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surge 1025 > GYN and uro > Flashcards

GYN and uro Flashcards

1
Q

Double tooth Uterine Tenaculum

A
  • Grasping/Holding
  • Traumatic: Use to securely penetrate the cervix and
    utilize traction to stabilize the cervix during any
    uterine procedure with a vaginal approach
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2
Q

Polyp Forceps

A
  • Grasping/Holding
  • Atraumatic: Used to
    bluntly remove polyps
    from within the uterus
    (cervical access), nose or
    sinus cavities.
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3
Q

Heaney Clamp

A
  • Clamping/Occluding
    (((Curved, straight, or right angle versions)))
  • Traumatic: Used abdominally or vaginally to clamp and hold, without slippage, the very
    vascular uterine pedicles
  • Used during a hysterectomy to assist in clamp,
    clamp, cut, tie
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4
Q

Heaney-Ballentine Clamp

A
  • Clamping/Occluding
    ((Curved, straight, or right angle versions))
  • Traumatic: Used abdominally or vaginally to clamp and hold without slippage the very
    vascular uterine pedicles, during a hysterectomy, to assist in clamp, clamp, cut, tie.
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5
Q

Avard Weighted Speculum

A
  • Retracting/viewing
  • Self-retaining, atraumatic:
    The weight at the bottom
    hangs down and retracts
    the posterior vaginal wall.
  • The groove along the back
    of the speculum allows
    blood and fluid to spill out
    of the field. A glove is
    often applied to the weight
    to catch the blood.
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6
Q

Graves Vaginal Speculum

A
  • Retracting/viewing
  • Self-retaining,
    atraumatic: Used to
    retract the anterior and
    posterior vaginal walls
    allowing visualization of
    the cervix.
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7
Q

Heaney Retractor

A
  • Retracting/viewing
  • Handheld, atraumatic: Used to retract deep tissue of the
    vaginal walls to visualize the cervix.
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8
Q

Simms Vaginal Retractor

A
  • Retracting/viewing
  • Handheld, atraumatic:
    Used to retract deep
    tissue of the vaginal
    walls to visualize the
    cervix.
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9
Q

Lone Star Retractor

A
  • Retracting/viewing/supply
  • Self-retaining, traumatic: The small end of the retractor is secured to the drape with a security clamp. larger ring hangs over the perineum.. sharp hooks attach to the sides of vafginal wals to stretch out the vag.

anterior and posterior vaginal repairs

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10
Q

Clearview Uterine Manipulator

A
  • Retracting/viewing/supply
  • Atraumatic: Inserted
    through the cervix to
    externally manipulate the
    uterus with the patient in
    supine position during
    laparoscopic procedures.
  • Provides the greatest
    motion range of any
    uterine manipulator.
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11
Q

Zumi Uterine Manipulator

A
  • Retracting/viewing/supply

Atraumatic: Inserted through the cervix to externally manipulate the uterus with the patient in lithotomy position during laparoscopic procedures

Colored fluid may be injected into the rigid leur lock opening of the zumi to check the fallopian tubes for blockage.

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12
Q

Cone Tip Uterine Manipulator

A

Retracting/viewing

  • Atraumatic: Inserted through the cervix to externally
    manipulate the uterus with the patient in lithotomy position during laparoscopic
    procedures.
  • Used in conjunction with a uterine tenaculum.
    Size: Variable Cone Tips
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13
Q

Uterine Sound

A
  • Accessory
  • This is a measuring devise used to measure the depth of the uterus.
  • Atraumatic: It is inserted vaginally through the cervical
    opening until it touched the top of the fundus. This tells the
    surgeon how deep he is able to insert dilators or curettes
    without penetrating the uterine wall.
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14
Q

Hegar Uterine Dilators

A

Dilating

Smeared with KY Jelly and used progressively, from smallest in diameter to the largest, to dilate the cervix.

