Equipment and Instruments

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Presentation transcript:

Equipment and Instruments LAPAROSCOPY Equipment and Instruments

LAP. VISUAL SYSTEM SCOPE. LIGHT SOURCE . CAMERA. MONITOR. VIDEO-RECORDER.

2- Monitor 4-Light Source 5-Insufflator 1-Trolley 3-Endoscopic Camera 6-Suction-Irrigation 7-High Frequency Unit 5-Insufflator

LAP. OPTIC SYSTEM IRILS : inverted real image lens system. HOPKINS ROD LENS SYSTEM. FISH EYE MODIFICATION.

TYPES OF SCOPES : SIZE : 1.7 – 10 mm. ANGLE : 0 – 120. WORKING CHANNEL. STEREOSCOPIC . CCD AT THE TIP .

CAMERA - Assistants can share vision. - Documentation & filing. ADVANTAGES : - The surgeon can work bimanually. - Assistants can share vision. - Documentation & filing. - Medicolegal aspects.

MONITOR MEDICAL or a TV Monitor. The more the lines the better the resolution ( upto 1000 lines ). Clear reproduction of colors is a must. Specific type for 3 D cameras.

LIGHT CABLE LIGHT SOURCE DEVELOPMENT : Sun to Cold light. TYPES : - HALOGEN - XENON - METAL HALIDE (Ag vapor). INTENSITY : 150 – 400 Watts. LIGHT CABLE TYPES : Fibre-optic or Liquid. CONDITIONS : Length & Flexibility.

PNEUMOPERITONEUM INDICATORS -Cylinder, I.A.P., Flow rate with ALARMS. HISTORY : Air , N2 , NO2 ,CO2 & Gasless. CONDITIONS OF INSUFFLATORS : INDICATORS -Cylinder, I.A.P., Flow rate with ALARMS. RATE / Min. MAX. PRESSURE with preadjustment. THERMOFLATORS.

SUCTION IRRIGATION SUCTION ----------- BAR IRRIGATION ------- L / M. HYDRODISSECTION : - Pressure > 250 mm Hg. - Rate > 1250 ml./ m.

ELECTROCAUTERY DIATHERMY * monopolar * Bipolar * Spray ARGON BEAM COAGULATOR ULTRASONIC DISSECTORS LASERS * Gas * solid ENDOCOAGULATORS. LIGASURE : Bipolar energy.

ASSISSTING EQUIPMENTS LAPAROSCOPIC DOPPLERS LAPAROSCOPIC US CHOLEDECHOSCOPE LITHOTRIPTER RADIOFREQUENCY PROBES.

INSTRUMENTS GRASPERS DISSECTORS SCISSORS RETRACTORS CLIP APPLIERS STAPLING DEVICES SUTURING , LIGATION DEVICES.

Trocar 11mm & 6mm

Graspers

Dissecting