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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
Q

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?

A

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

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26
Q

Name the instrument pictured.

A

Mayo scissors
You want to only use this for DENSE tissue b/c it is a heavy scissor. Fascia, muscle, suture, drapes.

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27
Q

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?

A
  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
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28
Q

Name the instruments pictured.

A

Metzenbaum Scissors

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29
Q

Iris Scissors
1. Describe the size of these scissors.
2. Are these scissors straight or curved?
3. What are these scissors typically used for?

A
  1. Small, fine scissor
  2. Can be straight or curved
  3. Reserved for cutting delicate
    tissue; Often used in ophthalmic
    procedures
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30
Q

Name the instrument pictured

A

Iris scissors

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31
Q

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?

A
  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
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32
Q

Name the instrument pictured.

A

Not all suture scissors have the notch.
Notch helps prevent excessive tissue lifting.

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33
Q

Wire Cutting Scissors
1. Used for?
2. What type of “jaws” do these scissors possess?

A

š Use to cut orthopedic wire
š Angled jaws
š Serrated lower jaws

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34
Q

Name the instrument pictured.

A

Wire cutting scissors
serrated lower jaws help with precision.

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35
Q

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?

A
  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
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36
Q

Name the instrument pictured.

A

Spay hook or snook hook.
Used to find uterine horn, bring to surface, and makes our life easier then performing a spay.

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37
Q

Covault Spay Hook
1. What is this used for?
2. Describe the look of the covault spay hook.

A
  1. Used to raise the uterus to the surface
  2. Thinner compared to a spay/snook hook; Ball at the end
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38
Q

Name the instrument pictured.

A

Covault Spay Hook

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39
Q

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.

A
  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
Q

Backhaus Towel Clamp
1. Are these clamps commonly used?
2. What are they used for?

A
  1. Most commonly used
  2. Used to clamp drape around the surgery site
41
Q

Name the instrument pictured.

A

Backhaus Towel Clamp

42
Q

Lorna [Edna] Towel Clamp
1. Characterized by? Purpose?
2. Minimize the risk of?

A
  1. Non-penetrating towel clamps; Used to secure equipment due to non-perforating
  2. Minimize risk of contamination of the surgical field
43
Q

Hemostatic Forceps
1. Characterized by? Purpose?

A
  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
Q

Hemostatic Forceps
Continued…
1. Are they straight or curved?
2. Subject to?
3. What is required/
4. Types?
š

A

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
Q

Name the instrument pictured.

A

Hemostatic Forceps

46
Q
A

Hemostatic Forceps

47
Q

Rochester Carmalt Hemostatic Forceps
1. Used for?
2. What is the purpose of the longitudinal grooves?
3. What can be found on the tip?

A

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
Q

Name the instrument pictured

A

Rochester Carmalt Hemostatic Forceps

49
Q

Kelly Hemostatic Forceps
1. Used for?
2. What is the purpose of the transverse serrations?
3. Describe them in relation to mosquitos and carmalt

A

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
Q

Name the instrument pictured.

A

Kelly Hemostatic Forceps
Transverse striations only go half way through

51
Q

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

A

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
Q

Name the instrument pictured

A

Halsted Mosquito Hemostatic Forceps
Transverse striations covering entire surface.

53
Q

Crile Hemostatic Forceps
1. Used for?
2. Describe them in relation to Halsted, Mosquito, and Kelly
3. Describe the serrations.

A

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
Q

Name the instrument pictured

A

Crile Hemostatic Forceps

55
Q

Name the instrument pictured

A
56
Q

Name the commonly used Additional Forceps
š

A

Tissue Forceps
Allis
Babcook
Intestinal Forceps
Doyen

57
Q

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?

A

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
Q

Name the instrument pictured

A

Allis Tissue Forceps

59
Q

Babcock Tissue Forceps

A

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
Q

Name the instrument pictured

A

Babcock Tissue Forceps

61
Q

Name the instrument pictured

A

Allis

62
Q

Name the instrument pictured

A

Babcock

63
Q

Doyen Intestinal Forceps are Non-______/ ______ forceps that are used to ______ occlude ______ lumen. Can be _____ or _____
-> Example procedures this tool is used in?

