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Slides-Surgical-Instruments.pptx

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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
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