University of Cebu

Banilad Campus

College of Nursing

NCM 112 LABORATORY

INSTRUMENTATION
Title

Maria Jan Hazel C. Generoso

Submitted by

Ms. Rachel A. Bajarias, MAN, RN

Submitted to
 I. CUTTING & DISSECTING

CUTTING

Instruments Description & Use(s)

A minuscule, right-angled finger

rings at the proximal end that lead
to a long flexible wire that turns into
rounded sharp-cup forceps on the
distal end. Used for excising tissues
and taking biopsies from the
internal uterus through the
hysteroscope.

Hysteroscope Biopsy Forceps

These scissors have right-angled

finger rings at the proximal end that
lead to a long flexible wire that
turns into straight scissor blades on
the distal end. Used for excising
tissues and taking biopsies from the
internal uterus through the
hysteroscope.

Hysteroscope Scissors

Long heavy scissors with curved or

straight blades. Used for cutting the
heavy uterine ligaments and vessels
during a total abdominal
hysterectomy.

Mayo Uterine Scissor

 DISSECTING

Instruments Description & Use(s)

Round handle with a ball tip that

screws into the handle to tighten
the blade in place. Used when
precision cutting is needed in a
confined space or when incising a
small structure; commonly used in
ophthalmic, neurology, podiatry, and
small orthopedic procedures.
Beaver Handle

A curved, right-angle tip with cross-

hatch serration running the length
of the inner jaws. Used for
separating tissue planes and
dissecting around tubular
structures.

Endo Right Angle Forceps

Heavy scissors with curved blades

and blunt or sharp tips. Dissect or
undermine heavy fibrous tissues

Curved Mayo Scissor

 II. GRASPING & HOLDING

GRASPING

Instruments Description & Use(s)

One of the jaws has a long ball-tip
probe extending to heavy horizontal
serrations and the other side is
shorter and has smooth round jaws
that extend to a sharp, inward-
curved prong. Used to manipulate
the uterus and thereby facilitate
visualization of and access to
pelvic structures during
Hulka Uterine Tenaculum laparoscopic procedures.

Smooth round jaws that extend to

sharp, inward-curved prongs. Used
for grasping the anterior lip of the
cervix for manipulation.

Schroeder Tenaculum

Curved or straight forceps with

smooth round jaws that bifurcate
into two sharp, cupped prongs. Used
for grasping the anterior lip of the
cervix for manipulation.

Schroeder Vulsellum
 HOLDING

Instruments Description & Use(s)

Forceps toothed at the tip used for

handling dense tissue, such as in
skin closures. Used for holding
dressing materials such as cotton
and gauze during surgical
procedures, changing dressings, or
packing wounds.
Smooth Adson Forceps

Curved or straight with multiple,

interlocking fine teeth at the tip
that reduce injury to the tissues.
Used for lifting, holding, and
retracting slippery dense tissue that
is being removed; commonly used
for tonsils, vaginal, breast, and
thyroid tissues.

Allis Forceps

Long grasping forceps with a

proximal port that leads to rounded
fenestrated and horizontally
serrated jaws. These forceps are
used to hold the cholangiogram
catheter and guide it into the
common bile duct for injection of
the contrast medium.

Endoscopic Cholangiogram Forceps

(Olsen Clamp)
 III. CLAMPING & OCCLUDING

CLAMPING

Instruments Description & Use(s)

This clamp is available in a variety of

lengths. This is used to stop flow in
a vessel and to clamp vessel loops
encircling a vessel.

Glover Bulldog Clam

A heavy clamp with horizontal

serrations running the length of the
jaws and with a single tooth on the
inner jaws. Used for clamping
vessels and uterine ligaments during
a hysterectomy.

Heaney Hysterectomy Forceps

(Hyster Clamp)

A heavy clamp with vertical

serrations running the length of the
jaws and with a single or double
tooth on the inner jaws; can have
either straight or curved jaws. Used
for clamping vessels and ligaments
during a hysterectomy.

Heaney-Ballentine Hysterectomy
Forceps (Heaney Clamp)
 OCCLUDING

Instruments Description & Use(s)

This clamp has curved shanks with
DeBakey design serrations in the
jaws. A multi-purpose clamp which
can be used in partial occlusion or
total occlusion; it is also used to
tunnel under the tissues to pull a
graft through to its distal
Debakey Aortic Clamp anastomosis.

A ratcheted clamp with straight,

curved, or various angled jaws that
have DeBakey style serrations. This
is a total occlusion clamp.

Debakey Peripheral Vascular Clamp

The clamp comes in a variety of

lengths, with
noncrushing jaws of the DeBakey
design and ratchet handles. Used
for partially occluding vessels.

Satinksy Clamp
 IV. EXPOSING & RETRACTING

EXPOSING

Instruments Description & Use(s)

A self-retaining speculum with

rounded blades that open by
squeezing the handles together.
Used for providing exposure for
visualization of the anus and rectum.

Pratt Rectal Speculum

A handheld retractor with a right-

angle convex blade that extends to
a hollow grip handle. Used for
providing exposure for visualization
of the anus and rectum.

