Surgical Instruments Case Study

Outline-Questions
I. What were some of the early wound closure techniques used in ancient civilization?
II. What are the steps of the surgical instrument manufacturing process?
III. Which materials are used to manufacture surgical instruments?
IV. What are the advantages and disadvantages of each of the different metals used to manufacture surgical instruments?
V. What are the various classifications of surgical instruments and the indications/uses for each?
VI. What are some of the advantages and disadvantages of each of the retaining systems used to join articulating instruments or instruments with a box-lock What are some of the advantages?

Surgical Instruments The treatment of acute and chronic wounds has a long history

First, dissecting and cutting instruments have sharp edges and are used to cut, separate, incise, and excise tissues; they are further classified into sharp and blunt (Phillips, 2016). Second, debulking instruments are used to reduce the bulk of firm tissue; include chisels, curettes, rasps, osteotomes, and gouges. Third, the main purpose of grasping and holding instruments is to grasp the tissue in an atraumatic way, while it remains in a position to allow the surgeon to perform a maneuver, such as suturing (Philips, 2016). Fourth, clamping and occluding instruments are designed to apply pressure at some point during the surgical procedure. Fifth, closure and approximation instruments are required for suture or staple placement and include needle holders, crosshatched jaws, tungsten carbide jaws, staplers, clip appliers, and others. Sixth, there are viewing instruments used by surgeons to perform procedures to examine the interior of body cavities, hollow organs, and structures (Phillips, 2016). Aspiration, instillation, and irrigation instruments are the seventh category of surgical instruments used to remove blood, body fluids, tissue, and irrigating solution. Next, dilating and probing instruments’ purpose is to explore the depth of a wound, locate an obstruction, or as tunneling devices. Measuring instruments are used to measure parts of the patient’s body (Phillips, 2016). Accessory instruments are designed to be

Each of them has advantages and disadvantages; for example, ratchet lock allows the needle to be clamped and held without maintaining grip pressure on the tool. Whereas, instruments that are within the box-lock category: hemostats and forceps. In which, are designed to hold and grasp surgical tissue to a high degree. While using this type of instrument. The surgical care provider must understand that this instrument is subjected to collect baked on blood and bioburden within the hinges at time of the sterilization processes. Therefore, same should be inspected in all phases of maintenance, surgical and reprocessing care. Overall, before any surgical instruments are to be used any written instructions detailed, by the manufacturer needs to be followed to provide safe and quality care to the surgical