instuments with sharp edges that are used for incision, sharp dissection, or excision of tissue includes knives, scalpels, scissors
dissecting/cutting
scissors used heavy tissue like muscle or other tough tissue
curved mayo
scissors used to cut suture only
straight mayo
most common dissecting scissor, used for medium to fine tissue
metzenbaum scissors
dissected with curved iris, jamieson, westcott, stephens tenotomy
delicate tissue frequently
used for incisions into ducts, veins or arteries
potts-smith scissors
for hysterectomy
jorgenson scissors
for dural incision
cushing scissors
for microsurgery
for microsurgery
only for wire
wire scissors
angular, double action rongeur
gooseneck rongeur
has one dull end and one rib-stripping end
matson periosteal elevator
used to sever small bones; amputations
single action bone cutter
curved and scooped cutting edge
bone gouge
used to scrape the periosteum off ribs before removal
doyen rib-stripper
biopsy punches, adenotomes nad dermatomes can be classified as what?
cutting instuments
widely used manual drill, used for minor orthopedic procedures
smedburg hand drill
used to scrape inner wall of the uterus in the case of an incomplete abortion
uterine curette
used to scrape the adenoid tissue, usually during "T & A
adenoid curette
used with #7 knife handle and #12 blade, to shell out and dissect tonsils
hurd dissector and retractor(tonsil)
used to reduce and stabalize fractured bone during internal fixation (ex. lowman bone -holding clamp)
grasping/holding
are made with a flattened spring handle tweezer looking
pickups" or "thumb
used to grasp tissue securely for control as when dissecting or surturing
tissue forceps
has small teeth and commonly used to close the skin
adson tissue forceps
used for fine tissue work, has many small teeth
brown tissue forceps
most often used in cardiovascular surgery
debakey tissue forceps
used to pick up dressings or delicate tissue
dressing forceps
commonly used in GYN surgery (hysterectomies)
russion tissue forceps
designed to grasp the appendiz and prevent rupture during removal atraumatic instrument
babcock forceps
used to grasp cervix of the uterus to pull it down further into the vaginal canal
uterine tenaculum
used during surgical prepping and to create a "spong stick" to control hold small sponges in cavitites
sponge forceps
used to grab fibrous, tough, slippery tissues such as fascia; veryh strong; very traumatic to tissue
kocher-oshsner
used during rectal surgery and lung work. also used for grasping the uterine layers during closure of c-section; triangualr tips
pennington forceps
small spring loaded devices
bulldog clamps
hemostatic clamps are desgned to?
occlude bleeding vessels until they can ligated
strong right angle clamp used for hemostasisor grafting in award places
mixter right angle forcep
medium sized hemostat, usualy used in most normal adult surgery
crile
larger size usually requested if desired;horizontal serrations
kelly
general purpose large forceps; allows the tissue to be pulled lateraly; vertical serrations
carmalt forceps
smallest hemostat, ususally used on pediatrics or delicate surgery
mosquito(halstead)
gentle atraumatic clamp with great deal of spring in the jaws
doyen intestinal clamp
clamps vessels and uterine ligaments during hysterectomy
heaney hysterectomy forceps
similar to crile, with longer shank; can be used in deep wounds and in the deep throat, can be used to hold tonsil sponges
schnidt tonsil hemostat
lateral curve on each end with one end longer than the other
army-navy retractor
one end has sharp or dull claws and the other end is a small, lateralbent blade
senn retractor
smooth flat metal strip woth rounded ends
ribbon retractor
flat, stainless steel strip that resembles a question mark, varies in width
deaver retractor
one end has claws that may be blunt or sharp
rake retractor
curved at one end ith concave channel that leads to bottom
sims retractor
tips have outward curved prongs
weitlander retractor
two outward-turned sharp prongs, one on each side
gelpi retractor
lateral wire blades with interchangable center blade
balfour retractor
small retractor used to retract skin in ear procedures
mastiod retractor
instruments used to hold a curved suture needle for suturing
needle holders
malleable, wire like instraments to explore fistulas or ducts
probing
used to gradually dilate an orfice or duct to allow introduction of larger instumentation or to open a structure
dilating
used to remove blood and bodily fluids from the operative site
suctioning
used to examine the interior of body cavities, hollow organs or structures and to perform certain procedures through them
viewing
the points of an instrument
tip
hold tissue securely, serrated for easier grasp of tissue
jaws
controls the opposing jaws of the instument
box lock
are between the box lock and finger ring
shank
interlock to keep the instrument locked shut when instrument is closed; should mesh together smoothly
ratchet
use to ease holding
finger rings