TROLLEY SETTING- neuro surgery

NEUROSURGERY INSTRUMENTS
At Surgical Holdings, we provide a range of instruments for those providing neurosurgery and spinal surgery. Our neurosurgery instruments are designed to help assist rehabilitation, diagnosis, prevention and treatment of the central nervous system.

Neurosurgery Instruments include:

Curettes - Used for precise and delicate microsurgery such as neurosurgery.
Dissectors - Enable neurosurgeons to perform a minimally invasive discectomy.
Elevators - Used to lift the galea above the periosteum below the temporalis muscle.
Rongeurs - Used to open a window in bone, this is often the skull during neurosurgery.

1. Presentation onPresentation on
Trolley setting for neurosurgeryTrolley setting for neurosurgery
Submitted toSubmitted to
Mr kumarasamy a pMr kumarasamy a p
Assistant professorAssistant professor
Nursing college aiims
bhopal
Nursing college aiims
bhopal
Nursing college aiims
bhopal

Submitted bySubmitted by
Athiramol k sAthiramol k s
Roll no 14Roll no 14
Nursing collegeNursing college
Aiims bhopalAiims bhopal

2. TROLLEY SETTING
FOR NEUROSURGERY
TROLLEY SETTING
FOR NEUROSURGERY
TROLLEY SETTING
FOR NEUROSURGERY

12. CRANIACTOMY TRAY

14. 1.Raney clip applier
Description: Finger-ringed ratcheted
instrument with heavy, smooth jaws
that have a crescent shaped
fenestration, which
leads to a flattened tip. The jaws of the
applier are spread apart when the
instrument is ratcheted down and are
brought
together when the ratchet is released.
Category: Accessory
Uses: Used for applying Raney clips to
scalp flap edges during a craniotomyp

15. 2. Raney clip
Description: A disposable
plastic or reusable metal
spring-action clip with wave-
like jaws on one side and a
slot on the
other.
Category: Accessory
Uses: Provide hemostasis
by compressing the tissue
layers of the scalp edges
when turning a flap during a
craniotomy.

16. Cushing bipolar forceps
Description: Bayonet-style forceps with fine, smooth
tips and a bipolar connection post at the end.
Bipolar forceps can be
either insulated or no insulated.
Category: Accessory
Uses: Used for coagulating tissue that is grasped
between the tips

17. Dandy forceps
Description: Sideways-curved forceps with
horizontal serrations running halfway down the
jaws.
Category: Clamping and Occluding
Uses: Used for providing hemostasis on the
scalp edges when lifting the flap during a
craniotomy.

20. 8. Adson cranial rongeur
Description: A straight rongeur with oval cup jaws.
Category: Cutting and Dissecting.
Uses: Used for removing pieces of bone and the soft
tissue surrounding the bone.

21. 9. Leksell rongeur
Description: Double-action, slightly angled rongeur with
narrow, trough-like jaws.
Category: Cutting and Dissecting.
Uses: Used for removing pieces of bone and the soft
tissue surrounding the bone. The Leksell rongeur is often
used in
spinal surgery to remove the spinous process.

22. 10. Kerrison rongeur
Description: Compression handles
that are attached to a long shaft with
an angled guillotine-style action tip.
The tips have
a 40- or 90-degree angle and are either
up biting or down biting, with the
dimension of the bite ranging from 1
to 6mm .Catagory: Cutting and
Dissecting.
Uses: Used for removing pieces of
bone and lamina during spinal
procedures.

41. Variety of electrical waveformsA constant
waveform, - This produces heat very rapidly, to
vaporize or cut tissue.An intermittent waveform,
produce less heat. Instead of tissue vaporization, a
coagulum is produced.
ElectrocauteryElectrocautery

42. WFNS BIPOLAR COAGULATION SET
•Bipolar Electrosurgical
Unit with Main and
Equipotentialbonding
cable
•Single-pedal foot switch,
plastic housing
•Tray with YASARGIL
bipolar forceps and
connecting cables .

43. Electrical energy in the range of 250000 to 2 million
HzHeating effect Depends upon the density of
currentSize of electrode should be as small as
possibleFat, bone and air have low water content and
hence high resistanceGround electrode must have a
large area of contact to ensure low current
densityHealing is slower by 2 days, with wound having
less tensile strength and larger scar (Vs scalpel
cut)Increased susceptibility to wound infection
Monopolar CoagulatorsMonopolar Coagulators

44. Bipolar CoagulatorsBipolar Coagulators
Greater precision and less damage to
tissueLess power needed Current flows
through one blade and out through
otherOnly the tissue grasped is included in
the electrical circuitMore predictable and
less stimulating muscles and nervesMore
effective for coagulating tissue under a layer
of fluidRadionics vs malis bipolar
instruments sensing device ,no need of
irrigation, chances of inadequate
coagulation

46. WFNS DRILL SETWFNS DRILL SET

48. Midas rex drill Description: This is a high-speed
pneumatic drill that is activated by a foot pedal. The
handpiece has multiple attachments with disposable
burrs and blades. Category: Cutting and Dissecting.
Uses: Used for perforating the skull when creating burr
holes or for turning a bone flap during a craniotomy.

49. Hudson handheld drill Description: A handheld drill with a
stabilizing handle on the proximal end that is in
succession with a handle that rotates in a circle. The
distal end has a thumb screw chuck, which locks the bits
in place. The bits come in a variety of shapes and sizes.
Category: Cutting and Dissecting.
Uses: Used for perforating the skull when creating burr
holes.

55. Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Dural tenting is a well-known
method of stitching the dura to
the bone or pericranium after
craniotomy. This decreases the
extradural space where EDH cou
arise and compresses dural
vessels, which are potential
sources of EDH.
Hitch stitchesHitch stitches

 Tack-up sutures Tack-up sutures

 Dural periosteal sutures Dural periosteal sutures

 Tacking sutures Tacking sutures

 Stay sutures Stay sutures

 Suspension sutures Suspension sutures

 Sleeper sutures Sleeper sutures

 Dandy sutures Dandy sutures

 Poppen sutures Poppen sutures

56. WFNS CRANIAL SET - TRAY 1

57. WFNS CRANIAL SET - TRAY 2

58. WFNS SPINAL SET - TRAY 1WFNS SPINAL SET - TRAY 1

59. WFNS SPINAL SET - TRAY 2WFNS SPINAL SET - TRAY 2

62. Intraoperative interventionsIntraoperative interventions

64. Postprocedure

66. Thankyou