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Small Animal Surgery > Surgical Instruments > Flashcards

Surgical Instruments Flashcards

1
Q

Anatomy of an articulating surgical insturment

A
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2
Q

What are the different kinds of forceps

A

Crushing Tissue

Non- Crushing Tissue

Hemostatic Foreceps

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3
Q

Crushing Tissue Forceps

A

Babcock tissue forceps

Allis tissue forceps

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4
Q

Non crushing tissue forceps

A

Doyen intestinal forceps

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5
Q

Hemostatic forceps

A

Rochester Carmalt forceps

Kelly hemostatic forceps

Halsted mosquito forceps

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6
Q

Placement of tissue forceps

A
  • Tissue should not be clamped in a non serrated part of the jaws
  • When using curved forceps, the tips should be pointing UP
  • They should not be used as a substitute for a tissue retractor
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7
Q

What tool is this

A

Allis Tissue Foreceps

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8
Q

How do Allis Tissue forceps work

A
  • Intermeshing teeth at the tip are used to grasp tissue
  • Grasps tissue at right angles of the tension application
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9
Q

Uses of Allis forceps

A

Used on tisses that are going to be discarded (due to crushing effect)

NOT used on tissues going to histopath

Positioning of suction tubing and electrocautery wire on patient drape

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10
Q

What tool is this?

A

Babcock Tissue forceps

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11
Q

Uses of babcock tissue forceps

A

Smooth flat tips used to grasp tissue

Can crush but causes less trauma than Allis forceps

Used for helping grasp and retract robust soft tissues (stomach, bladder)

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12
Q

What tool is this

A

Straight Doyen Intestinal Tissue forcep

Thin slightly bowed jaws

Fine longitudinally oriented grooves

straight or curved

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13
Q

Use of the Straight Doyen Intestinal Tissue Forceps

A

Used for intestinal lumen occlusion

Enterotomies, resection and anastomosis

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14
Q
A
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15
Q

What is the straight Rochester- Carmalt tissue forcep used for

A

Designed for jaw clamping rather than tip clamping

Clamping pedicles/tissue

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16
Q

What tool is this?

A

Straight and Curved Kelly Hemostatic Forceps

transversely oriented serrations that do not extend the entire length of the jaw

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17
Q

What are Kelly Hemostatic forceps used for

A

Tip clamping of small to medium vessels

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18
Q

What tool is this?

A

Straight and Curved Halsted Mosquito Hemostatic Forceps

transversely oriented serrations that extend the entire length of the jaw

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19
Q

What are Halsted Mosquito Hemostatic forceps used for

A

Tip claming of small vessels

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20
Q

Types of thumb forceps

A

Brown-Adson

Adson

DeBakey

Bishop- Harmon

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21
Q

What tool is this?

A

Brown Adson forceps

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22
Q

What are Brown Adson forceps used for

A

General tissue handling but serrated teeth can crush tissue

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23
Q

What tool is this?

A

Adson Tissue Forcep

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24
Q

What is the Adson tissue forcep used for?

A

Gripping tissues

Results in less crush injury that Brown-Adson

Poor grip on fat or other friable material

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25
Q

What tool is this?

A

DeBakey Tissue forceps

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26
Q

Use of DeBakey Tissue Forceps

A

Most frequently used thumb forceps in soft tissue surgery

Less traumatic than Brown- Adson

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27
Q

What tool is this?

A

Bishop- Harmon Forceps

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28
Q

What are bishop harmon forceps used for

A

To grasp tissue in opthamologic surgery

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29
Q

Types of blade handles

A

Bard- Parker #3

Beaver Blade Scalpel Handle

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30
Q

What blades can be used with a bard-parker #3 handle

A

10

11

12

15

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31
Q

Which blades can be used with the beaver blade scalpel handle?

A

64

67

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32
Q

What tool is this

A

Bard- Parker #3

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33
Q

Which blade is the most widely use

A

10

long flat blade used for making longer incisions

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34
Q

Use of #11 blade?

A

Sharp penetration of hollow organs for precision cutting

excision of cranial cruciate remnants or meniscal release

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35
Q

Use of #12 blade?

A

Onychectomy in cats

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36
Q

Use of #15 blade

A

Subcutaneous or fascial incisions

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37
Q

What tool is this?

A

Beaver Blade Scalpel Handle

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38
Q

Uses for the Beaver blade scapel

A

Incise the limbus for intraocular surgery

Incision of intra-articular structures

PENCIL GRIP

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39
Q

What is hte most common blade for the Beaver blade scalpel

A

64

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40
Q

Types of surgical scissors

A

Mayo

Metzenbaum

Stevens tenotomy

Spencer stitch

Vernon cartilage and wire scissors

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41
Q

What tool is this?

A

Straight Mayo Dissecting Scissors

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42
Q

Uses of Straight Mayo Dissecting Scissors

A

Incise dense tissue (fascia, linea alba, trimming skin)

Straight blade has a greater mechanical edge

Curved blade gives improved visualization of tissues and is more versatile

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43
Q

What is this tool?

A

Straight Metzenbaum Scissor

44
Q

Uses for Metzenbaum Scissors

A

Incise soft tissues (subcutaneous tissues, intestines, bladder)

45
Q

What is this tool?

A

Stevens Tenotomy Scissors

46
Q

What is the Stevens Tenotomy Scissor used for

A

Precision cutting, such as in opthalamic and urologic surgery

47
Q

What tool is this?

