Medical professionals who work in surgical technology sterilize medical instruments used during an operation. Because surgical technologists work in the operating room and are responsible for passing instruments and assisting surgeons, they must recognize and become familiar with these tools. Educational and training programs in surgical technology prepare students for careers in this field.
Flash sterilization -- also called steam sterilization -- is the process of sterilizing items at high temperatures for immediate use in the operating room. It is designed for special circumstances, such as when a one-of-a-kind instrument becomes contaminated and must be resterilized to use. The process has come under scrutiny for being overused, misused and possibly responsible for an increase in infection. However, it remains a fundamental element of operating room procedures.
Surgical robotics is the use of machines and robots to assist and perform surgical procedures using minimally invasive surgery, or MIS. There are several ways that robotic instruments are used in today's medical field. Some help in teleoperation, surgical assessment, biomechanics and even surgical simulation. The first surgical robotic instrument was introduced in 1983 and was used in Canada. Today, there are several robotic instruments that make surgery a safer and more precise science.
Surgical packs include wrapped collections of sterile drapes, gauze sponges, instruments and other materials often laid out on fenestrated pans. Technicians prepare and sterilize packs for surgery, then store them until needed. Sterilization occurs through application of pressurized steam in an autoclave, or if low-temperature sterilization is needed, through gas or plasma sterilization. Surgeon's preferences dictate specific packing procedures, however, basic principles apply to all cases. Proper pack preparation is critical to safe and efficient surgery. Pack contents should be clean, organized and easy to unpack.
Lasers, scalpels, scopes and probes are all present during a surgical procedure, but have you ever wondered how the instruments got there and are maintained? Each hospital is in charge of monitoring, maintaining and sterilizing surgical instruments, and doing so can be a cumbersome task. However, detailed organization skills can make keeping up with thousands of surgical materials an easier task.
Horror stories of patients coming out of surgery with surgical sponges and tools still in their bodies have been in the news for many years. In 2003, researchers lauded the practice of bar-coding surgical trays so doctors and nurses could keep tabs on the surgical supplies. However, health care practitioners still had to count each sponge and tool, and incidences of retained surgical items, RSIs, continued. Now, more hospitals are using radio-frequency identification, RFID, technology to locate surgical supplies. In August 2010, the FDA approved an RFID system for use in operating rooms.
Stains on surgical instruments present a challenge to individuals who manage these precision instruments. Prices of individual surgical instruments can cost several hundred dollars each, so proper care and cleaning procedures can protect patients as well as be cost efficient. Although these instruments are made of stainless steel, surgical instruments can rust, stain and develop pits that render them unusable. The problem can originate in the decontamination and sterilization process, the assembly of the instrument or with its use in the operating room. Brown stains are usually caused by deposits of chromium oxide. Detergents containing polyphosphates can cause a reaction…
In the 1700's, there were a lot of surgical developments throughout Europe, with France as the forerunner of the technology. Until this time, most surgeons, called barber-surgeons, were trained by apprenticeship and had shady character. In the 1700's, they were being trained in medical schools, with new instruments being produced to stop bleeding and infection in wounds caused by military combat.
Pneumatic surgical tools are instruments that are powered using a flow of compressed air. The air is pushed through a hose connector that moves the tool head. The tool head is held by the surgeon like a pen. The hose connector extends from the end of the "pen" and is attached to a motor from where the compressed air is generated. Compared to electric tools, pneumatic tool heads move quicker, allowing more precise incisions and can be used during less invasive surgery, such as keyhole surgery. However pneumatic tools are more expensive than electric tools and need more power to…
Surgical hemostats are used in a variety of medical procedures. The small scissorlike instruments are mostly employed to control bleeding and handle disposable items like gauze or cotton balls during surgical procedures. The hemostats must be both sterilized and properly inspected prior to use with the patient population. The storage and transfer of any used hemostats are as important as proper use during the procedure itself. Infection control, local section guidelines and nationally accepted standards must all be considered when utilizing surgical hemostats.
