Differentiating Surgical Instruments Flashcards PDF

2897_FM_i-xviii 19/06/12 3:08 PM Page i Colleen J. Rutherford, RN, MS, CNOR Formerly, Program Coordinator and Educator ERRNVPHGLFRVRUJ...

2897_FM_i-xviii 19/06/12 3:08 PM Page i Colleen J. Rutherford, RN, MS, CNOR Formerly, Program Coordinator and Educator ERRNVPHGLFRVRUJ Concord Hospital Concord, New Hampshire Currently, Supervisor The Villages Regional Hospital The Villages, Florida 2897_FM_i-xviii 19/06/12 3:08 PM Page ii F. A. Davis Company undergo changes. The author(s) and publisher have done everything 1915 Arch Street possible to make this book accurate, up to date, and in accord Philadelphia, PA 19103 with accepted standards at the time of publication. The author(s), www.fadavis.com editors, and publisher are not responsible for errors or omissions or for consequences from application of the book and make no Copyright © 2012 by F. A. Davis Company warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by Copyright © 2012 by F. A. Davis Company. All rights reserved. This the reader in accordance with professional standards of care product is protected by copyright. No part of it may be reproduced, used in regard to the unique circumstances that may apply in stored in a retrieval system, or transmitted in any form or by any each situation. The reader is advised always to check product means, electronic, mechanical, photocopying, recording, or information (package inserts) for changes and new information otherwise, without written permission from the publisher. regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently Printed in Mexico ordered drugs. Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Senior Acquisitions Editor: Christa Fratantoro F. A. Davis Company for users registered with the Copyright Manager of Content Development: George W. Lang Clearance Center (CCC) Transactional Reporting Service, provided Developmental Editor: Stephanie A. Rukowicz that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Design and Illustration Manager: Carolyn O’Brien Drive, Danvers, MA 01923. For those organizations that have been Reviewers: Rita Ballenger, CST; Kathy Patnaude, CST; granted a photocopy license by CCC, a separate system of payment Dorann Lynne Brown, CST, BA; Michelle Hurst Gay, CST has been arranged. The fee code for users of the Transactional Reporting Service is: 978-0-8036-2897-7 /12 0 + $.25. As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies 2897_FM_i-xviii 19/06/12 3:08 PM Page iii Introduction Did you ever wish there was an easy, Several features make this set easy to portable way to study surgical instruments? use and unique. You may have noticed a Now there is! Welcome to Flashcards for gray piece of folded Tyvek® included in Differentiating Surgical Instruments. These the set. This piece of Tyvek represents a cards are intended as an adjunct to my two Mayo stand top, allowing you to place textbooks, Differentiating Surgical Instru- cards on it representing the instruments ments (2nd edition, F.A. Davis, 2012) and that you would place there for various Differentiating Surgical Equipment and surgical procedures. Supplies (F.A. Davis, 2010), making it easier The activity cards included in this set to study “on the go.” are intended to provide ideas for different This set of flashcards includes 219 of the ways to use the flashcards to study. most common instruments, supplies, and Whether studying by yourself, in a group, equipment from the specialties of general or as a class, these ideas can be used to (including staplers), laparoscopic, OB- learn while having fun. Scoring ideas are GYN and robotic surgery. As a bonus, I included with some of the activities but have included 30 additional cards covering they can be played without keeping score. some basic orthopedic instruments. The goal is to have fun while learning! 2897_FM_i-xviii 19/06/12 3:08 PM Page iv iv Introduction The cards have a colored strip along card, making it easier to see the defining the top border. The color of the strip de- characteristics, and large print on the back notes the surgical specialty the instrument, of the cards, making them easier to read. supply, or equipment falls into: magenta = An additional set of interactive flashcards is general surgery/staplers, purple = laparo- available at: http://davisplus.fadavis.com, scopic surgery, teal = OB-GYN surgery, keyword: Rutherford. green = robotic surgery and tan = basic I am delighted you have chosen these orthopedics. cards to help in your studies. Best wishes! Two other features are clear pictures of —Colleen Rutherford the instrument and tip on the front of the Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_FM_i-xviii 19/06/12 3:08 PM Page v Activities Category Grouping that use general/laparoscopic/robotic/ Category grouping is played by dealing out OB-GYN (one procedure per piece of all or part of the deck of flashcards paper). Fold the papers with the names of (depending on how many you want to the procedures and then draw one. Pull use) with the instrument pictures facing the flashcards out that represent the in- up. The names of the instrument cate- struments you would need to put on your gories are written on pieces of folded mayo stand for that procedure. paper. The person (or each person if Timed Mayo Stand Setup Race more than one is playing) draws the name The timed Mayo stand setup race activity of a category and has to pick out all of requires that each person have a set of his/her cards that fit into that category. flashcards. The activity is played the same Scoring idea: Score one point for each as the Mayo stand setup, but the same pro- correct instrument and lose one point cedure is given to each person (e.g., each for any incorrect ones. person is told to pull the cards for an open Mayo Stand Setup appendectomy). The participants are told Write down on individual pieces of paper “go” and are timed to see how fast they the names of several surgical procedures pull all the correct cards. If they pull 2897_FM_i-xviii 19/06/12 3:08 PM Page vi vi Activities incorrect cards or do not pull all the cards setup for a lap chole?” The person being needed for the procedure, the clock keeps asked the questions must pick out the card going and they have to correct the error. that doesn’t fit in with the rest. This activ- The clock stops when they have pulled all ity could be played with more than six the correct cards. cards at a time (e.g., pull 20 cards and ask the person to identify which three would Which Is Incorrect? not be used for an open appendectomy). The which is incorrect? game is played by pulling six cards, five of which have some- Matching thing in common and one that does not For matching lay out five rows of six cards (e.g., five grasping instruments and one each, picture side up. Choose two cards cutting instrument or five instruments that you think are in the same category