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Surgical Instruments Tier 1 Veterinary Medical Center Surgical Instruments *Extras are individually double wrapped as single or sets of 2-4, kept in laundry room drawers or 3 tier plastic white cart located below the counter and to the left Forceps Alligator Forceps Kept in 3 tier cart, top drawer Grasping forceps with a scissor like handle and blades opening in a vertical plane similar to the jaws of an alligator. Allis Tissue Forceps Kept in left drawer, left side Ratcheted forceps used for grasping slippery or dense tissue Crile Forceps Kept in left drawer, left side Used for clamping blood vessels or tissue before cauterization or ligation. Horizontal serrations the entire length of the jaw, and jaws half the length of the shank make this instrument unique. Doyon Forceps Kept in top drawer of 3 tiered cart Long forceps used primarily in abdominal surgery Kelly Forceps , Curved and Straight Extras kept in left side of left drawer Primarily used for clamping large blood vessels or manipulating heavy tissue. They may also be used for soft tissue dissection. 9/19/19, kms Mosquito, Curved and Straight Extra kept in left side of left drawer Known for their fine tips, and short, fully serrated jaws. They are available curved or straight. The standard length is 5” Rochester Carmalt Extras kept in left side of left drawer, very back These forceps have longitudinal serrations the entire length of the jaw. The tips are cross-serrated. Rochester-Pean 8”, Only have 1 pair Kept in 3 tier cart, top drawer Used for clamping larger tissue and vessels for hemostasis. The full horizontal serrations make these forceps a versatile instrument used in multiple procedures Sponge Forceps Extras kept in top drawer of 3 tier cart Used in surgical procedures to hold gauze Needle Holders (aka “Needle Drivers”), Small 5.5”, Medium 6.5”, Large 7.5” Olsen-Hegar Needle Holders Extras kept in left drawer, to the right has built in scissors for easy access to cut suture 9/19/19, kms Mayo-Hegar Needle Holders Extras kept in right drawer, Dr. Serratore’s Box no scissors (Dr. Serratore prefers) Scalpel Blade Handle (all No. 3, no photo) Kept in left drawer, to the right, in front Scissors Mayo, Curved and Straight Extras kept in left drawer, right side, box in the back The curved instrument is utilized for cutting or dissecting dense or deep tissue, and the straight version is typically used for cutting surface tissue or sutures, both may be used interchangeably Metzenbaum, Small 5.5”, Large 7.0”, Very Long, 9.0”*, Extras kept in left drawer, right side, in box in the back *9.0” Kept in right drawer in Dr. Serratore’s box Most commonly used for dissecting and cutting tissue. These scissors are not recommended for cutting sutures, drains, or heavy tissue 9/19/19, kms Operating (Suture) Scissors Sharp-Sharp and Sharp-Blunt Extras kept in left drawer, right side, in box in the back Used to cut suture when using Mayo Hegar Needle Drivers Not to be mistaken for suture removal scissors Iris Scissors Kept in left drawer, right side, in box in the back Fine, sharp scissors used for detailed dissection of fine tissue. Originally designed for ophthalmic procedures, Iris Scissors have become a multipurpose instrument used in various surgeries Curved Tenotomy (no Photo) Stevens Tenotomy Scissors kept in eye pack used for delicate dissection and cutting, in ophthalmologic surgeries Snook (Spay) Hook Extras kept in 3 tier cart, 2nd drawer Interesting fact: James Howard Snook (September 17, 1879 – February 28, 1930) invented the snook hook, a surgical instrument which is used in spaying animals. He was a veterinarian convicted and executed for murder. Snook was convicted of murdering a 24-year-old medical student with whom he had had a three-year affair. The jury took 28 minutes to deliberate before finding Snook guilty, after which he was sentenced to death by electrocution. 9/19/19, kms Thumb forceps Brown-Adson (or Adson-Brown) Thumb Forceps Extras kept in left drawer, right side, in the front These forceps have a wide, flat thumb grasp area that is commonly serrated. The jaws are short and the tips are narrow Adson Dressing Forceps (“thumb” forceps) Extras kept in left drawer, right side, in the front They have a wide thumb grasp for increased precision and control. These thumb forceps are straight with delicate, serrated tips Adson Tissue Forceps, (small rat tooth) Extras kept in left drawer, right side, in the front Adson Tissue Forceps are for holding and manipulating delicate tissues. The jaws are short and the tips are narrow. Rat Tooth, larger rat tooth style several extras in 3 tier white plastic cart, top drawer Debakey, longer skinny forceps Extras kept in left drawer, right side, in the front They are commonly used for grasping fine tissue and blood vessels or soft tissue dissection. The narrow tips and atraumatic teeth cause little to no damage to the tissues. 