Instrumentation for the operating room 2016

  110-2 Middle, top to bottom: 4 Frazier
suction tubes: 12, 10, 8, and 6 Fr. Bot-
tom, left to right: 1 D’Errico nerve root
retractor; 1 Love nerve root retractor,
straight; 1 Love nerve root retractor,
90-degree angle; 1 Scoville nerve root
retractor, angular.

A B 110-3 Left to right: Tips: A, D’Errico
nerve root retractor; Love nerve root
retractor, straight; B, Love nerve root
retractor, 90-degree angle; Scoville
nerve root retractor, angular.

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110-4 A, Left to right: 4 Spurling- A
Kerrison rongeurs, 40 degrees:
2, 3, 4, and 5 mm. B, Left to right: Tips:
4 Spurling-Kerrison rongeurs, 40
degrees: 2, 3, 4, and 5 mm.
   ­
B

110-5 Top: 2 Adson cerebellar
retractors, medium. Bottom, left to
right: 2 Weitlaner retractors, straight,
long; 2 Taylor spinal retractors: short,
front view; long, side view; 2 Hibbs
laminectomy retractors: narrow, front
view; wide, side view.

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A   110-6 A, Top: 1 Mellon curette, long,
large. Bottom, left to right: 3 Curettes,
size 4-0: reverse-angled, angled,
and straight; 3 curettes, size 2-0:
reverse-angled, angled, and straight;
3 curettes, size 3-0: reverse-angled,
angled, and straight; 3 curettes, size 0:
reverse-angled, angled, and straight;
1 Cobb spinal elevator, narrow; 1
Cobb spinal elevator, wide. B, Left to
right: Curette tips: 1 size 4-0, straight;
3 size 2-0: reverse-angled, angled, and
straight; 3 size 3-0: reverse-angled,
angled, and straight; 2 size 0: reverse-
angled and straight.

B

110-7 Left to right: 1 Backward-an-
gled curette; 1 forward-angled curette.

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 CHAPTER 111

Williams Laminectomy Microretractors

Additional images are available at: Williams laminectomy microretractors are utilized to retract tissue away from a bony sur-
evolve.elsevier.com/Tighe/instrumentation face. The pointed hook side is placed aside bone while the blade retracts tissue.
111-1 Left to right: Williams lami-

nectomy microretractors: short blade,
right-handed, back view; long blade,
right-handed, front view; long blade,
left-handed, front view.

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CHAPTER 112

Minimally Invasive Spine Surgery

Minimally invasive spine surgery is spine surgery through a small incision utilizing a retrac- Additional images are available at:
tor system that allows visualization of the anatomy. Specially designed instrumentation is evolve.elsevier.com/Tighe/instrumentation
utilized to enhance this visualization.

A brief description of the procedure follows:
1. Local injection is placed at the skin incision site.
2. K-wire is inserted at the intended level of the spine and verified under fluoroscopy.
3. A small stab skin incision is made and a dilator is placed over the K-wire.
4. A succession of increasing-in-size dilators is placed over one another while under fluo-

roscopy.
The dilators split the muscle and fascia versus dissection with cautery or Cobb elevators.
The last dilator is short with an attachment to a retractor arm to the side of the surgical bed.
Verification of the correct spinal level occurs after final adjustment of the retractor tube,
removal of dilators, and before work on the lamina begins with either a high-powered drill
with specialized minimally invasive attachments or Kerrison rongeurs.
 
112-1 Left to right: 1 Boss titanium
bed rail clamp; 1 guidewire; 9 Boss
titanium-colored dilating tubes; 3 Boss
titanium tubular retractors; 1 Boss flex-
arm retractor.

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    112-2 Top to bottom, left to right:
1 Kerrison rongeur, bayonet, 2 mm;
1 Kerrison rongeur, bayonet, 3 mm;
1 suction nerve root retractor; 1 knife
handle, bayonet, #11; 1 MIS bone
curette, bayonet, straight, 6-0; 1 MIS
bone curette, bayonet, forward angle,
6-0; 1 MIS bone curette, bayonet,
reverse angle, 6-0; 1 MIS bone curette,
bayonet reverse angle, 3-0; 1 MIS bone
curette, bayonet, forward angle, 3-0;
1 Penelope, bayonet; 1 nerve hook,
bayonet; 1 Penfield dissector, bayonet,
#4; 1 micro Penfield dissector, bayonet,
#4; 1 Woodson elevator, bayonet.

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CHAPTER 113

Anterior Cervical Fusion

An anterior cervical fusion is performed to relieve pain and stabilize the neck by fusing the Additional images are available at:
cervical vertebrae. The patient is placed in the supine position. Bone from the iliac crest or evolve.elsevier.com/Tighe/instrumentation
from a bone bank may be used for the fusion.

Possible instruments needed for the procedure include a neurologic soft tissue set. A
brief description of the anterior cervical fusion procedure follows:
1. A Cloward cervical retractor with one long and one short blade is used to separate the

carotid sheath, trachea, and esophagus.
2. A Ferris Smith pituitary rongeur is used to remove the disk.
3. A Cloward vertebra spreader is used to widen the space.
4. A Cloward double-ended impactor is used to seat the bone graft between the vertebrae.
5. Plates and screws are used to stabilize the fusion.
 
113-1 Left to right: 1 Twist drill;
1 screwdriver with 14-mm disposable
distraction screw; 1 Teflon mallet;
1 vertebral body distractor, right;
1 Cloward blade retractor with lip,
17 mm; 1 Cloward blade retractor
without lip, 13 mm; 1 Cloward blade
retractor, 20 mm.

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113-2 Top, left to right: 6 Sets of blunt  
cervical retractor blades, small to
large. Middle, left to right: 1 Cloward
cervical retractor handle, small;
1 Cloward cervical retractor handle,
large. Bottom, left to right: 6 Sets of
4-pronged cervical retractor blades,
small to large.
113-3 Shadow ACF retractor blades
of various lengths, widths, and tip
ends; 2 retractor handles; 1 color depth
gauge.

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 113-4 Top: 1 Shadow ACF transverse
retractor with blades attached; 1
Shadow ACF longitudinal retractor
with blades attached. Bottom: Tray
containing long and short teeth retrac-
tor blades.

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 CHAPTER 114

ASIF Anterior Cervical Locking Plating
Instruments

Additional images are available at:
evolve.elsevier.com/Tighe/instrumentation

114-1 ASIF anterior cervical locking
plating instruments in tray, with names
marked.

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114-2 Drill guide with axillary bin   
with names marked.
114-3 Top, left to right: 3 Sizes of
cervical plates taken out of trays.
Bottom, left to right: 3 Marked trays:
1 of screws and 2 of various sizes of
cervical plates.

