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Surgery > instruments > Flashcards

instruments Flashcards

1
Q

surgical team

A

-surgeon
-athletic trainer
-students residents/fellows
-registration/scheduling
-scrub tech
-device representative
-imaging staff
-other (admin, custodial)
-nursing
-anesthesia
-PA

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2
Q

classification of the instruments

A

-cutting and dissecting
-grasping and holding
-clamping and occluding
-exposing and retracting
-suturing and stapling
-viewing
-suctioning
-dilating and probing
-measuring
-microinstruments
-powered instruments

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3
Q

barred parker handles

A

-come in a size 3, 4, or 7
-3 and 4 are MC
-7 is used for deep structures (longer handle)
-handle for scalpel blades

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4
Q

scalpel blades

A

-blades that start with 1 will fit a 3 or 7 handle
-blades that start with 2 will fit a 4 handle

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5
Q

MC blades (10, 15, 11)

A

-10- skin incisions
-15- shallow incisions
-11- puncture/drainage, tiny deep incisions -> central/arterial lines

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6
Q

straight scissors

A

-cutting sutures 99% of time
-drains
-dressings

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7
Q

bandage/dressing scissors

A

-cutting bandages
-cut clothes on trauma pts

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8
Q

curved mayo scissors

A

-cut deeper heavy tissue
-ex. rectus sheath, muscle, uterus, breast
-inserted closed initially and then opened when dissecting tissue

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9
Q

metzenbaum scissors

A

-cut tissue
-curved
-blunt end
-blunt dissection
-can be used deep

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10
Q

tenotomy scissors

A

-ophthalmic and neurosurgical use
-lateral canthotomy

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11
Q

iris scissors

A

-ophthalmic use
-can cut tarsal plate

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12
Q

ronguer

A

-cut bone
-shape bone

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13
Q

ostetome

A

-cuts bone
-like a chisel but its beveled on both sides
-reshapes

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14
Q

curette

A

-scoops out tissues
-curettage of bone
-ex. melanoma

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15
Q

freer elevator

A

-used when working on the periosteum
-removes periosteum in areas of fracture

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16
Q

rasp

A

-reshapes and reforms bones
-used for deformities caused by fractures

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17
Q

kocher forceps

A

-holding tissue to be removed
-has a single and double tooth
-will damage tissue -> used on tissue that will be removed -> ex. gallbladder
-comes in different lengths

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18
Q

allis forceps

A

-hold or grasp heavy tissue to be removed
-ex. fascia
-teeth are serrated

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19
Q

babcock forceps

A

-smooth edges for grasping
-less traumatic grasping
-grasp delicate structures
-ex. fallopian tube, ureter, vas deferens, ovaries, appendix, small bowel

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20
Q

sponge stick forceps

A

-cleaning the skin with swab dipped in antiseptic
-scrub nurse holds the gauze pads in here
-deep areas to enhance visualization

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21
Q

backhaus towel clip

A

-fixing drapes to the skin
-secure towels
-sharp
-can use on bones to hold together bc of sharp edges

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22
Q

adsons forceps

A

-grasps tissue
-gentle
-plastic surgeons
-does not damage tissue

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23
Q

tissue forceps (toothed)

A

-used subcuticularly so you dont damage the skin
-can damage tissue
-holding tissue during wound closure

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24
Q

ferris smith forcep

A

-use with fibrous tissue
-colon tissue
-toothed
-there is an area of the forcep with less serrations that cause less damage

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25
Q

debakey forceps

A

-atraumatic vascular forcep
-doesnt damage artery or vein
-coronary bypass

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26
Q

russians forceps

A

-atraumatic dissection
-wide clamp
-doesnt damage

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27
Q

anatomy of a clamp

A

-ratchet- keeps the clamp closed
-shank is the long shaft part
-box lock- intersection
-jaws- before the tip
-tip
-ring handles
-size varies

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28
Q

mosquito clamp

A

-used to tie of bleeding vessels
-you can cauterize through this clamp by touching it to a bovie
-ligature
-small

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29
Q

crile clamp

A

-for cauterization of ligation
-larger than mosquito

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30
Q

right angle clamp

A

-for vascular surgery
-pass ligatures around vessels
-tissue dissection by opening and closing (spread)

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31
Q

self retractor

A

-retract shallow incisions

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32
Q

harrington retractor

A

-retracting deep intra abdominal visceral organs during cholecystectomy, hysterectomy
-longer

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33
Q

morris retractor

A

-retracting strong structures like abdominal wall and muscles

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34
Q

senn retractor

A

-retracting superficial wound edges
-hand, plastic, foot surgery

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35
Q

langenbachs retractors

A

-providing better visualization of operative field and minimizing tissue handling

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36
Q

deavers retractor

A

-retracting deep wound edges during gastrectomy, cholecystectomy, kidney operations, etc.
-common
-if used superficially you dont need to stand there holding it

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37
Q

czerney’s rectractor

A

-superficial retraction of skin incision during laparotomy

38
Q

kelly retractor

A

-for wound exposure

39
Q

kelly clamp

A

-everywhere with many uses
-deep procedures
-chest tubes
-holds vascular structures
-bigger

40
Q

tonsil clamp

A

tonsillectomy
-can also pass surgical ties -> pass suture material under clamped structure and tie surgical knott
-can use in deeper procedures

