Shared Flashcard Set

Details

Cement and Tools Test
n/a
87
Medical
Graduate
01/18/2010

Additional Medical Flashcards

 


 

Cards

Term
The _____(size 3) allows for single-step into the pedicle.
Definition
One-Step
Term
The One-Step eliminates the need for the _____________and the ______________
Definition
jamshidi and guide pin
Term
What are the 3 One-Step stylet types?
Definition

Bevel - Taupe

Diamond - purple

Trocar - white

Term
The One-Step OI systems are sold in what three sizes?
Definition

10/3

15/3

20/3

Term
Which tip in the One Step OI is sold a la carte only?
Definition
Bevel, taupe
Term
What is the outer diameter measurement of the distal cannula?
Definition

4.2mm

8 gague

Term
The One-step system is for ______physicians only and can reduce___________________
Definition

experienced, skilled

 

OR time, radiation exposure, melleting and tool exchanges

Term
The _______________consists of smaller sized (size 2) acces instruments
Definition
Express System
Term
What are the three stylet types in the Express System?
Definition

Diamond-purple

Trocar-white

Bevel-taupe

Term
What is a contrast alternative to patients with an iodine allergy?
Definition
Gadolinium
Term
What OI is a la carte only in the Express System?
Definition
Trocar
Term
What are the two sizes sold in the Express System?
Definition

10/2

15/2

Term
The Express IBT has a ____________collar
Definition
black band
Term
The outer diameter of the distal cannula is____________
Definition

10 gague

3.4mm

Term
The outer diameter of the distal cannula is __________
Definition

2.7mm 

12 gague

Term
After taking a biopsy with the Express BBD the doctor must use the Express___________
Definition
Precision Drill
Term
The Express system is designed for use by ___________ physicians who want ____________ and _____________
Definition
skilled, smaller diameter tools, shorter procedure time
Term
The ___________________is used for scoring and scraping bone
Definition
latititude curette
Term
What are the two latitude curette tip types?
Definition
wedge tip and T-tip
Term
What size is the T-Tip latitude curette?
Definition
8mm
Term
What size is the wedge tip latitude curette?
Definition
6.5mm and 8.5mm
Term
The T-tip is best used for what?
Definition
scoring and scraping close to endplates and rotational direction
Term
The wedge tip latitude curette is best used for what?
Definition
creating or enlarging a cavity and A/P direction
Term
How does the tip of the latitude curette articulate?
Definition
in the direction of the short part of the curette handle
Term
Can the latitude curettes be used with the express system?
Definition
NO
Term
Which IBT is bi-directional?
Definition
Elevate
Term
It has a _________________ shape to reduce unintended contact with the ____________lateral walls
Definition
pre-determined, lateral
Term
When is the Elevate IBT best used?
Definition

Anterior wedge fracture or bo-concave fracture,

Needle placement is too lateral,

in the thoracic region

Term
the ___________IBT is a unidirectional IBT
Definition
Exact
Term
when is the best usage of the Exact IBT?
Definition

approach is too medial or lateral,

concave,wedge or single endplate fracture,

"Bail out" in VB's with weak endplates

Term
One distinct feature of the Exact IBT is the ______________
Definition
stainless steel shaft
Term
The 11 gague ________________ or Jamsheidi is used to ______________ into the vertebral body
Definition

bone access needle

gain access

Term
How many bone access needles are in the Kyphopak?
Definition
2
Term
What is used to guide the OI into the vertebral body?
Definition
guide pin
Term
How many guide pins come in a Kyphopak tray?
Definition
4, 2 sharp, 2 blunt
Term
Caution is needed when using ______guide pins
Definition
sharp
Term
What is used to place the working cannula into the vertebral body?
Definition
Osteointroducer
Term
What are the two components of the OI?
Definition
Stylet and cannula
Term
The diameter of the working cannula for the OI is____?
Definition
4.2mm
Term
What do the marking bands on the working cannula represent?
Definition
1 cm increments
Term
How many working cannulas and stylets are in the Kyphopak and why?
Definition