Cleaning reusable surgical instruments is only one stage in the decontamination process, which also include disinfection and sterilization, according to the Department of Health website. Cleaning the instruments with appropriated detergents before sterilization helps reduce the risk of transmitting infectious diseases. Enzymatic detergents, accelerated hydrogen peroxide, quaternary ammonium compounds and sterile deionized water are other products used to clean surgical instruments.
The surgical staff is responsible for operating room preparation. Nurses and surgical technicians work together to ensure the environment is safe and ready to accept the patient before, during and after the surgical procedure.
Properly washing surgical instruments decreases the risk of transferring infectious agents from patients to the surgical team and other patients. Routine washing will also ensure that instruments function properly by preventing rust and deterioration. Professionals use several methods for washing surgical instruments, including hand and ultrasonic cleaning. Hand washing allows close attention to be payed to hard-to-reach areas, such as between hinges. Ultrasonic washing, preferred for its simplicity, washes instruments by using ultrasound waves in a cleaner filled with a detergent.
Medical historian John Kirkup argues that fingers, nails and the mouth were the earliest surgical tools, used by prehistoric humans to remove foreign objects from wounds. Surgical instruments have evolved over millennia, as humans have discovered new materials for tool making.
Surgeons use specialty tools for performing specific actions during surgery. Some operating tools are designed for general use, while others are designed for a specific procedure or purpose. Physicians use disposable surgical items one time on one patient, then dispose of them when they are no longer needed. These items must also cause little to no bodily disruption or tissue trauma, as surgeons prefer to use minimally invasive tools.
Surgical power tools help surgeons complete surgeries quicker and with more precision. These tools use air, battery or nitrogen for power, which reduces the chance of releasing a spark and exploding the highly explosive gases used by anesthesiologist. Surgical power tools allow surgeons the convenience of having an extensive amount of attachments for various purposes, which results in a higher degree of flexibility.
A checklist governs what instruments will be included in a surgical tray. There are many different types of trays but the most common is the general tray for each type of service. The instrument team packages all of the trays and sterilizes them. A general tray includes instruments used in abdominal, thoracic and pelvic surgery. Teams package specialty trays according to each service such as neurology, orthopedic, otorhinolarangology, ophthalmology and cardiovascular. .
Every occupation is associated with specific tools of the trade required to perform tasks neatly, quickly and efficiently. Surgical instruments are tools with which a surgeon cuts, retracts, clamps, grasps and mends body tissues in an effort to enhance a patient's quality of life. General surgical instruments are those used in all types of surgery.
Micro-tools are used more often in surgery since they decrease the size and scope of the incisions and how much tissue is manipulated. Micro-tools are used in three types of surgeries: endovascular surgeries, endoscopic surgeries and surgeries that can be performed at a scale of tens of cells. Many micro-tools are still in research and development. Every year new breakthroughs allow surgeons to perform more precise micro-surgical procedures.
Appendicitis, or inflammation of the appendix, can require either an open or a laparoscopic appendectomy. The laparoscopic method is a minimally invasive surgical technique that requires three or four small abdominal incisions, followed by the insertion of microscopic cameras and surgical instruments. The first laparoscopic appendectomy was performed in 1981. Today, it is a common treatment for acute appendicitis.
When the laser was invented in 1960, few realized its full potential in the field of surgery. Yet today, more than a dozen different types of lasers are used by doctors to treat a number of medical problems. Lasers can make minute, precise incisions in hard-to-reach places and cause minimal blood loss. Surgical laser instruments vary greatly and can be modified to fit a particular application. The best way to understand laser surgical instruments is to explore the many uses in modern medicine.
Neonatal nurses and healthcare staff tend to the health of babies shortly after birth. They use a range of instruments to ensure that infants reach and maintain healthy body functions. Surgeons perform invasive procedures on seriously ill or injured babies to restore them to good health, using a variety of intricate tools to access required bodily areas with minimal damage.
Many of the instruments used in gynecological surgery are also used in abdominal surgery. However, there are more specialized tools that are needed for specific gynecological purposes during certain procedures.
Cleaning surgical instruments is highly regulated by the medical industry to protect patients from catching infections through contaminated tools and to ensure that health care staff remains safe while handling instruments after surgery.
According to the National Institute of Health, more than 15 million people in the United States have surgery each year. The operating room of a hospital or surgery center is an area that provides the environment and equipment necessary for performing surgical procedures in a sterile and efficient manner.
