Ingles diapositivas

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Ingles diapositivas

  1. 1. SurgicalSurgical Instruments Instruments Grasping and Clamping Retracting  Cutting and Dissecting Probing and Dilating 2° «B»
  2. 2. INTEGRANTS: 0 ANA ALVAREZ 0 KEVIN SARAGURO 0 MA. FERNANDA RODRIGUEZ FREIRE
  3. 3. 0 Perform surgical procedures 0 Chosen based on action 0 These tools are used for 0 Holding 0 Pulling 0 Clamping 0 Cutting 0 Crushing 0 Closing a wound
  4. 4. Retracting and Exposing Instruments 0 used to hold back or retract organs or tissue to gain exposure to the operative site. They are either "self- retaining" (stay open on their own) or "manual" (held by hand). When identifying retractors, look at the blade, not the handle.
  5. 5. Retracting and Exposing Instruments 0 A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths.
  6. 6. Retracting and Exposing Instruments 0 A Richardson retractor (manual) is used to retract deep abdominal or chest incisions
  7. 7. Retracting and Exposing Instruments 0 An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army.
  8. 8. Retracting and Exposing Instruments 0 A goulet (manual) is used to retract shallow or superficial incisions.
  9. 9. Retracting and Exposing Instruments 0 A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes.
  10. 10. Retracting and Exposing Instruments 0 A Weitlaner retractor (self-retaining) is used to retract shallow incisions.
  11. 11. Retracting and Exposing Instruments 0 A Gelpi retractor (self-retaining) is used to retract shallow incisions.
  12. 12. Retracting and Exposing Instruments 0 A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures.
  13. 13. Nasal Speculum 0 Used to spread nostrils during examination
  14. 14. Cutting and Dissecting Instruments 0 are sharp and are used to cut body tissue or surgical supplies. Knife Handle, Scissors (left to right)
  15. 15. Scalpel Holder 0 Holds scalpel blade 0 Acts as a handle
  16. 16. Cutting and Dissecting Instruments 0 7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue. 0 3 handle with 10 blade (inside knife) – Used to cut superficial tissue. 0 4 handle with 20 blade (skin knife) - Used to cut skin. #7, #3, #4 (left to right)
  17. 17. Cutting and Dissecting Instruments 0 Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors. EX: Straight Mayo scissors being used to cut suture.
  18. 18. Cutting and Dissecting Instruments 0 Curved Mayo scissors - Used to cut heavy tissue (fascia, muscle, uterus, breast). Available in regular and long sizes.
  19. 19. Cutting and Dissecting Instruments 0 Metzenbaum scissors - Used to cut delicate tissue. Available in regular and long sizes.
  20. 20. Iris Suture Scissors 0 Used to remove sutures 0 Blade has beak or hook to slide under sutures
  21. 21. Sharp/Sharp Scissors 0 Used to cut and dissect tissue 0 Both blade tips are sharp
  22. 22. Sharp/Blunt Scissors 0 Used to cut and dissect fascia and muscle 0 One blunt tip and one sharp tip
  23. 23. Curved Blunt/Blunt Scissors 0 Both blade tips are blunt 0 Can be curved or straight
  24. 24. Lister Bandage Scissors 0 Used to remove bandages and dressings 0 Probe tip is blunt; inserted under bandages with relative safety
  25. 25. Clamping and Occluding Instruments 0 are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.
  26. 26. Clamping and Occluding Instruments 0 A hemostat is used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat.
  27. 27. Clamping and Occluding Instruments 0 A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved. hemostat, mosquito (left to right)
  28. 28. Curved Mosquito Hemostat 0 Used to hold delicate tissue 0 Used to compress bleeding vessels 0 Jaws are fully serrated
  29. 29. Clamping and Occluding Instruments 0 A Kelly is used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean. Kelly, hemostat, mosquito (left to right)
  30. 30. Kelly Hemostat Can also be used for blunt dissection
  31. 31. Clamping and Occluding Instruments 0 A burlisher is used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep.
  32. 32. Clamping and Occluding Instruments 0 A right angle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other names: Mixter.
  33. 33. Clamping and Occluding Instruments 0 A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded. hemoclip applier with hemoclips
  34. 34. Grasping and Holding Instruments 0 are used to hold tissue, drapes or sponges.
  35. 35. Grasping and Holding Instruments 0 An Allis is used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue.
  36. 36. Grasping and Holding Instruments 0 A Babcock is used to grasp delicate tissue (intestine, fallopian tube, ovary). Available in short and long sizes.
  37. 37. Grasping and Holding Instruments 0 A Kocher is used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other names: Ochsner.
  38. 38. Grasping and Holding Instruments 0 A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep. Foerster sponge stick EX: Sponge sticks holding a 4 X 4 and probang.
  39. 39. Grasping and Holding Instruments 0 A dissector is used to hold a peanut. dissector EX: Dissector holding a peanut.
  40. 40. Grasping and Holding Instruments 0 A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip. Backhaus towel clip Large & small towel clips
  41. 41. Grasping and Holding Instruments 0 Pick ups, thumb forceps and tissue forceps are available in various lengths, with or without teeth, and smooth or serrated jaws.
  42. 42. Grasping and Holding Instruments 0 Russian tissue forceps are used to grasp tissue.
  43. 43. Grasping and Holding Instruments 0 Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps.
  44. 44. Grasping and Holding Instruments 0 Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to grasp delicate tissue.
  45. 45. Grasping and Holding Instruments 0 DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery.
  46. 46. Grasping and Holding Instruments 0 Thumb forceps are used to grasp tough tissue (fascia, breast). Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps." single tooth forceps, many teeth forceps (top to bottom)
  47. 47. Grasping and Holding Instruments 0 Mayo-Hegar needle holders are used to hold needles when suturing. They may also be placed in the sewing category. short, medium & long (top to bottom) EX: Needle holder with suture.
  48. 48. Sponge Forceps o Used to hold gauze squares or sponge to “mop up” the surgical site o Jaws are serrated
  49. 49. Transfer Forceps When sterile, transfer forceps; 0 arrange items on sterile tray 0 transfer items to sterile field
  50. 50. Splinter Forceps 0 Fine tip for foreign object retrieval
  51. 51. Walter Splinter Forceps 0 Very fine tip 0 Spear-head design
  52. 52. 1x2 Toothed Tissue Forceps 0 Used for grasping and holding tissue, muscle or skin surrounding a wound 0 Single toothed on one side; fits between two teeth on the other side 0 Available as 1x2 or 2x3 or 3x4
  53. 53. Plain Thumb Forceps 0 Used to hold tissue in place when applying sutures 0 Used to gently move tissues out of the way during exploratory surgery 0 Used to insert packing into or remove objects from deep cavities
  54. 54. Needle Holder 0 Used to hold and pass a suturing needle through tissue 0 Has groove to hold needle within jaws
  55. 55. Towel Clamp 0 Adds weight to drapes and towels to ensure they stay in place 0 Allow exposure of the operative site
  56. 56. THANK YOU FOR ATTENTION

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