Surgical Instruments
Surgical Instruments
Surgical Instruments
Cutting and Dissecting These are sharp and are used to cut body tissue or surgical supplies. Scalpel Blade
#7, #3, #4 (left to right) 7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue. 3 handle with 10 blade (inside knife) Used to cut superficial tissue. 4 handle with 20 blade (skin knife) - Used to cut skin. Mayo Scissors
Curved/Straight Mayo Scissors Note: With thick Shank These are used to cut suture materials and cutting tough tissues. Metzenbaum
Curved/Straight Metzenbaum Note: With thin Shank and curved tips These are used for tissue dissection and cutting delicate tissues.
Lister/Bandage Scissors
Note: the blunt tip on one edge Used to trim bandages to custom size, to cut through clothing or gauze, and to help remove bandages that someone is wearing Suture Scissors
b.
Note: Concave Edge on one Side Use in cutting sutures a. Angled Suture Scissors Straight Suture Scissors- for subcutaneous, Skin or Muscular area c. Stitch Scissors
Used to grasp delicate tissue, particularly in cardiovascular surgery. Adson Tissue Forceps
These are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps. Russian Tissue Forceps
They have serration up to the tips, allowing better grasp of tissue with minimum trauma. They Are used to hold tissue, drapes or sponges: Randall Stone Forceps
Tenaculum
Has Sharp teeth to hold tissue firmly but can cause damage, so only used in tissue, which will be excised . Used to grasp subcutaneous layer and tissue.. Kocher/ Oschsner Clamp
Ovum (Forcep)
Used in muscular and facial layers; delicate tissue (in tube, ovary)
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. Richardson
For deep abdominal and chest incisions . Used to pull layers of tissue US Army Navy
For minor surgery like arterio-venous Wrist or antecubital area Dull or sharp Deaver
Malleable
Used to retract deep wounds May be bent to various shapes Vein Retractor
Langenbeck
Used to retract thin skin, like eyelids For eye surgeries Vaginal Speculum
Clamping and Occluding Instruments They are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents. Straight Mosquito/ Halsted
HEMOSTAT COMPONENT Used to clamp skin, small blood vessels Used to hold sutures aside from pedia patients. Kelly Clamp
HEMOSTAT COMPONENT Used to clamp larger blood vessels and tissues Curved Kelly- for peritoneum Crile Clamp
Curved or Straight HEMOSTAT COMPONENT Curved Crile- for fascia ,subcutaneous, & muscular area Pean (Rochester-Pean) Clamp
For Gastrectomy
A needle holder should not be placed on a magnetic pad, because it may become magnetized. Tungsten Carbide jaws eliminate the twisting and turning of the needle Crosshatching provides a smoother surface and prevents damage to the needle Smooth jaws used with small needles such as those used for plastic surgery
Viewing
Speculums Endoscopes Hollow Endoscopes permits viewing in a forward direction, with a light carrier supplied by a fiberoptic cable provides illumination Lensed Endoscopes have either rigid or flexible sheaths, used in combination with video assisted technology, can record action videos and still digital photography
Assignment