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OR Protocol > 2. Instrumentation - Bunions > Flashcards

2. Instrumentation - Bunions Flashcards

1
Q

name and classification

A
  • n: number 3 blade handles
  • c: cutting and dissection
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2
Q

use?

A

holds # 10 or #15 blade

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3
Q

10 blade use

A
  • used for making skin incision
    • Too big for incision on 5th toe
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4
Q

15 blade use

A
  • smaller
  • used for making subsequent (deeper) cuts
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5
Q

classification:

A

SCISSORS AND TIPS

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6
Q

Summary: name LEFT to RIGHT

A
  • Crown and Collar,
  • Utility,
  • Metzenbaum,
  • Mayo,
  • Iris,
  • Wire Cutter (“we do not have this”))
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7
Q

name

use

classification

A
  • n: Crown and Collar scissor
  • u: used for sesamoidectomies
  • c: scissors, tips
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8
Q

name

use

classification

A
  • n: Utility scissors
  • u: cuts anything** (gauze, drapes, etc), **except tissue and sutures
  • c: scissors, tips
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9
Q

name

use

classification

A
  • n: Curved Metzenbaum scissors
  • u: used for sharp and blunt dissection**, **cuts tissue only, operating scissor
  • c: scissors, tips
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10
Q

name

use

classification

A
  • n:Mayo scissors –
  • u: TUSPM’s suture scissors, not a suture removal scissor, smaller than Utility but heavier than Metzenbaum
  • c: scissors, tips
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11
Q

name

use

classification

A
  • n: Iris scissors
  • u: sharp tips for tissue dissection, also for eye surgery
  • c: scissors, tips
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12
Q

name

use

classification

A
  • n: Wire Cutter –
  • u: fine serrated edges, used to cut stainless steel wire sutures, **not K-wires
  • c: scissors, tips
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13
Q

name

use

classification

A
  • n : Bone Cutter
  • u: sharp-edged blades**, **used to cut MT head**, **both sides bend when you squeeze it**, **flat blade**, **“can be easily mixed up with nail nipper”
  • c: scissors, tips
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14
Q

name

use

classification

A
  • n: Ronguer
  • u: sharp scoop-like edges**, **used to smooth sharp bone edges
  • c: scissors, tips
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15
Q

name

use

A
  • n: Osteotome and Mallets
  • u: osteotome is placed on bone to be cut and end is hit (tapped) with the mallet, not used much
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16
Q

name (**TOP)

use

classification

A
  • n: MALTZ RASP
  • u: file bones smooth; used for larger bones
  • c: rasp
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17
Q

name (**BOTTOM)

use

classification

A
  • n:Joseph nasal rasp
  • u: file bones smooth; used for smaller bones
  • c: rasp
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18
Q

name/ use (top)

name/use (bottom)

classification

A
  • Bone curette
  • Fox Dermal** (soft tissue) – **removal of warts and lesions
  • c: currette
    • part of the cutting and dissection classification according to classification sheet, although introduced towards the end of lecture
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19
Q

Number 3 scalpel/blade/knife handles

use

A
  • holds #10 or #15 blade
  • have sharp edges and are used to cut, dissect, incise, separate or excise tissues or other materials
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20
Q

Crown and Collar scissor:

use

A

used for sesamoidectomies

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21
Q

Utility scissors

use

A

cuts anything (gauze, drapes, etc), except tissue and sutures

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22
Q

Curved Metzenbaum scissors

use

A

used for sharp and blunt dissection, cuts tissue only, operating scissor

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23
Q

Mayo scissors

use

A
  • TUSPM’s suture scissors, not a suture removal scissor, smaller than Utility but heavier than Metzenbaum
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24
Q

Iris scissors

use

A

sharp tips for tissue dissection, also for eye surgery

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25
Q

Wire Cutter:

use

A
  • fine serrated edges, used to cut stainless steel wire sutures**, **not K-wires
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26
Q

Bone Cutter

use

A

sharp-edged blades, used to cut MT head, both sides bend when you squeeze it, flat blade

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27
Q

What can easily be mistaken for a BONE CUTTER?

