Tissue sealing devices Flashcards
skin stapler
supply/ suturing
- approximates skin/ fascia edges during closure
- dispenses a single staple with each activation
comes in different quantities (5-35) and wIdths (reg + wide)
Insorb stapler
supply/ suturing
- places co-polymer absorbable staple under the skin for a more cosmetic closure
- uses special double adson with teeth for administration
TA stapler
(transverse anastomosis linear stapler)
supply/ occluding
counted: each
- places two straight staggered, evenly spaced, parallel rows of staples into tissues
- may be used on the alimentary or thoracic tissues
GIA stapler
(gastrointestinal anastomosis linear cutter)
supply/ occluding/ cutting
counted: each
- lays two double staple lines with a knife blade that cuts between them
- used to separate sick and healthy tissues in the alimentary, GYN, or thoracic tissue
reloadable, variable lengths
endoscopic GIA
(endoscopic gastrointestinal anastomosis linear cutter)
supply/ occluding/ cutting
counted: each load is individual
- used through a 12 mm Portland lays out two double rows of staples then buts between them
- used to separate sick and healthy tissues
hemoclip applier
(clip applier)
occluding
counted: ind
- reusable applier loaded with an implantable clips
- easiest to load when held in a pencil position and pressed directly over the clip
size: variable
ligaclip applier
supply/ occluding
- one patient use applier with preloaded implantable clips
- used to quickly seal off blood vessels and ducts
size: variable
endoscopic clip applier
supply/ occluding
- one patient uses applier with preloaded implantable chips
- used to quickly seal off blood vessels and ducts
EEA stapler
(end to end anastomosis intraluminal stapler)
supply/ occluding/ cutting
- lays a double row of circular staples them trims the lumen with a knife located with the head of the stapler
- resection and anastomosis of the distal colon, rectum, or esophagus
purse string stapler
supply/ suturing
- lays two rows of staples which bridge a loop of suture
- suture lies in a ring and then pulled tight against the staples
kleppinger bi-polar forcep
occluding
- used to firmly grasp tissue less than 3mm in size and coagulate
- foot pedal activated Wolfe machine provides it with power
harmonic scalpel
ultrasonic shears
supply/ occluding/ cutting
- utilizes high frequency vibrations to simultaneously cut and coagulate thick tissue with minimal plume
- does not require a bovie pad since it doesn’t use electrical current
*style: variable (open and laparoscopic)
laparoscopic vessel sealing device
(bipolar electrosurgery device)
supply/ occluding/ cutting
- utilizes temperature sensing technology to adjust energy delivered
- typically hand operated and articulating
open forceps vessel sealing devices
(bipolar electrosurgery device)
supply/ occluding/ cutting
- less thermal spread than traditional bipolar forceps
- utilizes temperature sensing technology to adjust the energy delivered
probe nad groove director
probing
counted (each ind)
- used to follow sinus tracts or probe depths of abscesses
- peri- rectal abscess may require use of this instrument
EEA sizers (dilators)
(end to end anastomosis dilators)
dilating
counted (ind)
- start with the smallest size and process to desired circumference
- used to dilate intestines in order to fit two ends of intestines together during resection
bougie dilator
dilating
- start with smallest size and progress to desired circumference
- used to dilate the esophagus and cardiac sphincter
size: variable
