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226 Cards in this Set
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Crile forceps/clamp |
Used for occluding bleeders before cauterization or ligation |
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Halstead Forceps |
Used of occluding bleeders in small or superficial wounds before cauterization or ligation. |
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Kelly Forceps |
Used for occluding bleeders before cauterization or ligation. |
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Rochester-Péan Forceps |
Used for occluding larger blood vessels and tissue before ligation, usually in a deeper wound or on heavier tissue |
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Carmalt Forceps |
Uses for occluding larger blood vessels and tissue before ligation, usually in a deeper wound or on heavier tissue. |
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Mixter Forceps |
Is uses to clamp, dissect, and occlude tissue. |
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Adson Forceps |
Clamps small vessels in a deep wound or holds tonsil sponges. |
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Straight Mayo Scissors |
Used for cutting suture. |
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Curved Metzenbaum |
Dissect and undermine delicate tissues. |
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Lister Bandage Scissors |
Cut dressings, drapes, and other items; also used in cesarean sections to open the uterus without harm to the baby. |
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#3 Knife Handle |
Knife handles are used to hold various blades to create a scalpel. |
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#3 Long Knife Handle |
Used for precision cutting deep within a wound |
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#7 Knife Handle |
Used when precision cutting is needed in a confined space or a deep wound |
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#4 Knife Handle |
Used with the #20 blade to create a larger and/or deeper incision in heavy tissue areas. |
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Plain Adson Tissue Forceps |
Used for grasping delicate tissue |
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Toothed Adson Tissue Forceps |
Aligns the edges of the wound during stapling of the skin; grasps superficial tissues so Steri-Strips can be placed |
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Brown-Adson Tissue Forceps |
Used for grasping superficial delicate tissue. Often used in plastic or hand surgery |
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Debakey Tissue Forceps |
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Ferris-Smith Tissue Forceps |
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Russian Tissue Forceps |
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Towel Clip (Penetrating) |
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Forester Sponge Forceps |
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Allis Forceps |
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Babcock Forceps |
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Kocher Forceps |
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Army-Navy Retractor |
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Senn Retractor |
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Volkman Retractor |
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Ribbon Retractor |
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Weitlaner Retractor |
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Gelpi Retractor |
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Frazier Suction Tip |
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Poole Suction Tip |
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Yankauer Suction Tip |
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Mayo-Hegar Needle Holder |
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Skin Stapler |
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Hemoclip Applier |
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Doyen Intestinal Clamp |
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Lahey Gall Duct Forceps |
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Pennington Forceps |
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Probe and Grooved Director |
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Bakes Common Duct Dilators |
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Richardson-Eastman Double Ended Retractor |
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Richardson Retractor |
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Harrington "Sweetheart" Retractor |
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Balfour Retractor |
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Sawyer Rectal Retractor |
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Heaney Hysterectomy Forceps |
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Schroeder Tenaculum |
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Schroeder Uterine Vulsellum |
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Simpson Obstetrical Forceps |
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Hank Dilators |
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Sims Uterine Sound |
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😭😭 |
Auvard Weighted Vaginal Speculum |
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Graves Vaginal Speculum |
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O'Sullivan-O'Connor Retractor |
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Eastman Retractor |
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Hysteroscope |
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Jeweler's Bipolar Forceps |
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Knapp Iris Scissors |
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Castroviejo Corneal Scissors |
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Stevens Tenotomy Scissors |
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Barraquer Eye Speculum |
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Cottle Mallet |
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Adson Tonsil/Schnidt Forceps |
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Dean "Single-Action" Rongeur |
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Becker Septum Scissors |
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Aufricht Nasal Rasps |
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Kerrison Rongeur |
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Jansen-Middleton Septum Forceps |
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Barnhill Adenoid Curettes |
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Jansen Mastoid Retractor |
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Cottle Nasal Speculum |
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Cottle Knife Guide and Retractor |
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Aufricht Nasal Retractor |
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Jennings Mouth Gag |
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Boucheron Ear Speculum |
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Mouth Mirror |
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Kelly Scissors |
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Upper Anterior Extraction Forceps |
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Townley Caliper |
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Chuck and Key |
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Bone file |
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Putti Bone Rasp |
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Liston Bone Cutting Forceps |
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Stille Bone Gouge |
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Stille Bone Chisel |
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Stille Bone Osteotome |
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Bruns Oval Bone Curettes |
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Zaufel-Jansen "Double-Action" Rongeur |
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Cushing Rongeur |
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Lowman Bone Clamp |
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Hibbs Retractor |
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Bennett Retractor |
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Beckman Retractor |
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Chandler Retractor |
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Taylor Hip Retractor |
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Browne Deltoid Retractor |
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Webster Needle Holder |
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DeBakey Bulldog |
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DeBakey Aortic Clamp |
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Surgiclip Applier |
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Spurling Rongeur |
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Non penetrating towel clip |
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Freer Elevator |
