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Each instrument can be placed into one of the four following basic categories: – Retracting and Occluding Instruments – Cutting and Dissecting Instruments – Clamping and Occluding Instruments – Grasping and Holding Instruments
An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army.
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. A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths. A goulet (manual) is used to retract shallow or superficial incisions.
A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes.
A Richardson retractor (manual) is used to retract deep abdominal or chest incisions
A Weitlaner retractor (self-retaining) is used to retract shallow incisions.
A Gelpi retractor (self-retaining) is used to retract
SURGICAL INSTRUMENTS, EGBautista Universidad de Sta. Isabel, BSN’10 1
BSN’10 2 . and breast). 4 handle with 20 blade (skin knife) . Available in regular and long sizes. uterus. muscle. EGBautista Universidad de Sta.Used to cut deep. Curved Mayo scissors .shallow incisions.Used to cut suture and supplies. Isabel. • • • 7 handle with 15 blade (deep knife) . A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures #7. delicate tissue.Used to cut skin.Used to cut heavy tissue (fascia. Also known as: Suture scissors. SURGICAL INSTRUMENTS. #3. #4 (left to right) Straight Mayo scissors . 3 handle with 10 blade (inside knife) – Used to cut superficial tissue. Cutting and Dissecting Instruments Are sharp and are used to cut body tissue or surgical supplies.
A Kelly is used to clamp larger vessels and tissue. A mosquito is used to clamp small blood vessels. Other names: crile. Other names: Schnidt tonsil forcep. Available in short and long sizes. Other names: Rochester Pean.Used to cut delicate tissue. Burlishers have two closed finger rings. mosquito (left to right) SURGICAL INSTRUMENTS. Burlishers with an open finger ring are called tonsil hemostats. Isabel. hemostat. Adson forcep. A burlisher is used to clamp deep blood vessels.Metzenbaum scissors (A) . Clamping and Occluding Instruments • Are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents. Available in regular and long sizes. Its jaws may be straight or curved. snap or stat. A hemostat is used to clamp blood vessels or tag sutures. Kelly. EGBautista Universidad de Sta. Its jaws may be straight or curved. BSN’10 3 .
a "heavy allis" holds breast tissue. Isabel. A Kocher is used to grasp heavy tissue. BSN’10 4 . Available in short and long sizes. drapes or sponges. A Foerster sponge stick is used to grasp sponges. SURGICAL INSTRUMENTS.A right angle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. May also be used as a clamp. Grasping and Holding Instruments • Are used to hold tissue. Other names: sponge forcep. Available in short and long sizes. The jaws may be straight or curved. An Allis is used to grasp tissue. EGBautista Universidad de Sta." Other names: Mixter. A right angle with a suture attached is called a "tie on a passer. fallopian tube. A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded. Other names: Ochsner. ovary). A "Judd-Allis" holds intestinal tissue. A Babcock is used to grasp delicate tissue (intestine.
Isabel. Russian tissue forceps are used to grasp tissue. and smooth or serrated jaws. with or without teeth. Other name: towel clip. SURGICAL INSTRUMENTS. Pick ups.A dissector is used to hold a peanut. A Backhaus towel clip is used to hold towels and drapes in place. thumb forceps and tissue forceps are available in various lengths. BSN’10 5 . EGBautista Universidad de Sta.
Isabel. or with teeth: used to grasp the skin. SURGICAL INSTRUMENTS. They may also be placed in the sewing category. Other names: Dura forceps.DeBakey forceps are used to grasp delicate tissue." Adson pick ups are either smooth: used to grasp delicate tissue. Mayo-Hegar needle holders are used to hold needles when suturing. Long smooth pick-ups are called dressing forceps. breast). Forceps may either have many teeth or a single tooth. EGBautista Universidad de Sta. Short smooth pick-ups are used to grasp delicate tissue. Single tooth forceps are also called "rat tooth forceps. particularly in cardiovascular surgery. Thumb forceps are used to grasp tough tissue (fascia. BSN’10 6 .