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 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
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!
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
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
Laparoscopic Tower
Monitor
Keyboard
Camera box
Light source
Insufflator safe settings 12-18mm/HgEstablishes “pneumoperitoneum”to separate abdominal viscera organswhich prevents inadvertent injury
Printer
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