Surgical Instruments: Basic Flashcards

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ELECTROSURGICAL PENCILE

Bovie, cautery.

Uses an electrical current to coagulation and cut blood vessels, and tissues to provide homeostasis; also used for dissection.

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2
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HARMONIC SCALPEL

Ultrasonic scalpel.

Has anufacturer packaged disposable hand piece

Grasping instrument that delivers ultrasonic energy to coagulate and divide tissue.

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3
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HALSTEAD FORCEPS

Mosquito, hartman forceps

Used for occluding bleeders in small or superficial wounds before cauterization.

Plastic, pediatric, thyroid, and hand procedures

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4
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CRILE FORCEPS

Hempstead, snap, clamp, Kelly forceps,

Occluding bleeders, blunt dissection when separating planes and tissues.

Curved or straight

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5
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KELLY FORCEPS

Hemostat, crile forceps, clamp

Horizontal serrations run half the length of the Jaws.

Occluding bleeders before cauterization or ligation.

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6
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ROCHESTER-PÉAN FORCEPS

Péan, mayo, kelly-péan,

Occluding larger blood vessels and tissue before ligation, in a deeper wound

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7
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CARMALT FORCEPS

Cross hatch pattern the length of the jaws.

Occluding larger blood vessels and tissues. Forceps that the kittner is loaded on to.

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8
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MIXTER FORCEPS

Right angle forceps, gemini, Lahey, obtuse, ureter clamp

Clamp, dissect, and occlude tissue, often used to place or tie a vessel loop under and around a tubular structure.

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9
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Adson Forceps

Tonsil schnidt, fancy clamps, t&a

Clamps small vessels in a deep wound, or holds tonsil sponges.

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10
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Straight Mayo Scissors

Aka: suture scissors

Used for cutting sutures

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11
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Curved mayo scissors

Aka: heavy tissue scissors

Dissect or undermine heavy fibrous tissues

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12
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Curved metzenbaum scissors

Aka: metz scissors, tissue scissors

Dissect ad undermine delicate tissues

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13
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Lister Bandage Scissors

Cut dressings, drapes, and also used in cesarean to open uterus without harm to the baby.

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14
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Wire scissors

Wire cutters

Cuts small Guage wire and sutures

Has serrations

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15
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NO. 3 knife handle

Holds blades 10, 11, 12, and 15

Used to hold blades to create a scalpel to make incisions.

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16
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NO. 3 long knife handle

Used for precision cutting deep within a wound

Blades 10, 11, 12, and 15

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17
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NO. 7 knife handle

Holds blades 10, 11, 12, and 15.

Used when precision cutting is needed in a confined space or deep wound.

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18
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NO. 10 blade

Making skin incisions

Grab blade with needle holders

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19
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NO. 11 blade

Used for puncturing the skin or to initiate the opening of an artery.

Commonly loaded onto the number 7 handle

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20
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NO. 12 blade

Aka: sickle knife, tonsil blade

Sometimes used in a tonsillectomy, parotid surgery, septoplasties, and cleft palate surgery. Can also be utilized for removal of calculi in the ureter and kidney.

No. 7 or no. 3 handle

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21
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NO. 15 blade

Creating small precise incisions.

Used for pediatric or plastic/reconstructive surgery

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22
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NO. 4 knife handle

Larger tip to accommodate larger blades.

Used w/ no. 20 blade to create a larger and/ or deeper incisions in heavy tissue areas.

Will hold no. 20, 21, 22, 23, 24, and 25 blades

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23
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No. 20 blade

Used w/ no. 4 handle to create larger/deeper incision on heavy tissue or bone

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24
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Beaver Handle

Round handle with ball tip that screws into the handle to tighten blade into place.

Used when precision cutting is needed in a confined space or in a small structure.