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Index

A Apple needle holder (tip), 58f, 78f Baker tissue forceps, 285f
Applied Medical Alexis protractor, 63f Balfour abdominal blade, 42f–43f
AAMI. See Association for the Advancement Army Navy retractor, 19, 32, 34f, 46f, 87f Balfour abdominal retractor, 125F, 41f
of Medical Instrumentation (AAMI) Arnold needle, 237f Balfour blade, 39f
Artery Balfour-Mayo blade, 43f
Abdomen, aortic aneurysm in, 271–273 Balfour retractor, 19, 32
Abdominal vascular set, 274–276 aorta, repair of, 271–273 Ballenger knife, 241f
Acetabular prosthesis, 178f bypass graft of, 269–270 Ballenger knife (tip), 241f
Acra scalp clip applier, 311f femoral, blockage of, 268f Banana knife, 144f
Acufex basket, 152f radial, 306 Bandage scissors, 285f
Acufex duckbill biter, 151f Arthrex femoral tunnel notcher, 155f Bankart shoulder retractor, 165f
Acufex duckbill biter (tip), 151f Arthrex femoral tunnel notcher (tip), 155f Bard-Parker knife handle, 86f
Acufex upbiting linear punch, 152f Arthrex graft pusher, 155f Bard-Parker scalpel handle, 32, 33f, 49
Adair breast clamp, 87f Arthrex graft pusher (tip), 155f Bard-Parker scalpel handle, 32, 33f
Adair breast clamp (tip), 87f Arthrex over-the-top femoral positioning Bard-Parker scalpel handle, 32, 33f
Adenoidectomy, 234–236 Bariatric spatula, 77f
Adson cerebellar retractor, 336f drill guide, 155f Bariatric surgery, laparoscopic, 72–78
Adson dura hook, 311f Arthrex over-the-top femoral positioning Bariatric telescope, 74f
Adson dura hook (tip), 312f Bariatrics, 72
Adson ganglion scissors, 309f drill guide (tip), 155f Baron ear suction tube, 224f, 232f
Adson ganglion scissors (tip), 309f Arthrex scorpion suture passer, 153f Barraquer needle holder, 131f
Adson hemostatic forceps, 116f Arthrex scorpion suture passer (tip), 153f Barraquer wire speculum, 205f
Adson hemostatic forceps (tip), 116f, 276f Arthrex tibial aiming guide, 156f Basket insert, container tray, 26f
Adson hypophyseal forceps, 308f Arthritis, ankle, 148 Bateman retractor, 165f
Adson hypophyseal forceps (tip), 308f Arthroplasty, ankle, 149f Bauer retractor, 254f
Adson periosteal elevator, 311f Arthroscopy Bauer rocking chisel, 241f
Adson periosteal elevator (tip), 312f Beasley-Babcock tissue forceps, 241f
Adson rongeur, 147f anterior cruciate ligament, 154–156 Beath passing pin, 156f
Adson suction tube, 137f carpal tunnel, 145 Beaver knife handle, 130f
Adson tissue forceps, 20f, 34f–35f, 45 definition of, 144 Bechert nucleus rotator, 203f, 207f
Adson tissue forceps (tip), 20f, 35f instrument set for, 144 Bechert nucleus rotator (tip), 203f, 208f
AER. See Automated endoscope reprocessor knee, 150–153 Beck aorta clamp, 303f
shoulder, 150–153 Becker septum scissors, 242f
(AER) Articulating lung grasper, 277f Bellucci scissors (tip), 230f
Agility LP total ankle arthroplasty, 149f Asch forceps, 245f Bennett bone elevator, 167f
Albarrán bridge, 121f Asch septal forceps, 243f Bethune rongeur, 281f
Alcohol, instrument cleaning with, 10 ASIF anterior cervical locking plating Beuse plate-holding forceps, 294f
Alcon I/A UltraFlow SP hand piece, 204f Biofilm, 6, 10
Alcon Monarch III IOL injector, 204f instruments, 344–345 Bioplasty Dermamesher, 267f
Alcon OZil torsional hand piece, 204f ASIF external fixator miniset, 193f Biopsy forceps, 63f, 110f
Alexander rib raspatory, 281f ASIF pelvic instrument set, 194–195 Biopsy forceps (tip), 63f, 110f
Alligator forceps, 230f ASIF universal femoral distractor set, 187 Bipolar forceps (tip), 81f
Allis-Adair tissue forceps (tip), 104f Association for the Advancement of Medical BiSector bipolar ligating forceps, 305f
Allis clamp, 20 Bishop-Harmon irrigating cannula, 219f
Allis tissue forceps, 20, 20f, 32, 36f, 45 Instrumentation (AAMI), 4–5 Bishop-Harmon tissue forceps, 222f
Allis tissue forceps (tip), 20f, 36f, 104f Association of periOperative Registered Bishop-Harmon tissue forceps (tip), 222f
American Iron and Steel Institute, 3 Black double-end J curette (tip), 228f
Amines, instrument staining from, 11 Nurses (AORN), 4 Blakesley-Weil nasal forceps, 246f
Ammonia, instrument spotting from, 11 sterilization container system maintenance Blakesley-Weil nasal forceps (tip), 246f, 248f
AMS Quick Connect assembly tool, 135f Blunt elevator, 165f
Andrews-Pynchon suction tube, 235f and, 30 Blunt probe, 144f
Andrews suction tube, 239f Atrial retractor (tip), 82f Boettcher tonsil clamp, 304f
Anesthesia, introduction of, 2 Aufricht rasp, 241f Bone hook, 165f
Aneurysm clip tray, 331f Aufricht rasp (tip), 241f Bone instruments, 314–316
Ankeney sternal retractor, 291f Austin pick (tip), 227f Bonn suture forceps, 217f
Ankle prosthesis, 148–149 Austin sickle knife, 226f Bonn suture forceps (tip), 218f
Anterior cervical fusion, 341–343 Automated endoscope reprocessor (AER), 10 Bonney tissue forceps, 48f
Anterior cruciate ligament reconstruction, Auvard weighted vaginal speculum, 89f, 94f, Bookwalter retractor, 39f–40f
Bookwalter retractor horizontal bar, 39f
154–156 104f Bookwalter retractor horizontal flex bar, 39f
Antler retractor, 169f Bookwalter retractor oval ring, 39f
AORN. See Association of periOperative B Bookwalter retractor table post, 39f
Bores two-ray corneal meridian marker, 204f
Registered Nurses (AORN) Babcock clamp, 20
Aortic aneurysm, repair of, 271–273 Babcock clamp grasping forceps (tip), 58f
Appendectomy, position for, 59f Babcock forceps, 20
Apple needle holder, 75f, 78f Babcock tissue forceps, 32, 36f, 45
Babcock tissue forceps (tip), 36f, 277f
Back table, setup for, 31f
Backhaus towel forceps, 21f, 224f
Bailey rib contractor, 281f
Baird chalazion forceps, 199f

