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Common Surgical Instrumernts > Basic Surgical Instruments > Flashcards

Basic Surgical Instruments Flashcards

1
Q

10 Blade

A

Used primarily for making large skin incisions

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2
Q

11 Balde

A

Used for making precise or sharply angled incisions

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3
Q

15 Blade

A

Smaller version of #10 blade used for making finer incisions

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4
Q

Mayo scissors

A

Heavy scissors available in multiple varieties. Straight scissors are used for cutting suture, while curved scissors are used for cutting heavy tissue

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5
Q

Metzenbaum scissors

A

Lighter scissors used for cutting delicates tissue and for blunt dissection. Also known as Metz

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6
Q

Pott’s scissors

A

Fine scissors used for creating incisions in blood vessels

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7
Q

Iris scissors

A

Used for fine dissection and cutting fine suture. Originally for ophthalmic procedures, but now serves multipurpose role

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8
Q

Tissue forceps

A

Non-toothed forceps used for fine handling of tissue and traction during dissection

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9
Q

Adson forceps

A

Forceps toothed at the tip used for handling dense tissue, such as in skin closure

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10
Q

Bonney forceps

A

Heavy forceps used for holding thick tissue

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11
Q

DeBakey forceps

A

Used for atraumatic tissue grasping during dissection

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12
Q

Russian forceps

A

Used for atraumatic tissue grasping during dissection

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13
Q

Crime Hemostae aka Snap

A

Atraumatic and non-toothed clamp used to grasp tissue or vessels that will be tied off. Also used in blunt dissection

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14
Q

Kelly clamp

A

Large size variation of hemostat with similar function for grasping larger tissue or vessels

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15
Q

Kosher clamp

A

Traumatic toothed clamp used to hold tissue that will be removed

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16
Q

All is and Babcock clamps

A

Slightly rounded jaws, both are used for grasping intestines

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17
Q

Tapered needle

A

Needle is round and tapered toa simple point. Most commonly used in softer tissue such as intestine but may also be used in tougher tissue such as muscle

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18
Q

Conventional cutting needle

A

Needle is triangluar with sharp edges, and one edge faces the needle. Used for tougher tissue such as skin

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19
Q

Skin glue and staplers

A

For skin closures, in particular, staplers and skin glue may be used in Luke of suture. This is based on cosmetic outcome and surgeon preference

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20
Q

Absorbable suture

A

Braided
-vicryl
-polysorb

Monofilament
-monocryl
-mason
-PDS
-chromic gut

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21
Q

Non-absorbable

A

Braided
-silk

Monofilament
-prolene
-surgipro
-monosof
-nylon

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22
Q

Denver retractor

A

Used to hold back the abdominal wall

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23
Q

Army-Navy retractor

A

Used to gain exposure of skin layers

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24
Q

Weitlaner retractor aka Wheaty

A

Self-retaining for exposing deep or smaller surgical sites

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25
Q

Richardson retractor aka Rich

A

Used to hold back deep tissue structures

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26
Q

Bookwalter retractor

A

Self-retaining retractor system that is anchored to the operating table

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27
Q

Malleable retractor

A

Can be customized and bent. Also used to protect intestines during abdominal closure

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28
Q

Rake retractor

A

Hand-held retractor with sharp teeth used to hold back surface structures

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29
Q

Yankauer suction tube

A

Used primarily for surface suction and some intra-abdominal suction

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30
Q

Poole suction tube

A

Used to remove large amounts of fluid from the surgical field, as well as intra-abdominal suction

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31
Q

Frazier suction tip

A

Used primarily in ENT and neurosurgery. Usually angled

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32
Q

Linear stapler

A

Creates a linear staple line; no cutting function. Used in ligation and anastomosis. May be curved

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33
Q

Linear cutter

A

Creates a linear cut and immediately staples both free edges. Used in separation and anastomosis

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34
Q

Circular cutter

A

Performs circular cut and staple. Used in reanastomosis

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35
Q

Clips

A

Used in the ligation of vessels, may be metal or absorbable material. Open and lap applicators

