Major Tray Flashcards
1
Q
A
-
Mosquito Clamp, curved
- Halstead forceps
- Hartman forceps
- 2 in tray
- Used for occluding bleeders in small or superficial wounds before cauterization or ligation. Used often for delicate or small confined procedures. Some examples are plastic, pediatric, thyroid, and hand procedures. Also used with suture boots to tag delicate Prolene sutures in vascular procedures.
2
Q
A
- Crile clamp, curved
- Hemostat
- Snap
- Clamp
- Kelly forceps
- Stat
- 12 in tray
- Used for occluding bleeders before cauterization or ligation. May also be used for blunt dissection when separating planes and tissues.
3
Q
A
- Kelly, straight clamp
- Hemostat, Crile forceps, clamp
- 2 in tray
- Used for occluding bleeders before cauterization or ligation.
4
Q
A
- Pean clamp
- Péan, Mayo, Kelly-Péan forceps
- 6 in tray
- Curved or straight clamp that has heavier broader jaws with horizontal serrations that run the length of the jaws.
5
Q
A
- Babcock clamp
- 4 in tray
- Used for grasping and encircling delicate structures such as the ureters, fallopian tubes, bowel, ovaries, and appendix.
6
Q
A
- Allis clamp
- 4 in tray
- Used for lifting, holding, and retracting slippery dense tissue that is being removed. Commonly used for tonsils; for vaginal, breast, and thyroid tissues; or for grasping bowel during a resection.
7
Q
A
- Tonsil clamp
- Tonsil Schnidt forceps
- Fancy clamp
- Tonsil forceps
- T & A
- 6 in tray
- Clamps small vessels in a deep wound or holds tonsil sponges. Also may be used to create a “tie on a passer.”
- A fine curved or straight clamp with horizontal serrations running halfway down the jaws. The shanks are longer than those of a Crile or a Kelly forceps.
8
Q
A
- Right Angle clamp, small
- Mixter forceps
- Gemini forceps
- Lahey forceps
- Obtuse clamp
- Ureter clamp
- 2 in tray
- Is used to clamp, dissect, and occlude tissue. Is often used to place a tie or vessel loop under and around a tubular structure such as a vessel or a duct, enabling the surgeon to grasp the ligature or loop and pull it up and around the structure to either ligate or retract.
9
Q
A
- Large Carmalt clam, curved
- Big curved forceps
- 4 in tray
- Curved or straight clamp with a crosshatch pattern at the tips that continues with vertical serrations that run the length of the jaws.
- Used for occluding larger blood vessels and tissue before ligation, usually in a deeper wound or on heavier tissue. Often the forceps that the Kittner is loaded onto.
10
Q
A
- Kocher clamp, straight, long
- Ochsner forceps
- 4 in tray
- The jaws have horizontal serrations and 1×2 large interlocking teeth at the tip.
- Used for grasping tough, fibrous, slippery tissues such as muscle and fascia.
11
Q
Medium
A
- Right Angle clamp, medium tip
- Mixter forceps
- Gemini forceps
- Lahey forceps
- Obtuse clamp
- Ureter clamp
- 2 in tray
- Is used to clamp, dissect, and occlude tissue. Is often used to place a tie or vessel loop under and around a tubular structure such as a vessel or a duct, enabling the surgeon to grasp the ligature or loop and pull it up and around the structure to either ligate or retract.
12
Q
A
- Sponge forceps
- Forester sponge forceps
- Fletcher sponge forceps
- Sponge stick forceps
- Ring forceps
- 2 in tray
- These can be curved or straight; the tips are oval fenestrated rings with horizontal serration.
- Used for creating a sponge stick, for grasping tissues such as the lungs, or for removing uterine contents.
- To assemble a sponge stick, fold a 4×4 Raytex in thirds and then in half and attach it to the ring forceps. A sponge stick can be used for surgical preparation (painting) to absorb blood or for blunt dissection in deep wounds.
13
Q
A
- Needle holder
- Needle driver
- 2 in tray
- A narrow rounded tip with a crisscross gripping pattern in the inner jaws.