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Boss flex-arm retractor, 339f Cholecystectomy Crabtree wax currette, 225
Boss titanium bed rail clamp, 339f definition of, 61 Crane mallet, 252f
Boss titanium tubular retractor, 339f laparoscopic, 61–62 Cranial tray, 28f
Bowel grasper, fenestrated, 77f position for, 62f Craniotomy, 307–313
Bowel grasper (tip), 82f Creutzfeldt-Jakob disease, 10, 15–16, 22
Bowel resection, 69–70 Chromium oxide, 3 Crile clamp, 17
Cindy scissors, 210f Crile hemostatic forceps, 32, 36f
laparoscopic, 63–68 Cindy scissors (tip), 211f Crile hemostatic forceps (tip), 36f
position for, 68f Clamp, 18f Crile template, 177f
Box lock Crile-Wood needle holder, 87f
example of, 18f occluding, 17 Crile-Wood needle holder (tip), 87f
inspection of, 12 types of, 17–18 Critical instruments, 14
Bozeman uterine forceps, 88f Clayman lens-holding forceps, 206f Culler iris spatula, 207f
Bozeman uterine forceps (tip), 90f Clayman lens-holding forceps (tip), 207f Culler iris spatula (tip), 208f
Brain retractor, 318f Cleaning Cup forceps (tip), 58f
Breast biopsy, 84 instrument, 5 Cushing bipolar cautery forceps, 308f
Bridge channel adapter, 109f manual, 6–7 Cushing bipolar cautery forceps (tip), 308f
Broken screw set, 196–197 mechanical, 6–8 Cushing-Brown tissue forceps, 300f
Bronchoscope, cleaning of, 9 ultrasonic, 7 Cushing-Brown tissue forceps (tip), 300f
Brown-Adson tissue forceps, 86f Clear corneal instrument set, 201–204 Cushing insulated bipolar forceps, 263f
Bruening nasal snare, 244f Clip applier, 57f, 65f Cushing intervertebral disk rongeur, 334f
Bruening syringe, 237f Cloward blade retractor, 341f Cushing vein retractor, 87f
Bruening wrench, 237f Coagulating electrode, 129f Cutting electrode, 129f
Brun oval-cup curette, 311f Coagulating electrode (tip), 129f Cutting electrode (tip), 129f
Brun oval-cup curette (tip), 312f Coakley antrum curette, 244f Cutting instruments, 13, 18–19
Buck cement restrictor inserter, 172f Coakley antrum curette (tip), 244f Cystoscope, 108, 109f, 121f
Bucket cannula (tip), 265f Cobb spinal elevator, 171f Cystoscope lens, 109f
Buckingham footplate hand drill, 229f Cobra grasper (tip), 80f Cystoscope obturator, 109f, 121f
Bugbee cord, 110f Cobra retractor, 169f Cystoscopy, 108–111
Bugbee electrode, 110f Codman cranial access kit, 330f
Burford rib spreader, 280f Codman cranial hand crank drill, 330f D
Burton retractor, 254f Codman wire cutter, 285f
Byron liposuction cannula, 264f Cohen cannula, 99f Da Vinci Surgical System, 79–83
Byron liposuction cannula (tip), 264f Cohen cone, 99f surgeon console for, 83f
Coleman cannula, 263f
C Coleman cannula (tip), 264f Davis brain spatula, 134f, 309f
Colonic insufflator, 71f De Mayo knee positioner, 161f
Cadiere forceps (tip), 80f Comprehensive Guide to Steam Sterilization Deaver blade, 42f–43f
Cairns hemostatic forceps, 309f Deaver retractor, 32, 35f, 46f, 73f, 104f
Camera, laparoscopic, 50f and Sterility Assurance in Health Care Deaver retractor blade, 120f
Cannula, for laser laparoscope, 60f Facilities, 4, 15 DeBakey aortic exclusion clamp, 298f
Carbon-chrome ratio, 3–4 Cone provisionals, 178f DeBakey aortic exclusion clamp (tip), 298f
Cardiac probe grasper (tip), 82f Connor anesthesia cannula, 203f DeBakey bulldog clamp, 296f
Cardiac surgery, 283–286 Container system. See Sterilization container DeBakey bulldog clamp (tip), 296f
Cardiovascular instruments, 296–298 system DeBakey-Diethrich coronary artery forceps,
Carmalt hemostatic forceps, 69f Contour curved cutter, 66f
Carmalt hemostatic forceps (tip), 70f Cook eye speculum, 216f 48f, 285f
Carpal tunnel instruments, 145 Cooley clamp, 296f DeBakey multipurpose vascular clamp, 298f
Carpal tunnel syndrome, 145 Cooley clamp (tip), 296f DeBakey peripheral vascular clamp, 296f
Castroviejo caliper, 205f Cooley coarctation clamp, 297f DeBakey peripheral vascular clamp (tip), 296f
Castroviejo corneal section scissors, 209f Cooley coarctation clamp (tip), 297f DeBakey tangential occlusion vascular
Castroviejo corneal section scissors (tip), 209f Cooley forceps (tip), 284f
Castroviejo cyclodialysis spatula, 203f Copper, instrument staining from, 11 forceps (tip), 284f
Castroviejo needle holder, 199f Cornea, transplant of, 210 DeBakey tissue forceps, 77f
Castroviejo needle holder (tip), 209f Corneal instrument set, 201–204 DeBakey tissue forceps (tip), 80f
Castroviejo suturing forceps, 131f Corneal marker, 210f DeBakey vascular Atraugrip tissue forceps,
Castroviejo suturing forceps (tip), 202f, 206f Corneal marker (tip), 211f
Cataract surgery, 9 Corneal scleral marker (tip), 208f 34f–35f
Cautery cord, nondisposable, 54f Corneal transplant instrument set, 205–209 DeBakey vascular Atraugrip tissue forceps
Cautery hook (tip), 80f Corpus Hippocraticum, 2
Cautery spatula (tip), 80f Corrosion (tip), 35f
Cavernotome, 135f avoidance of, 12 Decontamination, instrument, 1–2, 5–6
Cavitation, ultrasonic cleaning and, 7 of instruments, 11–12 Deep lamellar endothelial keratoplasty
Centers for Disease Control and Prevention Cottle bone crusher, 243f
Cottle columella forceps (tip), 241f (DLEK), 210–211
(CDC), 4, 14 Cottle dorsal angular scissors, 242f Defibrillator, internal, 293f
Cervical retractor, 342f Cottle elevator, 224f Delicate Touch micro forceps, 260f
Cervical vertebra, fusion of, 341–343 Cottle nasal knife, 241f Delicate Touch micro needle holder, 261f
Chalazion set, 198, 199f Cottle nasal speculum, 253f Depth gauge, 169f
Chamber maintainer, 131f Cottle osteotome, 241f DePuy AcroMed probe, 182f
Chamfering rasp, 155f Covidien Endoscopic Endo GIA tri-stapler, DePuy cement mixer, 162f
Chamfering rasp (tip), 155f 67f D’Errico nerve root retractor, 335f
Chandler (Gills) forceps, 212f Covidien purse string, 70f D’Errico nerve root retractor (tip), 335f
Channel retractor, 254f Covidien Sonicision cordless ultrasonic Desmarres chalazion forceps, 199f
Charlie insertion forceps, 210f dissection, 68f Desmarres lid retractor, 214f
Charlie insertion forceps (tip), 211f Covidien Sonicision cordless ultrasonic Desmarres lid retractor (tip), 215f
dissection (tip), 68f Detergent

corrosion and pitting caused by, 11–12
enzymatic, 8
instrument cleaning with, 6

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Detergent (Continued) EndoWrist stabilizer (tip), 82f Freer double-ended elevator (tip), 312f
for mechanical cleaning, 8 Enucleation scissors, 223f Freer elevator, 137f
for sterilization container systems, 26–27 Enzymatic detergent, 6, 8 Freer septum knife, 241f
Freer septum knife (tip), 241f
Devers dissector, 210f instrument cleaning with, 6 Friedman rongeur, 253f
Devers dissector (tip), 211f Erhardt chalazion clamp, 216f Furlow insertion tool, 135f
Deviated septum, repair of, 240 Esophageal retractor, 64f
Diameter gauge, 186f Ethicon Echelon Flex Endo GIA power G
Dilatation and curettage, 88–90
Dingman bone-holding forceps, 253f stapler, 66f Garrigue weighted vaginal speculum, 120f
Dingman zygoma elevator, 253f Ethicon Echelon Flex Endo GIA power Gaskin fragment forceps, 202f
Disinfectant, instrument cleaning with, 10 Gaskin fragment forceps (tip), 202f
Disinfection, 14–16 stapler (tip), 66f Gass retinal detachment hook, 218f
Dissection scissors, 18–19 Ethicon endoscopic curved intraluminal Gelpi retractor, 19, 124f
Distractor, 183f Gerald dressing forceps, 308f
DLEK. See Deep lamellar endothelial stapler, 67f Gerald dressing forceps (tip), 308f
Ethicon Laparoscopic Enseal, 68f Gerald tissue forceps, 308f
keratoplasty (DLEK) Ethicon Laparoscopic Enseal (tip), 68f Gerald tissue forceps (tip), 308f
Doane retractor, 163f Ethicon Laparoscopic Harmonic scalpel, 68f Giertz rongeur, 280f
Double fixation hook, 222f Ethicon SecureStrap laparoscopic tacker, 65f Gigli blade, 313f
Doyen intestinal forceps, 69f Ethicon stapler PPH, 70f Gil-Vernet retractor, 115f, 124f
Doyen intestinal forceps (tip), 70f Ethylene oxide, 16 Gilles elevator, 245f
Doyen rib elevator, 281f Evolution Tray, 191f Gillies malar elevator, 253f
Drill Eye enucleation, 223 Gillies tissue forceps, 308f
Eye instruments, 198–200 Gillies tissue forceps (tip), 308f
Jacobs, 143f Gimbel Mendez fixation and guide ring, 204f
keyless, 140f cleaning of, 9 Glaucoma, 212–213
power, 139–143 Eye muscle, surgery for, 214–216 Glenoid punch, 165f
Druck-Levine antrum retractor, 244f Eyed obturator (tip), 286f Glenoid (Bateman) retractor, 165f
Drum elevator (tip), 226f Glenoid self-retaining retractor, 165f
Duckworth & Kent cionni toric reference F Glutaraldehyde, disinfection with, 16
Goelet retractor, 34f, 46f, 124f
marker, 204f Facial fracture instrument set, 251–253 Gomey-Freemen SuperCut scissors, 263f
Dura hook, 311f Fallopian ring applicator, 106f Graether collar button, 203f
Dura scissors, 309f Fallopian ring applicator (tip), 106f Graptor retractor (tip), 80f
Dura scissors (tip), 309f Farr spring retractor, 45 Grasper
Duval clamp, 278f FDA. See Food and Drug Administration
Duval clamp (tip), 278f in da Vinci Surgical System, 80f
Duval lung forceps, 282f (FDA) double-action, 55f
Duval lung forceps (tip), 282f Femoral artery, blockage of, 268f double-action (tip), 58f
Femoral head prosthesis, 178f double-fenestrated (tip), 80f
E Femoral nail, 188–189 single action, 57f
Ferris Smith fragment forceps, 243f Grasper (tip), 58f
Ear, basic instrument set for, 224 Ferris Smith pituitary rongeur, 334f Grasping forceps (tip), 92f
Ear forceps, 230f–231f Ferris Smith rongeur, 156f Graves bivalve speculum, 95f
Eardrum, repair of, 225–233 Ferris Smith tissue forceps, 32, 34f–35f Graves vaginal speculum, 89f, 94f, 104f
Edwards holding clip, 198f Ferris Smith tissue forceps (tip), 20f, 35f Green bipolar bayonet forceps, 326f
EEA anvil grasper, 64f Fiber optic cord, 71f Green goiter retractor, 87f
Electrode Fiber optic light cable, 49 Green muscle hook (tip), 215f
Fiber optic light cord, 13, 50f Green strabismus hook, 215f
coagulating, 129f Filshie clip, 106f Greenberg Universal retractor, 318f
cutting, 129f Filshie clip applicator, 106f Greenwald suture guide, 125f, 125f
Ellik cystoscope evacuator, 129f Fine tissue forceps (tip), 80f Gruenwald nasal forceps, 247f
Elschnig cyclodialysis spatula, 213f Finochietto rib spreader, 285f Gruenwald nasal forceps (tip), 247f
Elschnig fixation forceps, 206f Fisher tonsil knife, 235f Guideline for Disinfection and Sterilization in
Elschnig fixation forceps (tip), 206f, 218f FK retractor, 237f
Endarterectomy, 268 Flash sterilization. See Immediate use steam Healthcare Facilities, 4
Endo catch retriever, 61f Guideline for Disinfection and Sterilization
Endo GIA stapler, 67f sterilization (IUSS)
Endo power stapler, 66f Flexible endoscope, cleaning of, 9–10 of Prion-Contaminated Medical
Endo power stapler (tip), 66f Flieringa fixation ring, 205f Instruments, 10
Endoflex protective cover, 63f Foerster sponge forceps, 21f, 38f, 88f Guyon-Péan vessel clamp (tip), 116f
Endoflex retractor, 63f Foerster sponge forceps (tip), 38f
Endoflex snake retractor, 64f Fogarty clamp-applying forceps (tip), 297f H
EndoPass delivery instrument (tip), 82f Fogarty Hydragrip clamp (tip), 284f
Endoscope Fogarty stealth applicator forceps (tip), 285f Hall sternal saw, 290f
carpal tunnel video, 145f Foman rasp, 165f Hall surgical acetabular reamer set, 174f
cleaning of, 9–10 Fomon lower lateral scissors, 242f Halsey needle holder, 87f
inspection of, 13 Food and Drug Administration (FDA), 4 Halsey needle holder (tip), 87f
Endoscopy, definition of, 49 Halsted clamp, 17
Endovascular aortic aneurysm repair, regulation of sterilization container Halsted hemostatic forceps, 36f
systems by, 24, 30 Halsted hemostatic forceps (tip), 36f
271–273 Halsted mosquito hemostatic forceps, 36f,
Endoweave grasper, 57f Forceps
EndoWrist bipolar instruments, 81f in da Vinci Surgical System, 80f 45, 213f
EndoWrist clip applier (tip), 82f description of, 20 Halsted mosquito hemostatic forceps (tip),
EndoWrist instruments, 79–83
EndoWrist monopolar cautery instruments, Fracture fixation 36f
external, 191–193 Harmonic cord, 76f, 100f
80f long bone, 185–186
EndoWrist needle driver, 81f
Francis chalazion forceps, 199f
Frazier dura hook (tip), 312f
Frazier suction tube, 21f
Freer double-ended elevator, 298f

