surgical instruments Flashcards

1
Q
A

4 matches with ~20s blades

#3 or #7: 10s blades

specific:
- 10: skin incision
-15: shallow incision
- 11: puncture/drainage/tiny deep incision

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2
Q
A
  • 10: skin incision
    -15: shallow incision
  • 11: puncture/drainage/tiny deep incision
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3
Q
A

curved mayo scissors: cut deeper thick tissue

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4
Q
A

Metzenbaum scissors: Cutting Tissue & Blunt Dissection

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5
Q
A

Tenotomy Scissors
-lateral canthotomy

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6
Q
A

Iris Scissors: Ophthalmic Use
-can cut tarsal plate

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7
Q
A

Ronguer
-cut bone
-shape bone

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8
Q
A

Curette

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9
Q
A

ostetome
-cuts bone
-like a chisel but its beveled on both sides
-reshapes

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10
Q

freer elevator

A

freer elevator
A
-used when working on the periosteum
-removes periosteum in areas of fracture

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11
Q
A

rasp
A
-reshapes and reforms bones
-used for deformities caused by fractures

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12
Q
A

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

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13
Q
A

allis forceps
A
-hold or grasp heavy tissue to be removed
-ex. fascia
-teeth are serrated

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14
Q
A

babcock forceps
A
-smooth edges for grasping
-less traumatic grasping
-grasp delicate structures
-ex. fallopian tube, ureter, vas deferens, ovaries, appendix, small bowel

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15
Q
A

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

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16
Q
A

backhaus towel clip
A
-fixing drapes to the skin
-secure towels
-sharp
-can use on bones to hold together bc of sharp edges

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17
Q
A

adsons forceps
A
-grasps tissue
-gentle
-plastic surgeons
-does not damage tissue

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18
Q
A

tissue forceps (toothed)
A
-used subcuticularly so you dont damage the skin
-can damage tissue
-holding tissue during wound closure

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19
Q
A

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

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20
Q
A

debakey forceps
A
-atraumatic vascular forcep
-doesnt damage artery or vein
-coronary bypass

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21
Q
A

russians forceps
A
-atraumatic dissection
-wide clamp
-doesnt damage

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22
Q

anatomy of a clamp

A

-ratchet- keeps the clamp closed
-shank is the long shaft part
-box lock- intersection
-jaws- before the tip
-tip
-ring handles
-size varies

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23
Q
A

mosquito clamp
A
-used to tie of bleeding vessels
-you can cauterize through this clamp by touching it to a bovie

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24
Q
A

crile clamp
A
-for cauterization of ligation
-larger than mosquito

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25
Q
A

right angle clamp
A
-for vascular surgery
-pass ligatures around vessels
-tissue dissection by opening and closing (spread)

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26
Q
A

self retractor
A
-retract shallow incisions

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27
Q
A

harrington retractor
A
-retracting deep intra abdominal visceral organs during cholecystectomy, hysterectomy
-longer

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28
Q
A

morris retractor
A
-retracting strong structures like abdominal wall and muscles

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29
Q
A

senn retractor
A
-retracting superficial wound edges
-hand, plastic, foot surgery

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30
Q
A

langenbachs retractors
A
-providing better visualization of operative field and minimizing tissue handling

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31
Q
A

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

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32
Q
A

czerney’s rectractor
A
-superficial retraction of skin incision during laparotomy

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33
Q
A

kelly retractor
A
-for wound exposure

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34
Q
A

kelly clamp
A
-everywhere with many uses
-deep procedures
-chest tubes
-holds vascular structures
-bigger

35
Q
A

tonsil clamp
A
tonsillectomy
-can also pass surgical ties -> pass suture material under clamped structure and tie surgical knott
-can use in deeper procedures

36
Q
A

pean clamp
A
-hemostasis
-curved
-can pass ligatures and ties under to tie
-easier bc its curved
-small

37
Q
A

bowel clamp
A
-non crushing
-bowel resection

38
Q
A

vascular clamp
A
-non crushing
-atraumatic clamp
-anastomosis
-dissections

39
Q
A

bulldog clamp
A
-non crushing
-used in open heart surgery for coronary artery- stops bleeding locally while performing anastomosis
-precise blood flow control

