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Surgical Instruments

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SURGICAL INSTRUMENTS

I. CUTTING AND DISSECTING

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

A. KNIFE HANDLES deep knife 7 handle with 15

blade Used to cut deep, delicate tissue.

inside knife 3 handle with 10

blade superficial tissue.Used to cut

skin knife 4 handle with 20 blade

Used to cut skin.

Instruments Functions

B. SCISSORS

Straight Mayo Scissors Used to cut suture and supplies. Also known as: Suture scissors.

Curved Mayo Scissors

Used to cut heavy tissue (fascia, muscle, uterus, breast).

Metzenbaum Scissors

Used to cut delicate tissue.

II. CLAMPING and OCCLUDING

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

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Instruments Functions Hemostat

Other names: crile, snap or stat.

A hemostat is used to clamp blood vessels or tag sutures. Its jaws may be straight or curved.

Hemostat, Mosquito (left to right)

A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved.

Kelly, Hemostat, Mosquito (left to right) Other names: Rochester Pean

A Kelly is used to clamp larger vessels and tissue

Burlisher

Other names: Schnidt tonsil forcep, Adson

forcep. A burlisher is used to clamp deep blood vessels.

Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats.

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Right Angle

Other names: Mixter.

A right angle is 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."

Hemoclip applier with hemoclips

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

Carmalt Clamp

Larger than a kelly clamp and often confused

with the Peon Clamp of the same size; Carmalt

clamps have the characteristic jaw structure

pictured.

Debakey Vascular Clamp

The most standard of vascular clamps, the jaw of

the clamp is designed to clamp veins and arteries

without causing damage.

III. GRASPING and HOLDING

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

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Allis

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

Babcock

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

Kocher

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

Foerster Sponge Stick

A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep.

Dissector

A dissector is used to hold a peanut. Backhaus towel clip

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Backhaus towel clip

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

Pick ups, thumb forceps and tissue forceps

Pick ups, thumb forceps and tissue forceps are

available in various lengths, with or without teeth, and smooth or serrated jaws.

Russian tissue forceps

Russian tissue forceps are used to grasp tissue.

Bonney Forceps

Often used for grasping fascia during the closure

of abdominal surgery or for closure and suturing

of large orthopedic procedures such as total knee

and total hip replacement surgery.

Adson pick ups

Adson pick ups are either smooth: used to grasp

delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps.

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Smooth forceps

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

DeBakey forceps

DeBakey forceps are used to grasp delicate tissue,

particularly in cardiovascular surgery.

Single tooth forceps, many teeth forceps (top to bottom)

Thumb forceps are 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."

Short, medium & long (top to bottom)

Mayo-Hegar needle holders are used to hold

needles when suturing. They may also be placed in the sewing category.

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IV. RETRACTING and EXPOSING INSTRUMENTS

Retracting and exposing instruments are 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.

Instruments Functions

Deaver retractor

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

Richardson retractor

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

Army Navy retractor

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

Goulet

A goulet (manual) is used to retract shallow or superficial incisions.

Malleable or ribbon retractor

A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes.

Weitlaner retractor

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

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Gelpi retractor

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

Balfour

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

Baby Bennette Retractor

Elevating and Retracting Bone. Commonly in the

minor orthopedic instrument set.

V. SUCTIONING

~ Suctioning of blood and other secretions during surgery.

Instruments Functions

Frazier Suction Tip

Suction tip commonly use for orthopedic, neuro

and ENT surgery.

References

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