All Instruments

Open Forceps Vessel Sealing Devices/Bipolar Electrosugery Device Occluding/Retracting/Cutting Delivers high current, low voltage along with pressure to grasp, coagulate, seal or dissect vessels up to 7mm. Utilizes temperature/tissue sensing technology to adjust the energy delivered. Less thermal spread than traditional bipolar forceps. Typically foot operated.

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Pratt Clamp Grasping/Holding Traumatic: Useful for holding edge of a tissue that will be removed when a wider jaw is needed. Frequently used during anterior/posterior vaginal repairs to secure tissue that will be removed.

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bovie pad function

-applied to patients skin over a muscular, non-bony, hair free surface (thigh or buttock) -pad is single used -the gel on the pad provides a continuous circuit for the electricity of the bovie pencil, keeping patient from getting an electric burn

cottonoid sponge function

-come in pack of 10 must be counted -soaked in hemostatic agent -helps control bleeding -used to remove fluid from around delicate tissue by moistening with saline

tonsil sponge function

-come in packs of 5 and must be counted -cotton filled gauze used during tonsillectomy to pack the bed after removal -loaded and passed on clamp

Basin functions

-filled with sterile water for soaking used instruments -second basin may be filled with saline if lap sponges are to be moistened and used

Chisel Cutting

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Obwegeser Periosteal Elevator

Cutting/dissecting traumatic: used to scrape periosteum from bone and cartilage of the mandible and facial bones.

Gastrostomy Tube aka

Feeding tube

Total Hip Prosthesis Implant

Suture Ancho

adhesive tape functions

Used for many purposes in the operating room, but it is rarely used for dressings

ABD pad aka

abdominal dressing pad

Buck ear curette

accessory atraumatic: used to remove ear wax in the external auditory canal

Battery

accessory autoclaveable battery that connects to power equipment only run on a 3 minute gravity load to prevent battery acid leakage.

Hex head screw driver

accessory handheld screw driver most common shape for insertion of surgical screws

sagittal saw aka oscillating saw

accessory holds a blade that saws horizontally

Reciprocating saw

accessory holds a blade that saws vertically

Depth Gauge

accessory inserted into a drilled hole in a bone and hooked on the deep edge of bone. The wider diameter sleeve is then advanced until it touches the outer surface of the bone. The depth of the hole is read on the measuring device. Determine screw length. part of DGMTS

T Handle

accessory it is a handle that can lock onto a drill bit, bone tap, or screw driver head and be hand driven

Micro Hall Drill

accessory small nitrogen powered drill used on small bones with small diameter drill bits and burrs. alternate electrical drill: TPS used in hand, foot and facial procedures

wire passer

accessory traumatic: used to pass wire around bones. a wire is fed through the cannula and the wire passer is pulled out leaving the wire in place

Plate bending irons

accessory used in pairs to help in bending steel plates for use across fracture lines in bones. it is necessary to get the plate to conform with the bow of the bone which is different in each bone and patients

Hudson Brace

accessory used in place of a power drill where precise depth is crucial (craniotomy) houses larger diameter drill bits or burrs

Hand Drill

accessory used in place of a power drill where precise depth is crucial as in craniotomy procedures. houses smaller diameter drill bits

Jacobs Chuck with Key

accessory used to chuck up a variety of diameter drill bits

wire driver

accessory used to drive pins. comes in a small and large. each has a range of pin sizes it will hold. When the handle is being pressed the pin locks into the unit

Boies Elavtor aka butter knife, boies nasal fracture elevator

accessory used to fracture the septum/nasal bones from the inside to help realignment in a rhinoplasty procedure

cement gun

accessory used to inject bone cement out of the tube and into the bone or prosthesis. works similarly to a caulking gun

Bone punch

accessory used to pack bone when struck by a mallet

Quick Coupler

accessory used to quickly connect drill bits that have a specially designed quick coupler attachment end

Ball and Socket towel/drape clamp function

accessory used to secure drapes, cords, and tubing to drapes to prevent slippage and maintain sterility

Security clamp function

accessory used to secure drapes, cords, and tubing to drapes to prevent slippage and maintain sterility used to separate and/or support instruments on a towel roll

Mallet

accessory used to strike osteotomes, gouges, chisels, bone punches, cutting jigs and anything else needing to be hit.

