Surgical Instrument

A morcellator is a surgical instrument used in minimally invasive laparoscopic or robotic surgeries to divide and remove large masses of tissue from the body. It is commonly used in procedures such as laparoscopic hysterectomy or myomectomy, particularly for removing uterine fibroids or performing tissue extraction during certain types of kidney or liver surgeries.

Here's how a morcellator typically works:

1. Insertion: The morcellator is inserted into the body through a small incision made in the skin, usually as part of a laparoscopic or robotic-assisted surgical procedure.

2. Tissue Grasping: Once inside the body, the morcellator's jaws or blades are used to grasp and secure the targeted tissue mass. The tissue may be a uterine fibroid, part of an enlarged prostate, or another type of benign or malignant growth.

3. Morcellation: The morcellator then mechanically divides the tissue mass into smaller fragments or pieces. This process may involve rotating or oscillating the blades to cut the tissue while simultaneously applying suction to remove the fragments from the body.

4. Extraction: The fragmented tissue is removed from the body through the same small incision used for insertion. In some cases, additional instruments or ports may be used to facilitate tissue extraction.

Morcellators offer several advantages over traditional open surgical techniques, including smaller incisions, reduced blood loss, faster recovery times, and fewer complications. However, their use has been a topic of controversy and concern in recent years due to the potential risk of spreading undetected cancerous cells, particularly in cases of uterine fibroids or other gynecological conditions where malignancy may not be initially apparent.

As a result of these concerns, regulatory agencies have issued guidance and warnings regarding the use of morcellators, and some medical organizations have recommended more stringent patient selection criteria and enhanced informed consent processes for patients undergoing procedures involving morcellation. Additionally, there has been ongoing research and development aimed at improving the safety and effectiveness of morcellation techniques, including the development of containment systems to minimize the risk of tissue dissemination.

Graspers are surgical instruments commonly used in various medical specialties, including urology, general surgery, gynecology, and minimally invasive procedures. They are designed to grasp, hold, manipulate, or retract tissues, organs, or other structures during surgical procedures. Graspers come in a variety of shapes, sizes, and designs, each suited to specific surgical tasks and procedures. Here are some common types of graspers used in surgery:

1. Alligator Graspers: Alligator graspers, also known as Allis forceps, have serrated jaws with interlocking teeth that provide a firm grip on tissues without causing excessive trauma. They are commonly used for grasping and holding tissues during various surgical procedures.

2. Babcock Graspers: Babcock graspers have a unique fenestrated design with a spring handle mechanism. They feature smooth, atraumatic jaws that are ideal for grasping delicate tissues, such as intestines or fallopian tubes, without causing damage.

3. Laparoscopic Graspers: Laparoscopic graspers are specialized instruments used in minimally invasive laparoscopic surgeries. They are long, slender instruments with a handle at one end and a grasping mechanism, such as a jaw or pincer, at the other end. Laparoscopic graspers allow surgeons to manipulate and retract tissues through small incisions with precision and dexterity.

4. Bowel Graspers: Bowel graspers, also known as bowel clamps or Kocher forceps, have robust jaws with serrated teeth that provide a secure grip on thick or tough tissues, such as the bowel. They are commonly used in gastrointestinal surgeries for grasping and manipulating bowel segments during resection or anastomosis procedures.

5. Endoscopic Graspers: Endoscopic graspers are specialized instruments used in endoscopic procedures to manipulate and retrieve tissues or foreign bodies within the gastrointestinal tract or other body cavities. They are designed to be inserted through an endoscope or other minimally invasive instruments for precise tissue handling.

6. Needle Holders: Needle holders are graspers specifically designed for holding and manipulating surgical needles during suturing procedures. They feature a ratcheted locking mechanism and fine, serrated jaws that securely hold the needle, allowing surgeons to pass sutures through tissues with precision.

7. Retractors: Retractors are graspers used to hold and retract tissues or organs, providing optimal exposure and access to the surgical site. They come in various designs, including handheld retractors, self-retaining retractors, and specialized retractors for specific surgical procedures.

