Other Names: Koch, Ochsner
Use(s): Used for grasping tough, fibrous, slippery tissues such as muscle and fascia.
Description: The jaws have horizontal serrations and two to one large interlinking teeth at the tip.
Instrument Insight: It is important to ensure the teeth are properly aligned and in working order before use.
CAUTION: Exercise care when handling forceps with teeth. The sharp teeth can easily compromise the integrity of your gloves and those of the surgeon.
Back
Dialater
Front
Graduated smooth instrument that is used to increase the diameter of an anatomical opening in tissue.
Back
Sterile Ruler
Front
Back
Curettage
Front
The removal of tissue by scraping with a surgical curette
Back
Plain tissue Forceps
Front
Other Names: Semken dressing forceps, smooth forceps, tissue forceps without teeth
Use(s): Used for grasping tissue and dressing application.
Description: Atraumatic tissue forceps with horizontal serrated tips that vary from fine to heavy.
Back
Debakey
Front
Other Names: DeBakey's, DeBakes
Use(s): Grasps numerous types of tissue; commonly used in cardiac, vascular surgery, and gastrointestinal procedures.
Description: An atraumatic tissue forceps with an elongated, narrowed blunt tip. A set of parallel fine serrations runs the length of one jaw with a center row of serrations on the opposite side that interlocks to grip when
Back
Army navy Retracter
Front
Back
Adson forceps
Front
Other Names: Tonsil Schnidt, fancy clamp
Use(s): Clamps small vessels in a deep wound or holds tonsil sponges.
Description: A fine curved or straight clamp with horizontal serrations running halfway down the jaws. The shanks are longer than those of a Crile or a Kelly
Back
Chinsel
Front
An orthopedic instrument used to slice bone one side is straight and the other is beveled
Back
Towel CLip
Front
Other Names: Backhaus towel clip, Roeder towel clip, Jones
Use(s): Used for holding towels in place when draping, when grasping tough tissue, and during reduction of small bone fractures.
Description: A ratcheted instrument with curved, sharp, tine-like jaws.
Instrument Insight: Used in all disciplines. Never use penetrating clips to attach the electrosurgical unit (ESU), suction, or any other item to the drapes. This will perforate the drapes and compromise the sterile field.
CAUTION: When clipping towels together, be careful not to penetrate the patient's skin.
Back
Mayo-Hegar
Front
Other Names: Heavy Needle driver
Use(s): Used for holding heavy needles when suturing.
Description: A broader jaw that is rounded at the tip with crisscross pattern on the inner jaws.
Instrument Insight: The type of procedure and depth of the wound will determine the type and size needle holder.
Back
Sweetheart
Front
Other Names: Sweetheart, Harrington heart
Use(s): Used for retraction deep in an abdominal wound; often used to retract the liver and intestine.
Description: Has a grip handle that extends into a curved, flat, stainless-steel strip. The end of the blade enlarges into a heart shape. The heart-shaped portion is overlaid with a smooth ridge to decrease the chance of injury to an organ.
Back
pituitary
Front
Other Names: Pituitary forceps, bean rongeur
Use(s): Used for removing herniated disk fragments when performing a diskectomy.
Description: A finger-ringed instrument with a long shaft that extends to narrow, elongated, oval cup jaws. The jaws may be straight, up-angled, or down-angled.
Instrument Insight: Always have a moistened sponge ready when handing the surgeon a rongeur. As the surgeon works to remove tissue, the rongeur has to be cleaned between uses. While focusing on the wound, the surgeon will point the tip of the rongeur toward the surgical technologist. Using a moistened sponge, the surgical technologist will grasp the tissues from the jaws.
Back
Curved Mayo
Front
Other Names: Heavy tissue scissors
Use(s): Dissect or undermine heavy fibrous tissues.
Description: Heavy scissors with curved blades and blunt or sharp tips.
