Basic Surgical Instruments Flashcards
(87 cards)
1
Q
10 Blade
A
Used primarily for making large skin incisions
2
Q
11 Balde
A
Used for making precise or sharply angled incisions
3
Q
15 Blade
A
Smaller version of #10 blade used for making finer incisions
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
5
Q
Metzenbaum scissors
A
Lighter scissors used for cutting delicates tissue and for blunt dissection. Also known as Metz
6
Q
Pott’s scissors
A
Fine scissors used for creating incisions in blood vessels
7
Q
Iris scissors
A
Used for fine dissection and cutting fine suture. Originally for ophthalmic procedures, but now serves multipurpose role
8
Q
Tissue forceps
A
Non-toothed forceps used for fine handling of tissue and traction during dissection
9
Q
Adson forceps
A
Forceps toothed at the tip used for handling dense tissue, such as in skin closure
10
Q
Bonney forceps
A
Heavy forceps used for holding thick tissue
11
Q
DeBakey forceps
A
Used for atraumatic tissue grasping during dissection
12
Q
Russian forceps
A
Used for atraumatic tissue grasping during dissection
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
14
Q
Kelly clamp
A
Large size variation of hemostat with similar function for grasping larger tissue or vessels
15
Q
Kosher clamp
A
Traumatic toothed clamp used to hold tissue that will be removed
16
Q
All is and Babcock clamps
A
Slightly rounded jaws, both are used for grasping intestines
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
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
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
20
Q
Absorbable suture
A
Braided
-vicryl
-polysorb
Monofilament
-monocryl
-mason
-PDS
-chromic gut
21
Q
Non-absorbable
A
Braided
-silk
Monofilament
-prolene
-surgipro
-monosof
-nylon
22
Q
Denver retractor
A
Used to hold back the abdominal wall
23
Q
Army-Navy retractor
A
Used to gain exposure of skin layers
24
Q
Weitlaner retractor aka Wheaty
A
Self-retaining for exposing deep or smaller surgical sites
25
Richardson retractor aka Rich
Used to hold back deep tissue structures
26
Bookwalter retractor
Self-retaining retractor system that is anchored to the operating table
27
Malleable retractor
Can be customized and bent. Also used to protect intestines during abdominal closure
28
Rake retractor
Hand-held retractor with sharp teeth used to hold back surface structures
29
Yankauer suction tube
Used primarily for surface suction and some intra-abdominal suction
30
Poole suction tube
Used to remove large amounts of fluid from the surgical field, as well as intra-abdominal suction
31
Frazier suction tip
Used primarily in ENT and neurosurgery. Usually angled
32
Linear stapler
Creates a linear staple line; no cutting function. Used in ligation and anastomosis. May be curved
33
Linear cutter
Creates a linear cut and immediately staples both free edges. Used in separation and anastomosis
34
Circular cutter
Performs circular cut and staple. Used in reanastomosis
35
Clips
Used in the ligation of vessels, may be metal or absorbable material. Open and lap applicators
36
Electrosurgery
Instruments that cuts or cauterizes tissue via an alternating electrical current. Open (shown) and laparoscopic (Ligasure) applications
37
Ultrasonic (Harmonic)
Uses high-frequency sound to concurrent cut and seal tissue. Less thermal spread than electrosurgery, but more time consuming
38
Endstapler
Used in laparoscopic procedures, provides simultaneous cutting and stapling. May be manual one electronic. Some feature articulating heads to accomplish more difficult placement
39
Camera
The camera is the hand held component and connects to a variety of lenses. There are usually settings for focus and white balance
40
Lens
Available in multiple viewing angles to achieve better visualization of anatomical structures. May require occasional defogging
41
Light Source
Fiber optic cable connects to lens and Illuminates field of vision. Caution around internal structures, light output can be hot
42
Insufflator
Injects carbon dioxide into the abdominal cavity to create a working space for Trocar placement and surgical procedures
43
Verses Needle
One method of achieving pneumoperitoneum . Consists of blind placement of needle into abdomen and subsequent injection of gas
44
Trocars
Transabdominal working ports where laparoscopic instruments are inserted. Also for insufflation or removal of specimens.
