Ch. 11 Complex Surgical Instruments

Question 1

Name the 3 power sources of complex instruments.

Answer 1

Pneumatic/ Gas
Electric
Battery

Question 2

What are the advantages of powered instruments?

Answer 2

Powered instruments greatly reduce the brute force required and decreased the time required to perform surgeries.

Question 3

When are electric-powered instruments used?

Answer 3

electric-powered instruments are used when lightweight instruments are needed for procedures where access is limited.

Question 4

What are the most common problems associated with electric-powered equipment?

Answer 4

1. Damage to electrical parts during cleaning & sterilization
2. Condensation entering the equipment
3. Electric contacts becoming worn and affect equipment handling

Question 5

What is something you should never do with any powered instrument?

Answer 5

Do not immerse powered instruments in any solution.

Do not leave moist.

Question 6

What are the points of inspection for a pneumatic-powered instruments?

Answer 6

Check the hose for nicks and other possible damage.

Question 7

What must you do to a hose for proper inspection?

Answer 7

Hoses must be pressurized for proper inspection ( check IFU’s)

Question 8

How are inner components of a pneumatic instrument protected during sterilization?

Answer 8

Use a decon hose to protect inner components.

Question 9

Explain the process of creating a decon hose.

Answer 9

Cut small pieces of damaged pneumatic hoses, placing both regulator ends on the hose, and mark the hose in some way.

Question 10

What is a popular way to mark a decon hose or battery?

Answer 10

A popular way of marking the battery or hose is with red tape.

Question 11

What are the primary reasons for hoses failing?

Answer 11

Sterilization issues are the primary reason an air hose fail because heat breaks down the rubber and O-rings, and causes air leaks.

Question 12

Name common powered Surgical Instruments.

Answer 12

Dermatomes
Cebatomes
Sternal Saws
Dental Drills
Micro drill
Wire Drivers
Saws

Question 13

What are common reasons for powered instruments failing?

Answer 13

• Corrosion of internal components from condensation, steam, fluid invasion or improper cleaning
• Physical damage due to mishandling
• Lack of or improper preventive maintenance.

Question 14

Name 3 types of Saws

Answer 14

Oscillating, Sagittal and Reciprocating

Question 15

How are decon batteries created?

Answer 15

Locate a dead, unrepairable battery for each style of powered surgical instrument. Mark with red tape.

Question 16

What causes corrosion in powered instruments?

Answer 16

Fluid invasion; Water or cleaning solutions

Question 17

What does AAMI stand for?

Answer 17

Association for the Advancement of Medical Instrumentation

Question 18

What does ANSI stand for?

Answer 18

American National Standards Institute

Question 19

What does AORN stand for?

Answer 19

Association of Operating Room Nurses

Question 20

What is the primary function of laparoscopic instruments?

Answer 20

laparoscopic instruments are special instruments used with operative endoscopes.

Question 21

What is the first step to inspect the insulation of a laparoscopic instrument?

Answer 21

Ensure the insulation fit tightly against the collar, and does not slide back.

Question 22

What is the purpose of decon batteries?

Answer 22

Decon batteries keep fluid from entering the unit.

Question 23

Name 3 types of ring handles for laparoscopic instruments.

Answer 23

Free handle- no ratchet
Spring handle
Ratchet handle

Question 24

True or False

Laparoscopic instruments don’t need to be cleaned manually.

Answer 24

False: Most can be mechanically cleaned however, a careful manual cleaning must happen first.

Question 25

How can you be sure steam can be used on a laparoscopic instrument?

Answer 25

Refer to the IFU

Question 26

What makes robotic instruments unique in the power instrument family cleaning?

Answer 26

Robots cannot be taken apart to clean. the distal end of the instrument rotates. there may be multiple channels to flush in each instrument.

Question 27

Instruments or sets borrowed from a vendor for emergency or scheduled surgical procedures that will be returned to the vendor following use.

Answer 27

Loaner instrument

Question 28

Name a reason why facilities borrow instrumentation from manufacturers and distributing vendors.

Answer 28

-Need for updated technology -Cost out weighs use More specialty cases are being performed than what the facility's -instrument inventory can support - A physician or surgical specialty wants to trial the new instruments or technology

Question 29

Upon delivery of the loaner instruments, what should be done first?

Answer 29

Log receipt of loaner instruments and implants.

Question 30

What kind of information is required to complete a loaner instruments log receipt?

Answer 30

``` Date, time, signature of delivery person, Initials of recipient, Surgeon's name Patients name or identifier Number of trays Number of implants ```

Question 31

What are the next steps in handling loaner instruments once logged?

Answer 31

Check instruments for proper function Verify that the IFUs are present Complete inventory control check Perform a quality assurance check by visually inspecting instruments and implants for damage.

Question 32

What safty precausions should be taking during the inspection process of loaner instruments?

Answer 32

it is advisable to wear gloves during the inspection process

Question 33

When should responsibility for instruments be taken?

Answer 33

After receipt log and inspection process are completed.

Question 34

What must be done before using loaner instruments?

Answer 34

Loaner instruments must be cleaned and decontaminated

Question 35

What must be done before sterilizing a loaner instrument?

Answer 35

CS technicians must inspect each device for cleanliness and functionality

Question 36

How should loaner instruments be packaged?

Answer 36

Check the IFU

Question 37

How should loaner instruments be stored?

Answer 37

store in a protected area to decrease potential damage | If

Question 38

What is a continued challenge for CS technicians?

Answer 38

Keeping up to date with new technologies and standards impacting instrumentation and accessories to ensure patient safety.