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Surgery > Surgical Instruments > Flashcards

Surgical Instruments Flashcards

1
Q

what part of the scissors are the tips?

A

the tops or tips of the blades

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2
Q

what part of the scissors are the jaws?

A

the blades

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3
Q

what part of the scissors is the box lock?

A

the part where the blades are joined together

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4
Q

what part of the scissors is the shank?

A

the continuation of the blades to the rings

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5
Q

what part of the scissors is the ring handle?

A

the part where you put your fingers

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6
Q

what part of the scissors is the ratchet?

A

the small parts that come off from the ring handles and meet in the middle space between the two ring handles

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7
Q

how do you grasp a ring instrument?

A

with thumb and ring finger
don’t put thumb all the way through the ring handle though

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8
Q

how do you pass an instrument to another person?

A

with the handle/ring handles towards them and put a little pressure when putting it in their hand so they know they’re holding it

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9
Q

how would you pass a curved instrument to another person?

A

with the curved side up

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10
Q

what are important things to NOT do with the instruments?

A

allow blood to dry on them, soak instruments in water or saline, sterilize them with the ratchets closed, use an instrument improperly, rough handle the instruments or dump them, use improper cleaning solutions/lubricants, allow water to dry on them

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11
Q

what are the categories of instruments and what instruments fall under each category?

A

cutting: scalpel, scissors
holding/clamping: needles holders, forceps, retractors

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12
Q

what are the different types of scalpel handles?

A

Bard Parker #3: small animal use, only fits scalpel blade #10-15
Bard Parker #4: large animal use, only fits scalpel blades #20-25
disposable: not really used much

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13
Q

what are Tungsten-carbide inserts and how can they be ID’d?

A

they can be ID’d by gold plated handles
they are replaceable inserts that can be added to stainless steel instruments to extend the life of the instrument while still keeping them sharp

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14
Q

what are the benefits of Tungsten-carbide inserts?

A

forceps have better gripping of tissues, scissor blades stay sharp longer, only have to replace inserts not whole instrument

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15
Q

what are the disadvantages of Tungsten-carbide inserts?

A

more expensive, more brittle than stainless steel, can not replace scissor blade inserts

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16
Q

Iris scissors

A

delicate, small, short blades intended for eye surgery

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17
Q

suture scissors

A

removes sutures, one blade has a small hook that goes between skin and suture

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18
Q

operating/dissecting scissors

A

general purpose scissors that can be used to cut tissue, cartilage/tendons, fabric, sutures, paper, gauze, etc

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19
Q

what are the 3 different tip patterns of operating scissors?

A

blunt/blunt, sharp/blunt, sharp/sharp

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20
Q

Mayo scissors

A

mainly used on tissues, can cut tougher connective tissue/skin, has tapered points

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21
Q

Metzenbaum scissors

A

only used on delicate tissues, similar to Mayo scissors, has tapered points

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22
Q

Lister bandage scissors

A

cuts tape, cloth, plastic, etc

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23
Q

wire cutting scissors

A

cuts orthopedic wire and steel sutures, have great leverage
two types: curvy one is the Heath wire cutting scissors

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24
Q

which scissors are the sharpest?

A

black handled scissors

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25
Q

what do needle holders do?

A

grips surgical needles that are curved and to tie knots in suture material, grip prevents rotation of needle
they have serrated jaw faces

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26
Q

Olsen-Hegar needle holder

A

includes scissors

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27
Q

Mayo-Hegar needle holder

A

does not include scissors

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28
Q

derf needle holder

A

the baby size of the mayo-hegar

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29
Q

castroviejo needle holder

A

small and delicate

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30
Q

mathieu needle holder

A

similar to castroviejo needle holder but with longer jaws and the handle is different

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31
Q

what are forceps used for?

A

to grasp and hold firmly or compress tissue and/or grip material with least amount of trauma

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32
Q

Allis tissue forceps

A

has a few teeth on gripping surface to grip tough connective tissue

33
Q

babcock forceps

A

similar to Allis forceps but have fine longitudinal serrations instead of teeth on gripping surface
used to grip intestinal tissue, less traumatic

34
Q

what are dressing thumb forceps used for?

A

has serrations for gripping gauze, cotton, tape, and other dressings

35
Q

Adson dressing thumb forceps

A

wide body and a narrow jaw

36
Q

Adson tissue thumb forceps

A

wide body and a narrow jaw with rat teeth

37
Q

Adson-Brown tissue thumb forceps

A

wide body and a narrow jaw with broad intermeshing teeth

38
Q

DeBakey thoracic thumb tissue forceps

A

has a ridge/groove design for grasping delicate tissue

39
Q

Russian thumb tissue forceps

A

has a traumatic bulky tip for skin/tissue being removed

40
Q

mosquito hemostatic forceps

A

used to clamp small bleeding vessels
has transverse serrations on entire jaw surface

41
Q

what are the Kelly and Crile hemostatic forceps used for and what makes them different from each other?

