AS 422 Fall 2018

Description

Instrument Flashcard Deck for AS 422 (and AS 481)
Sherry Grisham-Cushing
Flashcards by Sherry Grisham-Cushing, updated more than 1 year ago
Sherry Grisham-Cushing
Created by Sherry Grisham-Cushing over 5 years ago
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Resource summary

Question Answer
Double-ended, smooth blades with slightly curved, rounded lip at 90 degrees to the fenestrated handle facing the same way. Used to retract skin, fat, and muscle away from surgical field. Army-Navy Retractor Karla Alvarez share
Handheld instrument with a curled, three-pronged claw at one end and an L-Shaped, single blade at the other. It is suitable for short-term displacement of soft tissue. Senn Retractor Karla Alvarez share
Purpose: Used to grasp and suspend delicate tissues such as connective tissue or when dissecting muscle. Description: small, two handles are manually compressed together for manipulation of tissue (does not have a ratchet or lock system), wide, flat thumb grasp area that is commonly serrated, contains small interdigitating teeth (smaller compared to the teeth of the Rat Tooth Thumb Forceps) Adson Thumb Forceps China Stowell Share
Purpose: used for skin or dense tissue such as fascia. Description: constructed of two handles which are manually compressed together for manipulation of tissue (does not have a ratchet or lock system), contain large interdigitating teeth (compared to the teeth of the Adson Thumb Forceps) Rat Tooth Thumb Forceps China Stowell Share
Use:. The Periosteal Orthopedic Elevator is an instrument used in bone surgery to lift periosteum from bones or dissect soft tissue. The elevator is used to along the bone but does not cut into it. Identifying markings: a delicate, round, tapered tip so it does not damage surrounding tissue, large handle. Periosteal elevator (orthopedic) Wendy Alvarado Share
Use: The Allis Tissue Forceps is used to hold tissue in place and crush it, grasping and crushing, use ONLY on tissue to be removed. Identifying markings: finger rings, crushing teeth (in 4x5 or 5x6 configuration, may be in 1 row or 2), makes a triangular “A- Shape” (for Allis) with its prongs when closed, ratcheting lock Allis Tissue Forceps Wendy Alvarado Share
Use: The Brown Adson Thumb Forceps is used to hold delicate tissue or dressing material. Identifying markings: multiple intermeshing teeth with a broad tip providing good tissue and needle handling. Flat, wide handle with ridges. Teeth tips look like mini hair combs. Brown-Adson thumb forceps Wendy Alvarado Share
Use: surgical instrument used as a treatment that provides stability for bone and soft tissue at a distance from the operative or injury focus to heal. It gives easy access to the relevant skeletal and soft tissue structures Description: External Fixators are used to bind and align the fractured bone externally with the help of various elements like Clamps, Rods, Bars and Fixation pins that will be place outside the fracture arm or leg and will give support to the bones until healed. External Fixators (orthopedic)
Use: It comes in straight and curved jaws. To grasp long organs, occlude the lumen of the intestine and blood vessels, the are good to handle delicate structures. Is a non-crushing intestinal forcep so it doesn’t damage the intestines. Markings: They come in curved and straight jaws. The jaws contain fine serrations which a longitudinal. The jaws are flexible because they are partially made of plastic. Doyen intestinal forceps
Use: fixation of cortical bone. May remain in or later be removed. ID: -closely-spaced, shallow threads and larger core-to-outer diameter ratios than cancellous screws -stronger than cancellous screws of the same outer diameter -may be self-tapping, usually blunt ended Cortical Screws Sarah Edwards share
Use: intraoperative fine delicate suctioning to evacuate debris or fluids from the surgical site ID: flake-resistant shafts and an obturator to facilitate shaping of the metal and clear the instrument of obstructions. Usually attaches to a tube/hose that is attached to a suction pump/unit and a collection system like a liter or some other sort of container. Frazier Suction Tip Sarah Edwards share
Use: vascular surgery to minimize tissue damage during manipulation. ID: long narrow tips with multiple delicate sets of teeth DeBakey Thumb Forceps Sarah Edwards share
Use: to assist in the healing of broken and fractured bones.They are used inside the body on bones. While the implants are typically designed to remain in the body forever, there are instances when their removal may be considered appropriate and even necessary.Identifying markings: rectangular plate with holes in place for screws. Made out of surgical steel or titanium. Bone Plates Limor Golan Share