45
Laparoscopic Instrument inserts
Hand held and shafted implements used to work through trocars. Can perform grasping, retracting, cutting, cauterizing, and other functions
46
Dunhills forceps
Forceps that are small with curved serrated ends, often used a to grasp vessels prior to ligation
47
Lane tissue forceps
Forceps with interlocking teeth, allowing the grasping of tough tissues,such as fascia
48
Littlewoods
Blunt ended teeth, used to grasp tough tissue, such as fascia. They are often used to gain entry via umbilicus for laparoscopic surgery
49
Sawtell forceps
Curved forceps with serrated end, often used to grasp vessels prior to ligation
50
Spencer wells forceps
Available curved or straight, Spencer Wells can be used to clamp medium to large sized vessels prior to ligation
51
Lanes
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
Gillies forceps
Narrow toothed forceps, often used to grasp skin ( no bowel)
53
McIndoe scissors
Used often for cutting or dissecting tissue, characteristically have a curved blade
54
Langenbeck retractor
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
Norfolk and Norwich retractor
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
Travers
Self-retaining retractor, with short ends for use in keeping superficial wounds open
57
Needle holder
Various sizes and length depending on the needle and tissue in question
58
Sponge Holding Rampley
Rampleys can be used for handle quake or sponges
59
Towel Clips
Most commonly used to secure towels or diapers in place, however can be used to grasp tissue if required
60
Cobb elevator
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
90 Degree Dural elevator
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
Free elevator
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
Adson Brown forceps
Short jaws and narrow tips, used to pick up delicate tissue. Teeth are not meant to cause damage rather than to hold
64
BAckbiting forceps scissors
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
Carmalt forceps
Forceps feature grooves along the blades while the tips are cross-serrated. This thorough extrude allows for a good grip on heavy tissue
66
Alexander Periosteotome
Double sided tool ; one end crafted into a mallet and the other side a rough chisel.
67
Balfour retractor
Holds open the abdominal incision in place
68
Alm retractor
Holds small areas of the body with its 4x4 prongs which could be sharp or blunt
69
Send retractor
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
Davis Mouth Gag
Used in oral and oropharyngeal surgery, this instrument is not so unlike the Balfour retractor, in that it holds open the muscles.
71
Cartilage crusher
Used in reconstruction and rhinoplasty, the tool is joined with a mallet and hit until desired results are achieved
72
Castroviejo needle holder
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
Bone curette
With sharp edges and an easy grip handle, this small ice cream scoop shaped tip will take care of all your curetting needs
74
Adson cerebellar retractor
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
Cottle Angular scissors aka turbinate scissors or posterior scissors
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
Desmarres retractor
Curved tip like a flower, is designed to hook beneath the eyelid and is used during intravitreal injections of the eye
77
Doyan Rib Rasp
Long neck, comfortable handle, and horizontal hook, for cardio thoracic surgeries. It can hold or scrape away at ribs
78
Duval clamp aka Pennington clamp
Used to grasp tissue without causing damage in intestinal, rectal, and OB/GYN procedures
79
Fogarty clamp
This clamp is surfaced with rubber shod serrated blades that allow for an atraumatic grip on tissues and blood vessels.
80
Gerald forceps
Used on delicate vessels during vascular surgery. Non-toothed for optimal precision.
81
Jorgenson scissors
Used for getting deep into tissues, these snappers come with a long handle and curved blade for procedures such as hysterectomies
82
Bulldog clamp
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
Mosquito clamp
Typically the smallest of the hemostat forcep family. Blunt grip, tips are straight or curved, it also can be disposable
84
Tonsil hemostat
Open finger rings and a catch for locking the blades. They can control hemorrhage. Used both in general surgery as well as neurosurgery.
85
Right angle forceps
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
Hurd dissector aka Hurd Tonisl dissector
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
Hoke Osteotome
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.