ENT, ophthalmic, neurology, podiatry, and small orthopedic procedures

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25
Pain Adson Tissue Forceps Used for grasping delicate tissue Horizontal serrations
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Toothed Adson Tissue Forceps Rat tooth Aligns the edges of the wound during stapling of the skin; grasps superficial tissues to place steri-strips
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Brown-Adson Tissue Forceps Two rows of teeth that interlock Grasping superficial delicate tissues. Plastic/hand surgeries.
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Plain tissue forceps Semken dressing forceps Atraumatic with horizontal serrated tips Grasping tissue and dressing applications
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Toothed tissue forceps Gasping moderate to heavy tissue and used during wound closure. The tips have two teeth on one side and one tooth on the other side.
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Debakey tissue forceps Elongated narrowed blunt tip Grasps numerous types of tissue, commonly used in cardiac, vascular, and gastrointestinal procedures
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Bonney tissue forceps Victor's 1x2 interlocking teeth, followed by horizontal serrations Used to grasp heavy tissue, muscle, or bone. Used in obstetrics or orthopedics
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Ferris-Smith tissue forceps Big ugly Grasps heavy tissue, muscle and bone. Orthopedics, spinal, and obstetric surgery
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Singley tissue forceps Oval shaped tip with central finest rated, horizontal serrated jaws Used for grabbing intestinal tissue, delicate tissues or dressing materials, sponges. Used in general, urology, thoracic, and ob/gyn surgeries
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Russian tissue forceps Star, Russian star, russians Rounded tips with Starburst pattern serrations Used for grasping dense tissues and wound closures Commonly used in OB/GYN
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Towel Clip (penetrating) Backhaus towel clip, roeder, Jones towel clip Used for holding towels in place when draping, when gasping tough tissue and reduction of small bone fracture
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Nonpenetrating towel clip Atraumatic towel clamp Used for attaching bovie and suction to the drapes
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Foerster sponge forceps Fletcher sponge forceps, sponge stick, ring forceps Can be curved or straight. Oval rings with horizontal serrations. For creating a sponge stick, for grasping tissues such as the lungs, or for removing uterine contents.
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Allis Forceps Curved or straight with multiple interlocking teeth. Used for lifting, holding, and retracting slippery dense tissue that is being removed. Tonsils, vaginal, breast, and thyroid tissues. Or for grasping bowel during a resection.
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Babcock forceps Grasping and encircling delicate structures such as the ureter, fallopian tubes, bowel, ovaries, and appendix.
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Kosher forceps Koch, ochsner forceps Jaws have horizontal serrations and 1x2 large interlocking teeth at the tip. Used for gasping tough, fibrous, slippery tissues, such as muscle and fascia.
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Army-navy retractor Hand-held double ended retractor with an oval finestration in the handle and a lateral curve to the blades. One end is longer than the other. Used for retraction of small superficial incisions to allow better exposure
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Goblet Retractor Bolt retractor Double ended, cupped blades, crescent shaped tips. One end is longer than the other. Retraction of smaller superficial incisions to allow better exposure.
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Senn retractor Cat paw One end has sharp or dull claws, the other is a small, narrow, laterally bent blade. Retraction of skin edges and deeper tissues of small incisions.
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Murphy Retractor Rake Retractor Used for superficial retraction of wound edges
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Volkman Retractor Rake/Israeli retractor Two-six claws, blunt/sharp Used for superficial retraction of wound edges
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Ribbon Retractor Malleable Retractor Used for retraction of organs and intestines in a wound
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Parker Retractor Park bench retractor, nested right angle, double round Used for retraction and exposure of a small or shallow wound.
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Skin Hook Joseph hook, gillies hook, Small with one or two hooks at one end Retraction of skin edges
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Weitlaner Retractor Self retaining finger ringed instrument with ratchet release on shanks. Holds wound edges open.
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Gelpi Retractor Self retaining, two outward turned sharp prongs Provides wound exposure, ranging from superficial to deep.
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Frazier Suction Tip Diameter of suction tube 3F-15F Used for sectioning in confined spaces such as the nasal cavity, in lumbar and cervical procedures, or in craniotomies.
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Poole suction tip Abdominal sucker Disposable or reusable Outer sheath and inner cannula Suctioning large amounts of blood/ fluids from body cavity.
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Yankauer Suction Tip Tonsil/oral suction tip Used for suctioning in all types of wounds. Effective suctioning without aspiration damage to the surrounding tissue.
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Crile-wood needle holder Fine needle holder/driver Crisscross pattern on the inner jaws. Used for holding delicate to intermediate sized needles while suturing.
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Mayo-hegar needle holder Heavy needle driver Broader jaw Used for holding heavy needles when suturing.
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Ryder needle holder Fine needle driver Tapered jaws with carbide inserts Used for holding delicate to intermediate sized needles. Often used for vascular procedures.
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Skin stapler Used during wound closure for skin approximation
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Staple remover Removal of skin staples from a wound.
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Hemoclip applier Clip applier, weck clip, ligaclip Used for occluding vessels or other tubular structures
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Surgiclip applier Hemoclip, ligaclip Used for occluding vessels or other tubular structures.