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Key Elevator |
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Intraluminal Stapler |
End to end, end to side, side to side |
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Ligating and Dividing Stapler |
LDS |
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Linear Stapler |
TA |
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Murphy-Lane Bone Skid |
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Heaney Uterine Biopsy Curette |
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Gluck Rid Shear |
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Stille-Giertz Rib Shear |
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Bethune Rib Shear |
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Mayo Uterine Scissors |
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Curved Mayo Scissors |
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Wire Scissors |
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Diethrich Scissors |
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DeLee Suction |
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Vascular Suction Tip |
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Gall Duct Forceps |
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Harmonic Scalpel |
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Satinsky Vena Cava Clamp |
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Endoscopic Scissors |
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Finochietto Rib Retractor |
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Trocars |
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Hegar Dilators |
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Jorgenson Scissors |
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Goodell Uterine Dilators |
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Somers Uterine Elevating Forceps |
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Javerts Placenta Forceps |
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Fiberoptic Light Cord |
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Pituitary Rongeur |
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Davidson Scapula Retractor |
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Downing Cartilage Knife
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Crile-Wood Needle Holder
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Book Walter
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Endoscope
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Stainless steel
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An alloy of steel with chromium and sometimes another element, that is highly resistant to rusting and ordinary corrosion |
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Scissors
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Surgical instruments used to cut, incise and/or dissect tissue |
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Osteotomes
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Chisel-like instruments used to cut or shave none |
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Chisels |
Wedge-shaped instrument used to cut or shave bone |
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Rongeurs |
Surgical instruments used to cut or bite away at bone and tissue |
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Forceps
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Instruments used for grasping, holding firmly or exerting traction upon objects |
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Hemostatic Forceps |
Surgical instruments used to control the flow of blood
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Needle Holders
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Surgical instruments designed to drive suture needles to close or rejoin a wound or surgical site
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Also known as needle drivers
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Martensitic
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this metal is also known as 400 series stainless steel. It is magnetic and may be heated-hardened |
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Retractors |
Surgical instruments primarily used to move tissue and organs to keep the surgical site exposed throughout surgery
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Cannulas
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Surgical instruments with a hollow barrel (or lumen) through their center. Cannulas are often inserted for drainage
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Rib spreader
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a retractor used to expose the chest |
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Suction devices |
Surgical instruments used to extract blood and other fluids from a surgical site
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Austenitic
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this metal is also known as 300 series stainless steel. It is non-magnetic and cannot be heated-hardened and is more corrosion-resistant than Martensitic stainless steal
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Serrations
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Parallel grooves in the jaws of surgical instruments |
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Ratchet |
the part of the surgical instrument that "locks" the handles in place |
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Box Locks
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Point where the two jaws or blades of an instrument connect and pivot |
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Passivation |
a chemical process applied during the instrument manufacturing process that provides a corrosion-resistant finish by forming a thin, transparent oxide film |
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400 Series stainless steel is
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hard and used when sharp cutting edges are needed
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300 Series stainless steel is
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workable and malleable
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A typical manufacturing cycle- from forging to finished instruments- usually
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takes up to 6 weeks |
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The Crile-Wood needle holders are ... |
narrower than the Mayo-Hegar design |
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Jaws made of tungsten carbide are typically preferred
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The primary function of tissue forceps is to
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manipulate tissue |
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A design feature of this tweezer-styled forceps is the
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multiple-teeth configuration at the distal tips |
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The teeth assist in
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grasping tissue and provide a more secure grip |
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Dressing forceps are similar to tissue forceps except
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they have serrations instead of teeth at the distal end |
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The primary function of dressing forceps is
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to manipulate tissue and pack surgical sites |
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The primary function of a retractor is to
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move tissue aside for exposure and visualization of the surgical site |
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Retractors can be
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handheld, self retaining or table mounted
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Small finger-held retractors
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move and hold skin and subcutaneous tissue
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Larger retractors are used |
to retract muscle tissue and organ |
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Some common self retaining retractors are
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Weitlaner, Gelpi, and Beckman-Adson |
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The primary function of scissors is to
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cut tissue, suture and other material in the surgical field |
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Dissection
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the process of cutting apart or separating tissue |
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Mayo scissors are one of the most |
popular scissors used and are identified by beveled blades
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For dissection
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curved scissors are primarily used because their curve allows for better visualization |
