Vascular Instruments by vascular surgeon 19.12.2020.pptx

You will get detailed idea about basic vascular instruments, their use, sterilisation techniques. It’s very helpful fir vascukar surgery residents.

1. Vascular instruments Dr. g m mokbul Hossain Vascular & Endovascular surgeon

2. Vascular instrument Potts scissors Castroviejo needle holder Bulldog clamp Retractor DeBakey Forceps Gerald Forceps Vascular clamp Shaft Olive Handle Metalic

3. Vascular forceps - DeBakey Forceps -Gerald Forceps

4. Parts of forceps

5. DeBakey Forceps 1) Name : DeBakey forceps 2) History : Michael Ellis DeBakey was a Lebanese-American cardiac surgeon and vascular surgeon, scientist, and medical educator who became the chancellor emeritus of Baylor College of Medicine in Houston, Born : September 7, 1908, Lake Charles, Louisiana, United States Died : July 11, 2008,

6. DeBakey Forceps 3) Parts: Debakey Forceps

7. DeBakey Forceps 4) Feature: - Atraumatic -Design: DeBakey type 5 ) Use : To hold artery & vein 6) Sterilization : Autoclaving

8. Gerald Forceps 1) Name : Gerald Forceps 2 ) History: Gerald Buckberg (September 29, 1935 – September 20, 2018) was an American surgeon. His research initially centered in the area of myocardial protection and led to the introduction of blood cardioplegia , which is currently used by over 85% of surgeons in the United States and 75% of surgeons worldwide for adult and pediatric heart operations. He was a member of multiple surgical societies, including the American Association for Thoracic Surgery , American Surgical Association , and the Society of Thoracic Surgeons . He was Professor of Surgery at the David Geffen School of Medicine at UCLA . Dr. Gerald Buckberg American Heart Surgeon (1935-2018)

9. Gerald Forceps 3 ) Parts:

10. Gerald Forceps 4) Feature: -Light - Atraumatic - Fine - Having stop peg to prevent crush 5 ) Use : To hold artery & vein 6) Sterilization : Autoclaving

11. Castrovicjo needle holder

12. Castroviejo Needle Holder 1) Name : Castroviejo needle holder 2 ) History : Ramón Castroviejo Briones (1904–1987) was a famous Spanish and American eye surgeon. became available. Castroviejo designed the Castroviejo needle holder , an instrument used in eye, dental and other forms of microsurgery. Dr. Ramón Castroviejo American Eye Surgeon (1904-1987)

13. Castroviejo Needle Holder 3) Parts : Castroviejo with its various parts. a= Jaws, b= hinge, c=shaft, d=handle, e= ratchet, f=spring.

14. Castroviejo Needle Holder 4) Feature: -Light - Atraumatic - Fine 5 ) Use : To hold 4/0 – 10/0 double ended needle 6) Sterilization : Autoclaving

15. Modification

16. Modification

17. Potts scissors

18. Potts Scissors Name : Potts Scissors History: The name Potts has been given to these scissors because they were designed by Willis J. Potts an American Pediatric Surgeon. They are also known as Potts-Smith Scissors or Potts Demartel Scissors.  The blades of the scissors are usually angled at the joint (25, 45, 60 and 90 degrees) or they may be straight. Both the blades of the scissors are sharp and pointed. Willis J. Potts American Pediatric Surgeon (1895-1968)

19. Potts Scissors 3) Parts: a=blades , b= hinge, c=handle, d=finger rest.

20. Potts Scissors 4) Feature: -Light - Fine 5 ) Use : To cut artery & vein 6) Sterilization : Autoclaving

21. Modification

22. Vascular clamps

23. Vascular Clamps DeBakey type Cooley type Types:

24. Dr. Michael Ellis DeBakey Michael Ellis DeBakey was a Lebanese-American cardiac surgeon and vascular surgeon, scientist, and medical educator who became the chancellor emeritus of Baylor College of Medicine in Houston, Born : September 7, 1908, Lake Charles, Louisiana, United States Died : July 11, 2008, American Cardiovascular Surgeon 1908-2008

25. Dr. denton cooley Dr. Denton Cooley, Heart surgeon (1920-2016) Denton Cooley , in full Denton Arthur Cooley , (born August 22, 1920, Houston, Texas , U.S.—died November 18, 2016, Houston), American surgeon and educator who was one of the most-renowned heart surgeons in the world, admired for his technical brilliance and his dexterity . He performed (1969) the first successful heart transplant in the United States and was also the first to implant (1969) an artificial heart in a human .

