Instrumentation

Question 1

3 types of finish

Answer 1

• mirror
• satin (matte)
• ebonized

Question 2

significance of gold handled instruments

Answer 2

• tungsten carbide inserts much stronger than stainless steel
• prolongs instrument life

Question 3

parts of surgical instrument

Answer 3

-ring -shank -joint -jaw -ratchet

Question 4

why should instruments be soaked with sterile water during surgery?

Answer 4

-remove blood and debris -preserves function & finish

Question 5

why should suction tips be flushed with syringe and sterile water?

Answer 5

-remove blood and debris

Question 6

why should Saline never be used to soak rinse or wipe instruments?

Answer 6

-excessive exposure leads to corrosion/pitting

Question 7

SOP delicate and micro-surgical instruments post procedure?

Answer 7

separated and placed into container in order to prevent damage

Question 8

SOP excessively soaked instruments post procedure

Answer 8

soaked in water to aid terminal cleaning process

Question 9

CLAMPING/OCCLUDING INSTRUMENTS

Answer 9

-compress tubular structures partially or completely obstructing flow of fluids -commonly ratcheted ex. hemostats, mosquito, satinsky, clamps, doyen, intestinal forceps

Question 10

CUTTING/DISSECTING INSTRUMENTS

Answer 10

-incise, dissect, excise variety of tissues ex. scalpels, scissors, osteotomes, curettes, biopsy forceps, periosteal elevators

Question 11

GRASPING/HOLDING INSTRUMENTS

Answer 11

-grip, manipulate, stabilize body tissue ex. debakey, adson and ferris-smith foreceps, babcock ochsner foreps

Question 12

RETRACING/EXPOSING

Answer 12

-hold back/pull aside wound edges, organs, tissues, in order to gain access to operative site ex. retractors: richardson, ragnell, murphy balfour, weitlander, omni

Question 13

SUCTIONING/ASPIRATING

Answer 13

-remove blood fluid debris from operating site ex. yankauer, poole, frazier suction

Question 14

SUTURING/STAPLING

Answer 14

-litigate, repair, approximate tissues ex. all needle holders, suture carriers, knot pushers, endoloops, skin staplers, ligating clips and surgical staplers

Question 15

ACCESSORY INSTRUMENTS

Answer 15

any instrument that doesn’t fall into category, but performs essential function as part of surgical intervention is an ACCESSORY

Question 16

basic major kit: HALSTEAD FORECEPS

Answer 16

• aka: mosquitos, hartmans
• clamping/occluding
• small, fine tips, occludes small bleeding vessel superficial wounds

*grit runs horozontal*

Question 17

functions/characteristic of BABCOCK FORCEPS

Answer 17

• Atraumatic
• grasping/holding delicate tubular structures
  ex. ureter, intestine, appendix, fallopian tube, ovary

Question 18

functon ADSON TOOTHED FORCEPS

Answer 18

• allign wound edges during skin stapling
• used during skin closure small wounds

Question 19

what size blade for #3 & #7 knife handle?

Answer 19

• 10
• 11
• 12
• 15

Question 21

what size blade #4 knife handle

Answer 21

• 20
• 21