Surgical Instruments Flashcards
2 types of needle drivers…
mayo
webster
which size blade?
used for skin incisions
10 blade, 20 blade (larger)
which size blade?
used to open vessels, make stab incisions
11 blade
which size blade?
small, precise incisions
15 blade
3 most widely used scissors…
mayo
metzenbaum
bandage
Which scissors?
multipurpose workhorse, blunt rounded tips
used as suture scissors
cuts suture, superficial tissue, fascia
straight mayo scissors
Which scissors?
multipurpose workhorse, blunt rounded tips
cuts tendons, ligament, muscle, heavy tissue
curved mayo scissors
Which scissors?
straight or curved with variety of lengths
not used for suture usually
blunt dissection or cutting delicate tissue
metzenbaum scissors
2 types of forceps
pickups
clamps
4 types of tumb forceps
debakey
adson
tissue with teeth
russian
Which thumb forceps?
grasp fine tissue, vessels
soft tissue dissection
debakey
Which thumb forceps?
grasp skin edges when suturing/stapling
adson with teeth
Which thumb forceps?
grasp delicate tissue
adson without teeth
Which thumb forceps?
grasp delicate tissue or during skin closure
adson-brown
Which thumb forceps?
grasp heavier tissue for manipulation/retraction
tissue forceps w/ teeth (rat tooth forceps)
Which thumb forceps?
hold tissue during wound debridement and closure
grasp dense tissue
russian forceps
are debakey forceps traumatic or atraumatic?
atraumatic
Which type of locking forcep? (2)
clamp vessels
grasp bleeding tissue
suture-ligate vessels
mosquito or hemostats
which has a finer tip, mosquito forceps or hemostats?
mosquito
this is a larger version of a hemostat…
kelly forceps
Which type of locking forcep?
clamp large blood vessels
manipulate heavy tissue
soft-tissue dissection
kelly forceps
Which type of locking forcep?
passing ties
dissector when adding sponge ball to tips
tunneling for drain placement
tonsil forceps
Which type of locking forcep?
clamp hard-to-reach vessels, suture behind or around a vessel
right angle
this is a right angle forcep with tie clamped on the tip
tie on a passer
aka sponge forceps or sponge stick
ring forceps
Which type of locking forcep?
folded sponge in jauws to retract tissue and absorb fluids in surgical field
tissue removal
ring forceps
aka tissue holding forceps
babcock forceps
Which type of locking forcep?
used to hold tubular organs
babcock forcep
Which type of locking forcep?
Traumatic
used for hemostasis, hold tough cartilage, ribs during resection
kocher forceps
large, traumatic kelly clamp
rochester peon clamp
2 uses for rochester peon clamps
mesenteric hemostasis
chest tube insertion
Which type of locking forcep?
traumatic
hold tough structures
grasp tissue that will be removed
allis forceps
Which type of locking forcep?
penetrating/traumatic
clamp towels together
clamp tissue for manipulation and removal
penetrating towel clips
a towel clip will pierce… (3)
drapes, gloves, fingers
Which type of locking forcep?
clamp towels, drapes together
clamp items to drapes
non-penetrating towel clips
2 types of self-retaining retractors
weitlaner
gelpi
which self-retaining retractor can have sharp or dull tips?
weitlaner
which manual retractor? (2)
shallow, superficial retraction
army navy retractor, goulet retractor
which manual retractor?
common in most specialties
come in large and small
retracts many tissues
richardson retractor (baby rich, big rich)
which manual retractor?
many widths
bend to shape
used in abd and chest
melleable/ribbon retractor
which manual retractor?
used in deep incisions
variety of widths
dever
which manual retractor?
elevates subq tissue, broad surfaces and edges
rakes
What surgical tool?
cut, coagulate, desicate, destroy tissue
can be monopolar or bipolar
bovie
which suction cath for general multi-purpose suction?
yankauer
Which suction cath for large volume?
poole
which suction cath has a very fine suction tip?
frazier
this allows for suction and irrigation from the same instrument
suction irrigator
what 5 items are counted prior to procedure start?
instruments needles blades sponges retractors
