surgical instruments Flashcards by Juju Go

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

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curved mayo scissors: cut deeper thick tissue

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Metzenbaum scissors: Cutting Tissue & Blunt Dissection

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Tenotomy Scissors
-lateral canthotomy

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Iris Scissors: Ophthalmic Use
-can cut tarsal plate

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Ronguer
-cut bone
-shape bone

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Curette

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

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freer elevator

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

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

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

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

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

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

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

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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

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

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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