Surgical Instruments Flashcards
Using Surgical Instruments
- Surgical incision –
- Clamps are used to
- Graspers are used to
- Electrosurgical energy may be used
- Cutting of
- Retractors used to
- Suction evacuation used to
- uses a cutting instrument
- control bleeding
- hold tissue
- to create hemostasis
- internal tissue
- expose surgical field
- eliminate surgical smoke or to suction fluid or blood
5 basic categories of surgical instruments:
- Cutting & Dissecting
- Clamping & Occluding
- Grasping & Holding
- Exposing & Retracting
- Accessory & Ancillary
Cutting & Dissection – Scissors
The blades must meet at the swivel and the cutting point for scissors to __________.
Two basic types of scissors: ___________ . Other cutting instruments include ______________ …
cut smoothly
tissue and suture
biopsy forceps, chisels, currettes, osteotomes, rasps, rongeurs, saws, snares, and trephines.
Clamping & Grasping - The ______ form the working end of the clamp. This is the part that makes contact with the tissue. Clamps are differentiated by them.
jaws
Hemostats are used to prevent excessive loss of fluid, usually blood, by closing the severed ends of a vessel with a minimum of tissue damage.
- Crile – Used to control bleeders in ________ .
- Mosquito – Used to control superficial bleeders in __________ .
- Kelly – Used to control bleeders in _________.
- subcutaneous tissues
- delicate tissues
- muscle tissues
- Grasping and holding instruments are used to ________ hold tissue to allow the surgeon to dissect and/or suture tissue without causing injury.
- Instruments in this category include _______
atraumatically
tissue forceps, sponge forceps, towel forceps, allis forceps, babcocks, stone forceps, tennacula, and needle holders.
Retractors
2 types:
- Handheld/Manual
* Self-Retaining
To maintain wound exposure during repair of an inguinal hernia, a __________ may be used. Like the Jansen retractor, it has two blades held apart by a ratchet. It may have sharp or blunt jaws and 2 x 3 or 3 x 4 teeth.
Weitlaner retractor
Most staples are composed of
Titanium