Intraocular surgery requires the use of small and intricately designed instruments that must be sterilized with the proper procedures to ensure patients are protected from germs and bacteria. Failure to follow these procedures as directed by the American Society of Cataract and Refractive Surgery can potentially result in patient illness and blindness. These recommended practices should be used in conjunction with the most current guidelines from the Association for the Advancement of Medical Instrumentation, the American Society of Ophthalmic Registered Nurses and the Association of periOperative Registered Nurses.
Pediatric surgical instruments are differentiated by their functionality and applications; these instruments have varied purposes that differ with the types of surgeries performed. Because pediatric medicine is an ever-evolving field, there is an constant evolution in the development of instruments for pediatric surgery with more advanced characteristics. There are some defining characteristics of pediatric surgery instruments that are used conventionally.
Doctors often perform debridement surgery to help wounds heal quickly. Dead tissue can inhibit the healing process, and surgical removal of this tissue may be performed on patients that have a serious infection or severe wound.
Any medical office that performs procedures must have the ability to properly sterilize surgical instruments. Surgical instruments are sterilized to prevent infecting patients by transferring germs and bacteria from one person to another after use. Sterilization is commonly performed with an autoclave machine, which sterilizes by using heat and pressure to kill microbes and bacteria and offers a quick way to prepare instruments for use.
Potentially deadly biofilm on surgical instruments results in 2 million infections, 90,000 deaths and $4.5 billion in excess health-care costs each year for the U.S. Centers for Disease Control and Prevention (or CDC) as well as health-care providers struggling to prevent and control the infectious bacteria. Microorganisms that are highly resistant to disinfectants and antibiotics attach to moist living tissue or implanted medical devices, forming a biological film coating.
Setting up surgical instruments correctly is a vital part of the surgical process. Correct surgical tray arrangement allows the physician to be more efficient during the surgical procedure, without worrying if she has everything needed to perform the procedure. Strict adherence to sterile setup is critical for the health of the patient and knowing exactly how to prepare sterile surgical trays is imperative. All surgical procedures require different instruments and preparation, though basic steps can be followed for minor surgical tray setup.
Surgical instruments are wrapped in double layers of woven fabric specifically designed for sterilization in an autoclave (sterilization machine). The procedure of wrapping surgical instruments is precise and must be performed accurately to ensure sterile results. Wrapping surgical instruments incorrectly can lead to instrument contamination. Always follow your facility's guidelines for safe instrument wrapping, and do not perform the task if you are not experienced.
One of the main responsibilities of a surgical technologist is to hand surgical instruments to the surgeon. These instruments must be handled in a very specific way in order to ensure the safety of the surgical technologist, surgeon and patient. Practice, patience and skill are required to learn how to properly hand surgical instruments to a surgeon.
A mastectomy is the removal of the breast, which involves different surgical instruments during the procedure. Depending on the type of mastectomy, instruments vary from case to case. It is important to make sure that these instruments are properly functioning and most importantly sterile. The basic instruments used in a mastectomy are classified in seven types.
From crude lances to modern ultrasonic technologies, developments in surgical instruments have revolutionized cataract removal surgeries. As the Encyclopedia of Surgery reveals in its detailed description of the surgery's history, ancient methods prevailed right up to the 18th century, when surgeons developed the skills to first remove the afflicted lens, then to implant an artificial replacement.
Microsurgery is a practice in which surgeries are performed with the help of an operating microscope, allowing surgeons to operate without making large incisions and keeping a surgery minimally invasive. This allows for shorter healing times as well as less pain from incised muscles or tissue. Microsurgery also reduces the chances of infection, because the surgery is done through a very small hole in the body. Special instruments are required that are much tinier than those used in conventional surgeries. Imagine a scalpel that is delicate enough to cut open a vein the size of a human hair, or a…
Planning for a cesarean section can be scary for a mother-to-be. However, knowing something about the procedure, like the surgical instruments used for a cesarean section, can ease the anxiety for some. Students of nursing and those working on medical topics may also need to know a little about the 80 instruments used in a cesarean birth.
