Veterinary Biopsy Forceps – Common Types & Uses
兽医钳器与我们在常见医疗应用中看到的普通钳器有很大不同。一套兽医活检钳可能执行相同的功能,但人类和动物之间组织成分的差异是造成这种不同的原因。
在我们深入了解各种兽医镊子的类型之前,首先让我们看看这些镊子是什么以及它们是如何使用的。
What is a Biopsy Forceps?
活检钳,
by definition, 是用于从人类和动物中提取组织、液体或牙科样本以进行诊断的工具。然而,兽医钳的类型在设计、施加的力量和使用方面与人类对应物可能有很大不同。 Veterinary forceps instruments have sharper jaws, an ergonomic handle, and stronger grips to reduce bleeding post-biopsy, especially in smaller animals. The types of forceps vet practitioners use are designed to handle tissue variation between species, offering flexibility.
Are Biopsy Forceps Critical in Veterinary Applications?
活检钳的目的是帮助兽医在取样组织时尽量减少对该区域的损伤或出血。由于动物在手术情况下不可预测,兽用钳子的特异性和灵活性有助于更轻松地取样组织。
There are also specific forceps types for internal and external biopsies. A forcep tool you use in an endoscopic vet biopsy procedure can look completely different from those meant for external biopsies.
Veterinary Biopsy Forceps: Are They Sterilized?
Unlike forceps for human applications, the ones used in vet medicine often come unsterilized, unless they're single-use disposables. Vets often disinfect their reusable tools before each session. Here are 3 ways you can disinfect your biopsy forceps at your clinic :
Autoclave 方法
Autoclaving your biopsy forcep is, by far, the
most reliable method of disinfection. Due to the high temperatures involved, it's recommended to be used on stainless steel or other heat-resistant forceps. Here's how to do it : - Pre-cleaning: Rinse off any remnants of blood, tissue, or fluids from the forceps
- Enzymatic cleaning: Solutions like Cidezyme help break down any remaining tissue bits enzymatically.
- Brush & Rinse: Use a soft brush to fully remove tissue traces and rinse with distilled water.
- Drying: 使用无绒布或自然风干来干燥您的活检钳。
- Autoclave: 将洗净的兽医钳放入耐热的高压灭菌袋中,在121–134°C(250–273°F)下高压灭菌15-30分钟。
- Cool before storage: Cool the tools in the autoclave pack to avoid condensation.
Cold Chemical Sterilization
另一种常见的消毒各种类型兽医钳的方法是化学灭菌。当兽医钳器具对热敏感时,兽医会选择这种方法。以下是标准化学灭菌的步骤:
- Pre-cleaning: Remove traces of tissue, blood, and fluid from your biopsy forceps.
- Immerse in disinfectant: Fully submerge tools in a strong disinfectant like glutaraldehyde, hydrogen peroxide, or peracetic acid, according to label instructions.
- Rinse: 用消毒水冲洗消毒剂,以防止再污染。
- Dry: Air-dry your tools or use a clean, lint-free cloth.
Gas Sterilization (ETO)
对于更精细的工具,兽医通常会选择使用环氧乙烷或气化过氧化氢等离子体进行气体灭菌。虽然价格较高,但由于该过程在较低温度下精确控制,因此可以用于所有类型的工具。以下是它的样子:
- Pre-cleaning: Tools are rinsed off of tissue, blood, and fluids.
- Enzymatische Reinigung: Verwenden Sie enzymbasierte Reinigungsmittel, um alle Spuren biologischer Materialien vollständig zu entfernen.
- Dry and pack: Let your veterinary forceps dry fully before packing them into ETO-friendly pouches with an exposure indicator strip.
- Preconditioning: Allow your ETO package to come to temperature at a precisely controlled 50–60°C (122–140°F) and 30–60% RH for optimal permeation.
- Load into ETO: Load the chamber at common sterilization parameters - 37–63°C (99–145°F) for 1–6 hours at an ETO concentration of 450–1,200 mg/L and a relative humidity between 40–80%. This may differ from machine to machine.
Types of Veterinary Forceps and Their Uses
兽医活检钳的大小、形状、握力和灵活性差异很大。兽医从业者在取样不同组织时使用的钳子类型也各不相同。让我们来看看最常见的兽医钳子类型及其使用方法:
内窥镜活检钳
The most common of veterinary forceps types,
内窥镜活检钳用于兽医内窥镜检查程序中提取内部组织样本。这些包括以下设备: - Oval cup forceps
- Serrated/Toothed forceps
- Miniature forceps
- Alligator forceps
- Fenestrated forceps
- Hot forceps
Unlike external ones, forceps used in an endoscopic biopsy are often supported by veterinary endoscopy equipment like an
耳镜, 多功能内窥镜和灵活的成像工具。这是为了让兽医能够准确地取样组织,而不必为了简单的活检而进行大规模手术。 外部活检钳
这种类型的活检钳允许在外部或开放手术期间进行取样,适用于皮肤组织、病变、口腔粘膜和可见血管。兽医用于外部应用的常见钳子类型包括:
- Thumb forceps
- Tissue forceps
- Kelly forceps
- Adson 镊子
- DeBakey 镊子
- Potts-Smith 镊子
- Rochester-Pean forceps
这些工具在表面层面上使用,没有任何形式的内窥镜成像设备。它们在开放手术和紧急程序中也很常见,用于快速有效的活检,而不会使动物面临风险。
Veterinary Biopsy Forceps: A Key Tool
Biopsy forceps are an indispensable tool in veterinary medicine. The varying types of veterinary forceps allow practitioners to cleanly and accurately sample tissue from different regions, lowering risk during surgical procedures.