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Harmonic curved shears (tip), 81f House teflon block, 224f Instruments (Continued)
Harmonic scalpel, 76f, 100f Hudson quick coupling, 141f stainless steel, 2–4
Harmonic scalpel (tip), 76f Humeral head retractor, 164f sterilization of, 15–16, 24–30
Harms tying forceps, 217f Hunt chalazion forceps, 199f testing of, 12–14
Harms tying forceps (tip), 218f Hunter (Glassman) bowel grasper, 64f, 77f thoracic, 280–282
Harrington blade, 43f Hunter (Glassman) bowel grasper (tip), 65f, 78f tracking of, 22
Harrington outrigger, 183f Hurd tonsil dissector, 235f vein retrieval, 304–305
Harrington retractor, 32 Hydrogen peroxide, disinfection with, 16
Harrington retractor blade, 40f Hydrogen peroxide gas plasma, 16 Insufflation tubing, 53f, 74f
Harrington splanchnic retractor, 125f Hyperflex guidewire, 156f InsuFlow heater hydrator insufflation tubing,
Hasson obturator, 73f Hysterectomy
Hasson trocar, 52f, 73f 74f
Hayes Martin tissue forceps, 86f abdominal, 96–98 Insulated instruments, 14
Heaney-Ballantine hysterectomy forceps, position for, 102f Insulation, inspection of, 14
supracervical laparoscopic, 99–102 Intracranial pressure monitoring tray, 330
96f–97f vaginal, 103–104 Intramedullary taper reamer, 177f
Heaney-Ballantine hysterectomy forceps (tip), Hysteroscopy, 91–93 Intrepid I/A tip, 204f
Intuitive Surgical, Inc., 79
97f, 104f I Iris scissors, 18f, 130f
Heaney hysterectomy forceps, 96f–97f Iris spatula (tip), 203f
Heaney hysterectomy forceps (tip), 97f, 104f ICP monitoring tray, 330 Iron, instrument staining from, 11
Heaney needle holder, 98f Identification systems, 16–17 Irrigation cannula, 213f
Heaney needle holder (tip), 98f, 300f IFU. See Instructions for use Isotac screwdriver, 155f
Heaney retractor, 89f, 104f Immediate use steam sterilization (IUSS), IUSS. See Immediate use steam sterilization
Heaney-Simon vaginal retractor, 120f
Heaney uterine biopsy curette, 89f 9, 16 (IUSS)
Heaney uterine biopsy curette (tip), 90f Impactor, 163f
Heart surgery, 283–286 Incision retractor, 172f J
Inlet fascia closure device, 75f
open, 287–288, 291–295 Instructions for use, 4 J-hook cautery electrode, 57f
Heart valve, repair of, 299–300 Jackson tracheal tenaculum, 239f
Heath mallet, 147f for sterilization container systems, 29–30 Jacobs chuck, 143f
Hegar dilator, 89f Instrument pan, 54f Jacobs chuck attachment, 142f
Hegar uterine dilator, 134f Instrument rack Jacobs drill, 143f
Hem-O-Lok clip applier, 117f Jameson muscle hook, 207f
Hem-O-Lok clip applier (tip), 82f, 117f laparoscopic, 76f Jameson muscle hook (tip), 208f, 215f
Hem-O-Lok remover, 117f for tympanoplasty, 226f–228f, 230f Jameson muscle recession forceps, 214f
Hemoclip-applying forceps, 124f Instrument-tracking software, 22 Jameson muscle recession forceps (tip), 215f
Hemostat, types of, 17 Instruments. See also Microinstruments Jansen retractor, 19
Hemostatic clamp, 12–13, 17 accessory, 21 Jansen thumb forceps, 241f
Henle probe, 131f ASIF anterior cervical, 344–345 Jarit hysterectomy forceps, 98f
Heparin needle, 273f cardiac surgery, 283–286 Jarit hysterectomy forceps (tip), 98f
Herniorrhaphy, position for, 59f cardiovascular, 296–298 Jarit microsurgical needle holder, 303f
Herrick kidney clamp, 116f care and handling, 1–23 Jaw, example of, 18f
Herrick kidney clamp (tip), 116f Jaw alignment, inspection of, 12–13
Hibbs laminectomy retractor, 164f resources for, 4–5 Jensen capsule polisher, 203f
Himmelstein sternal retractor, 291f classification of, 14, 17–21 Jeweler’s forceps, 131f, 206f
Hinge, inspection of, 12 cleaning of, 5–8 Jeweler’s forceps (tip), 206f
Hip corrosion of, 11–12 Johnson needle holder, 224f
craniotomy, 307–313 Johnson skin hook, 224f
fracture of, 166–168 cutting, 18–19 Joint, inspection of, 12
total replacement of, 170–173 decontamination of, 5–6 Joint replacement, small, 146–147
design of, 1 Joplin bone forceps, 165f
instruments for, 174–178 evolution of, 2 Jordan oval knife (tip), 226f
Hip retractor, 169 eye, cleaning of, 9 Jorgenson dissecting scissors, 96f, 122–126
Hippocrates, 2 finish of, 3 Jorgenson dissecting scissors (tip), 98f
Hirschman iris hook, 203f grasping, 20–21 Joseph button-end knife, 241f
Hirschman iris hook (tip), 203f handheld, 17–21 Joseph button-end knife (tip), 241f
Hoen nerve hook, 86f, 115f history of, 1 Joseph coronoid self-retaining retractor, 254f
Hoen nerve hook (tip), 298f holding, 20–21 Joseph skin hook, 84
Hoen periosteal elevator, 311f identification systems for, 16–17
Hohmann retractor, 169f inspection of, 12–14 K
Hoke chisel, 137f insulated, 14
Holmium laser fiber, 114f microscopic, 14 K-wire, 156f
Holt probe set, 182f neurologic bone pan, 314–316 Kelley Descemet membrane punch, 213f
Hook holder, 183f neurologic shunt, 326–327 Kelly retractor blade, 40f, 44f
Hook scissors, 58f nonpowered, 17–21 Kelman-McPherson tying forceps, 202f
Horizon clip applier, 292f packaging of, 14–15 Kent-Wood adjustable retractor, 254f
Horizon clip applier (tip), 292f point of use, 5 Keratome, inspection of, 13
Hoskins forceps, 212f powered, 17 Keratoplasty, deep lamellar endothelial,
Hot Shears (tip), 80f preparation of, for processing, 5
House double-end curette (tip), 228f prion contamination of, 10–11 210–211
House Gelfoam press, 224f quality of, 3–4 Kerrison rongeur, 243f
House joint knife (tip), 226f radial artery harvest, 306 Kerrison rongeur (tip), 315f
House measuring rod (tip), 229f repair of, 22 Kevorkian-Younge endocervical biopsy
House pick (tip), 227f return open heart, 301–303
House-Rosen needle (tip), 226f specialty, cleaning of, 9–10 curette, 89f
House sickle knife, 226f spotting of, 11–12 Kevorkian-Younge endocervical biopsy
House suction/irrigator, 232f staining of, 11–12
curette (tip), 90f

