Specialized Surgical Instruments Techniques Endoscopy and Laparoscopy CTVT

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Specialized Surgical Instruments & Techniques Endoscopy and Laparoscopy CTVT Objective: Properly identify specialized instruments

Specialized Surgical Instruments & Techniques Endoscopy and Laparoscopy CTVT Objective: Properly identify specialized instruments and all of their parts, and understand the set up, care, and maintenance of each.

Endoscopy The technique of examining internal anatomy using ______ instrumentation View internal body structures

Endoscopy The technique of examining internal anatomy using ______ instrumentation View internal body structures via an ______ Use: examine tissues directly; biopsy organs; remove foreign bodies

Common Endoscopic Procedures

Common Endoscopic Procedures

Types of Endoscopes 1. Flexible Fiber-optic Endoscope Eyepiece for direct viewing by the operator

Types of Endoscopes 1. Flexible Fiber-optic Endoscope Eyepiece for direct viewing by the operator OR screen only Can attach a camera to eyepiece for others to observe

Endoscope Parts

Endoscope Parts

Types of Endoscopes 1. Flexible

Types of Endoscopes 1. Flexible

Flexible Endoscope Capabilities 4 way distal tip deflection _______ flushing channel _______ insufflation channel

Flexible Endoscope Capabilities 4 way distal tip deflection _______ flushing channel _______ insufflation channel _______ power _______ channel

Types of Endoscopes 2. Rigid Endoscope For procedures involving a direct pathway that are

Types of Endoscopes 2. Rigid Endoscope For procedures involving a direct pathway that are better viewed with a straight line of sight

Endoscopy Preparation Veterinary technician is responsible for prep: Hook up endoscope properly Attach to

Endoscopy Preparation Veterinary technician is responsible for prep: Hook up endoscope properly Attach to power/water source Enter patient data on computer Turn on machine and check light source Test the camera (if you have one) Set up ______ water for flushing Test machine Press the water valve Submerge tip, cover the air valve, check for bubbles Leave tip submerged in water and press suction valve

Endoscopy Room Store endoscopes in a designated area in a hanging position

Endoscopy Room Store endoscopes in a designated area in a hanging position

Endoscopy Room

Endoscopy Room

Endoscopy Room

Endoscopy Room

Handling the Endoscope

Handling the Endoscope

Biopsy Sampling Biopsy forceps obtain the sample Jaws are a 1. 8 - to

Biopsy Sampling Biopsy forceps obtain the sample Jaws are a 1. 8 - to 2. 4 -mm cup for collecting specimens Use ______ needle to gently get sample out of the cups Sample storage:

Endoscopy Accessories Biopsy forceps, wired snares, wire baskets, pronged grasping forceps, cytology brushes

Endoscopy Accessories Biopsy forceps, wired snares, wire baskets, pronged grasping forceps, cytology brushes

Colonoscopy Patient preparation: Perform fecal sampling before beginning procedure No food for ______ hours;

Colonoscopy Patient preparation: Perform fecal sampling before beginning procedure No food for ______ hours; NPO for 4 hours Remove fecal material Lavage solutions given orally Lavage colon (enema)

Endoscope Cleaning Clean immediately with an enzymatic solution *Never submerge hand piece!

Endoscope Cleaning Clean immediately with an enzymatic solution *Never submerge hand piece!

Endoscope Cleaning All channels must be cleaned and then sterilized! Flexible scopes: Rigid scopes:

Endoscope Cleaning All channels must be cleaned and then sterilized! Flexible scopes: Rigid scopes: