Surgical Instruments Overview

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Questions and Answers

What is the primary function of bone-holding forceps, and how does its design facilitate this function?

To grasp and hold bones securely during surgical procedures.

Describe the purpose of surgical mallets and how the material composition affects its utility.

Driving chisels or other instruments into bone during orthopedic surgeries.

Outline the main applications of medical saws in surgical settings and name the key features that distinguish different types.

Cutting through bone or tissue during orthopedic or reconstructive procedures.

Explain the role of an amputation retractor in surgical procedures and the key considerations for its design.

<p>To hold back tissue during amputation to provide clear access to the surgical site.</p> Signup and view all the answers

What is the function of an abdominal retractor, and why is adjustability an important feature?

<p>To separate and hold back abdominal tissue and organs to provide access to the surgical site.</p> Signup and view all the answers

Describe the unique features of a Mikulicz retractor and how its design benefits surgical procedures.

<p>It has automatic lock and addition spoon.</p> Signup and view all the answers

Explain the use of neurosurgical nippers in laminectomies and how their curved design aids in accessing the surgical site.

<p>Removing small pieces of bone or tissue to relieve pressure on nerves or the spinal cord.</p> Signup and view all the answers

What distinguishes bayonet forceps from other surgical forceps, and how does this design benefit specific surgical applications?

<p>The bayonet shape, where the handle is offset from the jaws, allows for better visibility and access in deep or narrow surgical sites.</p> Signup and view all the answers

Describe the function of bone-cutting forceps, and explain how different designs (e.g., Liston's, Luer's) cater to varying surgical needs.

<p>Cutting or removing bone fragments during orthopedic or reconstructive surgeries.</p> Signup and view all the answers

Explain the primary use of universal rib-cutting forceps in surgical procedures.

<p>Resecting or shaping ribs during thoracic surgeries.</p> Signup and view all the answers

What is the purpose of a brace drill in surgery, and name the key components that contribute to its functionality?

<p>Creating holes in bone or other tissue, often used in orthopedic procedures for inserting screws or pins.</p> Signup and view all the answers

Describe the unique design of a chain saw (Gigli saw) and its main application in surgical contexts.

<p>A flexible, toothed wire used for cutting bone, especially in tight or curved spaces.</p> Signup and view all the answers

Outline the function of a wire heart and lungs retractor and how it aids in cardiothoracic surgeries.

<p>Holding back or retracting the heart and lungs to provide access to the surgical field.</p> Signup and view all the answers

Explain the purpose of retractors in surgery and describe how screw-type universal retractors differ in function and application from Gosse retractors.

<p>To hold back tissues or organs to provide a clear surgical field.</p> Signup and view all the answers

What is the function of Payr's constrictors, and in what types of surgical procedures would they be utilized?

<p>Clamping or constricting blood vessels or tissue structures to control blood flow or prevent leakage during surgery.</p> Signup and view all the answers

Describe the function of amputating knives and how their blade size and shape contribute to their utility.

<p>Cutting through soft tissues and muscles during amputation procedures.</p> Signup and view all the answers

Outline the applications of resection knives in surgical settings and how the blade's edge (sharp pointed or straight) affects its use.

<p>Excising or removing tissue segments during surgical resections.</p> Signup and view all the answers

Describe the applications of scalpels in surgery and how general operating knives differ from sharp-pointed scalpels in their use.

<p>Incision, dissection, and tissue excision across a wide range of surgical procedures.</p> Signup and view all the answers

Explain the purpose of a heart retractor and how it aids in cardiac surgical procedures.

<p>Holding back the heart to provide access to the surgical field during cardiac procedures.</p> Signup and view all the answers

What is the function of a Reverdin's lamina in surgical procedures and what types of surgeries utilize this tool?

<p>Protecting underlying structures or guiding incisions when dissecting or separating tissues.</p> Signup and view all the answers

Describe the purpose of retractors in liver surgery highlighting the difference between a liver abduction speculum and a Fyodorov's renalis retractor.

<p>Retractors lift the liver for maximum exposure.</p> Signup and view all the answers

Outline the key design features differentiating detachable blade scalpels from those requiring radius whet for sharpening in surgery.

<p>Detachable blades allow for single-use, consistent sharpness, while radius whet scalpels require regular manual sharpening.</p> Signup and view all the answers

Explain the function of Dalgren's forceps in surgical procedures and describe the specific tissue types with which they are most commonly used.

