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Principles of Surgery > Surgical Instruments > Flashcards

Surgical Instruments Flashcards

1
Q

Name three examples of commonly used Needle Drivers

A
  1. Olsen-Hegar
  2. Mayo-Hegar
  3. Derf
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2
Q
  1. What is the purpose of Olsen-Hegar Needle Drivers?
A

General purpose needle holder with scissors.

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3
Q

Name the instrument pictured below. What is the purpose of the serrated insert?

A

Olsen-Hegar Needle Drivers
The serrated inserts maximize control and precision during surgical procedures.

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4
Q

Label accordingly.
Name the instrument pictured.

A

Olsen-Hegar Needle Drivers

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5
Q
  1. What is the purpose of using a Mayo-Hegar Needle Holder?
  2. Mayo-Hegar Needle Holder are NOT?
A
  1. General purpose needle holder
  2. NO SCISSORS
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6
Q

Name the instrument pictured below.
What is the purpose of the serrated inserts?

A

Mayo-Hegar Needle Holder
The serrated inserts maximize control and precision during surgical procedures

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7
Q

Name the instruments pictured.

A

Olsen-Hegar vs. Mayo-Hegar

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8
Q
  1. Derf Needle Holders are characterized by?
  2. What is their function?
  3. What are these needle holders typically used for?
A
  1. Delicate and smaller general needle holder
  2. Hold small needles [5-0 and 6-0]
  3. Ophthalmic and dental procedures
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9
Q

Name the instrument pictured.

A

Derf Needle Holder

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10
Q

Scalpel Handle No. 3
[Bard-Parker #3]

  1. What is this instrument typically used for?
  2. Is this instrument commonly used?
  3. What do some of these instruments have?
  4. What scalpel blades do these handles hold?
  5. What grip styles can be used with this instrument?
A
  1. Used with surgical blade to create incision/tissue separation
  2. Most commonly used
  3. Some have a ruler on the handle
  4. Hold No. 10, 11, 12, and 15 blades
  5. Pencil vs. Slide grip
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11
Q

Name the instrument pictured.

A

Scalpel Handle No. 3
[Bard-Parker #3]
most common one you will see
some have ruler on side

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12
Q

Scalpel Handle No. 4
[Bard-Parker #4]
1. What scalpel blades can be used with this instrument?
2. In what settings is this scalpel handle commonly used?

A
  1. Blades #20 – 29
  2. Commonly used in large
    animal
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13
Q

Name the instrument pictured.

A

Scalpel Handle No. 4
[Bard-Parker #4]

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14
Q

Tissue/Thumb Forceps
1. What is the purpose of tissue/thumb forceps?

A
  • Allows accurate tissue handling without direct
    contact between surgeon’s fingers and tissues
  • Used to stabilize tissues and expose tissue layers when suturing
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15
Q

Name the instruments pictured.

A

Types:
š Debakey Forceps [A]
š Adson Forceps [B]
š Adson Brown Forceps [C]

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16
Q

Debakey Forceps are considered to be the ______ traumatic. They are _______ in a ______ direction. Typically used for _______ grasping _____ tissues by minimizing tissue _______, making them good for ______ organs. Preferred during which procedure types?

A

least, striated, longitudinal, delicately, soft, damage, hollow organs

Preferred during thoracic and vascular procedures

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17
Q

Name the instruments pictured.

A

Debakey Forceps
Used for abdominal surgeries, hollow organs such as intestines, bowels, bladder; sensitive organs. Anything that has ? inside of it. Common in GI surgery.
There are different legnths and tip width. Of the three forceps, this is the least traumatic.

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18
Q

Adson Forceps are considered to be the _____ traumatic. Possess ____, ____ tooth tip. Used to manipulate ____ tissues, such as _______ and _____ during suturing. Additionally, they ______ and ______ ____ delicate tissues.

A

most, fine, rat, soft, fascia, skin Stabilize, retract less

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19
Q

Name the instruments pictured.

A

Adson Forceps

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20
Q

Adson Brown Forceps are similar to which instrument? How are they different? What are they typically used for?

