Week 2 - Instruments

Question 1

Black chromium finish

Answer 1

used on laser surgery instruments; absorbs light and prevents reflection of laser energy into adjacent tissues

Question 2

EEA

Answer 2

circular or end-to-ed anastomosis stapler

Question 3

TA

Answer 3

thoracoabdominal stapler; has a right-angled firing section that fits around deep structure for resection and anastomosis

Question 4

GIA

Answer 4

gastrointestinal anastomosis stapler; used for linear resection, transection, and anastomosis

Question 5

LDS

Answer 5

ligating-dividing stapler; places a double row containing two staples in each row and severs the tissue between rows when fired

Question 6

Self-retaining

Answer 6

hold tissue against the walls of the surgical wound by mechanical action

Question 7

Sizer

Answer 7

trial, reusable replica of an implantable prosthesis

Question 8

Shears

Answer 8

large cutting instruments used to server bone tissue

Question 9

Kocher

Answer 9

very common biting clamp; used in general, gyn, and ortho

Question 10

Heaney

Answer 10

clamp used specifically in gyn sx to grasp the uterine ligaments

Question 11

Partial occlusion clamp

Answer 11

atraumatic clamp has locking ratchets, tips and shanks; does not close tightly over the tissue

Question 12

Lahey tenaculum

Answer 12

used on thyroid

Question 13

Vascular clamps

Answer 13

used to temporarily stop blood flow without damaging the vessel; partial occlusion clamp

Question 14

Bayonet forceps

Answer 14

angled thumb forceps; typically used in neurosurgical and nasal procedures

Question 15

Highly polished instruments or Mirror finish

Answer 15

resist staining, highly reflective therefore produce glare under strong lightening

Question 16

Satin finish

Answer 16

reduces glare prone to staining

Question 17

Titanium anodizing

Answer 17

method that imparts color and hardness to the surface of titanium, anodizing results in oxidation

Question 18

Gold dip or black finish

Answer 18

highly resistant to scratching, pitting, and dulling; the working tip or edge of the instrument bas tungsten carbide inserts, inserts prevent needle from slipping/rotating

Question 19

Kerrison

Answer 19

fine tipped rongeurs; long handled delicate, often used for spinal surgery

Question 20

Alloy

Answer 20

combination of several different kinds of metals

Question 21

Box lock

Answer 21

hinge point of many surgical instruments

Question 22

c/hisel

Answer 22

orthopedic instrument used to slice bone; one side is straight and other is beveled

Question 23

Curettage

Answer 23

removal of tissue by scraping with a surgical curette

Question 24

Dilator

Answer 24

graduated smooth instrument that is used to increase the diameter of an anatomical opening in tissue

Question 25

Elevator

Answer 25

straight instrument with curved sharp or dull tip used to separate tissue layers

Question 26

Gouge

Answer 26

V-shaped bone chisel

Question 27

Hemostat

Answer 27

surgical clamp most often used to occlude a blood vessel

Question 28

Rongeur

Answer 28

hinged instrument with sharp, cup-shaped tips that used to extract pieces of bone or other connective tissue

Question 29

Serosa

Answer 29

delicate outer layer of tissue of most organs

Question 30

Shank

Answer 30

area of a surgical instrument between the box lock and the finger ring

Question 31

Single-action rongeur

Answer 31

heavy cutting instrument that has one hinge

Question 32

Tenaculum

Answer 32

grasping instrument with sharp pointed tips, generally used to manipulate or grasp tissue such as thyroid or cervix

Question 33

Retracting/exposing

Answer 33

hold back the edges of a wound to permit visualization of the operative site

Question 34

Suction

Answer 34

vary in length, curvature, and lumen diameter and are selected according to type of surgery and amount and depth of fluid to be suctioned

Question 35

Toxic anterior segment syndrome (TASS)

Answer 35

acute anterior segment that can lead to impaired vision; associated with inadequate cleaning ophthalmic instruments following cataract and anterior segment sx

Question 36

Critical device

Answer 36

devices that penetrate mm and enter normally sterile areas of the body

Question 37

Semicritical device

Answer 37

contact intact mm and must be high-level disinfected (at a minimum)

Question 38

Noncritical devices

Answer 38

contact intact skin and require low level disinfection or cleaning with soap and water

Question 39

Adson

Answer 39

Tissue thumb forceps

Question 40

Key

Answer 40

elevator; used in neurological procedures for lifting soft tissue and periosteum and lift bone

Question 41

O'Sullivan-O'Connor

Answer 41

self retaining retractors; frame and blades of various sizes

Question 42

Balfour

Answer 42

self retaining retractor; used for abdominal procedures