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Needle Holder
A needle holder, also called needle driver or needle forceps, is a surgical instrument similar to a hemostat, used by doctors and surgeons to hold and push a suturing needle when performing wound closure, ligation and other surgical procedures that require re-anastomosis. Being specialized forceps, the components of a typical needle holder are the ''jaws'' (often reinforced with tungsten carbide inserts), the hinged ''joint'' and the ''handles'' (typically with finger rings at the end). Most needle holders also have a ratchet mechanism that locks the handles together and clamps the needle firmly between the jaws, allowing the user to maneuver the needle through various tissues without having to keep squeezing the grip. To maintain a firm grip on the needle, the jaws are often textured and short compared to the handles (increasing the mechanical advantage using the principle of a lever). Most needle holders are designed to be gripped with the fingers and palm like scissors. Howe ...
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Surface Texture
Surface finish, also known as surface texture or surface topography, is the nature of a surface as defined by the three characteristics of lay, surface roughness, and waviness.. It comprises the small, local deviations of a surface from the perfectly flat ideal (a true plane). Surface texture is one of the important factors that control friction and transfer layer formation during sliding. Considerable efforts have been made to study the influence of surface texture on friction and wear during sliding conditions. Surface textures can be isotropic or anisotropic. Sometimes, stick-slip friction phenomena can be observed during sliding, depending on surface texture. Each manufacturing process (such as the many kinds of machining) produces a surface texture. The process is usually optimized to ensure that the resulting texture is usable. If necessary, an additional process will be added to modify the initial texture. The latter process may be grinding (abrasive cutting), polishing, ...
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Medical Clamps
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, o ...
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Dental Surgery
Dental surgery is any of a number of medical procedures that involve artificially modifying dentition; in other words, surgery of the teeth, gums and jaw bones. Types Some of the more common are: * Endodontic (surgery involving the pulp or root of the tooth) ** Root canal treatment *** Pulpotomy — the opening of the pulp chamber of the tooth to allow an infection to drain; usually a precursor to a root canal *** Pulpectomy — the removal of the pulp from the pulp chamber to temporarily relieve pain; usually a precursor to a root canal ** Apicoectomy — a root-end resection. Occasionally a root canal alone is enough to relieve pain and the end of the tooth, called the apex, is removed by entering through the gingiva and surgically extracting the diseased material. * Prosthodontics (dental prosthetics) ** Crown (caps) — artificial covering of a tooth made from a variety of biocompatible materials, including CMC/PMC (ceramic/porcelain metal composite), gold or ...
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Microsurgery
Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves (typically 1 mm in diameter) which have allowed transfer of tissue from one part of the body to another and re-attachment of severed parts. Microsurgical techniques are utilized by several specialties today, such as general surgery, ophthalmology, orthopedic surgery, gynecological surgery, otolaryngology, neurosurgery, oral and maxillofacial surgery, plastic surgery, podiatric surgery and pediatric surgery. History Otolaryngologists were the first physicians to use microsurgical techniques. A Swedish otolaryngologist, Carl-Olof Siggesson Nylén (1892–1978), was the father of microsurgery. In 1921, in the University of Stockholm, he built the first surgical microscope, a modified monocular Brinell-Leitz microscope. At first he used it for operations in animals. In Nove ...
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Eye Surgery
Eye surgery, also known as ophthalmic or ocular surgery, is surgery performed on the eye or its adnexa, by an ophthalmologist or sometimes, an optometrist. Eye surgery is synonymous with ophthalmology. The eye is a very fragile organ, and requires extreme care before, during, and after a surgical procedure to minimize or prevent further damage. An expert eye surgeon is responsible for selecting the appropriate surgical procedure for the patient, and for taking the necessary safety precautions. Mentions of eye surgery can be found in several ancient texts dating back as early as 1800 BC, with cataract treatment starting in the fifth century BC. Today it continues to be a widely practiced type of surgery, with various techniques having been developed for treating eye problems. Preparation and precautions Since the eye is heavily supplied by nerves, anesthesia is essential. Local anesthesia is most commonly used. Topical anesthesia using lidocaine topical gel is often used fo ...
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Ramón Castroviejo
Ramón Castroviejo Briones (1904–1987) was a Spanish and American eye surgeon remembered for his achievements in corneal transplantation. Biography Born in Logroño, Spain he received his medical education at the University of Madrid. He graduated in 1927 and worked at the Chicago Eye, Ear, Nose and Throat Hospital and the Mayo Clinic before, in 1931, he came to Columbia Presbyterian Medical Center in New York. He became the director of Ophthalmology at St. Vincent's Hospital before he opened his own hospital when he bought the Hammond House. After his retirement he moved to Madrid where he died. Achievements While not being the first to successfully graft human cornea, he improved the technique of the operation in the 1930s and 1940s, prompting the worldwide adoption of corneal transplantation as a standard way to deal with severe corneal pathology. His keratoplasty technique remained standard until more efficient suture materials became available.RAMON CASTROVIEJO, md» b ...