8. Tissue Graspers: Tissue graspers, also known as tissue forceps, are versatile instruments used for grasping and manipulating tissues during a wide range of surgical procedures. They come in various sizes and designs, including toothed or smooth jaws, straight or curved tips, and delicate or robust construction.

Graspers are essential tools in surgical practice, enabling surgeons to perform precise and controlled tissue manipulation during a wide range of procedures. The selection of the appropriate type of grasper depends on the specific surgical task, the type of tissue being manipulated, and the surgical approach being used.

An instrument tray is a common medical device used in healthcare settings, particularly in surgical and procedural areas. It serves as a container or organizer for surgical instruments, ensuring they are stored, transported, and accessed efficiently during medical procedures. Here's an overview of instrument trays:

1. Material: Instrument trays are typically made of stainless steel, which is durable, easy to clean, and resistant to corrosion. Some trays may also be made of other materials such as plastic or aluminum, depending on the specific application and requirements.

2. Design: Instrument trays come in various sizes and designs to accommodate different types and quantities of instruments. They may feature compartments, slots, or dividers to organize instruments and prevent them from moving or sliding during transportation. The trays may also have handles or grips for easy carrying and maneuvering.

3. Sterilization Compatibility: Instrument trays are designed to withstand sterilization processes such as steam autoclaving, ethylene oxide (EtO) sterilization, or chemical disinfection. This ensures that surgical instruments remain sterile and safe for use during medical procedures.

4. Instrument Protection: Instrument trays help protect surgical instruments from damage or contamination during storage and transportation. They provide a secure and organized environment for instruments, reducing the risk of breakage, corrosion, or loss.

5. Customization: Some instrument trays may be customizable to meet the specific needs and preferences of healthcare providers. Customization options may include adjustable dividers, removable lids, or specialized compartments for particular instrument sets.

6. Identification: Instrument trays often have labels, tags, or markings to identify the contents and purpose of each tray. This helps healthcare providers quickly locate and access the instruments they need for a particular procedure.

7. Compatibility with Sterile Wrapping: Instrument trays are designed to be compatible with sterile wrapping materials such as sterilization pouches or wraps. After instruments are sterilized, they can be placed in the tray and wrapped securely to maintain sterility until they are ready for use.

Overall, instrument trays are essential components of surgical and procedural environments, providing a safe, organized, and sterile storage solution for surgical instruments. They contribute to the efficiency, safety, and effectiveness of medical procedures by ensuring that instruments are readily available and properly maintained throughout the surgical process.

The edges of saddle matrices are performed as cylinder-shape tubes where tines of spring clip or clamp are inserted upon matrix installation. USED IN FOLLOWING CASES: In Class II restorations. In deep cavities involving more than 2 surfaces.

An Aluminum OT (Operating Theater) Surgical Single Arm Pendant is a medical equipment fixture commonly found in operating rooms, particularly in surgical suites and intensive care units. It is designed to provide support and organization for medical devices, gas supplies, electrical outlets, and other essential equipment needed during surgical procedures. Here's an overview of its features and functions:

1. Single Arm Design: The pendant typically consists of a single arm, often made of lightweight yet sturdy aluminum, that is mounted to the ceiling or wall of the operating room. This arm extends horizontally from the mounting point and may be adjustable in height, length, or rotation to accommodate different surgical setups and preferences.

2. Equipment Mounting: The pendant arm is equipped with various attachment points, rails, shelves, or trays where medical devices and equipment can be securely mounted or hung. This may include surgical lights, monitors, infusion pumps, anesthesia machines, ventilators, and other essential devices needed during surgery.

3. Gas Outlets: The pendant arm may feature gas outlets or ports for the delivery of medical gases such as oxygen, nitrous oxide, and compressed air. These outlets are typically equipped with gas-specific quick-connect fittings or adapters for easy connection to anesthesia machines, ventilators, and other gas-powered devices.

4. Electrical Outlets: Electrical outlets are often integrated into the pendant arm to provide power for electrical devices and equipment used in the operating room. These outlets may include standard power sockets as well as specialized outlets for medical equipment requiring isolated power sources or specific voltage requirements.

