GYN-urology instruments

Question 1

Double tooth Uterine Tenaculum

Answer 1

Grasping/Holding
- Traumatic: used to securely penetrate cervix & utilize traction to stabilize

Question 2

Polyp Forceps

Answer 2

Grasping/Holding
- Atraumatic: Used to bluntly remove polyps from w/in uterus

Question 3

Heaney Clamp

Answer 3

Clamping/Occluding
- Traumatic: Used abd/vaginally to clamp w/o slippage, the uterine pedicles
- Used during hysterectomy to assist in clamp, clamp, cut, tie
crd, str, or right angle

Question 4

Heaney-Ballentine Clamp

Answer 4

Clamping/Occluding
Traumatic: used abd/vaginally to clamp w/o slippage the very vascular uterine pedicles
crd, str, right angle

Question 5

Avard Weighted Speculum

Answer 5

Retracting/Viewing
- Self-retaining & atraumatic: weight hangs down & retracts vaginal wall
- Groove allows blood and fluid to spill out, covered w/ glove

Question 6

Graves Vaginal Speculum

Answer 6

Retracting/Viewing
- Self-retaining & Atraumatic : used to retract anterior & posterior vaginal walls

Question 7

Heaney retractor

Answer 7

Retracting/Viewing
- Handheld & Atraumatic: used to retract deep tissue of vaginal walls to visualize cervix

Question 8

Simms Vaginal Retractor

Answer 8

Retracting/Viewing
- Handheld & Atraumatic: used to retract deep tissue of vaginal walls to visualize cervix

Question 9

Lone Star Retractor

Answer 9

Retracting/Viewing/Supply
- Self-retaining & Traumatic : Small hooks attached to tubing and then hooked on vaginal wall tissue

Question 10

Clearview Uterine Manipulator

Answer 10

Retracting/Viewing/Supply
- Atraumatic: Inserted through cervix to externally manipulate uterus
- Provides great motion range of uterine manipulator

Question 11

Zumi Uterine Manipulator

Answer 11

Retracting/Viewing/Supply
- Atraumatic: inserted through the cervix to externally manipulate the uterus
- Colored fluid may be injected into leur lock opening

Question 12

Cone Tip Uterine Manipulator

Answer 12

Retracting/Viewing
- Atraumatic: Inserted through the cervix to externally manipulate the uterus
- Used in conjunction w/ uterine tenaculum
variable cone tip size

Question 13

Uterine Sound

Answer 13

Accessory
- Used to measure the depth of the uterus
- Atraumatic: Inserted vaginally through the cervical opening until it touched top of fundus

Question 14

Hegar Uterine Dilator

Answer 14

Dilating
- Smeared w/ KY Jelly & used progressively from smallest in diameter to largest
- Care must be used to avoid puncturing a hole

Question 15

Van Buren Urethral Sound

Answer 15

Dilating
- Smeared w/ KY jelly & used progressively from smallest in diameter to largest
- Doc will start w/ size closest to the urethral opening diameter

Question 16

Hank Uterine Dilators

Answer 16

Dilating
- Smeared w/ KY Jelly and used progressively from smallest in diameter to largest
- Doc will start w/ size closest to the cervical opening diameter

Question 17

Goodell Uterine Dilator

Answer 17

Dilating
- Inserted into the cervical opening & nut slowly tightened
- Allows introduction of Instrumentation

Question 18

Sims Uterine Curettes

Answer 18

Cutting/Dissecting
- To scrape a sample of endometrial tissue from interior walls of uterus
- Tissue is sent to pathology

Question 19

Endocervical Curette

Answer 19

Cutting/Dissecting
- To scrape a sample of endocervical tissue from interior walls of cervix
- Tissue is sent to pathology

Question 20

Thomas Uterine Curettes

Answer 20

Cutting/Dissecting
- Bluntly removes loose uterine contents
- Tissue is sent to pathology

Question 21

Hysteroscopy Cannula

Answer 21

Viewing
- Placed through cervix to endoscopically view uterus
- Obturator allows atraumatic insertion through cervix

Question 22

Uterine Tenaculum

Answer 22

Grasping/Holding
- Sharp penetrating jaws penetrate cervix to stabilize w/ traction

Question 23

Cystoscopy Cannula

Answer 23

Viewing
- Placed through urethra to endoscopically view bladder
- Obturator allows for atraumatic insertion through urethra

Question 24

Cystoscope/Hysteroscope

Answer 24

Viewing
- 4mm Scope comes 0,30,90, & 120 degree
- Used to examine uterus/bladder & surgeon will switch to different angle

Question 25

Operative cystoscope

Answer 25

Viewing
- Introduced through a cystoscope cannula
-Dials by lens move lever at distal end of scope to introduce instruments

Question 26

Working Element Cutting

Answer 26

Occluding/Cutting
- Connects to ESU & houses a variety of retractable electrodes
- Resectoscope at 3min 15sec

Question 27

Single Spike Cysto Tubing

Answer 27

Supply
- Spike end: passed to circulator placed into a bag hung from IV pole
- Silastic end: connected to inflow connector on obturator allowing distention

Question 28

Stone Basket

Answer 28

Supply
- Used to extract stones in ureter/kidney
- Surgeon directs basket around stone while tech opens/closes the basket

Question 29

Stone Grasper

Answer 29

Supply
- Used to extract stones in ureter/kidney
- Surgeon directs grasper around stone while tech opens/closes the basket

Question 30

Elik Evacuator

Answer 30

Suction/Supply
- To irrigate bladder & prostate
- Elik at 5 min 40 sec

Question 31

Ureteral Stent

Answer 31

Temporary Implant
- Thin tube inserted into ureter to prevent or treat obstruction
- Includes guidewire to direct stent under fluoroscopy