An arteriovenous shunt is a plastic tube inserted between an artery and vein, usually the radial artery and cephalic vein, to provide vascular access for hemodialysis. An AV shunt tray contains various retractors, forceps, scissors, clamps, and suction tips for performing vascular access procedures and dialysis port placement and maintenance. Common instruments included are Senn retractors for tissue retraction, Cushing retractors for nerve and vein manipulation, ALM self-retaining retractors for soft tissue retraction, carotid shunt clamps for blood flow occlusion, and vascular needle holders for suturing. Suction tips like the Frazier and Yankauer are also included for fluid removal.

1. L E C T U R E R : U M A R T A R I Q
M S C : O T T / A N A E S T H E S I A
ARTERIO VENOUS (AV)
SHUNT TRAY

2. ARTERIO VENOUS(AV) AND CAROTID
ARTERY(CA) SHUNT TRAY
 Arterio venous shunt is a U shaped plastic tube
inserted between an artery and a vein( usually
between the radial artery and a cephalic vein)
 An abnormal connection between artery and vein .
 It may be surgically created for hemodialysis
treatments

3. AV SHUNT TRAY CONTAINS
 2-senn retractors
 2-rake retractors
 2 cushing vein retractors
 2-ALM retractors
 2 –tissue forceps toothed/non toothed
 2-adson forceps toothed / non toothed
 2- Debakey forceps
 2-Gerald forceps
 1 – straight mayo scissor

4.  2-metzenbaum scissors
 2-castroviejo
 2-potts smith
 2-mixters rt angle clamp
 2-needle holders
 2-Debakey multipurpose clamp
 2-debakey cross action bull dog clamps
 4 glover bulldog clamps
 4 johns hopkins bulldog clamps

5.  2-Sponge holding forceps
 2-shunt clamps
 2-vascular needle holders
 4-towel clips piercing
 2-towel clips non piercing
 Frazier suction tip
 Yankauer suction tip

6. SENN RETRACTOR
 Hand held double ended retractor .
 Used to retract primarily surface tissue.
 Commonly used in plastic surgeries
 Also used in thyroidectomy and dissection of neck
tissue.
 This retractor has one right angled blunt end and
another side three prongs rake tip.
 The prongs may be sharp or blunt

9. CUSHING NERVE AND VEIN RETRACTOR
 Hand held retractor
 Commonly used in intracranial or large bones and
joint procedures.
 Also used in neuro surgeries

12. ALM Self retaining retractor
 Orthopedic instrument
 Commonly used for soft tissue retraction
 It has a thumb screw which opens and locks the arms
into place
 The arms feature outward curving prongs to hold the
tissue securely
 4×4 prongs blunt

15. CAROTID SHUNT CLAMPS
 Used to occlude the blood flow in the carotid artery
during cardio thoracic procedures
 Designed to hold the tubes in place during vascular
procedures
 Angled jaws
 Atraumatic teeth

18. Vascular needle holders
 Used in cardio vascular surgeries for suturing.
 Serrated jaws with blunt tips

20. Ryder needle holder

21. Frazier suction tip
 Thin instrument
 Used for removing fluids from confined surgical sites
such as nasal cavity, lumbar , cervical regions and
intracranially.
 This suction tube also features a thin wire that can be
placed into the tube to remove any tissue that may
become trapped through out the suctioning.
 Multiple tip sizes are available

24. YANKAUER SUCTION TIP
 Used in oral suctioning
 Used to suction oropharyngeal secretions in order to
prevent aspiration.
 Available as stainless steel and disposable.
 Also used in other surgical procedures.