Term
| By what qualities are scissors generally classified? |
|
Definition
| type of points, blade shape, cutting edge |
|
|
Term
| Most common scissors used in surgery? |
|
Definition
|
|
Term
| scissors used to cut fine/thin tissue |
|
Definition
|
|
Term
| scissors used to cut any heavy tissue like fascia, cartilage, muscle masses |
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Definition
|
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Term
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Definition
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|
Term
| forceps with small serrations for good grip with minimal trauma |
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Definition
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|
Term
| hemostatic forceps used to hold off medium-sized vessels or small tissue masses; has serrations on half of jaw |
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Definition
|
|
Term
| hemostatic forceps used to hold off medium-sied vessels or small tissue masses; has serrations on entire length of jaw |
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Definition
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|
Term
| Hemostatic forceps about 8" long, with vertical and horizontal grooves on the jaw near the tip; jaw about 3.5"; used to clamp large vessels or tissue masses |
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Definition
|
|
Term
| Name some hemostatic agents (hint: substances, not tools): |
|
Definition
| -bone wax, gelatin/cellulose products (SurgiCel, Gelfoam) |
|
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Term
| Name some hemostatic agents (tools): |
|
Definition
| -metal clips/staples (Surgiclips, LDS) |
|
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Term
| When using a clip or staple on a blood vessel, the vessel should be __ - __ of the clip's size, and vessel should compress to <___mm. |
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Definition
|
|
Term
| electrocautery vs electrocoagulation |
|
Definition
electrocautery: needle tip / scalpel heated before applied to tissue
electrocoagulation: heat generated in tissue as high freq current passes through |
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Term
| Excessive use of ___ retards healing. |
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Definition
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Term
| Self-retaining retractor frequently used in soft tissue Sx, particularly abdominal procedures; has 3rd blade for cranial retraction |
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Definition
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|
Term
| Self-retaining retractor used for thoracotomies; adjustable blades and sturdy construction; large or small sizes |
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Definition
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Term
| Instrument that has cupped tips with sharp edges and squeeze-action handles; used to break up bone for grafting or remove unnecessary bone |
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Definition
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|
Term
| tool used to scrap surface of dense tissue |
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Definition
|
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Term
| tools used for cutting into bone |
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Definition
|
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Term
|
Definition
|
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Term
| double-ended retractor with 3 curved prongs on one end, and a flat, curved blade on the other |
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Definition
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Term
| instrument used to remove periosteum |
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Definition
|
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Term
| instrument used in open castrations to crush and sever spermatic cord |
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Definition
|
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Term
| instrument used in closed castrations in a clamping manner, especially in areas where flies are a problem |
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Definition
|
|
Term
| large tool for removing horns |
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Definition
|
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Term
| Instruments are usually made of ___ ___, a compound of ___, ___, and ___. |
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Definition
| stainless steel, a compound of iron, chromium, and carbon |
|
|
Term
|
Definition
