4- Surgical Instruments

Question 1

What are the different types of needle drivers?

Answer 1

Mayo, Webster

Question 2

What size scalpel blade is used for skin incisions?

Answer 2

10 blade

(20 blade is similar but larger)

Question 3

What size scalpel blade is used to open vessels and make stab incisions?

Answer 3

11 blade

Question 4

What size scalpel blade is used for small, precise incisions?

Answer 4

15 blade

Question 5

What type of scissors are multi-purpose, have blunt rounded tips, and can be straight or curved?

Answer 5

Mayo scissors

Question 6

What is the use of straight Mayo scissors?

Answer 6

“Suture scissors”

Cut suture, superficial tissues, fascia

Question 7

What is the use of curved Mayo scissors?

Answer 7

Tendons, ligaments, muscle, heavy tissue

Question 8

What is the use for Metzenbaum (“Metz”) scissors?

Answer 8

Blunt dissection or cutting delicate tissues

NOT suture

Question 9

What is the use for bandage scissors/ trauma shears?

Answer 9

Cut heavy non-tissue materials

Question 10

What is the use for forceps and what are the different types?

Answer 10

Grasp, hold firmly, or exert traction upon tissue/ material

Types: thumb forceps/ pickups, locking forceps/ clamps

Question 11

What is the use for DeBakey forceps? (3)

(can be angled or straight)

Answer 11

Atraumatic

Grasp fine tissue/ blood vessels

Soft tissue dissection

Question 12

How are Adson forceps differentiated/ what is their use?

Answer 12

Differentiated by inner tips

Adson w/ teeth- grasp skin edges when suturing/ stapling

Adson w/o teeth- grasp delicate tissues

Adson-Brown- grasp delicate tissues, skin closure

Question 13

What is the use for tissue forceps w/ teeth aka “rat tooth forceps”?

Answer 13

Grasp heavier tissue for manipulation/ retraction

Question 14

What is the use for Russian forceps? (2)

Answer 14

Grasp dense tissue

Hold tissue during wound debridement/ closure

Question 15

What forceps have the smallest to largest tips? (3)

Answer 15

1. Mosquito = smallest
2. Hemostat (Crile forceps)
3. Kelly = largest

Question 16

What is the use for Mosquito forceps? (3)

Answer 16

Clamp vessels

Grasp bleeding tissue

Suture- ligate vessel

Question 17

What is the use for a hemostat (Crile forceps)? (3)

(aka “stat”, “snap”, “tag”)

Answer 17

Clamp vessels

Grasp bleeding tissue

Suture-ligate vessel

Question 18

What is the use for Kelly forceps? (3)

Answer 18

Clamping large blood vessels

Manipulating heavy tissue

Soft tissue dissection

Question 19

What are the uses for tonsil forceps? (3)

(have small curve)

Answer 19

Passing ties

As a dissector when adding sponge ball to tips

Tunneling for drain placement

Question 20

What is the use for right angle forceps? (2)

Answer 20

Clamp hard-to-reach vessels/ place sutures behind/ around a vessel

“Tie on a passer”- right angle w/ tie clamped in tip

Question 21

What are the uses for ring forceps? (2)

(aka sponge forceps, sponge stick)

Answer 21

Folded sponge in jaws to retract tissue and absorb fluids

Tissue removal

Question 22

What is the use for Babcock forceps? (2)

(aka tissue holding forceps)

Answer 22

Hold tubular organs

Hold stomach, bladder, appendix

Question 23

What is the use for Kocher forceps? (3)

Answer 23

Traumatic

• Hemostasis
• Hold tough cartilage
• Hold ribs during rib resection

Question 24

What is the use for Rochester Peon Clamp (aka large Kelly)? (2)

Answer 24

Traumatic

• Mesenteric hemostasis
• Chest tube insertion

Question 25

What is the use for Allis forceps? (2)

Answer 25

Traumatic - Hold tough structures - Grasp tissue that will be removed

Question 26

What is the use of penetrating towel clips? (2)

Answer 26

Traumatic - Clamp towels together - Clamp tissue for manipulation and removal

Question 27

What is the caution with penetrating towel clips?

Answer 27

Will pierce drapes, gloves, fingers

Question 28

What is the use for non-penetrating towel clips? (2)

Answer 28

Clamp drapes/ towels together Clamp items to drape

Question 29

What is the difference between the Weitlaner and Gelpi self-retaining retractors?

Answer 29

Weitlaner- sharp or dull tips, multiple tines Gelpi- sharp tips, single tine

Question 30

What type of retractors can be used for shallow, superficial retraction?

Answer 30

Army navy retractor Goulet retractor

Question 31

What type of retractor is common is most specialties, used to retract various tissues, and comes in small or large?

Answer 31

Richardson retractor (aka "big rich" or "baby rich")

Question 32

What type of retractors bend in shape, are often used in abdomen and chest, and have many widths available?

Answer 32

Malleable/ ribbon retractors

Question 33

What type of retractor is used in deep incicions, has a variety of widths, and does not bend?

Answer 33

Dever

Question 34

What is the use for rakes?

Answer 34

Elevating subcutaneous tissue, broad surfaces, and edges?

Question 35

What is the use for electrosurgery ("Bovie")? (monopolar and bipolar)

Answer 35

Cut, coagulate, desiccate, destroy tissue

Question 36

Irrigation is usually saline, and can be warm, room temp, cold, or icy. What is the use for a bulb syringe vs a pitcher pour?

Answer 36

Bulb syringe- irrigate wounds, wet hands for suture tying Pitcher pour- "washout"

Question 37

What is the difference between Yankauer, Poole, and Frazier suction?

Answer 37

Yankauer- general multi-purpose suction tip Poole- good for large volume Frazier- very fine suction tip

Question 38

What instrument allows for both suction and irrigation?

Answer 38

Suction-irrigator

Question 39

What is important to know about sponges (aka Laps, RayTecs)?

Answer 39

Radiopaque material woven in COUNTED