A

Similar to Adson tissue forceps, but tip configuration is different - multiple, fine intermeshing teeth
General tissue handling and suture needles

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21
Q

Name the instruments pictured

A

Adson Brown Forceps

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22
Q

List the names of scissors commonly used in surgery.

A

š Lister Bandage
š Mayo
š Metzenbaum
š Iris
š Suture
š Wire Cutting

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23
Q
  1. Lister Bandage Scissors usually have an?
  2. What do lister bandage scissors reduce the likelihood of?
  3. What do lister bandage scissors cut through?
A

š Usually have an angled blade with a blunt tip on the
bottom blade
š Reduces the likelihood of tissue injury when scissors are
introduced between skin and bandage material
š Cuts through bandages and bandage material

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24
Q

Name the instruments pictured.

A

Lister Bandage Scissors
When we are removing any type of bandage use these scissors ONLY.

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25
Mayo Scissors 1. Are they light weight or heavy? 2. Are the blades thin or thick 3. Are they straight or curved? 4. What lengths are they available in? 5. What do they typically cut through?
š 1. Heavy scissors š 2. Thick blades š 3. Can be straight or curved š 4. Available in various lengths š 5. Cuts more dense tissue š Strong scissors used for: š Fascia, Muscle, Suture, Drapes
26
Name the instrument pictured.
Mayo scissors You want to only use this for DENSE tissue b/c it is a heavy scissor. Fascia, muscle, suture, drapes.
27
Metzenbaum Scissors 1. Are used to cut through? 2. Are these scissors heavy or light? 3. What should these scissors NOT be used for? 4. Are these scissors straight or curved?
1. Used for dissecting soft tissue and cutting delicate tissue; Fine tissues, intestinal fat, bladder. Sharp and blunt dissection of more delicate tissues. 2. Lighter scissor 3. Do NOT use to cut suture. Dulls the scissors and renders useless for dissection 4. Mostly curved, some are straight
28
Name the instruments pictured.
Metzenbaum Scissors
29
Iris Scissors 1. Describe the size of these scissors. 2. Are these scissors straight or curved? 3. What are these scissors typically used for?
1. Small, fine scissor 2. Can be straight or curved 3. Reserved for cutting delicate tissue; Often used in ophthalmic procedures
30
Name the instrument pictured
Iris scissors
31
Suture Scissors 1. Describe the size of these scissors. 2. What unique characteristics do these scissors possess? What are their functions? 3. What are these scissors typically used for? 4. What should these scissors NOT be used for?
1. Short, sturdy scissor 2. Notch in one blade slows loop of suture to be easily hooked. Prevents excessive lifting of tissues when cutting 3. Used to cut suture, Usually, to remove skin suture after an incision has healed š Do not use to cut tissue
32
Name the instrument pictured.
Not all suture scissors have the notch. Notch helps prevent excessive tissue lifting.
33
Wire Cutting Scissors 1. Used for? 2. What type of "jaws" do these scissors possess?
š Use to cut orthopedic wire š Angled jaws š Serrated lower jaws
34
Name the instrument pictured.
Wire cutting scissors serrated lower jaws help with precision.
35
Spay Hook [Snook Hook] 1. Describe what a spay hook looks like. 2. What is the spay hook used for? 3. What does the spay hook allow the surgeon to do?
1. Long, flat and thin handle 2. Used to blindly hook uterine horn or mesometrium and raise to the surface during an ovariohysterectomy [spay] procedure 3. Allows surgeon to perform the procedure through a relatively small incision
36
Name the instrument pictured.
Spay hook or snook hook. Used to find uterine horn, bring to surface, and makes our life easier then performing a spay.
37
Covault Spay Hook 1. What is this used for? 2. Describe the look of the covault spay hook.
1. Used to raise the uterus to the surface 2. Thinner compared to a spay/snook hook; Ball at the end
38
Name the instrument pictured.
Covault Spay Hook
39
Towel Clamps 1. What are the purpose of towel clamps? 2. When are towel clamps considered to be contaminated? 3. When should towel clamps be discarded? 4. Name the two types of towel clamps.
