Chapter 12 - Instrumentation

Question 1

What are (4) different bone-holding forceps?

Answer 1

1) Kern
2) Lane
3) Verbrugge
4) Reduction forceps

Question 2

What are (4) different types of rongeurs?

Answer 2

Stille-Luer (double hinge, bigger)
Ruskin (double hinge, smaller)
Lempert (classical)
Kerrison

Question 3

What 4 blades fit a #3 scalpel handle?

Answer 3

10, 11, 12, 15

Question 4

What 4 blades fit a #4 scalpel handle?

Answer 4

20, 21, 22, 23

Question 5

What are the 7 parts of the “anatomy” of a surgical instrument?

Answer 5

Tips
Jaws
Box-lock pin
Box-lock
Shank
Ratchet
Ring handle

Question 6

What is the instrument in this picture and what are the two blade sizes pictured?

Answer 6

Beaver surgical knife handle with a #64 (bottom) and #67 (top) blade
Used in ophtho surgery

Question 7

Name these 3 scissors:

Answer 7

A: curved Mayo
B: curved Metzenbaums
C: Operating or “Utility” scissors

Question 8

Name these scissors:

Answer 8

Wescott scissors (spring-handled tenotomy scissors for ophtho procedures)

Question 9

Name these scissors:

Answer 9

Potts-Smith scissors (for cardiovascular procedures)

Question 10

Name these scissors:

Answer 10

Wire cutting scissors for cutting steel in ortho procedures. They have either:
A: Serrated cutting edges
B: The notch

Question 11

Name these (4) rongeurs:

Answer 11

A: Stille-Luer
B: Ruskin
C: Lempert
D: Kerrison

Question 12

Name these (4) periosteal elevators:

Answer 12

A: Freer
B: Sayre
C: ASIF (AO)
D: Langenbeck

Question 13

Name these three instruments:

Answer 13

A: Chisel (single bevel)
B: Osteotome (double beveled)
C: Gouge

Question 14

Name these three instruments:

Answer 14

D: Handles and gigli wire / saw
E: Bone cutting forceps (note paired, chisel-tips)
F: Trephine

Question 15

Name these needle holders:

Answer 15

A: Mayo-Hegar
B: Olson-Hegar (has scissor)

Question 16

What are these?

Answer 16

Castroviejo needle holders for ophtho procedures (spring-handled)

Question 17

Name these (4) crushing forceps:

Answer 17

A: Right angle
B: Babcock
C: Allis
D: Ochsner-Kocher

Question 18

Name these (3) non-crushing forceps?

Answer 18

A: Doyen intestinal
B: DeBakey
C: Satinsky
*don’t forget that vascular clamps are non-crush too (Bulldog) as are Cooley

Question 19

What are these two non-crushing forceps?

Answer 19

A: DeBakey
B: Cooley

Question 20

What are these three common hemostatic forceps?

Answer 20

A: Halsted mosquito
B: Kelly
C: Crile
*All have transverse serrations for tip clamping

Question 21

What are these forceps?

Answer 21

Rochester-Carmalt, has longitudinally-oriented serrations intended for jaw-clamping (pedicle grasping)

Question 22

Name these thumb forceps:

Answer 22

A: Brown-Adson
B: DeBakey
C: Dressing
D: Adson

Question 23

Name these two types of towel clamp:

Answer 23

A: Lorna (non-penetrating)
B: Backhaus (penetrating)

Question 24

Name these five bone-holding forceps:

Answer 24

A: Kern
B: Lane
C: Verbrugge
D: Reduction with speed-lock
E: Reduction with ratchet

Question 25

Name these three hand-held retractors:

Answer 25

A: Malleable B: Hohmann C: Spay (Snook) hook

Question 26

What is a part of the Balfour self-retaining retractors that we don't use in vet med?

Answer 26

The bladder blade (pediatric shown)

Question 27

These three retractors are what type? Name them:

Answer 27

Self-retaining retractors. A: Gelpi B: Weitlaner C: Ring retractor

Question 28

Name these scissors:

Answer 28

A: Lister bandage scissors B: Spencer stitch scissors

Question 29

Name these four microsurgical instruments:

Answer 29

A: Jeweler's forceps B: Vessel dilators C: Dissecting forceps D: Tying forceps

Question 30

What is this?

Answer 30

A microsurgical clamp

Question 31

What is this?

Answer 31

An Alm microsurgical retractor

Question 32

What are these?

Answer 32

Nonlocking microsurgical needle holders

Question 33

What is this?

Answer 33

Microsurgical scissors

Question 34

What is this?

Answer 34

A Jacobs hand chuck and key

Question 35

What are these three suction tips called?

Answer 35

A: Poole, for cavities/large volume B: Frazier, for pin point C: Yankauer *Suction gets contaminated often

Question 36

What are these?

Answer 36

Finochietto retractors (chest wall)

Question 37

What are these?

Answer 37

Alligator forceps (good for retrieving fragments from deep holes)

Question 38

What are the three basic characteristics of microsurgical instruments?

Answer 38

1) Satin finish to prevent glare 2) Sufficient length to be held in a pencil grip 3) Sufficiently gentle closing tension for spring-loaded instruments

Question 39

How long does it take blood to start to breakdown instrument surface?

Answer 39

10 minutes

Question 40

What are the two type of instrument corrosion?

Answer 40

1) Pitting - pinprick holes surrounded by discolored spots 2) Fretting - brown discoloration on a friction surface