By: Cecil Reyes King Faisal University College of Nursing

Feb./07

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The Basic Surgical Instruments: A.Cutting B.Grasping C.Retracting D.Suturing E.Miscellaneous

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A. Cutting Instruments:
Knife (Scalpel) Scissors A. Knife: 1. Bard Parker Handle #3 #7 #9 #4 Narrow nose, length 5 inches. Narrow nose, length 6 inches. Narrow nose, length 4 inches Narrow nose, length 5 inches To hold # 10, 11, 12 & 15. To hold # 10, 11, 12 & 15. To hold # 10, 11, 12 & 15. To hold # 20 & 21.

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2. Blades # 10 # 11 # 12 # 15 Small Small Small Small General dissecting. Stab incision. Tonsil dissection. Plastic dissection (reconstruction) Skin incision

# 20

Large

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b. Scissors 1. Metzenbaum Thin, 7 in. curved. To cut delicate tissue, peritoneum

2. Mayo curved
3. Mayo Straight

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4. One point sharp 5. Wire 6. Liston, bandage

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B. GRASPING: Any instrument used to grasp tissue for the purpose of clamping or holding.
a. Hemostats A hinge, crushing instrument with a locking device on the handles, which holds the jaws, when closed. 5 in., curved 5 in. straight. To arrest the flow of blood.

1. Mosquito

2. Crile
3. Straight forceps 4. Kelly

5 , curved.
6 , straight. 6 , curved.

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b. Babcock forceps

Smooth jaws, fenestrated oval tips with longitudinal serrations. 6 , 7 in. long. Smooth jaws with 4 x 5 fine teeth at tips, 6 in long. Cross serrations; 1 x 2 heavy teeth at tip of jaws; 5 in, 6 in, 7 in straight and curved.

To grasp delicate tissues; appendix.

c. Allis forceps d. Kocker forceps

To grasp heavy tissue, abdominal muscles. To grasp heavy tissue, abdominal muscles.

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e. Dressing Serrations forceps 5 and 10 inches.

To grasp delicate tissues while they are being sutures, dissected or excised. To grasp heavy tissues while they are being sutured, dissected or excised. To grasp very delicate tissues, nerve, or blood vessel for suturing, dissecting or excising.

f. Tissue forceps

1 x 2 teeth at tip of jaws, 5 and 10 inches. 4 , 1 x 2 fine teeth at the tip of jaws.

g. Adsons forceps

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h. Sponge forceps i. Towel clip

9 in, straight and curved.

To hold sponges or grasp tissue, transfer forceps.

3 in and 5 and 10 To hold drapes in place inches. to retract tissues.

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C. RETRACTING: any instrument used to hold open the edges of a wound.

a. Cushing vein Single-bladed 8 in. long. 4 prongs sharp or dull, 8 in. long. Double-ended, For shallow 8 in. long. retractions. For shallow retractions.

b. Volkman

c. Armynavy

d. Richardson Double-ended, To retract small & large abdominal 9 in. long. wall and organs.

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e. Ribbon

Flexible, two To retract widths; narrow abdominal wall 1 in wide 2 and organs. in., 1 2inches long. Three widths, narrow, medium 1 , wide 2 in., 12 in long. To retract abdominal wall and organs.

f. Deaver

g. Weithlaner Self-retaining; For shallow 2 blades and retractions. bladder blades.

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h. Balfour

Self-retaining; 2 blades and bladder blades. Three sharp prongs, blunt hook, overall length 5 in.

For abdominal wall retractions. To retract trachea or other shallow wounds.

i. Hupp tracheal

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IV. SUTURING: any instrument used to carry suture through tissue.

a. Needle holder 6 and 7 in. long. To hold suture needle for suturing wounds.

b. Clip applier and remover

5 , 6, and 7 in. long.

To introduce and remove skin clips.

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E. PROBING: any instrument with a blunt end used to probe a cavity.

a. Probe Flexible, 5 in., and 8 in.

b. Grooved director

Grooved on long axis, 5 in.

To probe a cavity, to guide a probe; to control the pathway of an incision.

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F. MISCELLANEOUS
a. Poole suction tip Fenestrated removable tip 9 in long and in diameter. To remove fluid from abdominal cavity.

b. Yankauer suction tip c. Laparotomy ring

Angular, removable To withdraw fluid tip 9 in long and from throat cavity. in diameter. Circular, 1 in diameter. For tagging sponges.

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