Instruments used in obstetrics and gynecology

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The following is a list of instruments that are used in modern obstetrics and gynecology.
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Instrument Uses
Speculum
A specialized form of vaginal speculum is the weighted speculum,
which consists of a broad half tube which is bent at about a 90 degree
angle, with the channel of the tube on the exterior side of the angle.
One end of the tube has a roughly spherical metal weight surrounding
the channel of the speculum. A weighted speculum is placed in the
vagina during vaginal surgery with the patient in the lithotomy
position. The weight holds the speculum in place and frees the
surgeon's hands for other tasks.

Auvard's speculum Speculum used in standard vaginal procedures.

Cusco's speculum
Bivalved self retaining speculum. Its advantage over Sim's speculum
is that no assistance is required to hold it in place. Hence, minor
procedures like papsmear, IUCD insertions can be performed
independently. Its disadvantage is the limited visualization of vagina
walls.

Sim's double-bladed
posterior vaginalspeculum


Scalpel


Vulsellum


Single toothed vulsellum


Multiple toothed vulsellum


Giant vulsellum


Mucus sucker - disposable or
metal


Forceps


Long straighthemostatic forceps


Allis tissue forceps


Babcock's forceps


Lanes tissue forceps


Uterus holding forceps


Sponge holding forceps


Kocher's artery forceps


Kocher's forceps with toothed
jaws
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Green-Armytage hemostatic
forceps


Willet's scalp traction forceps


Ovum forceps


Punch biopsy forceps


Uterine dressing forceps


FemCerv Endocervical Sampler
The FDA cleared disposable FemCerv endocervical Sampler can be
used to biopsy the endocervical canal during colposcopyor the
evaluation of abnormal uterine bleeding. FemCerv is intended to
collect a 360 Endocervical tissue sample for histological evaluation.
After collection the device is closed to contain and protect the sample
within the patented collection chamber. To release the tissue sample
the device is opened and the tip swished in a vial of fixative. The
sample is then sent to the pathology lab for processing..

SpiraBrush CX
An ectocervical biopsy brush used in place of punch
forceps during colposcopy to collect a full transepithelial tissue
sample. The resulting sample is then sent to a pathology lab for
evaluation and diagnosis of cervical cancer. Abnormalities in these
samples are similar to those seen in traditional cervical biopsies, and
range from reactive squamous and glandular epithelial cells to overt
invasive carcinoma.
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SoftECC
The FDA Compliant disposable Soft-ECC endocervical curette can be
used to biopsy the endocervical canal during colposcopy or the
evaluation of abnormal uterine bleeding. Unlike the conventional
sharp endocervical curette, the Soft-ECC is intended to gently
frictionally abrade and collect abundant trans-epithelial tissue samples
into the patent pending KYLON fabric. The tip device containing the
sample can be placed in the fixative vial and transported to the lab. In
the lab, the tissue can be easily and efficiently removed from the
curette fabric for processing that is identical to the conventional
endocervical curettage tissue sample.

SoftBiopsy
The FDA Compliant disposable SoftBiopsy can be used to biopsy
the exocervix and lower genital tract during colposcopy or when a
suspicious lesion is detected. Unlike the sharp edge biopsy design
of gynecological biopsy devices, the SoftBiopsy design is intended to
gently frictionally abrade and collect abundant trans-epithelial tissue
samples into the patent pending KYLON fabric. The tip device
containing the sample can be placed in the fixative vial and
transported to the lab. In the lab, the tissue can be easily and
efficiently removed from the curette fabric for processing that is
identical to the conventional lower genital tract biopsy or curettage
tissue sample.

Laminaria tent introducing
forceps with laminaria tent


Needle holding forceps


Straight


Curved


Toothed dissectingforceps


Untoothed dissecting forceps


Delivery forceps


Long curved obstetrics forceps


Das's long curved obstetrics
forceps


Wrigley's forceps


Kielland's forceps


Axis traction device


Cannula


Karman's plastic suction cannula


Hysterosalpingographycannula


Insufflation cannula


Budine's cannula


Scissors


Episiotomy scissors


Embryotomy scissors


Mayo's scissors


Bonney scissors


Metzenbaum scissors


Perineorrhaphyscissors


Long straight scissors


Uterine sound


Cervical dilators


Hawkin-Ambler's


Das


Ventouse cups


Metallic


Silastic


Oldham's perforator


Cranioclast


Hook with crochet


Jardine's decapitation hook with
knife


Pinnard's stethoscope


Disposable cord-clamp


Curette


Flushing curette


Uterine curette


Sharp curette


Shaman's curette


Retractors


Doyen's retractor


Landon's retractor


Anterior vaginal wall retractor


Balfour self-retaining retractor


Deaver's retractor


Electronic fetal monitorwith
abdominal transducers


Implants


Copper-T uterine


Hormonal implants e.g.Norplant


Laparoscopicinstruments for
tubal sterilization


Veress needle


Trochar


Cannula


Hysteroscope


Telescope


Coagulators


Graspers


Scissors


Spatula and cytobrush


Catheters


Metallic - male or female


Rubber


Myoma screw
Used to stabilize and manipulate non-degenerating myomas, fibroids
or other tissues intended for removal during laparoscopic procedures.

Towel clips


Clamps


Bonney's myomectomyclamp


Cervical occlusion clamp


Barkelay Bonney vaginal clamp


Pessary


Hodge-Smith type


Ring type


Colposcope


Perineometer

Axis traction device for delivery forceps

Cusco's self retaining bivalve vaginal speculum seen from behind

Cusco's self retaining bivalve vaginal speculum (closed) seen from the left. It is very much used in
taking smears from the vagina for Papanicolaou test test and routine examinations.

Cusco's self retaining bivalve vaginal speculum (opened) seen from the right

Cusco's self retaining bivalve vaginal speculum (closed) seen from the right

Das's modification to the long curved delivery forceps (shorter in length) with axis traction devices in
place, seen from the right side (left blade on top: with respect to the mother's vaginal wall)

Das's modification to the long curved delivery forceps (shorter in length) with axis traction devices in
place, seen from the right side (left blade in front: with respect to the mother's vaginal wall). The
instrument is held in properly as during a delivery.

Das's modification to the long curved delivery forceps with the blades lying loose. The one with the
lock is the left blade (judged with respect to the mother).

Das's modification to the long curved delivery forceps with the blades locked in place

Metallic cup for the Ventouse suction device used to assist deliveries

Sim's double-bladed vaginal speculum

Sim's double-bladed vaginal speculum

Allis tissue forceps

Allis tissue forceps

Doyen's retractor

Kocher's forceps with toothed jaw

Disposable manual mucous sucker

Straight needle holding forceps

Willet's scalp tractionforceps

Jardine's decapitation hook with knife

Jardine's decapitationhook with knife

A cranioclast

A cranioclast

Budine's cannula

Hook with crochet

Embryo scissors

Oldham's perforator

Ayre's spatula and Slide holding bottle(open) used for Papanicoulau smear

Ayre's spatula and Slide holding bottle - Koplick's jar (open) used forPapanicoulau smear

Upper-Long straight hemostatic forceps;Lower-Kocher's hemostatic forceps