Surgical instruments

Question 1

Diff scalpels and blades?

Answer 1

• can be disposable or reusable
• can have all in one or separate
• handles:
  number 3 - std and long
  number 7 - longer, skinny
  4 - std and long
  beaver - more precise, fine blade (peds, eye)
• blades:
  11
  12
  15
  10
  20
  beaver

Question 2

Use of clamps?

Answer 2

• all usually have diff uses for certain tissue types
• some are used for hemostasis
• others are used for resection and dissection

Question 3

Diff types of clamps?

Answer 3

• needle drivers: fine needle drivers - for vascular surgery
• hemostat (aka mosquitos)
• kelley/pean: kelly = smaller, pean = larger ones (clamping umbilical cord)
• tonsil: finer tipped, longer, curved, used for dissecting, help w/ tying sutures
• babcock: bowel surgery
• allis: more traumatic, grabs better than babcock, pull skin edges together
• kocher: has tooth to grab on to fascia, used in ortho, general surgery, good traction
• right angles: dissecting tool, good to get around tissue w/
• sponge stick: used to retract tissue, dab off blood w/ sponge

Question 4

Diff types of scissors used?

Answer 4

• metzenbaum: finer end than mayo, dissecting out tissue
• cooley - longer than mayo, used for dissecting tissue
• mayo:
  straight - for suture
  curved - cutting thick tissue (hysterectomy)

Question 5

Diff retractors used?

Answer 5

handheld:

• richardsons
• deavers: abdominal surgeries
• malleable: bendable
• army-navy: superficial, hernia repair
• sweetheart retractor: longer than deavers

self-retaining:

• weitlaner
• gelpi
• large abdominal retractors

Question 6

Diff types of forceps used?

Answer 6

• Debakey: non-traumatic to tissue (for fine tissue)
• adson: sewing skin
• rat tooth: skin, fascia, not to grab tissue, larger than addison
• russion: flat on end, pick up thick tissue, take out nodes
• Ferris smith: closing sutures - fascia

Question 7

Sunction tips used?

Answer 7

Yankauer:

• plastic
• metal

poole: irrigate abdomen, doesn’t suck up bowel