Differentiating Surgical Instruments Chapter 7

Adson cranial rongeur

Category: Cutting straight tip

Use: Removing pieces of cranial bone and soft tissue

Beyer rongeur

Category: Cutting

Alias: Lamprey rongeur

Use: Removing small pieces of bone and soft tissue

Stookey cranial rongeur

Category: Cutting angled jaw

Use: Removing pieces of cranial bone and soft tissue

Leksell rongeur

Use: removing small bites of bone and soft tissue

Adson, Beyer, Stookey, and Leksell

Rongeur for removing Bone and Tissue

Kerrison cervical rongeur

Category: Cutting

Alias: Kerrison

Use: Removing pieces of vertebral disc or bone

Cushing pituitary rongeur

Alias: Upbiter (jaws angled up) Downbiter (jaws angled down)

Use: Removing pieces of vertebral disc or bone

Spurling rongeur

Alias: Spurling intervertebral disc rongeur

Use: removing bits of vertebral disc

Kerrison, Cushing, Spurling

Rongeur for Removing Bone and Vertebral Disc

Penfield dissector #1

Round sharp spoon curette/dissector

Alias: #1

Use: Dissecting and manipulating tissue, bone, or nerves

Penfield dissector #2

Oval bone packer/slightly curved dissector

Alias: #2

Use: Dissecting and manipulating tissue, bones, or nerves

Penfield dissector #3

Oval bone packer/ fully curved dissector

Alias: #3

Use: Dissecting and manipulating tissue, bone, or nerves

Penfield dissector #4

The only penfield that is single sided

Alias: #4

Use: Dissecting and manipulating tissue, bone, or nerves

Penfield dissector #5

The only penfield with dissectors on both ends

Alias: #5

Use: Dissecting and manipulating tissue, bone, or nerves

Woodson elevator and spatula

Lifting Dura

Alias: Woodson dural separator and packer

Use: seperating [lifting] the dura from the disk

Adson periosteal elevator

Removing Periosteum/Elevating skull

Alias: Joker

Use: removing perisosteum form the bone; elevating skull of the dura

Cushing periosteal elevator

Removing Periosteum

Use: Removing periosteum from the bone

Cobb elevator

Removing Periosteum

Use: Removing periosteum from the bone

Ball tip probe

Use: manipulating and probing tissue and vessels

Greenberg retractor

CRANIOTOMY

Use: Retracting cranial tissue; used during a craniotomy

Beckmann-Adson laminectomy retractor

LAMINECTOMY

Alias: Beckmann goiter retractor

Use: Exposing wound

Cerebellar retractor

Alias: Adson retractor

Use: Exposing wound

Jansen retractor

MASTOID/SCALP

Alias: Gifford; Allport; mastoid

Use: Retracting the mastoid or scalp

Taylor spinal retractor

SPINE

Use: Retracting tissue during spinal surgery

Williams retractor

SPINE

Use: Exposing deep wound during spinal surgery.