9/19/19, kms Backhaus Towel Clamps, Large, 5” (*Roeder towel clamps have ball stops at end) and Small, 3 ½” Extras kept in left drawer, left side, in the front Wrap in sets of 4 or 2 if necessary Used for draping in towels during surgical procedures Direction Probe with eye (5 ½”) Only have 1, kept in left drawer, right side, in the front of scissors box slender, slightly malleable, multipurpose instrument with a bulbous tip that can be used in a variety of procedures. It may be used to explore or gauge the depth of non-visible cavities, explore lesions Eye Pack All instruments are kept in the Eye Pack Eye Dressing Forceps Desmarres Chalazion Forceps Miltex Castroviejo Needle Holder Barraquer Speculum 9/19/19, kms Cautery Bovie, black x 8 Force Triad, blue with control on wand, x 8 Force Triad (other blue w/o control at wand) x 3 Bovie BiPolar x 1, kept in Dr. Serratore’s drawer Suction Tips Kept in OR 1 and 2, drawer with the suction hoses Frazier Suction tip (we have 4) Poole Suction Tip (we have 4) Yankauer Suction tip, (we have 2; 1 is kept in CPR cart) Plastic, must be gas sterilized! Vaginal Speculum Used for urinary catheters 9/19/19, kms Bladder spoons Kept in OR 2, 3rd set drawers to right, middle drawer We have 1 small, 1 large Used for cystotomy surgery (bladder stone removal) Sagittal Saw Blades, Various sizes V Drive, kept in Dr. Serratore’s drawer, will keep in V Drive packs in the future. Microaire Drill, kept in Microaire Drill pack Everost Drill, kept in Everost drill pack *Used for orthopedic procedures to make precise cuts in bone for: FHO, Ulnar Osteotomy, Mandible/maxilla tumor removal, etc. Orthopedic Instruments Located in OR 1, very center drawer Gelpi retractors (baby, medium, large and deep) Weitlaner retractors 9/19/19, kms Hohman retractors (baby and large) Senn retractors (sharp and blunt tip) Periosteal elevators, used to strip soft tissues off bone Freer (long skinny), Dr Serratore likes this one! Sayre (shorter and broad) Orthopedic instruments located in the clear plastic “Ortho” Box (listed from front to back) Bone holding forceps Various styles used to hold bones together during fracture repair Kern Bone holding forceps (small, med, large) 9/19/19, kms AO Bone reduction forceps (small, only have 1) *not to be mistaken for a towel clamp! Has small serrated edges Point of reduction forceps Usually used for ortho procedures involving the bone condyles, ie elbow fractures Bone holding forceps (we have 3) Fits nicely around smaller bones Locking plate holder (have only 1, no photo available… coming soon!) Makes a “handle” onto the locking plate 9/19/19, kms Osteotomes (2 packs, size range from 4mm to 14mm), Used for various ortho procedures, ie TPLO and MPL (Medial Patella Luxation Bone mallet (we have 2) Commonly used in conjunction with osteotomes, used during TPLO and MPL procedures Bone rasp (2) Used to file down the sharp edges of bone when necessary Gigli wire and handles (2 sets) Used to cut bone 9/19/19, kms Patella Luxation (Hobby) saw Used to cut bone, primarily for Patella luxations Femoral Head Disarticulator (have only 1) Used to cut the round ligament for FHO (Femoral Head Ostectomy) Bone Rongeurs (2 styles) A rongeur is heavy-duty surgical instrument with a sharp-edged, scoop-shaped tip, used for gouging out bone. Rongeur is a French word meaning rodent or 'gnawer'. Used for orthopedic procedures (ie FHO) and Neurologic (hemilaminectomy) Single action Double action (1) The smaller more delicate Rongeurs are to be used for neurologic procedures 9/19/19, kms Liston Bone Cutting forceps (2) Used to cut bone, rarely used Plate Benders and bending irons, all sizes Used to bend orthopedic plates for fractures as needed Bending Irons Table press Plier plate benders Special Instruments for abdominal or advanced thorax procedures Balfour Retractor, 2 small and 3 larger sizes Kept in OR 2, third drawer set to the right, middle drawer Comes with spoon, OK to wrap separately Used for abdominal retraction for abdominal procedures, ie Gastrotomy, GDV, etc. Dr. Serratore will always use 9/19/19, kms Finochietto Rib Retractors* Kept in OR 1, very center drawer *Currently only have 1 for large breed dogs Used for thoracotomy (open chest surgery) Hemoclip applicators Kept in OR 1, left cabinet, bottom shelf 3 sizes we have: Blue, Green and Orange Color coordinates with the size staples used, also kept in cabinet. Safe for autoclave, but gas sterilize the extra staple cartridges Used to ligate (tie off) vessels with excessive bleeding during surgical procedures.
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