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    Surgical Instruments: 1-Cutting and Dissecting 2-Clamping and Occluding 3-Grasping and Holding 4-Retracting and Exposing

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    Dwyane Tyrone Cabrillos
    Cutting, clamping, grasping, and retracting instruments are the main categories of surgical instruments. Cutting instruments include various knives and scissors used to cut tissue. Clamping instruments compress blood vessels or organs and include hemostats, mosquitos, and Kelly clamps. Grasping instruments hold tissue and include forceps like Allis, Babcock, and Kocher. Retracting instruments hold back organs to expose surgical sites and include both self-retaining retractors and manual retractors like Deaver and Richardson retractors.

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    Surgical Instruments: 1-Cutting and Dissecting 2-Clamping and Occluding 3-Grasping and Holding 4-Retracting and Exposing

    Uploaded by

    Dwyane Tyrone Cabrillos
    61 views14 pages
    Cutting, clamping, grasping, and retracting instruments are the main categories of surgical instruments. Cutting instruments include various knives and scissors used to cut tissue. Clamping instruments compress blood vessels or organs and include hemostats, mosquitos, and Kelly clamps. Grasping instruments hold tissue and include forceps like Allis, Babcock, and Kocher. Retracting instruments hold back organs to expose surgical sites and include both self-retaining retractors and manual retractors like Deaver and Richardson retractors.

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    Surgical instruments

    Original Title

    Instruments

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    Cutting, clamping, grasping, and retracting instruments are the main categories of surgical instruments. Cutting instruments include various knives and scissors used to cut tissue. Clamping instruments compress blood vessels or organs and include hemostats, mosquitos, and Kelly clamps. Grasping instruments hold tissue and include forceps like Allis, Babcock, and Kocher. Retracting instruments hold back organs to expose surgical sites and include both self-retaining retractors and manual retractors like Deaver and Richardson retractors.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    61 views14 pages

    Surgical Instruments: 1-Cutting and Dissecting 2-Clamping and Occluding 3-Grasping and Holding 4-Retracting and Exposing

    Uploaded by

    Dwyane Tyrone Cabrillos
    Cutting, clamping, grasping, and retracting instruments are the main categories of surgical instruments. Cutting instruments include various knives and scissors used to cut tissue. Clamping instruments compress blood vessels or organs and include hemostats, mosquitos, and Kelly clamps. Grasping instruments hold tissue and include forceps like Allis, Babcock, and Kocher. Retracting instruments hold back organs to expose surgical sites and include both self-retaining retractors and manual retractors like Deaver and Richardson retractors.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 14

    SURGICAL INSTRUMENTS

    1-Cutting and Dissecting


    2-Clamping and Occluding
    3-Grasping and Holding
    4-Retracting and Exposing

    1. Cutting and Dissecting instruments

    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.

    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 delicatetissue.
    Available in regular and long sizes.

    2. Clamping and Occluding Instruments

    Clamping and occluding instruments are


    used to compress blood vessels or hollow organs for
    hemostasis or to prevent spillage of contents.
    A hemostat
    is used to clamp blood vessels or tag sutures.
    Its jaws may be straight or curved.
    Other names: crile, snap or stat

    A mosquito
    is used to clamp small blood vessels.
    Its jaws may be straight or curved.
    A Kelly
    is used to clamp larger vessels and tissue.
    Available in short and long sizes.
    Other names: Rochester Pean

    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

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

    3. Grasping and Holding instruments

    Grasping and holding instruments are used to hold tissue, drapes


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

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

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

    EX: Sponge sticks holding a 4 X 4 and probang

    A dissector
    is used to hold a peanut.

    EX: Dissector holding a peanut.


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

    Pick ups, thumb forceps and tissue forceps are available in


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

    Russian tissue forceps are 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.
    Adson pick ups are either smooth: used to grasp delicate tissue;

    or with teeth: used to grasp the skin.


    Other names: Dura forceps.

    DeBakey forceps are used to grasp delicate tissue,


    particularly in cardiovascular surgery.

    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."
    Mayo-Hegar needle holders
    are used to hold needles
    They may also be placed in the sewing category.
    EX: Needle holder with suture

    4. 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.

    A Deaver retractor (manual)


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

    A Richardson retractor (manual)


    is used to retract deep abdominal or chest incisions.

    An Army-Navy retractor (manual)


    is used to retract shallow or superficial incisions.
    Other names: USA, US Army

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

    A Weitlaner retractor (self-retaining)


    is used to retract shallow incisions.

    A Gelpi retractor (self-retaining) is used


    to retract shallow incisions.

    A Balfour with bladder blade (self-retaining)

    is used to retract wound edges during deep abdominal


    procedures.

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