A

“can be easily mixed up with nail nipper”

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28
Q

Ronguer:

use

A
  • sharp scoop-like edges,
  • used to smooth sharp bone edges
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29
Q

Osteotome and Mallets

use

A
  • osteotome is placed on bone to be cut and end is hit (tapped) with the mallet, not used much
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30
Q

Rasp:

use

A

files bone smooth;

incl: Maltz rasp, Joseph nasal rasp

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31
Q

Curettes

use

A
  • Bone curette
  • Fox Dermal** (soft tissue) – **removal of warts and lesions
32
Q

Classification: Grasping and Holding

Use?

A

Grasp and hold tissues in place so surgeon can perform the maneuver without injuring surrounding tissues, or sometimes without injuring the tissue excised

33
Q

name

use

A
  • Forceps (Pickups) – bodies of all 3 look the same
  • grasping and holding
34
Q

what are the 3 “tweezer type” pickups?

A
  • Adson toothed (1x2, “rat-tooth”)
  • Brown-Adson (multi-tooth)
  • Adson plain (smooth, thumb or dressing)
35
Q

what are the 2 “scissors-action type”?

A

hinged

  • Allis Grasping Forceps** – **small, fine teeth
  • Kocher** – **large sharp tooth on either side**, traumatic, **“often mistaken for large straight hemostat”
36
Q

name

A

Adson plain

(smooth, thumb or dressing)

37
Q

name

A
  • Brown-Adson (multi-tooth)
38
Q

name

A
  • Adson toothed (1x2, “rat-tooth”)
39
Q

name (LEFT)

use

classification

A
  • n: Allis Grasping Forceps
  • u: small, fine teeth
  • c: scissors-action type (hinged) grasping and holding
40
Q

name

use

classification

A
  • n: Kocher
  • u: Large sharp tooth on either side**, traumatic, **“often mistaken for large straight hemostat”
  • c: Scissors action type (hinged) grasping and holding
41
Q

difference between ALLIS and KOCHER tips?

A

L=Kocher large sharp tips,

R=Allis multiple fine tips)

42
Q

what is this?

A
  • Allis Grasping Forceps** – **small, fine teeth
43
Q

what is this?

A
  • KOCHER Grasping Forceps
  • large sharp tooth on either side**, traumatic, **“often mistaken for large straight hemostat”
44
Q

use of clamping instruments?

A
  • instruments which clamp and occlude to apply pressure
45
Q

purpose of HEMOSTATIC FORCEPS?

A
  • (hemostats, stats) –
  • used to occlude blood vessels
46
Q

What are the 2 categories of hemostats?

A

straight, and

curved

47
Q

name (TOP)

use

classification

A
  • n: Straight Kelly
  • u: serrations ½ way on blade; used to occlude blood vessels
  • c: hemostatic forceps; clamping instruments
48
Q

name (BOTTOM)

use

classification

A
  • n: Straight Mosquito
  • u: serrations all the way on blade, smaller stat
  • c: hemostatic forceps; clamping instruments
49
Q

name

use

classification

A
  • n: CURVED MOSQUITO
  • u: serrations all the way, smaller stat
  • c: hemostatic forceps
50
Q

name

use

classification

A
  • n: Curved Kelly
  • u: serrations ½ way on blade
  • c: hemostatic forceps
51
Q

retractor: use

A
  • instruments used to pull aside soft tissues, muscles or other structures for exposure to the surgical site
52
Q

what are the types of HANDHELD RETRACTORS?

A
  • Senn
  • Ragnell
  • Rake
  • Meyerding
  • Army-Navy
  • Malleable
53
Q

what is the purpose of HAND-HELD RETRACTORS?