used for a lap chole setup and one that is (e.g., cutting, clamping, grasping). If the not). The person is then asked a question two cards are in the same category, you re- such as “Which of these instruments is not move them and continue, selecting two a grasping instrument?” or “Which of more cards that you think are in the same these instruments would you not find on a category. This continues until you have Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_FM_i-xviii 19/06/12 3:08 PM Page vii Activities removed all possible matches. This game separate pieces of paper. Place the papers can be played by yourself or with others. in a basket, bowl, or hat. Each person is dealt 15 cards from a shuffled deck of Procedure Yes or No? flashcards. Pick the name of a category out Write the names of several procedures on of the bowl. Each person must decide separate pieces of paper. Place the papers from his/her 15 cards which ones are in a basket, bowl, or hat. Each person is included in that category (“yes”) or not dealt 15 cards from a shuffled deck of flash- included in that category (“no”). If you cards. Pick the name of a procedure out of are playing by yourself, deal as many cards the bowl. Each person must decide from as you like and then decide “yes” or “no” his/her 15 cards which ones are used in for each one. that procedure (“yes”) or not used in that procedure (“no”). If you are playing by Is It in This Set? yourself, deal as many cards as you like and Gather copies of several “pick sheets” of then decide “yes” or “no” for each one. the instrument sets in your institution. Category Yes or No? Study the pick sheet for 2–3 minutes. Put Write the names of instrument categories the pick sheet away and then pull out the (e.g., clamping, cutting, grasping) on flashcards of the instruments included in 2897_FM_i-xviii 19/06/12 3:08 PM Page viii viii Activities that particular tray. When you are finished try to guess the identity of the instrument. pulling all the cards you want, look at the The turn ends when either someone pick sheet and give yourself a point for guesses correctly or three hints are given every correct card. Several people could and no one has guessed correctly. The play this, each having his/her own set of next player draws a card from the deck, flashcards. and the game continues. Scoring sugges- tion: If a player guesses with one hint, Who Am I? he/she gets 3 points, two hints scores Who am I is played by two or more players. 2 points, and three hints scores 1 point. If One person draws a flashcard out of the no one guesses correctly, the person giving deck, being careful not to let the other the hints scores 3 points. players see it. The person holding the card gives the others a hint to the identity of Three in a Row: the instrument on the card. The hint is a Three in a row is played by two people. On single piece of information from the back a large piece of paper draw a 3 × 3 tic-tac- of the card (e.g., alias, use, additional in- toe grid. Each person takes nine flash- formation, or category). The other players cards. The first player lays down one Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_FM_i-xviii 19/06/12 3:08 PM Page ix Activities flashcard, picture side up, in one of the player gets to lay down another card in a grid squares. The second player must different square and the second player name the instrument. If the second player tries to name that instrument. Each time names the instrument correctly, the turn an instrument is named correctly, the turn passes to him/her and he/she lays down a passes to the player who named it. The flashcard in another square. If the second game continues until one player gets three player incorrectly names the instrument of his/her flashcards in a row horizontally, or does not know the name, the first vertically, or diagonally. 2897_FM_i-xviii 19/06/12 3:08 PM Page x x Contents ERRNVPHGLFRVRUJ General Instruments Gerald bipolar forceps, 18 Backhaus towel clamp, 1 bipolar cautery cord, 19 Edna towel clamp, 2 argon beam coagulator, 20 Peers towel clamp, 3 harmonic scalpel, 21 Foerster sponge forceps, 4 Mayo common duct scoop, 22 Frazier suction, 5 Bakes common duct dilators, 23 Pool(e) suction, 6 anoscope with obturator, 24 Yankauer suction, 7 Adson dressing forceps, 25 clip applying forceps, 8 Adson tissue forceps, 26 Crile-Wood needle holder, 9 Brown-Adson forceps, 27 Mayo-Hegar needle holder, 10 dressing (smooth) forceps, 28 Baumgartner needle holder, 11 tissue (toothed) forceps, 29 Ryder needle holder, 12 Iris forceps, 30 DeBakey cardiovascular needle holder, 13 DeBakey tissue forceps, 31 Webster needle holder, 14 Singley tissue forceps, 32 probe and grooved director, 15 Bonney tissue forceps, 33 electrosurgical pencil, 16 Ferris-Smith tissue forceps, 34 handheld cautery, 17 Russian forceps, 35 2897_FM_i-xviii 19/06/12 3:08 PM Page xi Contents Allis, 36 Doyen intestinal forceps, 53 Babcock, 37 Allen intestinal forceps, 54 Kocher, 38 Bainbridge artery and intestinal Lahey goiter forceps, 39 forceps, 55 Pennington forceps, 40 straight Mayo scissors, 56 Magill catheter forceps, 41 curved Mayo scissors, 57 Randall forceps, 42 Metzenbaum scissors, 58 Fletcher-Van Doren sponge holding operating room scissors, 59 forceps, 43 Lister scissors, 60 Rochester-Pean, 44 iris scissors, 61 Kelly hemostatic clamp, 45 bandage and utility scissors, 62 Pean, 46 universal wire-cutting scissors, 63 Crile hemostatic clamp, 47 wire-cutting scissors, 64 Halstead mosquito clamp, 48 #3 scalpel handle, 65 Pratt-Smith hemostatic forceps, 49 #4 scalpel handle, 66 Rochester mixter, 50 #7 scalpel handle, 67 Mixter, 51 #10 blade, 68 Schnidt, 52 #11 blade, 69 2897_FM_i-xviii 19/06/12 3:08 PM Page xii xii Contents #15 blade, 70 U.S. Army retractor, 88 #21 blade, 71 Senn retractor, 89 #23 blade, 72 Hasson retractor, 90 blade knife handle, 73 Cushing vein retractor, 91 Balfour retractor, 74 Green retractor, 92 Bookwalter system, 75 Dandy nerve hook, 93 omni retractor, 76 Volkmann retractor, 94 Weitlaner retractor, 77 Murphy retractor, 95 cerebellar retractor, 78 Ollier retractor, 96 Beckmann retractor, 79 Deaver retractor, 97 Gelpi perineal retractor, 80 Harrington retractor, 98 Joseph skin hook, 81 malleable retractor, 99 Guthrie double skin hook, 82 Sawyer rectal retractor, 100 Kelly retractor, 83 Pratt rectal speculum, 101 Richardson retractor, 84 Richardson-Eastman retractor, 85 Staplers Parker retractor, 86 purse string, 102 Goelet retractor, 87 EEA stapler, 103 2897_FM_i-xviii 19/06/12 3:08 PM Page xiii Contents skin stapler, 104 Montgomery straps, 120 ligaclip stapler, 105 suture boots, 121 linear stapler, 106 vessel loops, 122 GIA stapler, 107 umbilical tape, 123 contour curved cutter/stapler, 108 Glassman viscera retainer, 124 retention suture bolster, 125 General Supplies and Equipment magnetic drape, 126 RayTec, 109 isolation bag, 127 Laparotomy sponge, 110 decanting