350 Index

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Key periosteal elevator, 137f, 168f Lee bronchus clamp (tip), 282f, 297f Mayo-Hegar needle holder, 38f
Kidney, nephrectomy of, 115 Leksell rongeur, 314f Mayo-Hegar needle holder (tip), 38f
Killian nasal speculum, 135f Lempert elevator, 224f Mayo needle holder, 32
Kirschner wire (K-wire), 156f Lens loop, 207f Mayo-Péan clamp, 17
Kistner probe, 311f Lens loop (tip), 208f Mayo-Péan hemostatic forceps, 32, 37f
Knee Lester fixation forceps, 206f Mayo-Péan hemostatic forceps (tip), 37f
Lester fixation forceps (tip), 206f Mayo scissors, 18–19, 18f
arthroscopy for, 150–153 Lester IOL manipulator, 203f
total replacement, 157–163 Lester IOL manipulator (tip), 203f inspection of, 13
Knife Lewis rasp, 241f Mayo stand, setup for, 32f, 38f
inspection of, 13 Leyla ball and socket joint clamp, 317f McCullough utility forceps, 212f
sternal, 289–290 Leyla holding arm, 317f McCullough utility forceps (tip), 215f
Knife handle, 18 Lieberman eye speculum, 200f–201f McIvor blade, 236f
Kocher clamp, 32 Ligament, anterior cruciate, 154–156 McKenty elevator, 241f
Kocher forceps, 20 LigaSure impact sealer/divider, 101f McNeil-Goldman scleral ring, 205f
Kratz-Berraquer wire eyelid speculum, 200f LigaSure impact sealer/divider (tip), 101f McPherson tying forceps, 131f
Kronner laparoscopic scope holder, 52f LigaSure laparoscopic sealer/divider, 101f McPherson tying forceps (tip), 202f
Kuglen iris hook manipulator, 203f LigaSure laparoscopic sealer/divider (tip), MEC. See Minimum effective concentration
Kuglen iris hook manipulator (tip), 203f
Kuhn-Bolger giraffe forceps, 248f 101f (MEC)
Lincoln-Metzenbaum scissors, 115f Mechanical cleaning, 6–8
L Linear cutter, 65f Mechanical washer, 8
Linear provisionals, 175f Medicine cup, 46f
L-hook cautery, 56f Linear stapler, 66f MediTray basket insert, 25f
L-hook cautery (tip), 56f Lister’s antiseptic technique, 2 Medtronic Midas Rex electric drill, 320–321
Lacrimal probe, 131f Lithotripter, stone breaker pneumatic, 111f Medtronic Skeeter Ultra-Lite oto tool, 233f
Lacrimal sac retractor, 222f Little retractor, 115f Mega needle driver (tip), 81f
LaForce adenotome, 235f Lone Star steel retractor, 126f Mega SutureCut needle driver (tip), 81f
Lahey gall duct forceps, 304f Long tip forceps (tip), 80f Mellon curette, 337f
Lahey goiter vulsellum forceps, 84f Lorna towel forceps, 285f Mellon curette (tip), 337f
Lahey thyroid tenaculum, 84 Lothrop uvula retractor, 235f Meltzer adenoid punch, 235f
Lahey traction forceps, 87f Love nerve retractor, 115f Meniscectomy knife, 144f
Lahey traction forceps (tip), 87f Love nerve root retractor, 335f Metzenbaum dissecting scissors, 18–19, 18f,
Lambert chalazion forceps, 199f Love nerve root retractor (tip), 335f
Lambert-Kay aortic clamp, 303f Lowman bone-holding clamp, 168f 33f, 46f
Lambert-Kay aortic clamp (tip), 284f Lubrication, of mechanical washer, 8 Metzenbaum scissors
Laminectomy, 334–337 Lucae mallet, 138f
Laminectomy, Williams microretractor, 338 Ludwig wire applicator, 241f inspection of, 13
Lamis infiltration needle, 263f Luer bone rongeur, 147f roticulating, 277f
Lancaster speculum, 198f, 205f Luer-Lok adapter, 55f Meyerhoeffer chalazion curette, 199f
Langenbeck elevator, 253f Lumen Meyerhoeffer chalazion curette (tip), 199f
Langenbeck periosteal elevator, 253f Micro Plastic Set, 260–261
Langenbeck retractor, 87f cleaning, 5, 7 Microbipolar forceps (tip), 81f
Laparoscope, 49 inspection of, 12 Microcurette, 323f
LUMINA telesope, 150f Microcurette (tip), 324f
laser, 60 Lumpectomy, 84 Microdissector (tip), 324f
lens for, 50f Lung grasper, 277f Microfixation system, 257
Olympus EndoEye, 51f Luxtec fiber optic light cable, 262f Microforceps (tip), 80f
Laparoscopic clip applier/remover, 127f Microhook, 323f
Laparoscopic ligating and dividing clip M Microhook (tip), 324f
Microinstruments. See also Instruments
applier, 65f Machemer irrigating lens, 219f open heart, 287–288
Laparoscopic set Machemer irrigating lens (tip), 220f Rhoton neurologic, 322–324
Malleable retractor blade, 40f, 42f Microneedle holder, 131f, 322f
adult MIS, 54–59 Malleable T retractor, 280f Microscissors, 322f
minor, 47–48 Mallet MicroSmooth I/A sleeve, 204f
Laparoscopy, 49–53 MicroSmooth Phaco sleeve, 204f
bariatric surgery, 72–78 Crane, 252f Microvascular scissors (tip), 288f
bowel resection, 63–68 Heath, 147f Midas Rex electric drill, 320–321
cholecystectomy, 61–62 Lebsche, 290f Midas Rex electric drill (tip), 321f
definition of, 49 Lucae, 138f Miller-Senn retractor, 46f, 87f
instrument rack for, 56f, 58f Malleus nipper, 231f Minerals, instrument spotting caused by, 11
for nephrectomy, 117–118 Maltz rasp, 241f Mini-hook holder, 183f
position for, 59f Manual cleaning, 6–7 Mini-Metzenbaum scissors, 57f
for prostatectomy, 127 Marlow knot pusher, 56f Minimally invasive spine surgery, 339–340
tubal occlusion, 105–107 Marlow knot pusher (tip), 56f Minimally invasive surgery (MIS), 1, 49
Laparotomy Maryland bipolar dissector, 57f, 64f Minimum effective concentration (MEC), 16
definition of, 32 Maryland bipolar dissector (tip), 58f, 65f MINOP neuroendoscopy set, 328–329
setup for, 31–38 Maryland bipolar forceps (tip), 81f Minus irrigating lens, 219f
Laparotomy set, small, 45–46 Mastectomy, 85–87 Minus irrigating lens (tip), 220f
Laser, vaginal, 94–95 Matson rib stripper, 280f Mira diathermy tip, 218f
Laser laparoscope, 60 Maumenee corneal forceps, 206f MMIISS.bSoeneeMciunriemttael,l3y4i0nfvasive surgery (MIS)
Lateral vaginal retractor, 95f Maumenee corneal forceps (tip), 207f Mixter hemostatic forceps, 37f, 116f
Le Fort fracture, 254 Maxwell flap retractor, 263f Mixter hemostatic forceps (tip), 37f, 116f
Leaflet retractor, 300f Mayo dissecting scissors, 33f, 46f MMF self-drilling screw set, 256f
Lebsche mallet, 290f curved, 32, 33f, 46f Monopolar scissors, 58f
Lebsche sternum knife, 290f straight, 32, 33f, 46f Morse sternal retractor, 292f
Lee bronchus clamp, 282f, 297f