Instrument Insight: Tissue scissors are intended to cut tissue only and sho
Back
senn miller
Front
Back
Sims Uterine Sound
Front
Other Names: Sound, depth gauge
Use(s): This instrument is inserted into the cervical os to measure the depth of the uterus from the cervix to the back of the uterus or the fundus. The purpose for measuring the uterus is to prevent perforation of the uterus while curetting of the endometrial lining during a D&C.
Description: A long narrow probe that is malleable and is calibrated in inches or centimeters.
Back
poole suction tip
Front
Back
richardson retractor
Front
Back
Ferris Smith
Front
Other Names: Big ugly's
Use(s): Grasps heavy tissue, muscle, and bone; often used in orthopedics, spinal, and obstetrics surgery.
Description: This is always the same size and shape. The tips have two to one interlocking large teeth followed by a crisscrossed pattern serration.
Instrument Insight: it is important to ensure that the teeth are properly aligned and in working order before use.
CAUTION: Exercise care when handling forceps with teeth. The sharp teeth can easily compromise the integrity of your gloves, skin and those of the surgeon.
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Instrument: RUSSIAN TISSUE FORCEPS
Other Names: Star, Russian star, Russians
Use(s): Used for grasping dense tissues and used during wound closure.
Description: Rounded tips with starburst pattern serrations.
Back
Crile
Front
Other Names: Hemostat, snap, clamp, Kelly, stat
Use(s): Used for occluding bleeders before cauterization or ligation.
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Description: A curved or straight clamp with horizontal serrations
Back
Debakey forceps
Front
Other Names: DeBakey's, DeBakes
Use(s): Grasps numerous types of tissue; commonly used in cardiac, vascular surgery, and gastrointestinal procedures.
Description: An atraumatic tissue forceps with an elongated, narrowed blunt tip. A set of parallel fine serrations runs the length of one jaw with a center row of serrations on the opposite side that interlocks to grip when
Back
brown
Front
Use(s): Used for grasping superficial delicate tissues. Often used in plastic or hand surgery.
Description: On each side of the tip there are two rows of multiple teeth that interlock when closed.
Instrument Insight: All Adson tissue forceps are the same size and shape. They are differentiated by the inner tips. It is important to ensure that the teeth are properly aligned and in working order before use.
Description: On each side of the tip there are two rows of multiple teeth that interlock when closed.
Instrument Insight: All Adson tissue forceps are the same size and shape. They are differentiated by the inner tips. It is important to ensure that the teeth are properly aligned and in working order before use.
Back
Deaver retractor
Front
Back
Gia
Front
Other Names: GIA stapler
Use(s): Often used during gastric or bowel surgery for resection and reanastomosis. Also used to transect tissues in thoracic, gynecological, and pediatric procedures.
Description: Disposable, reloadable stapler that distributes two double-staggered rows of titanium staples while cutting the tissues between the rows. The length is determined by the tissue to be excised. This stapler comes in 60-mm, 80-mm, and 100-mm lengths.
Instrument Insight: Activation is accomplished by sliding the firing knob on the sides of the stapler forward until it stops completely. The manufacturer recommends that the stapler can be reloaded seven times for a total
Back
Tonsil schni
Front
Back
Kerrison
Front
Other Names: Up-biter
Use(s): Used for biting off bone.
Description: Gripped handles with a 4-inch shaft and chisel-edge punch at the working tip. The punch tip is available in 3-, 4-, 5-, and 6-mm bites.
Instrument Insight: This rongeur can also have the biting edge positioned downward, called a down-biter or back biter. Always have a moistened sponge ready when handing the surgeon a rongeur. As the surgeon works to remove tissue and/or bone, the rongeur has to be cleaned between uses. While focusing on the wound, the surgeon will point the tip of the rongeur toward the surgical technologist. Using a moistened sponge, the surgical
Back
Box Lock
Front
The hinge point of many surgical instrument
Back
Metzenbaum scissors
Front
Other Names: Metz, tissue scissors
Use(s): Dissect and undermine delicate tissues.
