Clamping and Occluding Instruments

• Instruments used to compress vessels and other tubular (luminal

or pipe-like) structures to impede or obstruct (occlude) the flow
of blood and other fluids.
• These clamps are atraumatic ratcheted instruments that are
straight, curved, or angled devices having a variety of inner jaw
patterns and are used to hold objects in fixed positions and
totally occlude or partially occlude the tissues between the jaws.
• Clamps are mostly called “hemostats”.
 Clamping and Occluding Instruments

Hemostats
3 functions in surgery:
• Clamp down blood vessels to control
bleeding;
• Grasp and secure tissues and
superficial fascia; and
• Excellent tools for exposing, exploring
and visualizing the deeper tissues of
surgical site.
Clamping and Occluding Instruments

Mosquito
Clamping and Occluding Instruments
 Clamping and Occluding Instruments

Configuration of serrations
 Clamping and Occluding Instruments

Mosquito
• A small, straight or
curved hemostatic
forceps used to hold
delicate tissue or
compress a bleeding
vessel.
• Examples:
Hartman (smallest)
Halsted
 Clamping and Occluding Instruments

Crile
• Most commonly used for clamping blood
vessels or tissue before cauterization or
ligation. Horizontal separations of the entire
length of the curved jaw, and jaws half the
length of the shank make this instrument
unique. They may also be used for soft
tissue dissection typically not deeper than 6
to 8 inches or in laparotomy procedures.
• Bigger than the mosquito clamps.
 Clamping and Occluding Instruments

Kelly forceps
• Slightly longer than the Halsted
Mosquito, the Kelly forceps have a
longer jaw to clamp off vessels that
control blood flow.
• The jaw is half-serrated and can also be
used for blunt dissection. Incorporate
ratchet closure for added control.
 Clamping and Occluding Instruments

Tonsil (Schnidt) forceps

• Used for placing packing following tonsil removal.
Instrument with a partial curve the overall length is
7 1/2 inches
• It has a compound lever handle which makes a firm
grip on the tonsil with a very slight grasp of the
fingers.
• The handles work close, permitting the tonsillotome
or snare to be readily passed over them. It also may
often be found to be a useful instrument for
extracting foreign bodies from the pharynx or
esophagus.
• Are having either light-curved or full-curved jaws
 Clamping and Occluding Instruments

Tonsil (Schnidt) forceps

• Use for placing packing following tonsil
removal. Instrument with a partial curve
the overall length is 7 1/2 inches
• It has a compound lever handle which
makes a firm grip on the tonsil with a very
slight grasp of the fingers.
• The handles work close, permitting the
tonsillotome or snare to be readily passed
over them. It also may often be found to be
a useful instrument for extracting foreign
bodies from the pharynx or esophagus.
 Clamping and Occluding Instruments

Tonsil (Schnidt) forceps

• Use for placing packing following tonsil
removal. Instrument with a partial curve
the overall length is 7 1/2 inches
• It has a compound lever handle which
makes a firm grip on the tonsil with a very
slight grasp of the fingers.
• The handles work close, permitting the
tonsillotome or snare to be readily passed
over them. It also may often be found to be
a useful instrument for extracting foreign
bodies from the pharynx or esophagus.
 Clamping and Occluding Instruments

Peon/Pean forceps
• These forceps are curved and full and 8
inches in length.
• Used for clamping larger tissue and vessels
for hemostasis. The full horizontal
serrations and availability in multiple
lengths make those forceps a versatile
instrument used in multiple procedures.
Clamping and Occluding Instruments
Clamping and Occluding Instruments

Ochsner
Clamping and Occluding Instruments

or Right Angle,

Lahey Gall duct forcep

Clamping and Occluding Instruments
Clamping and Occluding Instruments
Clamping and Occluding Instruments
Clamping and Occluding Instruments
 Retracting and Exposing Instruments

• Surgical instruments that separate the edges of a surgical incision or

wound and hold back underlying organs and tissues so that body
parts under an incision can be accessed.
• Generally referred to as retractors and are either manual (handheld)
or self-retaining (stay open on their own).
• Have one or more blades (curved or angled and may be blunt or have
sharp or dull prongs) used for holding back tissues without causing
trauma and should not be confused with a cutting blade.
Retracting and Exposing Instruments
Retracting and Exposing Instruments

Murphy
Retracting and Exposing Instruments
Retracting and Exposing Instruments
Retracting and Exposing Instruments