Instruments

Question 1

Kocher Clamp

Answer 1

Sturdy clamp to grab fascia, heavy tissue, bone

Not for delicate structures

Question 2

Allis Clamp

Answer 2

Small atraumatic teeth
No that sharp wont do too much damage

Used in holding mucosa and serosa for colostomies and anastomosis

Approximating organ tissue

Question 3

Babcock Forceps

Answer 3

Grasp soft tissue:
bowel (less traumatic), ovaries, delicate tissue

Grasp delicate tissue in laser procedures, intestinal and laparotomy procedures. Similar to Allis forceps- less traumatic due to their wider, rounded grasping surface.

Question 4

Schnidt Clamp

Answer 4

Fine dissection and clamping of vessels in abdominal surgery
Dissection of nerves and vessels in neck surgery and mastectomies
Clamp and tie off fine vessels

Pass ties for abdominal surgery; Create passage for a drain during closure.

Question 5

Kelly Clamp

Answer 5

Common hemostat for clamp and tying vessels

Curved or straight

Question 6

Mayo Clamp

Answer 6

Clamp and tie of larger vessels, tough tissue.

Clamp used to load a peanut sponge

Question 7

Right Angle Clamp

Answer 7

Used to pass suture under vessel

For clamping and tying vessels

*****During ALIF procedures: right angle is used to pass suture to clamp when dissecting middle/median sacral artery which descends over the fourth and fifth lumbar vertebræ, the sacrum and coccyx.

Question 8

Non-penetrating towel clamp

Answer 8

Used to secure bovie jacket to drape

Secure suction tubing or cords in drapes

Question 9

Penetrating Towel Clamp

Answer 9

Grasp tissue, secure towels or drapes

Hold or reduce small bone fractures

Will make hole in drapes- not used if non-sterile under drape

Question 10

Gelpi Retractor

Answer 10

Ratcheted

Finger ring retractor

Once targeted tissue held back, locking mechanism allows retractor to remain in place (self-retaining)

Single sharp prong, turned outward at a 90 degree angle

Question 11

Weitlaner Retractor

Answer 11

Self-retaining

Finger ring retractor with ratchet lock

Used to hold back tissue and expose surgical site

Curved shanks that lead to blades that have 2-6 prongs.

Interdigitate when instrument closed

Question 12

Army Navy Retractor

Answer 12

Atraumatic

Tissue or bone retraction

Helpful when closing fascia

Question 13

Rake Retractor

Answer 13

Wide tip allows more tissue to be retracted
Typically sharp teeth used to catch dermis or subcutaneous tissue in retraction
Commonly used in plastic surgery

Question 14

Senn Retractor

Answer 14

Handheld

Double-ended retractor to retract mostly surface tissue

Common in plastic surgery, dissection of neck tissue (spine), any surgery involving shallow skin retraction

One angled, blunt end

Other end has three prong rake tip (sharp or blunt)

Question 15

Malleable Retractor

Answer 15

Able to be bent to accommodate depth needed

Used when suture peritoneum in abdominal approach.

Pushes colon dorsally allowing access to suture above malleable.

Narrow or wide

Question 16

Vein Retractor

Answer 16

Used to retract small vessels and nerves

Atraumatic- vascular/head and neck surgery

Question 17

Goiter Retractor

Answer 17

Used in thyroid or parathyroid surgery

Retract strap muscles

Question 18

Richardson Retractor

Answer 18

Common in abdominal cases

Various sizes

Sturdy

Helpful under dense subcutaneous fat

Question 19

Renal Vein Retractor

Answer 19

Used in abdominal cases

Sturdy

Various sizes

Question 20

Deaver Retractor

Answer 20

Various sizes

Retract muscle

Common in abdominal surgery

Question 21

Balfour Retractor

Answer 21

Different sizes and various blades

Abdominal surgery

Question 22

Syn Frame

Answer 22

Used in spine surgery

Anterior lumbar interbody fusions, lateral approach

Question 23

Metzenbaum Scissors

Answer 23

Used for dissection as well as cutting

Used for cutting tissue or vessels (tie, clamp, cut)

Question 24

Mayo Scissors

Answer 24

Curved or long

Curved used for thicker vessels/tissue

Straight used for suture cutting never use to cut drapes

Question 25

Bandage Scissors

Answer 25

Blunt tip bottom blade helps cut bandages/drapes without injuring skin.

