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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
what do needle holders do?
grips surgical needles that are curved and to tie knots in suture material, grip prevents rotation of needle they have serrated jaw faces
26
Olsen-Hegar needle holder
includes scissors
27
Mayo-Hegar needle holder
does not include scissors
28
derf needle holder
the baby size of the mayo-hegar
29
castroviejo needle holder
small and delicate
30
mathieu needle holder
similar to castroviejo needle holder but with longer jaws and the handle is different
31
what are forceps used for?
to grasp and hold firmly or compress tissue and/or grip material with least amount of trauma
32
Allis tissue forceps
has a few teeth on gripping surface to grip tough connective tissue
33
babcock forceps
similar to Allis forceps but have fine longitudinal serrations instead of teeth on gripping surface used to grip intestinal tissue, less traumatic
34
what are dressing thumb forceps used for?
has serrations for gripping gauze, cotton, tape, and other dressings
35
Adson dressing thumb forceps
wide body and a narrow jaw
36
Adson tissue thumb forceps
wide body and a narrow jaw with rat teeth
37
Adson-Brown tissue thumb forceps
wide body and a narrow jaw with broad intermeshing teeth
38
DeBakey thoracic thumb tissue forceps
has a ridge/groove design for grasping delicate tissue
39
Russian thumb tissue forceps
has a traumatic bulky tip for skin/tissue being removed
40
mosquito hemostatic forceps
used to clamp small bleeding vessels has transverse serrations on entire jaw surface
41
what are the Kelly and Crile hemostatic forceps used for and what makes them different from each other?
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
carmalt/Rochester carmalt hemostatic forceps
clamps stumps and pedicles has longitudinal serrations with a few cross serrations at the tip, larger than Kelly and Crile hemostats
43
pean/Rochester pean hemostatic forceps
similar to Carmalt forceps except serrations are transverse
44
Ochsner/Rochester-Ochsner hemostatic forceps
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
Fergusen angiotribe
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
backhaus towel clamp
used to secure drapes to a patient
47
what are the different types of towel clamps called?
backhaus, Roeder, Jones, Lorna (Edna)
48
Roeder towel clamp
similar to backhaus but has balls near the points
49
Lorna towel clamp
similar to backhaus but has non-penetrating tips
50
Doyen intestinal clamp
non-traumatizing, used during anastomosis Sx has longitudinal serrations
51
which retractors are manual/handheld?
Army retractor, Senn retractor, Spay/Snook hook retarctor
52
Army (Army/Navy) retractor
has blunt edges that manually open edges of an incision or to retract an organ/tissue from surgeon's visual field
53
Senn retractor
rake or fork like end that is used to manually retract or move tissue layers, particularly muscle
54
spay/snook hook retractor
manual used to pull uterine horns and ovaries out
55
which retractors are mechanical/self-retaining?
Weitlaner, Balfour, Gelpi, Finochietto
56
Weitlaner retractor
mechanical rake/fork like ends used to spread tissues apart
57
Balfour retractor
mechanical spreads tissues in 3 directions
58
Gelpi retractor
mechanical has pointed ends used to spread tissues apart, typically used on muscle
59
Finochietto retractor
mechanical ratchetted, used to open rib cage
60
bone mallet
used with a bone chisel or osteotome used for removing bone
61
Gigli wire saw and handles
barbed wire-like bone saw
62
bone file
removes rough edges, spurs, or points
63
bone rasp
used like a file but to remove bone in larger amounts and has a rougher surface
64
bone curette
spoon-like end used to scoop/scrape material from bone/bone marrow
65
Rongeurs
used like pliers to remove or break off bone
66
periosteal elevator
separates tissue (periosteum) from bone and can be used as a lever to elevate bone ends
67
Kerns bone holding forceps
grasps bone firmly without injuring periosteal layer or other tissues
68
intramedullary pins
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
hand chuck/ Jacob's chuck with key
hand drill for IM pins uses extensions for safety for longer pins and a plug for shorter pins
70
cannulated pin cutter
used to cut IM pins to size cannulated= tube like hole
71
orthopedic or cerclage wire
stainless steel wire used to wrap around and stabilize a bone fracture diameter measured in gauge, smaller #=larger diameter
72
Michele Trephine
used for bone biopses or to drill small holes in skull/sinus
73
cast cutter
removes cast material
74
sponge forceps
used with gauze sponges to perform a final patient scrub or for dabbing blood
75
Chalazion clamp
used for eyelid growth removal
76
eyelid speculum
holds open eyelids
77
lacrimal cannulas
used to irrigate and probe lacrimal ducts
78
what are the different suction tips called?
Frazier, Yankauer, Poole

Surgery (35 decks)

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