The bone cutters are specifically designed to come useful in surgeries that require bone division. This tool comprises a pair of jaws that has sharp inner edges. Also, there are multiple sizes available for jaws and they come in both curved or straight profiles. This allows surgeons to choose from a wide range of models for different surgical scenarios. Moreover, the grip handle of this instrument is plier style with a single action joint. The double spring mechanism of the handle enhances the cutting action of the tool.
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Bone cutters can penetrate the bones with their sharp edges and even bisect them.
These are a few commonly used bone cutters in medical practices:
Reciprocating- provides controllable and smooth cuts into the bone such as rib cutting and skull cutting. A Sternal saw is one of this kind.
Unpowered- provides measurable and accurate cuts in delicate surgeries such as knee surgery. Some examples include Gigli saw, sabre saw, and hacksaw
Costotome- used greatly to gain access to the thoracic cavity and is therefore a specialized rib cutter
Sonic- uses high amplitude and high-frequency sound for removing material
There are multiple variations available for these surgical instruments. Let’s have a detailed look at them!
Liston bone-cutting forceps are widely used for cutting cartilage and low-density bones during surgeries. This instrument provides a secure grip to the operator as it is designed with self-open technology. The following patterns are available for Liston bone-cutting forceps:
1. Liston Bone cutting forceps Angled- These are widely used during orthopedic surgeries to cut high-density bones. This category has a strong body along with double spring handles that allow surgeons to have controlled hand movements. Additionally, to manipulate thicker and deeper boney structures, they have sharp inner jaws that require less pressure. They have angled tips that permit minimally invasive surgeries. Also, multiple sizes are available for curved variation measuring from 5 ½” to 8 ¾”
2. Liston Bone cutting forceps straight- This tool is greatly used by surgeons in orthopedic surgeries for cutting small bones. This category comprises double spring handles with a strong body. This pattern has a straight-tip design and is great for cutting delicate bones. These tools are available in different lengths and sizes.
These types of bone-cutting forceps are used during podiatry practices for cutting bones. There are multiple variations that come under the category of podiatry bone-cutting forceps including:
1. Liston Blau Bone cutting forceps- This instrument is useful to grasp, hold and extract bones. The straight narrow blades of this tool are greatly used for manipulating small bone fragments. This device allows atraumatic bone cutting with its non-locking spring handles in narrow spaces. The approximate length of this tool is 5 ½”.
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2. Ruskin Rowland Nasal Hump Forceps 7" Double Action Narrow Jaws- This device has a double action design that assists in thoracic, orthopedic, and aesthetic surgical procedures by assisting in precise cutting. It allows the repairing and realigning of nasal humps with arrow jars on at the tip.
3. Ruskin (Kleinkert Kutz) Bone Splitting Forceps- This tool is used to grasp, split and extract bony structures. This type of bone-cutting forcep is available in both curved and straight variations.
These are effective instruments that are used in multiple orthopedic procedures. These tools come into use when there is a need to cut more fragile bones. These tools comprise wide jaws that fit around the bones comfortably along with their amazing double action and function. These instruments are available in straight and angled variations.
These tools have a unique design that is used to cut through cortical and cancellous bones. It comes with double action that enables optimal division of bone structure with its wide jaws
Bone cutters are made up of high-grade German stainless steel material that makes these instruments robust, corrosion-resistant, and rust-free. These are durable and can be sterilized too.
Bone cutters are one of the most essential pieces of equipment used in the surgical field. We at Acheron instruments provide the best quality instruments to our customers. Our products are carefully crafted with the latest technology and well-trained technicians to ensure the best quality products.
For nearly two centuries, surgeons have been using mechanical devices to approximate tissues and facilitate their healing process. Currently, surgical staplers are widely used and have become essential tools in surgery. Staples facilitate rapid wound closure, hence shortening the duration of the surgical procedure. In comparison to intradermal sutures, stapling is associated with better cosmetic outcomes.1 However, stapling results in more complications and prolongs hospital stay.2 3
Staplers are classified into five categories: circular, linear, linear cutting, ligating, and skin staplers. Furthermore, contemporary variations have emerged to accommodate minimally invasive surgery.4 Every category includes a variety of commercial models, each characterized by distinct features. With distinct names, color-coded features, and variations in length and tissue thickness, each stapler serves a specific purpose in the surgical setting. The distinct characteristics of various tissue types in the human body significantly influence the selection of staples. To achieve the best stapling results for any type of tissue, it is important to have a sufficient amount of time for the tissue to be compressed to allow elongation of the tissue being compressed, while preventing the possible risk of tearing.5
This video aims to provide a comprehensive overview of stapling instruments and their associated use. The skin staplers, presented first, are typically crafted from a titanium alloy with minimal reactivity with tissues. The sizing of skin staples, such as 35R for regular or 35W for wide, is crucial, and their deployment aims to approximate rather than strangulate the tissue. The intraoperative staplers are presented next. Inside the human body, clips are often used on structures such as the cystic duct and the homonymous artery during gallbladder surgery. Laparoscopically, clip appliers with digital readouts are employed. For gastrointestinal side-to-side anastomoses or partial lung and liver resections, surgeons may use stapling devices such as the gastrointestinal anastomosis (GIA) stapler, which lays down two rows of staples and cuts in between.
Linear staplers are reusable. There are linear staplers with and without cutting functions. The latter may have different surgical uses than those that have cutting properties (e.g. digestive tract reconstruction or incisions during liver resection). Linear staplers contain a handle at the opposite end of the jaw. The surgeon manipulates the jaw using its handle to apply staples to the incision. Every time the surgeon fires a staple, a row of staples is ejected and applied to the tissue. The reloads for linear staplers are color-coded based on their intended use: white for vascular, blue for regular tissue, and green for thicker tissues.
The end-to-end anastomosis (EEA) circular stapler serves specific purposes such as end-to-end anastomoses. Unlike reusable staplers, the EEA stapler is a one-time-use item and is discarded after use. The stapler joins two hollow organs, creating a stapled anastomosis. For endoscopic procedures, Endo GIA staplers provide versatility. They are available in various lengths, and their disposable units are color-coded as well. The staplers allow surgeons to manipulate and fire the device through trocars, being incredibly useful in the context of minimally invasive surgery (MIS).
Surgical staplers are a wide range of instruments that have distinct uses in surgical practice. From skin closure to gastrointestinal anastomosis, each stapler is designed to meet the unique demands of a given surgical intervention. The operative staff should understand the features and uses of staplers to effectively handle the complexity of these devices.
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