Question 26

Russian Forceps

Answer 26

Small atraumatic teeth used to hold onto tissue with gripping strength or to pick up slippery stones or put in bone chips for ortho/neuro cases

Question 27

Rat Tooth Forceps

Answer 27

Mid length instrument Smooth with two teeth one side and one opposing. Traumatic Used to pick up fascia

Question 28

Ring Forceps or Sponge-on- a-stick

Answer 28

Abdominal and pelvic surgery Atraumatic When used w /sponge retracts tissue Can be used to dissect tissue

Question 29

Debakey Forceps

Answer 29

Atraumatic/smooth forceps for fine tissue/nerve/vessels Common in vascular/general surgery Use to pass suture/ties as it doesn’t hurt integrity of material being passed

Question 30

Adson Forceps

Answer 30

Atraumatic One side with 2 small teeth, the other with one that closes between the opposing teeth Used to pick up skin for suturing Pick up peritoneum or delicate tissue

Question 31

Adson Brown Forceps

Answer 31

Both sides have a fine serrations Short handle Used to manipulate delicate tissue RARELY used

Question 32

Ferris Smith Forcep

Answer 32

Heavy duty forceps for picking up fascia for deep suturing Mid length instrument with larger teeth Bonney Forceps are sometimes referred to as “ortho Adsons” – Orthopods use them frequently

Question 33

Rongeur

Answer 33

Neurosurgery and orthopedic surgery | Strong jaw for grasping bone fragments or thick cartilaginous tissue

Question 34

Yankauer Suction Tip

Answer 34

``` Used to suction blood or smoke from surgical field Plastic or metal tip Used with tubing for suctioning TIPS: Hold like a pencil Suction smoke from bovie cautery Keep suction out of surgeon view Aim is to keep surgical field clear ```

Question 35

Frazier Suction

Answer 35

Various tips More precise suctioning in small areas Used in spine surgery and vascular surgery

Question 36

Poole Suction

Answer 36

Deep suction in abdomen for maximum fluid removal Many small openings to allow for more suction with less frequent clogging Often used when irrigating or existing large collection of fluid to be drained

Question 37

Jackson-Pratt Drain

Answer 37

Drains are passed through abdominal wall and secured in place with non absorbable suture Once fascia is closed, bulb attached to create vacuum suction Can be used with various collection devices (JP drain typically refers to the grenade form. )

Question 38

Asepto Syringe

Answer 38

Intraoperative irrigation Can add abx solution to irrigation Should irrigate every layer as it is closed typically holds about 60cc of fluid

Question 39

Bovie Electrocautery

Answer 39

Hemostasis/dissection After patient is draped, bovie is secured on drape with non-penetrating towel clamp (next to surgeon’s dominant hand) Bovie cord passed off table same side as bovie machine Monopolar setting determined by surgeon Bovie pad placed on leg for grounding Can be operated by foot pedal or finger control

Question 40

Bipolar

Answer 40

Hemostasis used when bovie electrocautery cannot be used -Near nerves -Pt with pacemakeer More precise and delicate

Question 41

Lap Sponge

Answer 41

Can be used to help with initial dissection Clean rongeur Can be seen on X-ray Counted by scrub tech Used for fluid absorption or to provide traction when retracting tissue

Question 42

Raytec Sponge

Answer 42

Typically used only in shallow procedures (inguinal hernia, umbilical hernia, mass excision, etc. ) Not as absorbent as lap sponge Often used on ring forcep as Sponge stick for retraction or deep precise dabbing of fluid Visible on xray Also needs to be counted by scrub

Question 43

Scalpels

Answer 43

10 blade large incisions | 15 blade small incsicions, especially on the face

Question 44

Surgical Drill

Answer 44

ENT, neuro, spine surgery