Drill Guide

accessory used with a drill bit to keep the drill bit in its precise location as the hole is made for a screw. protects surrounding soft tissue part of the DGMTS

Cartilage Crusher

accessory used with a mallet to crush the removed cartilage of the septum to allow reshaping of the softened tissue, which is then put back into the nose

Driver Hand piece

accessory wire driver,drill, and reaming heads fit onto this hand piece

Closed Water-seal drainage system function

active and passive drain used to evacuate air/fluid from pleural space post cardiothoracic procedure or to treat pneumothorax maintains negative pressure necessary for effective respiration

Hemovac Drain function

active drain round, rigid drain that is typically used in orthopedics when moderate amounts of drainage are expected

Jackson-Pratt (JP) Drain function

active drain typically used on the torso or head has a length of holes at insertion end used when moderate amounts of drainage are expected.

Channel Drain function

active drain, soft drain that is typically used on the torso or head contains channels along insertion end and uses capillary action to remove moderate amounts of drainage

Channel drain aka

capillary drain

Doyens Intestinal clamp function

clamping/occluding atraumatic: the long flexible jaws allow surgeon to clamp across bowel, without damaging tissue.

Hemostat aka (crile, snap, stat, kelly) function

clamping/occluding curved kelly- used in almost every case to occlude medium to small vessels in shallow incisions straight kelly- used during appendectomy to cut appendix away from cecum. used to tag a suture.

Right Angle clamp aka (mixter clamp) function

clamping/occluding fine tipped and used in deep holes on small blood vessels where visibility is difficult the steep angle of the clamp allows the surgeon to see the tip of the clamp and the tissue it's holding used to pass suture ties around vessels

Tonsil aka (schnidt) function

clamping/occluding used to occlude medium to small vessels in deep narrow spaces used to hold a tie on a pass for medium to deep incisions used to hold a tonsil sponge for blotting in the back of the throat

Bowel Clamp function

clamping/occluding. atraumatic: long flexible jaw allows surgeon to clamp across bowel firmly without damage.

battery power hand piece set

complete cordless system

3-way stopcock function

connector between two types of tubing and a syringe for measuring fluid amounts -moveable valve shuts off one port at a time

Crile vs Kelly vs Jacobsen

crile- serrations all the way up the jaw kelly-serrations along distal half of its jaw jacobsen- fine tipped

arthroscopic shaver/burr

cutting attached to a handle that causes the tip to spin at high speeds. the handle is also attached to suction so tissue is sucked into the blade as it is cut

Saw blade

cutting disposable saw blades come in rotary, oscillating or reciprocating form. the end that goes into the saw hand piece fits only certain types of saws

Craniotomy perforation drill bit

cutting has a separate outer layer that allows it to sense when the skull bone has been perforated. this causes the bit to stop spinning and prevents the bit from damaging any intracranial structures

Lister bandage scissor function

cutting heavy scissors used for cutting things other than human tissue such as drapes and dressing material the horizontal tip is used to protect the patients skin from being cut while clothing/dressings are cut away

#9 knife handle function

cutting holds #10, #11, #12, and #15 disposable knife blades (handle is not disposable) narrow, short handle makes it useful for shallow, delicate structures such as hand and foot procedures

#4 Knife handle function

cutting holds #20 disposable knife blades (handle not disposable) broad handle makes it useful for cutting very large and deep incisions over the abdomen or hip of an obese patient used infrequently

#7 knife handle function

cutting narrow and long handle makes it useful for narrow deep holes such as the nose. holds #10, #11, and #15 disposable knife blades (handle is not disposable)

Tap

cutting provides a path fora screw to follow used when non-self tapping screws are used. used after drilling but before placement of screw. part of DGMTS

Pin cutter

cutting standard sized pin cutter used for smaller diameter pins such as kirschner wires

Gigli saw handles

cutting these handles are attached to a gigli saw blade. this saw is used to sever the bone of a limb during an amputation

#3 knife handle function

cutting this is the most common knife-handle used for cutting skin and tissue holds #10, #11, #12, #15 disposable knife blades (handle is not disposable)

stille bone cutting forceps

cutting traumatic: double action forceps used to shear off large segments of bone like a pair of scissors. the double action jaw gives extra strength for cutting the bone.

