Instruments Flashcards

1
Q

What is the name of the instrument?

What tissues should it be used on?

A

Allis Tissue Forcep

Discarded tissue d/t crushing effect

Do not use on tissues submitted for histopath

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2
Q

What are the types of crushing tissue forceps?

A

Allis Tissue forceps

Babcock Forceps

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3
Q

What are the types of non-crushing tissue forceps?

A

Doyen intestinal forceps

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4
Q

Name the instrument

A

Babcock tissue forceps

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5
Q

What are the uses for babcock tissue forceps?

A

Grasping tissue

crushing, but less traumatic than Allis TF

helpful in grasping and retracting soft tissue (stomach, bladder)

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6
Q

What are the uses for this instrument?

A

Straight doylen intestinal tissue forcep

intestinal lumen occlusions

enterotomies, resection, and anastomosis

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7
Q

Name the types of hemostatic forceps

A

Rochester carmalt forceps

Kelly hemostatic forceps

halsted mosquito forceps

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8
Q

Name the instrument

A

Rodchester-carmalt Hemostatic forceps

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9
Q

What are the uses of rodchester calmalt forceps

A

clamping pedicles/tissue

jaw clamping

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10
Q

Name the instrument

A

Kelly hemostatic forceps

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11
Q

What are the uses of kelly foreps?

A

tip clamping of small to medium vessels

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12
Q

Name the instrument

A

Halsted mosquito hemostatic forceps

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13
Q

What are the uses of mosquito forceps?

A

tip clamping of small vessels

Smaller than kellies and rod-carmalt

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14
Q

Name the types of thumb forceps

A

Brown-adson forceps

Adson forceps

DeBakey forceps

Bishop-harmon foceps

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15
Q

What is this?

A

Brown Adson tissue forceps

  • 2 rows of parallel fne teeth
  • general tissue handling
    • BUT can crush tissue d/t serrated teeth
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16
Q

What is this?

A

Adson tissue forceps

  • 2:1 teeth
  • less crush than brown-adson
  • poorly grips fat and friable tissue
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17
Q

What is this?

A

DeBakey tissue forcep

  • parallel ribbed tips
  • Soft tissue sx
  • Less traumatic the B-ATF
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18
Q

What is this?

A

Bishop-Harmon Forceps

Ophthamologic sx

  • 2:1 teeth parallel
  • smaller than other thumb forceps
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19
Q

What type of scaple handle is this?

A

Bard-Parker #3

  • # 10, #11, #12, and #15 blades
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20
Q

What type of scalpel handle is this?

A

Beaver Blader scalpel handle

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21
Q

What is the most commonly used scaple handle?

A

Bard-parker #3

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22
Q

What type of incision does a #10 blade make?

A

Used for longer incisions

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23
Q

What are uses of a #11 blade?

A

sharp penetration of hollow organs

percision cutting

Ex: Excision of cranial cruciate remnants or meniscal release

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24
Q

What are the uses for a #12 blade?

A

Onychectomy in cats

AKA declaw….I’m a dumbass and had to look it up

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25
Q

What are the uses for a #15 blade?

A

SQ or fascial incisions

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26
Q

Tell me about beavers

A

Uses blades #62,64,65,67; 64 is most common

Press cutting

used in pencil grip

incise the limbus for intraocular sx

orthopedic sx–>incision of intra-articular surfaces

Ex: meniscal release

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27
Q

What is this instrument?

A

Mayo scissors

  • thick blades (~1/3 of instrument length)
  • Plain edge
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28
Q

What type of tissues are mayo scissors use on?

A

Dense tissue (fascia, linea alba, trimming)

Straight blade: greater mechanical advantage

Curved blade: improved visualization of tissue, more versatile

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29
Q

What is this instrument?

A

Straight Metzanbaum Scissors

  • Plain edge
  • thin, delicate blades: ~1/4 length
  • Straight blade: greater mechanical advantage
  • Curved blade: improved visualization, more versatile
30
Q

What types of tissue are metzenbaum scissors use form?

A

Incise soft tissue

Ex: SQ tissue, Intestine, Bladder

31
Q

What is this instrument?

A

Stevens Tenotomy Scissors

  • narrow, delicate tipped precision scissors
    • Pointed or blunted tip
  • Straight or curved blade
32
Q

What are the uses for stevens tenotomy scissors?

A

Ophthalmic and urologic

33
Q

What is this instrument?

A

Spencer stitch scissors

  • hooked tip used to entrap suture for cutting
  • used for post-op suture removal
34
Q

What is this instrument?

A

Vernon Cartilage and wire scissors

  • used to incise thick, tough tissue, and orthopedic wire
  • used to cut suture intra-op
35
Q

What is this instrument?

A

Mayo-Hegar needle holders

36
Q

Describe Mayo-hegar needle holders.

A

Size of driver jaw should match the needle size

Textured tungsten-carbide jaw inserts. These provide needle holding security–>limits twisting and rotation of the needle

37
Q

Name and describe this instrument.

A

Olsen-Hegar Needle Holders

  • combined needle drivers/scissors
    • may cut suture prematurely
  • Textured tungsten-carbide jaw inserts. These provide needle holding security–>limits twisting and rotation of the needle
38
Q

Name this instrument

A

Derf Needle Holders

39
Q

What are Derf needle drivers used for?

