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(BQ) Part 2 book Surgical instruments - A pocket guide presents the following contents: Suture Devices/needle holders, suction tips, dilators probes, minimally invasive surgical instruments, internal staplers, surgical power tools, routine instrument sets.
CHAPTER 5 Suture Devices/Needle Holders Suture devices are surgical instruments used to hold and pass suture needles through tissue They are also used to close wounds 239 240 Clip Applier/Ligating USE • To apply vessel ligating clips VARIETIES • Small, medium, large, or extra large clips; curved or right-angled jaws; long or short handles; handles sometimes color-coded to match ligating clip cartridges Suture Devices/Needle Holders 241 242 Clip Applier/Raney USE • To apply a hemostatic clip (disposable) to scalp incision edges during craniotomy, craniofacial surgery, or plastic surgery (e.g., brow lift) VARIETIES • One size Suture Devices/Needle Holders 243 244 Needle Holder/Baumgartner USE • To hold heavy plastic surgery needles VARIETIES • One standard size (5 inches); recommended for suture sizes 2-0 and larger Suture Devices/Needle Holders 245 246 Needle Holder/Brown USE • To apply sutures in superficial tissue (e.g., plastic surgery) VARIETIES • to inches long Suture Devices/Needle Holders 247 248 Instrument Index Needle holders Scissors Item(s) PAR Gigli saw Gigli saw handle Nerve hook Rumel 7˝ Sarot 8˝ Vascular 9˝ Vascular Mayo-Hegar Sternal French eye, long Potts Metzenbaum Metzenbaum, long Metzenbaum, extra long Short heavy straight Wire cutter/sternal Long suture 1 2 2 1 Instrument Index Forceps Clamps 1 Item(s) ″ Diamond tip 7˝ DeBakey 10˝ DeBakey 12˝ DeBakey Russian Adson 8˝ Toothed Mosquitoes, curved Mosquitoes, straight Hemostats, curved Hemostats, straight Kellys Kellys, long Kochers Kochers, long Allises Allis, long Allis, Judd PAR 2 2 2 4 6 2 4 Continued 11 Routine Instrument Sets 407 408 Thoracic, Thoracotomy, Major—cont’d Instrument Index Item(s) Criles Crile, extra long Mixtures Mixtures, fine tip Mixtures, snub nose Babcock, long Bronchus DeBakey, angled DeBakey clamp DeBakey, straight Harkin Lorenz, angled PAR 2 2 2 2 1 Instrument Index Item(s) Tubing Satinsky, large Satinsky, medium Satinsky, small Fogarty, small angled Fogarty, small straight Duvall Lovelace Spoon Sponge stick Towel clips PAR 1 1 1 SET • Urology, Urology Tray, Robotic USE • Robotic radical prostatectomy, sacrocolpopexy with sling and pyeloplasty Instrument Index Tray Forceps Item(s) PAR Robotic instrument Bipolar Maryland Cadiere 11 1 Instrument Index Needle driver Scissors Routine Instrument Sets Item(s) Large Suture cut Monopolar, curved Round tip PAR 1 1 409 410 SET • Vascular, Hickman USE • Port access, Hickman placement, portacath placement, phoresis catheter placement, catheter removals Instrument Index Retractors Scissors Item(s) Weitlaner, blunt Mastoid, small Three-prong rake, blunt Three-prong rake, sharp Maison Vein Army-Navy Band Metzenbaum, regular PAR Instrument Index 2 2 2 Forceps Clamps Item(s) Metzenbaum, baby Church Nurse’s Suture Short smooth Short tooth Adson, toothed Vascular, short 7˝ Vascular Mosquitoes, curved Mosquitoes, straight PAR 1 1 2 2 10 Instrument Index Suction tips Item(s) PAR Hemostat, curved Hemostat, straight Jacksons Kellys Kelly, long Allises Beck Towel clips, small Crile, long Sponge stick Plastic Frazier 11 6 2 1 1 Instrument Index Scalpel handles Miscellaneous Routine Instrument Sets Item(s) #3 #7 Probe Groove director Webster cannula Coronary dilators (1.0, 1.5, 