Shared Flashcard Set

Details

Laparoscopic Instruments
Applied Medical
54
Health Care
Intermediate
02/08/2016

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Cards

Term
Lengths of the Epix Laparoscopic Scissor Handles:
Definition
Standard: 35mm and 45mm, 
Inline: 38mm and 45mm
Term
The ______________ Jaw Hinge eliminates the “wings” that can catch on tissue and cause undue trauma and/or bleeding
Definition
Low Profile
Term
What is unique about our cautery post?
Definition
Rotates 360 degrees - reduces tangling of the cord during the procedure
Term
Features and benefits of the Epix Laparoscopic Scissor Standard Handle:
Definition
Ergonomic standard scissor handle with removable scissor inserts increases comfort range of motion and accommodates a range of hand sizes
Term
Features and benefits of the Epix Laparoscopic Scissor Inline Handle:
Definition
Ergonomic inline handle increases range of motion during single site procedures
Term
Key disposable scissor competitors (2):
Definition
Covidien and Ethicon
Term
Key reposable scissor competitors (1):
Definition
Microline
Term
Clinical advantages/disadvantages for disposable scissors?
Definition
Fresh, sharp blade for every case, less hard stainless steel dulls fast
Term
Clinical advantages/disadvantages reposable scissors?
Definition
hard stainless steel stays sharp throughout entire procedure,
scissors dull after several uses. Need to be resharpened and can be dull when pulled from lap tray
Term
Which is perceived to be more cost effective, disposable or reusable scissors? What are some of the hidden costs associated with reusables?
Definition
reusables perceived. hidden = resharpening fees, wasted OR time if pulled dull and surgeon needs to wait for another scissor to be pulled.
Term
What are the advantages of Applied Medical’s Epix Laparoscopic Scissor over Ethicon & Covidien Disposables (2)?
Definition
high performance blades sustain sharpness throughout procedure, monopolar rotating cautery post minimizes cord tangling
Term
What are the advantages of Applied Medical’s Epix Laparoscopic Scissor over the Microline reposable scissor?
Definition
new fully insulated shaft for every case reduces chances of arcing, monopolar rotating cautery post minimizes cord tangling
Term
Describe the Epix Laparoscopic Grasper jaws. What is the benefit?
Definition
Silicone pad covered with lattice mesh. Provides traction independent of pressure, superior atraumatic grip on compromised or delicate tissue
Term
Describe all competitive (disposable and reusable) atraumatic grasper jaws.
Definition
Metal rounded tooth jaws (considered atraumatic). We have only TRULY atraumatic.
Term
What is infinite point lock?
Definition
Allows the jaws to be locked at any point along closure of the handle. Not ratcheting
Term
List three type of surgeons who would benefit from the Epix Laparoscopic Grasper with an appropriate type of case for each surgeon.
Definition
Colorectal - colectomy, Bariatric - gastic band, sleeve, roux-en-y, Gynecology - myomectomy
Term
The Epix Laparoscopic Grasper lengths
Definition
Standard: 35mm, 45mm, Inline: 38mm, 45mm
Term
What are the centimeter markings on the shaft used for?
Definition
To measure intra abdominal tissue
Term
Define dissection as it pertains to the use of a laparoscopic dissector
Definition
Separation of tissue with hemostasis
Term
What are the top 3 features and benefits o the Epix Laparoscopic Dissector?
Definition
Low profile jaw hinge: no protruding wings, does not catch or hang up on tissue, Fully insulated dissection shaft: Always new insulation, extends length of shaft all the way to the jaws enhancing safety by eliminating exposed conductive surfaces, Rotating cautery post: universal monopolar cautery connector with rotating post minimizes cord tangling
Term
Laparoscopic Dissector lengths
Definition
Standard: 35mm, 45mm
Inline: 38mm, 45mm
Term
For the Epix Laparoscopic Dissector Inline handle, what are the shaft options?
Definition
Straight, fixed 20 degree angled shaft
Term
With the fixed 20 degree angle shaft Inline Epix Laparoscopic Dissector, what does the Shaft Rotation Knob do?
Definition
Locks the shaft in desired position (up, down, left, right)
Term
Key disposable dissector competitors (2):
Definition
Ethicon, Covidien
Term
Key reposable competitors:
Definition
Microline
Term
What is the advantage of the Dissector fully insulated shaft over the Microline dissector?
Definition
Fully insulated dissector shaft with new insulation every case vs. reusable handle has reprocessed insulation that can arc when energy flows through.
Term
What are all metal clips made of?
Definition
Titanium
Term
What is TiGold technology
Definition
Advanced metallurgic process that produces titanium clip with less rebound for greater tissue security
Term
What is unique about the last 3 clips in the Direct Drive Clip Applier/Epix Universal Clip Applier?
Definition
They visually (blue/purple clips) give advanced warning that the clip applier is almost empty
Term
What is the difference between the Direct Drive Clip Applier/Epix Universal Clip Applier “Advanced Clip Delivery System” vs. competitive clip appliers (2)?
Definition
Both have half moving parts, They are not spring loaded
Term
