Surgery Instruments Flashcards
1
Q
Kocher Clamp
A
- Sturdy clamp to grab fascia, heavy tissue, bone
- Not for delicate structures
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
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.
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.
5
Q
Kelly Clamp
A
- Common hemostat for clamp and tying vessels
- Curved or straight
6
Q
Mayo Clamp
A
- Clamp and tie of larger vessels, tough tissue.
- Clamp used to load a peanut sponge
- Sturdy compared to Kelly
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.
8
Q
Non-penetrating towel clamp
A
- Used to secure bovie jacket to drape
- Secure suction tubing or cords in drapes
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
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.
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.
12
Q
Army Navy Retractor
A
- Atraumatic Tissue or bone retraction
- Helpful when closing fascia
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
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)
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
16
Q
Vein Retractor
A
- Used to retract small vessels and nerves
- Atraumatic- vascular/head and neck surgery
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.
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
