Endoscopic Combined Intrarenal Surgery (ECIRS)
Quick Reference
Turn on USG machine & connect the USG probe and check the DVI cable
Prepare 2 bags 3 litre NS
Make sure camera head x 2 & light cable x 2
Make sure there are two HDTV inside theatre
Make sure the ceiling TV is in the appropriate position
Make sure all the equipment including lithoclast, laser machine, neptune, disposable fURS consumable and processor (NO Matter what equipments written in remarks)
Positioning accessories:
上手板
手板
3L NS x 2
掛腳 x 2
床頭Bar 一定要opposite to surgical site 上
*OT table Slide down
Photo: Operation side: Left side
Equipments
-URO HDTV 3 + 5
-USG machine + Abdominal probe
-Lithotripsy machine:
Lithoclast master / Ultrasound / Shockpulse / Laser machine
-Xray C arm
-Neptune
Instruments
-S209 Mini PCNL
-+/-PWH.TU21 Ultra Mini PCNL Set
-Lithotripsy Instrument:
S201A Swiss Lithoclast Handpiece or
S201B Ultrasound Handpiece + U011 Stone Catcher or
S201D ShockPulse-SE Lithotripsy System Handpiece or
Laser Probe 365 (for URS)
Laser Probe 200 (for mini / ultramini PCNL / RIRS)
URO Camera x 2
FOB x 2
Scopes
-Semi-rigid URS (Fr 6/7.5 Compact) &
-Miniperc Operating Nephroscope or
-Short URS
Drapes
-Universal Pack
-Lithotomy Pack
-3M steridrape
-3M 1016
-Suction tubing
USG Probe
-USG Probe cover
- C-arm cover
URS
-Xylocaine Jelly
-0.035 Guidewire Straight
-Infant feeding tube
-20ml syringe x 2
-TURP set
-½:½ Contrast
PCNL Tract
-#15 Blade
-Percutaneous Nephrostomy Set
-3ml syringe
-0.035 Guidewire Straight
-Tegaderm (L)x2
-Amplatz Sheath if CB scope
Nephroscope
-TURP set
-FOB
-Endocamera
C-arm
-C-arm cover
Consumables Summary List
-Drape: Universal Pack + Lithotomy Pack + 3M steridrape + 3M 1016
-#15 blade
-Percutaneous Nephrostomy Set x 1
-0.035 Guide Wire x 2
-Infant feeding tube
-Xylocaine jelly x 1
-3ml syringe x 1
-20ml syringe x 2
-Tegaderm (L) x 2
-TURP set x 2
-Suction tubing x 1
-USG Probe cover
-½ :½ contrast
-C-arm cover x 2
Prepare the ultrasound probe with USG probe cover and drape the USG machine with C arm cover
Trocar needle (Pink) in yellow kidney dish
#15 blade in yellow kidney dish
put 3ml syringe without needle on working table
Slide the Tip of PCNL Guidewire inside the sheath (DO NOT prime this guidewire)
Assemble semi-rigid URS, Miniperc
Cut tip of 3M 1016, and tip of suction tubing
1.Skin disinfection: Betadine
2.Sterile towel to dry the skin
3.Underbuttock drape
4.Legs drape
5.Large drape for upper body
6.Side drape x 2
7.3M 1016 (Cut hole and connect suction tubing)
8.3M Steridrape 2045
After draping, connect camera head, FOB, TURP set to operation side HDTV.
Assist inserting Terumo guidewire in URS part.
Prepare the ultrasound probe with USG probe cover and drape the USG machine with C arm cover.
While surgeon is locating the track, connect Short URS, camera head, FOB, TURP set to opposite side HDTV.
Prepare the lithotripsy instrument and try until functioning well.
Prepare the suitable stone grasping forceps.
Miniperc: SURG1162 + SURG0894 Stone Forceps
Double J stent insertion
Closing
Surgen preferrable items in Ultra Mini PCNL set
Assemble the scope with Fr 7.5 inner sheath
Put the White rubber cap on the right side channel of the sheath
Fr 13 / 150 mm outer sheath GREEN color-coded
Obturator for Fr 13 / 150 mm GREEN color-coded
Fr 13 / 180 mm outer sheath GREEN color-coded
Obturator for Fr 13 / 150 mm GREEN color-coded