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Basic Surgical Instruments

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Classification
Name
Notes
Clamping/Occluding   Mosquito   smallest hemostat; Used to clamp delicate tissue or vessels  
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Clamping/Occluding   Crile   second smallest hemostat; serrated to boxlock; Can be used to clamp tissue edges  
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Clamping/Occluding   Kelly   second smallest hemostat; serrated partway to boxlock; Can be used to clamp tissue edges  
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Clamping/Occluding   Mayo   AKA Mayo-Pean, Pean, Rochester-Pean; largest of the hemostats; Used to clamp tissue (fairly thick) before resection or larger vessels to stop bleeding or to transect  
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Clamping/Occluding   Carmalt   used to hold a peanut sponge dissector  
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Clamping/Occluding   Lashey   AKA Right Angle; Tip used to bluntly dissect around vessel; Can be used to clamp across small vessels; Used to deliver suture around vessel  
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Clamping/Occluding   Mixter   AKA Right Angle; Tip is wider or fatter than Lahey; Not used very often  
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Clamping/Occluding   Adson Tonsil Clamp   AKA Schnidt, Boetcher; Commonly used to clamp small bleeders deep in wound or in the throat  
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Grasping   Allis   Tip width from narrow to wide; Used to grasp tube-like structures and tumors, etc; Most commonly used grasping clamp  
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Grasping   Fat Allis   Fat allis is slightly wider than an allis but not as wide as an adair; Used to grasp tube-like structures and tumors, etc  
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Grasping   Babcock   Commonly used to grasp tube-like structure such as ureter and fallopian tubes and vas deferens; Most commonly used to grasp bowel  
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Grasping   Adair   Commonly used to grasp vaginal mucosa during an anterior & posterior colporrhaphy; Tip wider than Allis  
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Clamping or Grasping   Kocher/Oschner   Commonly used to grasp tendons, ligaments, Muscle/Fascia, heavy tissue  
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Grasping   Bebee   not commonly used  
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Grasping   Ring Forceps   Most common to hold a folded sponge called stick sponge  
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Grasping   Backhaus Towel Clip   Used to clip LINEN drapes to patient; May be used to hold bone; AKA T-clips; short AKA baby towel clip  
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Grasping   Non-Perforating Towel Clamp   Most commonly used to secure paper drapes to the patient/field; Used to anchor cautery holder to drapes; Anesthesia uses to clamp upper drape to IV pole  
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Grasping/Forceps   Ferris Smith   Largest of the forceps; Used to grasp heavy tissue like bone, tendon, fascia & ligaments  
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Grasping/Forceps   Adson   Smallest of the forceps; Mainly used on skin, especially to hold skin during suturing  
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Grasping/Forceps   Adson/Brown   not commonly used  
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Grasping/Forceps   Debakey   Most commonly used forceps for inside the abdomen or on vessels; Atraumatic; Has multiple tiny teeth; also wide and narrow tips; Has replaced forceps without teeth  
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Grasping/Forceps   Russian   Second most commonly used forceps for inside the abdomen; Used in OB-GYN procedures and orthopedics sometimes; Handy to pick up stones  
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Grasping/Forceps   Tissue Forceps   Most commonly used forceps to open and close a wound (with teeth version); Handy to pick up heavy tissue (fascia - muscle)  
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Grasping/Forceps   Thumb Forceps   Have been replaced with Debakey forceps (rarely used)  
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Grasping/Forceps   Bayonet   Commonly used in neurosurgery to place sponges into the wound; The hump of the forceps is always is the upright position when using  
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Suction   Poole Suction Tip w/ Sheath   AKA Abdominal Suction Tip; Most commonly used during surgeries in the abdomen; Used when copious amounts of body fluid are present; Used when irrigating the abdominal wound with saline; Sheath is only used when large amounts of fluid are present  
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Suction   Yarkauer Suction Tip   AKA Oral Suction Tip, Tonsil Suction Tip; Largest of the suction tips; Commonly used in the oral cavity because of the length of tip & fluid aspiration ability; Can be used in the abdomen instead of the Poole suction tip (surgeon’s preference)  
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Suction   Franzier Suction Tip   AKA neuro Suction Tip; Commonly used in neurosurgery (head & back) or in small incisional areas; They have a flat area by tubing end that has a hole to regulate suction power  
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Suction   Adson Suction Tip   AKA neuro Suction Tip; Commonly used in neurosurgery (head & back) or in small incisional areas; They have a flat area by tubing end that has a hole to regulate suction power  
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Cutting   10 blade   most common blade to make incision into abdomen and larger body parts  
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Cutting   11 blade   most commonly used to make a stab wound into the body - To drain a cyst (fluid filled tumor)  
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Cutting   12 blade   most commonly used to cut around a tube-like anatomical structure such as a ureter or tonsil pillar; AKA hook knife  
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Cutting   15 blade   most common used to cut into smaller anatomy such as the nose, lip, ear, throat, etc.  
