1. Genitourinary Instrumentation
Review the following:
1. ST for the ST Textbook pp
2. Rutherford Instrument textbook
Chapter 2
Chapter 3
Note: If we have these items in lab you need to know them!
Know cystoscope components:
Missing from below is the bridge (triagular piece for irrigation and other items such as guidewires) pictured on page 57 with cystoscopy system bottom of that picture

2. Know Resectoscope components:
Frey 820
Resectoscope cutting loops (come in various shapes and sizes depending on use and are disposable)

3. Resectoscope
Loop
Disposable
Various tip types
obturator
Resectoscope
sheath
cystoscope
Post-resectoscope
sheath
Iglesias
Working Element

4. GYN GU The Resectoscope Surgical uses include:
Endometrial bleeding, polypectomy, intrauterine adhesions
& GU
transurethral prostatectomy (TURP)

5. Barret-Allen uterine aka fork and spoon forceps

6. Hulka manipulator or….

7. Micro Vas clips

8. Ripstien forceps

9. Simms retractor (this one is double ended)

10. GYNECOLOGICAL INSTRUMENTATION

11. Instruments found on a D & C Tray “Dilation and Currettage”

12. Cutting instrument for scraping Endometrial or endocervical lining
Not pictured:
A dull currette
called the Thomas
Sims
are sharp
Heaney
UTERINE CURRETTES
Cutting instrument for scraping
Endometrial or endocervical lining

13. Uterine Dilators Align on Back table smallest to largest
Pratt dilator
Tip: Note flattened center section and think “flat Pratt”
Hegar dilator
Tip: Note is rounded like a cigar and think “hegar-cigar”
Another uterine dilator not pictured is the Hanks dilator
The Hanks have rings on either end
See this on page 41 of your instrument book

14. Single ended and double ended
GYN SPECULA
Graves speculum
Auvard
speculum
Sims specula
Single ended and double ended

15. Auvard with large glove on handle to catch blood
Placed in vagina and left to hang inferiorly
During vaginal access procedures
such as vaginal hysterectomies

16. For grasping polyps or stones See in gallbladder, GU, GYN surgeries
RANDALL STONE FORCEPS
For grasping polyps or stones
See in gallbladder, GU, GYN surgeries
BRAUN SINGLE TOOTH TENACULUM
For grasping the cervix
UTERINE SOUND
Measures uterine depth
Prior to instrument insertion such as a scope to prevent perforation of uterus

17. Straight and curved sponge stick Note no ratchets and are huge
Note ratchets on both
Placenta forceps
Note no ratchets and are huge

18. Bozeman uterine packing forceps
Note jaw serrations are short and like a dressing forceps

19. Jaws are cross-hatched ## for ultimate gripping of suture needle
Tips are curved
May see used in other surgical specialties