the habit of signaling becomes automatic
*
Fig. 7. — Manual signal system for use during operations:
- [ row 1 ]
1 a, artery clamp; b, Allis clamp (intestinal forceps); as artery clamp with wriggling of little finger; c, Kocher clamp, as artery clamp with wriggling of thumb; 2 a, Towel clip; b, Kelly clamp; as towel clip plus wriggling of thumb; 3, ligature; 4, sponge pads; - [ row 2 ]
5, a, scalpel, with cutting motion; b, straight needle, with rotary motion; 6, a, thumb forceps; b, scissors, opening and closing fingers; 7, tissue forceps, one and two teeth; 8, tissue forceps, many teeth; - [ row 3 ]
9, sharp retractors; 10, palm down: a, large right angle retractors, thumb and index finger; b, medium right angled retractors; use middle finger instead of index finger; c, small right angled retractors, use ring finger instead of index finger; 11, palm up: a, large string pad, thumb and index finger; b, medium string pad, thumb and middle finger; c, small string pad, thumb and ring finger; 12, a, McBurney, small; b, McBurney, large; use both index and middle fingers; - [ row 4 ]
13, abdominal retractors; 14, a, aneurysm, rotary motion; b, cautery, squeezing motion; 15, palm down; a, large sponge stick, sponging motion; b, curved needle, rotary motion; c, small sponge stick, as 15 a, but with palm up; 16, towel, spreading motion.
(each image cropped to square, realigned; identifying figures removed, but should be clear enough)
ex
Eugene H(illhouse). Pool (1874-1949 *) and Frederick W. Bancroft. “Systematization of a Surgical Service.” The Journal of the American Medical Association 49:19 (1919) : 1599-1603
University of Michigan copy, digitized October 5, 2012
different University of California copy, digitized May 13, 2011, opens to same (but less sharp) image here
epigram ex p 1603
tags:
signals; manual vocabulary; E. H. Pool and F. W. Bancroft, “Systematization of a Surgical Service” (1919)