5. Cable Management: The pendant arm may include cable management systems such as channels, clips, or trays to organize and route electrical cables, data cables, and medical gas hoses safely along the arm. This helps prevent tripping hazards, minimize clutter, and maintain a clean and organized surgical environment.

6. Swivel and Articulation: Some pendant arms feature swivel or articulating joints that allow for flexible positioning and movement of attached equipment. This enables surgical staff to adjust the orientation and angle of devices for optimal visibility and accessibility during procedures.

7. Controls and Accessories: Depending on the specific design and configuration, the pendant arm may include controls, touch panels, or accessory mounts for operating room management systems, communication devices, medical gas flow meters, or other specialized equipment used in surgical settings.

8. Hygiene and Cleaning: Aluminum pendant arms are often designed with smooth surfaces and rounded edges to facilitate cleaning and disinfection. They may also incorporate antimicrobial coatings or materials to help prevent the spread of infections and maintain sterile conditions in the operating room.

Overall, an aluminum OT surgical single arm pendant provides a versatile and ergonomic solution for organizing and supporting medical equipment in the operating room, enhancing workflow efficiency, and optimizing patient care during surgical procedures.

Boyle's apparatus, also known as Boyle's anesthesia machine or Boyle's apparatus, is a medical device used in anesthesia delivery during surgical procedures. It is named after the Irish anesthesiologist, Henry Boyle, who designed the first modern anesthesia machine in the early 20th century. The apparatus consists of various components that work together to deliver controlled doses of anesthesia gases to patients undergoing surgery. Here's an overview of the typical components and functions of a stainless steel Boyle's apparatus:

1. Gas Cylinders: The Boyle's apparatus typically includes gas cylinders containing medical gases such as oxygen, nitrous oxide, and sometimes medical air or carbon dioxide. These cylinders are made of stainless steel or other durable materials and are securely attached to the apparatus.

2. Pressure Regulators: Pressure regulators are valves attached to the gas cylinders to control the flow and pressure of the gases. They ensure that the gases are delivered at the appropriate pressure levels for safe and effective anesthesia administration.

3. Flowmeters: Flowmeters are calibrated tubes or rotameters that measure and control the flow rate of gases entering the anesthesia circuit. They allow the anesthesiologist to adjust the flow of oxygen, nitrous oxide, and other gases to maintain the desired concentrations during anesthesia.

4. Vaporizers: Vaporizers are devices that convert liquid anesthesia agents, such as volatile anesthetics like isoflurane or sevoflurane, into a vapor form that can be inhaled by the patient. The Boyle's apparatus may include vaporizers for delivering volatile anesthetics as part of the anesthesia gas mixture.

5. Anesthesia Breathing Circuit: The anesthesia breathing circuit is a series of tubing and connectors that deliver the anesthesia gases from the apparatus to the patient's airway. It includes components such as the anesthesia machine's "Y-piece," breathing tubes, and airway adapters.

6. Ventilator: Some Boyle's apparatus may include a mechanical ventilator or ventilator control system to assist with patient ventilation during anesthesia. The ventilator delivers controlled breaths to the patient's lungs to maintain adequate oxygenation and ventilation during surgery.

7. Monitoring Equipment: Modern Boyle's apparatus often includes integrated monitoring equipment to assess the patient's vital signs, such as heart rate, blood pressure, oxygen saturation, and end-tidal carbon dioxide levels. These monitoring devices help anesthesiologists monitor the patient's condition and adjust anesthesia accordingly.

8. Safety Features: Boyle's apparatus typically includes safety features such as pressure relief valves, oxygen failure protection devices, and scavenging systems to ensure the safe delivery of anesthesia and prevent complications during surgery.

