Surgical Instruments: Classifications & Types

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Questions and Answers

Which instrument classification includes tools designed to constrict or occlude tissue during a surgical procedure?

  • Retracting/Viewing
  • Clamping/Occluding (correct)
  • Grasping/Holding
  • Cutting/Dissecting

A surgeon requires a clear view of the surgical site. Which type of instrument would be MOST appropriate to achieve this?

  • Retracting/Viewing (correct)
  • Probing and Dilating
  • Suturing/Suctioning
  • Grasping/Holding

What is the PRIMARY benefit of using titanium in the manufacturing of surgical instruments, compared to stainless steel?

  • Reduced cost of production
  • Increased resistance to corrosion
  • Enhanced flexibility and malleability
  • Lighter weight and increased strength (correct)

Which instrument finish is designed to reduce glare and reflection in the operating room?

<p>Ebonized (A)</p> Signup and view all the answers

A surgeon needs to precisely approximate tissue edges during a delicate cardiovascular procedure. Which of the following instruments is MOST appropriate?

<p>Needle holder (C)</p> Signup and view all the answers

During a lengthy abdominal surgery, the surgical team uses suction to maintain a clear field of view. What is the PRIMARY purpose of suction in this scenario?

<p>To remove blood and fluids for better visualization (A)</p> Signup and view all the answers

In microsurgery, what is the PRIMARY advantage of using micro instruments?

<p>Enhanced precision and control in small spaces (C)</p> Signup and view all the answers

What is the MOST important reason for handling surgical instruments with care and precision?

<p>To prevent injury, extend instrument life, and maintain performance (B)</p> Signup and view all the answers

What is the PRIMARY purpose of a pneumatic tourniquet during orthopedic surgery?

<p>To minimize blood loss and improve visualization (A)</p> Signup and view all the answers

After abdominal surgery the surgeon places a drain in the wound. To facilitate the evacuation of fluids using negative pressure, which type of drain is MOST appropriate?

<p>Active drain (D)</p> Signup and view all the answers

Flashcards

Cutting/Dissecting Instruments

Used for incision, sharp dissection, or excision of tissue.

Clamping/Occluding Instruments

Designed to occlude or constrict tissue.

Grasping/Holding Instruments

Designed to manipulate tissues

Retracting/Viewing Instruments

Designed to expose the operative site.

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Needle Driver/Holder

Used to hold a curved suture needle for suturing.

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Function of Suction

Removal of blood and body fluids to provide better visualization.

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Micro Instruments

Used to perform microsurgery- operating using a microscope.

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Instrument Count Sheet

A list of the type and number of instruments in a set to minimize errors during surgery.

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Function of an Endoscope

Used for diagnosis, biopsy, visualization, and/or repair.

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Function of a Pneumatic Tourniquet

Blood loss is minimized and visualization is improved.

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Study Notes

  • Eight instrument classifications: suction, suturing, dilators, cutting/dissecting, clamping/occluding, grasping/holding, retracting/viewing, probing and dilating

Materials

  • Most modern surgical instruments are made of stainless steel
  • Titanium allows instruments to be stronger and lighter in weight

Instrument Finishes

  • Instrument finishes include high polish, satin, and ebonized

Cutting/Dissecting Instruments

  • Contain one or more sharp edges
  • Used for incision, sharp dissection, or excision of tissue

Grasping/Holding Instruments

  • Designed to manipulate tissue

Clamping/Occluding Instruments

  • Designed to occlude or constrict tissue
  • Features: Ring handles, a ratchet, and two shanks that connect the ringed handles

Retracting/Viewing Instruments

  • Designed to expose the operative site

Suturing Instruments

  • Needle driver/holder is used to hold a curved suture needle for suturing

Suction Function

  • Removal of blood and body fluids to provide better visualization

Micro Instruments

  • Used to perform microsurgery- operating a microscope

Proper Instrument Handling

  • Handling instruments with care prevents injury, extends instrument life, and allows correct and consistent performance

Instrument Sets

  • Grouping specific tools needed for a particular procedure and to sterilize

Instrument Count Sheet

  • Lists the type and number of instruments in a set- to minimize errors in surgery

Endoscope Function

  • Used for diagnosis, biopsy, visualization, and/or repair

Powered Instruments

  • Powered by compressed air, nitrogen, electricity, or battery

Pneumatic Tourniquet

  • In the OR, blood loss is minimized and visualization is improved

Catheters

  • Urinary catheters are used to drain urine and track output
  • Intravascular (IV) catheters infuse fluids, obtain a diagnosis, and monitor body functions

Tubes

  • Gastrointestinal tubes are used to aspirate air and fluids from the gastrointestinal tract
  • Airway tubes are used to maintain openness of the upper respiratory tract
  • Chest tubes evacuate air or fluids from the chest
  • Examples: NG, Endotracheal

Drains

  • Used to evacuate air and fluids from a surgical or traumatic wound
  • Passive drains rely on gravity to drain fluids
  • Active drains use negative pressure or suction to drain fluids

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