01. instruments Flashcards

1
Q

Scissors can have ___ (A) or ___B) blades.

A

curved

straight

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2
Q

scissors may also be ____(C) or ___ (D)

A

They may also be blunt (C) or sharp (D).

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3
Q
A

Mayo and Metzenbaum Scissors

  • Mayo scissors (A) are used for cutting heavy fascia and sutures.
  • Metzenbaum scissors (B) are more delicate than Mayo scissors.
    They are used to cut delicate tissues.
    • Metzenbaum scissors have a longer handle to blade ratio.
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4
Q
A

Bandage Scissors

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5
Q
A

Suture Removal Scissors

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6
Q
A

Satinsky Vascular Scissors

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7
Q
A

Potts-Smith Vascular Scissors

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8
Q

___ have smooth or smoothly serrated tips while tissue forceps have teeth to grip tissue.

A

Dressing forceps

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9
Q

example of tissue forceps

A

Dressing forceps have smooth or smoothly serrated tips while tissue forceps have teeth to grip tissue.

  • Rat Tooth Forceps
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10
Q

___ Forceps, a type of tissue forceps, have locking forceps used for grasping and holding tissue.

A

Intestinal Tissue

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11
Q

Examples of intestinal tissue forceps include:

A

Intestinal Tissue Forceps, a type of tissue forceps, have locking forceps used for grasping and holding tissue.

Examples of intestinal tissue forceps include:

  • Allis Forceps
  • Babcock Forceps
    • Sponge Forceps
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12
Q
A

Rat Tooth: Tissue Forceps

Interdigitating teeth hold tissue without slipping

Used to hold skin/dense tissue

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13
Q
A

Adson: Tissue Forceps

Small serrated teeth on edge of tips

Delicate serrated tips designed for light, careful handling of tissue

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14
Q
A

Brown: Tissue Forceps

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15
Q
A

Brown-Adson: Tissue Forceps

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16
Q
A

Allis: Intestinal Tissue Forceps

Interdigitating short teeth to grasp and hold bowel or tissue

Slightly traumatic, use to hold intestine, fascia and skin

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17
Q
A

Babcock: Intestinal Tissue Forceps

More delicate than Allis, less directly traumatic

Broad, flared ends with smooth tips

Used to atraumatically hold viscera (bowel and bladder)

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18
Q

___ forceps have hinged locking forceps.

A

Hemostats and hemostatic

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19
Q

All hemostatic forceps may be ___

A

curved or straight:

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20
Q
A

Kelly Hemostatic Forceps and Mosquito Hemostats

  • Both are transversely serrated.
  • Mosquito hemostats (A) are more delicate than Kelly hemostatic forceps (B).
  • Mosquito hemostats have a smaller, finer tip.
    • Both come in curved and straight varieties as well.
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21
Q
A

close up of the transverse serrations on straight Kelly Hemostatic Forceps.

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22
Q
A

Carmalt Hemostatic Forceps

Heavier than Kelly

Preferred for clamping of ovarian pedicals during an ovariohysterectomy surgery because the serrations run longitudinally (see below).

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23
Q

Clamping an Artery Using a Kelly vs. Carmalt Hemostat

A
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24
Q
A

Doyen Intestinal Forceps

Non-crushing intestinal occluding forceps with longitudinal serrations

Used to temporarily occlude lumen of bowel

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25
Q
A

Payr Pylorus Clamps

Crushing intestinal instrument

Used to occlude the end of bowel to be resected

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26
Q
A

Sponge Forceps

Straight or curved

Smooth or serrated jaws

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27
Q
A

Satinsky Vascular Forceps

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28
Q
A

Mixter Gallbladder Forceps

29
Q
A

Vulsellum Tumor Forceps

30
Q

Needle holders are a hinged locking instrument used to hold the needle while suturing tissue.

