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Operating Room Instruments Delivery Room Instruments

The document summarizes various surgical instruments used in operating rooms, delivery rooms, and for orthopedic procedures. It categorizes instruments as cutting/dissecting, clamping/occluding, grasping/holding, retracting/exposing. Specific instruments are listed within each category along with their purposes, such as Mayo scissors for cutting cord/tissue and Kelly clamps for clamping the umbilical cord towards the baby or placenta. Orthopedic instruments including bone chisels, files, drills and screwdrivers used for working with bone are also outlined. The document provides a comprehensive reference for common medical/surgical tools.

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Charme Jean Raygon
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614 views5 pages

Operating Room Instruments Delivery Room Instruments

The document summarizes various surgical instruments used in operating rooms, delivery rooms, and for orthopedic procedures. It categorizes instruments as cutting/dissecting, clamping/occluding, grasping/holding, retracting/exposing. Specific instruments are listed within each category along with their purposes, such as Mayo scissors for cutting cord/tissue and Kelly clamps for clamping the umbilical cord towards the baby or placenta. Orthopedic instruments including bone chisels, files, drills and screwdrivers used for working with bone are also outlined. The document provides a comprehensive reference for common medical/surgical tools.

Uploaded by

Charme Jean Raygon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Operating Room Instruments Delivery Room Instruments

Basic Surgical Instruments

Cutting and Dissecting

SURGICAL INSTRUMENTS The basic instruments that every beginner surgeon and nurse should
know are placed in four categories. 1-Cutting and Dissecting.

Operating Room Instruments - or SURGICAL INSTRUMENTS, are specially designed tools used
during a surgery or operation

SCISSORS
 MAYO CURVE - Used to cut the ligatures or other suture material. It is also used to cut
heavy tissues and internal organs so that adjacent tissues are protected while using it.
(i.e. fascia, muscle, uterus, breast)
 MAYO STRAIGHT – Used for cutting ligatures, sutures and supplies. It is also used for
removing sutures of incisions.
 METZENBAUM – Used to cut delicate tissues.

CLAMPING AND OCCLUDING INSTRUMENTS


- used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of
contents
 MOSQUITO – USED TO CLAMP SMALL BLOOD VESSELS. (may be straight or curved)
 KELLY CURVED AND KELLY STRAIGHT– USED TO CLAMP LARGER VESSELS AND TISSUE.
 ADISON FORCEPS– USED TO CLAMP DEEP BLOOD VESSELS

GRASPING AND HOLDING


- Grasping and holding instruments are used to hold tissue, drapes or sponges.
 ALLIS- USED TO GRASP TISSUE
 BABCOCK – USED TO GRASP DELICATE TISSUE (i.e. INTESTINE, FALLOPIAN TUBE, OVARY)

 KOCHER – USED TO GRASP HEAVY TISSUE


 TOWEL CLIP – USED TO HOLD TOWELS AND DRAPES.
 THUMB FORCEP – USED TO GRASP TOUGH TISSUE
 NEEDLE HOLDER – USED TO HOLD NEEDLE WHILE SUTURING.
RETRACTING AND EXPOSING INSTRUMENTS
- 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 – USED TO RETRACT ABDOMINAL OR CHEST INCISION.


 RICHARDSON – USED TO RETRACT DEEP ABDOMINAL OR CHEST INCISION.
 ARMY NAVY – USED TO RETRACT SHALLOW OR SUPERFICIAL INCISIONS.
 SELF-RETAINING – USED TO RETRACT WOUND EDGES DURING DEEP ABDOMINAL
PROCEDURES.
 MALLEABLE – USED TO RETRACT DEEP WOUNDS.

Delivery Room Instruments


 Mayo table - where all instruments are placed
 Mayo Scissors -used to cut the umbilical cord
 Kelly clamp (straight)- used to clamp the cord towards the placenta
 Kelly clamp (curve) - used to clamp the cord towards the baby
 Metz scissors -used to cut suture during episiorraphy
 Needle holder -used to hold the needle
 Tissue forceps - used to grasp tissue
 # 3 handle with 10 blade (inside knife) - Used to cut superficial tissue.
 # 4 handle with 20 blade (skin knife) - Used to cut skin.

