Instruments

Question 1

Answer 1

Allis Tissue Forcep

intermeshing teeth at tip are used to grasp tissue

grasps tissue at right angles of tension application

only used on tissue that will be resected

used: positioning of suction tubing and electocautery wire on patient drape

Question 2

Answer 2

Babcock Tissue Forcep

smooth flat tips grasp tissue

grasps tissue at right angles of tension application

less traumatic than Allis forceps

Grasp and retract robust soft tissues (stomach, bladder)

Question 3

Answer 3

Straigh Doyen Intestinal Tissue Forcep

thin, slightly bowed jaws

fine, longitudinally oriented grooves

Intestinal lumen occlusion

Question 4

Answer 4

Straight Rochester-Carmalt Hemostatic Forceps

designed for jaw clamping

used for clamping pedicles/tissue

longitudinally oriented serrations with cross-hatched tips

jaws can be straight or curved

Question 5

Answer 5

Straight and Curved Kelly Hemostatic Forceps

Transversely orientated serrations (do not extend the entire length of the jaw)

designed for tip clamping of small to medium vessels

Question 6

Answer 6

Straight and Curved Halsted Mosquito Hemostatic Forcep

Transversely oriented serrations (along the entire length of the jaw)

tip clamping of small vessels

Question 7

Answer 7

Brown Adson Tissue Forcep

Tips consist of fine teeth in two parallel rows

Used frequently for general tissue handling but can crush tissue

Question 8

Answer 8

Adson Tissue Forcep

Tips consist of fine teeth (2x1)

Results in less crush injury

Poor grip of fat or other friable tissue

Question 9

Answer 9

Debakey Tissue Forcep

Parallel ribbed tips

most frequently used thumb forcep in soft tissue surgery

less traumatic

Question 10

Answer 10

Bishop-Harmon Forcep

Tips consist of fine teeth (2x1) at a right angle

Smaller than other thumb forceps

Used to grasp tissue in ophthalmologic surgery

Question 11

Answer 11

Bard-Parker Number 3 Scalpel Handle

most commonly utilized scalpel handle

Ribbed grip

Question 12

Answer 12

10 most widely used- long flat blade used for making longer incisions

Blades

Question 13

Answer 13

62, 64, 65, 67

Beaver Blade Scalpel Handle

blades extends around tip allowing press cutting

*used with pencil grip at all times

used to incise the limbus for intraocular surgery

Question 14

Answer 14

Straight Mayo Dissecting Scissors

Plain edge

thick blades (~1/3 of instrument)

straight blade: greater mechanical advantage

Curved blade: improved visualization of tissue, more versetile

Question 15

Answer 15

Straight Metzenbaum Scissors

Plain edge

Thin, delicate blades (~1/4 length)

used to incise soft tissues

straight blade: greater mechanical advantage

curved blade: improved visulization of tissue, more versatile

Question 16

Answer 16

Stevens Tenotomy Scissors

Narrow, delicate tipped precision scissors

Used for precision cutting, such as in ophthalmic and urologic surgery

straight or curved

Question 17

Answer 17

Spencer Stitch Scissors

hooked tip used to entrap suture for cutting

used for post-op suture removal

Question 18

Answer 18

Vernon Cartilage and Wire Scissor

Smooth or serrated blades

used to incise thick, tough tissue and orthopedic wire

used to cut suture intra-operatively

Question 19

Answer 19

Mayo-Hegar Needle Holders

various sizes- driver jaws should match needle size

textured tungsten-carbon jaw inserts provide intermediate needle holding security over smooth jaws or jaws with teeth- limits twisting and rotation of needle

Question 20

Answer 20

Olsen-Hegar Needle Holders

combined needle driver/scissor

Question 21

Answer 21

Derf Needle Holders

Ophthalmic needle drivers

small size useful for suturing smaller structures (eyelids, conjunctiva)

Question 22

Answer 22

Castroviejo Needle Holders

Microsurgery needle driver

used for ophthalmic and vascular surgery

spring loaded handle- releases and grabs needle with minimal motion of hands

locking and non-locking styles

Question 23

Answer 23

Balfour Retractor

blunt blades used to retract abdominal wall laterally

various sizes

central “bladder blade” can be used to retract rib cage cranially (access to liver and diaphragm)

caution

Question 24

Answer 24

Finochietto Retractor

adjustable rib retractor

various sizes

used for retraction of chest wall during intercostal thoracotomy and median sternotomy

flat retractor blades are perpendicular to instrument

Question 25

Answer 25

Gelpi Retractor ring retractor with self-retaining ratchet used for retraction of soft tissues (esp muscle bellies during orthopedic or spinal surgery) sharp tips, caution

