SPD Cutting/Dissecting Tools

Iris scissors (iris, small/sharp scissors)

- 3 1/2" - 4 1/2" - blades str or cvd - pointed and very sharp tips!!! - *for fine delicate surgery and sharp dissection as in eye and plastic surgery* baby!

wire cutters

- 4 3/4" length - ANGLED blades - *used to cut wire, wire mesh, sutures* - for *jaws, chest*; one or two blades may have serrated edge; go to t bedside after surgery in case of emergency - scissors should NEVER cut wires

Mayo dissecting scissors

- 5 1/2"- 11" length - blades str or cvd - blunt tips - *for cutting and blunt dissection of heavy/tougher tissue* - straight is also used for* suturing* heavy!!

Metzenbaum Dissecting scissors (metz, tissue scissors)

- 5 3/4" - 11" length - blades str or cvd - blunt tips - *for cutting and blunt dissection of delicate tissue* (mr metz is tall and skinny)

jaws (5), working, tissue, sharp, blunt, serrations, teeth

- ____ are considered the ________ end of the instrument - part that makes contact with the _______ - blades may be _____ (as on scissors) or _____ (as on retractors). - __________ may be horizontal, longitudinal, or crosshatched (diamond) - _____ may be used at the tips of the jaws or at various points along their length, depending on the instrument's function. Variations include 1x2, 2x3, 3x4, 4x5, or multi-toothed

shanks (~6), closing force, round

- ______ run from the joint to the finger rings - create the ________ ______ on the jaws of the instrument - the longer the shanks, the greater ^ is - long s are used in deep body cavities - most have a _____ shape but cardiovascular instruments may be square.

finger rings (7/10), jaws, oval

- _______ _____ are located at the opposite end of the instrument from the jaws and tip - control the _____ when fingers are placed here - rings are usually closed and ____ in shape.

ratchets, shanks, grooves, difficult

- ________ are commonly found on clamps and needle holders (to lock the instrument in a closed position); not in scissors - hold w/ thumb and middle finger - located above finger rings, on the ______ - have a number of angled ________ on each shank (when the instrument in closed, the grooves come together and lock. they ay be released by a sideways motion when fingers are in the finger rings) - ________ area to keep clean (but not most difficult)

tungsten carbide

- an insert of solid ________ ________ with diamond-cut precision teeth may be included on the jaws to prevent twisting or turning of the object being held. - (finger rings will complementarily be gold) - various jaw configurations will determine the instrument's function and identity/name.

Bandage scissors

- for *removal/cutting of gauze and dressing; ortho* - angled and has foot plate - bulky; *never used during procedure*

Littauer Scissors

- hooked to go under surfaces - for *cutting open/removing sutures*

cross-hatched serrations (diamond), needle

- indicates that the scissor is a _____ holder

standard / OR scissors (bandage scissors, utility scissors)

- mixed tips - used *after procedure to cut gauze/dressings*

Steven's Tenotomy Scissors

- taper out at end - for *delicate surgery as in eye, neurologic, and plastic surgeries*

joint (3), difficult, screw, box lock, semi-box/aseptic

- the ______ is the hinge point of the instrument - most __________ part of the surgical instrument to keep clean - three types - _____ joint (two halves connected with a screw or pin) - ___ ____ joint (one arm passes through slot or other arm) - ____-___ / _______ joint (one arm passes through slot but the arms can be separated for easy cleaning

Strabismus scissors

- tiny eye scissors -> crossed eyes - same size as iris; *rounded tips* - two get confused baby!

incise, separate (dissect), excise (take out); scalpels, knives, scissors; reusable, knife; disposable

CUTTING/DISSECTING INSTRUMENTS (SHARPS) - have sharp or cutting edges - used to ______, ________, or ________ tissues - includes _______, _______, and _________ - scalpels have various sizes of _________ handles (sometimes called a ______ handle) with various sizes of attaching disposable blades - knives are usually ________ and come in various sizes and configurations with a blade at one end, which may have one OR two cutting edges. designed for specific uses. - scissors are designed in various sizes, with different tips and blades: long, short, fine, medium, or heavy sizes; sharp or blunt tips; straight or curved blades

10, 11, 12, 15; 20

SCALPEL HANDLES - may be 5"-8 3/8" in length - #3 and #7 (skinnier) handles hold blades #__, __, __, and __ - #4 (fattest) handles hold blades #__ up. - since handle #7 is skinnier, usually used for skinnier areas like down the throat and up the nose

angled

ang

two poles

bipolar

tips (1/8)

can be sharp-sharp, blunt-blunt, or combo (sharp-blunt/blunt-sharp)

curved

cvd

delicate

del

eyelid

lephro

one pole

monopolar

supersharp, black

s/s or ss; have _____ finger rings

12

scalpel blade #? - for any round organs (kidney, bladder, uterus, stomach) due to hooked end

10

scalpel blade #? - for general skin incision

20

scalpel blade #? - for heavier patients and general skin incision - for joint cavities (total hip/knee); orthopedics

11

scalpel blade #? - for puncturing, pinpt incisions; has an angled and sharp point

15

scalpel blade #? - for small cutting surfaces (due to small tip); eyes, face, fingers, babies, eyelids

straight

str