Clinic Name
Clinic Address
Clinic Phone Number
Clinic Email
SUPPLIES:
- 1 Basic Pack
- 1 Split Sheet
- 1 Mayo Cover
- 1 Raytec
- 1 Lap
- 1 Specimen Cup
- 1 Bovie Pencil
- 1 Bovie Pad
- 1 Needle Book
- 1 Laser Drape
- 1 Suction Tubing
- 1 Yankeur (HOLD)
- 1 Pack Sterile Towels
- 3 Gowns
- 1 Bed Cover
- 2 Gloves Scrub
- 2 Gloves (8)
- 1 B SS
- 1 Pack 4x4 Gauze
- 2 Packs Q-Tips
- 1 Blue Pad
- 1 Steristrips
- 1 Mastisol
- 1 Dental Needle 30g
- 6 Carpules
- 1 Jelco (pink)
- 1 60cc Syringe
- 1 Syringe 10cc
- 1 Needle 30g
- 1 Utah Tip
- 2 Donuts
PREP:
- Metal Eye Shields
- Squeegee
- Dental Syringe
- Gloves (8)
- 4x4
- Specimen Cup
- Carpules (6)
- Small Bowl
- Dental Needle 30g
MAYO:
- Deans
- Browns
- Iris
- Stat
- Small Needle Holder (2)
- DeBakeys
SUTURE:
- 2 Plain Gut 6-0 G-1
- 2 Prolene 6-0 P-3
DRESSINGS:
- Eye Pack (Ice)
- BSS Ophthalmic Ointment
INSTRUMENTS:
- Plastic Set
- Mag. Pad
- Large Bowl
- Lt Handle
- Smoke Evacuator
- Incisional Handpiece 0.2/Fine Tip
IF LACRIMAL SUSPENSION (add the following):
- 1 Vicryl 3-0 RB-1
- #9 Elevator
- #7 Elevator
- Senn Rake
IF P-TOSIS REPAIR (add the following):
- 1 Vicryl 4-0 P-3
- 1 Plain Gut 6-0 G-1
IF CANTHOPEXY (add the following):
Supplies:
- 1 Blade #15
Suture:
- 1 Prolene 4-0 P-3
- 1 Plain Gut 6-0 G-1
Mayo:
- 2 Elevators #9
Instruments:
- Stryker Drill & Canthopexy Drill Bit