Common Surgical Instruments Flashcards
Identify #1

Jaws

Identify #2

Joint

Identify #3

Shank

Identify #4

Ratchet

Identify #5

Ring
Identify #6

Jaw Insert
2 types of crushing tissue forceps
babcock tissue forceps
3 types of hemostatic forceps
rochester carmalt forceps
kelly hemostatic forceps
halsted mosquito forceps
how should tissue forceps be placed
tissues should be clamped with serrated portion of jaws
curved forceps - should point out of body cavity/away fron patient (tips up)
forceps should not be used as a substitute for tissue retractor
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Allis tissue Forceps
- should only be used on tissues to be discarded due to crushing effects of tips*
- frequently used for positioning of suction tubing and electrocautery wire on patient drape*
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Babcock tissue forceps
- less traumatic than Allis tissue forceps*
- used to help grasp and retract robust soft tissues (stomach, bladder)*
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Straight Doyen Intestinal Tissue Forceps
used for intestinal lumen occlusion (enterotomies, resection and anastomosis)
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Straight Rochester-Carmalt Hemostatic Forceps
designed for jaw clamping, clamping pedicles/tissue
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Straight and Curved Kelly Hemostatic Forceps
- tip clamping of small to medium vessels; carmalt > kelly > mosquito*
- “Kelly is a tease, she doesn’t go all the way”*
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Straight and Curved Halsted Mosquito Hemostatic Forceps
tip clamping of small vessels
4 types of thumb forceps
brown-adson forceps
adson forceps
DeBakey forceps
Bishop- Harmon forceps
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Brown Adson Tissue Forceps
general tissue handling bu serrated teeth can crush tissue
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Adson Tissue Forceps
- less crush injury than with brown-adson, poor grip of fat or friable tissues*
- “rat toothed forceps”*
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DeBakey Tissue Forceps
most frequently used thumb forceps, less traumatic than brown-adson
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Bishop-Harmon Forceps
used to grasp tissue in ophthalmologic surgery
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Bard-Parker #3 scalpel handle
most common, measurement scale on handle, accepts 10, 11, 12, & 15 blades
10 blade
most widely used
long flat blade used for making longer incisions

11 blade
used for sharp penetration of hollow organs or for percision cutting
excision of cranial cruciate remnant or meniscal release

12 blade
used for onychectomy in cats

15 blade
occasionally used for SQ or fascial incisions

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Beaver Blade Scalpel Handle
blades: 62, 64, 65, 67; pencil grip at all times, intraocular surgery, intra-articular structures
5 types of surgical scissors
mayo scissors
metzenbaum scissors
stevens tenotomy scissors
spencer stitch scissors
vernon cartikage and wire scissors
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Straight Mayo Dissecting Scissors
- thick blades; used to incise dense tissue (fascia, linea, alba, trimming skin)*
- “Mayo makes you fat”*
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Straight Metzenbaum Scissors
thin delicate blade, used to incise soft tissues (SQ, intestine, bladder, etc)
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Stevens Tenotomy Scissors
narrow, delicate tipped precision scissors; precision cutting (ophthalmic and urologic surgery)
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Spencer Stitch Scissors
post-op suture removal
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Vernon Cartilage and Wire Scissors
- incise thick, though tissue & orthopedic wire*
- can be used to cut suture inta-operatively*
4 types of needle holders
mayo-hegar needle holders
olsen-hegar needle holders
castroviejo needle holders
derf needle holders
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Mayo-Hegar Needle Holders
size of driver jaws should match needle size
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Olsen-Hegar Needle Holders
combined needle driver/scissor
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Derf Needle Holders
ophthalmic needle drivers
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Castroviejo Needle Holders
microsurgery needle driver, ophthalmic and vascular surgery
4 types of self-retaining retractors
balfour retractors
finochietto retractors
gelpi retractor
weitlaner retractor
hand-held retractors
army-navy retractor
malleable retractor
hohmann retractor
senn retractor
snook hook/ spay hook
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Balfour Retractor
retract abdominal wall laterally, central bladder blade used to retract rib cage cranially
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Finochietto Retractor
adjustable rib retractor
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Gelpi Retractor
ring retractor with self-retaining ratchet, retraction of solf tissues
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Weitlaner Retractor
ringed retracotor with self-retaining ratchet, retract soft tissue in a small superficial incision
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Army Navy Retractor
double ended blunt retractor, soft tissue and orthopedic surgery, typically used by assistant
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malleable Retractor
can be bent at various angles, retract viscera in abdominal and thoracic surgery
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Hohmann Retractor
lever muscle and soft tissue away from surgical field and bone during ortho sx
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Senn Retractor
double ended retractor, used for both soft tissue and orthopedic surgery
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Snook Hook/Spay Hook
used to blindly hook the uterine horn/mesometrium during OHE, can be used to retract thin layers of superficial tissue
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Kern Borne Holding Forceps
grip and manipulate bone during fracture reduction and repair
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Speed Lock Bone Holding Forceps
used to grip and manipulate bone during fracture reduction and repair
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Jacob’s Chuck
used to drive IM pins and K wires during orthopedic surgery
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Mallet
used to advance an osteotome for precise osteotomies
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Chisel and Osteotome
- osteotome bevelled on both sides, chisel bevelled on one side*
- osteotome more commonly used, used to create osteotomy in numberous procedures*

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Periosteal Elevator
reflect muscle and soft tissue from bone
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Freer Periosteal Elevator
small periosteal elevator, double ended, standard in every ortho surgery pack
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Lempert Rongeur
used to remove small fragments of bone or prepare bone for grafting
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Barraquer Eyelid Speculum
used to hold eyelids open during enucleations, surgery of cornea and third eyelid
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Jaeger Eyelid Plate
protect globe when making incisions into the eyelid
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Backhaus Towel Clamp
hold quarter draps or huck towels to patient skin
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Poole Suction Tip
suction large amount of fluid from body cavity
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Frazier Suction Tip
removal of small amounts of fluid from surgical field, most used for orthopedic and neurologic surgery
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Wing Tipped Dental Elevator
used to sever peridontal ligament by rotating around tooth
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Wedge Tipped Dental Elevators
luxators, used to weaken peridontal ligament and luxate tooth for extraction
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Curette
subgingival cleansing, root planing and curettage
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Scaler
removes dental deposits from above gumline
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Extraction Forceps
used to grasp loose/luxated teeth for extraction
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Calculus removal forceps
remove large pieces of calculi prior to scaling
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Dental Explorer
increases tactile sensation for detecting areas of enamel decay
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Periodontal Probe
used to measure pocket depths around tooth