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Spanish American
Spanish Americans ( es, españoles estadounidenses, ''hispanoestadounidenses'', or ''hispanonorteamericanos'') are Americans whose ancestry originates wholly or partly from Spain. They are the longest-established European American group in the modern United States of America, with a very small group descending from those explorations leaving from Spain and the Viceroyalty of New Spain (modern Mexico), and starting in the early 1500’s, of 42 of the future US states from California to Florida; and beginning a continuous presence in Florida since 1565 and New Mexico since 1598. Many Hispanic and Latino Americans (Hispanos being the oldest group) living in the United States have Spanish ancestral roots due to five centuries of Spanish colonial settlement and large-scale immigration of Hispanic groups after independence. By this criterion, these groups, and especially white Hispanic and Latino Americans 12,579,626 (white alone, 20.3% of all Hispanics) largely overlap with "Span ...
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Tweezers
Tweezers are small hand tools used for grasping objects too small to be easily handled with the human fingers. Tweezers are thumb-driven forceps most likely derived from tongs used to grab or hold hot objects since the dawn of recorded history. In a scientific or medical context, they are normally referred to as just "forceps", a name that is used together with other grasping surgical instruments that resemble pliers, pincers and scissors-like clamps. Tweezers make use of two third-class levers connected at one fixed end (the fulcrum point of each lever), with the pincers at the others. When used, they are commonly held with one hand in a pen grip between the thumb and index finger (sometimes also the middle finger), with the top end resting on the first dorsal interosseous muscle at the webspace between the thumb and index finger. Spring tension holds the grasping ends apart until finger pressure is applied. This provides an extended pinch and allows the user to easily gra ...
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Scissors
Scissors are hand-operated shearing tools. A pair of scissors consists of a pair of metal blades pivoted so that the sharpened edges slide against each other when the handles (bows) opposite to the pivot are closed. Scissors are used for cutting various thin materials, such as paper, cardboard, metal foil, cloth, rope, and wire. A large variety of scissors and shears all exist for specialized purposes. Hair-cutting shears and kitchen shears are functionally equivalent to scissors, but the larger implements tend to be called shears. Hair-cutting shears have specific blade angles ideal for cutting hair. Using the incorrect type of scissors to cut hair will result in increased damage or split ends, or both, by breaking the hair. Kitchen shears, also known as kitchen scissors, are intended for cutting and trimming foods such as meats. Inexpensive, mass-produced modern scissors are often designed ergonomically with composite thermoplastic and rubber handles. Terminology The noun ' ...
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Lever
A lever is a simple machine consisting of a beam or rigid rod pivoted at a fixed hinge, or ''fulcrum''. A lever is a rigid body capable of rotating on a point on itself. On the basis of the locations of fulcrum, load and effort, the lever is divided into three types. Also, leverage is mechanical advantage gained in a system. It is one of the six simple machines identified by Renaissance scientists. A lever amplifies an input force to provide a greater output force, which is said to provide leverage. The ratio of the output force to the input force is the mechanical advantage of the lever. As such, the lever is a mechanical advantage device, trading off force against movement. Etymology The word "lever" entered English around 1300 from Old French, in which the word was ''levier''. This sprang from the stem of the verb ''lever'', meaning "to raise". The verb, in turn, goes back to the Latin ''levare'', itself from the adjective ''levis'', meaning "light" (as in "not heavy"). The ...
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Mechanical Advantage
Mechanical advantage is a measure of the force amplification achieved by using a tool, mechanical device or machine system. The device trades off input forces against movement to obtain a desired amplification in the output force. The model for this is the ''law of the lever.'' Machine components designed to manage forces and movement in this way are called mechanisms. An ideal mechanism transmits power without adding to or subtracting from it. This means the ideal machine does not include a power source, is frictionless, and is constructed from rigid bodies that do not deflect or wear. The performance of a real system relative to this ideal is expressed in terms of efficiency factors that take into account departures from the ideal. Lever The lever is a movable bar that pivots on a fulcrum attached to or positioned on or across a fixed point. The lever operates by applying forces at different distances from the fulcrum, or pivot. The location of the fulcrum determines ...
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