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Small Animal Surgery > Surgical Instruments > Flashcards

Surgical Instruments Flashcards

(107 cards)

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1
Q

Anatomy of an articulating surgical insturment

A
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2
Q

What are the different kinds of forceps

A

Crushing Tissue

Non- Crushing Tissue

Hemostatic Foreceps

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3
Q

Crushing Tissue Forceps

A

Babcock tissue forceps

Allis tissue forceps

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4
Q

Non crushing tissue forceps

A

Doyen intestinal forceps

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5
Q

Hemostatic forceps

A

Rochester Carmalt forceps

Kelly hemostatic forceps

Halsted mosquito forceps

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6
Q

Placement of tissue forceps

A
  • Tissue should not be clamped in a non serrated part of the jaws
  • When using curved forceps, the tips should be pointing UP
  • They should not be used as a substitute for a tissue retractor
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7
Q

What tool is this

A

Allis Tissue Foreceps

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8
Q

How do Allis Tissue forceps work

A
  • Intermeshing teeth at the tip are used to grasp tissue
  • Grasps tissue at right angles of the tension application
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9
Q

Uses of Allis forceps

A

Used on tisses that are going to be discarded (due to crushing effect)

NOT used on tissues going to histopath

Positioning of suction tubing and electrocautery wire on patient drape

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10
Q

What tool is this?

A

Babcock Tissue forceps

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11
Q

Uses of babcock tissue forceps

A

Smooth flat tips used to grasp tissue

Can crush but causes less trauma than Allis forceps

Used for helping grasp and retract robust soft tissues (stomach, bladder)

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12
Q

What tool is this

A

Straight Doyen Intestinal Tissue forcep

Thin slightly bowed jaws

Fine longitudinally oriented grooves

straight or curved

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13
Q

Use of the Straight Doyen Intestinal Tissue Forceps

A

Used for intestinal lumen occlusion

Enterotomies, resection and anastomosis

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14
Q
A
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15
Q

What is the straight Rochester- Carmalt tissue forcep used for

A

Designed for jaw clamping rather than tip clamping

Clamping pedicles/tissue

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16
Q

What tool is this?

A

Straight and Curved Kelly Hemostatic Forceps

transversely oriented serrations that do not extend the entire length of the jaw

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17
Q

What are Kelly Hemostatic forceps used for

A

Tip clamping of small to medium vessels

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18
Q

What tool is this?

A

Straight and Curved Halsted Mosquito Hemostatic Forceps

transversely oriented serrations that extend the entire length of the jaw

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19
Q

What are Halsted Mosquito Hemostatic forceps used for

A

Tip claming of small vessels

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20
Q

Types of thumb forceps

A

Brown-Adson

Adson

DeBakey

Bishop- Harmon

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21
Q

What tool is this?

A

Brown Adson forceps

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22
Q

What are Brown Adson forceps used for

A

General tissue handling but serrated teeth can crush tissue

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23
Q

What tool is this?

A

Adson Tissue Forcep

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24
Q

What is the Adson tissue forcep used for?

