💦 OB, GYN, Urology

Single Tooth Tenaculum

Grasping/Holding

Counted Individually

Traumatic: Used to securely penetrate the cervix and utilize traction to stabilize it during any uterine procedure with vaginal approach

Double Tooth Tenaculum

Grasping/Holding

Counted Individually

Traumatic: Used to securely penetrate the cervix and utilize traction to stabilize it during any uterine procedure with vaginal approach

Polyp Forceps

Grasping/Holding

Counted Individually

Atraumatic, used to bluntly remove polyps from within uterus (cervical access), nose, or sinus cavities

Heaney Clamp

Clamping/Occluding

Counted Individually

Traumatic: used abdominally or vaginally to clamp and hold without slippage very vascular uterine pedicles during hysterectomy, used in clamp clamp cut tie tie

Curved, Straight, Right angle versions

Heaney-Ballentine Clamp

Clamping/Occluding

Counted Individually

Traumatic: used abdominally or vaginally to clamp and hold without slippage very vascular uterine pedicles during hysterectomy, used in clamp clamp cut tie tie

Curved, Straight, Right angle versions

Rogers Hysterectomy Clamp

Clamping/Occluding

Counted Individually

Traumatic: used abdominally or vaginally to clamp and hold without slippage very vascular uterine pedicles during hysterectomy, used in clamp clamp cut tie tie

Curved, Straight, Right angle versions

Z Hysterectomy Clamp

Clamping/Occluding

Counted Individually

Traumatic: used abdominally or vaginally to clamp and hold without slippage very vascular uterine pedicles during hysterectomy, used in clamp clamp cut tie tie

Curved, Straight, Right angle versions

Avard Weighted Speculum

Retracting/Viewing

Counted Individually

Self-retaining, atraumatic, retracts posterior vaginal wall with weight, groove along speculum allows for drainage of blood, used with a bag/or sometimes glove to collect blood

Graves Vaginal Speculum

AKA: Duckbill Speculum

Retracting/Viewing

Counted Individually

Self-retaining, atraumatic, used to retract anterior and posterior vaginal walls allowing visualization of cervix

Heaney Retractor

AKA: Right Angle Retractor

Retracting/Viewing

Counted Individually

Handheld, atraumatic, used to visualize the cervix, retracts large, deep walls of vagina

Simms Vaginal Retractor

Retracting/Viewing

Counted Individually

Handheld, atraumatic, retracts deep tissue of vaginal wall to visualize cervix

Lone Star Retractor with Stays

Retracting/Viewing/Supply

Counted Individually

Self-retaining retractor, small end is used to secure a drape with clamp, larger ring hangs over perineum during anterior and posterior vaginal repairs

Stay:

Small sharp hook placed through vaginal wall tissue and attached to elastic tubing

Uterine Manipulators (Zumi, Clearview)

Retracting/Viewing

Counted Individually

Atraumatic, inserted through cervix to externally manipulate the uterus with the patient in lithotomy position during laparoscopic procedures

Colored fluid may be injected into fallopian tubes to confirm patency

Uterine Sound

Accessory

Counted Individually

Atraumatic, used to measure the depth of the uterus to indicate how deep dilators or curettes can be inserted without penetrating uterine wall

Inserted vaginally through cervical opening until it touches the fundus

Hegar Dilators

Dilating

Counted Individually

Used progressively from smallest to largest to dilate the cervix, starts at size of cervix and stops at size of instrument

Care must be used to avoid puncturing the fundus of uterus

Van Buren Urethral Sounds

Dilating

Counted Individually

Smeared with KY jelly and used progressively from smallest to largest to dilate urethra in both males and females

Starts with sound that is closest to opening of urethra and stop at size of instrument to be used

Hank Dilators

Dilating

Counted Individually

Used progressively from smallest to largest to dilate the cervix/urethra

Stop ring helps avoid perforating the uterus as cervix is dilated

Sims Uterine Curettes

Cutting/Dissecting

Counted Individually

Used to scrape a sample of endometrial tissue from inner walls during a DnC

May remove excess tissue that may be causing pain/bleeding

Endocervical Curette

Cutting/Dissecting

Counted Individually

Used to scrape a sample of endocervical tissue in DnC procedure

Tissue sent to pathology for inspection

Thomas Uterine Curette

Cutting/Dissecting

Counted Individually

Used to bluntly remove loose uterine contents during a Dilation & Curettage (DnC) procedure

May remove excess tissue that may be causing pain/bleeding

Hysterscopy/Cystoscopy Cannula

AKA: Hysterscopy/Cystoscopy Obturator and Sheath

Viewing

Counted Individually

Placed through cervix to endoscopically view the uterus

Cannula allows passage of scope and specialized instruments, inflowing and outflowing fluid mechanism

Obturator allows for atraumatic insertion through cervix

Cystoscopy Cannula

AKA: Obturator and Sheath

Viewing

Counted Individually

Placed through urethra to endoscopically view within bladder

Cannula allows passage of scope and specialized instruments, inflowing and outflowing fluid mechanism

Obturator allows for atraumatic insertion through urethra

Cystoscope/Hysterscope

Viewing

Counted Individually

4mm scope that comes in 0, 30, 90, 120 degree lenses

Used to examine the uterus/bladder, different angled scopes allow for different views

Operative Cystoscope

AKA: Cystoscope Deflector

Viewing

Counted Individually

Introduced through a cystoscope cannula

Dials by the lens allow instruments to be introduced into tiny ureteral openings

Working Element

AKA: Resectoscope, Hysteroscopy Electrode

Occluding/Cutting

Counted Individually

Introduced through hysteroscope/cystoscope cannula still allowing for passage of a scope

Ablates and removes inner uterine, bladder, or prostatic tissue, connects to ESU

Types:

Cutting (ablating) loop

Roller ball

Single Spike Cysto Tubing

Supply

Spike end handed off to circulator to connect to a bag hanging from IV pole

silastic end connected to inflow connector on obturator to allow distention of bladder

Stone Basket

Supply

Used to extract stones in kidneys/ureters, same function as Stone grasper, tech opens/closes, surgeon guides, open/closed slowly

Stone Grasper

Supply

Used to extract stones in the ureter/kidneys

Tech opens/closes grasper, surgeon guides the grasper, opening/closing must be done very slowly

Ellik Evacuator

Suction/Supply

Used to irrigate the bladder and prostate

Turned onto its side to catch tissue, irrigation fluid allowed to be pushed out

Ureteral Stent

Temporary Implant

Inserted into the ureter to prevent or treat obstruction of urine flow, includes a guidewire to direct stent and rigid plastic sheath to introduce guidewire