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instruments
| Term | Definition |
|---|---|
| Cholaprep | Alcohol based prep solution. 3 minute minimum dry time. Cannot be used on hair- highly flammable. Category: Prep |
| Betadine | Iodine based prep. Minimum 5 minute dry time. Cannot use for people with allergies to shellfish. Good for true emergencies Category: Prep |
| Light Handles Attach to overhead OR lights to manipulate during surgery. | |
| Category: Accessories | |
| Prep bowls Can hold various fluids- various sizes shapes and specific functions. | |
| Category: Accessories | |
| Medicine cups Hold medicine- has markings to measure the amount within. | |
| Category: Accessories | |
| Marking pen Contains gentian violet ink. Used to make incision sites on patients prior to incision. Can be prepped over and will not come off short term. | |
| Category: Accessories | |
| Sharps Box/ Needle Counter Red box for safely disposing of all sharps. All suture needs will go into a designated number for counting organization. Additional sharps will remain here for safety identification. | |
| Category: Accessories | |
| Raytex 4x4 Come in packs of 10. Used for smaller/ superficial incisions. Used on the end of a Forrester Sponge Stick for betadine prep. Made of loose gauze. Blue line is called radiopaque and is identifiable on x-ray. | |
| Category: Sponges | |
| Laparotomy Sponge Also known as a lap. Come in packs of 5. Long blue tail is only part identifiable on x-ray/ radiopaque. Used in deep abdominal, incisions for fluid absorption. | |
| Category: Sponges | |
| Cottonoid Pack of 10, rectangular in shape. Long string attached to pull out of a cavity. Typically used in the nasal cavity. | |
| Category: Sponges | |
| Patty Pack of 10, square in shape- think a Wendy's Patty. Used in Neuro / small spaces. | |
| Category: Sponges | |
| Peanuts Packs of 5, rounded ball of gauze. Goes on the end of an instrument for blunt dissection. Will hear called peanuts on a pusher. | |
| Category: Sponges | |
| 3 knife handle Fits a 10,11,12, 15 blades. Most common used handle. | |
| Category: Cutting & Dissecting | |
| 4 Knife handle Fits the size 20 blades. Looks like a | |
| Category: Cutting & Dissecting | |
| 7 Knife Handle Fits 10,11,12,15 blades. Will most commonly see a | |
| Category: Cutting & Dissecting | |
| 3L Knife Handle Fits 10, 11, 12, 15 blades. Longer version of the | |
| Category: Cutting & Dissecting | |
| 10 blade Rounded like a 0. Most common blade used. | |
| Category: Cutting & Dissecting | |
| 11 blade Sharp straight line, like a 1. Used to make a stab wound for laparoscopic surgery. | |
| Category: Cutting & Dissecting | |
| 12 Blade Rounded like the hook of a 2. Used for Tonsils and getting underneath a structure. | |
| Category: Cutting & Dissecting | |
| 15 Blade Small and odd shape, similar to a 5. Used for narrow space. | |
| Category: Cutting & Dissecting | |
| 20 Blade Larger than a 10, but same shape. Used to make larger or tougher cuts. | |
| Category: Cutting & Dissecting | |
| Mayo Scissor Straight, used for cutting suture only. | |
| Category: Cutting & Dissecting | |
| Curved Mayo Curved in the tip. Used for cutting thicker heavier tissues (think muscle, fascia). | |
| Category: Cutting & Dissecting | |
| Metzenbaum Thinner scissor-curved tip. Cutting more delicate tissues (peritoneum, tissue around structures). | |
| Category: Cutting & Dissecting | |
| Lister Bandage L shaped. Used to cut bandages or the uterus in a cesarean section. | |
| Category: Cutting & Dissecting | |
| Iris Tiny and delicate. Really fine small tissue. | |
| Category: Cutting & Dissecting | |
| Long Mayo/ Metz Think cutting same kind of tissue just deeper. | |
| Category: Cutting & Dissecting | |
| Bovie AKA: ESU/ Electrosurgical pencil, cautery. 2 functions- cut and coagulation of tissue. MUST have a grounding pad on for closed circuit of electricity conductivity. | |
| Category: Cutting & Dissecting | |
| Bipolar Electrical based coagulation. Controlled by a foot pedal. Fine tip coagulation. Must have a bovie on. | |
| Category: Cutting & Dissecting | |
| Frazier Smallest suction on table. Think smallest areas- ears, nose, small incisions. Comes with an insert called a stylet to clean out anything that gets stuck. | |
| Category: Suction & Aspiration | |
| Yankauer AKA Tonsil tip Used to suction the back of the mouth and throat-- will see it used everywhere! Can be metal or plastic- If metal, must make sure the tip is screwed on and counted for | |