Description: Longer, thinner scissors with curved or straight blades that can have blunt or sharp tips.
Instrument Insight: Tissue scissors are intended to cut tissue only and should never be used to cut suture or other items. Inappropriate use of the scissors will cause the blades to become dull and not function properly.
Back
Curved Iris
Front
Use(s): Cut tissues during fine dissection.
Description: Small curved or straight scissors with fine blades and sharp tips.
Instrument Insight: Straight iris scissors are sometimes used to cut very delicate sutures. Curved scissors are for tissue dissection only.
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CAUTION: Never place heavy instruments on top of delicate scissors. Never use curved delicate scissors for anything other than delicate tissue dissection because they will dull quickly.
Back
Duvall Lung Clamp
Front
Back
Adson forcep
Front
Use(s): Used for grasping delicate tissue.Use(s):
Description: Fine tips with horizontal serrations.
Instrument Insight: All of the Adson tissue forceps are the same size and shape. They are differentiated by the inne
Description: Fine tips with horizontal serrations.
Instrument Insight: All of the Adson tissue forceps are the same size and shape. They are differentiated by the inner tips.
Back
Yankauer
Front
Other Names: Tonsil suction tip, oral
Use(s): Used for suctioning in all types of wounds. It allows for effective suctioning without aspiration damage to the surrounding tissue.
Description: A hollow plastic tube with a grip handle and a slightly bent shaft that terminates with a bulbous tip and large opening.
Instrument Insight: The disposable Yankauer is the most widely used suction tip.
Back
Allis
Front
Use(s): Used for lifting, holding, and retracting slippery dense tissue that is being removed. Commonly used for tonsils; for vaginal, breast, and thyroid tissues; or for grasping bowel during a resection.
Description: Curved or straight with multiple, interlocking fine teeth at the tip that reduce injury to the tissues.
Instrument Insight: It is important to ensure the teeth are properly aligned and in working order before use.
Back
Debakey Forceps
Front
Other Names: DeBakey's, DeBakes
Use(s): Grasps numerous types of tissue; commonly used in cardiac, vascular surgery, and gastrointestinal procedures.
Description: An atraumatic tissue forceps with an elongated, narrowed blunt tip. A set of parallel fine serrations runs the length of one jaw with a center row of serrations on the opposite side that interlocks to grip when
Back
straight mayo scissors
Front
Other Names: Suture scissors
Use(s): Used for cutting suture.
Description: Heavy scissors with straight blades.
Instrument Insight: Use the very tips of the scissors when cutting suture. Slightly rotate the scissors to visualize the knot or the appropriate length of the suture tail that will remain.
Back
Alloy
Front
A combination of several different kinds of metals . Alloys are used in manufacture of stainless steel .
Back
Forester Sponge stick
Front
Other Names: Fletcher, sponge stick, ring forceps
Use(s): Used for creating a sponge stick, for grasping tissues such as the lungs, or for removing uterine contents.
Description: Can be curved or straight and has two round tips with horizontal serrations.
Instrument Insight: To assemble a sponge stick, fold a 4 × 4 Raytec in thirds and then in half and attach it to the ring forceps. A sponge stick can be used for the surgical preparation (painting), to absorb blood, or for blunt
Back
Webster
Front
Use(s): Used for holding small suture needles during delicate procedures.
Description: A small, fine needle holder with carbide cross-hatch pattern serrations on the inner jaws.
Back
Mosquito
Front
Other Names: Mosquito, Hartman
Use(s): Used for occluding bleeders in small or superficial wounds before cauterization or ligation. Used often for delicate or small, confined procedures. Some examples are plastics, pediatric, thyroid, and hand procedures.
Description: A small, curved or straight clamp with fine tips and horizontal serrations that run the length of the jaws.
Instrument Insight: These forceps are much smaller than a Crile or a Kelly.
