Surgery 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
  • Often used for grasping soft tissue such as breast tissue or bowel 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
  • Sturdy compared to Kelly
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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
  • Does not require someone to hold it during the procedure.
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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
  • Can be sharp or dull pronged
  • Common in plastic surgery, spine/joint surgery.
  • Useful with small, deep incisions and soft tissue dissection at a superficial level.
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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
  • Strap: four pairs of muscles in the anterior neck.
    • sternohyoid, sternothyroid, thyrohyoid and omohyoid 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
  • Use syn-frame for anterior abdominal approaches, able to hook up light source.
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
  • Place bone graft/allograft
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
  • Irrigation is very important especially in longer surgical procedures. Reduce risk postoperative infection. Vancomycin powder is used by some surgeons.
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