The Basic Surgical Instruments: A- Cutting B- Grasping C- Retracting D-Suturing E-Miscellaneous.
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Transcript of The Basic Surgical Instruments: A- Cutting B- Grasping C- Retracting D-Suturing E-Miscellaneous.
The Basic Surgical Instruments:The Basic Surgical Instruments:
A-A- Cutting Cutting B-B- Grasping Grasping C- RetractingC- RetractingD-SuturingD-SuturingE-MiscellaneousE-Miscellaneous
Knife (Scalpel) Scissors
A. Cutting Instruments:
A. KnifeA. Knife:: 11 . .Bard Parker HandleBard Parker Handle
# #33Narrow nose, Narrow nose, length 5 incheslength 5 inches..
To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..
# #77Narrow nose, Narrow nose, length 6 ½ incheslength 6 ½ inches..
To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..
# #99Narrow nose, Narrow nose, length 4 ½ incheslength 4 ½ inches
To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..
# #44Narrow nose, Narrow nose, length 5½ incheslength 5½ inches
To hold # 20 & 21To hold # 20 & 21..
22 . .BladesBlades
# #1010SmallSmallGeneral General dissectingdissecting..
# #1111SmallSmallStab incisionStab incision..
# #1212SmallSmallTonsil dissectionTonsil dissection..
# #1515SmallSmall Plastic dissection Plastic dissection (reconstruction)(reconstruction)
# #2020LargeLarge Skin incisionSkin incision
b. Scissorsb. Scissors
11 . .MetzenbaumMetzenbaumThin, 7 in. curvedThin, 7 in. curved..To cut delicate To cut delicate tissue, tissue,
peritoneumperitoneum
22 . .Mayo curvedMayo curved
33 . .Mayo StraightMayo Straight
44 . .One point sharpOne point sharp
55 . .WireWire
66 . .Liston, bandageListon, bandage
B. GRASPING: B. GRASPING: Any instrument used to grasp tissue for Any instrument used to grasp tissue for thethe
purpose of clamping or holdingpurpose of clamping or holding..
a. a. HemostatsHemostats
A hinge, crushing A hinge, crushing instrument with a instrument with a
locking device on the locking device on the handles, which holds handles, which holds
the jaws, when closedthe jaws, when closed..
To arrest the flow To arrest the flow of bloodof blood..
11 . .MosquitoMosquito55 in., curved 5 in. in., curved 5 in. straightstraight..
22 . .CrileCrile55 ,½ ,½ curvedcurved..
33 . .StraightStraight forcepsforceps
66 ,¼ ,¼ straightstraight..
44 . .KellyKelly 66 ,¼ ,¼ curvedcurved..
b. b. BabcockBabcock
forcepsforceps
Smooth jaws, Smooth jaws, fenestrated oval fenestrated oval
tips with tips with longitudinal longitudinal
serrationsserrations . .66 ,¼ ,¼ 77 ¾ ¾ in. longin. long..
To grasp delicate To grasp delicate tissues; appendixtissues; appendix..
c. Allisc. Allis forcepsforceps
Smooth jaws Smooth jaws with 4 x 5 fine with 4 x 5 fine
teeth at tips, 6 in teeth at tips, 6 in longlong..
To grasp heavy To grasp heavy tissue, abdominal tissue, abdominal
musclesmuscles..
d. Kockerd. Kocker forcepsforceps
Cross serrationsCross serrations ; ;11 x 2 heavy teeth x 2 heavy teeth
at tip of jaws; 5 at tip of jaws; 5 ½ in, 6 ½ in, 7 ¼ ½ in, 6 ½ in, 7 ¼
in straight and in straight and curvedcurved..
To grasp heavy To grasp heavy tissue, abdominal tissue, abdominal
musclesmuscles..
e. e. DressingDressing
forcepsforceps
Serrations Serrations 5 ½ and 5 ½ and
10 inches10 inches..
To grasp delicate To grasp delicate tissues while they tissues while they are being sutures, are being sutures,
dissected or dissected or excisedexcised..
f. Tissuef. Tissue forcepsforceps
11 x 2 teeth x 2 teeth at tip of at tip of
jaws, 5 ½ jaws, 5 ½ and 10 and 10 inchesinches..
To grasp heavy To grasp heavy tissues while they tissues while they
are being are being sutured, sutured,
dissected or dissected or excisedexcised..
g. g. Adson’sAdson’s
forcepsforceps
44 ,½ ,½ 11 x 2 x 2 fine teeth fine teeth at the tip at the tip
of jawsof jaws..
