University of Pangasinan

College of Nursing
Dagupan City, Philippines

The Basic Surgical Instruments 
   
Cutting and Dissecting Grasping and Holding Retracting and Exposing Clamping and Occluding Miscellaneous

Cutting and Dissecting Instruments
These are sharp and are used to cut body tissue or surgical supplies.

Scalpel holder

Curved and Straight Mayo Scissors

Metzenbaum

Lister/Bandage Scissors

Suture Scissors

Stitch Scissors

Cutting and Dissecting Instruments

Scalpel Blade

#7, #3, #4 (left to right)
‡ 7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue. 3 handle with 10 blade (inside knife) ± Used to cut superficial tissue. 4 handle with 20 blade (skin knife) - Used to cut skin.

‡ ‡

Cutting and Dissecting Instruments

Mayo Scissors

Curved/Straight Mayo Scissors Note: With thick Shank These are used to cut suture materials and cutting tough tissues.

Cutting and Dissecting Instruments

Metzenbaum

Curved/Straight Metzenbaum Note: With thin Shank and curved tips These are used for tissue dissection and cutting delicate tissues.

Cutting and Dissecting Instruments

Lister/Bandage Scissors

Note: the blunt tip on one edge Used to trim bandages to custom size, to cut through clothing or gauze, and to help remove bandages that someone is wearing

Cutting and Dissecting Instruments

Suture Scissors

Note: Concave Edge on one Side Use in cutting sutures a. b. Angled Suture Scissors Straight Suture Scissors- for subcutaneous, Skin or Muscular area

Cutting and Dissecting Instruments

Stitch Scissors

Use only with non-absorbable sutures

Grasping and Holding Instruments
are used to hold tissue, drapes or sponges

DeBakey Tissue Forceps

Backhaus Towel Clamp

Adson Tissue Forceps

Randall Stone Forceps

Tenaculum

Allis Clamp

Russian Tissue Forceps

Babcock Clamp

Foerster / Ovum Sponge Forceps

Kocher/ Oschsner Clamp

Grasping and Holding Instruments

(Tissue Forceps)
These are available in various lengths, with or without teeth, and smooth or serrated jaws.

DeBakey Tissue Forceps

Adson Tissue Forceps

Russian Tissue Forceps

Grasping and Holding Instruments

DeBakey Tissue Forceps

Used to grasp delicate tissue, particularly in cardiovascular surgery.

Grasping and Holding Instruments

Adson Tissue Forceps

These are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps.

Grasping and Holding Instruments

Russian Tissue Forceps

They have serration up to the tips, allowing better grasp of tissue with minimum trauma.

Grasping and Holding Instruments They Are used to hold tissue, drapes or sponges.

Backhaus Towel Clamp

Randall Stone Forceps

Allis Clamp

Tenaculum

Babcock Clamp

Foester / Ovum Sponge Forceps

Kocher/ Oschsner Clamp

Grasping and Holding Instruments

Randall Stone Forceps

To remove kidney stones

Grasping and Holding Instruments

Tenaculum

Used to grasp cervix

Grasping and Holding Instruments

Backhaus Towel Clamp

To anchor drapes and towels

Grasping and Holding Instruments

Allis Clamp

Has Sharp teeth to hold tissue firmly but can cause damage, so only used in tissue, which will be excised . Used to grasp subcutaneous layer and tissue..

Grasping and Holding Instruments

Kocher/ Oschsner Clamp

Straight or Curved It is used to grasp heavy tissue. May be used as a clamp.

Grasping and Holding Instruments

Ovum (Foerster)

For DR Control of bleeding To grasp sponges

Grasping and Holding Instruments

Babcock Clamp

Used in muscular and facial layers; delicate tissue (in tube, ovary)

Retracting and Exposing Instruments
Used to hold back or retract organs or tissue to gain exposure to the 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.

Richardson

US Army Navy

Senn

Deaver

Malleable

Vein Retractor

Volkmann Rake

Green Goiter

Weitlaner

Langenbeck

Skin Hooks

Vaginal Speculum

Retracting and Exposing Instruments

Richardson

Single Double For deep abdominal and chest incisions . Used to pull layers of tissue

Retracting and Exposing Instruments

US Army Navy

For shallow or superficial incision For pediatric clients

Retracting and Exposing Instruments

Senn

For minor surgery like arterio-venous Wrist or antecubital area Dull or sharp

Retracting and Exposing Instruments

Deaver

Used to retract deep abdominal or chest incisions. Available in various widths.

Retracting and Exposing Instruments

Malleable

Used to retract deep wounds May be bent to various shapes

Retracting and Exposing Instruments

Vein Retractor

Used in vein stripping (varicose veins)

Retracting and Exposing Instruments

Volkmann Rake

Used in retracting skin layers

Retracting and Exposing Instruments

Green Goiter

for thyroidectomy

Retracting and Exposing Instruments

Weitlaner

Used to open neck muscles For thyroidectomy

Retracting and Exposing Instruments

Langenbeck

For visualization of anal/vaginal area

Retracting and Exposing Instruments

Skin Hooks

Used to retract thin skin, like eyelids For eye surgeries

Retracting and Exposing Instruments

Vaginal Speculum

For Pap Smear, D&C, Visualization of Cervix

Clamping and Occluding Instruments
They are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.

Straight Mosquito

Crile Clamp

Kelly Clamp

Right-Angled (Mixter /Dissector) Forceps Pean (Rochester-Pean) Clamp

Clamping and Occluding Instruments

Straight Mosquito/ Halsted

HEMOSTAT COMPONENT Used to clamp skin, small blood vessels Used to hold sutures aside from pedia patients.

Clamping and Occluding Instruments

Kelly Clamp

Note: The tip has half serrations Curved or Straight HEMOSTAT COMPONENT Used to clamp larger blood vessels and tissues Curved Kelly- for peritoneum

Clamping and Occluding Instruments

Crile Clamp

Note: Whole tip has serrations Curved or Straight HEMOSTAT COMPONENT Curved Crile- for fascia ,subcutaneous, & muscular area

Clamping and Occluding Instruments

Pean (Rochester-Pean) Clamp

For Gastrectomy

Clamping and Occluding Instruments

Right-Angled (Mixter /Dissector) Forceps

Used to hold a peanut

Miscellaneous

Curette Sharp or Dull For scraping uterine wall For Double Set-Up

Hysterometer Used with Vaginal Speculum Measures depth of Uterus With Gradations

THANK YOU
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