instruments-description ID Flashcards by Lux Smith

Sturdy clamp to grab fascia
Not for delicate structures
Good grip
Very traumatic

Kocher clamp

big old kocher hot dog
got a good grib on it
little traumatic watching you eat that
not delicate

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

Babcock forcepts

ovaries, delicate tissue

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Small teeth

Used in holding mucosa and serosa for colostomies and anastomosis
Approximating organ tissue
Atraumatic

Allis clamp

Alli has small little teeth
of she has a colostomie she would loose it

Often used for grasping soft tissue such as breast tissue or bowel tissue

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clamp for

Fine dissection and clamping of vessels in abdominal surgery

Dissection of nerves and vessels in neck surgery and mastectomies
Clamp and tie of fine vessels

Schnidt/Tonsil cramp

the has a schnit snout
very fine
nerves and vessels in the neck and mastectomies

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More robust and sturdy than Kelly

Clamp and tie of larger vessels

Mayo clamp

-“Macho” Mayo

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Used to secure bovie jacket to drape

To secure suction tubing or cords in drapes
Keeps sterile field sterile b/c doesn’t penetrate below field

Non-penetrating towel clamp

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Common hemostat for clamp and tying vessels

Curved or straight
Shorter, right angled tip

Kelly clamp

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Will make hole in drape so do not use if non-sterile under drape
Can be used to approximate skin or bone that requires strength to close gap to suture

Grasp tissue, secure towels or drapes

Penetrating towel clamp

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retractor

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

Very sharp points to slip under fascia
Comes in various sizes
Traumatic—do not use near vessels

SURGICAL RETRACTORS

Gelpi retractor

Does not require someone to hold it during the procedure.

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Teeth are sharp or blunt to slip under fascia
Traumatic—do not use near vessel

SURGICAL RETRACTORS

Weitlaner retractor

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Atraumatic
Tissue or bone retraction
Helpful when closing fascia

SURGICAL RETRACTORS

Army/Navy retractor

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Hooks under fascia
Wide tip allows more tissue to be retracted

SURGICAL RETRACTORS

Blunt Rake retractor

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Hooks under fascia

Wide tip allows more tissue to be retracted
Do not put into fat –> tissue necrosis

SURGICAL RETRACTORS

Sharp rake retractor

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-Able to be bent to accommodate depth or curve needed

SURGICAL RETRACTORS

Malleable retractor aka “Ribbon” retractor

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where would you be most likely to use Senn retractor

Senn retractor

Common in plastic surgery, dissection of neck tissue (spine)

Double-ended retractor to retract mostly surface tissue

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Used to hold back small vessels and nerves
Atruamatic—carotid, thyroid surgery

SURGICAL RETRACTORS

Vein retractor

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Primarily used in thyroid or parathyroid surgery to retract strap mm

SURGICAL RETRACTORS

Goiter retractor

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Used in all abdominal cases
Comes in various sizes—sm/med/lg
Smaller for more superficial structures
Larger for deeper structures
Narrow (appy retractor) and wide
Very sturdy

-Good for dense subcutaneous fat

SURGICAL RETRACTORS

Richardson retractor

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-Holds abdominal structures out of way

Comes in different sizes and various blades
used to spread 8-10 cm incision

-Abdominal surgery—gastrectomy, open chole

SURGICAL RETRACTORS

Balfour retractor

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Used for dissection as well as cutting fine tissue

Used only for cutting TISSUES or VESSELS
Tie-clamp-cut
Mostly surgeon will be using
NOT for cutting suture

SCISSORS

Metzenbaum

NOT FOR CUTTING SUTURE

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this clamp is used to pass suture under vessel and for clamping and tying vessels

Right angel clamp

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this retractor is used in abdominal cases

it is sturdy and comes in various sizes

renal vein retractor

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this retractor comes in various sizes and is used for retracting muscle and commonly seen in abdominal surgery

Deaver

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when would you use straight mayo scissor

Straight used for suture cutting never use to cut drapes

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you would use these for cutting drapes

Bandage scissors

these forceps have - Small teeth to hold onto tissue - Gripping strength - Pick up slippery stones - bone chips for ortho/neuro cases - Atraumatic

Russian forceps picture a Russian with seriously small teeth picking up stones

These forceps come in Many sizes have serrated jaws - Used to pick up fascia or avascular tissue - Traumatic

