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Equipment and Instruments

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Presentation on theme: "Equipment and Instruments"— Presentation transcript:

1 Equipment and Instruments
LAPAROSCOPY Equipment and Instruments

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

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

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

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

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

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10 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.

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12 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.

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14 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.

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

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

18 ASSISSTING EQUIPMENTS
LAPAROSCOPIC DOPPLERS LAPAROSCOPIC US CHOLEDECHOSCOPE LITHOTRIPTER RADIOFREQUENCY PROBES.

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

20 Trocar 11mm & 6mm

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22 Graspers

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25 Dissecting

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