Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
surg 102.1.1.5
surgical instrumentation
| Question | Answer |
|---|---|
| what are cutting/dissecting instruments? | any instrument with sharp edges that is used for incision, sharp dissection, or excision of tissue |
| what do cutting/dissecting instruments include? | knives, scalpels, and scissors |
| what are the different tissue scissors? | curved mayo scissors, metzenbaum scissors, potts-smith scissors, jorgenson scissors, cushing scissors, and microscissors |
| what are different suture scissors? | wire scissors and bandage/dressing scissors |
| what are often the scissor of choice for heavy tissue such as muscle or other tough tissue; straight mayo are used to cut suture only? | curved mayo scissors |
| what are the most common dissecting scissor, used by all surgical services; used for medium to fine tissue? | metzenbaum scissors |
| what are potts smith scissors used for? | incisions into ducts, veins or arteries |
| what are jogenson scissors used for? | hysterectomy |
| what are cushing scissors used for? | dual incision |
| what are microscissors used for? | microsurgery |
| what are wire scissors used for? | only wire |
| what is a gooseneck rongeur? | an angular, double-action rongeur |
| what is matson periosteal elevator? | has one dull end and one rib-stripping end |
| what is a single action bone cutter? | used to sever small bones; amputations |
| what is a bone gouge? | has a curved and scooped cutting edge |
| what are doyen rib strippers used for? | to scrape the periosteum off of ribs before removal |
| what are grasping/holding instruments used for? | to reduce and stabilize fractured bone during internal fixation (typically have a ratcheted locking mechanism) |
| what is an example of a grasping/holding instrument? | Lowman bone holding clamp |
| what grasping/holding instruments are designed to manipulate tissue when dissecting or suturing and do not have ratchets? | pickups or thumb forceps, tissue forceps, adson tissue forceps, brown tissue forceps, debakey tissue forceps, dressing forceps, and Russian tissue forceps |
| how are pickup or thumb forceps made? | with a flattened spring handle |
| what are tissue forceps used for? | to grasp tissue securely for control as when dissecting or suturing |
| what are adson tissue forceps commonly used for? | to close the skin |
| what are brown tissue forceps used for? | fine tissue work, has many small teeth |
| what are debakey tissue forceps most often used in? | cardiovascular surgery |
| when are Russian tissue forceps commonly used? | in GYN surgery |
| what are babcock forceps designed to grasp? | the appendix and prevent rupture during removal atraumatic instrument |
| when are pennington forceps used? | during rectal surgery and lung work. also used for grasping the uterine layers during closure of a cesarean section; triangular tips |
| what are clamping/occluding instruments used for? | to occlude or constrict tissue or control the flow of blood |
| what are bulldog vascular clamps? | small, spring loaded devices |
| what are retracting instruments? | instruments that are designed to expose the operative field |
| what are double ended, with slight variation of shape one each end, and are frequently used in pairs on opposite sides of the incision? | hand held retractors |
| what are examples of hand held retractors? | Richardson retractor, army-navy retractor, senn retractor, ribbon retractor, deaver retractor, rake retractor, and sims retractors |
| what are smooth flat metal strip with rounded ends? | ribbon retractor |
| what is flat, stainless steel strip that resembles a question mark, varies in width? | deaver retractor |
| what remain in place by mechanical means and often have interchangeable blades for varying depths and tissue types? | self-retaining retractors |
| what are examples of self-retaining retractors? | weitlander retractor, gelpi retractor, balfour retractor, and mastoid retractor |
| what are probing instruments? | malleable, wire like instruments used to explore fistulas or ducts |
| where are probing instruments found? | in abdominal, gallbladder, or rectal instrument sets and often used with guides called grooved directors |
| what are dilating instruments? | used to gradually dilate an orifice or duct to allow introduction of larger instrumentation or to open a stricture |
| what are examples of dilating instruments? | vascular dilators, urethral dilators, and uterine dilators |
| what are suctioning instruments used for? | to remove blood and bodily fluids from the operative site. suction tip is connected to plastic tubing to a suction canister. the suction canister is then connected to a vacuum device |
| what are examples of suctioning instruments? | yankauer suction tip, poole suction tip, and frazier suction tip |
| what are micro instrumentation used for? | to perform microsurgery. allow manipulation and repair of very small structure or portions of tissue |
| what are micro instrumentations? | very small, delicate, and precise devices often used with an operating microscope. |
| what are the five parts of instruments? | tips, jaws, box lock, shank, ratchet, and finger ring |
| what is the tip? | the points of the instrument |
| how should the tips of the instruments be? | approximate tightly when the instrument is closed |
| what hold tissue securely? | jaws |
| what controls the opposing jaws of the instrument? | box lock |
| what is the area between the box lock and the finger ring? | shanks |
| what interlock to keep the instrument locked shut when the instrument is closed? | ratchet |
| what is used for ease of holding? | finger rings |
| what must be critically inspected after each cleaning? | each instrument |
| what should be done with instruments in poor working condition? | removed from the processing area and placed in designated area in the OR suite or in the central service department for the instruments for repair |
| what should each instrument be inspected for? | proper function, grasping and holding |
| how should microsurgical instruments be inspected? | under a magnifying glass or microscope |
| what is retracting? | demagnetize instruments by passing them back through a magnetic field |
| what should be done promptly after each use of instruments? | with a moist sponge, wipe blood and organic debris from instruments |
| what should be done after surgery? | check drapes, towels, and table covers to be sure those instruments do not go to laundry or into the trash |
| when should the mayo stand and instrument table be set up without touching the tips of instruments? | during surgery for microsurgery instruments |
| what should not be immersed in water? | motor |
Created by:
jessicabustamante88