cannula, 128 laparotomy tape, 111 peanuts, 112 Laparoscopic Instruments high-pressure syringe, 113 endoscopic camera, 129 asepto syringe, 114 0-degree endoscope, 130 bulb syringe, 115 30-degree endoscope, 131 Toomey syringe, 116 Veress needle, 132 Tegaderm, 117 disposable trocars and ports, 133 Kerlix and Kling, 118 suture passer, 134 self-adherent wrap, 119 suture hook, 135 2897_FM_i-xviii 19/06/12 3:08 PM Page xiv xiv Contents Allis forceps, 136 Laparoscopic Supplies and Equipment Babcock, 137 defogger kit, 154 biopsy forceps, 138 carbon dioxide, 155 curved grasper, 139 Dermabond, 156 bowel clamp, 140 video towers, 157 Kocher, 141 light source, 158 Maryland dissector, 142 insufflator box, 159 alligator forceps, 143 insufflator tubing, 160 mixter, 144 reducer cap, 161 needle holder, 145 irrigation device, 162 hook Scissors, 146 micro Scissors, 147 OB-GYN Instruments Metzenbaum scissors, 148 Auvard weighted vaginal speculum, 163 L hook, 149 DeLee bladder retractor, 164 endoscopic kittner, 150 O’Sullivan-O’Connor retractor, 165 endoscopic catcher, 151 Simpson delivery forceps, 166 endoscopic ligaclip applier, 152 Goodell uterine dilator, 167 endoscopic gia stapler, 153 Sims retractor, 168 2897_FM_i-xviii 19/06/12 3:08 PM Page xv Contents Heaney retractor, 169 Heaney needle holder, 185 Graves vaginal speculum, 170 Overstreet endometrial polyp forceps, 186 Pederson vaginal speculum, 171 Jorgenson scissors, 187 side-opening vaginal speculum, 172 Mayo-Noble scissors, 188 Hank dilators, 173 umbilical cord scissors (American Hegar dilators, 174 pattern), 189 Allis-Adair clamp, 175 Rubin catheter, 190 Bozeman dressing forceps, 176 Gyrus cautery, 191 Heaney hysterectomy forceps, 177 Kleppinger bipolar forceps, 192 Heaney-Ballantine hysterectomy forceps, 178 OB-GYN Supplies and Equipment Thomas-Gaylor biopsy punch, 179 umbilical cord clamp, 193 Braun tenaculum, 180 Lone star retractor, 194 Sims uterine sound, 181 candy cane stirrups, 195 Thomas curette, 182 boot stirrups, 196 Sims curette, 183 carbon dioxide laser, 197 Kevorkian-Younge endocervical biopsy vacuum curettage machine, 198 curette, 184 smoke evacuation system, 199 2897_FM_i-xviii 19/06/12 3:08 PM Page xvi xvi Contents cesarean section drape, 200 Robotic Supplies and Equipment leggings, 201 surgeon console, 216 Robotic Instruments robotic arm, 217 parts of a robotic instrument, 202 robotic instrument, 218 cannula, 203 monitor cart, 219 robotic endoscope, 204 Basic Ortho Instruments Potts scissors, 205 Putti rasp, 220 mega needle holder, 206 Strully scissors, 221 large needle holder, 207 Cushing Little Joker periosteal small clip appliers, 208 elevator, 222 round tip scissors, 209 Penfield #4, 223 dissecting forceps, 210 Key periosteal elevator, 224 Cobra grasper, 211 Leksell ronguer, 225 tenaculum forceps, 212 depth gauge, 226 harmonic shears, 213 Hibbs osteotome, 227 cautery hook, 214 Cobb bone curette, 228 grasper, 215 bone tamp, 229 2897_FM_i-xviii 19/06/12 3:08 PM Page xvii Contents Townley caliper, 230 cassette holder, 242 Lewin bone clamp, 231 pneumatic tourniquet, 243 cement system, 232 OrthoPat, 244 cement gun, 233 bone wax, 245 Heiss skin retractor, 234 casting material, 246 Ragnell retractor, 235 stockinette, 247 Hohmann retractor, 236 mini C-arm, 248 Israel retractor, 237 banded bag, 249 Aufranc retractor, 238 Bennett retractor, 239 Basic Ortho Supplies and Equipment fracture table, 240 PACS, 241 2897_FM_i-xviii 19/06/12 3:08 PM Page xviii 2897_Tab01_001-101 13/06/12 10:57 AM Page 1 GENERAL 2897_Tab01_001-101 13/06/12 10:57 AM Page 1 1 GENERAL BACKHAUS TOWEL CLAMP Alias: perforating towel clamp Category: accessory Use: grasping tissue that will be removed; securing towels or drapes; holding or reducing small bone fractures Additional Information: perforating tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:57 AM Page 2 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 2 2 GENERAL EDNA TOWEL CLAMP Alias: Lorna Category: accessory Use: securing drapes; securing suction, ESU, or camera cords to the drape Additional Information: nonperforating jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 3 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 3 3 GENERAL PEERS TOWEL CLAMP Alias: none Category: accessory Use: securing drapes; securing suction, ESU, camera cords to the drape Additional Information: nonperforating jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 4 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 4 4 GENERAL FOERSTER SPONGE FORCEPS Alias: sponge stick; sponge-holding forceps Category: grasping Use: grasping tissue; holding Raytec sponges Additional Information: smooth or serrated jaws; straight or curved shank Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 5 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 5 5 GENERAL FRAZIER SUCTION Alias: nasal suction; ENT suction; neuro suction Category: suctioning Use: suctioning small quantities of fluid; suctioning in small areas Additional Information: short or long tips; 6 Fr to 16 Fr diameter (most common sizes are 7 Fr, 9 Fr, and 11 Fr); metal or disposable; angled; thumb hole to control suction on/off Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 6 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 6 6 GENERAL POOL(E) SUCTION Alias: abdominal suction Category: suctioning Use: suctioning large quantities of fluid/blood Additional Information: sheath may be removed and suction cannula used alone to suction smaller areas; both pieces must be accounted for in instrument count Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 7 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 7 7 GENERAL YANKAUER SUCTION Alias: tonsil suction Category: suctioning Use: suctioning fluid or blood; may be used to suction smoke Additional Information: most commonly used suction; metal or plastic (single-patient use) versions; if using two-piece metal suction with removable tip, both pieces must be accounted for in instrument count Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 8 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 8 8 GENERAL CLIP APPLYING FORCEPS Alias: hemoclip appliers Category: accessory Use: holding and applying hemoclips Additional Information: small, medium, and large; straight or angled jaws; finger rings may be color-coded to match clip cartridges Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 9 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 9 9 GENERAL CRILE-WOOD NEEDLE HOLDER Alias: Crile-Wood needle driver Category: suturing Use: holding small or medium-sized suture needles Additional Information: Used in delicate suturing; some brands have tungsten carbide jaw inserts Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 10 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 10 10 GENERAL MAYO-HEGAR NEEDLE HOLDER Alias: Mayo-Hegar needle driver Category: suturing Use: holding heavy (large) suture needles Additional Information: widely used in general surgery; some brands have tungsten carbide jaw inserts; MRI version available Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 11 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 11 11 GENERAL BAUMGARTNER NEEDLE HOLDER Alias: none Category: suturing Use: holding suture needles Additional Information: jaws shorter than Crile-Wood or Mayo-Hegar Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 12 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 12 12 GENERAL RYDER NEEDLE HOLDER Alias: French eye needle holder; neurosurgical needle holder Category: suturing Use: holding small suture needles; used mostly in vascular, intestinal, plastic, or neurosurgery Additional Information: narrow jaws; smooth or tungsten carbide jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 13 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 13 13 GENERAL DEBAKEY CARDIOVASCULAR NEEDLE HOLDER Alias: none Category: suturing Use: holding fine suture needles for vascular or cardiac procedures Additional Information: fine, straight jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 14 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 14 14 GENERAL WEBSTER NEEDLE HOLDER Alias: none Category: suturing Use: holding fine suture needles; used mostly in plastic or ENT surgery Additional Information: smooth or serrated jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 15 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 15 15 GENERAL PROBE AND GROOVED DIRECTOR Alias: Larry probe and grooved director; fistula probe Category: probing Use: probing fistulas, ducts, etc. Additional Information: “ear”-shaped end of the director referred to as a tongue tie Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 16 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 16 16 GENERAL ELECTROSURGICAL PENCIL Alias: active electrode; Bovie pencil Category: cutting Use: cauterizing blood vessels and/or cutting tissue Additional Information: a variety of tips to use with the pencil; tip types include blades (spatulas), points, extensions, and balls Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 17 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 17 17 GENERAL HANDHELD CAUTERY Alias: none Category: accessory Use: cauterizing fine vessels or tissue (e.g., hand surgery); evacuating subungual hematoma Additional Information: single-patient use; shelf life approximately 4 years Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 18 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 18 18 GENERAL GERALD BIPOLAR FORCEPS Alias: none Category: accessory Use: cauterizing small blood vessels Additional Information: delicate, narrow tips; straight or bayonet-shaped handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 19 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 19 19 GENERAL BIPOLAR CAUTERY CORD Alias: none Category: accessory Use: attaching bipolar cautery forceps to electrosurgical power unit Additional Information: use with bipolar cautery forceps only Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 20 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 20 20 GENERAL ARGON BEAM COAGULATOR Alias: none Category: accessory Use: hemostasis (cauterization of blood vessels) Additional Information: Uses argon gas and electrocautery to cauterize blood vessels Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 21 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 21 21 GENERAL HARMONIC SCALPEL Alias: none Category: cutting Use: cutting and cauterization of tissue Additional Information: Uses ultrasonic wave technology to cut and cauterize tissue at lower temperatures (50 degrees to 100 degrees Celsius) Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 22 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 22 22 GENERAL MAYO COMMON DUCT SCOOP Alias: none Category: accessory Use: removing stones from the common duct Additional Information: small, medium, or large Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 23 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 23 23 GENERAL BAKES COMMON DUCT DILATORS Alias: none Category: dilating Use: dilating the common bile duct Additional Information: 3-mm to 11-mm tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 24 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 24 24 GENERAL ANOSCOPE WITH OBTURATOR Alias: none Category: viewing Use: retracting/viewing anal canal Additional Information: rounded obturator used for insertion and then removed Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 25 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 25 25 GENERAL ADSON DRESSING FORCEPS Alias: none Category: grasping Use: grasping tissue; applying dressings Additional Information: serrated tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 26 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 26 26 GENERAL ADSON TISSUE FORCEPS Alias: rat-tooth forceps Category: grasping Use: grasping skin layer during wound closure Additional Information: 1 ⫻ 2 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 27 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 27 27 GENERAL BROWN-ADSON FORCEPS Alias: Adson-Brown Category: grasping Use: grasping delicate tissue Additional Information: 7 ⫻ 7 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 28 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 28 28 GENERAL DRESSING (SMOOTH) FORCEPS Alias: smooth forceps Category: grasping Use: grasping tissue or applying dressings Additional Information: tips vary from heavy to fine; atraumatic Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 29 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 29 29 GENERAL TISSUE (TOOTHED) FORCEPS Alias: toothed forceps; rat-tooth; pickups Category: grasping Use: grasping tissue; wound closure Additional Information: most common tip has 1 ⫻ 2 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 30 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 30 30 GENERAL IRIS FORCEPS Alias: none Category: grasping Use: grasping delicate tissue Additional Information: delicate 1 ⫻ 2 teeth; slightly or fully curved tip Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 31 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 31 31 GENERAL DEBAKEY TISSUE FORCEPS Alias: DeBakey atraumatic vascular forceps Category: grasping Use: grasping fine tissue; commonly used in all types of surgery Additional Information: atraumatic; jaw has 1 ⫻ 2 rows of serrations; tips 1.5 mm to 3.5 mm wide; straight or angled tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 32 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 32 32 GENERAL SINGLEY TISSUE FORCEPS Alias: Singley Tuttle forceps Category: grasping Use: grasping intestinal tissue, sponges Additional Information: serrated, fenestrated jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 33 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 33 