stainless steel with higher carbon content, making it harder
-cutting instruments |
|
|
Term
|
Definition
stainless steel with higher chromium and lower carbon content, resulting in less strength
-hemostats, needle holders |
|
|
Term
| What might be added to an austenitic needle holder? Why? |
|
Definition
| tungsten carbide inserts to increase durability |
|
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Term
| 5 steps of producing surgical instruments? |
|
Definition
1. forging
2. milling
3. tempering
4. passivation
5. polishing |
|
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Term
|
Definition
| using a chemical bath to remove particles, strengthen steel, and protect against rust |
|
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Term
| Describe the basic parts of a surgical instrument: |
|
Definition
-jaw or tip
-box lock (only if ring handles present)
-shank or shaft
-ratchet (only if ring handles are present)
-ring handles (if present) |
|
|
Term
| What parts of a surgical instrument are only found on items with ring handles? |
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Definition
|
|
Term
| What are operating scissors used for? |
|
Definition
| cut only inanimate objects |
|
|
Term
| Designs of operating scissors? |
|
Definition
-straight or curved
-sharp or blunt tips |
|
|
Term
| Design of Mayo dissecting scissors? |
|
Definition
-thick blades approx. 1/3 total length
-straight or curved blades |
|
|
Term
| Design of Metzenbaum dissecting scissors? |
|
Definition
-thin, delicate blades approx. 1/4 total length
-long, thin shaft
-straight or curved blades |
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|
Term
| Design of suture removal scissors? |
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Definition
|
|
Term
| Where are suture scissors usually found? |
|
Definition
| -treatment area or exam room, not packs |
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|
Term
| How many styles of hemostat are typically used in vet med? |
|
Definition
|
|
Term
| Hemostatic forceps with small jaws, fine horizontal serrations on whole length of tip |
|
Definition
|
|
Term
| extremely strong forceps that is quite traumatic; crushing jaw design with one raised and one recessed jaw; can be used for any vessel and tissue that does not need to be viable |
|
Definition
|
|
Term
| Which "hemostatic" forceps is not a true hemostat? |
|
Definition
|
|
Term
| Hemostatic forceps about 8" long, with horizontal serrations on whole length of jaw; jaw about 3.5"; used to clamp large vessels or tissue masses |
|
Definition
|
|
Term
| The only instrument designed with the intent of holding metal? Significance of this? |
|
Definition
| needle holders- don't use anything else to hold needles or place scalpel blades on handles |
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|
Term
| Small needle holder used for SA, special species, and extraocular surgery? |
|
Definition
|
|
Term
| Needle holder with scissors built into the jaws? |
|
Definition
|
|
Term
| Commonly used needle holder that comes in various lengths? |
|
Definition
|
|
Term
| Needle holder similar to Mayo-Hegar, but with more delicate jaw? |
|
Definition
|
|
Term
| Which scalpel blades fit on No. 3 handle? |
|
Definition
|
|
Term
| Which scalpel blades fit on No. 4 handle? |
|
Definition
|
|
Term
| Use a ___ grip to hold a scalpel. |
|
Definition
|
|
Term
| Most common scalpel blade used in SA Sx? |
|
Definition
|
|
Term
| Scalpel blade used primarily for skin incisions? |
|
Definition
|
|
Term
| Scalpel blade that tapers to a point and is used for stab incisions? |
|
Definition
|
|
Term
| Scalpel blade with hook shape and cutting edge on the inside of the hook, often used for feline declaws? |
|
Definition
|
|
Term
| Scalpel blade that has the shape of no. 10, but is half the length? |
|
Definition
|
|
Term
| Instruments that resemble tweezers are called _______. What are they used for? |
|
Definition
-thumb tissue forceps
-grasp and retract tissue on short-term |
|
|
Term
| With which hand do you hold thumb tissue forceps? |
|
Definition
|
|
Term
| Thumb tissue forceps originally designed as a cardiovasc. instrument, with ridge/groove design instead of teeth; used for delicate tissue in thoracic, vascular, or neuro. procedures? |
|
Definition
| DeBakey thoracic thumb tissue forceps |
|
|
Term
| Thumb tissue forceps with straight shaft, length of 5-12", and tips of 1x2 or 3x4 teeth? |
|
Definition
|
|
Term
| Thumb tissue forceps with traumatic, bulky tip, general used on tissues to be removed? |
|
Definition
| Russian thumb tissue forceps |
|
|
Term
| Thumb tissue forceps with a very narrow tip and 1/2" shaft, with various tips? |
|
Definition
| Adson thumb tissue forceps |
|
|
Term
| Name the 3 tips for Adson thumb tissue forceps. |
