Surgical Instruments

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BASIC SURGICAL INSTRUMENTS

1.Cutting and Dissecting:


Cutting and dissecting instruments are sharp and are used to cut body tissue or surgical supplies.

Knife handles Scissors:

Straight Mayo Scissors: Used to cut suture and supplies. (Suture scissors)

Curved Mayo Scissors: Used to cut heavy tissue (fascia, muscle, uterus, breast)

Metzenbaum Scissors: Used to cut delicate tissue

2.Clamping and Occluding:


Clamping and occluding instruments are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.

Hemostat: used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat.

Mosquito: Used to clamp small blood vessels. Its jaws may be straight or curved. (hemostat and mosquito)

Kelly: Used to clamp larger vessels and tissue. Other name: Rochester Pean. (Kelly, Hemostat and mosquito)

Burlisher: Used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep.

Right angle: used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other name: Mixter.

Hemoclip applier with hemoclips: applies metal clips onto blood vessels and ducts which will remain occluded.

3. Grasping and Holding:


Grasping and holding instruments are used to hold tissue, drapes or sponges.

Pick ups, thumb forceps and tissue forceps: are available in various lengths, with or without teeth, and smooth or serrated jaws.

Russian tissue forceps: used to grasp tissue.

Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps.

Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to grasp delicate tissue.

DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery.

Thumb forceps: used to grasp tough tissue (fascia, breast).Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps."

Mayo-Hegar needle holders: used to hold needles when suturing. They may also be placed in the sewing category.

Needle holder with suture

Allis: used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue.

Babcock: used to grasp delicate tissue (intestine, fallopian tube, ovary). Available in short and long sizes.

Kocher: used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other name: Ochsner.

Foerster sponge stick: used to grasp sponges. Other name: sponge forcep.

Dissector: used to hold a peanut.

Backhaus towel clip: used to hold towels and drapes in place. Other name: towel clip.

4. Retracting and Exposing:


Used to hold back or retract organs or tissue to gain exposure to the operative site. They are either

"self-retaining" (stay open on their own) or "manual" (held by hand). When identifying retractors, look at the blade, not the handle.

Deaver retractor (manual): used to retract deep abdominal or chest incisions. Available in various widths.

Richardson retractor (manual): used to retract deep abdominal or chest incisions.

Army-Navy retractor (manual): used to retract shallow or superficial incisions. Other names: USA, US Army.

Goulet (manual): used to retract shallow or superficial incisions.

Malleable or ribbon retractor (manual): used to retract deep wounds. May be bent to various shapes.

Weitlaner retractor (self-retaining): used to retract shallow incisions.

Gelpi retractor (self-retaining): used to retract shallow incisions.

Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures.

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