INSTRUMENTS and SUTURES

BKN

Instruments and Sutures

Basic and Plastic Trays Needle Drivers Forceps Scissors

Basic Set

Needle Holder Scissors Thumb forceps with teeth for grasping

tissue

Custom Basic Instrument Tray

Optionals

Separate scissors for suture cutting, debridement and dissection (suture scissors, iris scissors and metzenbaums respectIvel (suture scissors, iris scissors and metzenbaums respectively

Forceps for clamping (hemostats) Scalpel German middle quality or better, not disposable are

recommended For plastic cases use tungsten carbide tipped needle

holders

E.D. Plastics Tray

How to use a needle holder

Load body of needle at tip of jaws, 1/3 of way from swage and at 90 degree angle

Grasp holder with whole hand, no fingers in rings Enter skin at angle of 90 degrees or more away

from wound Roll the instrument to give a circular needle

track, if you can achieve a wider knot at bottom, this everts the skin

Arm at end of driver, perpendicular and at back 1/3 of needle

Holding driver for plastic closure

Left Handed Webster Needle Driver

Castroviejo needle driver for loops and 8-0

How to use thumb forceps

Hold like chop sticks grasp superficial fascia not skin or use one arm like a skin hook

Using forceps

Adson’s and Skin Hook

Sutures, Dissection, Tissue

Castroviejo corneal scissors with angle

How to control scissors for suture cutting Thumb and ring finger in rings, index at

fulcrum guides tips For cutting knots on absorbables, slide tips

down suture tails to the knot, rotate the tips slightly to avoid cutting it

Scissors control

How to use scissors for undermining curved preferable, tips up dissect bluntly, in plane between superficial

and deep fascia

Undermining to relieve tension

No touch option to minimize risk of blood born disease Combined needle holder and suture scissors

(Olsen-Hegar) Combined tissue grasping and knot tying

forceps (Adsons with teeth and knot tying platform)

Absorbable Sutures

Nonabsorbable Sutures

Tapered and Cutting Needles