<p>Grasping and holding tissue to provide access during surgical procedures.</p> Signup and view all the answers

In surgical procedures where rib manipulation is necessary, what distinguishes Doyen's rib-cutting shears from Doyen's rib raspatory in terms of their respective functions?

<p>Doyen's rib-cutting shears cut through ribs, whereas Doyen's rib raspatory is used to scrape or smooth bone surfaces of the ribs.</p> Signup and view all the answers

Describe the specific surgical applications of Farabeuf's raspatory, differentiating between the straight and curved designs and their impact on procedural precision.

<p>Separating the periosteum from bone or to smooth bony surfaces; the design is chosen based on the surgical approach and anatomical location with the curvature allowing for more access in difficult to reach areas.</p> Signup and view all the answers

Flashcards

Bone-holding forceps

Forceps designed to securely hold bones during surgical procedures.

Surgical mallet

A surgical instrument used for impacting or driving chisels or other instruments during bone surgery.

Medical saw

A medical instrument consisting of a blade with a toothed edge, used for cutting bone or other tissues.

Amputation retractor

A surgical instrument used to retract and hold back tissues or organs to provide exposure of the surgical site during amputation.

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Abdominal retractor

A surgical instrument used to retract and hold back the abdominal wall or organs to provide exposure of the surgical site during abdominal surgery.

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Neurosurgical nippers

A surgical instrument used in neurosurgical procedures, specifically for laminectomies, to cut or nibble away bone.

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Bayonet forceps (Jansen)

A surgical instrument with oval tips or jaws used for grasping or manipulating tissues during surgical procedures, often in confined spaces.

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Bone-cutting forceps

A surgical instrument used for cutting bone during surgical procedures. (Liston)

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Universal rib-cutting forceps

Forceps designed for cutting ribs during thoracic surgical procedures.

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Brace (drill)

A surgical instrument used for joining or boring holes. Often includes a set of cutters and drills.

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Chain saw (Gigli)

Flexible, toothed instrument for cutting bone in hard to reach areas.

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Wire heart and lungs retractor

An instrument to retract heart and lungs during thoracic procedures.

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Screw-type universal retractor

Device with a screw mechanism, to maintain tissue retraction.

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Payr's constrictors

Device used to constrict tissue or vessels.

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Amputating knife

Surgical knife for amputations.

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Resection knife

A surgical knife used for cutting of parts in surgical procedure.

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Scalpel

Surgical knife with a sharp blade, used for skin incisions.

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Heart retractor

Device designed specifically to lift and hold the heart.

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Reverdin's lamina

Medical device used to pull viscera aside for better visualization.

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Retractors

Instruments to retract and expose organs/tissues during a procedure.

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Soft tissue elevator

Instrument used to peel away tissue.

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Forceps

Used to grasp organs or tissues during surgical procedures

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Bilroth hemostatic forceps

Clamp used to stop blood flow.

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Hemostatic "Mosquito" forceps

Forceps used to grasp or hold small vessels.

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Uterine fenestrated forceps

Instrument to retract and hold uterus.

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Study Notes

  • Surgical instruments are essential tools used in various medical procedures.

Bone (-holding) Forceps

  • Farabeuf's bone-holding forceps are available.
  • Olie bone-holding forceps are also available.

Surgical Mallets

  • Metal surgical mallets are used.
  • Textolite surgical mallets are utilized.

Medical Saws

  • Saw medical frameworks are employed as medical saws.
  • Medical sheet saws are also used.

Retractors

  • Amputation retractors are available.
  • Abdominal retractors are utilized.
  • Micculicz retractor is available, featuring an automatic lock and addition spoon.
  • Reverdin's lamina aids in drawing viscera aside.
  • Liver abduction speculum is a type of retractor.
  • Fyodorof's renalis retractor is available.
  • Pronged surgical retractors, both sharp and blunt, are used.
  • Farabeuf's plate doublesided surgical retractor is available.
  • Wire heart and lungs retractor is available.
  • Screw-type universal retractor is a type.
  • Gosse retractors are available.
  • Heart retractors are used in surgeries.

