Basic Surgical Instruments Review

Flashcards covering basic surgical instruments, including retracting, cutting, clamping, and grasping tools, based on the lecture notes.

What four basic categories can basic laparotomy instruments be placed into?

Retracting and Occluding (or Exposing) Instruments, Cutting and Dissecting Instruments, Clamping and Occluding Instruments, and Grasping and Holding Instruments.

What is the difference between self-retaining retractors and manual retractors?

Self-retaining retractors stay open on their own, while manual retractors are held by hand.

What part of the instrument should be evaluated when identifying a retractor?

Look at the blade, not the handle.

What is a Deaver retractor used for?

It is a manual retractor used to retract deep abdominal or chest incisions.

What is a Richardson retractor used for?

It is a manual retractor used to retract deep abdominal or chest incisions.

What is the primary use of an Army-Navy retractor, and what are its other names?

It is used to retract shallow or superficial incisions. Other names include USA and US Army.

What is a goulet retractor used for?

It is a manual retractor used to retract shallow or superficial incisions.

What feature characterizes a malleable or ribbon retractor, and what is its function?

It may be bent to various shapes and is used to retract deep wounds.

What is a Weitlaner retractor used for?

It is a self-retaining retractor used to retract shallow incisions.

What type of retractor is a Gelpi retractor?

It is a self-retaining retractor used to retract shallow incisions.

What is a Balfour with bladder blade used for?

It is a self-retaining retractor used to retract wound edges during deep abdominal procedures.

What is the common name and purpose of a #7 handle with a #15 blade?

It is called a deep knife and is used to cut deep, delicate tissue.

What is the common name and purpose of a #3 handle with a #10 blade?

It is called an inside knife and is used to cut superficial tissue.

What is the common name and purpose of a #4 handle with a #20 blade?

It is called a skin knife and is used to cut skin.

What are straight Mayo scissors used for, and what is their alternative name?

They are used to cut suture and supplies. Also known as suture scissors.

What tissue types are curved Mayo scissors used to cut?

Heavy tissue, including fascia, muscle, uterus, and breast.

What are Metzenbaum scissors used for?

To cut delicate tissue.

What is the function of clamping and occluding instruments?

To compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.

What are other names for a hemostat, and what is its primary function?

Other names are Crile, snap, or stat. It is used to clamp blood vessels or tag sutures.

What is a mosquito clamp used for?

To clamp small blood vessels.

What is a Kelly clamp used for, and what is another name for it?

Used to clamp larger vessels and tissue. Another name is Rochester Pean.

How do burlishers differ from tonsil hemostats?

Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats (also known as Schnidt tonsil forceps or Adson forceps).

What is a right angle clamp used for, and what is it called when attached to a suture?

It is used to clamp hard-to-reach vessels and place sutures behind or around a vessel. When attached to a suture, it is called a "tie on a passer" (other name: Mixter).

What is the function of a hemoclip applier with hemoclips?

It applies metal clips onto blood vessels and ducts which will remain occluded.

What are the specific variations of Allis instruments used for intestinal and breast tissues?

A "Judd-Allis" holds intestinal tissue, while a "heavy allis" holds breast tissue.

What is a Babcock used for?

To grasp delicate tissue, such as the intestine, fallopian tube, and ovary.

What is a Kocher used for, and what is its alternative name?

Also known as an Ochsner, it is used to grasp heavy tissue and may also be used as a clamp.

What is another name for a Foerster sponge stick, and what is its purpose?

Also called a sponge forcep, it is used to grasp sponges.

What object is a dissector used to hold?

A peanut.

What is a Backhaus towel clip used for?

To hold towels and drapes in place.

How do smooth Adson pick ups differ from Adson pick ups with teeth?

Smooth Adson pick ups are used to grasp delicate tissue, whereas Adson pick ups with teeth are used to grasp the skin (also known as Dura forceps).

What are long smooth pick-ups called?

Dressing forceps.

What is the surgical specialty associated with DeBakey forceps, and what is their use?

Particularly used in cardiovascular surgery to grasp delicate tissue.

What is another name for single tooth thumb forceps?

Rat tooth forceps.

What is the function of Mayo-Hegar needle holders?

They are used to hold needles when suturing.

What is the purpose of sponge forceps, and what feature do their jaws have?

Used to hold gauze squares or sponge to "mop up" the surgical site; their jaws are serrated.

What is the function of transfer forceps?

When sterile, they arrange items on a sterile tray and transfer items to the sterile field.

What design features characterize Walter Splinter Forceps?

They have a very fine tip and a spear-head design for foreign object retrieval.

How are the teeth arranged on a 1x2 Toothed Tissue Forceps?

Single toothed on one side, which fits between two teeth on the other side.

What feature on Iris Suture Scissors assists in suture removal?

The blade has a beak or hook to slide under sutures.

What safety design feature is present on Lister Bandage Scissors?

A blunt probe tip that is inserted under bandages with relative safety.

What is the distinction between Sharp/Sharp and Sharp/Blunt scissors?

Sharp/Sharp scissors have two sharp blade tips to cut and dissect tissue. Sharp/Blunt scissors have one blunt tip and one sharp tip, used to cut and dissect fascia and muscle.

What is an ear currette used for?

To remove ear wax from the ear canal.

What is the function of a vaginal speculum?

It dilates the opening of the vaginal cavity during a gynecological exam or procedure, allowing inspection of the vagina and cervix and facilitating access for observation and treatment.