1. INSTRUMENTS and SUTURES BKN

2. Instruments and Sutures 4 Basic and Plastic Trays 4 Needle Drivers 4 Forceps 4 Scissors

3. Basic Set 4 Needle Holder 4 Scissors 4 Thumb forceps with teeth for grasping tissue

4. Custom Basic Instrument Tray

5. Optionals 4 Separate scissors for suture cutting, debridement and dissection (suture scissors, iris scissors and metzenbaums respectIvel (suture scissors, iris scissors and metzenbaums respectively 4 Forceps for clamping (hemostats) 4 Scalpel 4 German middle quality or better, not disposable are recommended 4 For plastic cases use tungsten carbide tipped needle holders

6. E.D. Plastics Tray

7. How to use a needle holder 4 Load body of needle at tip of jaws, 1/3 of way from swage and at 90 degree angle 4 Grasp holder with whole hand, no fingers in rings 4 Enter skin at angle of 90 degrees or more away from wound 4 Roll the instrument to give a circular needle track, if you can achieve a wider knot at bottom, this everts the skin

8. Arm at end of driver, perpendicular and at back 1/3 of needle

9. Holding driver for plastic closure

10. Left Handed Webster Needle Driver

11. Castroviejo needle driver for loops and 8-0

12. How to use thumb forceps 4 Hold like chop sticks 4 grasp superficial fascia not skin 4 or use one arm like a skin hook

13. Using forceps

14. Adson’s and Skin Hook

15. Sutures, Dissection, Tissue

16. Castroviejo corneal scissors with angle

17. How to control scissors for suture cutting 4 Thumb and ring finger in rings, index at fulcrum guides tips 4 For cutting knots on absorbables, slide tips down suture tails to the knot, rotate the tips slightly to avoid cutting it

18. Scissors control

19. How to use scissors for undermining 4 curved preferable, tips up 4 dissect bluntly, in plane between superficial and deep fascia

20. Undermining to relieve tension

21. No touch option to minimize risk of blood born disease 4 Combined needle holder and suture scissors (Olsen-Hegar) 4 Combined tissue grasping and knot tying forceps (Adsons with teeth and knot tying platform)

22. Absorbable Sutures

23. Nonabsorbable Sutures

24. Tapered and Cutting Needles