Here is a list of electrosurgical instruments along with their usage:
1. Electrosurgical Generator (ESU)
- Usage: The main unit that generates high-frequency electrical currents for cutting or coagulating tissue. It delivers the power needed for various electrosurgical instruments.
2. Electrosurgical Pencil (Handpiece)
- Usage: A handheld instrument used by surgeons to cut tissue or coagulate blood vessels during surgery. It typically has buttons or switches to control the cutting and coagulation modes.
3. Monopolar Electrode
- Usage: Delivers electrical current to the tissue in monopolar electrosurgery. It’s used for both cutting and coagulation, requiring a grounding pad to complete the electrical circuit.
4. Bipolar Forceps
- Usage: Used in bipolar electrosurgery, where electrical current passes between the two tips of the forceps. This is typically used for more precise coagulation and does not require a grounding pad.
5. Grounding Pad (Patient Return Electrode)
- Usage: Used in monopolar electrosurgery to safely return the electrical current from the patient back to the electrosurgical generator. It minimizes the risk of burns.
6. Loop Electrode
- Usage: A wire loop used in procedures like LEEP (Loop Electrosurgical Excision Procedure), commonly for cutting or excising abnormal tissue in gynecological surgeries.
7. Ball Electrode
- Usage: A rounded-tip electrode used for precise coagulation and ablation of small tissue areas without deep cutting.
8. Needle Electrode
- Usage: A fine, needle-like tip used for precise cutting and coagulation in delicate surgeries, such as dermatological procedures or small-area tissue dissection.
9. Spatula Electrode
- Usage: Flat, spatula-shaped tips used for cutting and coagulating larger tissue areas in open surgeries. It provides a broad contact area.
10. Wire Loop Electrode
- Usage: Primarily used in gynecological and dermatological surgeries to excise or remove tissue with a fine wire that cuts while coagulating.
11. Argon Plasma Coagulation (APC) Probe
- Usage: Used in conjunction with an electrosurgical generator, it directs argon gas to a tissue site for non-contact coagulation of bleeding tissues, especially in endoscopic procedures.
12. Laparoscopic Electrodes
- Usage: Electrosurgical instruments designed for laparoscopic (minimally invasive) surgeries. These come in various shapes, such as hook electrodes or scissors, for cutting and coagulation.
13. Electrosurgical Scissors
- Usage: Specialized scissors that use electrical energy to cut tissue while coagulating to reduce bleeding. Commonly used in laparoscopic surgeries.
14. Suction Coagulator
- Usage: Combines suction and coagulation in one instrument, allowing for simultaneous blood removal and tissue coagulation, used in neurosurgical and ENT procedures.
15. Bipolar Vessel Sealing Device
- Usage: An advanced instrument that seals and cuts large blood vessels using bipolar energy, often used in laparoscopic surgeries for vessel ligation.
16. Desiccator Electrode
- Usage: Used for desiccation (drying) and coagulation of tissue during electrosurgery, typically in procedures where precise tissue destruction is needed.
17. Coagulation Forceps
- Usage: Forceps used for coagulating tissue without the need for cutting. It’s often employed in delicate surgeries like neurosurgery.
18. Electrosurgical Smoke Evacuator
- Usage: Not a cutting instrument, but used to remove the surgical smoke generated during electrosurgery to ensure a clear surgical field and improve air quality in the operating room.
These electrosurgical instruments are essential for cutting, coagulating, desiccating, and fulgurating tissues during surgery, reducing blood loss and improving surgical precision.
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