Forceps

  • Bayonet forceps with oval lips or jaws are available (Jansen).
  • Bone-cutting forceps (Liston's forceps) are utilized.
  • Bone-cutting forceps (Luer's) are also used.
  • Universal rib-cutting forceps (guillotine forceps).
  • Dalgren's forceps are used.
  • Instrumental forceps are utilized in surgeries.
  • Kocher's goiter probe with aperture is available.
  • Blood vessel "Bulldog" forceps come in straight and curved.
  • Uterine fenestrated forceps are employed.
  • Luer's fenestrated hemorrhoidal forceps are straight and curved.
  • Forceps or Tweezers are available, including surgical, toothed, and anatomical types.
  • Forceps or Tweezers are used for applying and removing Michel's brackets or staples.
  • Shirkov forceps for applying and removing Michel's brackets are available.
  • Hemostatic "Mosquito" forceps are available in straight and curved forms.
  • Pean's hemostatic forceps can be straight or curved.
  • Halsted's hemostatic forceps are utilized.
  • Forceps for temporary vessel compression are used.
  • Lung forceps are employed in surgeries.

Graspers/Clamps

  • Payr's constrictors
  • Packers or Korntsang clamps are available in straight and curved forms.
  • Kidney pedicle clamps are used.
  • Mikulicz clamp is used for attaching towels to the peritoneum.
  • Stiff intestinal clamps are offered in straight and curved variations.
  • Elastic intestinal clamps are available in straight, curved and children's forms.
  • Clips for wedge-type resection of the lung are utilized.
  • Clamps are used in surgical procedures.
  • Hepfner blood vessel elastic clamps are utilized.
  • Laser surgical clamps are available.
  • Blalok hemostatic screw styptic clamp for large vessels is available.
  • Kocher's hemostatic forceps are utilized.
  • Endoscopic clip gripper with fenestrated jaws is utilized.

Other Instruments

  • Neurosurgical (laminectomy) nippers, curved on edge Borhart, are used.
  • Brace (drill) with a set of cutters and drills
  • Chain saw (thread saw) (Gigli)
  • Doyen's rib-cutting shears
  • Doyen's rib raspatory
  • Farabeuf's raspatory is available in straight and curved variations.
  • Tracheostomy pointed hook is available.
  • Buyalsky spatula is utilized.
  • Soft tissue elevator is used in surgeries.
  • Medical chisels are available in flat and grooved forms.
  • Medical fluted chisels (grooved) are utilized.
  • Troc(h)ars are used in medical procedures.
  • Kornev's Spoon chisels are available.
  • Doyen's chisel with spike is utilized.
  • Amputating knives are available in little and large sizes.
  • Resection knives are available in sharp-pointed and straight forms.
  • Scalpels include general operating knives and sharp-pointed scalpels.
  • Scalpels with detachable (removable) blades are available.
  • Scalpels with radius whet are also used.
  • Doyen's chisel with spike is available.
  • Surgical probes include grooved and bulbous-end probes.
  • Deschamps's ligature blunt needles come in right and left variations.
  • Tongue depressor (tongue-holding forceps)
  • Urethral metal catheters are designed for male, female and children's.
  • Mathieu needle-holders are available in average and little sizes.
  • Hegar needleholders come in large, average and little sizes.
  • Microsurgical needle holders are used in delicate surgeries.
  • Troyanov's needle-holders are available.
  • Needle-holders for vascular suture are used.
  • Trusso's tracheostomy retractor is utilized.
  • Tracheostomy cannulas come in metal and plastic options.
  • Sets for emergency cricothyroidotomy (conicotomy) are available.
  • Clamps for operating linen with a laminar design.
  • Surgical scissors: one-point sharp, blunt-pointed straight
  • Dissecting scissors for deep work or deep tissue dissection
  • Vascular scissors, curved in a plane.
  • Couper's curved on flat surgical scissors
  • Richter's curved on edge surgical scissors
  • Endoscopic curved on flat surgical scissors.
  • Bivalve rectal speculum is utilized.
  • Endoscopic needle holder with ergonomic handle.
  • Trocar for endoscopic access.
  • Endoscopic clip-on applicator reusable.
  • Endoscopic rechargeable manual-stitch apparatus Endo stitch.
  • Endoscopic rechargeable apparatus for linear mechanical suture.
  • Sharp bone spoons: Bruns and Volkmann are available.
  • Zauerbruch
  • Backhaus

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