33 GENERAL BONNEY TISSUE FORCEPS Alias: none Category: grasping Use: grasping heavy tissue or bone Additional Information: 1 ⫻ 2 or 2 ⫻ 3 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 34 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 34 34 GENERAL FERRIS-SMITH TISSUE FORCEPS Alias: none Category: grasping Use: grasping heavy tissue or bone Additional Information: 1 ⫻ 2 or 2 ⫻ 3 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 35 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 35 35 GENERAL RUSSIAN FORCEPS Alias: none Category: grasping Use: grasping tissue, aortic aneurysm plaque Additional Information: round, serrated tip Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 36 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 36 36 GENERAL ALLIS Alias: none Category: grasping Use: grasping organs or tissue during removal Additional Information: 2 ⫻ 3, 3 ⫻ 4, 4 ⫻ 5, 5 ⫻ 6 teeth; straight or angled tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 37 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 37 37 GENERAL BABCOCK Alias: Babcock intestinal forceps Category: grasping Use: grasping delicate tissue (e.g., fallopian tube, bowel, vas deferens) Additional Information: no teeth—atraumatic; fenestrated tip Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 38 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 38 38 GENERAL KOCHER Alias: Ochsner; Rochester-Ochsner Category: grasping Use: grasping heavy tissue (e.g., fascia) Additional Information: 1 ⫻ 2 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 39 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 39 39 GENERAL LAHEY GOITER FORCEPS Alias: Lahey thyroid tenaculum Category: grasping Use: grasping tissue during removal Additional Information: 3 ⫻ 3 teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 40 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 40 40 GENERAL PENNINGTON FORCEPS Alias: none Category: grasping Use: grasping tissue, especially during intestinal or rectal surgeries, cesarean section Additional Information: 11-mm triangular jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 41 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 41 41 GENERAL MAGILL CATHETER FORCEPS Alias: intubating forceps Category: grasping Use: grasping endotracheal tube during intubation; grasping and re- moving foreign bodies from the airway Additional Information: can be used to grasp other types of catheters during insertion Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 42 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 42 42 GENERAL RANDALL FORCEPS Alias: kidney stone forceps Category: grasping Use: grasping stones or polyps Additional Information: jaws available with 1/4 curve, 1/2 curve, 3/4 curve, or full curve (about 120 degrees) Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 43 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 43 43 GENERAL FLETCHER-VAN DOREN SPONGE-HOLDING FORCEPS Alias: none Category: grasping Use: grasping uterine polyps; holding Kittner sponges for blunt dissection Additional Information: straight or curved serrated tips Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 44 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 44 44 GENERAL ROCHESTER-PEAN Alias: none Category: clamping Use: clamping heavy tissue Additional Information: fully serrated jaws; straight or curved tips; larger and heavier than a standard Pean Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 45 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 45 45 GENERAL KELLY HEMOSTATIC CLAMP Alias: none Category: clamping Use: clamping large blood vessels or tissue Additional Information: heavy blades; not for delicate vessels or tissue; straight or curved; looks like the Pean clamp but jaws are serrated only part of the way Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 46 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 46 46 GENERAL PEAN Alias: none Category: clamping Use: clamping tissue or vessels Additional Information: fully serrated jaws; straight or curved jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 47 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 47 47 GENERAL CRILE HEMOSTATIC CLAMP Alias: hemostat Category: clamping Use: clamping blood vessels or tissue Additional Information: most commonly used size of hemostatic clamp; straight or curved Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 48 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 48 48 GENERAL HALSTEAD MOSQUITO CLAMP Alias: mosquito Category: clamping Use: clamping delicate blood vessels or tissue Additional Information: for delicate use only; straight or curved Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 49 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 49 49 GENERAL PRATT-SMITH HEMOSTATIC FORCEPS Alias: Pratt “T” forceps Category: clamping Use: clamping delicate tissue Additional Information: T-shaped, concave jaws; delicately serrated jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 50 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 50 50 GENERAL ROCHESTER MIXTER Alias: Mixter thoracic forceps Category: clamping Use: clamping bowel; also used in thoracic surgery Additional Information: right-angled curved jaws; longitudinal serra- tions; longer and heavier than a standard mixter Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 51 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 51 51 GENERAL MIXTER Alias: right angle; Gemini (delicate jawed) Category: clamp Use: clamping tissue or grasping ligature around a curve (e.g., a pedicle or blood vessel) Additional Information: jaws vary from fine to heavy Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 52 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 52 52 GENERAL SCHNIDT Alias: tonsil snap; Schnidt-Sawtell; Adson tonsil Category: clamp Use: clamping tissue; holding tonsil sponge Additional Information: serrated only about halfway up the jaw Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 53 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 53 53 GENERAL DOYEN INTESTINAL FORCEPS Alias: Mayo-Robson Category: clamping Use: clamping bowel tissue Additional Information: straight or curved jaws; longitudinal serrations; cover jaws with clamp covers (linen shods) Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 54 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 54 54 GENERAL ALLEN INTESTINAL FORCEPS Alias: none Category: clamping Use: clamping bowel Additional Information: 1 ⫻ 2 teeth; vertical serrations Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 55 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 55 55 GENERAL BAINBRIDGE ARTERY AND INTESTINAL FORCEPS Alias: Bainbridge forceps Category: clamping Use: clamping bowel Additional Information: longitudinal serrations; straight or curved jaws Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 56 