Chapter 12: Instrumentation Flashcards
What are the two types of DeBakey instruments?
1) non crushing forceps
2) thumb forceps
What are (5) different bone-holding forceps?
1) Kern
2) Lane
3) Verbrugge
4) reduction forceps with speed lock (screw and nut)
5) reduction forceps with ratchet
What are (4) different types of rongeurs?
Stille-Luer (double hinge, bigger)
Ruskin (double hinge, smaller)
Lempert (classical)
Kerrison
What 4 blades fit a #3 scalpel handle?
10, 11, 12, 15
What 4 blades fit a #4 scalpel handle?
20, 21, 22, 23
What are the 7 parts of the “anatomy” of a surgical instrument?
Tips
Jaws
Box-lock pin
Box-lock
Shank
Ratchet
Ring handle
What is the instrument in this picture and what are the two blade sizes pictured?
Beaver surgical knife handle with a #64 (bottom) and #67 (top) blade
Used in ophtho surgery
Name these 3 scissors:
A: curved Mayo
B: curved Metzenbaums
C: Operating or “Utility” scissors
Name these scissors:
Wescott scissors (spring-handled tenotomy scissors for ophtho procedures)
Name these scissors:
Potts-Smith scissors (for cardiovascular procedures)
Name these scissors:
Wire cutting scissors for cutting steel in ortho procedures. They have either:
A: Serrated cutting edges
B: The notch
Name these (4) rongeurs:
A: Stille-Luer
B: Ruskin
C: Lempert
D: Kerrison
Name these (4) periosteal elevators:
A: Freer
B: Sayre
C: ASIF (AO)
D: Langenbeck
Name these three instruments:
A: Bone chisel (single bevel)
B: Osteotome (double beveled)
C: Gouge
Name these three instruments:
D: Handles and gigli wire / saw
E: Bone cutting forceps (note paired, chisel-tips)
F: Trephine
Name these needle holders:
A: Mayo-Hegar
B: Olson-Hegar (has scissor)
What are these?
Castroviejo needle holders for ophtho procedures (spring-handled)
Name these (4) crushing forceps:
A: Right angle
B: Babcock
C: Allis
D: Ochsner-Kocher
Name these (3) non-crushing forceps?
A: Doyen intestinal
B: DeBakey
C: Satinsky
*don’t forget that vascular clamps are non-crush too (Bulldog) as are Cooley
What are these two non-crushing forceps patterns?
A: DeBakey
B: Cooley
What are these three common hemostatic forceps?
A: Halsted mosquito
B: Kelly
C: Crile
*All have transverse serrations for tip clamping
What are these forceps?
Rochester-Carmalt, has longitudinally-oriented serrations intended for jaw-clamping (pedicle grasping)
Name these thumb forceps:
A: Brown-Adson
B: DeBakey
C: Dressing
D: Adson
Name these two types of towel clamp:
A: Lorna (non-penetrating)
B: Backhaus (penetrating)
Name these five bone-holding forceps:
A: Kern
B: Lane
C: Verbrugge
D: Reduction with speed-lock
E: Reduction with ratchet
Name these three hand-held retractors:
A: Malleable
B: Hohmann
C: Spay (Snook) hook
What is a part of the Balfour self-retaining retractors that we don’t use in vet med?
The bladder blade (pediatric shown)
These three retractors are what type? Name them:
Self-retaining retractors.
A: Gelpi
B: Weitlaner
C: Ring retractor
Name these scissors:
A: Lister bandage scissors
B: Spencer stitch scissors
Name these four microsurgical instruments:
A: Jeweler’s forceps
B: Vessel dilators
C: Dissecting forceps
D: Tying forceps
What is this?
A microsurgical clamp
What is this?
An Alm microsurgical retractor
What are these?
Nonlocking microsurgical needle holders
What is this?
Microsurgical scissors
What is this?
A Jacobs hand chuck and key
What are these three suction tips called?
A: Poole, for cavities/large volume
B: Frazier, for pin point
C: Yankauer
*Suction gets contaminated often
What are these?
Finochietto retractors (chest wall)
What are these?
Alligator forceps (good for retrieving fragments from deep holes)
Name these two double-ended retractors:
A: Senn
B: Army-Navy
What are these:
Variously sized curettes.
What are the two types of corrosion (not rust)?
What can a single rusty instrument do?
Pitting - pinprick holes from chlorides (saline, blood, fresh water)
Fretting - discoloration on a friction surface of the passive layer
A single rusty instrument can corrode a whole tray - clean and sterilize non-stainless instruments separately
What do you put on instruments after cleaning to condition them and decrease corrosion?
Instrument milk
