Common surgical instruments Flashcards
What are scalpel blades used for?
For surgical incision, allowing for effective first intention healing
What are the different sizes of scalpel handles?
Handles may be 3 filament or 4 filament
What size blades does a 3 filament scalpel handle fit?
Sizes 10, 11, 12, and 15
What size blades does a 4 filament scalpel handle fit?
Sizes 20-25
What is specific about a size 11 blade?
It is a tenotomy blade, specifically for surgical division of a tendon
What are some types of surgical scissors?
Mayos, Metzenbaums, dissecting, Vigo
Describe Mayo scissors
Used for blunt dissection of fibrous tissue such as muscle. They may be curved or straight
Describe Metzenbaum scissors
Used for dissection of delicate tissue. May be curved or straight
Describe dissecting scissors
Have a sharp, pointed end.
What are strabismus scissors?
A type of ophthalmic scissors with a sharp pointed end
Define STRABISMUS
A condition in which the eyes do not properly align with one another when looking at an object
Describe Vigo scissors
These have one blunt and one sharp end
How many types of non-surgical scissors are there?
There are 6 types of non surgical scissors
List the types of non surgical scissors
Heaths, Littaeur, nursing, Lister, Carless, Paynes
Describe Heath’s suture scissors
Non surgical scissors for stitch cutting or removing sutures
Describe Littauer scissors
Non surgical scissors for suture removal
Describe general nursing scissors
General nursing scissors
Describe Lister bandaging scissors
None surgical scissors. Have a bulge on one end specifically designed for cutting through layers of bandage
Describe Carless scissors
Non surgical scissors for suture removal
Describe Payne’s scissors
Non surgical scissors for suture removal
What is the function of tissue forceps?
To hold tissue out of the way, e.g. during abdominal surgery. They are designed to act with minimal trauma to tissue
What are the two main types of tissue forceps?
Babcock tissue forceps and Allis tissue forceps
Describe Allis tissue forceps
Tissue forceps that have two slightly serrated jaws that come together completely
Describe Babcock tissue forceps
Tissue forceps that are atraumatic - they do not have teeth
What is the function of dissecting forceps?
Used to pick up tissue, often in combination with a needle when stitching. They have spring action and may be plain (atraumatic) or rat toothed (traumatic)
How should dissecting forceps be held?
Like a pencil
What is the difference between rat tooth and plain dissecting forceps?
A rat tooth end is traumatic whereas a plain end is atraumatic
What are the different types of dissecting forceps?
Lanes, Treves, Bendovers, DeBakeys, Adson Browns
Describe Lanes forceps
Usually used during robust dissection. Have a serrated end to provide good grip
Describe Treves forceps
Treves Dissecting Forceps are versatile surgical instruments used primarily for tissue manipulation and delicate dissection in various surgical procedures. They are characterised by their fine, pointed tips and serrated jaws, making them suitable for precise and controlled tasks.
Describe Bendovers forceps
Dissecting forceps that have a completely smooth, rounded end
Describe DeBakey forceps
These never have a rat tooth, and are therefore very atraumatic. Usually longer than other types of dissecting forceps and used for vascular surgeries
Describe Adson Brownes forceps
Used for holding very delicate structures. Has a very tapered end (looks like a bottle nose dolphin). The blades may be rat tooth or plain
What is the function of spay forceps and hooks?
Both used for holding the uterus during an ovariohysterectomy
Describe spay forceps
Long forceps, with a narrow end that ends in a point. Used for holding the uterus during an ovariohysterectomy
Describe spay hooks
A round end hook at the end of a straight, stainless steel bar. Used to hold the uterus during an ovariohysterectomy
What is the function of haemostat forceps?
Used to stop bleeding by clamping blood vessels closed. May be straight or curved and vary in size - type of forceps needed changes depending on the anatomy being worked on
What are some types of haemostat forceps?
Spencer Wells, Angiotribes, Rochester Peans, Kocher-Ochsners
Describe Spencer Wells forceps
Haemostat forceps. They have short, serrated jaws capable of totally sealing small blood vessels.
Describe Rochester Pean forceps
Haemostat forceps. Used for clamping and controlling large vessels. Can also be used for intestinal clamps