INSTRUMENTS

PROF CMK REDDY SURGICAL

CME FOR UNDERGRADUATES
 1) STRAIGHT
TIP
ARTERY FORCEPS

• Ratchet
JOINTS • Straight tip
SHAFT/ SHANK
• Transversely
Serrated tip

USES:
Strong grasp to
FINGER BOW/ catch arteries
RING
and for dissection
RATCHET
 2)CURVED ARTERY
FORCEPS
HEMOSTATIC FORCEPS

• Ratchet
• curved tip
• Transversely
Serrated tip

USES:
CURVED TRANSVERSELY Strong grasp to catch
SERRATED TIP arteries and for
dissection
3)NEEDLE
HOLDING FORCEPS

• Ratchet
• straight tip
• Criscross or
transverse serrations
with a centralgroove

USES:
Hold the suture
needles
4) CURVED SCISSORS

• No Ratchet
• Curved tip
• Cutting edged blades

USES:
Cutting tissue
Delicate structures like
fascia muscle tendon
Fine dissection
5) CURVED SCISSORS

• No Ratchet
• Straight tip
• Cutting edged blades

USES:
Cutting hard structures
and for cutting
suture materials
Blunt dissection
6) LISTER’S SINUS FORCEPS

• No Ratchet
• Straight tip
• Blunt slighty expanded tips
with transverse serrations

USES:
manipulate sinus OR fistula OR
abscess (and drain the pus).
It may be used to introduce
drain or gauze plugs into the
abscess cavity
7) RAMPLEY’S
SPONGE HOLDING
FORCEPS

• Ratchet present
• Rounded tip with
serrations

USES:
Tissue holding forceps
To handle swabs
8)CHEATLE’S FORCEPS

• No Ratchet
• Long angulated tip
with serrations in the
tip

USES:
used to remove
sterilised instruments
from boilers and
formalin cabinets
TOOTHED 9) TOOTHED FORCEPS
TIPS • 2 shafts with no joints
• Tip has ‘teeth’ 2 one
one side and 1 one
the other
USES:
used to Hold tissue like
skin, rectus
To handle needle during
suturing
To remove /insert
blades in the handle
10) NON TOOTHED
FORCEPS
• 2 shafts with no joints
• Works by spring
action
• Tip has only
serrations no ‘tooth’
USES:
used to remove
sterilised instruments
from boilers and
formalin cabinets
 11)LANGENBACK’S
RETRACTOR
RIGHT ANGLED Right angles retractor
BLADE
USES:
• To retract skin and
HANDLE superficial
structures like
fascia
• Hernia
thyroidectomy
surgeris
 12) MORRISON
RETRACTOR
SIDE TO SIDE CURVED Wider blade compared
WIDER BLADE
to langenback
Curved blade from side
to side
USES:
• To retract deeper
structures like
anterior abdomenal
wall in laprotomies
HANDLE
• To retract pectoralis
major in MRM
 13) DEAVER’S RETRACTOR

Wider blade compared to

‘?’ SHAPED BLADES
langenback
Curved blade from side to side
USES:
• Retract liver during
cholecystectomy and
vagotomy sugeries
• To retract abdominal wall
during lapratomy
HANDLE • Retract spleen
• Nontraumatic
14) TRACHEOSTOMY TUBE
PARTS:
Metal tube
Inner cannula
obturator

Metallic
Plastic
- cuffed
- uncuffed
15) ALLIS TISSUE
HOLDING
FORCEPS
Tip is widended
with multiple
teeth
USES:
• Hold rectus
during lapratomy
closure
• Hold strong
structures like
fascia, rectus
• Traumatic forceps
16) BABCOCKS
TISSUE HOLDING
FORCEPS
Tip is curved to
enclose tissue
without
damaging and
tips which
oppose together
USES:
• Hold appendix
• Hold bladder
• Hold delicate
structures
17) LANE’S
FORCEPS
More tissue can
be held with
minimal tissue
damage
USES:
• To hold and
excise cysts,
lumps like
fibroadenoma,
lipoma
18) KOCKER’S
FORCEPS
Similar to straight
artery forceps
with terminal
teeth
USES:
• To cruch base of
appendix
• To hold rectus
• To hold meniscus
during meniscus
repair
 19) BOWEL
OCCLUSION CLAMPS
• Long jaws
• With ratchets
• Longitudinally
serrated blades
USES:
• To occlude the
bowel during bowel
anastomosis
surgeries
LONGITUDINALLY • Non traumatic
SERRATED JAWS handling of bowel
loops
20) KELLY’S
PROCTOSCOPE
• Outer
proctoscope
sheath
• Inner obturator
• handle
USES:
• Proctoscopic
examination
• Anal/ rectal
biopsy
21) RYLES TUBE
NASOGASTRIC TUBE
• Flexible plastic tube with distal
end closed with opening on the
sides in the terminal portion
• Radioopague markings with
radioopage indicators at the
terminal end
USES:
• To decompress GIT in acute
abdomen cases
• Feeding for patients with
altered sensorium like post CVA
• To give bowel wash
22) FOLEY’S CATHETOR
• Flexible tube passed through
urethra into the bladder
• Contains 2 tubes
• One for urine drainage and
one for inflating the balloon
at the distal end
• Balloon capacity is about
30ml
USES:
• Bladder drainage
• In patients with altered
sensorium
• To relieve urinary retention
• ENDOTRACHEAL TUBE
23) ET TUBE
• Curved Plastic tube,
usually cuffed to
maintain airway
USES:
• During general
anaesthesia
• To maintain airway in
patients with altered
sensorium/ unconscious
patients
• ARDS/ lung collapse
24) SPINAL
ANAESTHESIA
NEEDLE
• Needle with cannula
USES:
• Spinal anaesthesia
25) EPIDURAL
ANAESTHESIA
NEEDLE
• Larger sized
• With markings on
the needle
USES:
Epidural anaesthsia
Pain management
26) Prolene 26) Vicryl
• Non absorbable • Absorbable
• Blue in colour • Violet in colour
• Non braided • Braided
Thank You