Surgical Instruments

Cutting and Dissecting These are sharp and are used to cut body tissue or surgical supplies. 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. Mayo Scissors

Curved/Straight Mayo Scissors Note: With thick Shank These are used to cut suture materials and cutting tough tissues. Metzenbaum

Curved/Straight Metzenbaum Note: With thin Shank and curved tips These are used for tissue dissection and cutting delicate tissues.

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 Suture Scissors

b.

Note: Concave Edge on one Side Use in cutting sutures a. Angled Suture Scissors Straight Suture Scissors- for subcutaneous, Skin or Muscular area c. Stitch Scissors

Use only with non-absorbable sutures

Grasping and Holding Instruments (Tissue Forceps) DeBakey Tissue Forceps

Used to grasp delicate tissue, particularly in cardiovascular surgery. Adson Tissue Forceps

These are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps. Russian Tissue Forceps

They have serration up to the tips, allowing better grasp of tissue with minimum trauma. They Are used to hold tissue, drapes or sponges: Randall Stone Forceps

To remove kidney stones

Tenaculum

Used to grasp cervix Backhaus Towel Clamp

To anchor drapes and towels 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.. Kocher/ Oschsner Clamp

Straight or Curved It is used to grasp heavy tissue. May be used as a clamp.

Ovum (Forcep)

For DR Control of bleeding To grasp sponges 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

For deep abdominal and chest incisions . Used to pull layers of tissue US Army Navy

For shallow or superficial incision For pediatric clients Senn

For minor surgery like arterio-venous Wrist or antecubital area Dull or sharp Deaver

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

Malleable

Used to retract deep wounds May be bent to various shapes Vein Retractor

Used in vein stripping (varicose veins) Volkmann Rake

Used in retracting skin layers Green Goiter

for thyroidectomy Weitlaner

Used to open neck muscles For thyroidectomy

Langenbeck

For visualization of anal/vaginal area Skin Hooks

Used to retract thin skin, like eyelids For eye surgeries 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. Straight Mosquito/ Halsted

HEMOSTAT COMPONENT Used to clamp skin, small blood vessels Used to hold sutures aside from pedia patients. Kelly Clamp

HEMOSTAT COMPONENT Used to clamp larger blood vessels and tissues Curved Kelly- for peritoneum Crile Clamp

Curved or Straight HEMOSTAT COMPONENT Curved Crile- for fascia ,subcutaneous, & muscular area Pean (Rochester-Pean) Clamp

For Gastrectomy

Right-Angled (Mixter /Dissector) Forceps

Used to hold a peanut Miscellaneous

 SUTURING & STAPLING

A needle holder should not be placed on a magnetic pad, because it may become magnetized. Tungsten Carbide jaws eliminate the twisting and turning of the needle Crosshatching provides a smoother surface and prevents damage to the needle Smooth jaws used with small needles such as those used for plastic surgery

 Viewing

Speculums Endoscopes Hollow Endoscopes permits viewing in a forward direction, with a light carrier supplied by a fiberoptic cable provides illumination Lensed Endoscopes have either rigid or flexible sheaths, used in combination with video assisted technology, can record action videos and still digital photography

Assignment

Submitted by: Hernandez, Meshael S. Submitted to: Mrs. Sherly Marqueses