Chapter 10: Instrumentation, Equipment, and Supplies

Soiled sponges are placed

dropped into a kick bucket

Instruments should be handed to the surgeon in a functional manner that allows the surgeon to use it without repositioning.

True

Kick buckets can be used for trash or dirty/soiled sponges.

False

Heavy instruments should be placed on the top of other instruments so they do not roll around in the tray.

False

Power saws and drills should be immersed in sterile saline before sending to decontam to make sure no blood is left inside of the cannula.

False

When passing microsurgical instruments be cautious to NOT hit the microscope.

True

The _______ clamp is an atraumatic, noncrushing clamp used to manipulate the bowel or fallopian tubes.

Babcock

Which suction tip is indicated for use in the nasopharynx and often called a  "tonsil" or "oral" suction?

Yankauer

Strong dissecting scissors such as curved ______ scissors are used on fascia and large tendons.

Mayo

The small ________ retractor is used in plastic or superficial surgery.

Senn

Which type of instrument alloy is lightweight, durable, and nonmagnetizing?

titanium

Weitlaner, Gelpi and Balfour are examples of:

self-retaining retractors

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?

serrations

A(n) _______ blade is detachable from the knife handle, although single-use scalpels are available and these do not detach.

scalpel

Which scissors are often called "suture scissors" and are typically straight and relatively blunt tipped?

Mayo

The _______ carbide inserts in needle holders prevent the needle from slipping or rotating.

tungsten

What is the name of the forced warm air blanket device that anesthesia or circulator places on the patient to keep them warm during surgery?

Bair Hugger

What is the term for the tread or tape sewn into a countable sponge that makes it visible on x-rays to prevent a retained item?

radiopaque

The joint of a hemostat where one half of the instrument passes through the other is called the:

box lock

The thin, compressed sponges used during neurosurgical procedures to protect delicate neural structures are called:

Cottonoids

Throughout surgery instruments will get bloody. What is best thing to use to wipe the instruments clean that prevents corrosion of the instruments.

Sterile Water

What is the minimum number of suction systems or units required in an operating room?

two

Which suction tip is designed with multiple rows of perforations to prevent occlusion by the intestines in a laparotomy?

Poole

What is the name of the paired parts of a hemostat that span between the box lock and the finger rings?

shanks

A depth gauge is used in ________ surgery to determine the length of screws to be implanted into bone.

orthopedic

By definition, the self-________ retractor works by a ratchet or other locking mechanism to hold the retractor blades in place in the surgical wound.

retaining

Mosquito, Crile and Kelly are examples of which type of instrument?

hemostats

What is the name of the ultrasonic device that is used to identify and magnify the sound of blood moving through the vessels in peripheral arteries and veins?

Doppler

Which device is used unsterilely in surgery for deep vein thrombosis (DVT) prophylaxis?

sequential compression device

Which type of surgical device provides a bloodless surgical field by way of extremity compression?

pneumatic tourniquet

The hinge point of many surgical instruments is called the ________.

box lock

The ________ is a cylindrical instrument used to increase the inside diameter of a tubular structure.

dilator

What term describes an instrument, such as a retractor or uterine probe, that can be bent or modified to accommodate for variances in anatomy?

malleable

Which suffix indicates an instrument as a cutting device?

-tome

Which classification of instruments can be of a tweezer-like or ringed and ratcheted configuration?

grasping and holding

A(n) ________ is particular kind of clamp used to stop blood flow through a vessel.

hemostat

A rubber bandage used in orthopedic procedures to force blood from the extremity before inflating a tourniquet cuff (exsanguinated)

Esmarch

This device uses rapid ultrasonic motion to cut and coagulate tissue.

Harmonic

Which device allows blood to be suctioned directly from the surgical field into a machine and then given back to the patient?

Cell Saver

Which one of these fluoroscopy machines is the most commonly used in the OR?

C-Arm

This device is used to irrigate a wound with large amounts of irrriagtion.

Pulse Lavage

This piece of equipment is the most proximal to the surgical field.

Mayo stand

What is a benefit of using satin finish?

reduced glare

What finish is used on laser surgery instruments?

black chromium finish

All of the following are types of instrument finishes EXCEPT:

Copper

If a surgeon needs an additional light source he/she might wear this device.

Headlamp

Who inflates/operates the pneumatic tourniquet machine?

Circulator

Which of the following is NOT appropriate for Laser safety?

Dry/sterile towels and drapes

How many people should you have available to help move an unconcious patient?

4

Surgical dressings....

all of the above (conceals the wound,absorbs secretions from the wound,keeps microorganisms from entering the wound)

When an incision may need to have frequent dressing changes what may be used that has to be laced up to hold the dressings in place?

