Instruments

Verceles, Timothy Joy E.

BSN – III G3 Source: http://library.sccsc.edu/surgtech/default.htm

FORCEPSAllis Forceps

A straight grasping forceps with serrated jaws, used to forcibly grasp or retract tissues or structures.

Straight and Curve Kelly Forceps

Kelly forceps are a type of hemostat usually made of stainless steel. They resemble a pair of scissors with the blade replaced by a blunted grip. They also feature a locking mechanism to allow them to act as clamps. Kelly forceps may be floor grade (regular use) and as such not used for surgery. They may also be sterilized and used in operations, in both human and veterinary medicine. They may be either curved or straight. In surgery, they may be used for occluding blood vessels, manipulating [tissues], or for assorted other purposes. 

Thumb forceps

the forceps used for grasping soft tissue; used especially during suturingThumb forceps are used to hold tissue in place when applying sutures, to gently move tissues out of the way during exploratory surgery and to move dressings or draping without using the hands or fingers.Thumb forceps can have smooth tips, cross-hatched tips or serrated tips (often called 'mouse's teeth'). Common arrangements of teeth are 1×2 (two teeth on one side meshing with a single tooth on the other), 7×7 and 9×9. Serrated forceps are used on tissue; counter-intuitively, teeth will damage tissue less than a smooth surface (you can grasp with less overall pressure). Smooth or cross-hatched forceps are used to move dressings, remove sutures and similar tasks.

Tissue Forceps

An instrument with one or more fine teeth at the tip of each blade for controlling tissues during surgery, especially during suturing.

Adson Forceps

Standard thumb-operated, wishbone type forceps for grasping tissue, with a rat-tooth tip with a single point on one side fitting in between two teeth on the other. Adson–Brown tissue forceps have multiple fine teeth at the edges of the tips.

Babcock Forceps

Forceps with loop blades which are also semicircular in sagittal cross-section. Designed to hold a short length of intestine without compressing it.

Pean Forceps

a clamp for hemostasis.

Mixter Forceps

Lightweight, ratchet-handled hemostats with the blades curved sharply downwards near their tip.

Ochsner Forceps

A strongly built, curved hemostat with rat-tooth tips to the blades.

Crusher Forceps

Use to close ligaments and support in closing sutures.

Ovum Forceps

Ovum forceps are commonly used to remove placental fragments inside the uterus. It is also used as a hemostat or a clamping instrument.

Mosquito Forceps

A small hemostatic forceps.

Needle Holder

A needle holder, also called needle driver, is a surgical instrument, similar to a hemostat, used by doctors and surgeons to hold asuturing needle for closing wounds during suturing and surgical procedures.

RETRACTORSArmy Navy Retractors

A handheld retractor with broad blades used for large muscles.

Richardson Retractors

Is used to retract deep abdominal or chest incisions.

Goulet Retractors

Is used to retract shallow or superficial incisions.

Deaver Retractor

Is used to retract deep abdominal or chest incisions. Available in various widths.

Malleable/Ribbon Retractor

A surgical instrument made of malleable metal which can be molded to different shapes to assist in holding back tissues.

DISSECTING: Knife Handles and 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.

CUTTING: Scissors

straight Mayo, curved Mayo, Metzenbaum (left to right)

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

EX:  Straight Mayo scissors being used to cut suture.

Curved Mayo scissors - Used to cut heavy tissue (fascia, muscle, uterus, breast).  Available in regular and long sizes.

Metzenbaum scissors - Used to cut delicate tissue.  Available in regular and long sizes.

CLAMPING and OCCLUDING: Hemostats and Clamps

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

hemostat

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

hemostat, mosquito(left to right)

A Kelly is used to clamp larger vessels and tissue.   Available in short and long sizes.  Other names: Rochester Pean.

Kelly, hemostat, mosquito(left to right)

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.  Other names: Schnidt tonsil forcep, Adson forcep.

burlisher

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."  Other names: Mixter.

right angle

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

hemoclip applier with hemoclipsGRASPING and HOLDING: Forceps

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.

Allis

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

Babcock

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.

Kocher

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

Foerster sponge stick

EX:  Sponge sticks holding a 4 X 4 and probang.

A dissector is used to hold a peanut.

dissector

EX:  Dissector holding a peanut.

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

Backhaus towel clip

large & small towel clipsRETRACTING and EXPOSING: Retractors

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

Deaver retractor

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

Richardson retractor

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

Army Navy retractor

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

goulet