Cardiac procedure tray

AGA UMAR TARIQ

1. Cardiac procedure tray/ O pen heart instrument tray Lecturer:umar tariq Msc ott /anaesthesia

2. Cardiac procedure tray contains Himmelstein sternal retractor. Ribbon retractor 5-tissue forceps toothed/ nontoothed 1-cushing bayonet tissue forceps 2-Adson forceps toothed/non toothed 2-Russain forceps 10-Debakey forceps 2-straight & curved mayo scissor 3 metzenbaum scissors

3. 3-potts smith 2-tenotomy scissors 1-cooley scissor 1-wire cutter scissor 12 mosquito clamps -6 straight,6 curved 2-jacobson mosquito clamps 8-curved crile clamps 6-straight crile clamps 2 pean clamps 2-herrick kidney clamps 2-straight kocher

4. 2-mixter`s rt angle 2 tonsil clamps 3-derra clamps 2-debakey coarctation clamps 2-aortic aneurysm clamps 2-Debakey tengential clamps 2-satinsky 2-patent ductus 8-vascular needle holders 18 towel clips piercing 6 towel clips piercing 2-Sternal needle holder 2-yaunkers tip

5. HIMMELSTEIN STERNUM RETRACTOR Used in cardio thoracic procedures It is most effectively used as a sternum seperator .

6. RIBBON RETRACTOR Hand held malleable retractor. Useful in multiple procedures. Available in different lengths and widths Smaller ribbon retractor may be used in neuro surgical and orthopaedic procedures Large ribbon retractor are used in abdomen & cardio vascular procedures to hold back larger organs.

7. CUSHING BAYONET TISSUE FORCEPS Cushing tissue forceps are light to medium weight thumb forceps. Used on delicate tissues Commonly used in neurosurgeries Very narrow tips and are useful in smaller areas.

8. COOLEY SCISSOR It is a metzenbaum type scissor. Mayo type tips. Commonly used in cardiovascular surgeries. Used for delicate tissue dissection.

9. SUTURE WIRE CUTTER SCISSOR Angled , one jaw is serrated and the other is sharp. Used for cutting sutures for suture removal Tips are blunt Also used in wire cutting in orthopaedic procedures

10. Tenotomy scissor Used to perform delicate surgery Can be straight or curved , blunt or sharp depending upon the necessity. Commonly used in neuro ,cardiovascular , ophthalmic and oral surgeries.

11. Jacobson mosquito clamps Used to hold delicate tissues and to control bleeding. Extra delicate forceps and light weighted.

12. Pean clamps Used for clamping larger tissues & vessels for hemostasis . Full horizontal serrations are present on both the jaws Available in multiple lengths Used in multiple procedures Length is 9 inches

13. Derra clamps Commonly used for anastomosis in cardio vascular procedures. Used to control blood flow from the carotid artery, aorta, and inferior vena cava Atraumatic teeth provides a secure but delicate grip on vessels. Available in 3 sizes Causes little to no damage on vessels Double angled

14. Sternal needle holder/wire twister