|
Definition
| Adson dressing, Adson-Brown, Adson 1x2 |
|
|
Term
|
Definition
| Forceps tip with no teeth, but has flat serrations for gripping dressing |
|
|
Term
|
Definition
| Forceps tip with 2 parallel rows of 9 shallow teeth on each tip |
|
|
Term
| Which Adson tip is a common general Sx forceps, found in most gen Sx packs? |
|
Definition
|
|
Term
|
Definition
| Forceps tip with 1 tooth on one tip, and 2 teeth on other tip; these teeth interdigitate and can be traumatic |
|
|
Term
| Not a hemostat or thumb tissue forceps; has a traumatic 3x4 or 4x5 tip and ringhandles; used to grasp rough tissue or tissue being removed |
|
Definition
|
|
Term
| Handheld, double-ended retractor with different lengths of blades; no teeth |
|
Definition
|
|
Term
| Handheld, double-ended retractor with one narrow, blunt blade, and one toothed, traumatic end; teeth can be sharp or blunt |
|
Definition
|
|
Term
| Self-retaining retractor with single, sharp-pointed tips, useful in orthopedic or neurologic Sx |
|
Definition
|
|
Term
| Self-retaining retractor with sharp or blunt teeth in the jaw, used more often in orthopedic Sx |
|
Definition
|
|
Term
|
Definition
| instruments used to secure sterile drapes to the patient during surgery, or to secure sterile drapes to one another |
|
|
Term
| The most common style of towel clamp? |
|
Definition
|
|
Term
| Common style of towel clamp, with penetrating tips and 3.5 or 5.5" sizes |
|
Definition
|
|
Term
| Towel clamp with balls on tips to prevent placing it too deeply into the tissue |
|
Definition
|
|
Term
| Penetrating towel clamp with squeeze-handle mechanism; more delicate and lightweight; good for smaller patients |
|
Definition
|
|
Term
| Non-penetrating towel clamp in 3.5 or 5.5" sizes; good for securing second-layer drapes to ground drapes |
|
Definition
|
|
Term
| Instrument used to find and exteriorize uterine horns during spay of k9/fe |
|
Definition
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|
Term
| Instrument used to assist solo vet during spay; isolates uterine horn |
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Definition
|
|
Term
| Spring mounted on a metal base that stores "eyed" free needles during autoclaving. |
|
Definition
|
|
Term
| Instrument that aids in the cutting of the linea alba by providing a channel along which the scalpel can slide. |
|
Definition
|
|
Term
| Instrument with two teeth on one side and one tooth on the other; used to remove staples |
|
Definition
|
|
Term
| item used to hold saline for lavage or to store sharps during procedure; should be at least one in every instrument pack |
|
Definition
|
|
Term
| What instruments can be used as intestinal clamps? |
|
Definition
| Rochester-Carmalt if tissue is being removed. Doyen or Babcock if tissue is remaining in patient. |
|
|
Term
| ____ intestinal forceps resemble the ____ tissue forceps. |
|
Definition
|
|
Term
| Penetrating towel clamp with squeeze-handle mechanism; more delicate and lightweight; good for smaller patients |
|
Definition
|
|
Term
| Non-penetrating towel clamp in 3.5 or 5.5" sizes; good for securing second-layer drapes to ground drapes |
|
Definition
|
|
Term
| Instrument used to find and exteriorize uterine horns during spay of k9/fe |
|
Definition
|
|
Term
| Instrument used to assist solo vet during spay; isolates uterine horn |
|
Definition
|
|
Term
| Spring mounted on a metal base that stores "eyed" free needles during autoclaving. |
|
Definition
|
|
Term
| Instrument that aids in the cutting of the linea alba by providing a channel along which the scalpel can slide. |
|
Definition
|
|
Term
| Instrument with two teeth on one side and one tooth on the other; used to remove staples |
|
Definition
|
|
Term
| item used to hold saline for lavage or to store sharps during procedure; should be at least one in every instrument pack |
|
Definition
|
|
Term
| What instruments can be used as intestinal clamps? |
|
Definition
| Rochester-Carmalt if tissue is being removed. Doyen or Babcock if tissue is remaining in patient. |
|
|
Term
| ____ intestinal forceps resemble the ____ tissue forceps. |
|
Definition
|
|
Term
| How do the Babcock intestinal forceps differ from the Allis tissue forceps? |
|
Definition
| Babcock has tips with tiny bumps, Allis has teeth |
|
|
Term
| Retractors that can be conformed to desired size and shape are called ___. |
|
Definition
|
|
Term
| Name some thoracic forceps: |
|
Definition
| Satinsky, Cooley, and 90-degree Mixter |
|
|
Term
| What are thoracic forceps used for? |
|
Definition
| clamp off vessels during thoracic Sx |
|
|
Term
| What instruments do you need to perform a punch biopsy? |
|
Definition
| punch biopsy instrument, Metzenbaum scissors, and thumb tissue forceps |
|
|
Term
| Usual sizes of punch biopsies? |