Montgomery straps

What instrument would be best to load a peanut sponge onto?

Kelly

Frequently moistened with sterile saline; used when the abdomen is open

Laparotomy sponge

Sponges used in ophthalmic procedures also called eye spears

Weck-cel

Radiopaque sponges that are used superficially; should not be used in a body cavity unless on a sponge forcep

Raytecs

Called patties and are used in Neurosurgery

Codman's

Primarily used for blunt dissection; may be useful in dissecting small areas

Pushers

What is the name of the dressing sponge that would be used for a bulky dressing or a wound that is expected to drain excessively?

ABD

A(n) ________ is particular kind of clamp used to stop blood flow through a vessel.

hemostat

Comes in pack of 5; Absorbs blood in abdominal region and used also as "packs"

Lap Sponge

Radiopaque marker within a 4 x 4 gauze sponge, packed in packs of 10; used for smaller incisions or folded and clamped onto a forester forceps as a sponge stick. Note: The different sponge types are kept separate from each other to prevent smaller sponges from getting accidentally taken into the surgical site with a larger sponge.

Raytec sponge.

Cottoned or patty, may be moistened with saline or epinephrine or thrombin, in 10 pack. They are arranged on the field on a special tray or upside-down kidney basin, Instructor's note; presented on the back of the hand with pickups to surgeon.

Neurosurgical sponges.

Cotton-filled gauze with string attached, typically loaded on a schnidt (tonsil) clamp, pack of 5.

Tonsils sponge

Small rolls of cotton tape typically placed on mayo with holder, used for blunt dissection loaded on a Rochester-Pean (large Kelly); come in packets of five in a holder that is kept on field and replaced in slots after use.

Kitner

Small gauze sponges used for blunt direction or fluid absorptionn laded onto a clamp, usually a Kelly or Rochester-Pean, for use; come in packets of 5.

Peanut

Describe how surgical sponges differ from dressing sponges.

Surgical sponges have radiopaque strips and are lint free.

A laser treatment room should have all of the following EXCEPT: good ventilation, fire extinguisher, windows, pair of laser goggles and a laser sign outside the door

windows

The best ink color to mark the treatment area with a Ruby or Alexandrite laser will be

red

Time exposed to the laser or to the clinical effect of light energy delivered (in milliseconds)

pulse width

A #20 blade would fit on which scalpel handles?

#4

Metzenbaum scissors would be used on fascia.

False

What is the minimum number of suction systems or units required in an operating room?

two

A Forester is a

sponge clamp

An oschner or kocher can be used to grasp what?

bone

Which type of tissue clamps are used on delicate tissue?

Babcock clamp

Which is the most commonly used instrument to clamp blood vessels?

hemostat

What type of forceps might be used when suturing the epidermis (skin) closed?

Adson forceps with teeth

Which needle holder would be best when dealing with large/heavy suture?

mayo-hegar

This instrument is used for clamping delicate, superficial or pediatric tissues for hemostasis.

mosquito

A right angle clamp is also called a schnidt.

false

Metzenbaum scissors should be used to cut suture.

false

A Mayo-Hegar needle holder is used to hold a large or heavy suture.

true

Mosquitos are longer than criles.

false

What is the term for the cut-in lines in the jaws or hemostatic clamps and tissue forceps?

serrations

The #12 blade is used almost exclusively for which surgical procedure?

tonsillectomy

Which type of endoscope would be appropriate for examination of the renal pelvis via a

flexible ureteroscope

All of the following are examples of types of movement of powered surgical instruments

operating

Which part of the operating microscope is most proximal to the target tissue?

objective lens

Which type of surgical drape is designed to expose small anatomical structures such as the eyes and ears?

aperture

Which device can be used sterilely by an ENT or neurosurgeon or unsterilely by an anesthesia provider to determine location, function, or conduction of certain anatomical
structures?

nerve stimulator

Which fine, pointed-tip scalpel blade could be used to incise a blood vessel or create a stab

#11

What type of surgical specialty rooms would be most likely equipped with three or four

open heart

What is the term for the opening in a surgical drape that is placed over the operative site?

fenestration

This clamp is used for loading dissecting sponges like pushers, peanuts and kitners.

Kelly

What type of forceps might be used when suturing the epidermis (skin) closed?

Crile forceps

Richardson retractors come in multiple sizes example: small, medium and large.

True

A right angle clamp is also called a schnidt.

False

Metzenbaum scissors should be used to cut suture.

False

A ribbon retractor may also be called a malleable.

True

A Mayo-Hegar needle holder is used to hold a large or heavy suture.

True