A

they are able to clamp larger vessels and tissue stumps
Kelly hemostats have serrations on most of the jaw surface but not the entire surface
Crile hemostats have serrations on the entire jaw surface

42
Q

carmalt/Rochester carmalt hemostatic forceps

A

clamps stumps and pedicles
has longitudinal serrations with a few cross serrations at the tip, larger than Kelly and Crile hemostats

43
Q

pean/Rochester pean hemostatic forceps

A

similar to Carmalt forceps except serrations are transverse

44
Q

Ochsner/Rochester-Ochsner hemostatic forceps

A

can clamp blood vessels and/or grasp tissue
jaws have transverse serrations on entire surface, tips have 1x2 teeth to prevent slipping of large bundles of clamped tissue

45
Q

Fergusen angiotribe

A

can clamp and crush tissue like uterine body and cervix during OVH
has a raised ridge on 1 jaw and a matching groove on the other

46
Q

backhaus towel clamp

A

used to secure drapes to a patient

47
Q

what are the different types of towel clamps called?

A

backhaus, Roeder, Jones, Lorna (Edna)

48
Q

Roeder towel clamp

A

similar to backhaus but has balls near the points

49
Q

Lorna towel clamp

A

similar to backhaus but has non-penetrating tips

50
Q

Doyen intestinal clamp

A

non-traumatizing, used during anastomosis Sx
has longitudinal serrations

51
Q

which retractors are manual/handheld?

A

Army retractor, Senn retractor, Spay/Snook hook retarctor

52
Q

Army (Army/Navy) retractor

A

has blunt edges that manually open edges of an incision or to retract an organ/tissue from surgeon’s visual field

53
Q

Senn retractor

A

rake or fork like end that is used to manually retract or move tissue layers, particularly muscle

54
Q

spay/snook hook retractor

A

manual
used to pull uterine horns and ovaries out

55
Q

which retractors are mechanical/self-retaining?

A

Weitlaner, Balfour, Gelpi, Finochietto

56
Q

Weitlaner retractor

A

mechanical
rake/fork like ends used to spread tissues apart

57
Q

Balfour retractor

A

mechanical
spreads tissues in 3 directions

58
Q

Gelpi retractor

A

mechanical
has pointed ends used to spread tissues apart, typically used on muscle

59
Q

Finochietto retractor

A

mechanical
ratchetted, used to open rib cage

60
Q

bone mallet

A

used with a bone chisel or osteotome
used for removing bone

61
Q

Gigli wire saw and handles

A

barbed wire-like bone saw

62
Q

bone file

A

removes rough edges, spurs, or points

63
Q

bone rasp

A

used like a file but to remove bone in larger amounts and has a rougher surface

64
Q

bone curette

A

spoon-like end used to scoop/scrape material from bone/bone marrow

65
Q

Rongeurs

A

used like pliers to remove or break off bone

66
Q

periosteal elevator

A

separates tissue (periosteum) from bone and can be used as a lever to elevate bone ends

67
Q

Kerns bone holding forceps

A

grasps bone firmly without injuring periosteal layer or other tissues

68
Q

intramedullary pins

A

used for internal fixation
stainless steel pins placed in bone marrow cavity, can come with or without threads, most common point is called trocar

69
Q

hand chuck/ Jacob’s chuck with key

A

hand drill for IM pins
uses extensions for safety for longer pins and a plug for shorter pins

70
Q

cannulated pin cutter

A

used to cut IM pins to size
cannulated= tube like hole

71
Q

orthopedic or cerclage wire

A

stainless steel wire used to wrap around and stabilize a bone fracture
diameter measured in gauge, smaller #=larger diameter

72
Q

Michele Trephine

A

used for bone biopses or to drill small holes in skull/sinus

73
Q

cast cutter

A

removes cast material

74
Q

sponge forceps

A

used with gauze sponges to perform a final patient scrub or for dabbing blood

75
Q

Chalazion clamp

A

used for eyelid growth removal

76
Q

eyelid speculum

A

holds open eyelids

77
Q

lacrimal cannulas

A

used to irrigate and probe lacrimal ducts

78
Q

what are the different suction tips called?

A

Frazier, Yankauer, Poole

Surgery (35 decks)

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