Sawyer Rectal Speculum

 RETRACTING

Instruments Description & Use(s)

A flat stainless steel strip that

resembles a question mark. Used for
deep retraction of organs and
viscera.

Devear Retractor (Rish Retractor)

A handheld double-ended retractor

with a lateral curvature of the
blades. Used for retraction of wound
edges.

Richarson-Eastman Retractor
(Double-
Ended Rich Retractors)
 V. SUTURING & STAPLING

SUTURING

Instruments Description & Use(s)

Polyester sutures have excellent

tensile strength, soft and pliable
with excellent braiding and are an
excellent choice for cardiovascular
and ophthalmic surgery. This type of
suture secures patches, used to
close ventricular septal defects, or
to secure prosthetic valves.

Polyester Sutures

Silk sutures are usually classified as

non-absorbable, but they are
subject to a slow process of
proteolysis absorption. It is widely
used as ligature and are also used
for other applications like skin,
ophthalmic, GI tract, etc. and are not
indicated for use in biliary and
urinary tract surgery.

Silk Sutures
 STAPLING

Instruments Description & Use(s)

A designed with grooves on the

inside jaw surfaces of the applier to
increase in-jaw clip security. Clips
used in transplant surgery to extract
the donor organs to clip the artery
and vein from the donor and
recipient side.

Ligaclip

Disposable reloadable stapler that

distributes a double or triple
staggered row of titanium staples.
Used for transection and resection
of tissues during abdominal,
gynecologic, pediatric, and thoracic
surgeries.

Linear Cutters
 VI. VIEWING

VIEWING

Instruments Description & Use(s)

This is an all-in-one endoscope with

camera, endoscope, and light cord
combined. Used for the visualization
of body cavities, internal organs,
and other structures through an
instrument port in laparoscopic
procedures.

Endoeye

A the distal end of the camera is the

coupler that attaches the camera to
the eyepiece of the rigid scope.
Used for transmission images from
the rigid telescope to the video
monitor.

Endoscopic Camera
 VII. SUCTIONING & ASPIRATING

SUCTIONING

Instruments Description & Use(s)

An angled cylindric tube with a relief

opening/hole on the handgrip. Used
for suctioning in confined spaces
such as the nasal cavity, in lumbar
and cervical procedures, or in
craniotomies.

Frazier Suction Tip

A hollow plastic tube with a grip

handle and a slightly bent shaft that
terminates with a bulbous tip and
large opening. Used for suctioning in
all types of wounds and allows for
effective suctioning without
aspiration damage to the
surrounding tissue.

Yankauer Suction Tip

 ASPIRATING

Instruments Description & Use(s)

A long, hollow suction tip with a

bivalve; one is for suction and the
other for irrigation. This suction tip
is used for irrigating and aspirating
fluid and debris from the surgical
site.

Nezhat-Dorsey Suction Tip

Long, straight, hollow suction tube

attached to a combination tubing
that has a suction valve and an
irrigation valve. Used to irrigate and
aspirate fluid and debris from the
surgical site.

Suction Irrigator
 VIII. DILATING & PROBING

DILATING

Instruments Description & Use(s)

Has an oval, solid stainless steel tip

that attaches to a narrowed stem,
which extends to a solid, smooth
handle. Used to open and expand
the common bile duct to allow
passage of bile from the liver.

Bakes Common Duct Dilators

Double-ended probe with an

elevated cuff designed to limit
uterine penetration. Used for
progressive dilation of the cervical
os for intrauterine procedures, such
as, suction and curettage, dilation
and evacuation, or hysteroscopy.

Hank Dilators

Double-ended heavy probe; range in

size from 1–2 mm to 17–18 mm, with
one end of the dilator larger than
the other. Used for progressive
dilation of the cervical os for
intrauterine procedures.

Hegar Dilators
 PROBING

Instruments Description & Use(s)

Right-angled blunt hook with a

flattened handle. Used to examine
and move tissues around inside the
knee joint.

Arthroscopy Probe

A thin wire on each side of a

diamond-shaped plate, with the wire
on one side larger
than that on the other. Used for
probing and gradually dilating the
lacrimal duct, this instrument is also
used to dilate the salivary duct
opening under the tongue.

Bowman Lacrimal Probe

The probe resembles a French-eye
blunt needle and other side has a
tongue-shaped handle and a
concave channel, which guides the
Probe and Grooved Director probe into the opening. Used to
detect an obstruction in a tubular
structure or determine the path and
the extent of a fistula tract.
 IX. MEASURING

MEASURING

Instruments Description & Use(s)

The proximal end measures from 0

to 20 mm in 1-mm increments. When
the screw device is tightened or
loosened, the smooth narrowed tips
open or close. Used for precise
measuring of eye structures such as
the cornea, lens, pupils, or lids.

Castroviejo Caliper

Tonometry is a test to measure the

pressure inside your eyes. The test
is used to screen for glaucoma and
it is also used to measure how well
glaucoma treatment is working.

Tonometer