2.0, 2.5, 3.0) Solution basin Cups Needle holder Webster 7˝ Mayo-Hegar PAR 1 1 2 411 412 SET • Vascular, Major USE • Abdominal aneurysm, kidney transplant, kidney-pancreas transplant Instrument Index Retractors Deavers Item(s) Shallow Deep Broad Cushing vein Army-Navy Kelly Richardson, large Weitlaner Beckman, deep sharp Malleable Bands PAR 2 2 1 Instrument Index Suctions Hemoclip appliers Item(s) #9 and #10 Frazier, short #11 Frazier, long Nerve hook Groove director Probe Ruler Small Medium Large PAR 2 1 1 2 Instrument Index Scalpel handles Scissors Forceps Item(s) PAR #3 #7 #3, long Metzenbaum, regular Metzenbaums, long Metzenbaum, extra long Long suture Nurse’s Suture Church 7˝ Potts Lincoln 7˝ Vascular 9˝ Atragrip Long smooth Adson, toothed Russians 1 Instrument Index Clamps 1 1 1 2 Item(s) 7˝ Titanium rhoton Short toothed Blue burners, long Jacksons Mosquitoes, curved Mosquitoes, straight Hemostats, curved Hemostats, straight Kellys Kellys, long Kochers Allises Allises, long Criles Mixtures Sponge sticks Towel clips Crafoord, Shod PAR 2 2 6 2 6 6 12 Continued 11 Routine Instrument Sets 413 414 Vascular, Major—cont’d Instrument Index Item(s) Crafoord, super Fogarty, long straight Fogarty, long angled Aortic Satinsky, super flatback Satinsky, super curved back Beck Cooley Fogarty, short straight Fogarty, short curved Bent handle aortic PAR 2 1 4 Instrument Index Needle holders Vascular instruments Item(s) 10˝ Vascular, long 9˝ Mayo-Hegar 6˝ Mayo-Hegar French eye, long French eye Serot Potts scissors, small Iris scissors, small 5˝ Vascular, fine forceps Castroviejo needle holders PAR 4 2 2 Instrument Index Item(s) PAR Vascular bulldog clamps Cannulae Coronary bulldogs Instrument Index 11 Routine Instrument Sets Item(s) Mueller bulldog, straight Mueller bulldog, curved Coronary dilators PAR 415 416 SET • Vascular, Minor USE • Above the knee, below the knee, AV fistula graft, carotid endarterectomy Instrument Index Retractors Item(s) Deaver, shallow Army-Navy Bands Cushing vein Kelly Richardson Thyroid rakes Weitlaner, dull Weitlaner, small dull Henley Henley blades Beckman, dull deep Oschner PAR 2 2 1 1 Instrument Index Suctions Hemoclip appliers Miscellaneous Scissors Item(s) #12 Frazier, short #4 Frazier, short Small Medium Nerve hook Freer elevator Ruler #3 Knife handles #7 Knife handle Metzenbaum, regular Metzenbaum, long Church PAR 1 2 1 1 1 Instrument Index Forceps Clamps Item(s) PAR 7˝ Potts Nurse’s Suture Suture, large Short smooth Adson, toothed 7˝ Atragrips 7˝ Titanium Rat tooth Jacksons Mosquitoes, curved Mosquitoes, straight Hemostats, curved Hemostats, straight Kellys, short Kochers Allises Towel clips 11 1 1 2 2 4 4 12 Instrument Index Carotids Fine vascular instruments Routine Instrument Sets Item(s) PAR Criles Mixtures Sponge stick Beck Cooley Kellys, long Fogarty, curved Fogarty, straight Crafoord, super Rumel Large Small Special carotid clamps Potts scissors, small Iris scissors, small 5˝ Vascular, fine forceps 2 1 4 1 1 2 Continued 417 Vascular, Minor—cont’d Instrument Index Item(s) PAR Castroviejo needle holder Coronary bulldogs Cannulae Vascular clamps, small Coronary dilators Mueller bulldog, straight 11 Instrument Index 2 5 Needle holders Routine Instrument Sets Item(s) Mueller bulldog, curved 9˝ Mayo-Hegar 6˝ Mayo-Hegar Serot Ravdin PAR 2 2 418 Glossary Angled: Bent, not straight (e.g., in Potts scissors) Atraumatic: Not having a crushing or biting effect on tissue Bayonet: A blade that is offset from the axis of the handle Chisel: A wedge-like instrument with a blade for cutting