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Fall 22: surgical > 01. instruments > Flashcards

01. instruments Flashcards

1
Q

Scissors can have ___ (A) or ___B) blades.

A

curved

straight

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2
Q

scissors may also be ____(C) or ___ (D)

A

They may also be blunt (C) or sharp (D).

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3
Q
A

Mayo and Metzenbaum Scissors

  • Mayo scissors (A) are used for cutting heavy fascia and sutures.
  • Metzenbaum scissors (B) are more delicate than Mayo scissors.
    They are used to cut delicate tissues.
    • Metzenbaum scissors have a longer handle to blade ratio.
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4
Q
A

Bandage Scissors

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5
Q
A

Suture Removal Scissors

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6
Q
A

Satinsky Vascular Scissors

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7
Q
A

Potts-Smith Vascular Scissors

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8
Q

___ have smooth or smoothly serrated tips while tissue forceps have teeth to grip tissue.

A

Dressing forceps

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9
Q

example of tissue forceps

A

Dressing forceps have smooth or smoothly serrated tips while tissue forceps have teeth to grip tissue.

  • Rat Tooth Forceps
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10
Q

___ Forceps, a type of tissue forceps, have locking forceps used for grasping and holding tissue.

A

Intestinal Tissue

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11
Q

Examples of intestinal tissue forceps include:

A

Intestinal Tissue Forceps, a type of tissue forceps, have locking forceps used for grasping and holding tissue.

Examples of intestinal tissue forceps include:

  • Allis Forceps
  • Babcock Forceps
    • Sponge Forceps
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12
Q
A

Rat Tooth: Tissue Forceps

Interdigitating teeth hold tissue without slipping

Used to hold skin/dense tissue

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13
Q
A

Adson: Tissue Forceps

Small serrated teeth on edge of tips

Delicate serrated tips designed for light, careful handling of tissue

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14
Q
A

Brown: Tissue Forceps

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15
Q
A

Brown-Adson: Tissue Forceps

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16
Q
A

Allis: Intestinal Tissue Forceps

Interdigitating short teeth to grasp and hold bowel or tissue

Slightly traumatic, use to hold intestine, fascia and skin

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17
Q
A

Babcock: Intestinal Tissue Forceps

More delicate than Allis, less directly traumatic

Broad, flared ends with smooth tips

Used to atraumatically hold viscera (bowel and bladder)

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18
Q

___ forceps have hinged locking forceps.

A

Hemostats and hemostatic

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19
Q

All hemostatic forceps may be ___

A

curved or straight:

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20
Q
A

Kelly Hemostatic Forceps and Mosquito Hemostats

  • Both are transversely serrated.
  • Mosquito hemostats (A) are more delicate than Kelly hemostatic forceps (B).
  • Mosquito hemostats have a smaller, finer tip.
    • Both come in curved and straight varieties as well.
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21
Q
A

close up of the transverse serrations on straight Kelly Hemostatic Forceps.

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22
Q
A

Carmalt Hemostatic Forceps

Heavier than Kelly

Preferred for clamping of ovarian pedicals during an ovariohysterectomy surgery because the serrations run longitudinally (see below).

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23
Q

Clamping an Artery Using a Kelly vs. Carmalt Hemostat

A
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24
Q
A

Doyen Intestinal Forceps

Non-crushing intestinal occluding forceps with longitudinal serrations

Used to temporarily occlude lumen of bowel

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25
Q
A

Payr Pylorus Clamps

Crushing intestinal instrument

Used to occlude the end of bowel to be resected

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26
Q
A

Sponge Forceps

Straight or curved

Smooth or serrated jaws

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27
Q
A

Satinsky Vascular Forceps

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28
Q
A

Mixter Gallbladder Forceps

29
Q
A

Vulsellum Tumor Forceps

30
Q

Needle holders are a hinged locking instrument used to hold the needle while suturing tissue.