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 56 56 GENERAL STRAIGHT MAYO SCISSORS Alias: suture scissors Category: cutting Use: cutting suture, dressings, drains Additional Information: heavy blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 57 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 57 57 GENERAL CURVED MAYO SCISSORS Alias: dissecting scissors Category: cutting Use: cutting heavy tissue or muscle; dissecting heavy tissue Additional Information: heavy curved blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 58 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 58 58 GENERAL METZENBAUM SCISSORS Alias: Metz Category: cutting Use: cutting or dissecting delicate tissue Additional Information: delicate blades; DO NOT use for cutting suture, drains, heavy tissue Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 59 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 59 59 GENERAL OPERATING ROOM SCISSORS Alias: none Category: cutting Use: cutting tissue, dressings, drains, or sutures Additional Information: two sharp tips, or one sharp and one blunt tip; tips can be delicate to heavy Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 60 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 60 60 GENERAL LISTER SCISSORS Alias: bandage scissors Category: cutting Use: cutting dressings and bandages Additional Information: guarded blade Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:58 AM Page 61 GENERAL 2897_Tab01_001-101 13/06/12 10:58 AM Page 61 61 GENERAL IRIS SCISSORS Alias: none Category: cutting Use: cutting and dissecting fine tissue; cutting fine sutures Additional Information: straight or curved blades; sharp points Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 62 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 62 62 GENERAL BANDAGE AND UTILITY SCISSORS Alias: trauma scissors; trauma shears Category: cutting Use: heavy-duty cutting (clothes, bandages); DO NOT use on tissue Additional Information: serrated blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 63 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 63 63 GENERAL UNIVERSAL WIRE-CUTTING SCISSORS Alias: wire cutter Category: cutting Use: cutting wire sutures, wire, or wire mesh Additional Information: one serrated blade to keep the wire from slipping Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 64 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 64 64 GENERAL WIRE-CUTTING SCISSORS Alias: none Category: cutting Use: cutting wire sutures, wire, or wire mesh Additional Information: straight or curved blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 65 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 65 65 GENERAL #3 SCALPEL HANDLE Alias: knife handle Category: cutting Use: holding a scalpel blade Additional Information: use with #10, #11, #12, or #15 blade Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 66 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 66 66 GENERAL #4 SCALPEL HANDLE Alias: knife handle Category: cutting Use: holding large-sized scalpel blade for cutting heavy tissue or bone Additional Information: use with #20, #21, #22, #23 blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 67 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 67 67 GENERAL #7 SCALPEL HANDLE Alias: knife handle Category: cutting Use: holding a scalpel blade; thinner handle fits in smaller areas Additional Information: use with #10, #11, #12, or #15 blade Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 68 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 68 68 GENERAL #10 BLADE Alias: none Category: cutting Use: generally used to make skin incision Additional Information: use with #3 or #7 knife handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 69 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 69 69 GENERAL #11 BLADE Alias: none Category: cutting Use: making small “puncture” incisions Additional Information: use with #3 or #7 knife handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 70 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 70 70 GENERAL #15 BLADE Alias: none Category: cutting Use: cutting in small areas; incising delicate tissue Additional Information: use with #3 or #7 knife handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 71 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 71 71 GENERAL #21 BLADE Alias: none Category: cutting Use: cutting heavy tissue or bone Additional Information: use with #4 knife handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 72 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 72 72 GENERAL #23 BLADE Alias: none Category: cutting Use: cutting heavy tissue or bone Additional Information: use with #4 knife handle Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 73 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 73 73 GENERAL BLADE KNIFE HANDLE Alias: Beaver blade handle Category: cutting Use: holding knife blades Additional Information: use with series 50, 60, or 70 Beaver blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 74 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 74 74 GENERAL BALFOUR RETRACTOR Alias: none Category: retracting Use: deep abdominal retraction Additional Information: have moistened lap pads (used as padding between retractor blades and tissue) ready to hand to the surgeon; available with interchangeable side and center blades for deep retraction Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 75 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 75 75 GENERAL BOOKWALTER SYSTEM Alias: universal ring retractor system Category: retracting Use: deep retraction in the abdomen and pelvis Additional Information: have moistened lap pads (used as padding be- tween retractor blades and tissue) ready to hand to the surgeon; oval and round rings; various sizes/types of retractor blades; avail- able in bariatric size Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 76 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 76 76 GENERAL OMNI RETRACTOR Alias: omni-tract system Category: retracting Use: exposing underlying structures during vascular procedures Additional Information: includes long and short posts to adjust to inci- sion or patient size Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 77 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 77 77 GENERAL WEITLANER RETRACTOR Alias: none Category: retracting Use: exposing superficial wound Additional Information: self-retaining; sharp or dull; 2 ⫻ 3 prongs (4"), 3 ⫻ 4 prongs (all other sizes) Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 78 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 78 78 GENERAL CEREBELLAR RETRACTOR Alias: Adson cerebellar Category: retracting Use: exposing wound Additional Information: self-retaining; 4 ⫻ 4 prongs; angled shanks Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 79 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 79 79 