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Clamps etc
Surgery I
| Question | Answer |
|---|---|
| Hemostat types | Crile (Mosquito), Halstead, Kelly, Tonsil, Mixter (Right Angle) |
| Grasping clamp types | Allis, Babcock, Kocher, Sponge stick, Towel clips |
| Forceps types | Adson, Debakey, Ring, Bayonet |
| Hemostats: purpose | closes severed ends of bleeding vessels with minimal tissue damage |
| Hemostats: Crile (Mosquito) | short, fine curved clamp for superficial vessels. |
| Hemostats: Halstead | short, straight tipped clamp slightly longer and heavier than a Crile; for superficial vessels, also used to “tag” suture |
| Hemostats: Kelly | heavier curved clamp, varies in length and used as a general all-purpose clamp |
| Hemostats: Tonsil | fine curved tip clamp medium in length, most commonly used clamp for hemostasis |
| Hemostats: Mixter (Right Angle) | clamp with a right angled tip and medium in length; to pass suture around an uncut vessel |
| Purpose of clamps | hold tissue and surgical material |
| Grasping Clamps: purpose | holds tissue for retraction |
| Grasping Clamps: Allis | multiple short teeth that do not damage tissue in its grasp; for use on delicate tissue. |
| Grasping Clamps: Babcock | curved; fenestrated blades without teeth used to grip or enclose delicate structure such as intestines, ureters, and fallopian tubes. |
| Grasping Clamps: Kocher | has a single heavy toothed tip for grasping tough tissue (i.e. fascia, bone, muscle) |
| Grasping Clamps: Sponge Stick | ring shaped jaws used to hold sponges (generally prep sponges or stick sponges) and delicate tissue (i.e. lung). |
| Grasping Clamps: Towel Clips | sharp, needle-like curved tips used to secure drapes or to hold tissue (i.e. bone) |
| Forceps: purpose | to grasp or pickup tissue; available either with teeth to hold thicker slippery tissue or without teeth to hold delicate tissue with minimal tissue damage. |
| Forceps: Adson | single toothed fine short forceps used to hold skin; 3/4s heavier slightly longer multiple toothed forceps used to hold thicker tissue (i.e. muscle, fascia). |
| Forceps: Debakey | nontoothed forcep which varies in length and is the general all purpose tissue forcep (not to be used on skin). |
| Forceps: Ring | ring-shaped tips used to handle large delicate structures that might be punctured when using pointed forceps. |
| Forceps: Bayonet | angled forcep used commonly in neurosurgery for better visualization; AKA cautery forceps when used as an extension of the cautery on deep structures. |
| Name 4 four types of suction instruments | Yankauer (Chest, Tonsil); Baby Chest; Frazier (Abdominal); Poole (Neuro) |
| The most commonly used suction | Yankauer (Chest, Tonsil) |
| Baby Chest suction = | similar to Yankauer except that the shaft is thinner and the holes smaller |
| Frazier (Abdominal) suction = | straight suction with multiple holes for rapid suctioning |
| Poole (Neuro) suction = | right angled suction varying in shaft length and width |