To grasp very To grasp very delicate tissues, delicate tissues, nerve, or blood nerve, or blood
vessel for vessel for suturing, suturing,
dissecting or dissecting or excisingexcising..
h. Spongeh. Sponge forcepsforceps
99 ½ ½ in, straight and in, straight and curvedcurved..
To hold sponges or To hold sponges or grasp tissue, transfer grasp tissue, transfer
forcepsforceps..
i. Towel clipi. Towel clip33 ½ ½ in and 5 ½ and in and 5 ½ and 10 inches10 inches..
To hold drapes in To hold drapes in place to retract place to retract
tissuestissues..
C. RETRACTING: C. RETRACTING: any instrument used any instrument used toto
hold open the edges of ahold open the edges of a woundwound..
.a.aCushingCushing veinvein
Single-Single-bladed 8 ½ bladed 8 ½
in. longin. long..
For For shallow shallow
retractionsretractions..
b. Volkmanb. Volkman44 prongs prongs sharp or dull, sharp or dull,
8 ½ in. long8 ½ in. long..
c. Armyc. Army-- navynavy
Double-Double-ended, 8 ½ ended, 8 ½
in. longin. long..
For For shallow shallow
retractionsretractions..
d. d. RichardsonRichardson
Double-Double-ended, small ended, small
& large& large 99 ½ ½ in. longin. long..
To retract To retract abdominal abdominal
wall and wall and organsorgans..
e. Ribbone. RibbonFlexible, two Flexible, two widths; widths;
narrow 1 ½ in narrow 1 ½ in wide – 2 in., 1 wide – 2 in., 1 2inches long2inches long..
To retract To retract abdominal abdominal
wall and wall and organsorgans..
f. Deaverf. DeaverThree widths, Three widths, narrow, narrow,
medium 1 ½, medium 1 ½, wide – 2 in., wide – 2 in.,
12 in long12 in long..
To retract To retract abdominal abdominal
wall and wall and organsorgans..
g. g. WeithlanerWeithlaner
Self-retaining; Self-retaining; 2 blades and 2 blades and
bladder bladder bladesblades..
For shallow For shallow retractionsretractions..
h. Balfourh. Balfour Self-retainingSelf-retaining ; ;22 blades and bladder blades and bladder
bladesblades..
For abdominal For abdominal wall retractionswall retractions..
i. Hupp i. Hupp trachealtracheal
Three sharp prongs, Three sharp prongs, blunt hook, overall blunt hook, overall
length 5 ¼ inlength 5 ¼ in..
To retract To retract trachea or other trachea or other shallow woundsshallow wounds..
IV. SUTURING: IV. SUTURING: any instrument used to carry suture any instrument used to carry suture through tissuethrough tissue..
a. Needlea. Needle holderholder
66 and 7 in. and 7 in. longlong..
To hold suture To hold suture needle for suturing needle for suturing
woundswounds..
b. Clip applierb. Clip applier and and
removerremover
55 ,½ ,½ 66 , ,and 7 in. and 7 in. longlong..
To introduce and To introduce and remove skin clipsremove skin clips..
E. PROBING: E. PROBING: any instrument with a blunt end used any instrument with a blunt end used toto
probe a cavityprobe a cavity..
a. Probea. ProbeFlexible, 5 in., Flexible, 5 in., and 8 inand 8 in..
b. Groovedb. Grooved directordirector
Grooved on long Grooved on long axis, 5 ½ inaxis, 5 ½ in..
To probe a cavity, To probe a cavity, to guide a probe; to guide a probe;
to control the to control the pathway of an pathway of an
incisionincision..
F. MISCELLANEOUSF. MISCELLANEOUS
a. Poole a. Poole suctionsuction
tiptip
Fenestrated Fenestrated removable tip 9 in removable tip 9 in
long and ¼ in long and ¼ in diameterdiameter..
To remove fluid To remove fluid from abdominal from abdominal
cavitycavity..
b. Yankauerb. Yankauer suction tipsuction tip
Angular, Angular, removable tip 9 in removable tip 9 in
long and ¼ in long and ¼ in diameterdiameter..
To withdraw fluid To withdraw fluid from throat from throat
cavitycavity..
c. Laparotomyc. Laparotomy ringring
Circular, 1 ½ in Circular, 1 ½ in diameterdiameter..
For tagging For tagging spongessponges..