___ inserts at the tip of the needle holder ensure good quality.

Instruments with tungsten carbide inserts are marked with ___

A

Tungsten carbide

gold handle

31
Q
A

Mayo-Hegar Needle Holders

Heavy, with mildly tapered jaws

No cutting blades

32
Q
A

Olsen-Hegar Needle Holders

Includes both needle holding jaw and scissors blade

The disadvantage to having blades within the needle holder is the suture material may be accidentally cut

33
Q
A

Senn Retractors

Blades at each end

Blades can be blunt (delicate) or sharp (more traumatic, used for fascia)

34
Q
A

Hohman Retractors

Levers tissue away from bone during orthopedic procedures

35
Q
A

Deaver Retractors

36
Q
A

Rakes Retractors

37
Q
A

Army-Navy Retractors

38
Q
A

Richardson Retractors

39
Q
A

Weitlaner Retractors

Ends can be blunt or sharp

Has rake tips

Ratchet to hold tissue apart

40
Q
A

Gelpi Retractors

Has single point tips

Ratchet to hold tissue apart

41
Q
A

Adson Retractors

42
Q
A

Finochietto Rib Spreaders

43
Q
A

Anes Retractors

44
Q

Blades ___ fit Size 3 handles

A

10, #11, #12 and #15

45
Q

Blades____ fit Size 4 handles and are commonly used for large animals

A

22 and #23

46
Q
A

Blade #10 (left) is the most commonly used scalpel blade.

size 3 handle

47
Q
A

Blade #15 (right) is a smaller version of #10, and is used in for more delicate incisions.

48
Q
A

Blade #10 (left) is the most commonly used scalpel blade.

Blade #15 (right) is a smaller version of #10, and is used in for more delicate incisions.

49
Q
A

Blade #11 is pointed and is used in arthroscopic procedures (stab incisions).

50
Q
A

Blade #12 (right) is hooked and is used to remove sutures and declawing.

51
Q
A

Blade #11(left) is pointed and is used in arthroscopic procedures (stab incisions).

Blade #12 (right) is hooked and is used to remove sutures and declawing.

52
Q
A

Blade #22 (right) and #23 (left) are larger and used primarily in large animals.

53
Q
A

Backhaus Towel Clamp

Locking forceps with curved, pointed tips

54
Q
A

Staple Remover

55
Q
A

Suction Tips

56
Q
A

Whites Modified Emasculators

57
Q
A

Reimer Emasculators

58
Q
A

Serra Emasculators

59
Q
A

Henderson Castrator

Are attached to a drill for power

60
Q

How do I hold scissors and hemostats?

A
  • The thumb and ring finger are inserted into the rings of the scissors or hemostat while the index and middle finger are used to guide the instrument
    • The instrument should remain at the tips of the fingers for maximum control
61
Q

How do I hold thumb forceps (general forceps)?

A

Thumb forceps are held like a pencil

62
Q

How do I hold scalpels?

A
  • The scalpel is held with thumb, middle and ring finger while the index finger is placed on the upper edge to help guide the scalpel
    • Long gentle cutting strokes are less traumatic to tissue than short chopping motions
63
Q

How do I hold needle holders?

A
  • The rings of the instrument should be placed at the level of your first knuckles
64
Q

How do I position the needle on the needle holder?

A
  • The needle holder should be positioned at the center or just beyond the center of the needle
  • The needle should be at the tips of the needle holder
65
Q

What is the correct way to hold curved instruments?

A
  • The instrument should be held so the curve is toward your axis
  • *OR**
    • The curve follows the curve of your hand
66
Q

What do I do with the thumb forceps while I am tying a knot?

A
  • Forceps may be held in the non-dominant hand
    • Forceps should not be set down
67
Q

How do I end a continuous suture pattern?

A

Tie the knot using the loop of suture from the last bite

Alternatively, take a back-hand bite and tie back to the loop

68
Q

How do I grasp a vessel in subcutaneous tissue?

A
  1. Hold skin edge back
  2. Apply the Kelly forceps around the vessel with the tips up
  3. Press down (end of vessel will protrude from tissue)
  4. Clamp
    1. Ligate

Fall 22: surgical (16 decks)

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