Back
Double action Rongeur
Front
A bone cutting instrument with two hinges in the middle . This Increases leverage and strength of the instrument
Back
Babcock
Front
Use(s): Used for grasping and encircling delicate structures such as ureters, fallopian tubes, bowel, ovaries, and appendix.
Description: An atraumatic forceps with a flared, rounded, hollow end with smooth, flattened tips
Back
Balfour
Front
Other Names: Self-retaining
Use(s): Used for retraction of a large abdominal wound.
Description: A self-retaining retractor with lateral wire blades and a wide center blade. A Balfour set includes the frame, four lateral sides, and two center blades, which are interchangeable according to the depth needed. The lateral blades may be solid, fenestrated, interchangeable, or fixed.
Instrument Insight: All the interchangeable pieces have to be counted separately (for example, one frame, four sides, and two blades). If the frame has any other removable parts, such as screws or wing nuts, these also need to be counted.
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Back
Key elevator
Front
Back
Richardson Eastman
Front
Back
Elevator
Front
A straight instrument with curved sharp or dull tip used to separate tissue layers such as periosteum from bone
Back
Clip Applier
Front
Other Names: Clip applier
Use(s): Used for occluding vessels or other tubular structures.
Description: Angled tips with fine grooves in the inner jaws that slide over the clip to pick it up. These are manufactured in various clip sizes and lengths in a color-coded cartridge for easy identification of clip size.
Instrument Insight: The size and type of clip have to match the appropriate clip applier.
Back
Frazier
Front
Instrument: FRAZIER SUCTION TIP
Use(s): Used for suctioning in confined spaces such as the nasal cavity, in lumbar and cervical procedures, or in craniotomies.
Description: An angled cylindrical tube with a relief opening/hole on the handgrip. The diameter of the suction tube is measured on the French (F) scale and ranges from 3F to 15F.
Instrument Insight: The Frazier suction tip is packaged with a thin wire stylet. This stylet fits inside the suction tip to push out any tissue, blood, or debris that gets trapped while suctioning. The suction is increased by the relief/opening.
Back
LDS
Lighting and dividing stapler
Front
her Names: LDS stapler
Use(s): Used for ligation and division of blood vessels and other tissues during abdominal, gynecological, and thoracic procedures. The LDS is often used in gastrointestinal surgery to ligate and divide the greater omentum and the mesentery.
Description: A disposable, single-use stapler that distributes two titanium staples within the jaw for ligation. A
Back
Rat Tooth
Front
Other Names: Adson with teeth, rat tooth
Use(s): Aligns the edges of the wound during stapling of the skin; grasps superficial tissues so that Steri-Strips can be placed.
Description: The fine tips have two small teeth on one side and one small tooth on the other side that fit
Back
#3 knife handle
Front
Other Names: #3 handle, scalpel handle
Use(s): Knife handles are used to hold various blades to create a scalpel. Scalpels are used to make skin incisions or whenever a fine precision cut is necessary.
Description: A #3 handle holds blades 10, 11, 12, and 15.
Instrument Insight: Because the skin is not sterile, once the skin incision is made the scalpel should be removed from the mayo stand, isolated, and reused only to incise the skin.
CAUTION: Never retrieve the scalpel from the surgeon's hand after use; allow the surgeon to place it in the "neutral zone."
CAUTION: Never use fingers to load or unload a knife blade from the handle. Always use a needle holder.
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Instrument: #3 LONG KNIFE HANDLE
Other Names: Long knife, long handle
Use(s): Used for precision cutting deep within a wound.
Back
Section 2
(6 cards)
Serosa
Front
The delicate outer layer of tissue of most organs
Back
Hemostat
Front
A surgical clamp most often used to occlude a blood Vessel
Back
Gouge
Front
A v shaped bone called chisel
Back
Rongeur
Front
A hinged instrument with sharp cup shaped tips that is used to extract pieces of bone or other connective tissue.
Back
Single-action rongeur
Front
A heavy cutting instrument that has one hinge
Back
Shank
Front
The area of a surgical instrument between the box lock and the finger ring