A prostate biopsy is a necessary element of the diagnosis for prostate cancer. Preparation for the procedure is simple. The operation is fairly noninvasive, although some discomfort and minor side effects can be expected.
Surgeons must make many decisions during an operation and take many risks into consideration. The decisions they make can literally be the difference between life and death. Besides serious considerations, surgeons must also try to use the correct instruments. There are various tools that the surgeon must use to operate. Choosing the correct one is vital and her precision in using the tool is key to a life-saving surgery.
Surgical instruments need to be sterile to avoid causing infection to the patient. Packaging surgical instruments before using an autoclave to sterilize them is an important part of this process. The packaging prevents the contents from being contaminated by microbes and dirt in the air until they are ready for use. Laminated film pouches are typically used to package surgical instruments.
Osteomyelitis is an acute or chronic bone infection that forms a deep and painful wound. The infection can start in the bone or spread from another part of the body to the bone, and is usually caused be either a bacteria or a fungi. Surgical debridement is a procedure used to clean dead and infected tissue from your wound to aid in healing; it is one of the more drastic treatment options available to doctors treating this condition.
Thyroplasty is a reliable and beneficial surgical procedure for patients with impaired voice or aspiration and offers a remedy for those who suffer deleterious psychological consequences from these conditions. Some of these conditions may be a result of factors like tension of the vocal fold brought about by overstraining the vocal cords, paralysis of the vocal cord, smoking, cancer and other factors. Known as laryngoplastic phonosurgery or laryngeal framework surgery, thyroplasty essentially corrects the position of the vocal fold in the throat. It helps restore broken or changed voice.
Debridement is the removal of waste (exudate), infectious matter and dead tissue from wounds. Debridement may be done to prepare a wound for the application of specialty healing aids or simply to "restart" and stimulate natural healing. For example, patients who present for wound suturing after healing has begun to take place will need the edges of the wound debrided before they can be joined. Burns and pressure ulcers (bedsores) are other examples of wounds commonly subject to debridement. Choice of debridement methods are based on several factors; gentleness and effectiveness are two considerations.
Surgical instruments' history spans several centuries, even millenniums. Ancient Egyptians and Romans formed cutting and pulling instruments out of wood, bone and flint. Metals have been used in blades, handles and the cutting edges of shears and scissors for centuries as well. As alloys and metal smelting techniques improved, so did the quality of surgical instruments. The use of shear steel, named because it was used in manufacturing surgical instruments with blades, was popular before and during the first half of the 1700s. The drawback to shear steel was that the quality was unreliable and the blades broke easily. In…
Hospitals, clinics and doctors offices spend large amounts of money each year on top-quality surgical instruments. The key to making this investment last is the proper care and handling of these instruments to ensure a long life. The major key in cleaning surgical instruments is to clean them as soon as possible after use. This ensures that blood and debris cannot dry on the instrument and cause oxidation, which can dull blades and cause clamps and springs not to tighten as intended.
A hemostat has two definitions---it is both a chemical that controls bleeding and a surgical instrument used to control bleeding. This article will describe the surgical instrument. The surgical instrument---also called an arterial forceps, hemostatic clamp, hemostatic forceps, haemostat or péan---is used in almost every surgery. Hemostats resemble scissors in that both are pivoting instruments with finger rings on two parts that pivot around a central joint. Unlike scissors, hemostats' "blades" or tips are flat on their inner surface. The tips may be straight or curved. The grasping surface of the tips may be either smooth or serrated, to facilitate…
Many surgical instruments are made from stainless steel. The list below is a small sampling of the instruments used during surgery. When using these and the various other instruments during surgery there has to be someone in the room that keeps up with every instrument to make sure that none is left inside the patient. If this were to happen serious complications could arise, including death.
Taking the time to properly clean and sterilize surgical instruments is imperative in ensuring patients do not get infections or other transmitted diseases. There are several ways to clean instruments that do the job well, though ultrasonic cleaning is the method most preferred for its simplicity, though manual cleaning is best for delicate or hinged instruments.
The operating room can be a place of awe-inspiring procedures that are performed daily to enrich, and even save lives. It is no less incredible to learn of the multitude of tools that are used in the operating room to perform the vast array of operations in this day and age.