| Category: Suction & Aspiration | |
| Abdominal Poole 2 part suction tip- Inner is suction tip. Outside is perforated sheath used to protect tissues from getting caught to suction. Used to suction mass amounts of fluid at one time (irrigation or trauma). | |
| Category: Suction & Aspiration | |
| Mayo-Hegar Needle driver/holder. All NH's will have cross-hatching serrations in the jaw to get a better hold on needles. This is the most common driver. Can come in various lengths. | |
| Category: Suction & Stapling | |
| Crile-Wood Small pointed nose- will hold finer suture needles. | |
| Category: Suction & Stapling | |
| Heany Curved jaw- Used in hysterectomies and GYN. | |
| Category: Suction & Stapling | |
| Webster Smallest NH. Used superficially on skin and peds. | |
| Category: Suction & Stapling | |
| Long- Mayo Hegar Used deep abdominally. | |
| Category: Suction & Stapling | |
| Olsen-Mayo Has a divot in the middle of the Jaw | |
| Category: Suction & Stapling | |
| Skin Staples Used to hold skin closed- Train track looking wound after removed. Used over sutures when there is a lot of swelling or fluid needing to come out of a wound. | |
| Category: Suction & Stapling | |
| Hemoclips Single use applicator. Titanium clips used to 'clip' off a vessel so there is no bleeding. These stay in place forever. | |
| Category: Suction & Stapling | |
| Smithwick Clip Applier/ Clips Manual, reusable clips. Still titanium and stay in place- but you have to manually load them yourselves. This is the 'old school' method. | |
| Category: Suction & Stapling | |
| Tissue Forceps Has teeth at the end- forms a rat tooth. Traumatic. Grasps heavy tissues- typically used when curved mayos will be used as well. | |
| Category: Grasping & Holding | |
| Long Tissue Forcep Same just for deep abdominal. | |
| Category: Grasping & Holding | |
| Thumb Forcep Only has serrations- non-traumatic. Grasps delicate tissue and is commonly used with Metzenbaums. | |
| Category: Grasping & Holding | |
| Long Thumb Forcep Same just for deeper abdominal. | |
| Category: Grasping & Holding | |
| Russian Forcep Has a rounded jaw of teeth with a 'scoop' in the middle. Those teeth provide a firm hold on muscle. Traumatic. | |
| Category: Grasping & Holding | |
| Debakey Fine serrations in the jaw. Typically used in vascular surgery, non-traumatic. Come in various lengths. | |
| Category: Grasping & Holding | |
| Bonney Very traumatic and heavy. Has thick serrations and a rat tooth- think fascia and tendon. | |
| Category: Grasping & Holding | |
| Adson with Teeth Has a small rat tooth- most common of the adsons. Used for skin closure and plastics. | |
| Category: Grasping & Holding | |
| Adson without Teeth Smooth- used in dressing applications. | |
| Category: Grasping & Holding | |
| Brown Adson Has two rows of interlocking teeth. Used in plastic surgery. | |
| Category: Grasping & Holding | |
| Backhaus Towel Clip/Clamp Used to hold towels together or small pieces of bone. Sharp points-traumatic. | |
| Category: Grasping & Holding | |
| Lorna Towel Clip/Clamp Used to hold towels together. Flat ends that meet- non-traumatic. | |
| Category: Grasping & Holding | |
| Allis Forcep Rounded middle- comes to a row of teeth at the end that hold gently but firmly/ Traumatic. | |
| Category: Grasping & Holding | |
| Babcock Forcep Rounded to fit around a structure. Non-traumatic. | |
| Category: Grasping & Holding | |
| Duvall Pennington Triangle tip. Provides a wide surface area to grasp tissue- Non traumatic. | |
| Category: Grasping & Holding | |
| Ochsner Kocher Very traumatic and heavy. Has thick serrations and a rat tooth- think fascia and tendon. | |
| Category: Grasping & Holding | |
| Forrester Sponge Stick Wide serrations in Jaw. Holds a 4x4 for prepping. Can grasp tissue if needed. | |
| Category: Grasping & Holding | |
| Halstead Mosquito Smallest of group. Clamps fine tissue- superficial/peds non-traumatic. | |
| Category: Clamping & Occluding | |
| Hemostat Most common instrument. can be curved or straight. Clamps already bleeding vessels. Will also heal called : stat, tag, crile. | |
| Category: Clamping & Occluding | |
| Schnidt Tonsil Longest of clamping. has a smaller fine jaw, deep abdominal bleeding vessels | |
| Category: Clamping & Occluding | |
| Rochester Pean Heavy jaw for Occluding a vessel (stopping the bleeding before it happens). | |
| Category: Clamping & Occluding | |
| Mixter AKA Gallbladder- Used to clamp under a structure non-traumatic. | |
| Category: Clamping & Occluding | |
