Instrument Anatomy
This is the most common type of joint in surgical instruments
What is a box lock
A right angle is classified as a this type of instrument:
What is a clamping instrument
I have a sharp tooth and am used to grasp and hold tough fascia
What is a kocher (Oschner)
This type of cleaning is the first step in the instrument sterilization process
What is point of use cleaning
When not in use at the field, powered instruments should be kept here:
What is on a separate table or mayo stand
This part of the clamp or needle driver helps identify it, and holds onto the tissue or suture.
What are the jaws
Bonus: How do jaws help identify an instrument?
The Balfour, Weitlaner, Gelpi and Bookwalter are examples of this type of retractor.
What is self-retaining
Bonus: What are self-retainers used for? What types of cases?
I am long and slim and the grips on my jaws only go halfway down. I'm often used to pull drains through skin because of my slim figure.
What is a tonsil clamp (or a Schnidt)
This is the only solution that should be used during point of use cleaning.
Sterile water
Bonus: Why?
This type of powered instrument uses a front-to-back action
What is reciprocating
(Think of 2 lumberjacks sawing a log in the forest, or a sternal saw cutting through the breast bone.)
You grab most clamps and needle drivers using these
What are the rings, or finger rings
These scissors are often used for tissue dissection due to their gentle tips.
I am stout and have rounded fatter tips that make me good for holding peanuts or dissecting tissue. I can be short or long.
What is a peon clamp
Instruments with ratchets should be left _______ before being treated and sent to decontamination.
What is left open.
For safety, this should always be kept nearby when using powered instruments
What is irrigation. (To cool the heat generated by blades and drill bits as they are used.)
This is the part of a hemostat that runs from the rings to the box lock.
What is the shank.
A set of Debakey forceps are considered this type of instrument:
What is a grasping instrument (or grasper)
I'm the gentle type that has smooth bulging tips. I like to hold intestines or fallopian tubes without smashing them.
What is a babcock clamp
All of these must be removed from an instrument tray before it is sent down for decontamination.
What are sharps.
(Please keep your co-workers in SPD safe.)
This type of saw uses a side-to-side motion
What is oscillating
This part of a clamp, needle holder or retractor keeps the jaws shut or open when you let go.
What is the ratchet.
(Bonus.. name a retractor that uses ratchets)
The two of these together are used to create an opening in a surgical site for a laparoscopy
What are a trocar and cannula.
I have a wider more gentle set of teeth at my tip, but I'm still strong and can grip and hold all tissues. You'll often see me in gynecologic repairs.
What is an Allis clamp
This temperature fluid is best to use in decontamination to remove blood and bioburden from instruments.
What is cool.
Bonus: Why?
This type of instrument power source uses nitrogen to produce pressure and requires a thick cable and a large tank or source from the wall.
What is pneumatic power