Jansen-Middleton Septal Punch

cutting traumatic: punches out small windows of bone during sinus procedures. the bend allows for visualization of field beyond a surgeons hand.

Kerrison rongeur

cutting traumatic: punches out small windows of bone in deep narrow cavities such as the nose, spine, and orthopedic procedures. the bend allows for visualization of field beyond a surgeons hand.

Liston Bone cutting forceps

cutting traumatic: single action forceps that is used to shear of smaller segments of bone like a pair of scissors

Mead Rongeur

cutting traumatic: single action rongeur used to remove small bites of bone especially in cases where bone spurs or osteophites are present

Guide Pin

cutting traumatic: this narrow pin is driven into bone to check for positioning for a larger diameter drill bit. a cannulated drill bit is fed over the guide pin and a permanent hold is drilled. guide pin is then pulled out with the driver

Antrum Rasp

cutting traumatic: used to create/enlarge the opening of the sinus

Pituitary Rongeur

cutting traumatic: used to cut and remove polyps soft tissue or delicate cartilage from the sinuses, knee, back and brain. the bend allows for visualization of field beyond a surgeons hand.

Cookie cutter aka box osteotome

cutting traumatic: used to cut out a shaped piece of bone in preparation for advancement of a reamer, broach or rasp to hollow out a long bone (total hip, IM rod) when struck by a mallet

Double ended bone rasp

cutting traumatic: used to finely remove bone. each instrument contains two differing files. one being finer than the other.

bone gouge

cutting traumatic: used to make a groove, hold, indentation or cut away a channel of bone when struck by a mallet. They are frequently used to take bone graft material

Leksell Rongeur

cutting traumatic: used to remove large bites of bone especially in cases where bone spurs or osteophites are present. design allows for visualization in a narrow space. double action: there are two mechanism at the neck, which provides a stronger action when squeezed

Ruskin Rongeur

cutting traumatic: used to remove large bites of bone especially in cases where bone spurs or osteophites are present. double action: there are two mechanisms at the neck, which provides a stronger action when squeezed.

Jansen-Middleton Septal Rongeur

cutting traumatic: used to remove small bites of bone and cartilage during sinus procedures. the bend allows for visualization of field beyond a surgeons hand

tonsil snare

cutting traumatic: used to remove tonsils by guillotine action. the wire in the snare is disposable and sharp. it must be counted. a fresh one must be loaded for every procedure.

Bone curettes

cutting traumatic: used to scrap out scoops of tissue/bone

Chisel

cutting traumatic: used to shape or cut away pieces of bone when struck by a mallet

osteotome aka lambotte osteotome

cutting traumatic: used to split bone or cartilage when struck by a mallet

Arthroscopic basket

cutting traumatic: used to take bites out of cartilage (meniscus)

Myringotomy Knife

cutting used in myringotomy procedures for incising the tympanic membrane or ear drum to drain inflammation fluid/infection. blade is one time use, handle is reusable

Straight mayo scissors AKA suture scissor function

cutting used primarily for suture never used curved scissors to cut suture or anything other than human tissue reserving curved scissors for only cutting tissue keeps them sharp, which is essential for the success of the procedure

Large pin cutter

cutting used to cut large diameter bone pins such as knowles pins

wire cutters

cutting used to cut small diameter wire. they have a serrated edge to avoid slippage of wire when they are cut

amputation knife

cutting used to sever soft tissue during an amputation of a limb does not cut bone

Countersink

cutting used when a screw head is needed to sink into the bone prevents protrusion and interference with the repair or irritation to the patient

Joseph Periosteal Elevator

cutting dissecting traumatic: used to dissect soft tissue from the septal wall. used to incise mucous membranes

Freer Periosteal elavot

cutting/dissecting traumatic: small double ended periosteal elevator used to scrape periosteum from bone and cartilage and incise mucous membranes in nasal, plastic and orthopedic procedures

Cottle Scissors

cutting/dissecting traumatic: used in nasal procedures to cut strong cartilage. the bend allows for visualization of field beyond a surgeons hand

Knight scissor

cutting/dissecting traumatic: used in nasal procedures to cut strong cartilage. the bend allows for visualization of field beyond a surgeons hand.

