INSTRUMENTS and SUTURES BKN. Instruments and Sutures 4 Basic and Plastic Trays 4 Needle Drivers 4 Forceps 4 Scissors.

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Presentation transcript:

INSTRUMENTS and SUTURES BKN

Instruments and Sutures 4 Basic and Plastic Trays 4 Needle Drivers 4 Forceps 4 Scissors

Basic Set 4 Needle Holder 4 Scissors 4 Thumb forceps with teeth for grasping tissue

Custom Basic Instrument Tray

Optionals 4 Separate scissors for suture cutting, debridement and dissection (suture scissors, iris scissors and metzenbaums respectIvel (suture scissors, iris scissors and metzenbaums respectively 4 Forceps for clamping (hemostats) 4 Scalpel 4 German middle quality or better, not disposable are recommended 4 For plastic cases use tungsten carbide tipped needle holders

E.D. Plastics Tray

How to use a needle holder 4 Load body of needle at tip of jaws, 1/3 of way from swage and at 90 degree angle 4 Grasp holder with whole hand, no fingers in rings 4 Enter skin at angle of 90 degrees or more away from wound 4 Roll the instrument to give a circular needle track, if you can achieve a wider knot at bottom, this everts the skin

Arm at end of driver, perpendicular and at back 1/3 of needle

Holding driver for plastic closure

Left Handed Webster Needle Driver

Castroviejo needle driver for loops and 8-0

How to use thumb forceps 4 Hold like chop sticks 4 grasp superficial fascia not skin 4 or use one arm like a skin hook

Using forceps

Adson’s and Skin Hook

Sutures, Dissection, Tissue

Castroviejo corneal scissors with angle

How to control scissors for suture cutting 4 Thumb and ring finger in rings, index at fulcrum guides tips 4 For cutting knots on absorbables, slide tips down suture tails to the knot, rotate the tips slightly to avoid cutting it

Scissors control

How to use scissors for undermining 4 curved preferable, tips up 4 dissect bluntly, in plane between superficial and deep fascia

Undermining to relieve tension

No touch option to minimize risk of blood born disease 4 Combined needle holder and suture scissors (Olsen-Hegar) 4 Combined tissue grasping and knot tying forceps (Adsons with teeth and knot tying platform)

Absorbable Sutures

Nonabsorbable Sutures

Tapered and Cutting Needles