4- Surgical Instruments Flashcards
What are the different types of needle drivers?
Mayo, Webster
What size scalpel blade is used for skin incisions?
10 blade
(20 blade is similar but larger)
What size scalpel blade is used to open vessels and make stab incisions?
11 blade
What size scalpel blade is used for small, precise incisions?
15 blade
What type of scissors are multi-purpose, have blunt rounded tips, and can be straight or curved?
Mayo scissors
What is the use of straight Mayo scissors?
“Suture scissors”
Cut suture, superficial tissues, fascia
What is the use of curved Mayo scissors?
Tendons, ligaments, muscle, heavy tissue
What is the use for Metzenbaum (“Metz”) scissors?
Blunt dissection or cutting delicate tissues
NOT suture
What is the use for bandage scissors/ trauma shears?
Cut heavy non-tissue materials
What is the use for forceps and what are the different types?
Grasp, hold firmly, or exert traction upon tissue/ material
Types: thumb forceps/ pickups, locking forceps/ clamps
What is the use for DeBakey forceps? (3)
(can be angled or straight)
Atraumatic
Grasp fine tissue/ blood vessels
Soft tissue dissection
How are Adson forceps differentiated/ what is their use?
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
What is the use for tissue forceps w/ teeth aka “rat tooth forceps”?
Grasp heavier tissue for manipulation/ retraction
What is the use for Russian forceps? (2)
Grasp dense tissue
Hold tissue during wound debridement/ closure
What forceps have the smallest to largest tips? (3)
- Mosquito = smallest
- Hemostat (Crile forceps)
- Kelly = largest
What is the use for Mosquito forceps? (3)
Clamp vessels
Grasp bleeding tissue
Suture- ligate vessel
What is the use for a hemostat (Crile forceps)? (3)
(aka “stat”, “snap”, “tag”)
Clamp vessels
Grasp bleeding tissue
Suture-ligate vessel
What is the use for Kelly forceps? (3)
Clamping large blood vessels
Manipulating heavy tissue
Soft tissue dissection
What are the uses for tonsil forceps? (3)
(have small curve)
Passing ties
As a dissector when adding sponge ball to tips
Tunneling for drain placement
What is the use for right angle forceps? (2)
Clamp hard-to-reach vessels/ place sutures behind/ around a vessel
“Tie on a passer”- right angle w/ tie clamped in tip
What are the uses for ring forceps? (2)
(aka sponge forceps, sponge stick)
Folded sponge in jaws to retract tissue and absorb fluids
Tissue removal
What is the use for Babcock forceps? (2)
(aka tissue holding forceps)
Hold tubular organs
Hold stomach, bladder, appendix
What is the use for Kocher forceps? (3)
Traumatic
- Hemostasis
- Hold tough cartilage
- Hold ribs during rib resection
What is the use for Rochester Peon Clamp (aka large Kelly)? (2)
Traumatic
- Mesenteric hemostasis
- Chest tube insertion
What is the use for Allis forceps? (2)
Traumatic
- Hold tough structures
- Grasp tissue that will be removed
What is the use of penetrating towel clips? (2)
Traumatic
- Clamp towels together
- Clamp tissue for manipulation and removal
What is the caution with penetrating towel clips?
Will pierce drapes, gloves, fingers
What is the use for non-penetrating towel clips? (2)
Clamp drapes/ towels together
Clamp items to drape
What is the difference between the Weitlaner and Gelpi self-retaining retractors?
Weitlaner- sharp or dull tips, multiple tines
Gelpi- sharp tips, single tine
What type of retractors can be used for shallow, superficial retraction?
Army navy retractor
Goulet retractor
What type of retractor is common is most specialties, used to retract various tissues, and comes in small or large?
Richardson retractor
(aka “big rich” or “baby rich”)
What type of retractors bend in shape, are often used in abdomen and chest, and have many widths available?
Malleable/ ribbon retractors
What type of retractor is used in deep incicions, has a variety of widths, and does not bend?
Dever
What is the use for rakes?
Elevating subcutaneous tissue, broad surfaces, and edges?
What is the use for electrosurgery (“Bovie”)?
(monopolar and bipolar)
Cut, coagulate, desiccate, destroy tissue
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?
Bulb syringe- irrigate wounds, wet hands for suture tying
Pitcher pour- “washout”
What is the difference between Yankauer, Poole, and Frazier suction?
Yankauer- general multi-purpose suction tip
Poole- good for large volume
Frazier- very fine suction tip
What instrument allows for both suction and irrigation?
Suction-irrigator
What is important to know about sponges (aka Laps, RayTecs)?
Radiopaque material woven in
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