grasping/ holding - atraumatic: used to bluntly remove polyps - removes them from within the uterus, (cervical access) nose, or sinus cavities

clamping/ occluding - traumatic: used abdominally or vaginally to clamp and hold the vascular uterine pedicles without slippage - used during a hysterectomy to assist in clamp clamp cut tie CRV STR or right angle

(right angle retractor) retracting viewing - handheld, atruamatic: used to retract deep tissue of the abdominal walls - used to visualize the cervix

retracting/ viewing/ supply - self retaining, traumatic: small end of the retractor is secured to the drape with a security clamp - larger ring hangs over the perineum during anterior and posterior vaginal repairs

accessory - measuring device used to measure the depth of the uterus - atraumatic: inserted vaginally through the cervical opening until it touches the top of the fundus

GYN- urology Flashcards by Sofi Brown

Double tooth Uterine Tenaculum

grasping holding

traumatic: used to securely cervix
utilizes traction to stabilize the cervix during any uterine procedure with vaginal approach

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polyp forceps

grasping/ holding

atraumatic: used to bluntly remove polyps
removes them from within the uterus, (cervical access) nose, or sinus cavities

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heaney clamp

clamping/ occluding

traumatic: used abdominally or vaginally to clamp and hold the vascular uterine pedicles without slippage
used during a hysterectomy to assist in clamp clamp cut tie

CRV STR or right angle

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heaney- ballentine clamp

clamping/ occluding

traumatic: used abdominally or vaginally to clamp and hold the vascular uterine pedicles without slippage
used during a hysterectomy to assist in clamp clamp cut tie

CRV STR or right angle

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avard weighted spectulum

retracting viewing

self retaining: the weight at the bottom hangs down and retracts posterior vaginal wall
groove along the back of the spectulum allows blood and fluid to spill out

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graves vaginal spectulum

(duckbill spectulum)

retracting/ viewing

self retaining: used to retract the anterior and posterior vaginal walls
allows for visualization of the cervix

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heaney retractor

(right angle retractor)

retracting viewing

handheld, atruamatic: used to retract deep tissue of the abdominal walls
used to visualize the cervix

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simms vaginal retractor

retracting/ viewing

handhled, atraumatic:

used to retract deep tissue of the vaginal walls
used to visualize the cervix

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lone star retractor

retracting/ viewing/ supply

self retaining, traumatic: small end of the retractor is secured to the drape with a security clamp
larger ring hangs over the perineum during anterior and posterior vaginal repairs

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clearview uterine manipulator

retracting/ viewing/ supply

atraumatic: inserted through the cervix to externally manipulate the uterus

provides the greatest motion range of any uterine manipulator

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zumi uterine manipulator

retracting/ viewing/ supply

atraumatic: inserted through the cervix to externally manipulate the uterus during lap procedures
balloon tip is inserted into the uterus through the cervix, secure by inflating with air

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cone tip uterine manipulator

retracting/ viewing

atraumatic: inserted through the cervix to externally manipulate the uterus during lap procedures
used in conjunction with uterine tenaculum

variable cone tips

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uterine sound

accessory

measuring device used to measure the depth of the uterus
atraumatic: inserted vaginally through the cervical opening until it touches the top of the fundus

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hegar uterine dilators

dilating

smeared with KY jelly and used progressively from smallest in diameter, to largest, to dilate the cervix
surgeon will insert the smaller of two ends first and then turn it around and insert the other end

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van buren urethral sounds

dilating

smeared with KY jelly and used progressively from smallest in diameter, to largest, to dilate the urethra
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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hank uterine dilators

dilating

smeared with KY jelly and used progressively from smallest in diameter, to largest, to dilate the urethra or cervix
surgeon will insert the smaller of two ends first and then turn it around and insert the other end

goodell uterine dilator

dilating

this dilator is inserted into the cervical opening and slowly the nut is tightened forcing the cervix to dilate
allows for introduction of instrumentation

sims uterine curettes

cutting/ dissecting

used to scrape a sample of endometrial tissue from the inferior walls of the uterus
They remove excess tissue
that may be causing heavy
bleeding or pain

endocervical curette

cutting/ dissecting

used to scrape a sample of endometrial tissue from the inferior walls of the uterus
this tissue is sent to pathology for inspection

thomas uterine curettes

cutting/ dissecting

used to bluntly remove loose uterine contents during a D+C
they remove excess tissue that mat be causing heavy bleeding or pain

hysteroscopy cannula

(hysteroscopy obturator and sheath)

viewing

placed through the cervix to endoscopically view within the uterus
obturator allows for atraumatic insertion through cervix

uterine tenaculum

grasping/ holding

sharp penetrating jaws of this clamp are secured to the cervix
it stabilizes with traction during any uterine procedure with a vaginal approach

cystoscopy cannula

(obturator and sheath)

viewing

placed through the urethra to endoscopically view within the bladder
obturator allows for atraumatic insertion through urethra

cystoscope/ hysterscope

viewing

4 mm scope that come in 0, 30, 90, and 120 degree angled lenses
used to examine the uterus and bladder and the surgeon will switch to different angled scopes

operative cystoscope

(cystoscope deflector) viewing - introduced through a cystoscope cannula (sheath) - dials by the lens move the lever at the distal end of the scope to help the surgeon introduce instruments

working element with cutting loop

(retroscope, hysteroscopy electrode occluding/ cutting - introduced through a hysteroscope cannula still allowing for passage of a scope - used to ablate or remove inner uterine or bladder tissue

single spike cysto tubing

supply spike end: passed to CN to be placed in a bag that is hung from IV pole silastic end: connected to the inflow connector on the obturator allowing for distention of bladder

stone basket

supply - used to extract stones in the ureters or kidneys - surgeon directs the basket around the stone while the tech opens/ closes the basket

stone grasper

supply - used to extract stones in the ureters/ kidneys - surgeon directs the basket around the stone while the tech opens/ closes the basket

ellik evacuator

suctioning/ supply - used to irrigate the bladder and prostate - ellik at 5 mins 40 sec

urethral stent

temporary implant - thin tube inserted into the ireter to prevent or treat obstruction of the uterine flow from the kidney - includes a guidewire to direct the stent along with a rigid plastic sheath to introduce the guidewire