Rochester Pean forceps are used for clamping larger tissue and vessels for hemostasis. Identifying marks: Horizontal striations/ horizontal serrated jaws, (compare to Crile), goes all the way down. These are very versatile and are available in multiple length and can be either straight or curved. Fully serrated jaws prevent vessels from slipping through the hemostat. Sometimes referred to as the “Big Kelly” Rochester-Pean Forceps Limor Golan Share
Use: used on larger vessels than mosquito forceps. Used for clamping blood vessels or tissue before cauterization or ligation. Identifying markings: entire length of jaws contain transverse grooves. Crile Hemostatic Forceps Kayla Velasquez Share
Use: used on larger vessels than mosquito forceps. Also used for clamping large blood vessels or manipulating heavy tissue. They may also be used for soft tissue dissection.Identifying markings: only distal half of the jaws contain transverse grooves. These are made either straight or curved. Kelly Hemostatic forceps Kayla Velasquez Share
Use: A thin wire or pin use to stabilize bone fragments. They can be drilled through bone or placed percutaneously . They come in different sizes and as they get larger they become less flexible ID:They are sharp, smooth stainless steel pins, looks like a hooked nailed. Kirschner wires Jacklyn Proano share
Uses: Closing skin incisions and can come in 12,14,16,& 18mm. ID: Each clip is a 2 mm wide band of metal with a downturned sharp prong at each end. When the clip is bent double the points face each other and approximate.There is a special instrument for applying and removing the clips, called the Michel Applying and Removing Forceps. Michel skin clips Jacklyn Proano share
Uses:For collecting and removing a core bone sample for biopsy. ID: A surgical instrument that has a cylindrical blade and can come in varying sizes, has a “T” shape. Trephine (Orthopedic) Jacklyn Proano share
A clamp used for fixing drapes onto the skin of anesthetized patients. They produce a scissor action with ratchet fixation at the finger loops and have sharp, incurving, needle-like blades. Due to their sharp points, care must be used to avoid tissue damage Backhaus Towel Clamp Jasmine Poblano Share
Surgical scissors with two sharp points. They have thin, stainless-steel blades for making fine cuts. Available either straight or curved. Used for delicate tissue dissection, such as intraocular tissue. Iris Scissors (Ophthalmic) Jasmine Poblano Share
Double spring instrument with delicate jaws at the end. Slender shape allows them to reach far into interproximal areas. Castroviejo Needle Holder (Ophthalmic) Nancy Ceron Share
A self-retaining, finger ring retractor with a cam ratchet lock. It has curved shanks that lead to blades that have between two and six, sharp or blunt, outward curving prongs. The prongs interdigitate when the instrument is closed. Weitlaner retractor Nancy Ceron Share
Designed to hold curved suture needles during suturing. They are used for performing instrument suture ties. The jaws commonly have a tungsten carbide insert that provides excellent grip. It's hard, resistant to wear and can be replaced when worn. Don't have a built in scissor like the Olsen-Hegar needle holders. Mayo-Hegar Needle Holders Tanya Gonzalez Share
Used for cutting sutures and paper drape material. There are many different kinds. They are classified by the type of points they have (sharp/sharp, sharp/blunt, blunt/blunt). The shape of the blades can be straight or curved. The cutting edge of the blade can be plain or serrated as well. Operating Scissors Tanya Gonzalez Share
A plier handled tool with a locking mechanism and clam shell shaped mouth piece to aid in grasping, manipulating or extracting bone and bony tissue during surgical procedures. They come in various neck angles and clamp sizes. Self-retaining bone-holding forceps (orthopedic) Ariana Banuelos share
Meant to cut through wire used in surgeries. They come in a variety of angles, all of which have a short jaw with a gradual thick to fine edge. They can be categorized by the gauge of wire they can cut through. Wire Cutters (Orthopedic) Ariana Banuelos share
Commonly used to stabilize bones during repair. They may also be used to remove bone fragments from a surgical site. Kern bone-holding forceps (orthopedic) Grace King share
Heavy-duty, stainless steel, double-action surgical instruments specifically designed for cutting and removing small pieces of bone during surgery with their sharp, scoop-shaped cutting “bite”. Kerrison Rongeurs (orthopedic) Grace King share