|
Definition
|
|
Term
| Instrument that takes a small piece of tissue (approx size of pencil lead) for microscopic evaluation? |
|
Definition
| needle punch biopsy instrument |
|
|
Term
| Ultrasound-guided biopsies of organs often use this instrument... |
|
Definition
| needle punch biopsy instrument |
|
|
Term
| What instruments are used for bone biopsy? |
|
Definition
| Michele trephine or Jamshidi biopsy needle |
|
|
Term
| A small, less invasive bone biopsy is done with ___, whereas a larger sample and more invasive procedure are done with ___. |
|
Definition
small: Jamshidi biopsy needle
large: Michele trephine |
|
|
Term
| What are bone holding clamps used for? |
|
Definition
| to hold bone together until fixation can be achieved |
|
|
Term
| What are periosteal elevators used for? |
|
Definition
| to elevate periosteum from bone so that implants can be placed |
|
|
Term
| Most popular periosteal elevator? What are some others? |
|
Definition
most popular = Freer
others include ASIF, Synthese and Adson |
|
|
Term
| What happens to little bone chips that are too small to attach? |
|
Definition
| small pieces packed around fracture line to encourage new osteoblast formation and promote healing |
|
|
Term
| Instruments with squeeze handles and spring action, cutting-edged tips to cut through bone |
|
Definition
|
|
Term
| Single-handed instruments with cupped tip and sharp edges, used to harvest bone graft material or shape/scrape bony surfaces |
|
Definition
|
|
Term
| Instrument used to hold and drive intramedullary pins |
|
Definition
| Hand Chuck / Jacob's Chuck |
|
|
Term
| Surgical power tools can be powered by... |
|
Definition
| compressed nitrogens, batteries, or electricity |
|
|
Term
|
Definition
| dynamic compression plate |
|
|
Term
| Implants made from metal, ranging from 1/16 - 1/2"; used to stabilize fractures or soft tissue |
|
Definition
|
|
Term
| These instruments can be smooth-tipped or threaded. |
|
Definition
|
|
Term
| How are intramedullary pins placed? |
|
Definition
| hand chuck, or compressed nitrogen or electric drill |
|
|
Term
| Instrument used to remove excessive intramedullary pin after it is placed in the bone |
|
Definition
|
|
Term
| How is orthopedic wire secured? |
|
Definition
| wire twister, or previously used needle holders |
|
|
Term
| Bone plates are made of... |
|
Definition
| stainless steel, unless they are vertebral plates, which are plastic |
|
|
Term
| The width number on a bone plate refers to... |
|
Definition
| how big of a screw should be used |
|
|
Term
| The length number on a bone plate refers to... |
|
Definition
| # holes available to be filled with screws |
|
|
Term
| How can bone plates be bent and conformed to the shape of the bone? |
|
Definition
| handheld bone plate benders or TT plate bender |
|
|
Term
| After a hole is made in the bone, what instrument is used? Why? |
|
Definition
| depth gauge to determine how long of a screw you need |
|
|
Term
| What is used to prethread a hole in bone for a screw? |
|
Definition
|
|
Term
| External fixation implants are often used for what kind of Fx? |
|
Definition
|
|
Term
| Which is preferred: double-action or single-action rongeurs? |
|
Definition
|
|
Term
| A drill with burrs that removes 3 layers of lamina, exposing the spinal cord. |
|
Definition
| Hall air drill, pneumatic drill |
|
|
Term
| Some intraocular procedures can use what kind of scalpel and handle? Alternative instrument? |
|
Definition
| no. 15 blade on no. 3 handle, or Beaver blade |
|
|
Term
| Instrument most useful in the removal of an eyelid tumor? |
|
Definition
|
|
Term
| Instrument used to retract eyelids away from surgical site? |
|
Definition
|
|
Term
| Instruments used to unblock lacrimal duct? |
|
Definition
|
|
Term
| Examples of thumb tissue forceps for ocular procedures? |
|
Definition
| iris 1x2, Bishop-Harmon, Colibri |
|
|
Term
| Many scissors used in ocular surgery have _____ operation. |
|
Definition
|
|
Term
| General Sx tool modified for use in ocular procedures? |
|
Definition
| baby Metzenbaum dissecting scissors |
|
|
Term
| Scissors designed specifically for ocular procedures? |
|
Definition
|
|
Term
| What general-purpose utility scissors are used in ophthalmology? How do these differ? |
|
Definition
Stevens tenotomy scissors & iris scissors
Iris scissors: longer blade that tapers at a more constant rate, sharper points |
|
|
Term
| Needle holders used in ocular procedures? |
|
Definition
extraocular: small Mayo-Hegar or Derf
intraocular: Castroviejo |
|
|
Term
| Sponges used in ocular procedures? |
|
Definition
extraocular: regular, radiopaque surgical sponges
intraocular: sterilized cotton-tipped applicators or surgical spears |
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|
