GYN and uro Flashcards
Double tooth Uterine Tenaculum
- Grasping/Holding
- Traumatic: Use to securely penetrate the cervix and
utilize traction to stabilize the cervix during any
uterine procedure with a vaginal approach
Polyp Forceps
- Grasping/Holding
- Atraumatic: Used to
bluntly remove polyps
from within the uterus
(cervical access), nose or
sinus cavities.
Heaney Clamp
- 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
Heaney-Ballentine Clamp
- 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.
Avard Weighted Speculum
- 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.
Graves Vaginal Speculum
- Retracting/viewing
- Self-retaining,
atraumatic: Used to
retract the anterior and
posterior vaginal walls
allowing visualization of
the cervix.
Heaney Retractor
- Retracting/viewing
- Handheld, atraumatic: Used to retract deep tissue of the
vaginal walls to visualize the cervix.
Simms Vaginal Retractor
- Retracting/viewing
- Handheld, atraumatic:
Used to retract deep
tissue of the vaginal
walls to visualize the
cervix.
Lone Star Retractor
- 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
Clearview Uterine Manipulator
- 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.
Zumi Uterine Manipulator
- 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.
Cone Tip Uterine Manipulator
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
Uterine Sound
- 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.
Hegar Uterine Dilators
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
Van Buren Urethral Sounds
- 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.
Hank Uterine Dilators
- 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.
Goodell Uterine Dilator
- 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.
Sims Uterine Curettes
- 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.
Endocervical Curette
- 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.
Thomas Uterine Curettes
- 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.
Hysteroscopy Cannula
- Viewing
- Placed through the cervix
to endoscopically view
within the uterus.
Obturator allows for
atraumatic insertion
through the cervix.
Uterine Tenaculum
- 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.
Cystoscopy Cannula
Viewing
- Placed through the urethra to endoscopically view within the
bladder.
Obturator allows for atraumatic insertion through the urethra.
Cystoscope/Hysterscope
- 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.
Operative Cystoscope
- 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.
Working Element with
Cutting Loop
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
Single Spike Cysto Tubing
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.
Stone Basket
- Supply
- Used to extract stones in
the ureter/kidney. - The surgeon directs the
basket around the stone
while the tech open/closes the basket
Stone Grasper
- Supply
- Used to extract stones in
the ureter/kidney. - The surgeon directs the
grasper around the stone
while the tech open/closes the grasper.
Ellik Evacuator
- 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.
Ureteral Stent
- 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.
