Abdominal RetractorTray

MalleablesRibbons

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Rich

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Baby Deaver

Balfour Retractor

Wing Nut →

Bladder Blade

Blades2 short 2 long

Abdominal retractor Bladder blade optional depending where the retractor is usedSurgeon may want two of these in some large abdominal procedures

INTESTINAL or BOWEL CLAMPS

From Intestinal Instrument Tray

INTESTINAL TRAY CLAMPSconsidered clamping/occluding instruments

Glassman (angled/straight)

Doyen (curved and straight)Thin jaws with longitudinal serrations

Are shodded when used

CarmaltHeavy jaws with longitudinal serrations

MAYO GALLSTONE SCOOPAccessory Cooping gallstones

Miscellaneousinstrument

Clip Appliers

CLIP or LIGACLIP APPLIERS• Are used for ligating vessels in multiple specialties• Are a method of mechanical hemostasis• Surgeon preference as to whether he or she ties off vessels or clips them• Sequence would be: clip, clip, cut (metz)• Always keep clips loaded• You will have them in pairs• Cartridges are disposable and countable items• Cartridges are color coded to match the appliers• Are different companies that manufacture these• Do not attempt to load Ethicon clips onto Horizon appliers and vice versa

(you wouldn’t put Ford parts on a Toyota)• May find incorporated in an instrument tray or wrapped separately in pairs• Should they not hold the clip or the tips cross over, you need to replace it• Also check tips for ensuring they do not cross over as this could damage a

structure!

CL

IP o

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IGA

CL

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RS

Reg

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SMALL

MEDIUM

LARGE

Clip Appliers Long Length

MEDIUM LONG LARGE LONG

MEDIUM REGULARLONG REGULAR

DISPOSABLE CLIP APPLIERSAre pre-loaded with multiple clips

Each tells you how many clips it holds

Davis & Geck AutoSuture Clip Applier

Ethicon laparoscopic clip applier

The multitude!

Suction Tips

Frazier Suction TipsCome 6Fr-16Fr

Disposable or Non-disposableStylets are for cleaning out if clogged

McCullough Suction TipSee in Neuro

Notice tip has holes in it

YANKAUER SUCTION TIPS

Disposable Yankauer

Non-disposable Yankauer2 pieces

Tonsil tip (fine tipped yankauer)

2 pieces

POOLE SUCTION TIPSFor Abdominal suctioning

Disposable and non-disposableCount as two pieces

Laparoscopic Equipment, Instrumentation, Supplies

Laparoscopic Tower

Monitor

Keyboard

Camera box

Light source

Insufflator safe settings 12-18mm/HgEstablishes “pneumoperitoneum”to separate abdominal viscera organswhich prevents inadvertent injury

Printer

Camera Telescope

Light Cord

Insufflation Tubing

Insufflation Tubing

Pass off this end to circulator (filter end)as CO2 is not sterileAnd must pass through the filter prior to beinginside of a patient

Diagnostic Telescope

Operative Telescope

Core Dynamics: trocars, cannulas (sizes 5mm-12mm), obturators, sheaths, reducer caps

Disposable Trocars and Cannulas(bladed and non-bladed)

Sizes 5mm-12mm

Port placement

The room

Clamp your cords