CHAPTER 30 -35 Instruments Final

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Jake" is pretty much a very skinny hemostat (the entire mouth is as skinny or skinnier than a tonsil (Schnidt) The length is around the same as a hemostat

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pylorus spreader is used during an Open Pyloromyotomy  to correct pyloric stenosis - to stretch/widen the incision into they pyloris

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Singley Forceps Bowel - non-traumatic forceps used with pediatric bowel

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Gnat"  it is smaller than a mosquito and used in pediatric urology to tag suture during a circumcision.

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• Finiochietto Rib Spreader - this is a self-retracting retractor used to spread the chest open or ribs apart; Spreading ribs for exposure of chest

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• Rib Contractor - This is used to approximate the rib without damaging it for the purpose of suturing 

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• Bulldogs - small vessel clamps used to stop blood flow during vascular and cardiovascular procedures

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• Potts scissors - used to extend incision into a vessel

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• #11 Blade on a #7 knife handle - used to make vascular incisions

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• Castroviejo Needle Holder - used to hold very small needles - in vascular - usually prolene 

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• Geralds or Ruel Forceps - forceps that are commonly used in vascular/neuro  when suturing with a Castroviejo NH

.Vascular Clamp

• Vascular Clamps - assortment of clamps that are used on the appropriate size vessel to temporarily stop blood flow without damaging the vessel

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• Duval Lung Grasping Forceps - Nontraumatic Clamp used to grasp the lung during thoracic procedures 

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• Sternal Twisters - Used to grip and manipulate Steel Wire sutures used when closing the sternum

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• Matson Rib Stripper - Scrape peritoneum off of the ribs

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• Bethune Rib Shears - Cut ribs

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• Stille-Luer Bone Cutter - take large bites of bone and cartilage 

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• Ryder NH - Mouth thins inward on both sides - used to grasp small delicate needles

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• Green Magnet - used when patient is in lithotomy - instruments can be kep on the sterile field without worrying about them falling to the floor

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• Potts Scissors - used to extend incisions into vessels

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• Coronary Artery Scissors - used to cut vessels without the handles obstructing the surgeon's view -  open heart surgery

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• Geralds & Ruels - passed when using castro NHs and used to grasp very delicate small bites of tissue

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• Mayo NHs - can be used with thicker bigger needles

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• Aortic Punch - Make an opening into the vessel wall for cannulation or graft

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• Atrium Retractor - nontraumatic retraction during open heart surgery to achieve access to surgical site

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• Green Retractor - atraumatic retraction of delicate tissues/vessels - can hold more tissue than the cushings

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• Debakey Dilators - safely and progressively dilate the lumen of vessels

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Metz heavy dissecting scissors

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Potts extend an incision into a vessel

11 blade , cut into vessel ( 7 knife blade ) next Potts

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Castroviejo - small sutures- Vascular/ neuro/ eyes

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Baileys - is a fine point right angle , used to get around structure

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Ruel Vascular forceps

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Gerald vascular forceps small sutures

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Fogerty catheter