Index 351

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Mosquito clamp, 17 Ostium seeker, 249f Prostate
Mueller clamp, 222f Ostrum-Terrier ostium forceps, 249f procedure for, 122–126
Multisociety Guidelines for Reprocessing O’Sullivan-O’Connor retractor, 19, 19f, 32, transurethral resection of, 128–129

Flexible Gastrointestinal Endoscopes, 9 41f, 96f Prostatectomy, 122–126
Murphy blade, 43f blades for, 41f laparoscopic, 127
Murphy bone lever, 172f Ototome, 225
Oval window pick (tip), 227f Prosthesis
N acetabular, 178f
P femoral head, 178f
Nagahara Phaco chopper, 203f penile, 133–135
Nagahara Phaco chopper (tip), 203f Paddle blade, 79f porous stem, 178f
Nasal fracture reduction, 245 Padgett dermatome, 266f
Nasal polyp, instruments for, 244 Prosthesis driver, 172f
Nasal scissors, 250f guards, 267f Providence Hospital hemostatic forceps, 130f
Nathanson liver retractor, 75f head, 266f Pterygium set, 200f
Nathanson retractor, 75f Paper drape clip, 36f, 224f Pterygomasseteric sling stripper, 255f
Neck, cervical fusion for, 341–343 Paper drape clip (tip), 36f Pubovaginal sling/anterior repair, 119–121
Needle, inspection of, 13 Parker retractor, 19 Pyramidal trocar, 144f
Needle driver (tip), 81f Parkes osteotome, 255f
Needle holder, 21 Parsonnet epicardial retractor, 287f R
Parsonnet epicardial retractor (tip), 288f
inspection of, 13 Passivation, instrument manufacture and, Ragnell-Davis retractor, 134f
Needle-tip suction, 56f Raney scalp clip applier, 309f
Nephrectomy, 115–116 3–4 Ranfac knot pusher, 56f
Patient safety, 1–2 Ranfac knot pusher (tip), 56f
laparoscopic, 117–118 Paton spatula, 207f Rasp (tip), 155f
Neuroendoscopy set, MINOP, 328–329 Paton spatula (tip), 208f Rasp tray, 176f
Neurologic bone pan instruments, 314–316 Paufique suture forceps, 222f Ratchet
Neurologic retractor, 317–319 Paufique suture forceps (tip), 222f
Neurologic shunt instruments, 326–327 Pelvic external fixator, 195f example of, 18f
NexGen system, 163f Pemco suction tip, 285f inspection of, 12–13
Nezhat dorsal plug, 54f Penfield dissector, 285f Reamer tray, 177f
Nezhat-Dorsey cautery, 56f Penfield dissector (tip), 312f Recommended Practices for Sterilization,
Nezhat-Dorsey cautery (tip), 56f Penile prosthesis, 133–135
Nezhat-Dorsey irrigator, 77f Peracetic acid, disinfection with, 16 for Care and Cleaning of Surgical
Nezhat-Dorsey suction, 56f Perforated tray, 24 Instruments and for Selection and
Nezhat-Dorsey suction (tip), 56f Pericardial dissector (tip), 82f Use of Packaging Systems, 4
Nezhat suction/irrigator, 64f Personal protective attire, instrument Regulation, of sterilization container systems, 30
Nezhat suction/irrigator (tip), 65f Renal artery clamp, 297f
Nick pick, 210f cleaning and, 7 Renal artery clamp (tip), 297f
Nick pick (tip), 211f Petri pterygoid retracor, 254f Resano forceps (tip), 80f
Noncritical instruments, 14 Phaco tip, 204f Resectoscope, 128f
Notchplasty gouge, 156f Pin collet, 142f Resolution chart, 13–14
Pin cutter, 192f Retinal detachment, 217–218
O Piriform rim retractor, 255f Retractor, 19–20
Pitting abdominal self-retaining, 39–44
Obturator, 71f brain, 318f
examples of, 73f avoidance of, 12 neurologic, 317–319
eyed (tip), 286f instruments affected by, 11–12 self-retaining, 19f, 39–44
Pituitary rongeur, 156f upper hand, 42f
Occluding clamp, 17 Pituitary rongeur (tip), 299f Retractor blade
Occupational Safety and Health PK dissecting forceps (tip), 81f fenestrated, 41f
Plastic surgery, minor, 258–259 malleable, 40f, 42f
Administration (OSHA), 5 Plate bender, 194f Rheumatoid arthritis, ankle, 148
Ochsner forceps, 20, 20f Polack double-tipped corneal forceps, 206f Rhinoplasty, 240–243
Ochsner forceps (tip), 20f Polack double-tipped corneal forceps (tip), Rhoton dissector, 323f
Ochsner hemostatic forceps, 32, 38f Rhoton neurologic microinstrument set,
Ochsner hemostatic forceps (tip), 38f 206f 322–324
Ochsner malleable retractor, 32, 35f, 46f Polishing, instrument manufacture and, 3 Ribbon retractor, 252f
Octopus retractor, 293f Polymers, instruments made from, 1 Richards alligator forceps, 225
Oculoplastic instrument set, 221–222 Poole abdominal suction tube, 21f, 34f, 46f Richards bone curette, 172f
Olsen clamp (tip), 58f Poole suction tube, 21 Richards ear speculum, 224f
Olympus 1 chip camera, 305f Port, laparoscopic, 52f Richardson-Eastman retractor, 120f
Olympus EndoEye laparoscope, 51f Port cap, 55f Richardson retractor, 19f, 32, 34f, 46f
Olympus flexible cystoscope, 111f Potts scissors, 79f double-ended, 134f
Olympus flexible ureteroscope, 113f Potts scissors (tip), 273f Richardson retractor blade, 44f
Open heart microinstruments, 287–288 Potts-Smith cardiovascular scissors, 115f Ridged obturator, 145f
Open heart surgery, 291–295, 299–303 Potts-Smith tissue forceps, 297f Rigid endoscope, inspection of, 13
Operating room, setup for, 31–38 Potts-Smith tissue forceps (tip), 297f Ring forceps (tip), 261f
Orthognathic surgery, 254–256 Power drill, 139–143 Rizzutti clip applier, 261f
Orthopedic surgery, 136–138 Power saw, 139–143 Robotic instruments, 79–83
Orthophthalaldehyde, disinfection with, 16 PreCise bipolar forceps (tip), 81f Rod
Oscillating saw, 140f Prince-Metzenbaum dissecting scissors, 86f for long bone fracture, 185–186
OSHA. See Occupational Safety and Health Prions spinal fusion with, 179–184
Rod cutter, 183f
Administration (OSHA) description of, 10 Rongeur, inspection of, 13
Osteoarthritis, ankle, 148 instrument contaminated with, 10–11 Rosen knife (tip), 229f
Osteotome, 155f sterilization and, 15–16 Rotary hand piece, 142f
Osteotome (tip), 155f Probe dilator, 115f
ProGrasp forceps (tip), 80f