A

Spencer Stitch Scissor

48
Q

Use of the Spencer Stich Scissor

A

Used for post op suture removal

Not usually used in the OR

49
Q

What tool is this

A

Vernon Cartilage and Wire Scissor

50
Q

What are Vernon Cartilage and Wire Scissors used for

A

Used to incise thick, tough tissue and orthopedic wire

Can be used to cut suture intr-operatively

51
Q

Types of Needle holders

A

Mayo- Hegar

Olsen- Hegar

Castroviejo

Derf

52
Q

What tool is this

A

Mayo- Hegar Needle Holders

53
Q

What is a Mayo-Hegar Needle Holder used for

A

Textured jaw provides intermediate needle holding security over smooth jaws or jaws with teeth

Limits twisting and rotation of the needle

54
Q

What tool is this

A

Olsen-Hegar Needle Holder

55
Q

Use of Olsen Hegar Needle Holder

A

Combined needle driver and scissor

56
Q

What tool is this?

A

Derf Needle Holders

57
Q

What are derf needle holders used for

A

Opthalamic needle drivers

Small size is useful for suturing smaller structures (eyelids, conjunctiva)

58
Q

What tool is this

A

Castroviejo Needle holders

59
Q

What are Castroviejo needle holders used for

A

Microsurgery needle driver

Used for opthalmic and vascular surgery

Spring loaded handle releases and grabs the needle with minimal rotation of hands

60
Q

Types of Self- Retaining Retractors

A

Balfour

Finchietto

Gelpi

Weitlaner

61
Q

Types of Hand Held Retractors

A

Army- Navy

Malleable

Hohman

Senn

Snook hook

62
Q
A

Balfour Retractor

63
Q

Balfour retractors are used for

A

Blunt blades- retract abdominal walls laterally

Central “bladder blade” retracts the rib cage cranially to give access to the liver and diaphragm

64
Q
A

Finochietto Retractor

65
Q

Uses of Finochietto retractor

A

Rib retractor

retraction of the chest wall during intercoastal thoracotomy and median sternotomy

Flat retractor blades are perpendicular to the instrument

66
Q
A

Gelpi Retractor

67
Q

Gelpi retractors are used for

A

Retraction of soft tissues

Really good for muscle bellies during orthopedic or spinal surgery

68
Q
A

Weitlaner Retractors

69
Q

Weitlaner retractors are used for

A

Retraction of soft tissue in a small, superficial incision

70
Q
A

Army- Navy Retractor

71
Q

Army Navy retractor use

A

Hand held

Used for both soft tissue and orthopedic surgery

72
Q
A

Malleable Retractor

73
Q

Malleable retractors are used for

A

Retracting viscera in abdominal and thoracic surgery

74
Q
A

Hohmann Retractor

75
Q

Hohmann retractors are used for

A

Level muscle and soft tissues away from the surgical field and bone during orthopedic surgeries

76
Q
A

Senn Retractors

77
Q

Senn retractors are used for

A

Soft tisse and orthopedic surgery for retraction of tissues in small working spaces

78
Q
A

Snook hook/ Spay hook

79
Q

Snook uses

A

Blindly hook the uterine horn/ mesometrium during OHE

Can be used to retract thinner layers of superficial tissue

80
Q
A

Kern Bone Holding Forceps

81
Q

What are Kern Bone Holding Forceps used for

A

Grip and manipulate bone during fracture reduction and repair

Jaws are serrated with grasping pints at the tips to promote a strong grip on the bone

82
Q
A

Speed Lock Bone Holding Forceps

83
Q

Speed Lock Bone holding forceps are used for

A

Grip and manipulate bone during fracture reduction and repair

84
Q
A

Jacob Chuk

85
Q

Jacobs Chuk is used for

A

Drive IM pins and K wires during orthopedic surgery

86
Q
A

Mallet

Used in orthopedic surgery to advance an osteotome for making precise osteotomies

87
Q
A

Chisel and Osteotome

88
Q

Difference between a Chisel and Osteotome

A

Osteotome is beveled on both sides while a chiselis only beviled on one

Osteotomes are more commonly used

89
Q
A

Periosteal Elevator

90
Q

Periosteal Elevators are used to

A

Reflect muscle and soft tissue from bone

91
Q
A

Freer Periosteal Elevator

92
Q
A

Lembert Rongeur

93
Q

Lempert Rongeur is used to

A

Remove small fragments of bone, recontour bone or prepare bone for grafting

94
Q
A

Barraquer Eyelid Speculum

Holds eyelids open during enucleations and surgery of the cornea and third eyelid

95
Q
A

Jaegar Eyelid Plate

Protects the globe when making incisions into the eyelid

96
Q
A

Backhaus Towel Clamp

Penetrating clamp for quarter drapes

97
Q
A

Poole Suction Tip

Suctions fluid… duh

98
Q
A

Frazier Suction Tip

Fine tip for removalof small amounts of fluid

Orthopedic and neurologic surgery

Clogs with blood clots and small tissue remnants

99
Q
A

Wing Tipped Dental Elevator

100
Q

Use of Wing tipped Dental Elevator

A

Sever the periodontal ligament by rotating the instrument around the tooth

wedge tipped elevators are used to weaken the periodontal ligament and luxate the tooth for extraction

101
Q
A

Curette

Used for subgingival cleansing, root planning and curettage

102
Q
A

Scaler

REmoves dental deposits from above gumline

103
Q
A

Extraction forceps

104
Q
A

Calculus removal

105
Q
A

Dental Explorer

106
Q
A

Periodontal probe

Used to measure pocket depths around a tooth

107
Q
A

Small Animal Surgery (2 decks)

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