surgical instruments Flashcards
4 matches with ~20s blades
#3 or #7: 10s blades
specific:
- 10: skin incision
-15: shallow incision
- 11: puncture/drainage/tiny deep incision
- 10: skin incision
-15: shallow incision - 11: puncture/drainage/tiny deep incision
curved mayo scissors: cut deeper thick tissue
Metzenbaum scissors: Cutting Tissue & Blunt Dissection
Tenotomy Scissors
-lateral canthotomy
Iris Scissors: Ophthalmic Use
-can cut tarsal plate
Ronguer
-cut bone
-shape bone
Curette
ostetome
-cuts bone
-like a chisel but its beveled on both sides
-reshapes
freer elevator
freer elevator
A
-used when working on the periosteum
-removes periosteum in areas of fracture
rasp
A
-reshapes and reforms bones
-used for deformities caused by fractures
kocher forceps
A
-holding tissue to be removed
-has a single and double tooth
-will damage tissue -> used on tissue that will be removed -> ex. gallbladder
-comes in different lengths
allis forceps
A
-hold or grasp heavy tissue to be removed
-ex. fascia
-teeth are serrated
babcock forceps
A
-smooth edges for grasping
-less traumatic grasping
-grasp delicate structures
-ex. fallopian tube, ureter, vas deferens, ovaries, appendix, small bowel
sponge stick forceps
A
-cleaning the skin with swab dipped in antiseptic
-scrub nurse holds the gauze pads in here
-deep areas to enhance visualization
backhaus towel clip
A
-fixing drapes to the skin
-secure towels
-sharp
-can use on bones to hold together bc of sharp edges
adsons forceps
A
-grasps tissue
-gentle
-plastic surgeons
-does not damage tissue
tissue forceps (toothed)
A
-used subcuticularly so you dont damage the skin
-can damage tissue
-holding tissue during wound closure
ferris smith forcep
A
-use with fibrous tissue
-colon tissue
-toothed
-there is an area of the forcep with less serrations that cause less damage
debakey forceps
A
-atraumatic vascular forcep
-doesnt damage artery or vein
-coronary bypass
russians forceps
A
-atraumatic dissection
-wide clamp
-doesnt damage
anatomy of a clamp
-ratchet- keeps the clamp closed
-shank is the long shaft part
-box lock- intersection
-jaws- before the tip
-tip
-ring handles
-size varies
mosquito clamp
A
-used to tie of bleeding vessels
-you can cauterize through this clamp by touching it to a bovie
crile clamp
A
-for cauterization of ligation
-larger than mosquito
right angle clamp
A
-for vascular surgery
-pass ligatures around vessels
-tissue dissection by opening and closing (spread)
self retractor
A
-retract shallow incisions
harrington retractor
A
-retracting deep intra abdominal visceral organs during cholecystectomy, hysterectomy
-longer
morris retractor
A
-retracting strong structures like abdominal wall and muscles
senn retractor
A
-retracting superficial wound edges
-hand, plastic, foot surgery
langenbachs retractors
A
-providing better visualization of operative field and minimizing tissue handling
deavers retractor
A
-retracting deep wound edges during gastrectomy, cholecystectomy, kidney operations, etc.
