| Surgeon: |
Procedure: ACL-HAMSTRING |
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Position: Supine c popliteal post |
| Gloves: |
Drapes: In Arthroscopy Pack |
| Prep: Alcohol & Duraprep |
Meds: 150,000 U of Bacitracin in 3Lbag of NS |
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Meds: 4cc duramorph + 25 cc lidocaine + |
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30 cc .5% marcaine before incision (IF NOT BLOCKED) |
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INSTRUMENTS
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STERILE SUPPLIES
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| A-Scope Set |
Arthroscopy Pack |
| Basic Ortho |
Basic Pack |
| ACL Set |
Half Drape |
| Stryker 4200 |
Bovie |
| Graftmaster |
1015 drape U-drape |
| Mitek Screw/Washer Set |
Y-Tubing Adapter |
| 30 Degree A - Scope |
1/4" Penrose x |
| Popliteal retractor (HA) |
5.5 Notchblaster Bur |
| ACL Dilator Set (HA) |
4.5 Full Radius Blade |
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Mitek Vapor |
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Cryo Cuff |
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4.5 Endo/Can Drill Bit (7207315) |
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MITEK Milagro (HA) |
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SUTURES
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Endo Button 20mm - 45mm (HA) |
| 3-0 Biosyn C-13 |
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| #2 OrthoCord x |
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| #2 Ethibond OS-4 (Green) |
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| 5 Ticron HOS-14 (Blue) |
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| 2-0 Vicryl cp-2 |
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| Umbilical Tape |
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DRESSINGS
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EQUIPMENT
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| Mastisol |
Video Tower opposite operative side |
| 1/2" Steri-strips |
Omni jugs x 2(shaver, Pouch) |
| 4x4's |
Dyonics Pump |
| 6" sterile webril |
Tourniquet @ 300 |
| 6" Ace |
Extra Back Table |
| Cryocuff |
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