- Used for holding delicate to intermediate-sized needles when suturing.
- The type of procedure and depth of the wound will determine the type and size of needle holder.
14
Q
A
- Crab-Bite Mayo-Hegar
- Needle holder
- 2 in tray
- Due to its versatility, it is one of the most commonly used surgical tools for both human and animal procedures and is normally used with larger, heavier suture needles because of its wide jaws.
15
Q
A
- CURVED METZENBAUM SCISSORS
- Metz scissors
- Tissue scissors
- 2 in tray; 9” and 7”
- Longer thinner scissors with curved or straight blades that can have blunt or sharp tips.
- Dissect and undermine delicate tissues.
- Tissue scissors are intended to cut tissue only and should never be used to cut sutures or other items. Inappropriate use of the scissors will cause the blades to become dull and not function properly.
- Caution: The blades of the scissors should be inspected for nicks, dents, or burrs, which can cause damage to the tissues. It is important to always check the screw to ensure it is fully tightened to prevent it from dropping into the wound.
16
Q
A
- Mayor scissors, straight
- Suture scissors
- 1 in tray
- Heavy scissors with straight blades.
- Used for cutting sutures.
- Instrument insight: Use the very tips of the scissors when cutting sutures. Slightly rotate the scissors to visualize the knot or the appropriate length of the suture tail that will remain.
- Caution: The blades of the scissors should be inspected for nicks, dents, or burrs, which will not allow for smooth cutting. It is important to always check the screw to ensure it is fully tightened to prevent it from dropping into the wound.
17
Q
A
- Mayo scissors, curved
- Heavy tissue scissors
- 1 in tray
- Heavy scissors with curved blades and blunt or sharp tips.
- Dissect or undermine heavy fibrous tissues.
- Tissue scissors are intended to cut tissue only and should never be used to cut other items. Inappropriate use of the scissors will cause the blades to become dull and not function properly.
- Caution: The blades of the scissors should be inspected for nicks, dents, or burrs, which can cause damage to the tissues. It is important to always check the screw to ensure it is fully tightened to prevent it from dropping into the wound.
18
Q
A
- TOWEL CLIP (PENETRATING)
- Backhaus towel clamp
- Roeder towel clip
- Jones towel clip
- 4 in tray
- A ratcheted instrument with curved, sharp, tine-like jaws.
- Used for holding towels in place when draping, when grasping tough tissue, and during reduction of small bone fractures.
- Used in all disciplines. Never use penetrating clips to attach the electrosurgical unit (ESU), suction, or any other item to the drapes. This will perforate the drapes and compromise the sterile field.
- Caution: When clipping towels together, be careful not to penetrate the patient’s skin. Exercise care when handling penetrating forceps. The sharp tips can easily compromise the integrity of your gloves and skin and those of the surgeon.
19
Q
A
- Knife handle, #3
- 2 in tray
- A no. 3 handle holds blades 10, 11, 12, and 15.
- Knife handles are used to hold various blades to create a scalpel. Scalpels are used to make skin incisions or whenever a fine precision cut is necessary.
- Because the skin is not sterile, once the skin incision is made, the scalpel should be removed from the Mayo stand, isolated, and reused only to incise the skin.
- Never retrieve the scalpel from the surgeon’s hand after use; allow the surgeon to place it in the “neutral zone.”
- Never use fingers to load or unload a knife blade from the handle. Always use a needle holder.
20
Q
A
- Knife handle, #7
- 2 in tray
- A no. 7 knife handle holds blades no. 10, 11, 12, and 15.
- Used when precision cutting is needed in a confined space or a deep wound.
- Never retrieve the scalpel from the surgeon after it is used; allow the surgeon to place it in the neutral zone. Never use fingers to load or unload a knife blade from the handle. Always use a needle holder.
21
Q
A
- Adson with teeth
- Rat tooth
- The fine tips have two small teeth on one side and one small tooth on the other side that fit together when closed.