-common
-if used superficially you dont need to stand there holding it
czerney’s rectractor
A
-superficial retraction of skin incision during laparotomy
kelly retractor
A
-for wound exposure
kelly clamp
A
-everywhere with many uses
-deep procedures
-chest tubes
-holds vascular structures
-bigger
tonsil clamp
A
tonsillectomy
-can also pass surgical ties -> pass suture material under clamped structure and tie surgical knott
-can use in deeper procedures
pean clamp
A
-hemostasis
-curved
-can pass ligatures and ties under to tie
-easier bc its curved
-small
bowel clamp
A
-non crushing
-bowel resection
vascular clamp
A
-non crushing
-atraumatic clamp
-anastomosis
-dissections
bulldog clamp
A
-non crushing
-used in open heart surgery for coronary artery- stops bleeding locally while performing anastomosis
-precise blood flow control
skin hooks
A
-apply to skin border to pull skin back
-see structures that are superficial
cushing vein retractor
A
-neurosurgery
-gentle
-doesnt damage brain
volkman retractor
A
-skin, ribs, other tissues
-lifts out of way
-pulls and lifts tissue away
army-navy retractor
A
-retraction of small shallow incisions
-common
-two L shaped sides
-expose structures
-ex. carotid artery plaque removal
malleable (ribbon) retractor
A
-movable
-can be put in the wound while suturing to protect the bowel from being poked
-protects
-take it out after
-without this a fistula can form
richardson retractor
A
-retraction in chest or abdomen
weitlander retractor
A
-ratchet retractor
-self locking mechanism
-cork screw appearance
cerebellar retractor
A
-locking mechanism
-neurosurgical procedures
gelpi retractor
A
-opens up wounds
-self retractor
-two sharp ends on each side
balfour
A
-large abdominal operations
-laparotomy pads keep abdomen moist
-keeps itself in place
bookwalter retractor
A
-self retaining
-retracts the entire abdomen in multiple areas
-bariatric surgery
-obese patients
-long periods of time
webster needle holder
A
-suturing
-long deep suturing requiring force
-push the needle through the materials
crile wood needle holder
A
-suturing
-small to medium sutures
mayo hegar
A
-needle driver
-suturing
-very common
-versatile
castroviejo needle holder
A
-suturing
-needle holder
-plastic and neurosurgery
-microsurgery
skin stapler
A
-repair scalp laceration
-close abdominal wounds
weck hemoclip applier
A
-apply small clips to the side
-can clamp a vessel on either side to obtain hemostasis
ligaclip applier
A
-applies a ligature clip
-stops vessel from bleeding
Vaginal Speculum
nasal speculum
A
-turbines
-deviated septum
-septalplasty
-rhinoplasty
rectal speculums
A
-dilate rectum
rigid endoscopes
A
-endoscopy
laparoscopic trochars
A
-insert into abdomen
-insufulate
-CO2 to inflate and move abdominal wall away from bowel
-you can pop through bowel or aorta if not careful!
-left is right, right is left for laparoscopic surgery
arthroscopy cannulas
A
-hemarthrosis - can drain the blood out
-arthrotomy
-knee
cystoscopy sheaths
A
-in the urethra
-camera and light cord used to see into bladder
-tumors
-prostectomy
flexible bronchoscope
A
-bronchoscopy
-suction in atelectasis
-biopsy
flexible ureteroscope
A
-look inside uterus
-blockages
-lesions
-biopsy
yankauer catheter and tubing
-major airway adjunct
-at every bedside in ICU and every operation room
-suctions particulate matter
-large and rapid
- can clear airway
frazier suction
A
-confined suction device
-surgery
-specific
poole suction
A
-multiple openings
-can drain a lot of fluid quickly
-ascites
-abdomen
-trauma bleed
hegar uterine dilators
A
-dilate cervix
-before you put in uterine sound
sim uterine sound
A
-allow you to measure how deep the uterus is
-IUD placement
lacrimal duct probe
A
-lacrimal cystitis
-open the duct
urethral sounds
-men and women
-get past areas of strictures
vascular tunnelers
vascular tunnelers
A
-pass through the extremity to form a tunnel
-makes room for a graft to pass through
-for bypasses from the groin down
surgical ruler
-stainless steel
depth gauge
A
-measure how deep you are going to put a screw in for example or what size screw you want
total hip trials set
A
-measure the size of the acetabulum
microscissors
microscissors
A
-plastics and neurosurgery
-microscopic repair of nerves
bishop harman forceps
A
-ophthalmology
-microsurgery
powered instrucments
-can be powered by battery, pneumatics, air pressure, electricity
stryker system 5
A
-powered by pneumatics
-midas rex
-drill
-can control speed
-tubing
arthroscopic shaver
-spin
-help clean out a joint
jackson pratt drain or grenade drain
A
-drain from cavity or flap area