Scoville hmmilaminectomy retractor

DEEP LAMINECTOMY

Alias: Scoville-Haverfield

Use: Deep retracting of tissue during laminectomy

Meyerding retractor

SPINE

Use: Exposing wound; used widely in spinal surgery

Scoville BRAIN spatula

Use: Retracting brain tissue

Davis BRAIN spatula

Use: Retracting brain tissue

Adson DURAL scissors

DURA

Use: Cutting or dissecting dura

Strully scissors

TISSUE

Use: Cutting or dissecting tissue

Liston-stille bone cutter

BONE

Use: Cutting BONE

Brun bone curettes

SCRAPING bone/tissue

Use: Spine

Use: Scraping bone and tissue

Corckscrew dural hook

DURA

Alias: Dural hook

Use: Hooking and lifting dura

Adson suction

Use: Fine suctioning during neuro- or spinal surgery

Frazier suction

Alias: Nasal suction; neurosuction

Use: Suctioning small quantities of fluid; used in small spaces

Raney scalp clip-applying forceps

Alias: Raney scalp appliers

Use: applying Raney retracting clips

Dandy clamp

SCALP/HEMOSTASIS

Alias: Cairn clamp

Use: RETRACTING dura out of the way; scalp hemostasis

Greene tubing clamp

TUBING

Use: attaching tubing to surgical drapes

Cushing bayonet forceps

Use: grasping tissue or inserting packing into nose or ears

ring forceps

Alias: tumor forceps

Use: grasping tissue or tumors

gerald bipolar forceps

Use: coagulating small blood vessels

Cushing tissue forceps

Use: Grasping fine tissue

Vienna nasal speculum

Use: retracting nasal walls

Gerzog mallet

Use: pounding instruments [like osteotomes] or driving in pins

Screwdriver with sleeve

Use: holding and inserting screws during instrumentation

Locking cap screwdriver

Use: tightens locking caps during rod insertion

Barholding forceps

Use: holding spinal rods

Bending Iron

Use: contouring rods during spinal procedures

Rod bender

Use: Contouring rods during spinal procedures

Extraction pliers

Use: Removing screws during spinal surgery

Cannulated tap and handle

Alias: tap

Use: tapping insertion hole for cannulated scres

Hexagonal screwdriver

Use: inserting/ removing screws with hexagonal heads

Pedicle probe

Use: probing manipulating tissue during spinal surgery

Pedicle screw reamer

Use: reaming hole prior to inserting pedicle screw

Trial spacer handle

Use: holding implant for insertion during spinal procedures

Spacer implant holder

Use: holding implant for insertion during spinal procedures

rod pusher

Use: maneuvering rods during spinal surgery

impactor

Use: impacting bone graft in place

Graft rasp

Use: scraping bone to make graft fit properly

Graft shaver

use: shaving bits of bone to make graft fit properly

Graft packer

Use: packing bone graft into place

Neuro pattie tray

Use: holding moistened neuro patties

Love nerve root retractor

Use: retracting nerve root

Lamina spreader

Use: retracting lamina during spinal surgery

Cloward vertebra spreader

Use: opening the vertebral space during spinal surgery

Midax rex drill

Use: cutting cranial bone flap;creating burr holes; cutting bone during spinal surgery

Frazier suction and obturator

Use: removing fluids and tissue from wound

Mirror

Use: Visualizing inside the wound

Cushing-Landolt transphenoidal speculum

Use: visualizing inside nose during transphenoidal surgery

Transphenoidal knife handle

Use: holding scalpel blade

Transphenoidal osteotome

Use: entering the sella floor

Transphenoidal Kerrison rongeur

Use: puncturing the sell turcica

Rhoton pituitary currettes

Use: removing pieces of tumor

half-ring currette

Use: removing pieces of tumor

transphenoidal enucleator

Use: removing pieces of tumor

Probes

Use: probing inside the wound

Pituitary spoon

Alias: pituitary scoop

Use: removing tumor tissue

Three prong fork

Use: applying tissue for reconstruction of the sella floor

Adson hydrophyseal forceps

Use: grasping and removing tumor tissue

Raney clips are

Scalp clips used to maintain hemostasis

What tongs provide skeletal traction for cervical fracture/dislocation?

Crutchfield tongs

In a laminectomy, herniated disc fragments are removed with a

Pituitary Rongeur

Metal suction tips used during neurosurgery are used continuously to keep the field dry, which are

Frazier

What instrument is used to excise the laminae overlaying the herniated disc during its removal in a laminectomy procedure?

Schwartz/Kerrison

A self retaining neurosurgical retractor is

Leyla Yasargil

During a craniotomy, the instrument commonly used to separate the dura from the cranium is a

Penfield Dissector

During a lumbar laminectomy the surgeon packs the sponges along the vertebra with

Cobb Elevators

Which of the following is a brain spatula?

Scoville

Before handing the neurosurgeon a brain spatula, the Surgical Technologist first needs to moisten it with

Normal saline

A Leksell is what type of surgical instrument

Rongeur

Which Penfield dissector is single ended?

#4

Which cranial rongeur has the largest bite size

Adson

Which cranial rongeur has a 2-mm bite size

Beyer

In laminectomy, ________ rongeurs are used to excise the lamina and create access to the disk.

Kerrison

Applied to the tissue edges at the beginning of the procedure to provide hemostasis

Raney clip

Instrument used to strip the pericranium from the skull

Cobb

Instrument used to excise bone

Kerrison

Instrument used to loosen the dura from the skull

#3 Penfield

This is the instrument used to enter a ventricle after the brain is exposed to obtain fluid or a biopsy.

Cannula