Instruments Flashcards
Kocher Clamp
Sturdy clamp to grab fascia, heavy tissue, bone
Not for delicate structures
Allis Clamp
Small atraumatic teeth
No that sharp wont do too much damage
Used in holding mucosa and serosa for colostomies and anastomosis
Approximating organ tissue
Babcock Forceps
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.
Schnidt Clamp
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.
Kelly Clamp
Common hemostat for clamp and tying vessels
Curved or straight
Mayo Clamp
Clamp and tie of larger vessels, tough tissue.
Clamp used to load a peanut sponge
Right Angle Clamp
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.
Non-penetrating towel clamp
Used to secure bovie jacket to drape
Secure suction tubing or cords in drapes
Penetrating Towel Clamp
Grasp tissue, secure towels or drapes
Hold or reduce small bone fractures
Will make hole in drapes- not used if non-sterile under drape
Gelpi Retractor
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
Weitlaner Retractor
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
Army Navy Retractor
Atraumatic
Tissue or bone retraction
Helpful when closing fascia
Rake Retractor
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
Senn Retractor
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)
Malleable Retractor
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
Vein Retractor
Used to retract small vessels and nerves
Atraumatic- vascular/head and neck surgery
Goiter Retractor
Used in thyroid or parathyroid surgery
Retract strap muscles