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My docs use the Ethicon Echelon stapler frequently. Is this it?

Posted By: me on 2007-09-04
In Reply to: a stapler used in a laparoscopic gastric bypass - Stumped

Subject: My docs use the Ethicon Echelon stapler frequently. Is this it?

nm

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a stapler used in a laparoscopic gastric bypass - Stumped
- My docs use the Ethicon Echelon stapler frequently. Is this it? - me
  - Thank you! - Stumped
- See message. - Txczech

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Echelon� 60 ENDOPATH� Stapler? nm
Subject: Echelon� 60 ENDOPATH� Stapler? nm

My ortho docs use the term of weightbearing views frequently... sm
Subject: My ortho docs use the term of weightbearing views frequently... sm

There is also a PA view (my understanding is just a different way of standing when taking the x-ray vs an AP view). The way you are typing them is correct.

Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)
Subject: Need type of stapler for Roux-en-Y, s/l Waitler GIA stapler (nm)

echelon
Subject: echelon

Found it! Echelon made by Medical & Scientific
Subject: Found it! Echelon made by Medical & Scientific

I found the Smith and Nephew Echelon hip system on a search. nm
Subject: I found the Smith and Nephew Echelon hip system on a search. nm

s

Maybe Ethicon?
Subject: Maybe Ethicon?

Ethicon?
Subject: Ethicon?

NO LUCK WITH ETHICON
Subject: NO LUCK WITH ETHICON

Suture Selection Criteria

Follow these steps to determine the ideal suture for your procedure.

Step 1

Know the Sutures in the Novartis-Ethicon Family

Step 2

Know Your Tissue Healing Rate

Step 3

Select the Correct Tensile Strength for the Tissue

Step 4

Choose the Correct Needle

TAPER NEEDLES

Used in easily penetrated tissues such as peritoneum, abdominal viscera, subcutaneous layers, etc.
Minimizes tissue "cut-out". Smallest possible hole in tissue is created with minimal tissue cutting.
Also ideal for closing hollow organs to prevent damage.

REVERSE CUTTING NEEDLES

Used in tough, difficult to penetrate tissues such as skin, fascia, ligament, etc.
Less tissue "cut-out" than standard cutting needles.

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Nurulon by ethicon
Subject: Nurulon by ethicon

Nurulon by Ethicon
Subject: Nurulon by Ethicon

the Nurulon sutures.

ProTacker; by Ethicon,Inc.
Subject: ProTacker; by Ethicon,Inc.

Fibrillar, a trademark of Ethicon, Inc. nm
Subject: Fibrillar, a trademark of Ethicon, Inc. nm

s

Ethicon makes an SH needle. sm
Subject: Ethicon makes an SH needle. sm

Here is link. == Look under "Step 2" ==

http://ecatalog.ethicon.com/ec_ecatalog/Ethicon/Search/Adv_Search.asp

There is Vicryl mesh, made by Ethicon sm
Subject: There is Vicryl mesh, made by Ethicon sm

Here is a great site for surgery. Just type in a term and it will show you brands etc.

http://www.medcompare.com/search.asp

GIA stapler
Subject: GIA stapler

The doc is dictating a bowel resection, is using a GIA and then a TA stapler. Would he be saying a GIA 80, 3.5 stapler, or a GIA 83.5 stapler? I have been typing is as GIA 80, 3.5 stapler right up until today, when it struck me that I may be wrong. Help, Anyone? Thanks!

LDS stapler. nm
Subject: LDS stapler. nm

xx

there is a 3M stapler, but
Subject: there is a 3M stapler, but

can't get the 3 crow's feet.

This is used frequently with C-sections, almost
Subject: This is used frequently with C-sections, almost

always used when meconium is present.

Milton Red Stapler
Subject: Milton Red Stapler

I apologize for stepping on your toes. I only posted those reports to get a little help. I did not post any names of people, places, or anything confidential.

However, I do appreciate your concern. It sounds to me that probably you are trying to start some type of drama as you are accustomed to doing all over these boards. However, I am not going to enable that.

Have a nice day.

It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)
Subject: It's not my day, now need a 35-mm s/l Blulow GIA stapler (nm)

It is chain. Used frequently.
Subject: It is chain. Used frequently.

And thus is probably but unless that doc uses the word thus frequently nm
Subject: And thus is probably but unless that doc uses the word thus frequently nm

nm

Probably per os; I hear them say this frequently.
Subject: Probably per os; I hear them say this frequently.

per os - By way of the mouth, as in the administration of medication.

Yes, frequently. And it IS centimeters. nm
Subject: Yes, frequently. And it IS centimeters. nm

x

I hear fat-containing hernia frequently sm
Subject: I hear fat-containing hernia frequently sm

They are concerned about intestines being herniated and getting "strangulated" or closed off - fat-containing hernias are relatively benign.

white-loaded GIA stapler NM
Subject: white-loaded GIA stapler NM

xx

blue blood stapler? tks.. no msg
Subject: blue blood stapler? tks.. no msg

xx

A blue load stapler, perhaps. nm
Subject: A blue load stapler, perhaps. nm

nm

Might be local MAC. Hear MAC anesthesia frequently. nm
Subject: Might be local MAC. Hear MAC anesthesia frequently. nm

s

s/l LES stapler to resect the omentum. Can't document. nm
Subject: s/l LES stapler to resect the omentum. Can't document. nm

.

a stapler used in a laparoscopic gastric bypass
Subject: a stapler used in a laparoscopic gastric bypass

I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass. It sounds something like Acolumn, Ecolint or Acumint stapler. I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!

Surgical stapler for sigmoid colectomy
Subject: Surgical stapler for sigmoid colectomy

sounds like Eschelon stapler?

PT/Rehab uses the term scaption frequently..sm
Subject: PT/Rehab uses the term scaption frequently..sm

scaption means abduction (raising the arm away from the body) in the scapular plane. Not a documented word, but worked for a PT and PM&R physiatrist for years who used this terms. Maybe this dictator is botching this word and saying "scapitation" with the same meaning intended??

You will hear "neb" or "nebs" frequently
Subject: You will hear "neb" or "nebs" frequently

Albuterol neb, etc. so I'm sure that's what they were saying.. just "nebs".

Definately sounds like combigent but she frequently mispronounces. You are probably right. Thanks!
Subject: Definately sounds like combigent but she frequently mispronounces. You are probably right. Thanks!

There is a Kopan needle that is used for br. biopsy - drs will frequently pronounce as "Kopan'
Subject: There is a Kopan needle that is used for br. biopsy - drs will frequently pronounce as "Kopan's"

BICAP; a form of bipolar electrocoagulation frequently used to arrest gastrointestinal bleeding
Subject: BICAP; a form of bipolar electrocoagulation frequently used to arrest gastrointestinal bleeding

Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm

x

Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...

type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)

Some docs
Subject: Some docs

actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!

should say *my* docs
Subject: should say *my* docs

like the docs who are always ...
Subject: like the docs who are always ...

... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.

Our docs
Subject: Our docs

usually say normocephalic.

I have docs that use it
Subject: I have docs that use it

but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.

I have docs
Subject: I have docs

who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.

Docs
Subject: Docs

make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)

With some docs..
Subject: With some docs..

that wouldn't be a stretch at all but a very good guess. :-)

It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...

work as an MT,

You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know

s

that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.