1. Towel clamps are used for: - Hold surgical drape during a surgical procedure - Secure suction lines, electrocautery cables, and power equipment to drapes 2. Considered contaminated once they penetrate a drape 3. Must be discarded and replaced with new ones if repositioning is required 4. Types: Backhaus, Lorna [Edna]
40
Backhaus Towel Clamp 1. Are these clamps commonly used? 2. What are they used for?
1. Most commonly used 2. Used to clamp drape around the surgery site
41
Name the instrument pictured.
Backhaus Towel Clamp
42
Lorna [Edna] Towel Clamp 1. Characterized by? Purpose? 2. Minimize the risk of?
1. Non-penetrating towel clamps; Used to secure equipment due to non-perforating 2. Minimize risk of contamination of the surgical field
43
Hemostatic Forceps 1. Characterized by? Purpose?
1. Crushing instruments used to temporarily clamp and occlude bleeding vessels. Crushing action on the vascular wall stimulates physiological clotting mechanisms. Can be used to grasp and secure tissues and superficial fascia during a surgical procedure. Excellent tool for exposing, exploring, and visualizing deeper areas of a surgical site
44
Hemostatic Forceps Continued... 1. Are they straight or curved? 2. Subject to? 3. What is required/ 4. Types? š
Can be straight or curved š Subject to wear and tear š Require routine inspection of jaw alignment, shank tension, and ratchet wear š Types: š Rochester Carmalt š Kelly š Mosquito š Crile
45
Name the instrument pictured.
Hemostatic Forceps
46
Hemostatic Forceps
47
Rochester Carmalt Hemostatic Forceps 1. Used for? 2. What is the purpose of the longitudinal grooves? 3. What can be found on the tip?
š Used to clamp large blood vessels and large tissues š Example: Ovarian pedicle or stump prior to ligation or transection during a canine ovariohysterectomy [spay] procedure š Longitudinal grooves on jaw surface run the entire length š Cross striations at the tip
48
Name the instrument pictured
Rochester Carmalt Hemostatic Forceps
49
Kelly Hemostatic Forceps 1. Used for? 2. What is the purpose of the transverse serrations? 3. Describe them in relation to mosquitos and carmalt
š Used to clamp small to medium sized blood vessels š Transverse serrations covering half of the griping surface [distal half of the jaw] š Larger and less delicate than mosquitos, but smaller than Carmalt
50
Name the instrument pictured.
Kelly Hemostatic Forceps Transverse striations only go half way through
51
Halsted Mosquito Hemostatic Forceps 1. Used for? 2. Purpose of transverse serrations? 3. Describe the point on the end. 4. Describe them in relation to Carmalt and Kelly
š Used to clamp small blood vessels š Small, delicate hemostats š Transverse serrations covering the entire griping surface [jaw] š Has a very fine point at the end š Typically used to grasp and crush bleeding vessels š Smaller than both Carmalt and Kelly
52
Name the instrument pictured
Halsted Mosquito Hemostatic Forceps Transverse striations covering entire surface.
53
Crile Hemostatic Forceps 1. Used for? 2. Describe them in relation to Halsted, Mosquito, and Kelly 3. Describe the serrations.
š Used to clamp small to medium sized blood vessels š Larger and less delicate than Halsted Mosquito š Similar size to Kelly š Transverse serrations covering the entire griping surface [jaw]
54
Name the instrument pictured
Crile Hemostatic Forceps
55
Name the instrument pictured
56
Name the commonly used Additional Forceps š
Tissue Forceps Allis Babcook Intestinal Forceps Doyen
57
Allis Tissue Forceps 1. Also known as? 2. How many teeth are found on the gripping surface? 3. Used for? 4. Usually on tissues that are ? 5. What are these NOT recommended for?
šCrushing tissue forceps š Varying number of interlocking teeth on the gripping surface š Used for holding dense/heavy tissue, but very traumatic š Usually used on tissues that are going to be removed š Not recommended for frequent use š Commonly used for positioning suction tubing and electrocautery wire on the patient
58
Name the instrument pictured
Allis Tissue Forceps
59
Babcock Tissue Forceps
