Surg tools and equip
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | Stainless steel, high in carbon to harden and less likely to wear, and chromium which is more corrosive resistant
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| show | Polish mirror finish- have more chromium, but alot of glare
Stain or dull finish- more common in OR bc of less glare
Ebonized (black chromium)- no reflective, used in laser cases
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| Name the parts of an instrument | show 🗑
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| show | hold tissue securely, serrated, some have carbide insert that is replaceable, working end of instrument.
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joins the 2 halves of the instrument and allows the opening and closing. Maybe the a "screw joint"
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| show | -Area between box lock and finger ring.
-Gives instrument leverage
-Should be balance on both ends
-Length is appropriate to wound depth
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| show | Keep instrument "locked shut: when the instrument is closed on tissue or object that is being grasped.
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| What ratchet do instruments need to be on when on the Mayo stand?? | show 🗑
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| Finger rings | show 🗑
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| What are the 9 categories of instruments? | show 🗑
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| show | Cutting and dissecting,
2 types: curved, used for heavier tissue. Straight, or suture, used for delicate tissue cuts sutures and drapes
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| Metz scissors | show 🗑
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| show | Cutting and dissecting
used for hysterectomies and OBGYN surgeries
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| show | Cutting and dissecting'used on delicate procedures
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| show | #10,#11, #12, #15 (used for superficial procedures)
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| What is the most common blade for skin? | show 🗑
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| What knife blades will fit a #4 knife handle? | show 🗑
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| Rongeurs | show 🗑
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| Beaver blade | show 🗑
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| show | Grasping and holding, holds tissue in place,
Ex. Adson and tissue forceps
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| show | Biting clamp, Grasping and holding used on hysterectomies
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| Tenaculum | show 🗑
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| show | Grasping and holding, tissue forceps that are used on delicate tissue inside the body
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| show | Clamping and occluding, Atraumatic clamp that is meant to surround or clasp. Used on bowel or Fallopian tube, non crushing
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| Hemostat | show 🗑
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| show | retracting and viewing, 4 or 3 prong, can be sharp or dull(rounded)
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| show | retracting and viewing, better visualization, can be sharp or dull
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| Richardson | show 🗑
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| show | Detects and obstruction or follows a hollow tract. used to enter a lumen that occurs naturally. Urethra or anus is a natural lumen
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| Dilating | show 🗑
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| show | Needle-holder fine, regular or heavy.
Grasp needle
Place or remove blade on scalpel
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| Suctioning | show 🗑
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| show | Yankauer-all purpose
Frazier-primarily orthopedic, neurologic surgery
Poole-Primarily abdominal and thoracic surgery
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| show | Removal of blood and fluids from surgical site
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| show | Yankauer-all purpose
Frazier-primarily orthopedic, neurologic surgery
Poole-Primarily abdominal and thoracic surgery
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| show | Towel clips and ring forceps
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| show | -handle gently
-do Not throw them into basins
-Protect cutting surfaces
-Do NOT soak or rinse in saline
-Keep them wiped off during a case
-Use the correct instrument
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| What causes instruments have a reduced life? | show 🗑
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| Who does the "counts" before and after the procedure? | show 🗑
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| What to do when dismantling instruments. | show 🗑
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| show | -Flush cold distilled water through hollow instruments
-Rinse off blood and debris
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| show | Handle loose instruments seperately to prevent interlocking or crushing
-Keep ring-handled instruments together
-inspect/sort instruments
-leave retractors and other heavy instruments in the tray
-Protect sharp blades, edges and tips
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-Specialty: General
-Usually comes in pairs
-Retracting/Exposing
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| show | -Specialty: General
-Retracting/Exposing
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| show | -Specialty: GEN
-Retracting/Exposing
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| Senn Rake Retractor | show 🗑
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| Vein retractor | show 🗑
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| show | -Specialty: General/Thoracic
-Suctioning
-primarily abdominal region
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| show | -Comes curved or straight.
-Most often curved.
-Also can come as Thyroid Metz (small), Regular Metz, and Extra long Metz.
-Used to dissect delicate tissue.
-Usually called "Metz"
-Specialty: General
-Cutting
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| Mayo scissors (2 types) | show 🗑
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| Bandage or trauma scissors | show 🗑
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| show | -Used on delicate tissue.
-Specialty: General
-Grasping
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| Adson forceps w/ teeth | show 🗑
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| show | -Specialty: General/GYN
-Grasping/Holding
- commonly held between the thumb and two or three fingers of one hand
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| Smooth Thumb Forceps | show 🗑
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| show | -Specialty: Small Gen and Plastics
-Suturing
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| show | -All specialties
-Suturing
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| show | -Specialty: GYN
-Always load the needle with the curve of the needle holder pointing away from the tip of the needle.
-Suturing
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| show | -It doesn't become a sponge stick
until the sponge is put on it.
-Specialty: General/GYN
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| Kelly Clamp | show 🗑
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| show | -Specialty: General
-Grasping/Holding
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| Allis-Adair Clamp | show 🗑
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| show | Babcock
Specialty: Gen/GYN
-Autraumatic clamp most often used delicate tissue such as the bowel and fallopian tubes.
-Grasping/Holding
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| Kocher clamp | show 🗑
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| Bachaus Towel Clip | show 🗑
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| show | -Specialty: GYN
-Grasping/Holding
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| show | -Application of heat speeds up the natural chemical reaction of blood to stop clotting.
-Electric current can be used to cut or coagulate most tissues.
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| show | Generator, Active electrodes, and Inactive dispersive electrode
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| show | -Machine that produces the power for the "active electrode" to coagulate or cut tissue.
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| Active electrode | show 🗑
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| Inactive Disperive electrode | show 🗑
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| Two types of ESU | show 🗑
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| Monopolar Unit | show 🗑
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| Bipolar Unit | show 🗑
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| show | -Used for diagnosis, biopsy, visualization or repair.
-used through an existing body opening (urethra)
-may be rigid(not flexible) or flexible (bendable)
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| Flexible Endoscope | show 🗑
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| show | -Need "lap tower"
needs light source, light cable, monitor, video recorder,insufflator, and instruments
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| show | taking of a veress needle and putting it in the belly button and attach CO2 to inflates the belly and brings organs down
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| show | -Used for microsurgery
-Ex. neurosurgery and eye surgery
-Has objective lens and Ocular lens
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| show | Rotary- Used to drill holes or insert screws, wires, or pins
Reciprocating- a cutting action from front to back/back and forth
Oscillating- a cutting action from side to side
All three may be powered by battery, nitrogen, or compressed air
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| Pneumatic Tourniquet | show 🗑
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| show | -Isolate and protect the surgical site
-Barrier against contaminates
-Fluid, tear and flame retardant
-Disposable or non-disposable
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| Types of drapes | show 🗑
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| Types of sponges | show 🗑
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| Laparotomy sponges | show 🗑
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| Radiopaque 4x4's | show 🗑
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| show | -Dissecting sponges
Peanuts
-rolled up sponges used for fluid absorption on the tip of an instrument
-radiopaque
-put into its own container when don using
Kitner- small roll of cotton tape, not sticky
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| Tonsil sponges | show 🗑
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| show | -10 per package
-neurosurgical patties
-protect delicate neural tissue
-Radiopaque with string
-need to be moistened with saline
-used on brain and spinal procedures
-saline prevents sticking
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| show | -To prevent the wound from trauma/contamination
-Absorb drainage
-Support incision
-Provide pressure
-Conceal wound
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