Medications
Local: 0.25% Marcaine with epi (20 mL per level)
Depomedrol: 40 mg per level
Irrigation
3L NaCl bag
2-3 bags per level
Contrast: One mixture per level
2 cc of 0.5% methyl blue (Provay 5 mg/mL) + 9 cc Omnipaque 300 mg/mL
RN Setup
C-arm on opposite side (before opening)
Bed
Bed
Jackson table with Wilson frame
Foam arm pads x2
Pillows x6
Prone View facemask
Prep stand
Wilson crank
Shaver with blade
Adhesive prep mitts x2
Isopropyl alcohol
4 x 4 sponges
1010 sticky drape x4
Chloraprep x2
Upper body air warmer
2 white towels for armpits
SCDs
+/- Foley catheter
6 steps
Draping
Draping Materials
6 strips ioban
2 for CK sleeves (3 fingers width)
4 for securing towels
7 blue towels
4 towels for draping
3 for suctions
Blue abdominal drape
¾ sheet x2
Pocket drape (3 M 6658)
C-armor
C-Arm Showercap
Suction x3
1 in C-armor
2 in pouch drape
Instrument pouch x1 (1018)
Irrigation tubing (cysto tubing)
8 Allis clamps
Light cord to say "ND" (extra long)
Stryker camera (384 is #1, cleaned)
L2-3 or higher: need >2 needles for counting - 18 gauge
Irrigation stop cock
Equipment
Endo Cam, Tower and Device Setup
Elliquence Spinal Endoscope
10-2022 for transforaminal (181 mm, 30 deg, 7 mm Diameter)
10-1023 for interlaminar (130 mm, 15 deg, 7 mm diameter)
Clean camera, coupler lens, and scope lens with "no fog"
Wipe off film with dry raytec
Triggerflex Radiofrequency Probe
31 cm for transforaminal
Turbo ablation: 45
Hemostatic: 0
Bipolar: 25
*Make sure on turbo for case
Elliquence Drill
Program 4
Plug into M1
Drill hand piece (#3 preferred, #1 as backup, #2 broken)
Mineral oil
Elliquence Implanet ultrasonic bone scalpel
Blade tip
Trephine tip
Stryker endoscopic tower with camera
Screen: universal, brightness 50, contrast 50, sharpness 5
Camera box: arthroscopy, brightness: 5, zoom 1: SPY intensity: 0
Light source: 50%
Light cord adaptors
Trimedyne Laser Probe
30 cm handpiece for tLESS
25 cm for iLESS
Lumenis laser generator
Starting at: Energy: 2.2
Frequency: 20
11 × = energy 2.5, frequency 20
Extra Interlaminar / using drill
Interlaminar/using drill
Drill hand piece (#3 preferred, #1 as backup, #2 broken)
IL or TF support tube and burr tip (IL: 103, 206; TF: 104, 202 – do not open until confirmed using)
Mineral oil
Incision Starting Tray
Gowns + Gloves
Surgeon: 7 blues and 7 protexis
PA: 6.5 outer, 6 blues inner
Marking pen
10 blade and knife handle (#4 at UCSD)
Specimen cups x2 (one for local, one for contrast)
Syringes
10 cc x 2 for local
5 cc for contrast/dye
TB for depo (this will be used right before closing)
Spinal Needles
8" 18 G - for local
10" 22 G - for chromatodiscogram
Mallet
Endo Pusher
Endo Pencil
Blue egg handle
Elliquence guidewire – run guidewire through favorite/1st dilator then place on back table
Elliquence 5 dilators, 3 reamers
Line up with corresponding dilators inside reamers
Initial Spaghetti Noodle dilator
#1 dilator inside #1 reamer
#2 dilator inside #2 reamer
#3 dilator inside #3 reamer
Custom 5th dilator
T-Handle
Custom Cannulas
Uniportal IL: 9 iron and standard wavy 9
Uniportal TF: Standard TF cannula
Endoscopic Instruments
Endo Pituitaries & Rongeurs
Favorite (up-biting) 12-1834 TF / 12-1837 IL
Curly Q (curved with spring tip) 12-1730
Regular (straight, no teeth) 12-1624 TF / 12-1627 IL
Endo Kerrisons (45 & 90 degree)
Pacman Biting Basket (angled + straight)
Curved ball tip feeler
Salt and Peppa articulating curette
Paprika articulating curette
Endoscopic reamer
Blue rubber stopper – prefers medium
Biportal/Multiportal (available, but not open)
Karlin curretes (Long Karlin, 0 FS, 0 FA, 3-0 FS, 3-0 FA)/ biportal curretes
2, 3, 4 mm kerrisons
Regular pituitary
Arthrocare wand
Closing Tray
Telfa and ruler for disc fragment picture
Adsons
Needle driver
Suture: 3-0 vicryl SH
Dermabond
Bandaid in room (1 per level)