- Aligns the edges of the wound during stapling of the skin; grasps superficial tissues so that Steri-Strips can be placed.
- All of the Adson tissue forceps are the same size and shape. They are differentiated by the inner tips.
- Exercise care when handling forceps with teeth. The sharp teeth can easily compromise the integrity of your gloves and skin and those of the surgeon.
22
Q
A
- Tissue forceps
- Plain Adson tissue forceps
- Adson dressing forceps
- 2 in tray
- Fine tips with horizontal serrations.
- Used for grasping delicate tissue.
- All of the Adson tissue forceps are the same size and shape. They are differentiated by the inner tips.
23
Q
A
- DeBakey forceps
- 2 medium in tray, 2 long in tray
- An atraumatic tissue forceps with an elongated, narrowed blunt tip. A set of parallel fine serrations runs the length of one jaw with a center row of serrations on the opposite side that interlocks to grip when closed.
- Grasps numerous types of tissue; commonly used in cardiac, vascular surgery, and gastrointestinal procedures.
- These are considered a vascular tissue forceps, but they are commonly used in all specialty areas because of the ability to securely grip without causing damage to the tissues.
24
Q
A
- Russian forceps
- Star forceps
- Russian star forceps
- Russians
- 1 in tray
- Rounded tips with starburst pattern serrations.
- Used for grasping dense tissues and used during wound closure.
- Commonly used in OB/GYN procedures.
25
Q
A
- Bonney tissue forceps
- Victor Bonney forceps
- Victors
- 1 in tray
- This is always the same size and shape. The tips have 1×2 interlocking teeth followed by a horizontal serration. May have a wide handle.
- Used to grasp heavy tissue, muscle or bone; often used in obstetrics and orthopedics.
- It is important to ensure that the teeth are properly aligned and in working order before use.
- Exercise care when handling. The sharp teeth can easily compromise the integrity of your gloves and skin and those of the surgeon.
26
Q
A
- ABD suction
- Poole suction tip
- 1 in tray; ALWAYS count in 2 pieces
- This can be disposable or reusable and has two components, an outer sheath and an inner cannula.
- Used for suctioning large amounts of blood and/or fluids from a body cavity. The inner cannula of this suction tip can be used to suction down the shaft of the femur during a total hip replacement procedure.
- Multiple fenestrations (holes) on the outer sheath allow for more suction. If less suction power is desired, the surgeon may use the inner cannula only.
27
Q
A
- U.S.A. retractor
- Army-Navy retractor
- 2 in tray
- A handheld, double-ended retractor with an oval fenestration in the handle and a lateral curve to the blades on each end. One end is longer than the other so that it can be placed deeper into the wound.
- Used for retraction of small superficial incisions to allow better exposure.
28
Q
A
- Goulet retractor
- Bolt retractor
- 2 in tray
- Handheld, double-ended retractor with smooth, cup-shaped curved blades with a crescent-shaped lip. One end is longer than the other so that it can be placed farther into the wound. The size and shape never change.
- Used for retraction of small superficial incisions to allow better exposure.
29
Q
A
- Richardson retractor
- Rich
- 2 medium in tray; 2 large in tray
- Has a hollow grip handle with a lateral curve to the blade. The body of the blade is concave with a crescent-shaped lip that is laterally bent.
- Used for retraction of wound edges.
- These are often packaged in a set of three: small, medium, and large.
30
Q
A
- Deaver retractor
- 2 narrow in tray; 2 wide in tray
- A flat stainless steel strip that resembles a question mark. The width and length vary according to need.
- Used for deep retraction of organs and viscera.
- Retraction with a Deaver sometimes can be awkward because of the flat shape of the handle. To aid in maintaining a grip, the handle should be placed in the palm of the hand and the hook should be placed over the top of the hand.
31
Q
A
- Ribbon retractor
- Malleable retractor
- 1 medium in tray; 1 small in tray
- A handheld, smooth, flat metal strip with rounded ends. These come in many different lengths and widths.
- Used for retraction of organs and intestines in a wound.
- Can be bent or molded as needed for use.
