Specialty Equipment PDF

1 ◆ Early 1900’s-dental drill ◆ 1950’s-specialty ear drills and orthopedic drills ◆ 1980’s-battery powered drills ◆ Before the 1980’s regular manual tools used 2 ◆ Source ◆ Electricity ◆ Compressed Gas ◆ Battery 3 ◆ AC current...

1 ◆ Early 1900’s-dental drill ◆ 1950’s-specialty ear drills and orthopedic drills ◆ 1980’s-battery powered drills ◆ Before the 1980’s regular manual tools used 2 ◆ Source ◆ Electricity ◆ Compressed Gas ◆ Battery 3 ◆ AC current ◆ All controls to off position before plugging in ◆ Check if working properly before case ◆ Video monitors ◆ Microscopes ◆ Sequential compression device ◆ Blood pump/warmer ◆ Head lights ◆ ESU ◆ Cast Cutter ◆ Etc. 4 ◆ Nitrogen ◆ Best power source ◆ Non explosive ◆ Inexpensive ◆ available 5 ◆ Not used as a power source ◆ Used in surgical procedures as a insufflator 6 ◆ Rarely used for power source in OR ◆ Used throughout hospital for air driven tools 7 ◆ Components: ◆ Tank ◆ Tank control valve ◆ Tank capacity gauge ◆ Pressure gauge or flow meter gauge ◆ Hose connector, foot pedal, and piece connector 8 1. Open tank control valve 2. Check tank capacity gauge 3. Attach power hose/foot pedal 4. Turn on flow meter 5. Activate equipment 6. Adjust flow meter to correct psi 9 ◆ Scrub role: ◆ Pass hose to circulator ◆ Connect hose to hand piece/assemble hand piece ◆ Activate device to adjust flow meter ◆ Always keep in “safety mode” when not in use 10 ◆ Scrub role: ◆ After tank control valve is turned off, “bleed hose” by activating hand piece ◆ Disassemble hand piece ◆ Wipe all surfaces clean ◆ Leave hose attached 11 ◆ Circulator role ◆ Wipe down tank ◆ Turn on tank control valve ◆ Check tank capacity valve ◆ Attach hose/foot piece ◆ Adjust flow meter while device is running ◆ At end of case, turn off tank control valve ◆ Disconnect hose/foot piece 12 ◆ Preparation: ◆ Rheostats in off position ◆ Electric-Plug in before case begins and test ◆ Gas-sufficient amount ◆ Sterilization 13 ◆ Drills/reamers ◆ Rotary motion ◆ Saws: ◆ Reciprocating (back and forth) ◆ Oscillating (side to side) 14 ◆ Split Thickness Skin Graft (STSG) ◆ Dermal expander/mesher ◆ Full Thickness Skin Graft (FTSG) 15 ◆ Powered by electricity ◆ Uses oscillating motion ◆ Vacuum attachment ◆ Do not use in procedure room 16 ◆ Worn by surgeon ◆ Focuses an intense beam for added light ◆ Parts: ◆ Head lamp ◆ Fiber-optic cable ◆ Mobile light source 17 ◆ TEDS-thrombo-embolitic deterrent stockings ◆ SCD’s or Intermittent Pneumatic Compression ◆ Vena Cava Filter 18 ◆ Phaco-Emulsifier ◆ Removes eye lenses by fragmentation and aspiration ◆ Pulse Lavage ◆ Irrigates traumatic, infected or surgical wounds 19 ◆ Parts: ◆ Cuff ◆ Tubing ◆ Power source ◆ Additional materials: ◆ Esmarch bandage ◆ Stockinette material under cuff 20 ◆ Placement of cuff ◆ Pressure setting and timing ◆ Procedure for use 21 ◆ Used with endoscopes ◆ Example-Laparoscope ◆ permits visual examination of the abdominal cavity via scope 22 ◆ Video monitor ◆ Camera ◆ Light source ◆ Insufflation device ◆ Uses Carbon Dioxide (CO2) ◆ Recording device ◆ Photo printer 23 ◆ Provides small electric currents that identify nerves ◆ Commonly used in facial surgery ◆ Used by anesthesia provider to detect actions of neuromuscular blockers 24 ◆ Warms or cools patient during surgery to maintain normothermia ◆ Warm Air Blankets AKA Bair Hugger ◆ Can be used before, during and after surgery 25 ◆ Roller board ◆ Used for patient transfer on and off OR bed 26 ◆ Helps deliver blood quickly to patient ◆ Warms blood before delivery 27 ◆ Magnifies and illuminates surgical field ◆ Uses ◆ Teaching Arm ◆ Draping ◆ Loupes ◆ Special considerations 28 ◆ Uses liquid nitrogen, Freon, or CO2 gas ◆ Delivers extreme cold via insulated probe to diseased tissues 29 ◆ AKA CUSA ◆ Commonly used in neurosurgery ◆ Delivers ultrasonic vibrations ◆ Irrigating component 30 ◆ Uses ultrasonic energy to cut and coagulate tissue 31 ◆ Ultrasonic device used to identify and access vascular tissue ◆ Magnifies the sound of blood movement 32 To prevent hypothermia in trauma patients or surgical patients. 33  Potential uses for a Cardio-pulmonary Bypass Machine: ❖ Heart Transplant ❖ Lung Transplant ❖ Heart Failure 34 The use of any form of medical imaging to plan, perform, and evaluate surgical procedures and therapeutic interventions. 35  Liposuction is a type of fat-removal procedure used in plastic surgery. 36 A procedure to remove a thin layer of tissue that lines the uterus. 37  To provide hypothermia during the recovery, storage, and transport of donor organs for transplantation. For regional hypothermia during surgical procedures. 38 Suction curettage is generally indicated after diagnosis of a miscarriage. 39 ◆ Took effect in 1990 ◆ FDA regulates medical devices ◆ Requires tracking of medical devices 40