The Direct Drive Clip Applier has a ____ size clip.
Definition
M/L
Term
The Direct Drive Clip Applier is designed to fit down a _____ mm or larger trocar.
Definition
10mm
Term
Direct Drive Clip Applier has how many clips?
Definition
20 clips
Term
Why is the Applied Medical Direct Drive Clip Applier’s cholangiozone different than the Ethicon ER320 Clip Applier?
Definition
The Direct Drive cholangiozone stops when the ratcheting handle stops, the Ethicon zone starts when the audible click is heard
Term
What does the audible click indicate when firing the Direct Drive Clip Applier?
Definition
Full clip closure
Term
What are the top 3 features and benefits of Applied’s Direct Drive Clip Applier?
Definition
TiGold Clip: Advanced metallurgical process that produces a titanium clip with less rebound, for greater tissue security,
Stronger jaw design: allows the surgeon to manipulate tissue in the jaw with less scissoring of clips, Advanced clip delivery system: minimizes jamming and misfires
Term
The Epix Universal Clip Applier has a ____ size clip
Definition
M/L
Term
The Epix Universal Clip Applier is designed to fit down a ____ mm or larger trocar
Definition
Kii 5mm or larger
Term
The Epix Universal Clip Applier comes loaded with ____ number of clips.
Definition
20
Term
Covidien’s 5mm clip applier is called ______ with ___ ___ size clips
Definition
Endoclip III, 16 M/L
Term
What about the Epix Universal Clip Applier allows it to have “true” M/L clips? (2)
Definition
Strong jaw design enables the applier to consistently close on true M/L clips, Advanced delivery system has inner diameter that allows M/L clips to be fired
Term
What are the top 3 features and benefits of the Epix Universal Clip Applier?
Definition
True M/L TiGold Clips: in both length and thickness providing 100% better retention compared to competitive 5mm clip appliers,Strong Jaw Design: allows surgeon to manipulate tissue in the jaw with less scissoring of clips, Wide Jaw Opening: allows better access on larger vessels or structures and provides better visualization and control for clip placement
Term
TiGold heat-treated titanium clips provide superior clip security vs. competitive 5mm clips by what percentage?
Definition
100%
Term
What are the top 3 features and benefits of the Inzii 10mm retrieval system?
Definition
4mil bag: has unmatched strength and durability which minimizes chance of breaks and contamination, Seam on one side: seam is weakest part on the bag, seam on one side reduces chance of breaks, Unique guide bead: designed to perform with today’s nonbladed trocars guides specimen bag through small fascial defect during extraction
Term
What are the top 3 features and benefits of the Inzii Universal Retrieval System?
Definition
5mm introducer: allows 10mm specimen bag to be delivered in a 5mm device, facilities total 5mm solution (can be used through the Kii 5mm trocar or larger), 4mil bag (4mil thickness with 6mil reinforced tip design): has unmatched strength and durability which minimizes chance of breaks and contamination, Unique guide bead: designed to perform with today’s nonbladed trocars, guides the specimen bag through small fascial defects during extraction
Term
What are the top 3 features and benefits of the Inzii 12/15mm Retrieval System?
Definition
4mil bag (4mil thickness with a 6mil reinforced tip design): has unmatched strength and durability which minimizes chance of breaks and contamination, Seam on one side: seam is weakest part on the bag, seam on one side reduces chance of breaks, 12mm introducer: allows bag to be introduced through 12mm applied medical tracer cannulas and various manufacturer cannulas. ** All Ethicon, All Weck, Covidien Versaport Plus, Covidien Blunt Tip
Term
What mil thickness is the tip of the following?
Definition
Inzii 10mm Retrieval System - 4mil, Inzii Universal Retrieval System - 6mil, Inzii 12/15mm Retrieval System - 6mil
Term
What is the weakest point on a specimen bag? What is unique about Inzii 10mm Retrieval System/Inzii Universal Retrieval System/Inzii 12/15mm Retrieval System bag design to compensate for this?
Definition
Seam. The seam is on one side of the bag, reduces chances of breaks.
Term
Name the benefit of the Inzii Distinctive Cord Design:
Definition
Allows bag to be easily opened and closed multiple times, allows additional specimens to be placed in the bag, and/or debulking of the specimen without having to cut the bag
Term
Name the benefit of the Inzii looped cord?
Definition
Provides traction for surgeon to facilitate easier removal of bag and specimen through fascial defect
Term
Give the Product Name of the following Standard competitive specimen bags the thickness of the bag material.
Definition
Covidien: Endocatch Gold - 2mm, Ethicon: Endopouch - 3mm
Term
What are the 2 main competitive 15mm competitive specimen bags (Company and Product name)
Definition
Covidien: Endocatch 2, Anchor: Tissue Retrieval System
Term
What material is the Anchor Tissue Retrieval System made of?
Definition
Ripstop Nylon
Term
Name 2 common laparoscopic procedures and the respective surgical specialties where Inzii may be used
Definition
Lap Chole: General Surgeon, Lap Appy: General Surgeon, or others as relevant
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