Term
| A surgical site infection is one that occurs at the site of surgery within ____ of an operation or within 1 year of an operation if an implant is involved (e.g., an artificial heart valve or joint) |
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Definition
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Term
| Define the three types of SSI |
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Definition
Superficial Incisional - skin and subQ tissue
Deep Incisional - deep soft tissue (like fascia and muscle layers)
Organ Space - any part of the body beneath the peritoneum open and manipulated during surgery besides (subq, skin, fascia, muscle) |
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Term
| The three causes of wound infection are: |
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Definition
| Direct contact, airborne, self contamination |
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Term
| What is the indication for the Alexis/Alexis O Wound Protector/Retractor? |
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Definition
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Term
| Alexis is Greek for ____ of humankind. |
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Definition
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Term
| The primary benefit of the Alexis/Alexis O Wound Protector/Retractor is 360 degrees of atraumatic ____ and ____. |
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Definition
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Term
| Describe how the Alexis/Alexis O Wound Protector/Retractor can aid in preventing SSI. |
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Definition
| The impermeable sheath creates a barrier between the wound margins and the OR environment |
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Term
| The Alexis/Alexis O Wound Protector/Retractor latex-free sheath is made of ____. |
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Definition
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Term
| List the benefits of Flexible White Retraction Ring: |
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Definition
| conforms to body’s anatomy and and ease of deployment |
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Term
| List the benefits of Rigid White Retraction Ring: |
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Definition
| maximizes exposure, ease of deployment |
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Term
| List the benefits of Green Placement Ring |
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Definition
| ease of deployment and secure placement |
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Term
| List the benefits of Clear Sheath: |
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Definition
| Visualize margins, keeps moisture, acts as tapenade |
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Term
| What are the advantages of the Alexis/Alexis O Wound Protector/Retractor over metal retractors? (3) |
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Definition
| Frees up hands, eliminates point trauma, Protects wound edges from contact contamination |
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Term
| Two main competitors to the Alexis/Alexis O Wound Protector/Retractor are (company and name): |
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Definition
| Cooper Mobius, Olympus Gyrus Protractor |
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Term
| List one open procedure where the Alexis/Alexis O Wound Protector/Retractor can be used for each specialty: General, GYN, Colorectal |
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Definition
General Appendectomy
GYN TAH
Colorectal Any lap or open colon procedure |
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Term
| The Alexis/Alexis O Wound Protector/Retractor can be used for both open and laparoscopic procedures (T/F) |
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Definition
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Term
| The ___ incision is preferred for C-Sections because of better ___ |
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Definition
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Term
| The Pfannenstiel is a ___ incision |
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Definition
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Term
| The abdominal incision can be either horizontal or vertical (T/F) |
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Definition
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Term
| A ___ incision is usually only done in an emergency c-section |
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Definition
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Term
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Definition
| In it’s natural position in the body |
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Term
| The Alexis O C-Section Retractor is indicated for ___ C-sections |
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Definition
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Term
| The Alexis O C-Section Retractor is placed into the ____ incision |
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Definition
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Term
| What extra test do we perform on the Alexis O C-Section Retractor to be indicated for C-Sections? |
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Definition
| Pyrogen Test —> Limits to an acceptable level, the risks of fever to the baby by bacterial endotoxins on the product concerned |
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Term
| What benefit will the surgeon see when using the Alexis O C-section Retractor on obese patients? |
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Definition
| Holds back pannes of the stomach |
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Term
| What are the 2 main benefits for the patient when using the Alexis O C-Section Retractor? |
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Definition
Pain reduction of post op pain
Reduction of nausea |
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Term
| Name 2 additional benefits of the Alexis O C-Section Retractor for the Obstetrician? |
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Definition
Frees up technicians hands for more assistance
Ability to differentiate between uterine and abdominal wall bleeding |
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Term
| ____ are the most commonly used retractors used for cesarean deliveries |
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Definition
| Hand held metal retractors |
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Term
| Which os these competitors is also indicated for C-Section and what is the specific product name? |
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Definition
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Term
| What are the top 3 features and benefits o the Alexis O Laparoscopic System? |
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Definition
Laparoscopic Cap enables a laparoscopic approach before and after specimen removal
Laparoscopic Cap converts the retracted wound site into an additional working port for a 12mm trocar
Alexis O Retractor/Protector protects wound margins from contact contamination significantly reducing wound infection and maintains moisture at the incision site |
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Term
| What size tracer is designed to fit through the Alexis O Laparoscopic System laparoscopic cap? |
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Definition
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Term
| Who is the target audience for the Alexis O Laparoscopic System? (2) |
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Definition
Surgeons that extend or create an incision to remove an specimen during a laparoscopic procedure
Surgeon that is currently twisting the Alexis to re-establish prneumo after creating an anastomosis |
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Term
| What are the 2 application methods that can be used when deploying the Alexis O Laparoscopic System? |
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Definition
The Alexis O Lap system can be placed at the beginning of surgery before trocars are introduced
The Alexis O Lap system can be placed after the trocar incision has been extended to remove the specimen or create an anastomosis |
