Surgical Instruments Flashcards
What do we need instruments for?
Cutting tissue Tissue manipulation and retraction Hemostasis Wound closure Securing surgical drapes
Hemostatic forceps
Halsted Kelly Crile Oschner Rochester-Carmalt
Mosquito and Halsted forceps application
crushing instrument used to clamp small blood vessels
Crile & Kelly forceps application
crushing instrument used to clamp larger blood vessels
Rochester Carmalt application
crush larger bundles of tissue (ovarian pedicles in OHE)
Bulldog & Satinsky application
gentle compression on vessel without causing endothelial damage for temporary hemostasis.
Tissue forceps can be…
thumb forceps or tissue forceps (ratcheted)
Application of thumb forceps and types
stabilize tissue and/or expose tissue layers when suturing.
Adson (rat tooth)
Brown Adson
Adson application
Stabilize and retract less delicate tissue
Brown Adson application
General tissue manipulation
Allis tissue forceps application
Enables a firm grasp of tissue (tissue being removed from body)
Babcock tissue forceps application
Enables more gentle grasp of delicate tissues (bladder/intestines)
Doyen intestinal forceps application
Non crushing, occluding forceps used to temporarily occlude lumen of bowel
Foerster (sponge) forceps application
Manipulate/handle sponges or sterile dressing materials
Bone Holding forceps and application
holds bones during fracture repair or other orthopedic procedures. AO reduction forceps Speed lock reduction forceps Lane bone holding forceps Clamshell reduction forceps
Needle holders and application
Grasp and manipulate curved needles. Mathieu Olsen Hegar Mayo Hegar Crile Wood
Pencil grip vs. thumb ring finger
Castroviejo needle holders (delicate suturing - vascular and opthalmis sx)
High precision to suture delicate tissues
Palm grip vs Thenar eminence grip
High driving force; low precision
Good mobility and good for continuous patterns
Types of Scissors
Sharp - blunt and blunt - blunt
Spencer scissors
Suture removal
Mayo scissors
cut more dense tissues
Metzenbaum scissors
used for sharp and blunt dissection of more delicate tissues
Doyen scissors
cut suture material (during surgery) - sharp-blunt
Lister bandage scissors
Cut bandages
Grips for scissors handling
Tripod grip, thenar eminence 4th finger grip and backhand grips.
Scalpel
Make incisions (stab incisions, incise linea alba and long incisions); size 3 and 4
Grips for scalpel handling
fingertip grip (long incisions), palm grip (for more force to incise tissue), pencil grip (short precise incisions) and inverted pencil grip (stab incisions in linea alba).
Self - retaining Retractors
retracts tissue to facilitate exposure of surgical field.
Gelpi and Weitlaner
Balfour retractors
retract the abdominal wall for exposure of abdominal cavity
Finochietto retractors
used during a thoracotomy to keep ribs separated.
Hand held retractors
Retraction of skin and superficial muscle layers.
Senn-Miller, Parker and Army-Navy
Towel clamps
secure drapes to patient or surgical instrumentation to drapes (suction, electroscalpel) - Backhaus
Ovariohysterectomy hooks
Retrieval of uterine horn during OHE
Snook and Covault