Ballenger Swivel Knife

cutting/dissecting traumatic: used to cut carilaginous tissue from the bridge of the nose as it is dragged along its edge during a rhinoplasty. the swivel action of the blade facilitates curves as they are encountered.

Double action scissor

cutting/dissecting traumatic: used to cut the though tissue of the septum. the bend allows for visualization of field beyond a surgeons hand.

Cottle Knife

cutting/dissecting traumatic: used to dissect soft tissue from the septal wall. used to incise mucous membranes

Langenbeck Periosteal Elevator

cutting/dissecting traumatic: used to scrap periosteum from bone and cartilage

Key periosteal elvator

cutting/dissecting traumatic: used to scrape periosteum from bone and cartilage

Adenoid Curette

cutting/dissecting traumatic: used to scrape the adenoid tissue from the back of the throat (behind the nose)

Guarded Osteotome

cutting/dissecting traumatic: used to split bone and cartilage when struck by a mallet. guard allows greater control around the critical structures of the head, such as the eye during nose procedures

Cobb Periosteal Elevator aka Cob spinal retractor

cutting/dissecting/retracting traumatic: used to scrape periosteum from bone and cartilage. used to elevate and push muscle away from bone

EEA sizers (dilators) AKA end to end anastomosis dilators function

dilating. start with smallest size and progress to desired circumference. Used to dilate intestine in order to fit two ends of intestine together during bowel resection. Once in contact with bowel they are contaminated, can't be on sterile field

Bougie Dilator function

dilating. used to dilate esophagus and cardiac sphincter. once in contact with oral cavity is no longer sterile

adhesive tape aka

duct tape

cast tape aka

fiberglass cast

ortho glass aka

fiberglass splint

Nasogastric (NG) Tube function

gastrointestinal tube placed through the nose until it reaches stomach connected to suction and/or syringe to remove gastric juices

Adson Plain (forceps) function

grasping/ holding used for delicate tissues in shallow incisions where a tooth is not wanted They may also be used to apply steri-strips after skin closure

Bayonet Forceps function

grasping/holding a traumatic, used on delicate structure in deep narow spaces such as neuro, ENT, and vascular procedures the bend allows for visualization of field beyond a surgeons hand they come with teeth and without

lowman bone holding forceps aka turkey claw

grasping/holding atraumatic, self retaining: used to clamp onto bones that are fracture and manipulate them back into position for fixation

Verbuge bone holding forceps

grasping/holding atraumatic, self retaining: used to manipulate the ends of fracture long bones and reduce it for repair

Pennington Clamp AKA duval lung forcep function

grasping/holding atraumatic: triangular tip is useful for grasping broad fragile surfaces like lung or hemorrhoid.

arthroscopic grasper

grasping/holding atraumatic: used in arthroscopic procedures for grasping small objects (meniscus, fragments of displaced cartilage).

Micro cup forcep

grasping/holding atraumatic: used to bluntly remove small polyps and tissue from within the ear

Alligator forceps

grasping/holding atraumatic: used to grasp and insert the delicate structures such as middle ear bones, grafts and ear tubes (myringotomy)

Adson with teeth (forceps) function

grasping/holding small tissue forceps always used while suturing skin It is also used for very fine tissues in shallow incisions where a tooth is necessary

Russian Forcep function

grasping/holding the scooped shape of its tip allows it to hold large amounts of tissue or other material commonly used to remove tissue specimens

Lahey aka lahey tyhroid clamp function

grasping/holding traumatic clamp used to hold large masses of tissue with out slippage breast procedures, orthopedic procedures, skin (that will be removed), abdominoplasty, cervix during vaginal hysterectomies never use near bowel or large vessels. When this clamp is open, it might easily tear gloves