GENERAL BECKMANN RETRACTOR Alias: Weitlaner Beckmann Category: retracting Use: exposing wound Additional Information: self-retaining; 3 ⫻ 4 prongs; sharp or blunt prongs; hinged arms Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 80 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 80 80 GENERAL GELPI PERINEAL RETRACTOR Alias: none Category: retracting Use: superficial wound exposure Additional Information: self-retaining; single, sharp tines Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 81 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 81 81 GENERAL JOSEPH SKIN HOOK Alias: none Category: retracting Use: retracting skin Additional Information: single or double hook Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 82 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 82 82 GENERAL GUTHRIE DOUBLE SKIN HOOK Alias: Guthrie retractor Category: retracting Use: retracting skin Additional Information: sharp, double prongs Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 83 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 83 83 GENERAL KELLY RETRACTOR Alias: none Category: retracting Use: exposing wound Additional Information: handheld; blade size 40 mm ⫻ 50 mm to 75 mm ⫻ 90 mm; looks like a Richardson retractor, but blade is larger Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 84 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 84 84 GENERAL RICHARDSON RETRACTOR Alias: none Category: retracting Use: exposing wound Additional Information: handheld; blade size 20 mm ⫻ 25 mm to 20 mm ⫻ 50 mm Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 85 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 85 85 GENERAL RICHARDSON-EASTMAN RETRACTOR Alias: none Category: retracting Use: exposing wound Additional Information: handheld; double-ended; small and large sizes Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 86 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 86 86 GENERAL PARKER RETRACTOR Alias: none Category: retracting Use: exposing superficial wound Additional Information: handheld; double-ended; usually used in pairs Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 87 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 87 87 GENERAL GOELET RETRACTOR Alias: none Category: retracting Use: exposing superficial wound Additional Information: handheld; double-ended; usually used in pairs Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 88 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 88 88 GENERAL U.S. ARMY RETRACTOR Alias: Army-Navy Category: retracting Use: exposing superficial wound Additional Information: handheld; double-ended; usually used in pairs Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 89 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 89 89 GENERAL SENN RETRACTOR Alias: none Category: retracting Use: exposing superficial wound Additional Information: handheld; double-ended; sharp or dull prongs; usually used in pairs Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 90 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 90 90 GENERAL HASSON RETRACTOR Alias: “S” retractor Category: retracting Use: exposing wound in laparoscopic incisions Additional Information: handheld Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 91 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 91 91 GENERAL CUSHING VEIN RETRACTOR Alias: none Category: retracting Use: retracting blood vessels Additional Information: handheld; blade 8 mm to 18 mm wide Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 92 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 92 92 GENERAL GREEN RETRACTOR Alias: goiter retractor; loop retractor Category: retracting Use: retracting soft tissue Additional Information: handheld; fenestrated blade Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 93 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 93 93 GENERAL DANDY NERVE HOOK Alias: none Category: retracting Use: retracting nerves Additional Information: blunt tip; tip can be pointed straight, left, or right Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 94 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 94 94 GENERAL VOLKMANN RETRACTOR Alias: rake Category: retracting Use: exposing superficial wound Additional Information: handheld; sharp or blunt tips; can have two to six teeth Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 95 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 95 95 GENERAL MURPHY RETRACTOR Alias: rake Category: retracting Use: exposing superficial wound Additional Information: handheld; similar to Volkmann retractor but has finger grips (prongs) Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 96 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 96 96 GENERAL OLLIER RETRACTOR Alias: none Category: retracting Use: retracting heavy tissue Additional Information: handheld; 2.25" ⫻ 1.75" blades Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 97 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 97 97 GENERAL DEAVER RETRACTOR Alias: none Category: retracting Use: deep wound retraction Additional Information: handheld; blade width varies from 1" to 4" Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 98 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 98 98 GENERAL HARRINGTON RETRACTOR Alias: Harrington sweetheart Category: retracting Use: deep wound retraction Additional Information: handheld; blade width 1" to 2.5" Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 99 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 99 99 GENERAL MALLEABLE RETRACTOR Alias: ribbon Category: retracting Use: deep wound retraction Additional Information: handheld; straight—may be bent to desired shape; width varies from 1" to 3" wide Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 100 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 100 100 GENERAL SAWYER RECTAL RETRACTOR Alias: none Category: retracting Use: retracting anal and/or rectal wall Additional Information: handheld; available blade width 7/8" to 1.5" Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab01_001-101 13/06/12 10:59 AM Page 101 GENERAL 2897_Tab01_001-101 13/06/12 10:59 AM Page 101 101 GENERAL PRATT RECTAL SPECULUM Alias: none Category: viewing Use: retracting and viewing anus and rectum Additional Information: large (2.5 cm) or small (1.7 cm) diameter Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 102 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 102 102 GENERAL | STAPLER PURSE STRING Alias: none Category: suturing Use: applying circumferential strand of suture during esophageal, gastric, colorectal, or thoracic surgery Additional Information: suture held in place by stainless steel staples; single-patient use Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 103 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 103 103 GENERAL | STAPLER EEA STAPLER Alias: intraluminal stapler Category: stapling Use: anastomosing bowel to the stomach or bowel to bowel Additional Information: single-patient use; comes in a variety of diame- ters; creates a circular anastomosis and resects excess tissue Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 104 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 104 104 GENERAL | STAPLER SKIN STAPLER Alias: none Category: stapling Use: closing skin incisions Additional Information: single-patient use; regular or wide width Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 105 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 105 105 GENERAL | STAPLER LIGACLIP STAPLER Alias: none Category: stapling Use: clipping off vessels or ducts during open procedures Additional Information: applies one clip at a time; single-patient use Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 106 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 106 106 GENERAL | STAPLER LINEAR STAPLER Alias: TA stapler Category: stapling Use: stapling across a large tissue area (e.g., creating a gastric pouch, anastomosing bowel, or closing stomach/bowel incisions) Additional Information: single-patient use; 30-mm, 45-mm, 60-mm, or 90-mm staple lines Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 107 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 107 107 GENERAL | STAPLER GIA STAPLER Alias: linear cutter Category: stapling/cutting Use: places two double rows of staples while simultaneously cutting the tissue between rows Additional Information: single-patient use; 60 mm, 80 mm, or 100 mm; hand the surgeon both halves of the stapler so he/she can place it around the desired area of tissue Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 108 GENERAL | STAPLER 2897_Tab02_102-128 13/06/12 12:36 PM Page 108 108 GENERAL | STAPLER CONTOUR CURVED CUTTER/STAPLER Alias: none Category: stapling Use: used during low anterior colon resection Additional Information: puts in four row rows of staples with a cut between the second and third row Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 109 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 109 109 GENERAL RAYTEC Alias: sweep; sponge Category: sponges Use: absorbing small amounts of fluid or blood; blunt tissue dissec- tion; cleaning debris from instruments Additional Information: radiopaque strip embedded in the sponge; used when the surgical incision is small; should NEVER be used as a dressing Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 110 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 110 110 GENERAL LAPAROTOMY SPONGE Alias: laps; lap pads Category: sponges Use: absorbing large amounts of fluid or blood; wiping debris from instruments Additional Information: radiopaque strip sewn onto each one; 12 ⫻ 12 and 18 ⫻ 18 size Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 111 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 111 111 GENERAL LAPAROTOMY TAPE Alias: none Category: sponges Use: absorbing fluid or blood from deep, narrow incisions Additional Information: radiopaque strip sewn onto each one; 4" ⫻ 18" Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 112 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 112 112 GENERAL PEANUTS Alias: Kitners, pushers, dissectors Category: sponges Use: blunt tissue dissection; absorbing very small amounts of fluid or blood Additional Information: contain a radiopaque stripe; mounted on a clamp (e.g., Pean) for use Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 113 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 113 113 GENERAL HIGH-PRESSURE SYRINGE Alias: control syringe; three-ring syringe Category: syringes and needles Use: wound irrigation; medication administration Additional Information: finger rings allow for better control of the rate of medication administration or force of irrigation Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 114 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 114 114 GENERAL ASEPTO SYRINGE Alias: none Category: irrigating syringes Use: wound irrigation Additional Information: most common irrigating syringe; 120-mL capacity Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 115 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 115 115 GENERAL BULB SYRINGE Alias: ear syringe Category: irrigating syringes Use: removal of fluid and mucus from infant’s mouth and nose; irrigation of small wounds or delicate structures Additional Information: single piece construction Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 116 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 116 116 GENERAL TOOMEY SYRINGE Alias: none Category: irrigating syringes Use: irrigation or fluid instillation of tubes and catheters Additional Information: 60-mL capacity Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 117 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 117 117 GENERAL TEGADERM Alias: occlusive dressing Category: dressings Use: wound dressing; dressing over IV site; adhere epidural tubing to skin Additional Information: waterproof; transparent, allowing for wound visualization; available in 2.75" ⫻ 2.75" to 8" ⫻ 12" Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 118 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 118 118 GENERAL KERLIX AND KLING Alias: none Category: dressings Use: securing dressings or splints in place; apply pressure to a wound Additional Information: should be wrapped securely so it does not slip off but should NOT be wrapped so tightly that it impedes circula- tion; after application, check areas distal to the wrap for any sign of impaired circulation Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 119 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 119 119 GENERAL SELF-ADHERENT WRAP Alias: Coban; Flex-wrap Category: dressing Use: secure dressings or splints in place Additional Information: self-adhering; 1" to 6" wide Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 120 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 120 120 GENERAL MONTGOMERY STRAPS Alias: none Category: dressings Use: securing large abdominal dressings in place Additional Information: allows dressing material to be accessed and changed without having to change the adhesive Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 121 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 121 121 GENERAL SUTURE BOOTS Alias: shods Category: accessory Use: protect delicate suture from damage caused by serrated instru- ment jaws Additional Information: come in packages of 10; may be included in the count Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 122 GENERAL 2897_Tab02_102-128 13/06/12 12:36 PM Page 122 122 GENERAL VESSEL LOOPS Alias: none Category: accessory Use: vessel retraction Additional Information: available in narrow or wide; may be included as part of the count Flashcards for Differentiating Surgical Instruments © 2012 F. A. Davis Company 2897_Tab02_102-128 13/06/12 12:36 PM Page 123