Chapter 11-complex surgical instruments

Complex surgical instruments

Endoscope

An instrument used to examine the interior of a hollow organ or body cavity.

Light-emitting diode (LED)

Semi-conductor diode that emits light when voltage is applied

Delayed Processing

Cleaning instructions for endoscopes that have not been processed within an hour after the completion of point of use treatment.

Fixative

A substance used to keep things in position or stick them together.

A chemical substance used to preserve or stabilize biological material for examination

Loaned Instruments

Instruments or sets borrowed from a vendor or other facility for emergency or scheduled surgical procedures that will be returned following use.

(Workbook) The first step to inspect the insulation of a laparoscopic instrument is to:

Check the collar at the distal tip

(Workbook) Which of the following steps happens first when processing flexible endoscopes?

Leak testing

(Workbook) Pneumatic cords are a cleaning concern because

They are dark in color, so soil is difficult to see

(Workbook) The purpose of using a decontamination battery or hose when cleaning powered surgical instruments is to:

Keep fluid from entering the unit

(Workbook) One of the main reasons for powered surgical instrument repair is:

Lack of preventative maintenance (PM)

(Workbook) Powered surgical instrument attachments:

Can be peel packaged for sterilization if approved by the manufacturer

(Workbook) loaned instruments should:

Be decontaminated before use

(Workbook) Information regarding cleaning processes for endoscopes should be provided by the:

Instrument manufacturer

(Workbook) Which of the following statements about endoscopes is true?

Flexible endoscopes are time-consuming to clean

(Workbook) Electronic testing of laparoscopic insulation should be done

in the clean assembly area prior to set assembly

(Workbook) Pneumatic hoses:

Should be pressurized for proper inspection

(Workbook) Powered surgical instrument batteries should be charged per the manufacturers’ instructions for use (IFU):

Before Sterilization

(Workbook) Semi-rigid endoscopes:

Are used during urological procedures

(Workbook) Endoscoptic cameras:

Should be inspected for cuts, nicks, or other damage to the cable

(Workbook) Robotic instruments:

May have exposed cables

[workbook] When returning loaned items to the vendor:

All items should be cleaned and decontaminated

[workbook] Which should be used to thoroughly rinse (remove) all traces of cleaning solution from an endoscope’s channels?

Water of the quality recommended in the device manufacturer’s instructions for use (IFU)