36
Q

Electrosurgery

A

Instruments that cuts or cauterizes tissue via an alternating electrical current. Open (shown) and laparoscopic (Ligasure) applications

37
Q

Ultrasonic (Harmonic)

A

Uses high-frequency sound to concurrent cut and seal tissue. Less thermal spread than electrosurgery, but more time consuming

38
Q

Endstapler

A

Used in laparoscopic procedures, provides simultaneous cutting and stapling. May be manual one electronic. Some feature articulating heads to accomplish more difficult placement

39
Q

Camera

A

The camera is the hand held component and connects to a variety of lenses. There are usually settings for focus and white balance

40
Q

Lens

A

Available in multiple viewing angles to achieve better visualization of anatomical structures. May require occasional defogging

41
Q

Light Source

A

Fiber optic cable connects to lens and Illuminates field of vision. Caution around internal structures, light output can be hot

42
Q

Insufflator

A

Injects carbon dioxide into the abdominal cavity to create a working space for Trocar placement and surgical procedures

43
Q

Verses Needle

A

One method of achieving pneumoperitoneum . Consists of blind placement of needle into abdomen and subsequent injection of gas

44
Q

Trocars

A

Transabdominal working ports where laparoscopic instruments are inserted. Also for insufflation or removal of specimens.

45
Q

Laparoscopic Instrument inserts

A

Hand held and shafted implements used to work through trocars. Can perform grasping, retracting, cutting, cauterizing, and other functions

46
Q

Dunhills forceps

A

Forceps that are small with curved serrated ends, often used a to grasp vessels prior to ligation

47
Q

Lane tissue forceps

A

Forceps with interlocking teeth, allowing the grasping of tough tissues,such as fascia

48
Q

Littlewoods

A

Blunt ended teeth, used to grasp tough tissue, such as fascia. They are often used to gain entry via umbilicus for laparoscopic surgery

49
Q

Sawtell forceps

A

Curved forceps with serrated end, often used to grasp vessels prior to ligation

50
Q

Spencer wells forceps

A

Available curved or straight, Spencer Wells can be used to clamp medium to large sized vessels prior to ligation

51
Q

Lanes

A

Lanes forceps are toothed instruments, useful for grasping tissue and are widely used within all surgical specialties ( however not to be used to grasp bowel)

52
Q

Gillies forceps

A

Narrow toothed forceps, often used to grasp skin ( no bowel)

53
Q

McIndoe scissors

A

Used often for cutting or dissecting tissue, characteristically have a curved blade

54
Q

Langenbeck retractor

A

A hook shaped retractor with an L-shape end, used to keep back tissue or separate the edges of wounds. They come in small, medium, or large sizes, depending on the depth of the cavity required

55
Q

Norfolk and Norwich retractor

A

The Norfolk and Norwich is self-retaining, used to keep deep wounds and cavities open, with blunt ends to reduce risk of iatrogenic issue injury

56
Q

Travers

A

Self-retaining retractor, with short ends for use in keeping superficial wounds open

57
Q

Needle holder

A

Various sizes and length depending on the needle and tissue in question

58
Q

Sponge Holding Rampley

A

Rampleys can be used for handle quake or sponges

59
Q

Towel Clips

A

Most commonly used to secure towels or diapers in place, however can be used to grasp tissue if required

60
Q

Cobb elevator

A

Used to cut and dissect when working on paraspinous muscle and removing periosteum, a tick layer of tissue that covers bones at surface joints

61
Q

90 Degree Dural elevator

A

The Dural elevator is comprised of a straight handle with a 90 degree angle at the tip. This seemingly simple tool is a key player in craniotomy ( the removal of part of the skull bone encompassing the brain)

62
Q

Free elevator

A

A blunt tear- drop tip (one end) A sharp tear-drop tip (other end) Most commonly used for orthopedic and neurosurgical operations to debunk and lift. In conjunction with other instruments in classic stainless steel.