Ferris-Smith Forcep aka Ferris Buellers

grasping/holding traumatic forcep used to approximate strong tissue they are especially useful in orthopedics or on abdominal peritoneal fascia

Rat tooth forceps function

grasping/holding traumatic forcep used to manipulate bone, muscle, tendons, ligaments or adipose tissue never put it on the mayo stand for delicate tissues as it can accidentally be used and puncture the organ

lewin bone clamp aka giant towel clamp

grasping/holding traumatic, self retaining: used to clamp onto bones that are fracture and manipulate them back into position for fixation

lane bone holding forceps aka lions jaw

grasping/holding traumatic, self-retaining: used to clamp onto bones that are fracture and manipulate them back into position for fixation

tonsil seizing forceps

grasping/holding traumatic: used for firmly holding the tonsil while it is removed from its bed. the bend allows for visualization of field beyond the surgeons hand.

Plain dressing forcep function

grasping/holding used mainly for packing material into narrow openings. they have no teeth and a substantial tip

Adson Brown (forceps) function

grasping/holding used on tissues in shallow incisions that need a stronger grip such as small pieces of bone

septal forceps

grasping/holding used to manipulate the septum especially when trying to fracture it for repair. the bend allows for visualization of field beyond surgeons hand.

Allis function

grasping/holding useful for holding edged of tissue that will be removed the severed edge of the lumen of the bowel might be held open with this clamp. also holds a firm grip on tumors frequently used during anterior/posterior vaginal repairs to secure tissue that will be removed

Allis Adair function

grasping/holding useful for holding edged of tissue that will be removed when a medium jaw is needed frequently used during anterior/posterior vaginal repairs to secure tissues that will be removed

Pratt function

grasping/holding useful for holding edged of tissue that will be removed when a wider jaw is needed. frequently used during anterior/posterior vaginal repairs to secure tissue that will be removed

sliding hip screw and plate aka dynamic hip screw, sliding nail

implant screw and plate system used to repair intertrochanteric fractures of the femur. allows some flexibility in the joint. components: hip screw, sliding plate, locking screw, cortical screws. after screw is in place the plate is inserted over the screw and a locking screw is twisted into the head of the screw. cortical screws are placed in holes to secure it to femur

radial head prosthesis

implant silicone implant used to replace a defective radial head. the defective bone is removed. the projection of silicone is placed in a small hole and drilled

Lunate prosthesis

implant silicone implant used to replace defective lunate bones of the wrist. the defective bone is removed. the projection of silicone is placed in a small hole and drilled

total hip prosthesis

implant used for a total hip replacement procedure (includes stem, ball, acetabular cup and liner). stem and acetabular cup can be porous to allow for bone growth. may be implanted with/without PMMA

IM (inter Medullary) Rod

implant used in fractures of large long bones (femur and tibia) rod is driven into the length of the medullary canal of hollowed out bone.

Knowles Pin

implant used to fix long bones (humorous) a drill or mallet drives the pin through the medullary canal along the length of the bone. the hook is left out of the skin allowing for easily accessible removal

compression screw

implant used to fixate two or more pieces of bone together. fracture pieces are tightly compressed against each other distally by the angle of the threads gripping the far end of the fracture and proximally by head of screw.

Bi-polar hip prosthesis

implant used to repair a damaged femoral head of the hip joint on an elderly patient who doesn't spend much time on their feet. the patient keeps their own acetabulum and only the ball and stem are replaced. less durable, less invasive and less expensive than total hip

suture anchor

implant used to secure tendons and ligaments to bone. a mallet is used to insert the anchor into the bone. the attached double armed suture secures severed ligaments in place. each of these needles must be added to your count

total knee prosthesis

implant. patella prosthesis: repalces the damaged posterior portion of the patella while leaving intact the anterior portion for cosmetic appearance. tibial spacer: creates the appropriate space to ensure proper flexion and extension tibial prothesis: replaces the damaged proximal head of tibia. femoral prothesis: replaces the damaged distal head of femur

internal fixation screws

implant. used to fixate two or more pieces of bone together. varieties: fully or partially threaded. self tapping. cannulated. cortical or cancellous. part of DGMTS

