Surgery Instruments

Question 1

What is this instrument called?

Answer 1

Olsen-Hegar (Left) - cutting suture
Mayo-Hegar (Right) - Curved needles

Question 2

What is this instrument called?

Answer 2

Mathieu needle drivers - palmed grip

Question 3

What is this instrument called?

Answer 3

Castroviejo (Microvascular) needle drivers - pencil grip

Question 4

What is this grip called?

Answer 4

Tripod grip (thumb & ring finger) - using index or middle finger decreases control & precision

Question 5

What is this grip called?

Answer 5

Thenar eminence grip - instrument held in palm of hand with ring finger through bottom

Question 6

What is this grip called?

Answer 6

Palmed grip / modified thenar eminence - no fingers through rings

Question 7

What is this grip called?

Answer 7

Pencil grip

Question 8

What is this instrument called & used for?

Answer 8

Beaver scaple handle - used for ophthalmic surgery & in restricted spaces such as joints.
Used with small blades (64 & 65)

Question 9

What is this instrument called?

Answer 9

7 long - for delicate incisions

Question 10

What is this instrument called & used for?

Answer 10

3 short - most frequently used (w/ blades 10,11,12,12B,15,15C) - w/ a 10 blade for skin incisions

Question 11

What is this instrument called & used for?

Answer 11

4 - 2nd most frequently used - larger than #3 & has larger fitment for large blades (e.g. 20-23)

Question 12

What is the most commonly used blade in vet med?

Answer 12

10 blade

Question 13

Answer 13

10, 11, 12, 15, 20, Stitch cutter

Question 14

Grip & use?

Answer 14

Fingertip grip - no contact with palm
Best for long incisions
Better contact of cutting edge of blade against the tissues (horizontal position)

Question 15

Grip & use?

Answer 15

Pencil grip - between thumb & index finger
Best for short incisions
Maximum control over the cut but reduced contact surface between blade & tissues because of angle created

Question 16

Grip & use?

Answer 16

Palm grip - held within palm with thumb on top to create more force & increase control
Long incisions requiring greater pressure in combination with other instruments such as periosteal elevators

Question 17

Answer 17

Sharp blunt - cut suture

Question 18

Incision & use?

Answer 18

Stab incision into a cavity (abdomen) or hollow viscus (stomach, intestine, urinary bladder) using pencil grip to allow maximum control of penetration depth

Question 19

Answer 19

Mayo - connective tissue (fascia)

Question 20

Answer 20

Metzenbaum - delicate tissues & blunt dissection

Question 21

Answer 21

Iris - delicate tissue (ophthalmic)

Question 22

Answer 22

Tenotomy - blunt tips for fine, delicate tissue (opthalmic)

Question 23

Answer 23

Bandage (Lister) - bandage removal

Question 24

Answer 24

Suture scissors

Question 25

Answer 25

Mosquito (Hemostatic) forceps- small vessels

Question 26

Answer 26

Kelly (Hemostatic) forceps - small to medium vessels

Question 27

Answer 27

Crile (hemostatic) forceps - small to medium vessels

Question 28

Answer 28

Rochester-Carmalt (hemostatic) forceps - vascular pedicles & stumps (suture ligation)

Question 29

Answer 29

Satinsky (hemostatic) forceps - non traumatic occlusion of a portion of a large blood vessel (e.g. vena cava)

Question 30

Answer 30

bulldog clamp - confined spaces or little support from surrounding tissues

Question 31

Answer 31

Adson (thumb) forceps - gentle grasp used for manipulating soft tissues (fascia & skin during suturing)

Question 32

Answer 32

Adson-Brown (thumb) forceps - more traumatic grip of tissue + suture needles

Question 33

Answer 33

Rat tooth (thumb) forceps - Larger interdigitating teeth - strong grasp of skin or dense tissue (fascia)

Question 34

Answer 34

DeBakey (thumb) forceps - delicate grasp of soft tissue (minimizes damage) Used preferentially during thoracic & vascular & abdominal (bowel & bladder) procedures

Question 35

Answer 35

Russian (thumb) forceps - sturdy/ strong grasp on tissues (traumatic) - often used to manipulate the pericardial sac during a pericardectomy