Specification for fibrelight cables and fittings for surgical equipment

1972 ◽  
Keyword(s):  
Surgical Equipment

Traumatic abdominal wall rupture in cats: Decision-making and recommended repair techniques

2021 ◽  
Vol 23 (3) ◽  
pp. 234-240
Author(s):  
Julie M Hennet ◽  
John Williams
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Abdominal Wall ◽  
Postoperative Morbidity ◽  
Evidence Base ◽  
Practical Relevance ◽  
Postoperative Patient ◽  
Surgical Equipment ◽  
Serious Injury ◽  
Repair Techniques

Practical relevance: Traumatic abdominal wall rupture is a potentially serious injury in cats. Feline and general practitioners should be up to date with the significance of these injuries and the procedures required to correct them. Clinical challenges: It is essential that the surgeon understands the local anatomy and adheres to Halsted’s principles in order that postoperative morbidity and mortality are kept to a minimum. Equipment: Standard general surgical equipment is required together with the facilities to provide adequate pre-, intra- and postoperative patient care. Evidence base: The authors have drawn on evidence from the published literature, as well as their own clinical experience, in developing this review aimed all veterinarians who want to update their skills in managing feline abdominal wall trauma.

Outbreak of Pseudomonas aeruginosa Surgical Site Infections after Arthroscopic Procedures: Texas, 2009

2011 ◽  
Vol 32 (12) ◽  
pp. 1179-1186 ◽  
Author(s):  
Pritish K. Tosh ◽  
Maureen Disbot ◽  
Jonathan M. Duffy ◽  
Marc L. Boom ◽  
Gary Heseltine ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Case Control Study ◽  
Shoulder Arthroscopy ◽  
Surgical Site Infections ◽  
Case Control ◽  
Surgical Instrument ◽  
Case Patient ◽  
Surgical Equipment ◽  
Control Study ◽  
Arthroscopic Procedures

Setting.Seven organ/space surgical site infections (SSIs) that occurred after arthroscopic procedures and were due to Pseudomonas aeruginosa of indistinguishable pulsed-field gel electrophoresis (PFGE) patterns occurred at hospital X in Texas from April 22, 2009, through May 7, 2009.Objective.To determine the source of the outbreak and prevent future infections.Design.Infection control observations and a case-control study.Methods.Laboratory records were reviewed for case finding. A case-control study was conducted. A case patient was defined as someone who underwent knee or shoulder arthroscopy at hospital X during the outbreak period and subsequently developed organ/space SSI due toP. aeruginosa. Cultures of environmental and surgical equipment samples were performed, and selected isolates were analyzed by PFGE. Surgical instrument reprocessing practices were reviewed, and surgical instrument lumens were inspected with a borescope after reprocessing to assess cleanliness.Results.The case-control study did not identify any significant patient-related or operator-related risk factors. P. aeruginosa grew from 62 of 388 environmental samples. An isolate from the gross decontamination sink had a PFGE pattern that was indistinguishable from that of the case patient isolates. All surgical instrument cultures showed no growth. Endoscopic evaluation of reprocessed arthroscopic equipment revealed retained tissue in the lumen of both the inflow/outflow cannulae and arthroscopic shaver handpiece. No additional cases occurred after changes in instrument reprocessing protocols were implemented. After this outbreak, the US Food and Drug Administration released a safety alert about the concern regarding retained tissue within arthroscopic shavers.Conclusions.These SSIs were likely related to surgical instrument contamination with P. aeruginosa during instrument reprocessing. Retained tissue in inflow/outflow cannulae and shaver handpieces could have allowed bacteria to survive sterilization procedures.

scholarly journals A pilot study comparing pattern of damage sustained among instruments from different surgical units in a tertiary care centre in Nepal – reappraising the role of instrument reprocessing in retaining their value

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 102
Author(s):  
Sunil Munakomi ◽  
Roshan Shah ◽  
Sangam Shrestha
Keyword(s):  
Tertiary Care ◽  
Health Spending ◽  
Pivotal Role ◽  
World Health ◽  
Tertiary Care Centre ◽  
Surgical Equipment ◽  
Surgical Units ◽  
Wear And Tear ◽  
Health Organization

Background: The quality of instruments plays a pivotal role in governing safe operating room culture. The reprocessing system followed in the institution determines their durability thereby ensuring patient safety as well as minimizing health spending. Rigorous reprocessing in a centralized instrument reprocessing department by well trained staff following formulated guidelines helps to achieve the target of “safe surgery saves lives” as formulated by the World Health Organization. Methods: We sought to determine the patterns of wear and tear sustained among sets of surgical equipment from two surgical units that had been sent to the repair department within a year of their purchase. Analysis of similar changes in the joints of the instrument, as well as pattern of fractures sustained was performed. Results: All patterns of wear and tear were common in both the general surgical arm and neurosurgical counterpart, with the exception of fractures and mal-alignments. Similar study was performed examining changes in the joints. Stains were the most commonly observed change pattern in both sets of instruments. Fractures were most frequent in the working ends in both sets of instruments. Conclusion: There is an alarming incidence of wear and tear patterns in the instruments used in the surgical units, even within the first year of their use. This supports the strict implementation of reprocessing guidelines by well trained workers and their quality assessments via audit checks. The quality of the purchased instruments also plays a pivotal role.

scholarly journals Surgical Equipment Price Awareness Amongst Gynecologic Surgeons

2018 ◽  
Vol 25 (7) ◽  
pp. S101
Author(s):  
K.P. Steck-Bayat ◽  
J. Mourad ◽  
K. Roy ◽  
A. Aguirre ◽  
J. Foote ◽  
...  
Keyword(s):  
Surgical Equipment ◽  
Price Awareness

Evaluation of an overlapping pubic and ischiatic osteotomy for the improvement of acetabular ventroversion in dogs: an ex vivo study

2016 ◽  
Vol 29 (06) ◽  
pp. 499-506
Author(s):  
James Roush ◽  
David Biller ◽  
Julie Gervais
Keyword(s):  
Ex Vivo ◽  
Single Session ◽  
Surgical Equipment ◽  
Minimal Impact ◽  
Computed Tomography Images ◽  
Pelvic Inlet ◽  
Before And After ◽  
Patients At Risk ◽  
Canine Hip Dysplasia ◽  
Ex Vivo Study

SummaryObjectives: To assess the potential of a new single-session surgical procedure, the overlapping pubic and ischiatic osteotomy (OPIO) for modification of bilateral hip conformation. We hypothesized that OPIO would be simple to perform with currently available surgical equipment, through a single surgical approach, with minimal potential morbidity, and that it would allow adequate simultaneous bilateral improvement of coxofemoral joint conformation in patients at risk of canine hip dysplasia.Methods: The OPIO procedure was performed in the pelves of five large breed canine cadavers. Computed tomography images of each cadaver were compared by measurement of the dorsal acetabular rim angle (DARA), acetabular angle (AA), dorso-ventral sacroiliac ratio (SR), and pubic inlet area before and after OPIO.Results: Coxofemoral joint conformation was improved after OPIO. Postoperative DARA was significantly decreased (mean: –5.09°) and AA was significantly increased (mean: 3.54°) after OPIO. The SR was not significantly different after OPIO, indicating minimal impact on the sacro-illiac joints by the procedure. Pubic inlet dimensions and area were significantly decreased after OPIO, but the overall effect on pelvic inlet area was clinically insignificant.Clinical significance: An OPIO allows some improvement of coxofemoral joint conformation in canine cadavers.

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