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Term
| The Alexis Ortho Protector has an FDA 510(k) indication for use in ____ |
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Definition
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Term
| Which materials make up the sheath of the Alexis orthopedic protector? |
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Definition
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Term
| The Alexis Ortho protector protects soft tissue from the damage that may be caused by (2): |
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Definition
Sharp instrumentation used throughout the procedure
Bone debris |
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Term
| The part of the hip that functions as the socket of the “ball and socket” joint is called the: |
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Definition
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Term
| During a total hip arthroplasty, the oscillating saw is used to: |
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Definition
| Separate the femoral head at the neck of the femur |
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Term
| The minimally invasive approach to total hip arthroplasty is called the (3): |
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Definition
| Anterior approach, direct anterior approach, smith peterson approach |
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Term
| In the Anterior Approach to the total hip arthroplasty, the Alexis orthopedic protector is placed: |
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Definition
| Beneath the tensor fascia latae laterally, up against the sartorius medially |
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Term
| In the Posterior Approach to the total hip arthroplasty, the Alexis orthopedic protector is placed: |
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Definition
| Past the IT band, and beneath the gluteus maximus |
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Term
| Name the sizes offered in the Orthopedic Protectors and the corresponding incision sizes: |
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Definition
S/S 2.5-8cm
S/M 2.5-8cm
M/L 5-13cm |
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Term
| Name the benefit of the Latex Free Sheath |
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Definition
| Eliminates glare for enhanced visualization of the operative field while providing 360 degrees of protection to shield soft tissue including skin, fat, muscles and nerves from damage caused by bone debris and sharp instrumentation |
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Term
| Name the benefit of the Rigid Retraction Ring: |
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Definition
| Provides 360 degrees of atraumatic retraction, maximizing exposure of the joint capsule while distributing force evenly to reduce pain associated with point trauma |
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Term
| Name the benefit of the Tapered Placement Ring |
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Definition
| ensures secure placement of the Alexis Orthopedic Protector between muscle layers and allows wider working space above the incision, for S/M and M/L |
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Term
| The Alexis Contained Extraction System bag has a volume of ___ mL |
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Definition
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Term
| The three main components of the Alexis Contained Extraction System are: |
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Definition
| Specimen containment bag, guard, Kii Balloon Blunt Tip Trocar |
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Term
| Name several procedures where the Alexis Contrained Extraction System can be utilized (4): |
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Definition
| (Lap) Nephrectomy, Hysterectomy, Myomectomy, Oophrectomy |
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Term
| What is the size of the opening of the Alexis Contained Extraction System Bag? |
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Definition
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Term
| Name three reasons why there is a clinical need for the Alexis Contained Extraction System? (3) |
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Definition
MIS sometimes requires removal of larger specimens through a smaller opening
Surgeons may have limited option for contained morcellation of larger specimens
Possible risks to patient if tissue is not contained and left behind after morcellation |
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Term
| The Alexis Contained Extraction System is indicated for ____ morcellation. |
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Definition
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Term
| What benefit would you share with a surgeon performing manual morcellation? |
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Definition
| The bags impermeable material isolates tissue from the surrounding cavity |
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Term
| What were the main conclusions of the Horiuchi study reported in the Journal of Trauma, January 2007? |
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Definition
| Using Alexis Wound retractors can reduce the incidents of surgical site infection by >50% and wound infection up to 100% |
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Term
| What was the main conclusion of the Waxman study reported in Archives of Surgery, September 2009? |
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Definition
| Using Alexis Wound retractors can reduce the incidents of SSI by 89% |
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Term
| What were the main conclusions of the Reid Study? (2) |
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Definition
The use of barrier wound protection in elective open colorectal resectional surgery resulted in a clinically significant reduction in incisional SSIs
Barrier wound protection of this nature should be considered routine in this type of surgery |
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Term
| What were the main conclusions of the Conaster study? (1) |
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Definition
| The use of hands-free abdominal retractor during cesarian delivery significantly reduced operative time compared with traditional retractor. |
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Term
| What were the main conclusions of the Siddiqui study? (2) |
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Definition
Exteriorization of the uterus for repair is associated with an increased incidence of nausea and vomiting and tachycardia during cesarean delivery under anesthesia
Uterine repair should be done in situ where possible |
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Term
| What was the main conclusion of the Nafisi study? |
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Definition
| Exteriorization of the uterus for repair of the uterine incision increases the first and second night post operative pain significantly in women undergoing c-section |
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Term
| What were the main conclusions of the Doganay study for patients who underwent uterine repair in situ rather than extra-abdominally? |
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Definition
The operating time was shorter
Return to bowel function was shorter
The rates of uterine atony and wound infection were lower
Request for additional post operative analgesics to be lower |
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Term
| Alexis Wound Protector/Retractor Sizes and corresponding Incision sizes |
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Definition
XXS - 1-3cm
XS - 2-4cm
S 2.5-6cm
M 5-9cm
L 9-14cm
XL 11-17cm |
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Term
| Alexis O Wound Protector/Retractor sizes and corresponding incision sizes |
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Definition
S 2.5-6cm
M 5-9cm
L 9-14cm
XL 11-17cm
XXL 17-25cm |
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Term
| Alexis O C-Section Wound Retractor sizes and corresponding incision sizes |
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Definition
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