352 Index

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Rowe disimpaction forceps, 253f Shunt passer, 327f Sterilization container system (Continued)
Ruskin double-action rongeur, 314f Sickle knife, 247f regulation of, 30
Ruskin-Liston bone-cutting forceps, 147f Sickle knife (tip), 247f selection of, 29
Ruskin ronguer, 138f Sigma total knee FB tibial prep pan, 160f shelf life of, 27–28
Rusking-Liston bone-cutting forceps, 138f Sigma total knee femoral trials pan, 159f storage and sterility maintenance for,
Russian tissue forceps, 34f–35f Sigma total knee fixed REF femur prep pan, 27–28
Russian tissue forceps (tip), 35f
Rust, instrument staining from, 11 158f SteriTite Container, 25f–26f
Ryder needle holder, 298f Sigma total knee MBT prep pan, 161f Sternal crimper, 294f
Sigma total knee pan, 157f Sternal knife, 289–290
S Sigma total knee patella insertion pan, 159f Sternal saw, 289–290
Sigma total knee spacer blocks pan, 160f SternaLock blade, 294f
Saber drill, 225 Sigmoidoscope, 71f SternaLock power driver unit, 294f
Safety, patient, 1–2 Sigmoidoscopy, 71 Stevens tenotomy hook, 214f
Sagittal splitting osteotome, 255f Silber vasovasostomy clamp, 131f Stevens tenotomy hook (tip), 215f
Samii scissors, 309f Sims uterine curette (tip), 90f Stevens tenotomy scissors, 130f
Samii scissors (tip), 309f Sims uterine sound, 89f Stone breaker pneumatic lithotripter, 111f
Sarot bronchus clamp, 282f Sims uterine sound (tip), 90f Stone extractor, 114f
Sarot bronchus clamp (tip), 282f Sinskey iris and IOL hook, 207f Stone grasping forceps, 118f
Satinsky atraumatic clamp, 118f Sinskey iris and IOL hook (tip), 208f Strabismus scissors, 216f
Satinsky (vena cava) clamp, 116f Sinskey lens hook, 203f Strully scissors, 275f
Satinsky (vena cava) clamp (tip), 116f Sinskey lens hook (tip), 203f Strully scissors (tip), 288f
Sauerbruch rongeur, 281f Sinskey tying forceps (tip), 209f Struycken nasal cutting forceps, 247f
Saw Sinus surgery, 246–250 Struycken nasal cutting forceps (tip), 247f
Skeele curette, 199f Stryker arthroscopy shaver, 152f
Hall sternal, 290f Skeele curette (tip), 199f Stryker cement gun, 162f
oscillating, 140f Skeeter drill, 225 Stryker REM B cord, 143f
power, 139–143 Skin graft, 266–267 Stryker sternal saw, 289f
Stryker sternal, 289f Skin hook retractor, 19, 19f Stryker System 5, 139f
Scalpel rigid stricture, 112f Smith-Petersen laminectomy rongeur, 171f Suction/irrigator system, 53f, 102f
Schepens orbital retractor, 218f Snap-fit scalpel instruments, 79f Suction tube, 21
Schertel grasper (tip), 82f Snowden-Pencer dissecting forceps, 132f Supracervical laparoscopic hysterectomy,
Schocket scleral depressor, 219f Snowden-Pencer dissecting scissors, 33f
Schott eye speculum, 205f Snowden-Pencer fixation forceps, 132f 99–102
Schroeder uterine tenaculum forceps, 88f, Snowden-Pencer scissors, 275f Surgery
Society of Gastroenterology Nurses and
94f, 97f, 99f cardiac, 283–286
Schroeder uterine tenaculum forceps (tip), Associates, 9 evolution of, 2
Sofamor spreader, 183f eye muscle, 214–216
97f, 104f Spacer block, knee, 160f history of, 2
Scissors Spatula cautery, 56f instrument cleaning after, 6–8
Spatula cautery (tip), 56f minimally invasive. See Minimally invasive
in da Vinci Surgical System, 79f Spatula microdissector (tip), 324f
description of, 18–19 Spinal column, laminectomy for, 334–337 surgery (MIS)
examples of, 18f Spinal fusion, 179–184 open heart, 287–288, 291–295, 299–303
inspection of, 13 orthognathic, 254–256
Scleral plug forceps, 219f postoperative radiograph of, 184f orthopedic, 136–138
Scleral plug forceps (tip), 220f Spinal tray, 29f sinus, 246–250
Scott-McCracken elevator, 168f Spine, minimally invasive surgery for, spinal, 339–340
Scoville nerve root retractor, 335f transoral, 237
Scoville nerve root retractor (tip), 335f 339–340 Surgical instruments. See Instruments
SecureStrap tack, 65f Sponge holder, 21 SutureCut needle driver (tip), 81f
Seibel nucleus chopper, 203f Spotting, of instruments, 11–12 Switchblade scissors, 77f
Seibel nucleus chopper (tip), 203f Spratt curette, 147f Synthes AO quick coupling chuck, 141f
Selector hand piece, 325f Spurling-Kerrison rongeur, 336f Synthes low-profile cranial plating set,
Semb gouging rongeur, 281f Spurling-Kerrison rongeur (tip), 336f
Semb ligature-carrying forceps (tip), 284f Staining, of instruments, 11–12 332–333
Semb lung retractor, 281f Stainless steel Synthes Mini 4200 Driver, 142f
Semb lung retractor (tip), 282f Synthes mini quick coupling, 141f
Semicritical instruments, 14 composition of, 3 Synthes retrograde/antegrade femoral nail,
Senn-Kanavel retractor, 224f corrosion of, 11–12
Senn retractor, 19 grades of, 3 188–189
Senn retractor (tip), 239f instruments made from, 1–3 Synthes sagittal saw attachment, 141f
Septoplasty, 240–243 quality of, 3–4 Synthes Small Battery Drive II, 141f
Serrephines, 218f, 222f–223f Stammberger antrum punch, 247f Synthes unreamed tibial nail insertion and
Shadow ACF retractor blade, 342f Stammberger antrum punch (tip), 247f
Shadow ACF transverse retractor, 343f Steinmann pin, 171f locking instruments, 190
Shank, example of, 18f Stent grasper, 110f
Sheehy fascia press, 224f Stent grasper (tip), 110f T
Sheehy ossicle-holding forceps, 224f Sterilization, 15–16
Sheets irrigating vectis, 207f immediate use steam, 16 T-handle probe, 182f
Shell acetabular instruments, 175f instrument packaging for, 14–15 T-handle wrench, 182f
Shepard iris hook, 207f of instruments, 1–2 TASS. See Toxic anterior segment syndrome
Shepard iris hook (tip), 208f preparation for, 14–16
Shoulder, arthroscopy for, 150–153 steam, 15 (TASS)
Shoulder ligature carrier, 165f Sterilization container system, 24–30 Taylor Spatial framework, 191f
Shoulder surgery, instruments for, 164–165 care and handling of, 26–27 Taylor Spatial ring, 192f
Shukla Universal Screwdriver Set, 196f instructions for use, 29–30 Taylor spinal retractor, 173f
instrument placement in, 28–29 Tebbetts fiber optic retractor, 262f
Telescope