26. Serration of DeBakey Vascular Clamp (A and B) Jaw of DeBakey vascular clamp .

27. Serration of Cooley Vascular Clamp

28. Feature of vascular clamp - Atraumatic jaw -Grip

29. Parts of a vascular clamp a= blade b = hinge c = handle d=ratchet e = finger rest.

30. Types of vascular clamp -Totally occluding: Potts clamp, Cooley clamp -Partially occluding (side biting): Satinsky clamp -Self compressing: Bulldog clamp

31. Bulldog clamp

32. Bulldog clamp Name : Bulldog clamp 2) History : The Bulldog, also known as the British Bulldog or English Bulldog, is a medium-sized breed of dog. It is a muscular, hefty dog with a wrinkled face and a distinctive pushed-in nose. Bulldog Clamps

33. Bulldog clamp: Parts 3) Parts a=blade b= hing c=serration for finger rest d=tail .

34. Bulldog clamp: 4) Feature: - Atraumatic jaw -Different curvature -Different sizes -Blade design: (a) DeBakey type (b) Cooley type 5) Use : To control blood vessels 6) Sterilization :Autoclaving

35. Modification of Bulldog clamp According to material: ( Microbulldog )

36. Modification of Bulldog clamp According to blade:

37. Modification of Bulldog clamp ( Microbulldog ) Structure/overall shapes:

38. Potts clamp

39. Potts Clamp Name : Potts clamp History: Willis J. Potts American Pediatric Surgeon (1895-1968)

40. Potts clamp 3) Parts :

41. Potts clamp: 4) Feature: - Atraumatic jaw -Blade design: (a) DeBakey type (b) Cooly type 5) Use : To control iliac artery, aorta 6) Sterilization :Autoclaving

42. Debakey aortic clamp

43. DeBakey Aortic clamp 1) Name : DeBakey aortic clamp 2) History : Discussed previously

44. DeBakey Aortic clamp 3) Parts:

45. DeBakey Aortic clamp 4) Feature: - Atraumatic jaw -Blade design: DeBakey type 5 ) Use : To control aorta 6) Sterilization : Autoclaving

46. Cooley clamp

47. Cooley clamp Name : Cooley clamp History: Dr. Denton Cooley 2016- 1920 Denton Cooley , in full Denton Arthur Cooley , (born August 22, 1920, Houston, Texas , U.S.—died November 18, 2016, Houston), American surgeon and educator who was one of the most-renowned heart surgeons in the world, admired for his technical brilliance and his dexterity . He performed (1969) the first successful heart transplant in the United States and was also the first to implant (1969) an artificial heart in a human .

48. Cooley clamp 3) Parts :

49. Cooley clamp: 4) Feature: - Atraumatic jaw -Blade design: Cooley type 5) Use : Side biting of aorta, femoral artery 6) Sterilization :Autoclaving

50. Satinsky clamp

51. Satinsky clamp Name : Satinsky clamp History : Dr. Victor P. Satinsky Heart Surgeon

52. Satinsky clamp 3) Parts :

53. Satinsky clamp 3) Parts :

54. Satinsky clamp: 4) Feature: - Atraumatic jaw -Blade design: (a) DeBakey type (b) Cooly type 5) Use : To control IVC, aorta. 6) Sterilization :Autoclaving

55. Retractor

56. Weitlaner retractor

57. Omni-Tract retractor Bookwalter retractor

58. Nabatoff vein stripper

59. Nabatoff vein stripper 1) Name : Nabatoff vein stripper 2) History :

60. Nabatoff vein stripper 3) Parts : -Olive - Shaft - Handle Shaft Olive Handle

61. Nabatoff vein stripper 4) Feature: - Slippery - Reusable 5) Use : To remove GSV. 6) Sterilization :Autoclaving Shaft Olive Handle

62. Modification Plastic Shaft Olive Handle Metalic

63. Complication: Perforation of vein Dislodgement of olive

64. Fogarty embolectomy catheter

65. Fogarty Arterial Embolectomy Catheter Name : Fogarty arterial embolectomy catheter History: Dr. Thomas J. Fogarty is an American surgeon and medical device inventor. He is best known for the invention of the embolectomy catheter, which revolutionised the treatment of blood clots. Wikipedia Born : February 25, 1934 (age 85 years), Cincinnati, Ohio, United States

66. Fogarty Arterial Embolectomy Catheter 3) Parts: Parts: a) Tip balloon b) Shaft C) Hub Sizes: 2F to 7F

67. 4) Feature: Atraumetic , Soft 5 ) Use : -To remove arterial embolus -Internal occlusion of calcified artery 6) Sterilization :EO Fogarty Arterial Embolectomy Catheter

68. Modification Fogarty arterial embolectomy catheter Fogarty venous embolectomy catheter Adherent clot catheter Graft thrombectomy catheter

69. Complication: Dissection Perforation Balloon rupture Air embolism Broken catheter

70. The end