Chapter 12: Instrumentation Flashcards by Charlotte Doyle

What are the two types of DeBakey instruments?

1) non crushing forceps
2) thumb forceps

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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

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What are (4) different types of rongeurs?

Stille-Luer (double hinge, bigger)
Ruskin (double hinge, smaller)
Lempert (classical)
Kerrison

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What 4 blades fit a #3 scalpel handle?

10, 11, 12, 15

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What 4 blades fit a #4 scalpel handle?

20, 21, 22, 23

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What are the 7 parts of the “anatomy” of a surgical instrument?

Tips
Jaws
Box-lock pin
Box-lock
Shank
Ratchet
Ring handle

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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

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Name these 3 scissors:

A: curved Mayo
B: curved Metzenbaums
C: Operating or “Utility” scissors

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Name these scissors:

Wescott scissors (spring-handled tenotomy scissors for ophtho procedures)

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Name these scissors:

Potts-Smith scissors (for cardiovascular procedures)

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Name these scissors:

Wire cutting scissors for cutting steel in ortho procedures. They have either:
A: Serrated cutting edges
B: The notch

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Name these (4) rongeurs:

A: Stille-Luer
B: Ruskin
C: Lempert
D: Kerrison

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Name these (4) periosteal elevators:

A: Freer
B: Sayre
C: ASIF (AO)
D: Langenbeck

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Name these three instruments:

A: Bone chisel (single bevel)
B: Osteotome (double beveled)
C: Gouge

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Name these three instruments:

D: Handles and gigli wire / saw
E: Bone cutting forceps (note paired, chisel-tips)
F: Trephine

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Name these needle holders:

A: Mayo-Hegar
B: Olson-Hegar (has scissor)

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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