"Steinmann Pin is a thin metal rod commonly used in orthopedic procedures for holding large bone fractures together. These pins function similarly to K-Wire, but are larger in diameter. They are made from round stainless steel rods, double or single armed." Steinmann pins (Intramedullary pins, IM pins) (Orthopedic) Erika Gutierrez share
"Two-sided bevelled instruments similar to a chisel used in orthopedic procedures to cut, mark or deform the bone. They take advantage of the fact that bone is visco-elastic and can be compressed and manipulated. Osteotome (orthopedic) Erika Gutierrez share
A double ended retractor that is used to retract small and shallow incisions. Also used to retract skin, fat, and muscle. Army-Navy Retractor Liz Amirkhanian Share
Used for clamping blood vessels and tissues before cauterization. Crile Hemostatic Forceps Liz Amirkhanian Share
Self-retaining retractors commonly used for muscle retraction in orthopedic surgeries. Each tip has a sharp prong that is used to retract the tissue and has a locking mechanism that keeps the tissue expanded Gelpi Retractors Michelle Cashpal Share
Surgical scissors for cutting delicate tissue, such as fat or thin muscle, and can be used for soft tissue dissection. These scissors should not be used to cut sutures because this will dull the edges and lose effectiveness. Metzenbaum Scissors Michelle Cashpal Share
A sturdy handheld tool that has a wide straight or slightly curved flat blade with a beveled cutting edge is use to sculpt bone, to aid in cutting bone graft, or chip out bone. Chisel (orthopedic) Marlen Ramirez Share
An handheld drill, stainless steel instrument used to bore holes in bone for the attachment of surgical pins, plates, or screws Hall air drill (orthopedic) Marlen Ramirez Share
Used for clamping tissue bundles and large vessels to control bleeding. The interdigitating teeth at the tips aid in grasping tissues also a great identifying mark. These forceps are most commonly used in orthopedic or large animal surgery and are available in curved or straight as well as in multiple lengths. Rochester- Oschner forceps Nadia Quinteros Share
Held on non dominant hand, have a broad curved (and serrated) surface with spoon-shaped tips good for needle handling, but are traumatic when used to hold tissues. Russian Thumb Forceps Nadia Quinteros Share
For use in retraction of tissue during surgery to allow more direct access to the surgical field. This retractor has a slim, flat handle. Hohmann Retractor Miguel Romero Share
A surgical instrument with a curved tip used to retrieve a horn of the uterus when performing ovariohysterectomy in dogs and cats. Snook ovariohysterectomy hook Miguel Romero Share
A wire saw used for smooth bone cutting during amputations. Gigli Wire Saw Casey Grant Share
Pen-like scalpel blade holder that allows for precision cutting during ophthalmic procedures. Beaver Blade Handle Casey Grant Share
Are surgical scissors used to perform delicate surgery. These type of equipment is very useful for ophthalmic procedures when cutting delicate tissues because of its curved with smooth edges and blunt/blunt tips. This equipment can be straight or curved, and blunt or sharp depending the necessity. Tenotomy Scissors (ophthalmic) Josue Casiano Share
They are commonly used for sizing dressings and removing circumferential bandages. They may also be used to cut tougher material such as plaster, fabric, and occasionally umbilical cord. Lister Bandage Scissors Crystal McMann Share
Are a perforating clamp that have tips that curve (with either a head or ball stop) attached to jaws to prevent towels from slipping towards the box lock of the forceps, Use for grasping tissue, securing towels or drapes and holding or reducing small bone fractures. Roeder Towel Clamps Josue Casiano Share
A thin piece of metal that can be easily bent into a desired shape to manually retract tissue and provide increased visibility of the surgery site. Malleable Retractor Zahra Branch Share
Firm plastic tip with a large opening that is surrounded by a bulbous head that allows for effective suction which doesn't damage the surrounding tissues. Yankauer Suction Tip Zahra Branch Share
The Olsen-Hegar needle holder is a combination instrument constructed as both a needle holder & suture scissor blade. The blades, which are located nearest to the box lock, are shaped like a regular scissor blade. They are used for driving the needle, then cutting the suture material without changing instruments. They are straight with delicate, cross-serrated tips. They also feature a self-locking ratchet near the finger rings. Olsen-Hegar Needle Holders Gloria Tapia Share