MAJOR SET
 Kocher (Ochsner) - Used to grasp heave tissue and can be also used as a clamp. Its jaw
can be straight or curve. Used to hold a peanut.
 Babcock forceps - Used to grasp delicate tissue such as intestine, fallopian tube, ovary,
appendix, also available in long sizes.
 Allis Forcep - Used to grasp tissue and is available also in long sizes.
 Round Nose (kelly curve) - Used to clamp larger tissues or vessels.
 Hemostat - Used to clamp blood vessels or tag sutures. It may be straight or curved.
 Backhaus towel clips - Used to hold drapes, most especially towels in place
 Thumb Forceps - They look like tweezers.They are tapered and have serrations or
grooves at the tip. They can be short or long, straight or bayonet (angled), and delicate
or heavy.
 Army Navy Retractor (also called right angle retractor/US Army retractor)- Used to
retract superficial or shallow incision.
 Blade #4 - Used to cut the skin
 Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors.
 Mayo Scissors (curve) -Used to cut heavy tissues such as fascia, muscle, uterus, breast)
 METZENBAUM – Used to cut delicate tissues.

MINOR SET
 Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture
scissors.
 Mayo Scissors (curve)- Used to cut heavy tissues such as fascia, muscle, uterus, breast)
 METZENBAUM – Used to cut delicate tissues.
 Kocher (Ochsner)- Used to grasp heave tissue and can be also used as a clamp. Its jaw
can be straight or curve. Used to hold a peanut.
 Allis Forceps - Used to grasp tissue and is available also in long sizes.
 ADISON FORCEPS – USED TO CLAMP DEEP BLOOD VESSELS
 MOSQUITO – USED TO CLAMP SMALL BLOOD VESSELS (may be straight or curved)

Dilation (dilatation) and curettage (D&C)


- is a brief surgical procedure referring to the dilation (opening) of the cervix and the surgical
removal of the contents of the uterus.

PURPOSE:
Remove tissue in the uterus during or after a miscarriage or abortion or to remove small pieces
of placenta after childbirth. This helps prevent infection or heavy bleeding.
Diagnose or treat abnormal uterine bleeding. Diagnosing or treating growths such as fibroids,
polyps or endometriosis, hormonal imbalances, or uterine cancer. A sample of uterine tissue is
viewed under a microscope to check for abnormal cells.

 Hysterometer /Uterine Sound -A graduated sounding instrument for measuring the


depth of the uterine cavity
 Tenacupain- For cervical traction. Unique design grasps cervix in a single "snap-close"
movement, minimizing pain.
 Curettes sharp #2,3,4,5 -A surgical instrument shaped like a scoop or spoon, used to
remove tissue or growths from a body cavity.
 Ovum forceps - are commonly used to remove placental fragments inside the uterus. It
is also used as a hemostat or a clamping instrument
 Tissue forceps - used to grasp tissue, can be either dressing forceps or tissue forceps
 uterine forceps -specially designed forceps to help grasp or hold the uterine parts of the
body when the uterus is being operated

Normal Spontaneous Delivery


- When a pregnant women who has a completely normal no risk pregnancy goes into labor
without induction. Then continues into labor without drugs to assist labor. The women must
deliver vaginally, she may or may not have an epidural anesthesia - it doesn't matter.

 tissue forceps - used to grasp and handle tissue


 Needle holder -used to hold and guide suture needles securely for suturing
 Kelly clamp (curve) - used to clamp the cord towards the baby
 Kelly clamp (straight) - used to clamp the cord towards the placenta
 Metzenbaum - The most common scissors use for cutting tissue.

Orthopedic Instruments
Arthroscope
- This device is used to treat injuries deep under the skin and inside joints.
- It's a good alternative to traditional surgery. It is less invasive and requires less recovery time.

Bone chisel and hammer


- It is used to trim bone

Bone curette
It looks similar to the bone chisel, but has a spoon-shaped end.
It is used for scraping and "scooping" bone and other material. The spoon makes it easy to lift
the debris up and out.

Bone file
- It has a long file on the end. It resembles a nail file, but its rough edge is strong enough to file
away bone.

Bone drill
Many of these orthopedic instruments resemble ordinary drills used in carpentry.
Bores holes in bones

Orthopedic screwdriver
These handheld tools look very much like ordinary screwdrivers.
An orthopedic screwdriver is used for driving screws and pins into bone material.

CUTTING AND DISSECTING INSTRUMENTS - are sharp and are used to


cut body tissue or surgical supplies
79 KNIFE HANDLES #7, #3, #4 (left to right)

80 # 7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue.

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