| Balfour Multipart self-retaining retractor. Side blades hold wound open, bladder blade holds bladder down. Make sure wing nut is accounted for. | |
| Category: Exposing & Retracting | |
| Harrington AKA Sweetheart Had a heart shape end to protect. Deep abdominal manual retraction. | |
| Category: Exposing & Retracting | |
| Deaver Comes in multiple widths. Deep abdominal manual retracting. | |
| Category: Exposing & Retracting | |
| Malleable Can be bent to retract. Typically used to hold down bowel while closing peritoneum. | |
| Category: Exposing & Retracting | |
| Kelly Richardson Single ended manual retractor. Used on the peritoneal and below layer. | |
| Category: Exposing & Retracting | |
| Richardson Eastman Similar to the Kelly Richardson but Double ended. | |
| Category: Exposing & Retracting | |
| Volkman Rake Can be sharp or dull- used to retract fat/subcutaneous. | |
| Category: Exposing & Retracting | |
| Parker/Roux Can be called either name. Double ended manual retractor in the fascial layer. | |
| Category: Exposing & Retracting | |
| Army-Navy Double ended, different size blades. Used in the fascia/sub-1 layers. | |
| Category: Exposing & Retracting | |
| Senn Double ended manual retractor. One Army-Navy like end, one Rake like end. Sub-q layer. | |
| Category: Exposing & Retracting | |
| Joseph Skin Hook Traumatic- Hooks skin for retraction. | |
| Category: Exposing & Retracting | |
| Gelpi Self-retaining traumatic retractor. Used in total joints of Obstetrics. | |
| Category: Exposing & Retracting | |
| Weitlaner Self-retaining non-traumatic retractor. Used in superficial areas where constant reaction is needed. | |
| Category: Exposing & Retracting | |
| Local Anesthesia Lidocaine, Bupivacaine, Marcain-- Any local requested by MD. Numbs the incision site to decrease bleeding and post op pain. | |
| Category: Prep? | |
| 11 Blade on a | |
| Category: Cutting & Dissecting | |
| Veress Needle Inserted through the umbilicus to insufflate the abdomen with CO2 to create a pneumoperitoneum. | |
| Category: Accessories? | |
| Camera Used for viewing the abdomen. Projected onto the big screen. Connects to the laparoscope. | |
| Category: Viewing | |
| Fiber Optic Light Source Connects to the laparoscope to provide light inside the abdomen. | |
| Category: Viewing | |
| CO2 Tubing Connects to the veress needle and the trocar to provide the gas for a pneumoperitoneum. | |
| Category: Accessories | |
| Laparoscope To view the inside of the abdomen. | |
| Category: Viewing | |
| Trocars Ports to insert the scopes and instruments. Enter through a small incision. | |
| Category: Exposing | |
| D & C Prep Sponges 3 are used to prep. First 2 are used to prep the vulva. 3rd is an internal cleaning. | |
| Category: Sponges | |
| Urinary Catheter Red Rubber or Straight catheter- drains the bladder. | |
| Category: Prep | |
| Auvard Heavy Weighted Speculum Used for retraction and exposing the cervix. | |
| Category: Retracting & Exposing | |
| Tenaculum Traumatic- Single or double toothed. Grasps the cervix for uterine manipulation. | |
| Category: Grasping & Holding | |
| Simms Uterine Sound Measures the depth of the uterine cavity. Cannot be used in someone actively or recently pregnant. | |
| Category: Measuring | |
| Hank Dilators Increases in sizing as you get bigger. Gradually stretched the cervix to allow instruments to enter. | |
| Category: Dilation | |
| Uterine Curettes Sharp traumatic loop instrument to scrape the lining of the uterus. | |
| Category: Scraping | |
| Fletcher Forcep Narrow rectangle jaw to grasp any remaining tissue from curette. | |
| Category: Grasping & Holding | |
| Vaginal Packing forceps Used to aide in putting in packing. Curved handle. | |
| Category: Grasping & Holding | |
| Simms Additional lateral wall retractor- not used in every case. | |
| Category: Retracting & Exposing | |
| What is radiopaque? It is the blue lines in sponges that come up on X-ray. Allows us to see if anything is left in the patient. Dressings come without radiopaque hence why it should only be opened once patient is closed. | |
| What sponges come in a pack of 10? 4X4 Raytex, Cottonoids, & Patty sponges | |
| What sponges come in a pack of 5? Peanuts & Laparotomy sponges | |
| Which knife handles can handle fit blades 10, 11, 12, & 15? Handles 3, 3L, & 7 | |
| Which knife handle can only fit size 20 blades? Handle 4 | |
| What does the Veress needle insufflate the abdomen with & what does it create? Insufflate with C02 & creates a pneumoperitoneum |
Created by:
user-1992150