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Do you hold the tissue holding forceps in you dominant or non-dominant hand?
non-dominant hand
Do you hold the needle holding forceps in your dominant or non-dominant hand?
dominant hand
Do you hold surgical scissors in your dominant or non-dominant hand?
dominant hand
Do you hold scalpel handles in your dominant or non-dominant hand?
dominant hand
What are tissue holding forceps used for?
holding and manipulating tissues during surgery
What are the most used tissue holding forceps?
Rat-toothed and Debakey
What affects the amount of grip in tissue holding forceps?
design of the teeth
What SHOULD you do when using tissue holding forceps?
hold tissue gently
select and use the correct forceps for the tissue
use a pencil grip
What should you NOT do when using tissue holding forceps?
apply too much pressure & crush tissue
use traumatic forceps on delicate tissues
use tissue holding forceps to handle needles
use them to handle bone
What does this image show?
rat-toothed tissue holding forceps
What are the benefits of rat-toothed tissue holding forceps?
powerful grip
good for tough tissues (e.g. skin)
What are the disadvantages of using rat-toothed tissue holding forceps?
more traumatic to delicate tissues
What does this image show?
Debakey tissue holding forceps
What are the benefits of using Debakey tissue holding forceps?
good grip
good for delicate tissues (e.g. bowel)
What are the disadvantages of using Debakey tissue holding forceps?
less grip than rat-toothed forceps
What are needle holding forceps used for?
holding and manipulating needles during surgery
creating surgical throws, knots and ligatures
What are the 2 most used needle holding forceps?
Mayo and Gillies
What does this image show?
needle holders
Name 1
handle
Name 2
ring
Name 3
ratchet
Name 4
shank
Name 5
tips
Name 6
pivot point
How is needle holder length measured?
from end of cutting tip to end of the handle
What SHOULD you do when using needle holding forceps?
hold needle at right angles to forceps
hold needle 2/3rd of way from sharp tip
use correct grip
use to grab the end of a piece of suture
What should you NOT do when using needle holding forceps?
use to grab the suture part way along its length as will damage it
use to hold anything other than needles/suture
don’t use to grab the point of a needle
What is the correct grip for holding needle holding forceps?
thumb & ring finger
What does this image show?
Mayo needle holding forceps
What are the benefits to using Mayo needle holding forceps?
ratchet keeps the instrument closed so hand strength not required to keep needle in place
ratchet prevents needle rotating within forceps
What are the disadvantages to using Mayo needle holding forceps?
ratchet must be released and applied for needle repositioning
What does this image show?
Gillie needle holding forceps
What are the PROs of Gillie needle holding forceps?
no ratchet means quicker to reposition needle in tips of instrument
has cutting blade as part of the design
What are the CONs to using Gillie needle holding forceps?
hand strength required to keep needle from rotating within forceps
What are surgical scissors used for?
cutting tissue (& sometimes suture)
What are straight scissors good for?
superficial tissues & where space is restricted
What are the benefits of curved scissors?
give better view of working area & avoid inadvertently cutting layer underneath
What are the 2 most used type of surgical scissors?
Metzenbaum and Mayo scissors
What does this image show?
surgical scissors
What does this image show?
Metzenbaum scissors
What are the PROs of Metzenbaum scissors?
excellent for cutting delicate tissues
excellent for more precise blunt dissection
What are the CONs of Metzenbaum scissors?
more delicate so become blunt more easily than Mayos
not to be used for cutting suture
What does this image show?
Mayo scissors
What are the PROs of mayo scissors?
excellent for cutting thick tissues
excellent for blunt dissection (when tips closed)
robust so can be used for cutting suture
What are the cons of Mayo scissors?
relatively chunky
may not be able to use where space is restricted
What does this image show?
Dressing scissors
What does this image show?
stitch removal scissors
What are the names of the 2 types of non-surgical scissors?
dressing scissors
stitch removal scissors
What scalpel handle size do you use for small animals?
size 3
What scalpel handle size do you use for large animals?
size 4
What is pencil grip for a scalpel used for?
delicate incisions/smaller cuts with smaller blades
What is the palmar grip for a scalpel used for?
initial incision (and larger cuts sometimes)
Why are scalpel handles often textured?
increased grip
What does this image show?
scalpel handle
Name 1
handle
Name 2
bayonet
Name 3
scalpel handle size
Name 4
rulers
What are scalpel blades primarily used for?
cutting skin
What does this image show?
scalpel blade
Name 1
tip
Name 2
cutting edge
Name 3
slot
Name 4
blade size
What scalpel blades are compatible blades for No.3 handle?
10 and 15
What scalpel blades are compatible for No.4 handle?
20 and 22
What does this image show?
how to attach the scalpel blade to the scalpel handle
What are the 2 options for how to hold a scalpel?
pencil grip and alternative palmar grip
What are the syringe top options?
centred and eccentric
What are the syringe fitment options?
luer slip and luer lock
What type of syringe tip does this image show?
centred
What type of syringe tip does this image show?
eccentric
centred syringe tip
syringe tip is in the centre
Eccentric syringe tip
Syringe tip is to the side
What type of syringe fitment does this image show?
luer slip
What type of syringe fitment does this image show?
luer lock
Luer slip syringe fitment
needle is pushed onto the syringe
Luer lock syringe fitment
needle is screwed onto the syringe
Name 1
tip
Name 2
barrel
Name 3
flange
Name 4
thumb rest
Name 5
plunger
tip (standard syringe)
where the needle or catheter is attached to the syringe
barrel (standard syringe)
the cylindrical shaped piece where the medication or body fluid is gathered
plunger (standard syringe)
a closely fitting device that is pushed in or out of the barrel to insert/extract fluid
name 2 examples of standard syringes
insulin syringes and feeding syringes
insulin syringes
graduations refer to units of insulin not mls
feeding syringes
designed to attach to tubing rather than needles
What are the options for needles?
hypodermic
surgical
specialised
Name the 2 types of specialised needles
acupuncture and insulin
What type of needle is this?
hypodermic
Name 1
lumen
Name 2
hub
Name 3
needle cannula
Name 4
bevel
bevel (hypodermic)
the sharp-pointed tip of the needle that allows for easy passage into tissue
hub (hypodermic needle)
the part of the needle that attaches to the syringe
needle cannula/shaft (hypodermic needle)
the hollow tube through which fluid or tissue passes
lumen (hypodermic needle)
the space inside the needle