2 working cannulas

1 stylet

for a bilateral approach

Term
What is used to obtain a core sample of bone?
Definition
Bone Biopsy Device
Term
what is different about the BBD from the BFD?
Definition

sharp beveled tip

white in color

Term
What does the first laser marking on the BBD mean?
Definition
It is flush with the distal end of the working cannula
Term
The remaining markings(other than the first) on the BBD represent what?
Definition
1 cm increments
Term
What should NOT be used with the BBD?
Definition
a mallet
Term
What can be attached to the proximal luer on the BBD to aspirate a sample?
Definition
syringe
Term
In most cases the BBD will eliminate the need to ________
Definition
drill
Term
How are the BBDs sold?
Definition
a la carte or in a 10 pack
Term
What is used to create a channel for the IBT?
Definition
Precision Drill
Term
The first marking on the precision drill indicates what?
Definition
that it is flush with the distal tip of the working cannula
Term
The bold markings on the Precision Drill indicate what?
Definition
1 cm increments
Term
The thin-lined markings indicate what?
Definition
2mm increments
Term
In order to advance the drill, simply_______, no mallet is required
Definition
rotate
Term
What step should follow the precision drill?
Definition
Use a BFD (cannula and stylet) to tamp/clear bone shards in the channel
Term
What is used to deliver cement?
Definition
Bone filler device
Term
The first marking on the BFD indicates what?
Definition
that it is flush with the distal tip of the working cannula
Term
The additional markings on the BFD (other than the first) indicate what?
Definition
1 cm incremements
Term
how much cement does each BFD hold?
Definition
1.5 cc
Term
Each marking on the BFD stylet indicates what?
Definition
.5 cc 
Term
How many BFDs come in a Kyphopak tray?
Definition
6
Term
What is used for accessing hard cortical bone?
Definition
Advanced Osteointroducer
Term
What is a feature of the Advanced OI?
Definition
it has a fluted, drill-like tip
Term
The Advanced OI provides_________access by rotating it into the vertebral body without using a _______
Definition
controlled, mallet
Term
The drill tip extends ___ mm beyond the distal tip of the _______________
Definition
18, working cannula
Term
When taking a biopsy, use the _______ on the Advanced OI to offset drill depth by ___mm leaving a ___mm effective drill tip
Definition
spacer, 15, 3
Term
Use of the Advanced OI potentially eliminates the use of the ________
Definition
drill
Term
How much cement is in the cartridges for the CDS and how many cartridges come in a kit?
Definition
8cc and 2
Term
How long is the shelf life on the CDS?
Definition
4 months
Term
How long do you have to hold down the handle on the quick release of the CDS when you're finished delivering cement?
Definition
2 seconds
Term
What are benefits of the CDS?
Definition

48 inches out of the fluoro field 

one handed operation

precision and control

tactile feedback

kyphon mixer compatability

Term
Each squeeze of the CDS gun lever ejects approximately how much cement?
Definition
.2cc's
Term
What are the cement set up times?  
Definition

Mixing and handling = 8 min

Working = 8 min

Set Up = 4 min

Total = 20 min

Term
What is the price of our cement?
Definition

Kyphon Mixer = $140

Kyphon HV-R = $130

 

Bundle the two for $210 for a 23% savings

Term
What are the two endpoints for cement?
Definition

extravasation

cement moving posteriorly

Term
What are the balloon endpoints?
Definition

Maximum PSI

Maximum volume

fracture reduction

cortical wall contact

Term
What is the jamsheidi endpoint?
Definition

just inside the vertebral body

 

Term
what is the endpoint for the guidewire?
Definition
mid vertebral body
Term
What is the endpoint for the working cannula?
Definition
just into the vertebral body
Term
Selling points against vertebroplasty
Definition

Fx reduction

more cement volume

height restoration

less extravasation

Term
Components of the Kyphopak tray
Definition

4 guidepins

2 jamsheidi

2 cannula

1 OI

1 precision drill

3 IBT 10-3, 15-3, 20-3

2 Inflation Syringe

2 Locking syringe

6 BFD

 

 

 

Term
Components of the One-Step OI Kyphopack Tray
Definition

1 Diamond tip OI

1 Trocar Tip

2 Cannulas

1 Precision Drill

2 Inflation Syringes

2 Locking Syringes

6 BFD

3 IBT

 

Term
What's in the One-Step Kyphopak tray?
Definition
Term
What is the ingredient added to the cement for contrast?
Definition
barium sulfate
Term
Three factors that affect cement set up time
Definition

temperature

humidity

mixing technique

Term
What are the Express OI different diameters?
Definition

7 gauge proximal

tapers to 10 gauge

12 gauge at the tip

Term
What are the colors of the size 3 balloons?
Definition

10 = yellow

15 = black

20 = white

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