bariatric, 74f
inspection of, 13

Index 353

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Tenaculum forceps (tip), 80f Trocar sleeve, 144f Verres needle, 49, 53f
Tendon, patellar, 154–156 Trousseau-Jackson tracheal dilator, 239f Verres needle stylet, 60f
Tensioner, 192f Trousseau-Jackson tracheal dilator (tip), 239f VersaPoint hysteroscopic resectascope, 91f
Terry scraper, 210f Troutman-Barraquer forceps, 206f
Terry scraper (tip), 211f Troutman-Barraquer forceps (tip), 206f sheath for, 92f
Texas Scottish Rite Hospital (TSRH), 179 Troutman-Barraquer microneedle holder, 207f Vienna nasal speculum, 243f
Troutman-Barraquer microneedle holder Vital Metzembaum scissors, 304f
bending tray, 180f Vitallium, instruments made from, 1
crosslink tray, 182f (tip), 209f Vitrectomy, 219–220
hook trials, 181f Troutman tier needle holder, 131f Volkmann rake retractor, 120f
implant tray, 179f TruClear hand piece, 93f Volkmann retractor, 86f
pediatric instrument tray, 181f TruClear hysteroscopy system, 93f Von Eicken antrum wash tube, 247f
rod tray, 180f TSRH. See Texas Scottish Rite Hospital Von Graefe strabismus hook, 214f
spinal system, 179
top tightening implant tray, 180f (TSRH) W
wrench tray, 182f Tubal occlusion
Thomas uterine curette, 89f Washer-decontaminator/disinfector, 8
Thomas uterine curette (tip), 90f laparoscopic, 105–107 Watzke sleeve-spreader forceps, 217f
Thompson bariatric post and bar, 42f position for, 107f Watzke sleeve-spreader forceps (tip), 218f
Thompson retractor, 19, 32, 43f Tubing passer, 135f Wave grasper, 57f
blades for, 43f Tulip cannula, 265f Wax curette (tip), 228f
joints for, 44f TURP. See Transurethral resection of the Weary nerve hook, 287f
rotational blades for, 43f–44f Webster needle holder, 154f
Thompson retractor holder, 75f prostate (TURP) Weck EZ Load hemoclip applier, 302f
Thoracic grasper (tip), 80f Tympanoplasty, 225–233 Weck Horizon hemoclip, 302f
Thoracic instruments, 280–282 Weck scissors, 260f
Thoracoport, 278f U Weder tongue depressor, 235f
Thoracoscopy, 277–279 Weinberg blade, 42f
position for, 279f Ultrasonic cleaning, 7 Weinberg retractor blade, 44f
Thorpe calipers, 218f Ultrasonic handpiece, 325 Weitlaner retractor, 19, 19f, 46f, 138f
Thorton fixation ring, 203f Universal screwdriver/broken screw set, Weitlaner self-retaining retractor, 45
Tibial aiming hook, 156f Welch Allyn operative sigmoidoscope, 71f
Tibial nail insertion and locking instruments, 196–197 Wells enucleation spoon, 223f
University of Minnesota cheek retractor, 252f Westcott tenotomy scissors, 18–19, 18f
190 Upper hand retractor, 42f Westcott tenotomy scissors (tip), 209f, 221f
Tissue forceps (tip), 20f Ureteroscope, rigid, 114f Westphal hemostatic forceps, 37f
Titanium, instruments made from, 1 Ureteroscopy, 113–114 Westphal hemostatic forceps (tip), 37f
Titanium 2.0-mm microfixation system, 257 Urethra, cystoscopy of, 108 Whirleybird pick (tip), 227f
Titanium needle holder (tip), 209f Urethroscopy, 112 Wiener antrum rasp, 241f
To Err is Human: Building a Safer Health Urinary bladder, cystoscopy of, 108 Williams laminectomy microretractor, 338
U.S. Food and Drug Administration. See Wills Hospital utility forceps, 217f
System, 1–2 Wills Hospital utility forceps (tip), 218f
Tonsil hemostatic forceps, 32, 37f Food and Drug Administration (FDA) Wire collet, 143f
Tonsil hemostatic forceps (tip), 37f Uterine manipulation probe, 99f Wolf bipolar grasper, 105f
Tonsillectomy, 234–236 Uterine manipulator, disposable, 100f Wolf optical urethrotome obturator, 112f
Tooth forceps, 118f Uterine sound, 99f Woodson dura separator and packer, 311f
TORS. See Transoral robotic surgery (TORS) Uterus, dilatation and curettage of, 88–90 Woodson dura separator and packer (tip),
TORS blade, 237f Utrata forceps, 202f
Total hip replacement, 170–178 Utrata forceps (tip), 202f 312f
Total knee replacement, 157–163 Woodson elevator, 340f
Towel clamp, 21 V
Townley femur caliper, 171f Y
Toxic anterior segment syndrome (TASS), 9 V-Lign instrument tray, 177f
Tracheal hook (tip), 239f Vagina, repair of, 119–121 Yankauer suction tube, 21, 21f, 34f, 46f
Tracheotomy, 238–239 Vaginal hysterectomy, 103–104 Yankauer suction tube (tip), 34f
Transoral robotic surgery (TORS), 237 Vaginal laser, 94–95 Yasargil aneurysm clip, 331
Transoral surgery, 237 Valve hook, 82f
Transplant microscissors, 209f Van Buren sound, 129f Z
Transurethral resection of the prostate Vannas capsulotomy scissors, 131f, 209f
Vannas capsulotomy scissors (tip), 209f Z clamp, 97f
(TURP), 128–129 Vas deferens, 130 Z clamp (tip), 97f
Trilogy acetabular instruments, 174f Vascular bulldog, 127f Zimmer-VerSys instruments, 174–178
Trocar Vasectomy, 130–132 Zygomatic arch awl, 252f
Vasovasostomy approximator, 131f
examples of, 73f VasoView harvesting cannula, 305f
laparoscopic, 52f–53f Vein retractor, 275f
Vein retrieval instruments, 304–305

354 Index

https://kat.cr/user/Blink99/

Contents—cont’d

        UNIT SIX: EYE, EAR, NOSE, AND UNIT NINE: PERIPHERAL VASCULAR,
THROAT SURGERY CARDIOVASCULAR, AND THORACIC SURGERY

58 Basic Eye Set, 198 84 Endarterectomy, 268
59 Clear Corneal Set, 201 85 Artery Bypass Graft, 269
60 Corneal Transplant, 205 86 Endovascular Abdominal Aortic Aneurysm Repair, 271
61 Deep Lamellar Endothelial Keratoplasty, 210 87 Abdominal Vascular Set (Open Procedure), 274
62 Glaucoma, 212 88 Thoracoscopy, 277
63 Eye Muscle Surgery, 214 89 Thoracic Instruments, 280
64 Retinal Detachment, 217 90 Cardiac Surgery, 283
65 Vitrectomy, 219 91 Open Heart Microinstruments, 287
66 Oculoplastic Instrument Set, 221 92 Sternal Saws and Sternum Knife, 289
67 Eye Enucleation, 223 93 Open Heart Extras, 291
68 Basic Ear Set, 224 94 Cardiovascular Instruments, 296
69 Tympanoplasty, 225 95 Open Heart Valve Extras, 299
70 Tonsillectomy and Adenoidectomy, 234 96 Return Open Heart Set, 301
71 Transoral Surgery, 237 97 Vein Retrieval Instruments, 304
72 Tracheotomy, 238 98 Radial Artery Harvest Set, 306
73 Septoplasty and Rhinoplasty, 240
74 Nasal Polyp Instruments, 244 UNIT TEN: NEUROSURGERY
75 Nasal Fracture Reduction, 245
76 Sinus Surgery, 246 99 Craniotomy, 307
100 Neurologic Bone Pan Instruments, 314
UNIT SEVEN: ORAL, MAXILLARY, AND FACIAL 101 Neurologic Retractors, 317
SURGERY 102 Medtronic Midas Rex Electric Drill, 320
103 Rhoton Neurologic Microinstrument Set, 322
77 Facial Fracture Set, 251 104 Ultrasonic Handpieces, 325
78 Orthognathic Surgery, 254 105 Neurologic Shunt Instruments, 326
79 Titanium 2.0-mm Microfixation System, 257 106 MINOP Neuroendoscopy Set, 328
107 Intracranial Pressure Monitoring Tray, 330
UNIT EIGHT: PLASTIC SURGERY 108 Yasargil Aneurysm Clips with Appliers, 331
109 Synthes Low-Profile Cranial Plating Set, 332
80 Minor Plastic Set, 258 110 Laminectomy, 334
81 Micro Plastic Set, 260 111 Williams Laminectomy Microretractors, 338
82 Plastic Miscellaneous, 262 112 Minimally Invasive Spine Surgery, 339
83 Skin Graft, 266 113 Anterior Cervical Fusion, 341
114 ASIF Anterior Cervical Locking Plating Instruments, 344

UNIT ON PEDIATRIC SURGERY (ON EVOLVE
WEBSITE)

https://kat.cr/user/Blink99/