Instruments Flashcards

1
Q

Kocher Clamp

A

Sturdy clamp to grab fascia, heavy tissue, bone

Not for delicate structures

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2
Q

Allis Clamp

A

Small atraumatic teeth
No that sharp wont do too much damage

Used in holding mucosa and serosa for colostomies and anastomosis

Approximating organ tissue

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3
Q

Babcock Forceps

A

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.

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4
Q

Schnidt Clamp

A

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.

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5
Q

Kelly Clamp

A

Common hemostat for clamp and tying vessels

Curved or straight

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6
Q

Mayo Clamp

A

Clamp and tie of larger vessels, tough tissue.

Clamp used to load a peanut sponge

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7
Q

Right Angle Clamp

A

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.

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8
Q

Non-penetrating towel clamp

A

Used to secure bovie jacket to drape

Secure suction tubing or cords in drapes

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9
Q

Penetrating Towel Clamp

A

Grasp tissue, secure towels or drapes

Hold or reduce small bone fractures

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

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10
Q

Gelpi Retractor

A

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

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11
Q

Weitlaner Retractor

A

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

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12
Q

Army Navy Retractor

A

Atraumatic

Tissue or bone retraction

Helpful when closing fascia

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13
Q

Rake Retractor

A

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

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14
Q

Senn Retractor

A

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)

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15
Q

Malleable Retractor

A

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

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16
Q

Vein Retractor

A

Used to retract small vessels and nerves

Atraumatic- vascular/head and neck surgery

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17
Q

Goiter Retractor

A

Used in thyroid or parathyroid surgery

Retract strap muscles

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18
Q

Richardson Retractor

A

Common in abdominal cases

Various sizes

Sturdy

Helpful under dense subcutaneous fat

19
Q

Renal Vein Retractor

A

Used in abdominal cases

Sturdy

Various sizes

20
Q

Deaver Retractor

A

Various sizes

Retract muscle

Common in abdominal surgery

21
Q

Balfour Retractor

A

Different sizes and various blades

Abdominal surgery

22
Q

Syn Frame

A

Used in spine surgery

Anterior lumbar interbody fusions, lateral approach

23
Q

Metzenbaum Scissors

A

Used for dissection as well as cutting

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

24
Q

Mayo Scissors

A

Curved or long

Curved used for thicker vessels/tissue

Straight used for suture cutting never use to cut drapes

25
Q

Bandage Scissors

A

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

26
Q

Russian Forceps

A

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

27
Q

Rat Tooth Forceps

A

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

28
Q

Ring Forceps or Sponge-on- a-stick

A

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

29
Q

Debakey Forceps

A

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

30
Q

Adson Forceps

A

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

31
Q

Adson Brown Forceps

A

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

32
Q

Ferris Smith Forcep

A

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

33
Q

Rongeur

A

Neurosurgery and orthopedic surgery

Strong jaw for grasping bone fragments or thick cartilaginous tissue

34
Q

Yankauer Suction Tip

A
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
35
Q

Frazier Suction

A

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

36
Q

Poole Suction

A

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

37
Q

Jackson-Pratt Drain

A

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. )

38
Q

Asepto Syringe

A

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

39
Q

Bovie Electrocautery

A

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

40
Q

Bipolar

A

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

41
Q

Lap Sponge

A

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

42
Q

Raytec Sponge

A

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

43
Q

Scalpels

A

10 blade large incisions

15 blade small incsicions, especially on the face

44
Q

Surgical Drill

A

ENT, neuro, spine surgery