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instruments Flashcards

(90 cards)

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1
Q

surgical team

A

-surgeon
-athletic trainer
-students residents/fellows
-registration/scheduling
-scrub tech
-device representative
-imaging staff
-other (admin, custodial)
-nursing
-anesthesia
-PA

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2
Q

classification of the instruments

A

-cutting and dissecting
-grasping and holding
-clamping and occluding
-exposing and retracting
-suturing and stapling
-viewing
-suctioning
-dilating and probing
-measuring
-microinstruments
-powered instruments

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3
Q

barred parker handles

A

-come in a size 3, 4, or 7
-3 and 4 are MC
-7 is used for deep structures (longer handle)
-handle for scalpel blades

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4
Q

scalpel blades

A

-blades that start with 1 will fit a 3 or 7 handle
-blades that start with 2 will fit a 4 handle

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5
Q

MC blades (10, 15, 11)

A

-10- skin incisions
-15- shallow incisions
-11- puncture/drainage, tiny deep incisions -> central/arterial lines

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6
Q

straight scissors

A

-cutting sutures 99% of time
-drains
-dressings

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7
Q

bandage/dressing scissors

A

-cutting bandages
-cut clothes on trauma pts

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8
Q

curved mayo scissors

A

-cut deeper heavy tissue
-ex. rectus sheath, muscle, uterus, breast
-inserted closed initially and then opened when dissecting tissue

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9
Q

metzenbaum scissors

A

-cut tissue
-curved
-blunt end
-blunt dissection
-can be used deep

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10
Q

tenotomy scissors

A

-ophthalmic and neurosurgical use
-lateral canthotomy

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11
Q

iris scissors

A

-ophthalmic use
-can cut tarsal plate

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12
Q

ronguer

A

-cut bone
-shape bone

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13
Q

ostetome

A

-cuts bone
-like a chisel but its beveled on both sides
-reshapes

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14
Q

curette

A

-scoops out tissues
-curettage of bone
-ex. melanoma

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15
Q

freer elevator

A

-used when working on the periosteum
-removes periosteum in areas of fracture

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16
Q

rasp

A

-reshapes and reforms bones
-used for deformities caused by fractures

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17
Q

kocher forceps

A

-holding tissue to be removed
-has a single and double tooth
-will damage tissue -> used on tissue that will be removed -> ex. gallbladder
-comes in different lengths

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18
Q

allis forceps

A

-hold or grasp heavy tissue to be removed
-ex. fascia
-teeth are serrated

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19
Q

babcock forceps

A

-smooth edges for grasping
-less traumatic grasping
-grasp delicate structures
-ex. fallopian tube, ureter, vas deferens, ovaries, appendix, small bowel

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20
Q

sponge stick forceps

A

-cleaning the skin with swab dipped in antiseptic
-scrub nurse holds the gauze pads in here
-deep areas to enhance visualization

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21
Q

backhaus towel clip

A

-fixing drapes to the skin
-secure towels
-sharp
-can use on bones to hold together bc of sharp edges

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22
Q

adsons forceps

A

-grasps tissue
-gentle
-plastic surgeons
-does not damage tissue

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23
Q

tissue forceps (toothed)

A

-used subcuticularly so you dont damage the skin
-can damage tissue
-holding tissue during wound closure

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24
Q

ferris smith forcep

A

-use with fibrous tissue
-colon tissue
-toothed
-there is an area of the forcep with less serrations that cause less damage