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Tungsten carbide blades
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These scissors have gold rings on the handle and tungsten carbide blade edges |
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Scissors with tungsten carbide blades have a
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harder and stronger cutting edge, and they allow the scissors to remain sharper for a longer time than other scissors |
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Serrated blades
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the design feature of a serrated blade is the prevention of tissue slippage or escape during cutting |
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Microgrind or supercut blades |
Black rings visualy identified these scissors from standard or gold handled tungsten carbide scissors |
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The design of a black handled scissors is to
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simulate a tissue lancing/slicing action |
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While all other scissors cut tissue with a crushing action a black handled scissor
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has on blade sharpened like a knife to slice tissue; the other blade causes a guillotine effect with its standard blade |
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The primary function of a suction devices is to
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extract (suction) blood and fluids from the surgical site |
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One of the most common suction devices are the
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Frazier suction tube
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The Frazier suction device include a metal stylet
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that is used during the surgical procedure to unclog the suction channel |
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The stylet is not to be used to
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clean the device |
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The primary function of single/double action rongeur is to
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cut or bite away at bone and tissue |
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The difference between a single action and double action rongeur is |
the design of how the jaws close
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The double action rongeurs movement reduces the
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amount of hand strength, so the instrument bites more with less hand strength |
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The main inspection point on single/double action rongeurs is the |
jaws |
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The primary function of Kerrison/Laminectomy rongeurs is to
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remove the disc or lamina during spine surgery |
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The distal portion of Kerrison/Laminectomy rongeurs must be inspected after each use
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to look for bioburden and cutting edge damage |
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The primary function of nail nippers is to |
cut toenails and fingernails and occasionally to trim small bone fragments |
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The primary use for Graves and Pederson vaginal speculums is to
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expose the vaginal cavity |
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Within minutes, blood can
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begin to dry on surgical instruments
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To prevent damage associated with dried blood |
separate the rings and ratchets for box-lock exposure on applicable instruments and cover them with a water-moistened towel |
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The use of saline as a soaking or rinsing agent accelerates the... |
rusting and pitting of surgical instruments |
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For clinical reasons OR personnel cannot eliminate the exposure of stainless steel instruments to saline... |
however, after the surgical procedures are completed, saline must be removed as an early step in the cleaning process |
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"rust" that appears on an instrument is |
often a stain |
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a pencil eraser can be used for an "eraser test" to help determine |
the difference between staining and rusting |
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Instrument: Scissors 4.5" and larger |
Test material: Red test material (latex); Orange material (latex free) Test: scissors must be able to cut through to the tip two or three times |
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Instrument: Scissors 4" or smaller. |
Test material: Yellow test material (latex or latex free)
Test: scissors must be able to cut through the tips two to three times |
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Instrument: Bone cutter |
Test material: index card Test: cut off a piece of the index card |
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Instrument: kerrison rongeur |
Test material: Index card Test: Punch a clean hole through the card |
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Instrument: Laminectomy rongeur |
Test material: index card Test: the rongeur should make a clean bite using half the jaw |
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Instrument: double-action Rongeur |
Test material: index card Test: the rongeur should make a clean bite through the card |
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Instrument: Bone curette A |
Test material: Plastic dowel rod Test: shave off pieces of the dowel rod. A |
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Instrument: Chisels and Osteotomes B |
Test material: plastic dowel rod Test: shave off pieces of the dowel rod B |
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The use of tape is |
one popular method for identifying instruments |
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When applying tape to identify a instrument |
wrap the tape one and one-half times around the device |
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Acid base etching uses a |
stencil, solutions and electricity to mark stainless steel |
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Heat-fused nylon |
This color coding is often referred to as "dipping" and is typically done in a repair facility |
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Heat-fused Nylon is a |
powder-coating process that leaves a thin layer of colored nylon on the instrument |
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Laser etching |
This durable process is usually done by the manufacture or an outside vendor |
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The dot marking system |
where a small barcode containing the instrument information is applied with pressure-sensitive tape. |
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Many surgical instruments must be lubricated... |
after each use or in accordance with manufacture's recommendations. |
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The use of neutral-pH lubricant extends |
the life of the instruments, and makes the device easier for the surgeon to use |
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While most washer-disinfectors will lubricate instruments |
some instruments may need to be lubricated again during assembly |
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Always follow the manufacture's instructions for... |
cleaning, lubrication and sterilization |
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place heavy instruments |
on the bottom or side of tray. this will help protect the smaller, more delicate instruments |
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Select an instrument tray that allows adequate |
space for weight distribution. overcrowding instruments can cause damage |
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All curved instruments should be |
curved in the same direction to protect tips from being damage |
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tissue and dressing forceps should be |
softly nested together or placed close to each other in the tray or peel pack |
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Delicate instruments should be kept in approved |
micro cases or small protective cases within the surgical tray |
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The use of metal instrument holders, called stringers |
can assist in faster sterile field assembly and safer handling of the instruments, especially sharps |
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Laser-finished instruments should never have |
metal-to-metal contact that can damage, chip and scratch the finish during decontamination, tray assembly and transport |
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