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226 Cards in this Set

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Crile forceps/clamp

Used for occluding bleeders before cauterization or ligation


Halstead Forceps

Used of occluding bleeders in small or superficial wounds before cauterization or ligation.


Kelly Forceps

Used for occluding bleeders before cauterization or ligation.


Rochester-Péan Forceps

Used for occluding larger blood vessels and tissue before ligation, usually in a deeper wound or on heavier tissue


Carmalt Forceps

Uses for occluding larger blood vessels and tissue before ligation, usually in a deeper wound or on heavier tissue.


Mixter Forceps

Is uses to clamp, dissect, and occlude tissue.


Adson Forceps

Clamps small vessels in a deep wound or holds tonsil sponges.


Straight Mayo Scissors

Used for cutting suture.


Curved Metzenbaum

Dissect and undermine delicate tissues.


Lister Bandage Scissors

Cut dressings, drapes, and other items; also used in cesarean sections to open the uterus without harm to the baby.


#3 Knife Handle

Knife handles are used to hold various blades to create a scalpel.


#3 Long Knife Handle

Used for precision cutting deep within a wound


#7 Knife Handle

Used when precision cutting is needed in a confined space or a deep wound


#4 Knife Handle

Used with the #20 blade to create a larger and/or deeper incision in heavy tissue areas.


Plain Adson Tissue Forceps

Used for grasping delicate tissue


Toothed Adson Tissue Forceps

Aligns the edges of the wound during stapling of the skin; grasps superficial tissues so Steri-Strips can be placed


Brown-Adson Tissue Forceps

Used for grasping superficial delicate tissue. Often used in plastic or hand surgery


Debakey Tissue Forceps



Ferris-Smith Tissue Forceps



Russian Tissue Forceps



Towel Clip (Penetrating)