63
Q

Adson Brown forceps

A

Short jaws and narrow tips, used to pick up delicate tissue. Teeth are not meant to cause damage rather than to hold

64
Q

BAckbiting forceps scissors

A

Used for sinus surgery, having a giraffe-like long and slanted neck for easy access into the nasal cavity. It’s mean to go smoothly into the middle meatus, the thin and tapered shaft help in avoiding disruption to the middle turbinates during operations

65
Q

Carmalt forceps

A

Forceps feature grooves along the blades while the tips are cross-serrated. This thorough extrude allows for a good grip on heavy tissue

66
Q

Alexander Periosteotome

A

Double sided tool ; one end crafted into a mallet and the other side a rough chisel.

67
Q

Balfour retractor

A

Holds open the abdominal incision in place

68
Q

Alm retractor

A

Holds small areas of the body with its 4x4 prongs which could be sharp or blunt

69
Q

Send retractor

A

Used in hand and foot surgeries. Double ended retractor. One end is 90 degree angled and the other is pronged, which can be sharp or dull.

70
Q

Davis Mouth Gag

A

Used in oral and oropharyngeal surgery, this instrument is not so unlike the Balfour retractor, in that it holds open the muscles.

71
Q

Cartilage crusher

A

Used in reconstruction and rhinoplasty, the tool is joined with a mallet and hit until desired results are achieved

72
Q

Castroviejo needle holder

A

Used in eye surgery, microsurgery, and suturing due to it’s ability to easily and precisely control the handles. the needle has connected handles and sometimes a lock in which the needle is held in place for optimal security

73
Q

Bone curette

A

With sharp edges and an easy grip handle, this small ice cream scoop shaped tip will take care of all your curetting needs

74
Q

Adson cerebellar retractor

A

Used in neurosurgical procedures, working with and retracting the cerebellum. ( a part of the brain, located in the back of the skull that connects to muscular activity). It has a locking feature that allows the ring handles to keeps their position so surgeons can do it all.

75
Q

Cottle Angular scissors aka turbinate scissors or posterior scissors

A

Scissors were designed with a dent in the handle to reach mucosal tissue in the nose and may be used to remove the cartilaginous hump.

76
Q

Desmarres retractor

A

Curved tip like a flower, is designed to hook beneath the eyelid and is used during intravitreal injections of the eye

77
Q

Doyan Rib Rasp

A

Long neck, comfortable handle, and horizontal hook, for cardio thoracic surgeries. It can hold or scrape away at ribs

78
Q

Duval clamp aka Pennington clamp

A

Used to grasp tissue without causing damage in intestinal, rectal, and OB/GYN procedures

79
Q

Fogarty clamp

A

This clamp is surfaced with rubber shod serrated blades that allow for an atraumatic grip on tissues and blood vessels.

80
Q

Gerald forceps

A

Used on delicate vessels during vascular surgery. Non-toothed for optimal precision.

81
Q

Jorgenson scissors

A

Used for getting deep into tissues, these snappers come with a long handle and curved blade for procedures such as hysterectomies

82
Q

Bulldog clamp

A

Used to reach difficult and distant blood vessels. The tools unique structure prevents excessive bleeding in the area of the procedure. When handles are squeezed, the clamp opens up and when the pressure is released the clamp shuts down, preventing bleeding. Straight or curved

83
Q

Mosquito clamp

A

Typically the smallest of the hemostat forcep family. Blunt grip, tips are straight or curved, it also can be disposable

84
Q

Tonsil hemostat

A

Open finger rings and a catch for locking the blades. They can control hemorrhage. Used both in general surgery as well as neurosurgery.

85
Q

Right angle forceps

A

A right angle forcep to reach vessels that are out of the way and to place sutures in particular places in relation to vessels

86
Q

Hurd dissector aka Hurd Tonisl dissector

A

A double ended tool used in oral procedures and tonsillectomies. One side has a retractor and the othe has a sharp rounded end for dissecting

87
Q

Hoke Osteotome

A

Used duru=ing neurosurgery and has a sturdy and straight angle, a dip found three quarters of the way through and a flat blade for cutting bone and preparing to cut bone.

Common Surgical Instrumernts (2 decks)

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