Surgical Instruments Flashcards
olsen hegar needle drivers
olsen hegar needle drivers
general purpose
has scissors
serated inserts – max control and precision
mayo hegar needle drivers
mayo hegar needle drivers
general purpose
no scissors
serated insert – max control and precision
derf needle holders
derf needle holders
general purpose – delicate and small
holds small needles – 5-0 and 6-0
ophthalmic and dental procedures
scalpel handle number 3
bard-parker number 3
scalpel handle number 3
most common
some have rulers on handles
holds blades 10, 11, 12, 15
small animals
scalpel handle number 4
bard-parker number 4
scalpel handle number 4
holds blades 20-29
commonly used in large animal
thumb tissue forceps
accurate tissue handling
stabilize tissues
expose tissue layers
debakey thumb tissue forceps
debakey thumb tissue forceps
least traumatic
striated longitudinally
delicate grasp of soft tissues
good for hollow organs
thoracic and vascular procedures
adson thumb tissue forceps
adson thumb tissue forceps
most traumatic
fine, rat tooth tip
manipulate soft tissues (fascia, skin) during suturing
stabilize and retract less delicate tissues
adson brown thumb tissue forceps
adson brown thumb tissue forceps
multiple fine intermeshing teeth (rather than rat tooth)
general tissue and needle handling
lister bandage scissors
lister bandage scissors
angled blade
blunt tip on bottom blade
reduce tissue injury when removing bandage material
cuts through bandage and bandage material
mayo scissors
mayo scissors
heavy scissors, thick blade
straight or curved, various lengths
cuts more dense tissues
fascia, muscle, suture, drapes
metzenbaum scissors
metzenbaum scissors
dissecting soft tissues, cutting delicate tissue
sharp and blunt dissection of more delicate tissues
fine tissues, intestinal fat, bladder
lighter scissor
do not use to cut suture – dulls them, useless for dissection
iris scissors
iris scissors
small, fine, straight or curved
cutting delicate tissue
ophthalmic procedures
suture scissors
suture scissors
short, sturdy
notch in one blade to hook suture
prevents excessive lifting of tissue when cutting
used to cut suture
do not use to cut tissue
wire cutting scissors
wire cutting scissors
cut orthopedic wire
angled jaws
serrated lower jaws
spay hook
snook hook
spay hook (snook hook)
long, flat, thin handle
blindly hook uterine horn or mesometrium
allows small spay incision
covault spay hook
covault spay hook
raise uterus to surface
thinner compared to spay hook (snook hook)
ball at the end
towel clamps
hold drapes
secure suction lines, electrocautery cables, power equipment
considered contaminated once they penetrate drape
backhaus towle clamp
backhaus towel clamp
most common
clamp drape around surgery site
sharp points, curved shape, locking ratchet
lorna towel clamp
edna towel clamp
lorna (edna) towel clamp
non penetrating
secure equipment due to non perforating
minimize risk of contamination of surgical field
hemostatic forceps
crushing instruments
temporarily clamp and occlude bleeding vessels
grasp and secure tissues and superficial fascia
exposing, exploring, visualizing deeper areas
straight or curved, subject to wear and tear
rochester carmalt hemostatic forceps
rochester carmalt hemostatic forceps
clamp large blood vessels and large tissues
longitudinal grooves run entire length
cross striations at the tip
clamp ovarian pedicle/stump
kelly hemostatic forceps
kelly hemostatic forceps
clamp small to medium blood vessels
transverse serrations covering half the length
serrations on distal half of jaw
larger than mosquitoes, smaller than carmalts
halsted mosquito hemostatic forceps
halsted mosquito hemostatic forceps
clamp small blood vessels
transverse serrations covering entire length of jaw
fine point at end – grasp and crush bleeding vessels
smaller than carmalts and kellys
crile hemostatic forceps
crile hemostatic forceps
clamp small to medium blood vessels
similar size to kelly
larger and less delicate than halsted mosquitoes
transverse serrations covering entire jaw
allis tissue forceps
allis tissue forceps
crushing, very traumatic
only use on tissues being removed from body
interlocking teeth on gripping surface
holding dense/heavy tissue
not recommended for frequent use
positioning suction tubing and electrocautery wire on patient
babcock tissue forceps
babcock tissue forceps
smooth flat tips
still crushes, but less traumatic
grasp and retract soft tissues
stomach, bladder
doyen intestinal forceps
doyen intestinal forceps
non crushing
temporarily occlude intestinal lumen
enterotomies, resection, anastomosis
can be curved or straight
army navy retractor
army navy retractor
double ended blunt retractor
fenestrated handle
hand held – requires assistant
blades differ in length
soft tissue and orthopedic surgeries
weitlaner retractor
weitlaner retractor
“W” fingers
self retaining – no assistant needed
orthopedic procedures to retract soft tissue in small/superficial incision
gelpi retractor
gelpi retractor
self retaining – no assistant needed
retracts soft tissues
retraction of muscle bellies during orthopedic and spinal surgeries
traumatic
senn retractor
senn retractor
double ended retractor
blunt or sharp fork on one end
blunt right angled blade on other end
hand held – requires assistant
used on skin and soft tissues in small areas
balfour abdominal retractor
balfour abdominal retractor
self retaining – no assistant needed
retract abdominal wall laterally
must be used with caution to protect underlying tissue
barraquer eyelid speculum
barraquer eyelid speclum
wire, self retaining instrument – no assistant needed
holds eyelid open during ophthalmic surgery
corneal surgery
poole suction tip
poole suction tip
suction large amounts of fluid from body cavity
blunt tip – prevents trauma to organs
attaches to suction hose
fenestrations
inner canula unscrews – can be used as a modified fraizer suction tip
fraizer suction tip
fraizer suction tip
fine tipped suction tip
small amounts of fluid
easily clogged with blood clots, small tissue remnants
dental elevator
dental elevator
wedge between root and alveolar bone
weaken or break periodontal ligament, facilitates tooth extraction
common to use different elevators for a single tooth
curette
curette
subgingival cleaning of dentin and enamel
double ended instument
scaler
scaler
sharp tips in working end
triangular in cross section
removes dental deposits above gumline only
sharp tip is traumatic to delicate tissues
variety of tips and angles
most commonly used scaler
extraction forceps
extraction forceps
heavy instrument
remove tooth
various sizes and tips
calculus removal forceps
calculus removal forceps
removes large pieces of calculus prior to scaling
uneven tip
periodontal probe
periodontal probe
measures pocket depths around tooth
measures health of periodontium
blunt tipped
dental explorer
dental explorer
helps explore enamel and dentin defects
sharp tipped
stainless steel bowl
stainless steel bowl
used for saline