Question 26

Answer 26

Weitlaner Retractor ringed retractor with self-retaining ratchet multiple pointed prongs on each arm useful for retraction of soft tissue in small, superficial incision must take care with tips and soft tissue

Question 27

Answer 27

Army-Navy Retractor double ended blunt retractor blades differ in length hand hel retractor typically used by assistant soft tissue and orthopedic surgery

Question 28

Answer 28

Malleable Retractor double ended blunt retractor various sizes can be bent at various angles used for retracting viscera in abdominal and thoracic surgery

Question 29

Answer 29

Senn Retractor double ended retractor: blunt or sharp fork on one end and right angle blade on other end soft tissue and orthopedic surgery for retraction of tissues in small working spaces hand held retractor typically used by assistant

Question 30

Answer 30

Snook Hook/Spay Hook flat, thin handle allows for better visualization of tissue can be used to retract thinner layers of superficial tissue

Question 31

Answer 31

Kern bone Holding forceps grip and manipulate bone during fracture repair/reduction jaws are serrated with grasping points at tips to promote strong grip on bone ratcheted handle with quick release lever

Question 32

Answer 32

Speed lock bone holding forceps used to grip and manipulate bone during fracture reduction/repair tips can be serrated or pointed locking mechanism easily manipulated with fingers

Question 33

Answer 33

Jacob's Chuck used to drive IM pins and K wires during orthopedic surgery key used to tighten or release pin grip

Question 34

Answer 34

Mallet metal or nylon capped used in orthopedic surgery to advance an osteotome for making precise osteotomies

Question 35

Answer 35

Osteotome and Chisel osteotome is bevelled on both sides and a chisel is bevelled on one side- osteotomes are used more commonly used to create osteotomy in numerous orthopedic procedures

Question 36

Answer 36

Freer Periosteal Elevator small periosteal elevator double ended standard

Question 37

Answer 37

Periosteal elevator used to reflect muscle and soft tissue from bone various sizes with round or straight edges

Question 38

Answer 38

Lampert Rongeur forceps with cupped jaws and blunted or tapered tips used to remove small fragments of bone, to recontour bone or to prepare bone for grafting jaws may be straight, curved or angled lempert has finer tipped jaws and are used in more restricted areas (bulla osteotomy)

Question 39

Answer 39

Barraquer Eyelid Speculum wire self retaining instrument used hold eyelids open during enucleations, and surgery of the cornea and third eyelid

Question 40

Answer 40

Jaeger Eyelid plate used to protect globe when making incisions into the eyelid- placed between the eyelid and globe

Question 41

Answer 41

Backhaus Towel Clamp penetrating clamp used to hold quarter drapes or Huck towels securely to patient skin

Question 42

Answer 42

Poole Suction Tip attaches to suction hose used to suction large amounts of fluid from body cavity- blunt tip prevents trauma to organs inner cannula unscrews and can be used as a modified Frazier suction tip

Question 43

Answer 43

Frazier suction tip fine tipped suction tip for removal of small amounts of fluid from surgical field used mostly for orthopedicand neurologic surgery covering hole on top of instrument created stronger negative pressure can clog easily with blood/tissue

Question 44

Answer 44

Wing Tipped Dental Elevator used to sever the periodontal ligament by rotating the instrument around the tooth wedge tipped elevators (luxators) are used to weaken the periodontal ligament and luxate the tooth for extraction

Question 45

Answer 45

Curette used for subgingival cleansing, root planing and curettage double ended instrument

Question 46

Answer 46

Scaler removes dental deposits from above gumline variety of tips and shank angles to allow access between teeth

Question 47

Answer 47

Extraction Forceps strong, heavy instrument used to grasp loose/luxated teeth for extraction

Question 48

Answer 48

Calculus removal forceps uneven tipped instrument useful in removing large pieces of calculi prior to scaling

Question 49

Answer 49

Dental Explorer increases tactile sensation for detecting areas of enamel decay

Question 50

Answer 50

Periodontal Probe long, thin, blunt tipped instrument used to measure pocket depths around a tooth- establishes the state of health of the periodontium