The doctor will start with the size that is closest to the cervical opening diameter and stop at the size of the operative instrument to be used

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15
Q

Van Buren Urethral Sounds

A
  • Dilating
  • Smeared with KY Jelly and used progressively, from smallest in diameter to the largest, to dilate
    the urethra of both males and females.
  • The doctor will start with the size that is closest to the urethral opening diameter and stop at the
    size of the operative instrument to be used.
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16
Q

Hank Uterine Dilators

A
  • Dilating
  • Smeared with KY Jelly and used progressively, from smallest in diameter to the largest, to dilate
    the urethra of both males and females.
  • The doctor will start with the size that is closest to the urethral opening diameter and stop at the
    size of the operative instrument to be used.
17
Q

Goodell Uterine Dilator

A
  • Dilating
  • This dilator is inserted into the cervical opening and
    slowly the nut is tightened forcing the cervix to dilate
    as the jaws are spread.
  • Allows for introduction of instrumentation.
18
Q

Sims Uterine Curettes

A
  • Cutting/dissecting
  • Used to scrape a sample of
    endometrial tissue from
    the interior walls of the
    uterus in a Dilation &
    Curettage (D&C)
    procedure.
  • They remove excess tissue
    that may be causing heavy
    bleeding or pain. This
    tissue is sent to pathology
    for inspection.
19
Q

Endocervical Curette

A
  • Cutting/dissecting
  • Used to scrape a sample
    of endocervical tissue
    from the interior walls
    of the cervix in a
    Dilation & Curettage
    (D&C) procedure.
  • This tissue is sent to
    pathology for
    inspection.
20
Q

Thomas Uterine Curettes

A
  • Cutting/dissecting
  • Used to bluntly remove
    loose uterine contents
    during a Dilation &
    Curettage (D&C)
    procedure.
  • They remove excess tissue
    that may be causing heavy
    bleeding or pain. This
    tissue is sent to pathology
    for inspection.
21
Q

Hysteroscopy Cannula

A
  • Viewing
  • Placed through the cervix
    to endoscopically view
    within the uterus.

Obturator allows for
atraumatic insertion
through the cervix.

22
Q

Uterine Tenaculum

A
  • Grasping/Holding
  • The sharp penetrating jaws of this clamp are secured
    to the cervix so it may be stabilized with traction
    during any uterine procedure with a vaginal
    approach.
23
Q

Cystoscopy Cannula

A

Viewing

  • Placed through the urethra to endoscopically view within the
    bladder.

Obturator allows for atraumatic insertion through the urethra.

24
Q

Cystoscope/Hysterscope

A
  • Viewing
  • A 4 mm scope that come in 0, 30, 90 and 120 degree angled lenses.
  • They are used to examine the uterus and/or bladder and the
    surgeon will switch to different angled scopes to facilitate his view of the entire organ and appendage orifices.
25
Q

Operative Cystoscope

A
  • Viewing
  • Introduced through a
    cystoscope cannula
    (sheath).
  • The dials by the lens
    move the lever at the
    distal end of the scope
    to help the surgeon
    introduce instruments
    into the tiny ureteral
    openings.
26
Q

Working Element with
Cutting Loop

A

Occluding/Cutting
* Introduced through a
hysteroscope/cystoscope cannula still allowing for passage of a scope.

  • Used to ablate and remove inner uterine, bladder or prostatic tissue

can be connected to an ESU

27
Q

Single Spike Cysto Tubing

A

Supply

  • Spike end: passed to
    circulator to be placed
    into a bag or bottle of
    fluid that is hung from
    an IV pole.
  • Silastic end:
    connected to the
    inflow connector on
    the obturator allowing
    for distention of
    bladder.
  • For longer procedures
    2 or 4 spike tubing
    may be used.
28
Q

Stone Basket

A
  • Supply
  • Used to extract stones in
    the ureter/kidney.
  • The surgeon directs the
    basket around the stone
    while the tech open/closes the basket
29
Q

Stone Grasper

A
  • Supply
  • Used to extract stones in
    the ureter/kidney.
  • The surgeon directs the
    grasper around the stone
    while the tech open/closes the grasper.
30
Q

Ellik Evacuator

A
  • Suction/supply
  • Used to irrigate the bladder and prostate.
  • The evacuator is turned on its side to catch tissue that comes out, sinking to the bottom, as the irrigation fluid can float to the top to be pushed out.
31
Q

Ureteral Stent

A
  • Temporary Implant
  • A thin tube inserted into
    the ureter to prevent or
    treat obstruction of the
    urine flow from the kidney
  • Includes a guidewire to
    direct the stent under fluoroscopy along with a
    more rigid plastic sheath
    to introduce the guidewire.

surge 1025 (7 decks)

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