Instrumentation Flashcards
What can you use a needle holder for?
Attaching blades to a scalpel To grasp suture needle Knot tying
What are the types of scissors used and what do they look like?
A) Mayo scissors: broader blade, better for cutting thick tissues. B) Metzenbaum scissors: leaner, narrow, ideal for delicate/blunt dissection C) Littauer suture scissors: removes sutures, has a dent in the tips.
What are haemostats? what are they else known as? purpose?
They are artery forceps which are used to occlude a blood vessel. They can be straight or curved.
What are examples of haemostats? describe each
A) Kelly forceps: horizontal serrations across half the length of the jaw B) Crile forceps: horizontal serrations across full width of the jaw C) Mosquito forceps: horizontal serrations across full width of jaw but is smaller D) Rochester caramalt: longitudinal serrations with cross hatching at the top
What are the types of needle holders?
A) Mayo-hegar: easy to use, self retaining, no scissor action B) Olsen-hegar: require experience, self retaining, has scissor action, more pointed C) Gillies: not self retaining, needle holder & suture scissors D) MacPhail: ratchet lock at proximal ends E) Castroviejo: ophthalmic needle holders, catch rather than a ratchet.
What are examples of traumatic thumb forceps?
A) Rat tooth forceps: Has two teeth on top of one side and one tooth on top of the other side B) Brown adson: serrations vertically in two lines and a ventral groove in the middle C) Adson: small pinchers at the top
What are examples of atraumatic thumb forceps?
A) DeBakey: serrated end, delicate tip B) Dressing thumb forceps
What are examples of tissue forceps?
A) Allis: traumatic due to crushing action, only used on skin that is to be excised B) Babcock: less traumatic, smoother grasping surface C) Doyen bowel clamps: longitudinal lines, used to separate a section of devitalised tissue
What are the different suction tips?
A) Poole tip: for larger vols of fluid i.e abdomen B) Yankauer tip: for small vols of fluid C) Frazier tip: small cavities, orthopaedic/neuro procedures.
Mayo scissors
Metzenbaum scissors
olsen hegar needle holder
Mayo hegar needle holder
Gillies needle holder
MacPhail needle holder