Forester Sponge Forceps



Allis Forceps



Babcock Forceps



Kocher Forceps



Army-Navy Retractor



Senn Retractor



Volkman Retractor



Ribbon Retractor



Weitlaner Retractor



Gelpi Retractor



Frazier Suction Tip



Poole Suction Tip



Yankauer Suction Tip



Mayo-Hegar Needle Holder



Skin Stapler



Hemoclip Applier



Doyen Intestinal Clamp



Lahey Gall Duct Forceps



Pennington Forceps



Probe and Grooved Director



Bakes Common Duct Dilators



Richardson-Eastman Double Ended Retractor



Richardson Retractor



Harrington "Sweetheart" Retractor



Balfour Retractor



Sawyer Rectal Retractor



Heaney Hysterectomy Forceps



Schroeder Tenaculum



Schroeder Uterine Vulsellum



Simpson Obstetrical Forceps



Hank Dilators



Sims Uterine Sound


😭😭

Auvard Weighted Vaginal Speculum



Graves Vaginal Speculum



O'Sullivan-O'Connor Retractor



Eastman Retractor



Hysteroscope



Jeweler's Bipolar Forceps



Knapp Iris Scissors



Castroviejo Corneal Scissors



Stevens Tenotomy Scissors



Barraquer Eye Speculum



Cottle Mallet



Adson Tonsil/Schnidt Forceps



Dean "Single-Action" Rongeur



Becker Septum Scissors



Aufricht Nasal Rasps



Kerrison Rongeur



Jansen-Middleton Septum Forceps



Barnhill Adenoid Curettes



Jansen Mastoid Retractor



Cottle Nasal Speculum



Cottle Knife Guide and Retractor



Aufricht Nasal Retractor



Jennings Mouth Gag



Boucheron Ear Speculum



Mouth Mirror



Kelly Scissors



Upper Anterior Extraction Forceps



Townley Caliper



Chuck and Key



Bone file



Putti Bone Rasp



Liston Bone Cutting Forceps



Stille Bone Gouge



Stille Bone Chisel



Stille Bone Osteotome



Bruns Oval Bone Curettes



Zaufel-Jansen "Double-Action" Rongeur



Cushing Rongeur



Lowman Bone Clamp



Hibbs Retractor



Bennett Retractor



Beckman Retractor



Chandler Retractor



Taylor Hip Retractor



Browne Deltoid Retractor



Webster Needle Holder



DeBakey Bulldog



DeBakey Aortic Clamp



Surgiclip Applier



Spurling Rongeur



Non penetrating towel clip



Freer Elevator



Key Elevator



Intraluminal Stapler

End to end, end to side, side to side


Ligating and Dividing Stapler

LDS


Linear Stapler

TA


Murphy-Lane Bone Skid



Heaney Uterine Biopsy Curette



Gluck Rid Shear



Stille-Giertz Rib Shear



Bethune Rib Shear



Mayo Uterine Scissors



Curved Mayo Scissors



Wire Scissors



Diethrich Scissors



DeLee Suction



Vascular Suction Tip



Gall Duct Forceps



Harmonic Scalpel



Satinsky Vena Cava Clamp



Endoscopic Scissors



Finochietto Rib Retractor



Trocars



Hegar Dilators



Jorgenson Scissors



Goodell Uterine Dilators



Somers Uterine Elevating Forceps



Javerts Placenta Forceps



Fiberoptic Light Cord



Pituitary Rongeur



Davidson Scapula Retractor






Downing Cartilage Knife


Crile-Wood Needle Holder


Book Walter


Endoscope

Stainless steel

An alloy of steel with chromium and sometimes another element, that is highly resistant to rusting and ordinary corrosion

Scissors

Surgical instruments used to cut, incise and/or dissect tissue

Osteotomes

Chisel-like instruments used to cut or shave none


Chisels

Wedge-shaped instrument used to cut or shave bone


Rongeurs

Surgical instruments used to cut or bite away at bone and tissue

Forceps

Instruments used for grasping, holding firmly or exerting traction upon objects


Hemostatic Forceps
Surgical instruments used to control the flow of blood

Needle Holders
Surgical instruments designed to drive suture needles to close or rejoin a wound or surgical site
Also known as needle drivers
Martensitic

this metal is also known as 400 series stainless steel. It is magnetic and may be heated-hardened


Retractors
Surgical instruments primarily used to move tissue and organs to keep the surgical site exposed throughout surgery

Cannulas
Surgical instruments with a hollow barrel (or lumen) through their center. Cannulas are often inserted for drainage

Rib spreader

a retractor used to expose the chest


Suction devices
Surgical instruments used to extract blood and other fluids from a surgical site

Austenitic
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

Serrations

Parallel grooves in the jaws of surgical instruments


Ratchet

the part of the surgical instrument that "locks" the handles in place

Box Locks

Point where the two jaws or blades of an instrument connect and pivot


Passivation

a chemical process applied during the instrument manufacturing process that provides a corrosion-resistant finish by forming a thin, transparent oxide film

400 Series stainless steel is
hard and used when sharp cutting edges are needed

300 Series stainless steel is
workable and malleable

A typical manufacturing cycle- from forging to finished instruments- usually

takes up to 6 weeks

The Crile-Wood needle holders are ...




narrower than the Mayo-Hegar design

Jaws made of tungsten carbide are typically preferred


because they are harder and last longer, grip the needle more firmly and can be replaced




The primary function of tissue forceps is to

manipulate tissue

A design feature of this tweezer-styled forceps is the

multiple-teeth configuration at the distal tips

The teeth assist in

grasping tissue and provide a more secure grip

Dressing forceps are similar to tissue forceps except

they have serrations instead of teeth at the distal end

The primary function of dressing forceps is

to manipulate tissue and pack surgical sites

The primary function of a retractor is to

move tissue aside for exposure and visualization of the surgical site

Retractors can be
handheld, self retaining or table mounted

Small finger-held retractors
move and hold skin and subcutaneous tissue

Larger retractors are used



to retract muscle tissue and organ

Some common self retaining retractors are

Weitlaner, Gelpi, and Beckman-Adson

The primary function of scissors is to

cut tissue, suture and other material in the surgical field

Dissection

the process of cutting apart or separating tissue


Mayo scissors are one of the most
popular scissors used and are identified by beveled blades

For dissection

curved scissors are primarily used because their curve allows for better visualization