Nasal Airway function

inserted through the nose to prevent obstruction of the airway due to relaxation of the soft palate used to maintain patency of the upper respiratory tract

Polymethylmethacrylate aka PMMA, bone cement

medications, substance is used to bond prosthetic to bone. mixed in a mechanical mixer, under suction. all prosthetics must be opened and ready before mixing begins because cement must be applied at precisely the right moment to avoid hardening too quickly or not quickly enough. Keep a small portion on your table tell surgeon when it is hot and solid

Medipore tape aka

mefix

Nasal Airway aka

nasal trumpet

Hemoclip Applies aka clip appliers function

occluding loaded with disposable metal clips. Careful when handling with clip in place, as they may easily be pinched closed and clip falls out. Used to quickly seal off blood vessels in very vascular fields.

Nephrostomy tube function

passive drain inserted percutaneously into the kidney self-retaining; locking suture malecot removes urine

Penrose Drain function

passive drain latex tubing placed partially within wound allows fluid to move out of wound into dressing by capillary action

Cigarette Drain function

passive drain penrose drain with gauze inside gauze encourages fluid to move out of the wound into the dressing by wicking action

T-tube Drain function

passive drain placed within the biliary system drains bile via gravity into a specialized collection unit called a bile bag

Tracheotomy tube function

placed directly into the trachea via an incision in the neck used to maintain patency of the upper respiratory tract

Probe and Groove director function

probing. used to follow sinus tracts or to probe abscesses. Groove director provides path for a blade to slice open tissue.

Abdominal Fisch AKA The fish, glassman, viscera retainer function

retracting atraumatic: used when closing major abdominal incisions to protect underlying viscera. Lays over abdominal contents, while abdominal wall is suture closed.

hibbs retractor

retracting used in orthopedic procedures to retract soft tissue in deep incisions

Nasal Speculum

retracting. atraumatic: inserted into the nares to allow the surgeon to visualize the back of the nasal cavity. the bend allows for visualization of field beyond the surgeons hand.

Two Ball retractor

retracting/cutting atraumatic end: double hook allows for broad but delicate surface of the nose to be retracted. traumatic end: uses a 180 degree curved cottle knife to dissect soft tissue away from the septum

Trousseau Trachea Dilator

retracting/dilating. used during a tracheotomy to spread the cartilage of the trachea to allow insertion of a tracheotomy tube. the bend allows for visualization of field beyond the surgeons hand.

ear speculum

retracting/viewing atraumatic, handheld: inserted into the external auditory canal providing a straight line of visualization into the ear

Bennett retractor

retracting/viewing atraumatic, handheld: used in large bone fractures. the hooked end slides under the bone and lifts it slightly for good visualization. the broad surface holds the soft tissue out of the field

Hohmann retractor

retracting/viewing atraumatic, handheld: used in long bone fractures. The hooked end slides under the bone and lifts it slightly for good visualization. the broad surface holds the soft tissue out of the field

Cobra retractor

retracting/viewing atraumatic, handheld: used in long bone fractures. the hooked end slides under the bone and lifts it slightly for good visualization. the broad surface holds the soft tissue out of the field

Aufricht retractor

retracting/viewing atraumatic, handheld: used on the nares to allow visualization deep inside the nose. used to retract skin septum during nasal reconstruction.

z retractor

retracting/viewing atraumatic, handheld: used to hold the knee tissues aside during open knee procedures

scapula retractor

retracting/viewing atraumatic, handheld: used to hold the scapula out of position

lamina spreader

retracting/viewing atraumatic, self-retaining: used between bones to spread them apart such as vertebral lamina

beckman retractor

retracting/viewing atraumatic/traumatic: come in sharp and blunt versions. self retaining: used to retract large amounts of tough tissue in deep incisions. articulated at neck to accommodate odd angles

Weitlander Retractor aka weitlaner

retracting/viewing atraumatic/traumatic: come n sharp and blunt versions. self retaining: used to retract medium amounts of tough tissue (muscle, bone) in shallow incisions

Jennings mouth Gag

retracting/viewing atraumatic: used during the throat and mouth procedures to retract the jaw. self retaining: catches the upper and lower teeth to prop the mouth open.