___ inserts at the tip of the needle holder ensure good quality.

Instruments with tungsten carbide inserts are marked with ___

A

Tungsten carbide

gold handle

31
Q
A

Mayo-Hegar Needle Holders

Heavy, with mildly tapered jaws

No cutting blades

32
Q
A

Olsen-Hegar Needle Holders

Includes both needle holding jaw and scissors blade

The disadvantage to having blades within the needle holder is the suture material may be accidentally cut

33
Q
A

Senn Retractors

Blades at each end

Blades can be blunt (delicate) or sharp (more traumatic, used for fascia)

34
Q
A

Hohman Retractors

Levers tissue away from bone during orthopedic procedures

35
Q
A

Deaver Retractors

36
Q
A

Rakes Retractors

37
Q
A

Army-Navy Retractors

38
Q
A

Richardson Retractors

39
Q
A

Weitlaner Retractors

Ends can be blunt or sharp

Has rake tips

Ratchet to hold tissue apart

40
Q
A

Gelpi Retractors

Has single point tips

Ratchet to hold tissue apart

41
Q
A

Adson Retractors

42
Q
A

Finochietto Rib Spreaders

43
Q
A

Anes Retractors

44
Q

Blades ___ fit Size 3 handles

A

10, #11, #12 and #15

45
Q

Blades____ fit Size 4 handles and are commonly used for large animals

A

22 and #23

46
Q
A

Blade #10 (left) is the most commonly used scalpel blade.

size 3 handle

47
Q
A

Blade #15 (right) is a smaller version of #10, and is used in for more delicate incisions.

48
Q
A

Blade #10 (left) is the most commonly used scalpel blade.

Blade #15 (right) is a smaller version of #10, and is used in for more delicate incisions.

49
Q
A

Blade #11 is pointed and is used in arthroscopic procedures (stab incisions).

50
Q
A

Blade #12 (right) is hooked and is used to remove sutures and declawing.

51
Q
A

Blade #11(left) is pointed and is used in arthroscopic procedures (stab incisions).

Blade #12 (right) is hooked and is used to remove sutures and declawing.

52
Q
A

Blade #22 (right) and #23 (left) are larger and used primarily in large animals.

53
Q
A

Backhaus Towel Clamp

Locking forceps with curved, pointed tips

54
Q
A

Staple Remover

55
Q
A

Suction Tips

56
Q
A

Whites Modified Emasculators

57
Q
A

Reimer Emasculators

58
Q
A

Serra Emasculators

59
Q
A

Henderson Castrator

Are attached to a drill for power

60
Q

How do I hold scissors and hemostats?

A
  • The thumb and ring finger are inserted into the rings of the scissors or hemostat while the index and middle finger are used to guide the instrument
    • The instrument should remain at the tips of the fingers for maximum control
61
Q

How do I hold thumb forceps (general forceps)?

A

Thumb forceps are held like a pencil

62
Q

How do I hold scalpels?

A
  • The scalpel is held with thumb, middle and ring finger while the index finger is placed on the upper edge to help guide the scalpel
    • Long gentle cutting strokes are less traumatic to tissue than short chopping motions
63
Q

How do I hold needle holders?

A
  • The rings of the instrument should be placed at the level of your first knuckles
64
Q

How do I position the needle on the needle holder?

A
  • The needle holder should be positioned at the center or just beyond the center of the needle
  • The needle should be at the tips of the needle holder
65
Q

What is the correct way to hold curved instruments?

A
  • The instrument should be held so the curve is toward your axis
  • *OR**
    • The curve follows the curve of your hand
66
Q

What do I do with the thumb forceps while I am tying a knot?

A
  • Forceps may be held in the non-dominant hand
    • Forceps should not be set down
67
Q

How do I end a continuous suture pattern?

A

Tie the knot using the loop of suture from the last bite

Alternatively, take a back-hand bite and tie back to the loop

68
Q

How do I grasp a vessel in subcutaneous tissue?

A
  1. Hold skin edge back
  2. Apply the Kelly forceps around the vessel with the tips up
  3. Press down (end of vessel will protrude from tissue)
  4. Clamp
    1. Ligate