Unit 2 Instruments, Supplies, and Equipment

Question 1

State aspects of the care and handling of surgical powered instruments.

Answer 1

clean concurrently during surgery
don’t submerge in water with your instruments
don’t kink cords on air-powered tools
keep safety latch on when assembling parts
batteries must be flashed or Sterrad-processed because power drains out when stored
always consult manufacturer’s recommendations for assembling, cleaning, and sterilizing

Question 2

Suture size/type:

Answer 2

#1
0
2/0
3/0
4/0
5/0
6/0
7/0
8/0 – 11/0
Absorbable sutures
Non-absorbable sutures

Question 3

Needle eye

Answer 3

Closed eye; French eye; Eyeless (AKA: swaged)

Question 4

Needle body

Answer 4

Straight; 3/8 circle; ½ circle; 5/8 circle

Question 5

Needle point

Answer 5

Taper; blunt; cutting (various types of cutting FYI: conventional, reverse cutting, side cutting)

Question 6

List types of needle points:

Answer 6

cutting
taper
blunt

Question 7

List specialty surgical equipment

Answer 7

Electrosurgical unit
Microscope
Light source/Headlight
Video camera
Video monitor
Insufflator
High pressure irrigator (pulse lavage irrigator)
Low pressure irrigator NIT: Joint distension for arthroscopy
Phacoemulsifier-I/A unit
CUSA
Navigation systems
Suction unit
Pneumatic tourniquet
CD unit
Cast cart NIT Contains all supplies and equipment needed to apply/remove a cast
Crash cart NIT For cardiac arrest; contains meds and defibrillator, see Pharm Chap 16
Vascular cart NIT Contains items needed to perform vascular surgery including sutures, grafts, catheters, vessel loops, etc.

Question 8

State safety precautions for use of pneumatic tourniquets.

Answer 8

place on long bones only (humerus, femur) NEVER at joint because superficial neurovascular structures pass at joints
Place soft roll padding under cuff to prevent pinching of skin
use correct length and width (2”-3” overlap) to avoid excessive pressure caused by too much double-wrapping of cuff
don’t let prep solutions pool, keep cuff dry
record tourniquet time
elevate extremity before inflating or exsanguinating

Question 9

State aspects of the care and handling of surgical powered instruments.

Answer 9

Clean concurrently during surgery
Do not submerge in water with your instruments
Do not kink cords on air-powered tools
Keep safety latch on when assembling parts
Batteries must be flashed or Sterrad-processed because power drains out when stored
Always consult manufacturer’s recommendations for assembling, cleaning, and sterilizing

Question 10

List types of laser systems

Answer 10

Argon
CO2
Nd:YAG
Krypton
Excimer

Question 11

List examples of specialty surgical equipment

Answer 11

Electrosurgical unit
Microscope
Light source/Headlight
Video camera
Video monitor
Insufflator
High pressure irrigator (in text as: pulse lavage irrigator)
Low pressure irrigator NIT: Joint distension for arthroscopy
Phacoemulsifier-I/A unit
Navigation systems
Nerve Stimulator
Suction unit
Pneumatic tourniquet
SCD unit
Cast cart 
Crash cart
Vascular cart

Question 12

What is the purpose of Low pressure irrigator

Answer 12

Joint distension for arthroscopy

Question 13

What is the purpose of Cast cart

Answer 13

Contains all supplies and equipment needed to apply/remove a cast

Question 14

What is the purpose of Crash cart

Answer 14

For cardiac arrest; contains meds and defibrillator, s

Question 15

What is the purpose of Vascular cart

Answer 15

Contains items needed to perform vascular surgery including sutures, grafts, catheters, vessel loops, etc.

Question 16

State safety precautions for use of pneumatic tourniquets.

Answer 16

Place on long bones only (humerus, femur) NEVER at joint because superficial neurovascular structures pass at joints
Place soft roll padding under cuff to prevent pinching of skin
Use correct length and width (2”-3” overlap) to avoid excessive pressure caused by too much double-wrapping of cuff
Don’t let prep solutions pool, keep cuff dry
Record tourniquet time
Elevate extremity before inflating or exsanguinating

Question 17

skin stapler

Answer 17

Ethicon-Proximate
Covidien-Generic: skin stapler
Used for skin closure

Question 18

linear stapler

Answer 18

Ethicon-Proximate
Covidien-Thoracic-abdominal (TA 1)
Used for GI tract, lung

Question 19

linear cutter

Answer 19

Ethicon-Proximate
Covidien-gastrointestinal anastomosis (GIA2)
GI tract, lung

Question 20

circular

Answer 20

Ethicon-intraluminal stapler (ILS3)
Covidien-nd-to-end anastomosis (EEA4)
Used on tubular organ anastomosis

Question 21

ligating clips

Answer 21

Ethicon-Endoclip
Covidein-Surgiclip
Used to ligate blood vessels, ducts

Question 22

List types of laser systems

Answer 22

Argon
CO2
Nd:YAG
Krypton
Excimer

Question 23

List examples of specialty surgical equipment

Answer 23

Electrosurgical unit
Microscope
Light source/Headlight
Video camera
Video monitor
Insufflator
High pressure irrigator (in text as: pulse lavage irrigator)
Low pressure irrigator NIT: Joint distension for arthroscopy
Phacoemulsifier-I/A unit
CUSA
Navigation systems
Suction unit
Pneumatic tourniquet
SCD unit
Cast cart NIT Contains all supplies and equipment needed to apply/remove a cast
Crash cart NIT For cardiac arrest; contains meds and defibrillator
Vascular cart NIT Contains items needed to perform vascular surgery including sutures, grafts, catheters, vessel loops, etc.

Question 24

What is the purpose Low pressure irrigator

Answer 24

Joint distension for arthroscopy

Question 25

What is the purpose of Cast cart

Answer 25

Contains all supplies and equipment needed to apply/remove a cast

Question 26

What is the purpose of Crash cart

Answer 26

For cardiac arrest; contains meds and defibrillator

Question 27

What is the purpose of Vascular cart

Answer 27

Contains items needed to perform vascular surgery including sutures, grafts, catheters, vessel loops, etc.