A rongeur is heavy-duty surgical instrument with a sharp-edged, scoop-shaped tip, used for gouging out bone. Rongeur is a French word meaning rodent or gnawer. A common example of a surgical rongeur is the Kerrison rongeur, in which its first design was created by Dr.
What is a Kerrison instrument?
Kerrison Rongeurs are used in the decompression surgery of spinal stenosis and decompression of the suprascapular nerve. Kerrison Rongeur number 1 or 2 is used to resect the suprascapular ligament. Also, it is a very beneficial instrument in cases where the ossified ligament is encountered.
What is the Kerrison cervical rongeur used for?
The Kerrison rongeur is used in about 80–100% of decompression surgery cases . Together with the drill, it is probably the most commonly used instrument for this type of surgery. Dural lesions are the most common complications throughout spine surgery.
What is a pituitary rongeur used for?
Neurosurgery Pituitary Rongeurs are used during surgery to gouge out a piece of bone tissue. They are lightweight, reliable, and atraumatic surgical instruments. They feature a finger ring handle that fits comfortably in hand and provides optimal control over the instrument.
What does a bone rongeur do?
Rongeurs are like pliers with a heavy, pointed jaw. With their heavy contrsuction, rongeurs are used for gnawing holes in bones during surgery. The scoop shaped tip of the rongeur is used for gouging the bone. This could be neurosurgery where the surgeon must remove part of the skull to expose the brain.
What is Leksell rongeur?
Novo Surgicals Leksell Bone Rongeur is a multi-purpose instrument ideally suited for use in orthopedic procedures of the bone. Also the jaws are slightly scoop shaped which gives this instrument a unique way in which it can cut and reshape bone.
What are curettes used for?
Curettes. Curettes are used primarily for the treatment of benign or low-grade malignant tumors and for debulking tumors prior to Mohs micrographic surgery. They come in many handle styles with either round or oval heads of varying sizes from 1 mm to 9 mm (Fig. 4.8).
How do you use Rongeur?
To use the rongeur, grasp the two ends with one hand (like pliers), then cut through the exposed bone by taking small millimeter chips away from bone. 9. Continue cutting back the bone until you have enough soft tissue or skin over the bone through which to place a suture without overly stretching the skin.
How do you test for Rongeur?
Fact: Rongeurs should cut cleanly through one thickness of an index card or card stock. To perform this test, use only the top 1/3 of the jaw. The instrument should not tear or snag the testing card. The middle and back of the cup jaw are not used during the surgical procedure.
How do you clean Kerrison Rongeur?
Flush the instruments internal flush channel with the jaws open to remove dislodged gross soil and remaining debris or Page 3 ultrasonic detergent residue from inside the shaft. Wipe the instrument with a clean, soft cloth. Dry. Instruments must be thoroughly dried with a clean, soft cloth.
Is dilation and curettage a surgery?
A dilation and curettage procedure, also called a D&C, is a surgical procedure in which the cervix (lower, narrow part of the uterus) is dilated (expanded) so that the uterine lining (endometrium) can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues.
What is the difference between curettes and scalers?
The major difference between the design of a scaler and a curette is in the shape of the blade. In cross section, the blade of a scaler is triangular, whereas a curette is semicircular. Area-specific curettes, such as the Gracey curettes, are designed so that each blade adapts to a specific tooth surface or area.
How do I clean my Kerrison Rongeur?
Clean each of the instruments components (jaws, hinges, handles and shaft) with a clean, appropriately sized soft-bristle brush to remove all organic debris. Pay particular attention to the crevices and other hard to clean areas. Do NOT remove any screws and do NOT attempt to disassemble the instrument. Rinse.