Abdominal Retractor Tray

Malleables Ribbons Harrington / Sweethart / Valentine Richardson Wide Deaver Baby Deaver

Balfour Retractor Wing Nut → Bladder Blade Blades 2 short 2 long Abdominal retractor Bladder blade optional depending where the retractor is used Surgeon may want two of these in some large abdominal procedures

INTESTINAL or BOWEL CLAMPS From Intestinal Instrument Tray

INTESTINAL TRAY CLAMPS considered clamping/occluding instruments Glassman (angled/straight) Doyen (curved and straight) Thin jaws with longitudinal serrations Are shodded when used Carmalt Heavy jaws with longitudinal serrations

MAYO GALLSTONE SCOOP Accessory Cooping gallstones Miscellaneous instrument

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!

CLIP or LIGACLIP APPLIERS Regular length SMALL MEDIUM LARGE

Clip Appliers Long Length MEDIUM LONG LARGE LONG MEDIUM REGULAR LONG REGULAR

DISPOSABLE CLIP APPLIERS Are 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 Tips Come 6Fr-16Fr Disposable or Non-disposable Stylets are for cleaning out if clogged McCullough Suction Tip See in Neuro Notice tip has holes in it

YANKAUER SUCTION TIPS Disposable Yankauer Non-disposable Yankauer 2 pieces Tonsil tip (fine tipped yankauer) 2 pieces

POOLE SUCTION TIPS For Abdominal suctioning Disposable and non-disposable Count as two pieces

Laparoscopic Equipment, Instrumentation, Supplies

Laparoscopic Tower Monitor Keyboard Camera box Light source Insufflator safe settings 12-18mm/Hg Establishes “pneumoperitoneum” to separate abdominal viscera organs which prevents inadvertent injury Printer

Camera Telescope Light Cord Insufflation Tubing

Pass off this end to circulator (filter end) as CO 2 is not sterile And must pass through the filter prior to being inside 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