š Smooth flat tips š Still crushes š tissue, but less traumatic than Allis forceps š Used to grasp and retract soft tissues š Examples: Stomach or Bladder
60
Name the instrument pictured
Babcock Tissue Forceps
61
Name the instrument pictured
Allis
62
Name the instrument pictured
Babcock
63
Doyen Intestinal Forceps are Non-______/ ______ forceps that are used to ______ occlude ______ lumen. Can be _____ or _____ -> Example procedures this tool is used in?
crushing, Occluding, temporarily, intestinal, curved, straight Enterotomies or Resection and Anastomosis
64
Name the instrument pictured
Doyen Intestinal Forceps
65
List the retractors commonly used in veterinary surgery š
Army Navy Weitlaner Gelpi Senn Baulfour Abdominal
66
Army Navy Retractors are _____-ended ____ retractor with _______ handle. ____-held retractor [assistant]. Blades differ in ____ Commonly used in ___ tissue and _____ surgeries
double, blunt, fenestrated, Hand, length, soft, orthopedic
67
Name the instrument pictured
Army Navy Retractor
68
Weitlaner Retractor have “__” fingers and are ____-retaining. Used in ____ procedures to retract ____ tissue in a ____/_______ incision
W, self, orthopedic, soft, small/superficial
69
Name the instrument pictured
Weitlaner Retractor
70
Gelpi Retractor - ____-retaining - Available in different ___ - Retracts ___ tissues - Retraction of _____ bellies during _____ and ___ [neuro] surgeries - Is this a traumatic instrument to use?
Self, sizes, soft, muscle, orthopedic, spinal, Yes
71
Name the instrument pictured
Gelpi Retractor
72
Senn Retractor - ______ ended retractor - _____ vs. ____ fork on one end; blunt ____-angle blade on the other end - ____-held retractor [assistant] - Used on ____ and ____ tissue in small areas
Double, Blunt, sharp, right, Hand, skin, soft
73
Name the instrument pictured
Senn retractor
74
Baulfor Abdominal Retractor - ____ retaining - Retract ______ wall ______. - Available in different _____ - Must be used with caution to protect ______ tissues
Self, abdominal, laterally, sizes, underlying
75
Name the instrument pictured
Baulfor Abdominal Retractor
76
Barraquer Eyelid Speculum - _____ ___-retaining instrument - Holds ____ open during ophthalmic surgery - Example: _____ surgery
Wire, self, eyelid, Corneal
77
Name the instrument pictured
Barraquer Eyelid Speculum
78
Poole Suction Tip - Used to suction ____ amount of fluid from body cavity - ____ tip which prevents trauma to the organs - Attaches to a ____ hose - _________ - Inner canula ______, which can be used as a modified ____ suction tip
large, Blunt, suction, Fenestrations, unscrews, Frazier
79
Name the instrument pictured
Poole Suction Tip
80
Frazier Suction Tip - ____ tipped suction tip - Removes ___ amounts of fluid from the body cavity - Easily ____ with blood clots and smaller tissue remnants
Fine, small, clogged
81
Name the instrument pictured
Frazier Suction Tip
82
Dental Elevator - Acts as a wedge between the ___ and the _____ bone - Helps _____ or ____ the ______ ligament, which facilitated tooth extraction - Not uncommon to use many different _____ when extracting a single tooth
root, alveolar, weakens, break, periodontal, elevators
83
Name the instrument pictured.
Dental Elevator
84
Curette - Used for ______ cleansing - _____ ended instrument
subgingival, Double
85
Name the instrument pictured.
Curette
86
Scaler - Sharp tips on the _____ end; triangular in _____ section - Removes dental deposits above the _____ only - Sharp tip is very ____ to the delicate tissues - _____ of tips and angles
working, cross, gumline, traumatic, Variety
87
Name the instrument pictured
Scaler
88
Name the image pictured.
Scaler – Most Commonly Used
89
Curette vs. Scaler
90
Extraction Forceps š Heavy instrument used to remove a tooth š Various sizes and tips
91
Name the instrument provided.
Extraction Forceps
92
Name the instrument provided
Extraction forceps - close up
93
Periodontal Probe
š Measures pocket depths around tooth š Health of periodontium š Blunt tipped
94
Name the instrument pictured.
Periodontal probe
95
Dental Explorer
š Helps explore the enamel and dentin defects š Sharp tipped
96
Name the instrument pictured.
Dental explorer
97
Stainless Steel Bowls are used for?
Saline

Principles of Surgery (13 decks)

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