Davis Mouth Gag

retracting/viewing atraumatic: used during throat procedures such as tonsillectomies to retract the jaw and tongue. selfretaining: the interchangeable tongue blade is placed along the tongue over the ET tube. the padded catch at the top of the D rests under the top front teeth. next the ratcheted tongue blade is pulled distally to open the mouth. the retractor is hooked onto the mayo stand and held up in the position the surgeon chooses for the entire procedure`

Richardson Retractor function

retracting/viewing handheld atraumatic: used in most major abdominal procedures. select the one that matches thickness of patient skin to peritoneum

Vein retractor function

retracting/viewing handheld atraumatic: used to retract veins or similar small quantities of tissue

Ribbon Retractor AKA malleable retractor

retracting/viewing handheld can be bent into any form. atraumatic. used in neuro procedures. Can be used to close abdominal incisions

Parker Retractor function

retracting/viewing handheld. atraumatic. used to retract the skin and fatty tissues (pediatrics procedures, neck incisions) of small shallow incisions.

Senn Retractor function

retracting/viewing handheld. used in small superficial incisions (carpal tunnel, podiatry cases) Traumatic and Atraumatic: one end is small three pronged, dull or sharp, might puncture blood vessels. Other end is right angle used near blood vessels or nerves

Rake Retractors AKA volkmann Rake retractor function

retracting/viewing handheld. Atraumatic and traumatic (sharp and dull) used to retract the thick layers of tough skin/fatty/fascia tissue. Mastectomy, orthopedic

Harrington Retractor AKA sweetheart retractor function

retracting/viewing handheld. atraumatic. Broad smooth surface of the heart shaped blade gently holds the fragile liver, while the indent at the top of the heart straddles the gallbladder

Goulet Retractor function

retracting/viewing handlheld. atraumatic: used in mid-sized incisions (inguinal hernia, breast biopsy) to provide good visualization of surgical site

Pratt Rectal Speculum function

retracting/viewing self retaining. atraumatic: used for rectal procedures for visualization deep into the cavity. Must be lubricated with KY Jelly before inserted.

Gelpi Retractor function

retracting/viewing self-retaining traumatic: used to hold two edges of dense tissue (fascia, periosteum) apart while another pair of retractors holds edges in the perpendicular direction.

Balfour with the bladder blade function

retracting/viewing self-retaining. Atraumatic: used for large abdominal incisions for visualization. Pass the balfour to the surgeon with the blades together and pointing down into the abdomen.

O'connor O' sullivan retractor function

retracting/viewing self-retaining. Atraumatic: used for medium abdominal incisions (gyn procedures). pass to surgeon with blades together and pointing down into the abdomen. once that piece is in place, pass the other blades.

arthorscopic trocar AKA obturator and sleeve

retracting/viewing the obturator is placed inside the sleeve. used to retract tissue and allow arthroscope and instruments to be introduced into a joint

Double skin hook

retracting/viewing traumatic, handheld: used in the same way as the single hook but the two hooks allow for a broader surface to be retracted (such as plastics or minor ortopedics).

Bone hook

retracting/viewing traumatic, handheld: used to manipulate bones. the sharp tip is hooked into the end of a bone and then the handle is used to lift or pull the bone

Single skin hook

retracting/viewing traumatic, handheld: used to retract very small superficial skin incisions such as those made at the distal end of the nares for procedures involving the septum

Murphy bone lever aka skid

retracting/viewing traumatic: used to slide behind he head of the femur or the humorous and elevate it out of its socket

Meyerding retractor

retracting/viewing used to retract large muscles (hip, spine) during orthopedic surgeries

Deaver Retractor function

retracting/viewing. Atraumatic. Handheld. Used in major abdominal or vaginal procedures to retract deep tissue.

