The Basic Surgical Instruments Cutting and Dissecting Grasping and Holding Retracting and Exposing Clamping and Occluding Miscellaneous The Basic Surgical Instruments Cutting and Dissecting Grasping and Holding Retracting and Exposing Clamping and Occluding Miscellaneous Cutting and Dissecting Instruments These are sharp and are used to cut body tissue or surgical supplies. Scalpel holder Curved and Straight Mayo Scissors Lister/Bandage Scissors Suture Scissors Metzenbaum Stitch Scissors Cutting and Dissecting Instruments 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. Cutting and Dissecting Instruments Mayo Scissors Curved/Straight Mayo Scissors Note: With thick Shank These are used to cut suture materials and cutting tough tissues. Cutting and Dissecting Instruments Metzenbaum Curved/Straight Metzenbaum Note: With thin Shank and curved tips These are used for tissue dissection and cutting delicate tissues. Cutting and Dissecting Instruments 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 Cutting and Dissecting Instruments Suture Scissors Note: Concave Edge on one Side Use in cutting sutures a. Angled Suture Scissors b. Straight Suture Scissors- for subcutaneous, Skin or Muscular area Cutting and Dissecting Instruments Stitch Scissors Use only with non-absorbable sutures Grasping and Holding Instruments are used to hold tissue, drapes or sponges DeBakey Tissue Forceps Adson Tissue Forceps Russian Tissue Forceps Backhaus Towel Clamp Randall Stone Forceps Babcock Clamp Tenaculum Foerster / Ovum Sponge Forceps Allis Clamp Kocher/ Oschsner Clamp Grasping and Holding Instruments (Tissue Forceps) These are available in various lengths, with or without teeth, and smooth or serrated jaws. DeBakey Tissue Forceps Adson Tissue Forceps Russian Tissue Forceps Grasping and Holding Instruments DeBakey Tissue Forceps Used to grasp delicate tissue, particularly in cardiovascular surgery. Grasping and Holding Instruments Adson Tissue Forceps These are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps. Grasping and Holding Instruments Russian Tissue Forceps They have serration up to the tips, allowing better grasp of tissue with minimum trauma. Grasping and Holding Instruments They Are used to hold tissue, drapes or sponges. Backhaus Towel Clamp Allis Clamp Randall Stone Forceps Tenaculum Babcock Clamp Foester / Ovum Sponge Forceps Kocher/ Oschsner Clamp Grasping and Holding Instruments Randall Stone Forceps To remove kidney stones Grasping and Holding Instruments Tenaculum Used to grasp cervix Grasping and Holding Instruments Backhaus Towel Clamp To anchor drapes and towels Grasping and Holding Instruments Allis Clamp 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.. Grasping and Holding Instruments Kocher/ Oschsner Clamp Straight or Curved It is used to grasp heavy tissue. May be used as a clamp. Grasping and Holding Instruments Ovum (Foerster) For DR Control of bleeding To grasp sponges Grasping and Holding Instruments Babcock Clamp 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 US Army Navy Malleable Vein Retractor Weitlaner Langenbeck Senn Deaver Volkmann Rake Green Goiter Skin Hooks Vaginal Speculum Retracting and Exposing Instruments Richardson Single Double For deep abdominal and chest incisions . Used to pull layers of tissue Retracting and Exposing Instruments US Army Navy For shallow or superficial incision For pediatric clients Retracting and Exposing Instruments Senn For minor surgery like arterio-venous Wrist or antecubital area Dull or sharp Retracting and Exposing Instruments Deaver Used to retract deep abdominal or chest incisions. Available in various widths. Retracting and Exposing Instruments Malleable Used to retract deep wounds May be bent to various shapes Retracting and Exposing Instruments Vein Retractor Used in vein stripping (varicose veins) Retracting and Exposing Instruments Volkmann Rake Used in retracting skin layers Retracting and Exposing Instruments Green Goiter for thyroidectomy Retracting and Exposing Instruments Weitlaner Used to open neck muscles For thyroidectomy Retracting and Exposing Instruments Langenbeck For visualization of anal/vaginal area Retracting and Exposing Instruments Skin Hooks Used to retract thin skin, like eyelids For eye surgeries Retracting and Exposing Instruments Vaginal Speculum For Pap Smear, D&C, Visualization of Cervix Clamping and Occluding Instruments They are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents. Crile Clamp Straight Mosquito Kelly Clamp Right-Angled (Mixter /Dissector) Forceps Pean (Rochester-Pean) Clamp Clamping and Occluding Instruments Straight Mosquito/ Halsted HEMOSTAT COMPONENT Used to clamp skin, small blood vessels Used to hold sutures aside from pedia patients. Clamping and Occluding Instruments Kelly Clamp Note: The tip has half serrations Curved or Straight HEMOSTAT COMPONENT Used to clamp larger blood vessels and tissues Curved Kelly- for peritoneum Clamping and Occluding Instruments Crile Clamp Note: Whole tip has serrations Curved or Straight HEMOSTAT COMPONENT Curved Crile- for fascia ,subcutaneous, & muscular area Clamping and Occluding Instruments Pean (Rochester-Pean) Clamp For Gastrectomy Clamping and Occluding Instruments Right-Angled (Mixter /Dissector) Forceps Used to hold a peanut Miscellaneous Curette Hysterometer Sharp or Dull For scraping uterine wall For Double Set-Up Used with Vaginal Speculum Measures depth of Uterus With Gradations