instruments and sutures bkn. instruments and sutures 4 basic and plastic trays 4 needle drivers 4...
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INSTRUMENTS and SUTURES
BKN
Instruments and Sutures
Basic and Plastic Trays Needle Drivers Forceps Scissors
Basic Set
Needle Holder Scissors Thumb forceps with teeth for grasping
tissue
Custom Basic Instrument Tray
Optionals
Separate scissors for suture cutting, debridement and dissection (suture scissors, iris scissors and metzenbaums respectIvel (suture scissors, iris scissors and metzenbaums respectively
Forceps for clamping (hemostats) Scalpel German middle quality or better, not disposable are
recommended For plastic cases use tungsten carbide tipped needle
holders
E.D. Plastics Tray
How to use a needle holder
Load body of needle at tip of jaws, 1/3 of way from swage and at 90 degree angle
Grasp holder with whole hand, no fingers in rings Enter skin at angle of 90 degrees or more away
from wound Roll the instrument to give a circular needle
track, if you can achieve a wider knot at bottom, this everts the skin
Arm at end of driver, perpendicular and at back 1/3 of needle
Holding driver for plastic closure
Left Handed Webster Needle Driver
Castroviejo needle driver for loops and 8-0
How to use thumb forceps
Hold like chop sticks grasp superficial fascia not skin or use one arm like a skin hook
Using forceps
Adson’s and Skin Hook
Sutures, Dissection, Tissue
Castroviejo corneal scissors with angle
How to control scissors for suture cutting Thumb and ring finger in rings, index at
fulcrum guides tips For cutting knots on absorbables, slide tips
down suture tails to the knot, rotate the tips slightly to avoid cutting it
Scissors control
How to use scissors for undermining curved preferable, tips up dissect bluntly, in plane between superficial
and deep fascia
Undermining to relieve tension
No touch option to minimize risk of blood born disease Combined needle holder and suture scissors
(Olsen-Hegar) Combined tissue grasping and knot tying
forceps (Adsons with teeth and knot tying platform)
Absorbable Sutures
Nonabsorbable Sutures
Tapered and Cutting Needles