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25
debakey forceps
-atraumatic vascular forcep -doesnt damage artery or vein -coronary bypass
26
russians forceps
-atraumatic dissection -wide clamp -doesnt damage
27
anatomy of a clamp
-ratchet- keeps the clamp closed -shank is the long shaft part -box lock- intersection -jaws- before the tip -tip -ring handles -size varies
28
mosquito clamp
-used to tie of bleeding vessels -you can cauterize through this clamp by touching it to a bovie -ligature -small
29
crile clamp
-for cauterization of ligation -larger than mosquito
30
right angle clamp
-for vascular surgery -pass ligatures around vessels -tissue dissection by opening and closing (spread)
31
self retractor
-retract shallow incisions
32
harrington retractor
-retracting deep intra abdominal visceral organs during cholecystectomy, hysterectomy -longer
33
morris retractor
-retracting strong structures like abdominal wall and muscles
34
senn retractor
-retracting superficial wound edges -hand, plastic, foot surgery
35
langenbachs retractors
-providing better visualization of operative field and minimizing tissue handling
36
deavers retractor
-retracting deep wound edges during gastrectomy, cholecystectomy, kidney operations, etc. -common -if used superficially you dont need to stand there holding it
37
czerney's rectractor
-superficial retraction of skin incision during laparotomy
38
kelly retractor
-for wound exposure
39
kelly clamp
-everywhere with many uses -deep procedures -chest tubes -holds vascular structures -bigger
40
tonsil clamp
tonsillectomy -can also pass surgical ties -> pass suture material under clamped structure and tie surgical knott -can use in deeper procedures
41
pean clamp
-hemostasis -curved -can pass ligatures and ties under to tie -easier bc its curved -small
42
bowel clamp
-non crushing -bowel resection -doesnt damage or crush bowel
43
vascular clamp
-non crushing -atraumatic clamp -anastomosis -dissections
44
bulldog clamp
-non crushing -used in open heart surgery for coronary artery- stops bleeding locally while performing anastomosis -precise blood flow control
45
skin hooks
-apply to skin border to pull skin back -see structures that are superficial
46
cushing vein retractor
-neurosurgery -gentle -doesnt damage brain
47
volkman retractor
-skin, ribs, other tissues -lifts out of way -pulls and lifts tissue away
48
army-navy retractor
-retraction of small shallow incisions -common -two L shaped sides -expose structures -ex. carotid artery plaque removal
49
malleable (ribbon) retractor
-movable -can be put in the wound while suturing to protect the bowel from being poked -protects -take it out after -without this a fistula can form
50
richardson retractor
-retraction in chest or abdomen
51
weitlander retractor
-ratchet retractor -self locking mechanism -cork screw appearance
52
cerebellar retractor
-locking mechanism -neurosurgical procedures
53
gelpi retractor
-opens up wounds -self retractor -two sharp ends on each side
54
balfour
-large abdominal operations -laparotomy pads keep abdomen moist -keeps itself in place
55
bookwalter retractor
-self retaining -retracts the entire abdomen in multiple areas -bariatric surgery -obese patients -long periods of time
56
webster needle holder
-suturing -long deep suturing requiring force -push the needle through the materials
57
crile wood needle holder
-suturing -small to medium sutures
58
mayo hegar
-needle driver -suturing -very common -versatile
59
castroviejo
-suturing -needle holder -plastic and neurosurgery -microsurgery
60
skin stapler
-repair scalp laceration -close abdominal wounds
61
weck hemoclip applier
-apply small clips to the side -can clamp a vessel on either side to obtain hemostasis
62
ligaclip applier
-applies a ligature clip -stops vessel from bleeding
63
staplers
-avoid the need from anastomose -bowel, L shaped, intraluminal -expedite surgical procedure
64
nasal speculum
-turbines -deviated septum -septalplasty -rhinoplasty
65
rectal speculums
-dilate rectum
66
rigid endoscopes
-endoscopy
67
laparoscopic trochars
-insert into abdomen -insufulate -CO2 to inflate and move abdominal wall away from bowel -you can pop through bowel or aorta if not careful! -left is right, right is left for laparoscopic surgery
68
arthroscopy cannulas
-hemarthrosis - can drain the blood out -arthrotomy -knee
69
cystoscopy sheaths
-in the urethra -camera and light cord used to see into bladder -tumors -prostectomy
70
flexible bronchoscope
-bronchoscopy -suction in atelectasis -biopsy
71
flexible ureteroscope
-look inside uterus -blockages -lesions -biopsy
72
yankauer catheter and tubing
-major airway adjunct -at every bedside in ICU and every operation room -suctions particulate matter -large and rapid
73
frazier suction
-confined suction device -surgery -specific
74
poole suction
-multiple openings -can drain a lot of fluid quickly -ascites -abdomen -trauma bleed
75
hegar uterine dilators
-dilate cervix -before you put in uterine sound
76
sim uterine sound
-allow you to measure how deep the uterus is -IUD placement
77
urethral sounds
-men and women -get past areas of strictures
78
lacrimal duct probe
-lacrimal cystitis -open the duct
79
vascular tunnelers
-pass through the extremity to form a tunnel -makes room for a graft to pass through -for bypasses from the groin down
80
surgical ruler
-stainless steel
81
depth gauge
-measure how deep you are going to put a screw in for example or what size screw you want
82
total hip trials set
-measure the size of the acetabulum
83
microscissors
-plastics and neurosurgery -microscopic repair of nerves
84
bishop harman forceps
-ophthalmology -microsurgery
85
powered instrucments
-can be powered by battery, pneumatics, air pressure, electricity
86
stryker system 5
-powered by pneumatics -midas rex -drill -can control speed -tubing
87
arthroscopic shaver
-spin -help clean out a joint
88
jackson pratt drain or grenade drain
-drain from cavity or flap area
89
rongeur
used to cut or remove small pieces of bone or tissue
90
yankauer catheter
-can clear airway -curved

Surgery (26 decks)

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