or chipping Clamp: Device used to hold an object in a fixed position; occluder for blood vessels and other organs Clip: A metal fastener for joining or approximating the edges of a wound Curet (curette): A spoon-shaped instrument for scraping or cutting Curved: Bent, or continuously deviating from a straight line, as in a curved blade or handle Dilator: An instrument used for stretching or enlarging an opening or tube Dissector: An instrument used in dissection Dull: Blunt; not sharp Elevator: An instrument used for lifting or retaining Fine: Having thin or slender jaws or tips; fine scissors, forceps, or clamps have very narrow tips; used for delicate or small, precise procedures (e.g., vascular surgery, plastic surgery, infertility procedures, neurosurgery) Forceps: A two-bladed instrument for handling tissues and dressings 419 420 Heavy: Having broad jaws or tips (e.g., scissors, forceps) that can be used for thick or tough tissue Internal staplers: Specialized staples used in place of sutures in open surgical procedures Knife: A blade with a sharp edge used for cutting Mallet: A hammer-like instrument used for striking objects Minimally invasive endoscopic instruments: Instruments used through small incisions to remove, cut, suture, grasp, or inflate (e.g., for laparoscopic and robotic surgeries) Micro: Small, narrow, or delicate Needle holder: An instrument used to grasp the suturing device Osteotome: A chisel-like instrument used for cutting or marking bone Retractor: An instrument used for grasping, retaining, or holding back tissue for surgical exposure Rongeur: A biting instrument used for cutting tough tissue or bone Saw: A notched blade used for cutting Scissors: A cutting instrument with two shearing blades Self-retaining: Capable of being placed into a fixed position (e.g., a self-retaining clamp) Serrations: The small grooves seen on the edges or tips of an instrument; can be vertical or horizontal Sharp: Implies a point tip when referring to a retractor, such as a rake Smooth: Without teeth; may be serrated, but does not have a projection to penetrate tissue Snare: An instrument with a wire loop for removing a tissue growth by encircling it and closing the loop Suction tip: A hollow tube-like instrument that is attached to a vacuum for suction Surgical instrument: A specifically designed tool or device for performing specific actions of surgery or operations (e.g., modifying biological tissue or providing access for viewing it) Surgical power tools: Instruments used mostly for small and large bone procedures; functions include drilling, shaving, reaming, cutting, tunneling, and fixation Suture: A string-like device, usually made of catgut or nylon, used for joining or approximating tissue (e.g., in wound closure) Toothed: Having small notches or projections used to grasp tissue and prevent the instrument from slipping Traumatic: Having a crushing or biting effect on tissue 421 ... Suction tips are used to remove blood and other fluids from a surgical or operative field to provide better visualization 25 9 26 0 Suction Tip/Abdominal USE • To evacuate a fluid-filled cavity or... color-coded to match ligating clip cartridges Suture Devices/Needle Holders 24 1 24 2 Clip Applier/Raney USE • To apply a hemostatic clip (disposable) to scalp incision edges during craniotomy, craniofacial... abdominal or chest cavity VARIETIES • Straight or curved; metal or disposable; 23 or 30 French diameter Suction Tips 26 7 26 8 Suction Tip/Yankauer USE • To remove fluid during intraoral, intraabdominal,