introducer sheaths. In addition, aortic narrowing is less likely because coils compact in the ampulla. -
Surgery Instrumnts Khaled Khalilia Group 7
Surgery Instrumnts khaled khalilia Group 7 Scalpel handle blade +blade scalpel blade disposable fixed blade knife (Péan - Hand-grip : This grip is best for initial incisions and larger cuts. - Pen-grip : used for more precise cuts with smaller blades. - Changing Blade with Hemostat Liston Charrière Saw AmputationAmputati knife on knife Gigli Saw . a flexible wire saw used by surgeons for bone cutting .A gigli saw is used mainly for amputation surgeries. is the removal of a body extremity by trauma, prolonged constriction, or surgery. Scissors: here are two types of scissors used in surgeries.( zirconia/ ceramic,/ nitinol /titanium) . Ring scissors look much like standard utility scissors with two finger loops. Spring scissors are small scissors used mostly in eye surgery or microsurgery . Bandage scissors: Bandage scissors are angled tip scissors. helps in cutting bandages without gouging the skin. To size bandages and dressings. To cut through medical gauze. To cut through bandages already in place. Tenotomy Scissors: used to perform delicate surgery. used to cut small tissues They can be straight or curved, and blunt or sharp, depending upon necessity. operations in ophthalmic surgery or in neurosurgery. 10 c”m Metzenbaum scissors: designed for cutting delicate tissue come in variable lengths and have a relatively long shank-to-blade ratio blades can be curved or straight. the most commonly used scissors for cutting tissue. Use: ental, obstetrical, gynecological, dermatological, ophthalmological. Metzenbaum scissors Bandage scissors Tenotomy scissors Surgical scissors Forceps: Without teeth With teeth Dissecting forceps (Anatomical) With teeth: for tougher(hart) tissue: Fascia,Skin Without teeth: (atraumatic): for delicate tissues (empfindlich): Bowel Vessels.