40
Q
A

skin hooks
A
-apply to skin border to pull skin back
-see structures that are superficial

41
Q
A

cushing vein retractor
A
-neurosurgery
-gentle
-doesnt damage brain

42
Q
A

volkman retractor
A
-skin, ribs, other tissues
-lifts out of way
-pulls and lifts tissue away

43
Q
A

army-navy retractor
A
-retraction of small shallow incisions
-common
-two L shaped sides
-expose structures
-ex. carotid artery plaque removal

44
Q
A

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

45
Q
A

richardson retractor
A
-retraction in chest or abdomen

46
Q
A

weitlander retractor
A
-ratchet retractor
-self locking mechanism
-cork screw appearance

47
Q
A

cerebellar retractor
A
-locking mechanism
-neurosurgical procedures

48
Q
A

gelpi retractor
A
-opens up wounds
-self retractor
-two sharp ends on each side

49
Q
A

balfour
A
-large abdominal operations
-laparotomy pads keep abdomen moist
-keeps itself in place

50
Q
A

bookwalter retractor
A
-self retaining
-retracts the entire abdomen in multiple areas
-bariatric surgery
-obese patients
-long periods of time

51
Q
A

webster needle holder
A
-suturing
-long deep suturing requiring force
-push the needle through the materials

52
Q
A

crile wood needle holder
A
-suturing
-small to medium sutures

53
Q
A

mayo hegar
A
-needle driver
-suturing
-very common
-versatile

54
Q
A

castroviejo needle holder
A
-suturing
-needle holder
-plastic and neurosurgery
-microsurgery

55
Q
A

skin stapler
A
-repair scalp laceration
-close abdominal wounds

56
Q
A

weck hemoclip applier
A
-apply small clips to the side
-can clamp a vessel on either side to obtain hemostasis

57
Q
A

ligaclip applier
A
-applies a ligature clip
-stops vessel from bleeding

58
Q
A

Vaginal Speculum

59
Q
A

nasal speculum
A
-turbines
-deviated septum
-septalplasty
-rhinoplasty

60
Q
A

rectal speculums
A
-dilate rectum

61
Q
A

rigid endoscopes
A
-endoscopy

62
Q
A

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

63
Q
A

arthroscopy cannulas
A
-hemarthrosis - can drain the blood out
-arthrotomy
-knee

64
Q
A

cystoscopy sheaths
A
-in the urethra
-camera and light cord used to see into bladder
-tumors
-prostectomy

65
Q
A

flexible bronchoscope
A
-bronchoscopy
-suction in atelectasis
-biopsy

66
Q
A

flexible ureteroscope
A
-look inside uterus
-blockages
-lesions
-biopsy

67
Q

yankauer catheter and tubing

A

-major airway adjunct
-at every bedside in ICU and every operation room
-suctions particulate matter
-large and rapid
- can clear airway

68
Q
A

frazier suction
A
-confined suction device
-surgery
-specific

69
Q
A

poole suction
A
-multiple openings
-can drain a lot of fluid quickly
-ascites
-abdomen
-trauma bleed

70
Q
A

hegar uterine dilators
A
-dilate cervix
-before you put in uterine sound

71
Q
A

sim uterine sound
A
-allow you to measure how deep the uterus is
-IUD placement

72
Q
A

lacrimal duct probe
A
-lacrimal cystitis
-open the duct

72
Q

urethral sounds

A

-men and women
-get past areas of strictures

73
Q

vascular tunnelers

A

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

74
Q

surgical ruler

A

-stainless steel

75
Q
A

depth gauge
A
-measure how deep you are going to put a screw in for example or what size screw you want

76
Q
A

total hip trials set
A
-measure the size of the acetabulum

77
Q

microscissors

A

microscissors
A
-plastics and neurosurgery
-microscopic repair of nerves

78
Q
A

bishop harman forceps
A
-ophthalmology
-microsurgery

79
Q

powered instrucments

A

-can be powered by battery, pneumatics, air pressure, electricity

80
Q
A

stryker system 5
A
-powered by pneumatics
-midas rex
-drill
-can control speed
-tubing

81
Q

arthroscopic shaver

A

-spin
-help clean out a joint

82
Q
A

jackson pratt drain or grenade drain
A
-drain from cavity or flap area