A

fine sharp skin hooks, used to open up surgical fields so you can see what you’re doing

54
Q

name

use

classification

A
  • n: Senn Retractors (blunt or sharp)
  • u: right angle blade on one end, rake on the other end, rakes could be blunt of sharp
    • One of the tips has three sharp hooks, which allows fixating the tissues more precisely, and is mostly used to hold fat tissue
  • c: hand-held retractors
55
Q

name

use

classification

A
  • n: Ragnell Retractors
  • u: curved blades at both ends**, **smaller than Senn
  • c: handheld retractors
56
Q

name

use

classification

A
  • n: Rake Retractors
  • u: ends may be sharp or dull, not used very often
  • c: handheld retractors
57
Q

name

use

classification

A
  • n: Meyerding Retractors
  • u: blades on one end**, also called **finger retractors
  • c: handheld retractor
58
Q

name

use

classification

A
  • n: Army-Navy Retractors
  • u: blades on both ends, come in various sizes, also called US Army retractors), not used very often
  • c: handheld retractors
59
Q

name

use

classification

A
  • n: MALLEABLE
  • u: ribbon, bendable
    • used to retract deep wounds. May be bent to various shapes
  • c: malleable handheld retractor
60
Q

name

use

classification

A
  • n: Seaberger
  • u: – malleable on one end**, band on the other end, **fixed end
    • reflect and hold tissue around the corner of an exposed bone region
  • c: bendable handheld retractors
61
Q

name

use

classification

A
  • n: Weitlander Self-Retraining Retractor
  • u: sharp tips on end**, **used when no assistant is available to retract**, used for **bunions and soft tissue neuromas
  • c: bendable retractor
62
Q

why would you use a Weitlander Self-Retraining Retractor ?

A

used when no assistant is available to retract,

63
Q

use of elevator?

A

instrument inserted under a structure to lift or elevate the structure

64
Q

what are the 2 types of elevators?

A

Freer Periosteal

Sayer

65
Q

name

use

classification

A
  • n: Freer Periosteal Elevator
  • u: used to elevate the nail/periosteum**, **“looks like a rasp but don’t have bone files on end”
  • c: ELEVATOR
66
Q

name

use

classification

A
  • n: Sayer Elevator
  • u: used to elevate large bone, bunion
  • c: ELEVATOR
67
Q

suturing and stapling:

use

A

instruments used to facilitate the placement of materials used in wound repair and/or tissue approximation

68
Q

name

use

classification

A
  • n: Needleholder (Needledriver)
  • u: used to hold needle for suturing**, **“can be mistaken or hemostat”
  • c: suturing and stapling
69
Q

suctioning or aspirating:

use

A

the removal of blood, bodily fluids, tissue and/or irrigating solutions from the surgical site using mechanical suction or manual aspiration

70
Q

name

use

classification

A
  • n: Frazier Suction Tip
  • u: used to remove fluid (blood) from the surgical site, helps keep the field dry for better exposure
  • c: suctioning or aspirating
71
Q

what are the accessory instruments discussed in class?

A
  • k-wire/ pin cutter
  • english anvil nail splitter
  • pliers
  • towel clamps

(mnemonic: “KEPT”) accessory instruments are KEPT handy

72
Q

name

use

classification

A
  • n: TOWEL CLAMPS
  • u: used to hold towels or drapes on the sterile field, not used often
  • c: ACCESSORY
73
Q

name

use

classification

A
  • n: English Anvil Nail Splitter
  • u: used for total nail avulsions**, **“easily mistaken for bone cutter”
  • c: ACCESSORY
74
Q

name

use

classification

A
  • n: Pliers
  • u: needle-nosed pliers, K-wire bender
  • c: ACCESSORY instruments
75
Q

name

use

classification

A
  • n: K-wire/pin cutter
  • u: cuts K-wires and Steinmann pins
  • c: ACCESSORY instrument
76
Q

name

use

classification

A
  • n: Lister bandage scissors
  • u: cutting bandages, cutting down drapes after surgery
  • c: scissors

OR Protocol (5 decks)

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