41
Q

pean clamp

A

-hemostasis
-curved
-can pass ligatures and ties under to tie
-easier bc its curved
-small

42
Q

bowel clamp

A

-non crushing
-bowel resection
-doesnt damage or crush bowel

43
Q

vascular clamp

A

-non crushing
-atraumatic clamp
-anastomosis
-dissections

44
Q

bulldog clamp

A

-non crushing
-used in open heart surgery for coronary artery- stops bleeding locally while performing anastomosis
-precise blood flow control

45
Q

skin hooks

A

-apply to skin border to pull skin back
-see structures that are superficial

46
Q

cushing vein retractor

A

-neurosurgery
-gentle
-doesnt damage brain

47
Q

volkman retractor

A

-skin, ribs, other tissues
-lifts out of way
-pulls and lifts tissue away

48
Q

army-navy retractor

A

-retraction of small shallow incisions
-common
-two L shaped sides
-expose structures
-ex. carotid artery plaque removal

49
Q

malleable (ribbon) retractor

A

-movable
-can be put in the wound while suturing to protect the bowel from being poked
-protects
-take it out after
-without this a fistula can form

50
Q

richardson retractor

A

-retraction in chest or abdomen

51
Q

weitlander retractor

A

-ratchet retractor
-self locking mechanism
-cork screw appearance

52
Q

cerebellar retractor

A

-locking mechanism
-neurosurgical procedures

53
Q

gelpi retractor

A

-opens up wounds
-self retractor
-two sharp ends on each side

54
Q

balfour

A

-large abdominal operations
-laparotomy pads keep abdomen moist
-keeps itself in place

55
Q

bookwalter retractor

A

-self retaining
-retracts the entire abdomen in multiple areas
-bariatric surgery
-obese patients
-long periods of time

56
Q

webster needle holder

A

-suturing
-long deep suturing requiring force
-push the needle through the materials

57
Q

crile wood needle holder

A

-suturing
-small to medium sutures

58
Q

mayo hegar

A

-needle driver
-suturing
-very common
-versatile

59
Q

castroviejo

A

-suturing
-needle holder
-plastic and neurosurgery
-microsurgery

60
Q

skin stapler

A

-repair scalp laceration
-close abdominal wounds

61
Q

weck hemoclip applier

A

-apply small clips to the side
-can clamp a vessel on either side to obtain hemostasis

62
Q

ligaclip applier

A

-applies a ligature clip
-stops vessel from bleeding

63
Q

staplers

A

-avoid the need from anastomose
-bowel, L shaped, intraluminal
-expedite surgical procedure

64
Q

nasal speculum

A

-turbines
-deviated septum
-septalplasty
-rhinoplasty

65
Q

rectal speculums

A

-dilate rectum

66
Q

rigid endoscopes

A

-endoscopy

67
Q

laparoscopic trochars

A

-insert into abdomen
-insufulate
-CO2 to inflate and move abdominal wall away from bowel
-you can pop through bowel or aorta if not careful!
-left is right, right is left for laparoscopic surgery

68
Q

arthroscopy cannulas

A

-hemarthrosis - can drain the blood out
-arthrotomy
-knee

69
Q

cystoscopy sheaths

A

-in the urethra
-camera and light cord used to see into bladder
-tumors
-prostectomy

70
Q

flexible bronchoscope

A

-bronchoscopy
-suction in atelectasis
-biopsy

71
Q

flexible ureteroscope

A

-look inside uterus
-blockages
-lesions
-biopsy

72
Q

yankauer catheter and tubing

A

-major airway adjunct
-at every bedside in ICU and every operation room
-suctions particulate matter
-large and rapid

73
Q

frazier suction

A

-confined suction device
-surgery
-specific

74
Q

poole suction

A

-multiple openings
-can drain a lot of fluid quickly
-ascites
-abdomen
-trauma bleed

75
Q

hegar uterine dilators

A

-dilate cervix
-before you put in uterine sound

76
Q

sim uterine sound

A

-allow you to measure how deep the uterus is
-IUD placement

77
Q

urethral sounds

A

-men and women
-get past areas of strictures

78
Q

lacrimal duct probe

A

-lacrimal cystitis
-open the duct

79
Q

vascular tunnelers

A

-pass through the extremity to form a tunnel
-makes room for a graft to pass through
-for bypasses from the groin down

80
Q

surgical ruler

A

-stainless steel

81
Q

depth gauge

A

-measure how deep you are going to put a screw in for example or what size screw you want

82
Q

total hip trials set

A

-measure the size of the acetabulum

83
Q

microscissors

A

-plastics and neurosurgery
-microscopic repair of nerves

84
Q

bishop harman forceps

A

-ophthalmology
-microsurgery

85
Q

powered instrucments

A

-can be powered by battery, pneumatics, air pressure, electricity

86
Q

stryker system 5

A

-powered by pneumatics
-midas rex
-drill
-can control speed
-tubing

87
Q

arthroscopic shaver

A

-spin
-help clean out a joint

88
Q

jackson pratt drain or grenade drain

A

-drain from cavity or flap area

89
Q

rongeur

A

used to cut or remove small pieces of bone or tissue

90
Q

yankauer catheter

A

-can clear airway
-curved

Surgery (21 decks)

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