A

Gripping tissues

Results in less crush injury that Brown-Adson

Poor grip on fat or other friable material

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25
What tool is this?
DeBakey Tissue forceps
26
Use of DeBakey Tissue Forceps
Most frequently used thumb forceps in soft tissue surgery Less traumatic than Brown- Adson
27
What tool is this?
Bishop- Harmon Forceps
28
What are bishop harmon forceps used for
To grasp tissue in opthamologic surgery
29
Types of blade handles
Bard- Parker #3 Beaver Blade Scalpel Handle
30
What blades can be used with a bard-parker #3 handle
10 11 12 15
31
Which blades can be used with the beaver blade scalpel handle?
64 67
32
What tool is this
Bard- Parker #3
33
Which blade is the most widely use
10 long flat blade used for making longer incisions
34
Use of #11 blade?
Sharp penetration of hollow organs for precision cutting excision of cranial cruciate remnants or meniscal release
35
Use of #12 blade?
Onychectomy in cats
36
Use of #15 blade
Subcutaneous or fascial incisions
37
What tool is this?
Beaver Blade Scalpel Handle
38
Uses for the Beaver blade scapel
Incise the limbus for intraocular surgery Incision of intra-articular structures PENCIL GRIP
39
What is hte most common blade for the Beaver blade scalpel
#64
40
Types of surgical scissors
Mayo Metzenbaum Stevens tenotomy Spencer stitch Vernon cartilage and wire scissors
41
What tool is this?
Straight Mayo Dissecting Scissors
42
Uses of Straight Mayo Dissecting Scissors
Incise dense tissue (fascia, linea alba, trimming skin) Straight blade has a greater mechanical edge Curved blade gives improved visualization of tissues and is more versatile
43
What is this tool?
Straight Metzenbaum Scissor
44
Uses for Metzenbaum Scissors
Incise soft tissues (subcutaneous tissues, intestines, bladder)
45
What is this tool?
Stevens Tenotomy Scissors
46
What is the Stevens Tenotomy Scissor used for
Precision cutting, such as in opthalamic and urologic surgery
47
What tool is this?
Spencer Stitch Scissor
48
Use of the Spencer Stich Scissor
Used for post op suture removal Not usually used in the OR
49
What tool is this
Vernon Cartilage and Wire Scissor
50
What are Vernon Cartilage and Wire Scissors used for
Used to incise thick, tough tissue and orthopedic wire Can be used to cut suture intr-operatively
51
Types of Needle holders
Mayo- Hegar Olsen- Hegar Castroviejo Derf
52
What tool is this
Mayo- Hegar Needle Holders
53
What is a Mayo-Hegar Needle Holder used for
Textured jaw provides intermediate needle holding security over smooth jaws or jaws with teeth Limits twisting and rotation of the needle
54
What tool is this
Olsen-Hegar Needle Holder
55
Use of Olsen Hegar Needle Holder
Combined needle driver and scissor
56
What tool is this?
Derf Needle Holders
57
What are derf needle holders used for
Opthalamic needle drivers Small size is useful for suturing smaller structures (eyelids, conjunctiva)
58
What tool is this
Castroviejo Needle holders
59
What are Castroviejo needle holders used for
Microsurgery needle driver Used for opthalmic and vascular surgery Spring loaded handle releases and grabs the needle with minimal rotation of hands
60
Types of Self- Retaining Retractors
Balfour Finchietto Gelpi Weitlaner
61
Types of Hand Held Retractors
Army- Navy Malleable Hohman Senn Snook hook
62
Balfour Retractor
63
Balfour retractors are used for
Blunt blades- retract abdominal walls laterally Central "bladder blade" retracts the rib cage cranially to give access to the liver and diaphragm
64
Finochietto Retractor
65
Uses of Finochietto retractor
Rib retractor retraction of the chest wall during intercoastal thoracotomy and median sternotomy Flat retractor blades are perpendicular to the instrument
66
Gelpi Retractor
67
Gelpi retractors are used for
Retraction of soft tissues Really good for muscle bellies during orthopedic or spinal surgery
68
Weitlaner Retractors
69
Weitlaner retractors are used for
Retraction of soft tissue in a small, superficial incision
70
Army- Navy Retractor
71
Army Navy retractor use
Hand held Used for both soft tissue and orthopedic surgery
72
Malleable Retractor
73
Malleable retractors are used for
Retracting viscera in abdominal and thoracic surgery
74
Hohmann Retractor
75
Hohmann retractors are used for
Level muscle and soft tissues away from the surgical field and bone during orthopedic surgeries
76
Senn Retractors
77
Senn retractors are used for
Soft tisse and orthopedic surgery for retraction of tissues in small working spaces
78
Snook hook/ Spay hook
79
Snook uses
Blindly hook the uterine horn/ mesometrium during OHE Can be used to retract thinner layers of superficial tissue
80
Kern Bone Holding Forceps
81
What are Kern Bone Holding Forceps used for
Grip and manipulate bone during fracture reduction and repair Jaws are serrated with grasping pints at the tips to promote a strong grip on the bone
82
Speed Lock Bone Holding Forceps
83
Speed Lock Bone holding forceps are used for
Grip and manipulate bone during fracture reduction and repair
84
Jacob Chuk
85
Jacobs Chuk is used for
Drive IM pins and K wires during orthopedic surgery
86
Mallet Used in orthopedic surgery to advance an osteotome for making precise osteotomies
87
Chisel and Osteotome
88
Difference between a Chisel and Osteotome
Osteotome is beveled on both sides while a chiselis only beviled on one Osteotomes are more commonly used
89
Periosteal Elevator
90
Periosteal Elevators are used to
Reflect muscle and soft tissue from bone
91
Freer Periosteal Elevator
92
Lembert Rongeur
93
Lempert Rongeur is used to
Remove small fragments of bone, recontour bone or prepare bone for grafting
94
Barraquer Eyelid Speculum Holds eyelids open during enucleations and surgery of the cornea and third eyelid
95
Jaegar Eyelid Plate Protects the globe when making incisions into the eyelid
96
Backhaus Towel Clamp Penetrating clamp for quarter drapes
97
Poole Suction Tip Suctions fluid... duh
98
Frazier Suction Tip Fine tip for removalof small amounts of fluid Orthopedic and neurologic surgery Clogs with blood clots and small tissue remnants
99
Wing Tipped Dental Elevator
100
Use of Wing tipped Dental Elevator
Sever the periodontal ligament by rotating the instrument around the tooth wedge tipped elevators are used to weaken the periodontal ligament and luxate the tooth for extraction
101
Curette Used for subgingival cleansing, root planning and curettage
102
Scaler REmoves dental deposits from above gumline
103
Extraction forceps
104
Calculus removal
105
Dental Explorer
106
Periodontal probe Used to measure pocket depths around a tooth
107

Small Animal Surgery (2 decks)

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