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Cutting   3 scalpel handle   This handle only houses certain blades:  
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Cutting   4 scalpel handle   This handle only houses certain blades:  
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Cutting   20 blade   large blade that similar to  
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Cutting   7 scalpel handle   This handle only houses certain blades:  
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Cutting   Beaver Handle   Commonly used for plastic reconstructive surgeries; Used to incise small, delicate areas of the body: nose, ears, eyes, lips, fingers & toes  
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Cutting   65 blade   Similar to the 10 blade; used to make incision into smaller body parts  
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Cutting   64 blade   Similar to the 11 blade; used to make a stab wound in the body  
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Grasping/Forceps   Lorenz Adson   has grooved diamond jaw insert  
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Cutting   Metzenbaum Scissors   Used on delicate tissue like bowel and peritoneum; Basic length is most common; Length also depends on the depth of the wound; Called Metz for short  
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Cutting   Mayo Scissors   Used on heavy tissue; Most commonly used to cut muscle/fascia and organs with tough muscular tissue, like the uterus  
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Cutting   Suture Scissors   most commonly used as basic suture scissors  
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Cutting   Bandage Scissors   Most commonly used to cut the heavy muscular tissue of the uterus when delivering a fetus from the womb via a C-section delivery; Also used to cut the umbilical cord following delivery of the fetus  
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Cutting   Jones Scissors   short, fine scissors commonly used to cut delicate tissue; Commonly used to carefully dissect tissue during the removal of the thyroid gland or the parotid gland; Tips are more slender and pointed than a short Metzenbaum scissors  
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Cutting   Wire Scissors   Commonly used when wire suture is used in orthopedic procedures  
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Suturing   Mayo Hager Needle Holder   Most commonly used; Holds larger, denser needles  
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Suturing   Heaney Needle Holder   Most commonly used for OB/GYN surgical procedures; Used for suturing in narrow, deep cavities (vaginal canal)  
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Suturing   Crilewood Needle Holder   Used to hold finer (less dense), smaller needles; Commonly used in plastic surgery  
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Suturing   Webster Needle Holder   One of the smaller, shorter needle holders used; Commonly used in plastic surgery and orthopedics (hands & toes)  
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Suturing   Castroviejo Needle Holder   Smallest of the needle holders; Doesn’t have finger rings – has band loops; Comes with locking capabilities or without; Holds very fine, small needles  
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Retractors   Skin Hook   Hand held classification  
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Retractors   Senn Miller Rakes   Smallest of the rake retractors; Used to retract tissue layer on procedures involving hands, fingers, small anatomy; Hand held classification  
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Retractors   3-Prong Rakes   Used to retract superficial tissue layers; Hand held classification  
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Retractors   4-Prong Rakes   Used to retract superficial tissue layers; Hand held classification  
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Retractors   6-Prong Rakes   Used to retract superficial tissue layers; Hand held classification  
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Retractors   Isreael Rakes   Usually comes dull; Largest of the rakes; Used for deeper retraction of wound edges; Hand held classification  
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Retractors   2-Prong/Collins   Retracts superficial wound edges; Comes in a pair - not always used as a pair; Hand held classification  
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Retractors   Army/Navy   Referred to as A/N retractor; One end deeper than other; Used for superficial & deeper retraction of wound edges or tissue; Hand held classification  
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Retractors   Bard Parker   AKA Band; Used to retract superficial wound edges; Usually used in pairs – One on each side of the incision; Hand held classification  
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Retractors   Ribbon   AKA Malleable; Bent to fit wound depth; Retracts organs and wound layers to expose surgical site; Hand held classification  
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Retractors   Harrington   One of the longest, deepest retractors for abdominal wounds; Used to retract organs for exposure of the surgical site; Sometimes called sweetheart retractor – pad with sponge  
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Retractors   Deaver   Large, deep retractor; Commonly used to retract organs and/or tissue layers to expose surgical site; Use moist lap sponge to pad under retractor or dip retractor in saline or water before using  
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Retractors   Kelly   Wide retractors – used to retract abdominal tissue layers; Similar to the Richardson retractors but larger; Hand-held – dip in saline or water before use  
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Retractors   Richardson   Similar to the Kelly retractors but smaller blade widths; Used to retract tissue layers of the abdominal wound  
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Retractors   Appy Richardson   Blade is narrower than Richardsons; Used to retract narrow, deep incisions - McBurney’s; Comes in smaller, shorter blade called Baby Appy Richardson  
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Retractors   Mastoid   Small self-retaining retractor; Used for retracting small wounds – face, eyes, ears, nose, hands, toes, etc.; Has rake-like ends that are usually dull  
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Retractors   Spring Retractor   Used to retractor wound layers – superficial or deep; Usually two are used – One at one end of the wound & one at the other end  
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Retractors   Gelpi   Self retaining retractor; Used to open an incision wider; Can be used superficially or deep; Clamp-like rings with sharp points; Usually use two / long abdominal incisions  
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Retractors   Cerebellar   Self-retaining retractor with rake-like ends that meet when closed; Used superficially or deeper – x 2 for abdominal wounds  
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Retractors   Weitlaner   Self-retaining retractor with rake-like ends that overlap when closed; Used superficially or deeper – x 2 for abdominal wounds; AKA Weitlander  
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Retractors   Balfour   Large self-retaining retractor – used to retract tissue edges in abdominal wounds/large wounds; Comes with stationary blade of different sizes or removable blades deep/shallow; Has a bladder blade – 3 dimensional pull  
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