Quality of surgical instruments.
نویسندگان
چکیده
INTRODUCTION Many surgeons will have encountered the scissors that would not cut, and the artery clip that comes off in a deep difficult location, but it would be reasonable to assume that new instruments should be of assured quality. This study reports the surprising findings of a local quality control exercise for new instruments supplied to a single trust. MATERIALS AND METHODS Between January 2004 and June 2004, all batches of new surgical instruments ordered by the Central Sterile Supplies Department of St Bartholomew's and the Royal London Hospitals were assessed by three clinical engineers, with reference to British Standards (BS) requirements. RESULTS Of 4800 instruments examined, 15% had potential problems. These included 116 with machining burrs and debris in the teeth of the tissue-holding regions, 71 defects of ratcheted instruments, 34 scissors with deficient cutting action, and 35 tissue forceps protruding guide pins. In addition, 254 instruments did not have a visible manufacturer's mark. CONCLUSIONS This study demonstrates the value of local quality control for surgical instruments. This is of importance in an increasingly hazard-conscious environment, where there are concerns over instrument sterilisation, surgical glove puncture and the potential for transmission of blood-borne and prion diseases.
منابع مشابه
SIDF: A Novel Framework for Accurate Surgical Instrument Detection in Laparoscopic Video Frames
Background and Objectives: Identification of surgical instruments in laparoscopic video images has several biomedical applications. While several methods have been proposed for accurate detection of surgical instruments, the accuracy of these methods is still challenged high complexity of the laparoscopic video images. This paper introduces a Surgical Instrument Detection Framework (SIDF) for a...
متن کاملDesign and Development of Biomedical and Surgical Instruments in Biomedical Applications
The breakthrough in biomedical and surgical instrument research follows the advances of newly developed biomedical technologies, improved composite materials, and renovated manufacturing methodologies. These new biomedical and surgical instruments allow physician to perform complex biomedical treatments and surgical operations with better medical quality. Some more complicated biomedical treatm...
متن کاملCritical Appraisal of the Validity and Reliability of the Quantitative Studies Published in Iranian Nursing Journals
Background: Despite progression of knowledge of nursing researcher about importance of psychometric principles of instruments of studies but it seems that this subject is not used correctly in nursing studies. This study is designed to critically assess the validity and reliability of instruments applied in studies published in Iranian nursing journals Methods: This study is a critical review o...
متن کاملRobust Real-time Localization of Surgical Instruments in the Eye Sugery Simulator (eyesi)
In this paper we propose a real-time solution to localize the surgical instruments in an eye surgery simulator, EyeSi. The hardware consists of three synchronized cameras that capture the movements of the instruments, and an FPGA card for grabbing and preprocessing the images. The surgical instruments are localized using the method of Hough transform combined with the technique of stereo vision...
متن کاملA 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
The quality of instruments plays a pivotal role in governing safe Background: 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...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Annals of the Royal College of Surgeons of England
دوره 88 4 شماره
صفحات -
تاریخ انتشار 2006