A

Ophthalmic needle drivers

smaller structures: Eyelids, conjunctiva

40
Q

Name this instrument.

A

Castroviejo Needle Holders

  • Ophthalmic and vascular sx
  • spring loaded handle
  • locking and non-locking styles
41
Q

Name the types of self-retaining retractors

A

Balfour retractor

Finochietto Retactor

Gelpi retractor

Weitlaner retractor

42
Q

Name the ypes of hand-held retractor

A

Army-navy

Malleable

Hohmann

Seen

Snook hook/Spay Hook

43
Q

Name and Describe this instrument

A

Balfour retractor

  • retract the abd wall
  • central Bladder blader
    • retract the rib cage cranially
    • asses liver and diaphragm
  • Must be used with caution
44
Q

Name and descibe this instrument

A

Finochietto Retractor

  • Adjustable rib retractor
  • retraction of the chest wall during IC thoracotomy and median sternotomy
  • flat retractor blades that are perpendiucular to the instrument
45
Q

Name and Describe this instrument

A

Gelpi Retractor

  • retraction of soft tissues
    • orthopedic or spinal sx
      • retraction of muscle bellies
  • Sharp tips: caution
  • ring retractor with self-retaining ratchet
46
Q

Name and Describe this instrument

A

Weitlaner Retractor

  • ring retractor with self-retaining ratchet
  • usefule for retraction of soft tissue in a small superficial incision
47
Q

Name and describe this instrument.

A

Army-Navy Retractor

  • double ended blunt retractor
  • hand held, usually by assistant
  • soft tissue and orthopedic sx
48
Q

Name and describe this instrument.

A

Malleable Retractor

  • double ended blunt
  • can be bent
  • used for retracting visera in abd and thx sx
49
Q

Name and describe this instrument.

A

Hohmann Retractor

  • blunt or sharp end
  • used to lever musle and soft tissue away from surgical field
  • bone in ortho sx
50
Q

Name and describe this instrument.

A

Senn Retractor

  • double ended
  • soft tissue and ortho sx to retract tissues in small work spaces
  • hand held by assistant
    *
51
Q

Name and describe this instrument.

A

Speed Lock Bone Holding forceps

  • grip and manipulate bone during fracture reduction and repair
  • serrated or pointed tips
52
Q

Name and describe this instrument.

A

Kern Bone holding forceps

  • grip and manipulate bone during fracture reduction and repair
  • serrated jaws with grasping points at tips
    • promote strong grip on bone
  • raycheted handle with quick release lever
53
Q

Name and describe this instrument.

A

Jacob’s chuck

  • used to drive IM pine and K wires
54
Q

Name and describe this instrument.

A

Mallet

  • metal or nylon capped
  • used in ortho sx to advance and osteotome
55
Q

Name and describe this instrument.

A

Chisel and Osteotome

  • Osteotome
    • bevelled on both side
    • more common
  • Chisel
    • Bevelled on one side
  • used to create osteotomy
56
Q

Name and describe this instrument.

A

Periosteal Elevator

  • used to reflect muscle and soft tissue from bone
57
Q

Name and describe this instrument.

A

Freer Periosteal Elevator

  • small peiosteral elevator
  • standard in every ortho sx pack
58
Q

Name and describe this instrument.

A

Lempert Rongeur

  • forceps with cupped jaws and blunted or tapered tips
  • used to remove small fragments of bone
  • used to recontour bone
  • used to prepare bone for grafting
  • straight, curved, or angled jaws
59
Q

Name and describe this instrument.

A

Barraquer Eyelid Spectrum

  • hold eyelids open
    • enucleations
    • sx of cornea and 3rd eyelid
60
Q

Name and describe this instrument.

A

Jaeger Eyelid Plate

  • protect the eye when making incisions into the eyelid
    • placed between the eyelid and globe
61
Q

Name and describe this instrument.

A

A mother fucking Backhaus towel clamp

62
Q

Name and describe this instrument.

A

Poole suction tip

  • used to suction large amounts of fluid from the body cavity
  • inner cannula unscrews and can be used as a modified Frazier
63
Q

Name and describe this instrument.

A

Frazier Suction Tip

  • fine tipped
  • used to remove small amounts of fluid from the surgical field
  • Ortho and neuro sx
  • covering hole on top creates stronger negative pressure
  • can be clogged with blood clots
64
Q

Name and describe this instrument.

A

Wing Tipped Dental Elevators

  • used to sever the peridontal ligament
    • rotated around the tooth

Wedge Tipped

  • weaken the peridontal ligament for extraction
  • flat and concave tip
65
Q

Name and describe this instrument.

A

Curette

  • used for subgingival cleaning, root planning, and curettage
  • each end has a blade with a cutting edge
66
Q

Name and describe this instrument.

A

Scaler

  • Remove dental depsoits from above the gumline
67
Q

Name and describe this instrument.

A

Extraction Forceps

  • grasp teeth for extraction
68
Q

Name and describe this instrument.

A

Calculus removal forcep

  • remove large pieces of calculi before scaling
69
Q

Name and describe this instrument.

A

Dental Exploer

  • finding enamel decay
70
Q

Name and describe this instrument.

A

Peridontal probe

  • mesure pocket depth around a tooth
    • health of the peridontium