Endoscopic Instruments

Question 1

Laparoscopic Access & Dissection Devices

Answer 1

Accessory
- Dissecting balloon uses a distention balloon to separate tissues forming a discrete cavity for laparoscopic inguinal hernia repairs

Question 2

Camera

Answer 2

Viewing
- Pass the plug end of the camera off the sterile field to plug into a camera box
- Sterilized by soaking in Cidex, unless clearly marked “autoclavable”

Question 3

Light Cord

Answer 3

Accessory
- Tight bundle of fiber optic strands of glass that transmits light into enclosed space
- Reduction of light conduction can result from broken fiber optics from being coiled too tightly

Question 4

Laparoscope

Answer 4

Viewing
- Endoscope placed through a trocar sleeve into the abd to view organs
- The outer edge is surrounded by light fibers that pass through the light cord and illuminate the abdomen.
Variable size, diameter and lens degree

Question 5

Veress Needle

Answer 5

Supply
- Introduces CO2 gas into the abd to distend abdominal cavity, allows visibility during laparoscopic procedures
- Inserted into initial incision site then attached to insufflation tubing
regular or long

Question 6

Trocar w/ Sleeve

Answer 6

Supply/Retracting/Viewing/Cutting
- Trocar : used to dissect through abdominal tissue to access to abd cavity
- Sleeve : provides leak free seal to protect the skin & tissue layers from damage
variable size (5, 10, & 12 mm)
different styles

Question 6

Insuflation Tubing

Answer 6

Supply
- Tubing attached to CO2 gas pump at 1 end & other is attached to veries needle
- Tubing has an inline filter to reduce contaminants from entering surgical site

Question 7

Trocar Anchoring System

Answer 7

Supply
- Used in open technique when a blunt trocar w/ and anchor is inserted w/o prior use of peritoneum
- Sutures are placed on both sides of the sleeve & wrapped around the anchor

Question 8

SILS Port

Answer 8

Supply
- Flexible laparoscopic port that can accommodate up to 3 instruments through single incision `

Question 9

Reducer Cap

Answer 9

Supply
- Device clips on top of a 12/10 mm trocar sleeve allowing 5 mm instruments to be used in larger ports w/o loosing pressure

Question 10

Micro Scissors

Answer 10

Cutting/Dissecting
- Used to make very small cuts in fine structures such as cystic duct

Question 11

Hook Scissors

Answer 11

Cutting/Dissecting
- Hook tip helps to keep slippery structures w/in the jaws of the scissors while cut is made

Question 12

Endoshear Scissors

Answer 12

Cutting/Dissecting
- Frequently used very sharp dissecting scissor.
- Used similarly as a metz scissor
variable size (5/10mm)

Question 13

Endo Grasper

Answer 13

Grasping/Holding
- Traumatic: has a wide jaw to grasp & manipulate larger amounts of tissue
- comes in locking & non-locking

Question 14

Bullet Tipped Grasper

Answer 14

Grasping/Holding
- Atraumatic: common grasper used on most tissue types
- Names for its bullet shaped tip

Question 15

Maryland Dissector

Answer 15

Grasping/Holding/Dissecting
- Atraumatic: used similarly as a debakey would be in a open case
- Fine curved tip is used for blunt dissection of fatty tissue

Question 16

Aggressive Toothed Grasper

Answer 16

Grasping/Holding
- Traumatic: used to hold tissue that will be removed
- Commonly used to remove slippery gallbladder
Variable size (5/10mm)

Question 17

Endoscopic Allis Clamp

Answer 17

Grasping/Holding
- Traumatic: To firmly hold moderate strength tissue or tissue being removed

Question 18

Endoscopic Babcock

Answer 18

Grasping/Holding
- Atraumatic: Used for grasping fragile tissue
- Grasps bowel, appendix, & fallopian tube safely

Question 19

Olson Clamp

Answer 19

Grasping/Holding
- Atraumatic: Used during a laparoscopic cholecystectomy in conjunction w/ taut catheter
- Once taut catheter is introduced into duct & advanced, clamp is locked shut, compressing duct

Question 20

Endoscopic Biopsy Punch

Answer 20

Cutting
- Traumatic: used to remove a bit of tissue to be sent as a specimen to pathology

Question 21

Blunt Probe

Answer 21

Retracting/Viewing/Probing
- Atraumatic: used to manipulate tissue while exploring the abd & pelvis

Question 22

Needle Aspirator

Answer 22

Suctioning
- Traumatic: Device is used to collapse fluid filled cysts.
- needle end is used to puncture sac & liquid contents evacuated

Question 23

Suction Bovie

Answer 23

Suctioning/Occluding
- will be attached to suction at its leur lock end
and to an electrical cord at metal prong. then
plugged into bovie machine & operated by surgeon

Question 24

Hook Bovie

Answer 24

Occluding/Cutting
- hook on the end to allows to hook around tissue and cut through w/ electrical current.
- Comes in L hook and J hook varieties.

Question 25

Endo Catch

Answer 25

Supply
- specimen pouch used to retrieve a specimen and
remove it through a 10-12mm sleeve
- Once contents are placed into the pouch the ring on the end is pulled.

Question 26

Laparoscopic fan retractor

Answer 26

Retracting/Viewing
- Atraumatic: Used to bluntly retract the liver or other broad organs.
- The dial at the bottom widens the fingers to create the broad fan.

Question 27

Endoscopic Kitner/Peanut/Cherry

Answer 27

Supply
- Blunt laparoscopic dissection in small
areas.

Question 28

Anti-Fog

Answer 28

Supply
- Used on the tip of scopes to prevent fogging when a cold scope is placed in a warm body
- Anti-fog should be allowed to completely dry on the tip of the scope for
full effectiveness

Question 29

Scope Warmer

Answer 29

Supply
- Used to warm the tips of scopes to prevent
fogging when a cold scope is placed in a warm
body
- Heat activation varies per device