A

crushing, Occluding, temporarily, intestinal, curved, straight
Enterotomies or
Resection and Anastomosis

64
Q

Name the instrument pictured

A

Doyen Intestinal Forceps

65
Q

List the retractors commonly used in veterinary surgery
š

A

Army Navy
Weitlaner
Gelpi
Senn
Baulfour Abdominal

66
Q

Army Navy Retractors are _____-ended ____ retractor with _______ handle. ____-held retractor [assistant].
Blades differ in ____
Commonly used in ___ tissue and _____ surgeries

A

double, blunt, fenestrated, Hand, length, soft, orthopedic

67
Q

Name the instrument pictured

A

Army Navy Retractor

68
Q

Weitlaner Retractor have “__” fingers and are ____-retaining. Used in ____ procedures to retract ____ tissue in a ____/_______ incision

A

W, self, orthopedic, soft, small/superficial

69
Q

Name the instrument pictured

A

Weitlaner Retractor

70
Q

Gelpi Retractor
- ____-retaining
- Available in different ___
- Retracts ___ tissues
- Retraction of _____ bellies
during _____ and ___
[neuro] surgeries
- Is this a traumatic instrument to use?

A

Self, sizes, soft, muscle, orthopedic, spinal, Yes

71
Q

Name the instrument pictured

A

Gelpi Retractor

72
Q

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

A

Double, Blunt, sharp, right, Hand, skin, soft

73
Q

Name the instrument pictured

A

Senn retractor

74
Q

Baulfor Abdominal Retractor
- ____ retaining
- Retract ______ wall ______.
- Available in different _____
- Must be used with caution to protect ______ tissues

A

Self, abdominal, laterally, sizes, underlying

75
Q

Name the instrument pictured

A

Baulfor Abdominal Retractor

76
Q

Barraquer Eyelid Speculum
- _____ ___-retaining instrument
- Holds ____ open during ophthalmic surgery
- Example: _____ surgery

A

Wire, self, eyelid, Corneal

77
Q

Name the instrument pictured

A

Barraquer Eyelid Speculum

78
Q

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

A

large, Blunt, suction, Fenestrations, unscrews, Frazier

79
Q

Name the instrument pictured

A

Poole Suction Tip

80
Q

Frazier Suction Tip
- ____ tipped suction tip
- Removes ___ amounts of fluid
from the body cavity
- Easily ____ with blood clots
and smaller tissue remnants

A

Fine, small, clogged

81
Q

Name the instrument pictured

A

Frazier Suction Tip

82
Q

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

A

root, alveolar, weakens, break, periodontal, elevators

83
Q

Name the instrument pictured.

A

Dental Elevator

84
Q

Curette
- Used for ______ cleansing
- _____ ended instrument

A

subgingival, Double

85
Q

Name the instrument pictured.

A

Curette

86
Q

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

A

working, cross, gumline, traumatic, Variety

87
Q

Name the instrument pictured

A

Scaler

88
Q

Name the image pictured.

A

Scaler – Most Commonly Used

89
Q

Curette vs. Scaler

A
90
Q

Extraction Forceps
š Heavy instrument used to remove a tooth
š Various sizes and tips

A
91
Q

Name the instrument provided.

A

Extraction Forceps

92
Q

Name the instrument provided

A

Extraction forceps - close up

93
Q

Periodontal Probe

A

š Measures pocket depths around tooth
š Health of periodontium
š Blunt tipped

94
Q

Name the instrument pictured.

A

Periodontal probe

95
Q

Dental Explorer

A

š Helps explore the enamel and dentin defects
š Sharp tipped

96
Q

Name the instrument pictured.

A

Dental explorer

97
Q

Stainless Steel Bowls are used for?

A

Saline

Principles of Surgery (13 decks)

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