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Surgery > Surgical Instrument Function > Flashcards

Surgical Instrument Function Flashcards

1
Q

Galley Pot

A

Used for waste during the surgery

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2
Q

Kidney Bowl

A

Filled with saline and used to hold tissues to prevent dessication

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3
Q

Paper Drape

A

Used to cover the patient, usually come in fours, more depending on procedure

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4
Q

Swab

A

Counted into the surgical field and then then counted out, usually 20/pack, more depending on procedure

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5
Q

Radiographic Marker

A

Ensures that you can see if the swab was left in the patient

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6
Q

Electrocautery Unit

A

Used for cautierising tissues and very common in the HfSA

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7
Q

Bipolar Cautery Unit

A

Cauteriser on a forcep-like unit, main unit in the HfSA, picking up tissue between the jaws focusing the electric current on the tissue, increases heat and results in coagulation/haemostasis

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8
Q

Unipolar Cautery Unit

A

Not the cauteriser used in the HfSA

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9
Q

Sharps Sponge

A

Holds stray sharps used throughout the surgery to prevent unnecessary harm to staff

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10
Q

Towel Clips

A

Designed to pinch drapes for attachment to patient, ring handled instrument, with ratchet, sharp, pincer-like ends, secures through a drape to underlying skin 12/pack

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11
Q

Plain

A

No additional pigment, standard surgical instrument of reasonable quality (but not high quality)

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12
Q

Gold

A

High quality, usually important for cutting and holding enhancement, mainly have tungsten-carbide inserts at the cutting/gripping tips (cuts smoothly and more consistently, grips enhanced with metals to make a more hard-wearing and grippy surface)

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13
Q

Black

A

Super-cutting instruments, highest quality, rare to see in regular practice, quality exceeds what is necessary. Very fine/sharp cutting surface (HfSA for cardiovascular surgery)

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14
Q

Mayo-Hegar Needle Holder

A

Ring handle, ratchet mechanism (critical), shaft, box-lock joint and very secure jaw

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15
Q

Box-Lock Hinge

A

Robust, encaged joint on needle holders where one side has been slipped through the other

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16
Q

Ghillie Needle Holder

A

No ratchet, uneven handle

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17
Q

Midpoint to Suture Attachment

A

Where to grip the needle with the needle holders

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18
Q

Tripod Grip

A

Ring finger in lower ring handle, thumb in top ring handle and index finger along the shaft of the instrument, middle finger under the shaft if you like, hold on the first knuckle

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19
Q

Mayo Scissors

A

For cutting thick tissue, sutures and fascia without damaging the scissors

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20
Q

Metzenbaum Scissors

A

Fine tips for cutting thin tissue, (fat, loose fascial planes), fine sharp dissection, or fine blunt dissection

21
Q

Iris Scissors

A

Small with sharp, pointed tips and sharp cutting blades, heavy gauge and NOT for blunt dissection, cut suture and fine but heavy fascia (thyroid capsules)

22
Q

Thumb Forceps

A

Broad group used for holding tissues

23
Q

Pencil Grip

A

Standard grip of thumb forceps, wide range of motion

24
Q

Palm Grip

A

Don’t use it, it is awkward, no fine control and it is basically useless

25
Q

Dressing Forcep

A

Smooth tip, maybe with fine ridges, no teeth, good for holding hollow organs and as a general soft tissue forceps but require more force (crushing injury)

26
Q

Rat Tooth Forcep

A

Has three interdigitating teeth which grasp tissue through penetration, used to hold fascia, fat and skin (not hollow organs), don’t need much force

27
Q

Adson Brown Forcep

A

Have teeth but in two rows running parallel on each jaw, good for holding skin, minimise puncture issue while maintaining a delicate pressure

28
Q

Debakey Tissue Forcep

A

Most delicate forceps, used extensively in the HfSA, combination of dressing and toothed forceps, three fine, interdigitating ridges running along the jaw with small indentations to give a secure grip while minimising puncturing injury

29
Q

Needle-Pull Forceps

A

Three interdigitating ridges with indentations on the tip with a cross-hatched footplate similar to needle holders, so they can hold tissues AND needles

30
Q

Bitch Spay Forcep

A

Large haemostatic forcep for holding on to large vascular tissue (ovarian pedicle)

31
Q

Crile Haemostats

A

Have a series of rough, firm, transverse ridges running the length of the jaw for gripping and crushing tissues for haemostasis (come in curved and straight)

32
Q

Curved Crile Haemostats

A

Better for picking up vessels with a tip that faces away from the tissue

33
Q

Mosquito Haemostats

A

Small haemostats for finer use

34
Q

Kelly Haemostats

A

Like Crile but have a gap which can be useless

35
Q

Rochester Pean Forcep

A

Type of bitch spay forcep with longitudinal and cross hatched jaw

36
Q

Allis Tissue Forcep

A

3-4 interdigitating aggressive teeth for firm grip on tissues, there will be permanent damage so don’t use them unless you are removing the tissue

37
Q

Babcock Tissue Forceps

A

Open bulbous end with fine-tipped jaws for you to grip onto tissue without causing damage or pain, can be used for holding the stomach, have lots of spring

38
Q

Doyen Intestinal Clamp

A

For holding and clamping intestine to prevent fluid moving into the surgical field, longitudinal, fine ridges along the jaw, kind to tissues, has a ratchet, but is quite springy

39
Q

Gosset Retractors

A

Abdominal surgery of cats and small dogs, two spoons that hook onto the edges of the incision to spread it laterally, tightened with a wingnut

40
Q

Balfour Retractors

A

Abdominal surgery of larger dogs, more complex, has two spoons for lateral retraction, there is a detachable central spoon as well to retract cranially under the xiphisternum, ratcheting mechanism for retraction

41
Q

Size

A

Main influence on choice between retractors

42
Q

Langenback Handheld Retractor

A

Soft tissue retractor, someone must hold them in place, mainly used in orthopaedic cases and in some soft tissue surgeries

43
Q

Gelpi Handheld Retractors

A

Soft tissue retractor, ring handled with a ratchet (self-retaining), used during general soft tissue surgeries like thyroidectomy, used in pairs at right angles

44
Q

Frazier Tip Suction

A

Suction of small fluid volumes during soft tissue surgery, hole in the hand-piece for decompression, for low pressure suction, higher suction can be achieved by covering the hole

45
Q

Yankauer Tip Suction

A

Thicker tip, most rapid suction, used when lavaging a joint or for flushing large wounds

46
Q

Poole Tip Suction

A

Metal, central wand component for fine suction and the outer fenestrated sheath, tip can be used in the chest/abdominal cavities without sucking up delicate tissues (omentum), quick suction of large fluid volumes

47
Q

Periosteal Elevator (Freer)

A

Spatula-like ends for pushing periosteum and tissues away from the bone

48
Q

Rongeur

A

Heavy duty with cup-shaped jaws for grasping soft tissues and pulling them off bone or nibbling bones/tissues on bones, used a lot for ear surgeries

49
Q

Spay Hook

A

Not for spays in HfSA, run it along the body wall and then hook it at the uterine horn or ovary and pull it up for the procedure

Surgery (5 decks)

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