Tungsten carbide blades

These scissors have gold rings on the handle and tungsten carbide blade edges

Scissors with tungsten carbide blades have a

harder and stronger cutting edge, and they allow the scissors to remain sharper for a longer time than other scissors

Serrated blades

the design feature of a serrated blade is the prevention of tissue slippage or escape during cutting


Microgrind or supercut blades

Black rings visualy identified these scissors from standard or gold handled tungsten carbide scissors

The design of a black handled scissors is to

simulate a tissue lancing/slicing action

While all other scissors cut tissue with a crushing action a black handled scissor

has on blade sharpened like a knife to slice tissue; the other blade causes a guillotine effect with its standard blade

The primary function of a suction devices is to

extract (suction) blood and fluids from the surgical site

One of the most common suction devices are the
Frazier suction tube

The Frazier suction device include a metal stylet

that is used during the surgical procedure to unclog the suction channel

The stylet is not to be used to

clean the device

The primary function of single/double action rongeur is to

cut or bite away at bone and tissue


The difference between a single action and double action rongeur is
the design of how the jaws close

The double action rongeurs movement reduces the

amount of hand strength, so the instrument bites more with less hand strength


The main inspection point on single/double action rongeurs is the

jaws

The primary function of Kerrison/Laminectomy rongeurs is to

remove the disc or lamina during spine surgery

The distal portion of Kerrison/Laminectomy rongeurs must be inspected after each use

to look for bioburden and cutting edge damage


The primary function of nail nippers is to

cut toenails and fingernails and occasionally to trim small bone fragments

The primary use for Graves and Pederson vaginal speculums is to

expose the vaginal cavity

Within minutes, blood can
begin to dry on surgical instruments

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

The use of saline as a soaking or rinsing agent accelerates the...

rusting and pitting of surgical instruments

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

"rust" that appears on an instrument is

often a stain

a pencil eraser can be used for an "eraser test" to help determine

the difference between staining and rusting

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

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


Instrument: Bone cutter

Test material: index card


Test: cut off a piece of the index card

Instrument: kerrison rongeur

Test material: Index card


Test: Punch a clean hole through the card

Instrument: Laminectomy rongeur

Test material: index card


Test: the rongeur should make a clean bite using half the jaw

Instrument: double-action Rongeur

Test material: index card


Test: the rongeur should make a clean bite through the card

Instrument: Bone curette


A

Test material: Plastic dowel rod


Test: shave off pieces of the dowel rod.


A

Instrument: Chisels and Osteotomes


B

Test material: plastic dowel rod


Test: shave off pieces of the dowel rod


B

The use of tape is

one popular method for identifying instruments

When applying tape to identify a instrument

wrap the tape one and one-half times around the device

Acid base etching uses a

stencil, solutions and electricity to mark stainless steel

Heat-fused nylon

This color coding is often referred to as "dipping" and is typically done in a repair facility

Heat-fused Nylon is a

powder-coating process that leaves a thin layer of colored nylon on the instrument

Laser etching

This durable process is usually done by the manufacture or an outside vendor

The dot marking system

where a small barcode containing the instrument information is applied with pressure-sensitive tape.

Many surgical instruments must be lubricated...

after each use or in accordance with manufacture's recommendations.

The use of neutral-pH lubricant extends

the life of the instruments, and makes the device easier for the surgeon to use

While most washer-disinfectors will lubricate instruments

some instruments may need to be lubricated again during assembly

Always follow the manufacture's instructions for...

cleaning, lubrication and sterilization

place heavy instruments

on the bottom or side of tray. this will help protect the smaller, more delicate instruments

Select an instrument tray that allows adequate

space for weight distribution. overcrowding instruments can cause damage

All curved instruments should be

curved in the same direction to protect tips from being damage

tissue and dressing forceps should be

softly nested together or placed close to each other in the tray or peel pack

Delicate instruments should be kept in approved

micro cases or small protective cases within the surgical tray

The use of metal instrument holders, called stringers

can assist in faster sterile field assembly and safer handling of the instruments, especially sharps

Laser-finished instruments should never have

metal-to-metal contact that can damage, chip and scratch the finish during decontamination, tray assembly and transport