Both serrated or non serrated teeth with either straight or curved jaws & an approximate 5-inch working length, the narrow-pointed (or curved) Halsted Mosquito forceps have a ratcheted finger ring handle which provides a secure, locking grip designed to provide hemostasis by crushing tissue and small vessels. They are not appropriate for use with large vessels or arteries. Halstead Mosquito Hemostatic Forceps Gloria Tapia Share
a non-ratcheted, finger ring scissors used for cutting wire sutures in preparation for removal in plastic, orthopedic surgery or other materials for use surgical procedures. Suture Wire Cutting Scissors Crystal McMann Share
Instrument used in orthopedic surgery for gouging out bone, opening a window in a bone, and exposing areas of operation. It can also be also used in oral maxillofacial surgery and in hand surgery to cut traumatic amputated bone to allow skin to be closed over the defect. Double Action Rongeurs Jessica Gomez Share
Instrument used in orthopedic surgery in fractures. It is a steinmann nail with holes were screws can be inserted and fixed to bone. Markings: holes on the proximal and distal ends. Interlocking Nails Jessica Gomez share
Holds and twists all gauges of orthopedic wire, Cuts wire up to 18 gauge/twisted double, Ratchet locks jaws onto wire, Small hole in jaws treadwire for secure grip. Wire twisters (orthopedic) Ariel Campos share
Use: fixation of metaphyseal fractures; Partially threaded: lag screws available. ID: more deeply cut and more widely spaced threads compared to cortical screw; self-tapping; can be partially threaded; each screw is either partially or fully threaded using a cancellous thread form Cancellous screws (orthopedic) Ariel Campos share
Used in keyhole surgery to access and drain collections of fluid. They are utilized as a means of introduction for cameras and hand instruments, such as scissors, graspers, and other instruments to perform surgery. Arthroscopic torcar Ramon Ortiz share
Classified as a type of surgical scissors. These are used to cut and aid in the removal of suture removal, especially pertaining to skin sutures. Identifying marks: One blade is hook-shaped and helps lift up and get under the suture material. Littauer Suture Removal scissors Alyssa Kaplan Share
Available on autoclavable spools or free rolled as shown above. Used in orthopedic procedures to secure bone. It is used with multiple orthopedic tools such as wire cutters, guides, and twisters. Identifying Marks: Easier to identify on spools. Free rolled wire usually prepared in surgical packs. Orthopedic Wire Alyssa Kaplan Share
A type of hemostatic forcep that is large and commonly used for clamping vessels as well as crushing. The longitudinal grooves down the blade and crosshatch grooves towards the tips provide more traction and aid in clamping tissue containing vessels. This also helps during ovariohysterectomies when crushing ovarian structures and uterine body. Available in straight and curved tip. Rochester-Carmalt Hemostatic Forceps Alyssa Kaplan Share
Handle to attach a smaller scalpel blade tip, smaller in scale compared to Bard-Parker No. 4 scalpel handle. grooved handle and identification number what handle it is Bard-Parker No. 3 scalpel handle Saritt Konkankit Share
Handle to attach a larger scalpel blade tip, slightly larger in scale compared to Bard-Parker No. 3 scalpel handle. grooved handle and identification number what handle it is Bard-Parker No. 4 scalpel handle Saritt Konkankit Share
Used to cut or remove bones. Can be curved or straight tipped. Bone cutters Guadalupe Rivera Share
Used in thoracic procedures to allow clear access to the surgical field. Also known as a retractor. Has two bladed arms with fenestrated blades. Is available in different sizes with various spreads: large, medium, small, and infant. Finochietto Rib Spreader Guadalupe Rivera Share
use: to scrape off fibrous tissue and other debris from the bone. It can also remove small parts of the bone itself. Comes in various sizes and curvatures. Identifying markings: big handle to fit well in palm. Little spoon/ ice cream scooper tip. Curette (orthopedic) Candy Reyes Share
use: keep the eye lids opened wide during an opthalmic procedure. They come in various sizes. Identifying markings: looks like its made from wire. A small wire speculum that ends in either a metal or sterile plastic basket/curved shape meant to hold the eyelids as they are spread open. Lid speculum (ophthalmic) Candy Reyes Share
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