17186002 Surgical Instruments

7/31/2019 17186002 Surgical Instruments

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SURGICAL INSTRUMENTS

I. CUTTING AND DISSECTING~ Cutting and dissecting instruments are sharp and are used to cut body tissue or surgical supplies.

A. KNIFE HANDLES deep knife 7 handle with 15blade

Used to cut deep,delicate tissue.

inside knife 3 handle with 10blade

Used to cutsuperficial tissue.

skin knife 4 handle with 20blade

Used to cut skin.

Instruments FunctionsB. SCISSORS

Straight Mayo Scissors Used to cut suture and supplies.

Also known as: Suture scissors.

Curved Mayo Scissors

Used to cut heavy tissue (fascia, muscle, uterus,breast).

Metzenbaum Scissors

Used to cut delicate tissue.

II. CLAMPING and OCCLUDING

~ Clamping and occluding instruments are used to compress blood vessels or hollow organs forhemostasis or to prevent spillage of contents.

Instruments Functions


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HemostatOther names: crile, snap or stat.

A hemostat is used to clamp blood vessels or tagsutures. Its jaws may be straight or curved.

Hemostat, Mosquito (left to right)

A mosquito is used to clamp small blood vessels. Itsjaws may be straight or curved.

Kelly, Hemostat, Mosquito (left to right)Other names: Rochester Pean

A Kelly is used to clamp larger vessels and tissue

BurlisherOther names: Schnidt tonsil forcep, Adsonforcep. A burlisher is used to clamp deep blood vessels.

Burlishers have two closed finger rings. Burlisherswith an open finger ring are called tonsil hemostats.

Right Angle
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Other names: Mixter.A right angle is used to clamp hard-to-reach vesselsand to place sutures behind or around a vessel. Aright angle with a suture attached is called a "tie on apasser."

Hemoclip applier with hemoclips

A hemoclip applier with hemoclips applies metalclips onto blood vessels and ducts which will remainoccluded.

Carmalt Clamp

Larger than a kelly clamp and often confused with

the Peon Clamp of the same size; Carmalt clampshave the characteristic jaw structure pictured.

Debakey Vascular Clamp

The most standard of vascular clamps, the jaw of

the clamp is designed to clamp veins and arteries

without causing damage.

III. GRASPING and HOLDING

~ Grasping and holding instruments are used to hold tissue, drapes or sponges.

Instruments Functions

Allis


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An Allis is used to grasp tissue. Available in short andlong sizes. A "Judd-Allis" holds intestinal tissue; a"heavy allis" holds breast tissue

Babcock

A Babcock is used to grasp delicate tissue (intestine,

fallopian tube, ovary). Available in short and longsizes.

Kocher

A Kocher is used to grasp heavy tissue. May also beused as a clamp. The jaws may be straight orcurved. Other names: Ochsner.

Foerster Sponge Stick

A Foerster sponge stick is used to grasp sponges.Other names: sponge forcep.

Dissector

A dissector is used to hold a peanut. Backhaus towelclip

Backhaus towel clip


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A Backhaus towel clip is used to hold towels anddrapes in place. Other name: towel clip.

Pick ups, thumb forceps and tissue forceps

Pick ups, thumb forceps and tissue forceps areavailable in various lengths, with or without teeth,and smooth or serrated jaws.

Russian tissue forceps

Russian tissue forceps are used to grasp tissue.

Bonney Forceps

Often used for grasping fascia during the closureof abdominal surgery or for closure and suturing

of large orthopedic procedures such as total knee

and total hip replacement surgery.

Adson pick ups

Adson pick ups are either smooth: used to graspdelicate tissue; or with teeth: used to grasp the skin.Other names: Dura forceps.


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Smooth forceps

Long smooth pick-ups are called dressing forceps.Short smooth pick-ups are used to grasp delicatetissue.

DeBakey forceps

DeBakey forceps are used to grasp delicate tissue,particularly in cardiovascular surgery.

Single tooth forceps, many teeth forceps(top to bottom)

Thumb forceps are used to grasp tough tissue (fascia,breast). Forceps may either have many teeth or asingle tooth. Single tooth forceps are also called"rat tooth forceps."

Short, medium & long(top to bottom)

Mayo-Hegar needle holders are used to hold needleswhen suturing. They may also be placed in the

sewing category.


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IV. RETRACTING and EXPOSING INSTRUMENTS

Retracting and exposing instruments are used to hold back or retract organs or tissue to gain exposure tothe 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.

Instruments FunctionsDeaver retractor

A Deaver retractor (manual) is used to retract deepabdominal or chest incisions. Available in variouswidths.

Richardson retractor

A Richardson retractor (manual) is used to retractdeep abdominal or chest incisions.

Army Navy retractor

An Army-Navyretractor (manual) is used to retractshallow or superficial incisions. Other names: USA, USArmy.

Goulet

A goulet (manual) is used to retract shallow orsuperficial incisions.

Malleable or ribbon retractor

A malleable or ribbon retractor (manual) is used toretract deep wounds. May be bent to various shapes.

Weitlaner retractor

A Weitlaner retractor (self-retaining) is used toretract shallow incisions.


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Gelpi retractor

A Gelpi retractor (self-retaining) is used to retractshallow incisions.

Balfour

A Balfour with bladder blade (self-retaining) is used

to retract wound edges during deep abdominalprocedures.

Baby Bennette Retractor

Elevating and Retracting Bone. Commonly in theminor orthopedic instrument set.

V. SUCTIONING~ Suctioning of blood and other secretions during surgery.

Instruments FunctionsFrazier Suction Tip

Suction tip commonly use for orthopedic, neuroand ENT surgery.


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The same steel and craftsmanship as described in the mosquito forceps are used here as well. The consistent force-

to-closure ratio promotes comfort and reduces hand fatigue while the serrated jaws provide a firm hold for the suture

needle.
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17186002 Surgical Instruments

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