Rat tooth forceps rats pick up fascia NOT fat

these forceps have -Good grip strength they are used in abdominal and pelvic surgery -Used with sponge on a stick to retract deep tissue in pelvis, blot blood, dissect tissue Atraumatic can be used to dissect tissue

Ring forceps | aka sponge on a stick

these forceps are smooth and used for fine tissue, nerves, vessels - Common in carotid, vascular, general surgery - Used to pass suture, ties, etc b/c doesn’t damage integrity of materials being passed - Atraumatic

debakey forceps little bakeys so it doesnt hurt

these forceps have TWO SMOOTH tips -Used to pick up skin in suturing -pick up peritoneum or delicate tisse

Adson forceps delicate guy that is smooth and going to get under your skin

these forceps have one smooth side and one tooth side short handle and are used in skin suturing the tooth side is for picking up dermis while smooth is to pick up skin

Adson Brown smooth =skin tooth=dermis (sink your teeth in deep)

- Used for holding heavy needle - Very sturdy - Pick up fascia for deep suturing

Ferris Smith big old finger pads\ Ferris got big after making that movie

These forceps are strongly constructed used for gouging out bone neurosurgery

Rongeur

Suction - Mainstay of any surgery w/ potential blood loss - Plastic or metal tip, various sizes - Flared tip

Yankauer suction tip Yanky doodle dandy Lauri would take this to her island

SUCTION -Various tips -Smooth tip -More precise suctioning of small areas -Smaller for more delicate tissue used in spine surgery

Frazier suction Frazier looks like he would have no spine little guy needs surgery

- Porous - Used to suction large amount of blood - Irrigate abdomen first with large amount of saline - Caution—strong enough to suction up an organ Will get clogged with adipose tissue

Poole suction

Drains are passed through skin with Schnidt clamp and tied into place with nonabsorbable suture -Once fascia is closed, bulbe is attached to create vacuum suction by PA

Blake or Jackson-Pratt drain

Used to irrigate abdominal cavity before closing or any wound before closing (intraoperative irrigation) - Can add abx solution to irrigation - Should irrigate every layer as it is closed

Asepto syringe

why is a bovie used what are the two ways you can operate a bovie

for hemostasis and dissection Monopolar setting determined by surgeon Can be operated by foot pedal or finger control

this is a double tonged forceps used for hemostasis

bipolar

what are the benefits of a Lap sponge

Lap sponge this can be used to help with initial dissection clean rongeur and can be seen on Xray the scrub tech counts them

how does a raytec sponge differ from a lap sponge

not as absorbent as a lap sponge

what scalpel blade would you use for large incisions

which scalpel blade would you use for smaller incision

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

Schnidt

``` During ALIF (Anterior lumbar interbody fusion) 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.

when would you use a weitlaner retractor

Common in plastic surgery, spine/joint surgery. Useful with small, deep incisions and soft tissue dissection at a superficial level. Used to hold back tissue and expose surgical site Curved shanks that lead to blades that have 2-6 prongs.

T or F for weitlaner retractor is self training

Finger ring retractor with ratchet lock

how should the army navy retractor be used]

Long and short side - Start with short to spread tissue - Switch to long as go deeper - Atraumatic

Blunt Rake retractor want to avoid this

Do not put sharp rake in fat- can lead to tissue necrosis

how should you use senn retractors

rake side is sharp or dull - Use rake side under fascia - Switch to narrow side to hold back mm/fat - Used in small incisions—neck, thyroid SURGICAL RETRACTORS

when would you use a malleable retractor

-Used when suturing peritoneum of abdominal incision by pushing down colon while suturing on top

what type of surgery would you be most likely to use a vein retractor

vascular/head and neck surgery

four pairs of muscles that require the goiter retractor

Strap: four pairs of muscles in the anterior neck. sternohyoid, sternothyroid, thyrohyoid and omohyoid muscles.

rhichardson retractor would be most commonly used in these surgeries

retractor seen commonly in abdominal surgeries

when would you use a syn frame

Used in spine surgery Anterior lumbar interbody fusions, lateral approach

when would you use curved mayo scissor

Curved used for thicker vessels/tissue

when would you use rongeur forceps

Neurosurgery and orthopedic surgery gouging out bone

when would you use a Jackson-Pratt drain

-Drains used for serous fluid/bile NOT FOR BLOOD

why are asepto syringes so .important

Irrigation is very important especially in longer surgical procedures. Reduce risk postoperative infection. Vancomycin powder is used by some surgeons.

when would you use a surgical drill

ENT, neuro, spine surgery

instruments-description ID Flashcards

(61 cards)