Green Retractor AKA green loop retractor function

retracting/viewing. handheld. Atraumatic: used to retract skin and fatty tissue (subQ, thyroid) in shallow incisions without bruising.

Hurd Dissector/Pillar Retractor

retractingcutting/dissecting atraumatic: used to retract the narrow bands of tissue surrounding the tonsils. traumatic: used to cut/scrape the tonsil away from the tonsil bed

Foley catheter and Down Drain aka

self-retaining catheter, indwelling catheter

Baron Suction tip with finger valve control and style

suctioning. used in microprocedures such as the ear. the strength of the suction is control by the finger valve. when the valve is covered the suction is stronger. stylet is used to maintain patency.

Poole Suction tip function

suctioning. used to suction large amounts of fluid from abdomen. Large number of small holes allow fluid to be evacuated but will not allow bowel or omentum to be caught in tip.

Ace bandage function

supply an elasticized circumferential dressing, good for compression dressings on limbs

steri-strips function

supply applied directly over the incision to bring skin edges together the doctor may request the tech to cut them in half so they are 2", making them a convenient length for the surgeon to work with never applied over skin staples or super-cuticular stitches designed to stay on until they naturally fall off

Medipore function

supply applied over 4x4 dressings sometimes roll is perforated making in convenient for circulator to handle. often the sheets are so wide and sticky that four hands are required to apply it

Kerflix function

supply bulky circumferential dressing that is commonly used on limbs over 4x4 dressing sponges and under ace wrapes

cement mixer

supply cement mixer is opened on to the back table and tech used it to mix bone cement. when cement is mixed, the base and top funnel are removed and an injector tip is twisted onto the top

coban function

supply circumferential tape that clings to itself but not to other things. can be used as pressure dressing on limbs or when swelling is expected. find the start of this roll before giving it to the surgeon, it can be difficult to find

Transpore tape

supply commonly used for dressing in the OR it has small holes in it to allow the dressing to breathe. tears easily along the pores

Tuberculin (TB) syringe

supply holds 1 ml/cc of fluid. divided into 10 increments and allows very small amounts of fluid to be dispensed in very precise amounts

mastisol function

supply liquid adhesive provides a sticky surface to help steri strip adhere to surface. dispensed by crushing the glas vial with an instrument and allowing liquid to permeate the cotton tip. next it's rubbed onto clean skin and is blotted until tacky then steri strips are applied to skin.

vaseline gauze function

supply non adherent contact layer petroleum covered cotton gauze used to prevent adhesions and decrease irritation nonpermeable- watertight and airtight seal.

Kling function

supply non-bulky single layer circumferential dressing. commonly used on limbs over 4x4 dressing sponges and under ace wrapes

Microfoam tape function

supply stretchy and wet proof often used for pressure dressings used to provide a waterproof barrier under a tourniquet

Micro wipe

supply when moistened with water, lint free wipe becomes very pliable making it ideal for wiping blood/debris off of delicate micro instruments

Ortho glass function

supply wrapped in padding and sealed foil wrapper to prevent air from hardening the fiberglass. the fiberglass is very soft and pliable. the hardening agent is activated by dipping the material in warm water. it is molded to the patient's extremity and wrapped with an ace bandage. Within 10 minutes the splint will harden

Suction Bovie

supply/suctioning/occluding used to suction and cauterize in deep narrow spaces such as the nose and throat. foot pedal activated. stylet is used to maintain patency

Laryngeal mask airway function

supraglottic airway device used to maintain patency of the upper respiratory tract placed through the mouth and positioned over the glottis in an unconscious patient

Endotracheal (ET) tube function

tube passed through the nose or mouth, between the vocal cords and into the trachea of an unconscious patient used to maintain patency of the upper respiratory tract

Scalpel blade #15 function

used on a #3, #3L, #7 and #9 handle used for smaller incisions

Scalpel blade #11 function

used on a #3, #7, #9 handle used for stab incisions

Scalpel aka knife blade #10

used on a #3L handle used for incisions longer than two inches

Tonsil Mirror aka pharyngeal mirror

viewing it is used to help the ENT surgeon visualize structures in the back of the throat and around the corners