ICV Surgery Checklist

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ICV Surgery Checklist

Autoclave

  • autoclavable blue box containing at least 1 pair of very fine forceps
  • screws and cannulae
  • fishing weight retractors
  • 1 cloth drape
  • 1 stainless box (wrapped in a cloth drape) containing:
    • at least 1 pair of coarse forceps
    • at least 1 pair of fine blue forceps
    • sharp-sharps & blunt-sharps
    • staple puller & stapler
    • drill bit for Dremel (2.3 mm)
    • needle holders
    • scalpel handle
  • box of icv caps
  • 2 glass dishes (for 10% bleach and 70% EtOH)
  • 2-500 ml beakers (for saline)
  • 2-500 ml bottles of physiologic saline
  • cotton swabs
  • gauze squares
  • staples

Other Materials

Pre-Operative

  • gauze squares
  • stereotax apparatus
  • eye ointment
  • betadine and 70% EtOH in wash bottles
  • clippers
  • dustbuster
  • cover gowns and masks
  • appropriately sized sterile surgical gloves


Intra-Operative

  • sterile disposable drapes
  • absorbent pads (at least 2)
  • lab tape
  • 500 ml 10% bleach
  • 500 ml 70% EtOH


  • #10 scalpel blades
  • fishing weights for retraction
  • hydrogen peroxide
  • super glue gel


  • Dremel
  • 2 manual hand drills
  • gel foam
  • tubing for “washers”
  • screw driver
  • swabs with wooden handles
  • Pasteur pipette and bulb
  • denture materials (powder and solvent)
  • 3 cc syringes, 25 ga needles
  • 2-0 vicryl

Post-Operative

  • microwave
  • hot packs
  • 20 cc syringes, 21 ga needles
  • 5% dextrose

Clean Up

Clean instruments that are autoclaved with enzymatic cleaner, and soak in instrument milk for at least 10 minutes. Do not rinse. Dry other instruments with EtOH.