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Surgical-Instruments-Slides.pdfSurgical-Instruments-Slides.pdf
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- 2. Instruments Instruments areclassified by their function – Cutting & Dissecting – Grasping & Holding – Clamping & Occluding – Exposing & Retracting – Suturing & Stapling – Viewing – Suctioning YouTube/NursesHub
- 3. Instruments – Dilating &Probing – Measuring – Microinstruments – Powered instruments YouTube/NursesHub
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- 5. Cutting & Dissecting Cutting instruments have sharp edges. They are used to dissect, incise, separate, or excise tissue. Most instrument sets will include #3 and #7 knife handles & suture, curved mayo, metz and tenotomy scissors. YouTube/NursesHub
- 6. Knife Handles Comein various widths & lengths Blades are attached by slipping the slit in the blade into the groove on the handle #7 #4 #3 YouTube/NursesHub
- 7. Knife Blades Bladeswith numeric prefix of “1” (e.g., 10, 11, 12, 15) fit #3 or #7 handles Blades with the numeric prefix “2” (e.g., 20, 21, 22, 23, 24) fit #4 handles YouTube/NursesHub
- 8. Knife Blades #10are used for large skin incisions #15 are used for short shallow incisions #11 are used for initial skin puncture of tiny deep incisions #10 #15 #11 YouTube/NursesHub
- 9. Other Knife handles Long handles are used inside deep incisions (e.g., open abdominal cases) Beaver knifes are used for small delicate cases YouTube/NursesHub
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- 12. Scissors Blades ofscissors may be straight, angled, or curved Tips may be pointed or blunt, handles may be long or short Should be used only for their intended purpose YouTube/NursesHub
- 13. Straight Mayo (Suture)Scissors YouTube/NursesHub
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- 27. Grasping & Holding Theseinstruments are used to grasp tissue and hold it in place without injuring surrounding tissues Forceps can be ringed or the thumbed variety YouTube/NursesHub
- 28. Grasping & Holding Mostinstrument sets will include kocher, allis, babcock, adson, tissue, debakey forceps, sponge sticks & towel clips. YouTube/NursesHub
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- 41. Clamping & Occluding Theseinstruments are used to apply pressure Some clamps are designed to crush the structure when applied Others are noncrushing and are used to occlude or secure tissue YouTube/NursesHub
- 42. Clamping & Occluding Mostinstrument sets will include mosquito, crile, kelly, tonsil, peon, and right angle clamps. YouTube/NursesHub
- 43. Anatomy of aClamp YouTube/NursesHub
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- 52. mosquito crile kellytonsil peon YouTube/NursesHub
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- 59. Exposing and Retracting Usedto pull Soft tissue and muscle aside to expose surgical site 2 types: –Hand held –Self retaining YouTube/NursesHub
- 60. Exposing and Retracting Mostinstrument sets will include small hand held , army-navy, malleable, weitlaner, and richardson retractors. YouTube/NursesHub
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- 79. Suturing and Stapling Needleholder sizes vary according to type of needle used Most instrument sets will have webster, crilewood, and mayo hegar type needle holders. YouTube/NursesHub
- 80. Suturing and Stapling Clipappliers place individual staples, available in reusable and disposable Disposable staplers YouTube/NursesHub
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- 91. Viewing Surgeons can examinebody cavities, hallow organs, or structures with viewing instruments Procedures may be performed through them YouTube/NursesHub
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- 101. Camera & LightCord YouTube/NursesHub
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- 124. Powered Instruments 3Types –Battery powered –Airpowered –Electric powered YouTube/NursesHub
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- 133. Care & Handlingof Instruments YouTube/NursesHub
- 134. Handling instruments Instrumentsare placed firmly into the surgeon’s palm in such a manner that it is ready of immediate use. Ringed instruments are handed with the box locks closed. Curved instruments are passed with the curve in the direction of intended use. YouTube/NursesHub
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- 138. To facilitatesuturing the needle is secured about 1/8 inch down from the tip of the needle holder and about a third of the distance from the eye or swaged end YouTube/NursesHub
- 139. Care of Instruments During the procedure, used instruments should wiped with a damp sponge or placed in a basin of sterile distilled water. YouTube/NursesHub
- 140. Care of Instruments Do not saline on instruments. Do not allow blood to dry on instruments. Saline & blood can damage instrument surfaces causing corrosion and pitting. YouTube/NursesHub
- 141. Care of Instruments Flush suction tips with sterile distilled water periodically to keep lumens patent. Flush all lumened instruments thoroughly at the end of case to prevent blood from drying inside lumens. YouTube/NursesHub
- 142. Care of Instruments Powered hand pieces and batteries should not be immersed in liquid as this could damage internal mechanisms. YouTube/NursesHub