Stainless steel Boyle's apparatus are durable, easy to clean, and resistant to corrosion, making them suitable for use in medical environments where hygiene and sterility are essential. They are widely used in operating rooms, surgical suites, and other healthcare settings for administering anesthesia during surgical procedures.

instructions for use:

• General: all radiation protection aprons should be regularly checked and monitored for substrate integrity. We recommends a minimum of two inspections annually. Any protective apron that shows holes, tears or radiation leakage must be taken out of service immediately and either repaired or destroyed.
• Storage:aprons should always be properly hung on a rack or hanger specifically designed for protective apron storage. Never fold, crease or stack an apron. Avoid sharp objects. Core material is fragile and once punctured renders an apron unusable & will allow radiation to pass to the wearer.
• Cleaning:use only warm water and mild detergent or our specially formulated apron cleaner. Never use harsh chemicals and never use commercial or machine washing or drying on aprons.
• Disinfecting: never use a steam autoclave as the heat will cause severe damage to the protective substrate. Aprons can be eto gas sterilized or disinfected with clorox hydrogen peroxide spray or wipes.

Brand New ADDLER Laparoscopic 10mm Bulldog Clip Applicator with 6 Attachments 

A stainless steel myoma screw is a specialized surgical instrument used in gynecological procedures, particularly during myomectomy surgeries. Myomectomy is a surgical procedure performed to remove uterine fibroids (also known as myomas) while preserving the uterus. The stainless steel myoma screw serves as a tool to aid in the manipulation and extraction of fibroids during the procedure.

Here are the key features and functions of a stainless steel myoma screw:

1. Material: The myoma screw is typically made of medical-grade stainless steel, which is durable, non-reactive, and resistant to corrosion. This ensures the safety and reliability of the instrument during surgical procedures.

2. Design: The myoma screw is designed with a spiral or corkscrew-shaped shaft, similar to a large screw or drill bit. The shaft may have threads or ridges to provide traction and grip on the fibroid tissue.

3. Handle: The screw features a handle at one end, which allows the surgeon to manipulate and rotate the instrument during the procedure. The handle is designed for comfortable grip and control.

4. Tip: The tip of the myoma screw is typically pointed or tapered to facilitate easy insertion into the fibroid tissue. Some screws may have a blunt tip to minimize tissue trauma during insertion.

5. Usage: During a myomectomy procedure, the myoma screw is inserted into the fibroid tissue to provide a firm grip and traction. The surgeon then rotates the screw to maneuver and extract the fibroid from the surrounding uterine tissue.

6. Versatility: Myoma screws come in various sizes and configurations to accommodate different surgical needs and patient anatomies. They may have adjustable shaft lengths or handle designs to suit the preferences of the surgeon.

7. Sterilization: Like all surgical instruments, myoma screws must undergo thorough sterilization before use to prevent infections. Sterilization methods commonly used for surgical instruments include steam autoclaving and ethylene oxide (EtO) gas sterilization.

Overall, the stainless steel myoma screw is a valuable tool in gynecological surgery, aiding surgeons in the precise manipulation and extraction of uterine fibroids during myomectomy procedures. Its durable construction, ergonomic design, and effectiveness contribute to successful surgical outcomes and patient care.

Other Details:

• Rubber dam (dental dam) is used mainly in endodontic treatment.
• Its main function is to isolate the tooth being treated from its environment, in particular from the bacteria in the oral cavity.
• The rubber dam is held over individual teeth or groups of teeth by appropriate rubber dam clamps.
• The tooth crown stands out from the rubber dam through individual holes made by Ivory punch.
• Rubber Dam permits a clean and dry operative field and enables treatment of the appropriate tooth without contamination from blood or saliva.
• Rubber dam also protect the patient’s airway from any materials which may fall into it during treatment.

Features:

• Powder-free, non-sterile Single-use dams, for professional use only Convenient.
• Ensures isolation of work field.

Packaging:

• Plastic Dental Dam Frame 6″/5″
• Wedjets Stabilizing Cord Pack(S)
• Hygenic Template 6″/5″
• Punch
• Forcep
• Rubber Dam Sheets 6×6″(36)
• Set of 9 Clamps

Small slender spring-open scissors for intraocular maneuvers (iris and deeper and more delicate structures); has two wings to operate it and one sharp and one blunt blade.