KIDAYAN, Margie Mae D.

January 29,2011 BSN3-G SURGICAL INSTRUMENTS

Mayo and Metzenbaum Mayo scissors (B) are used for cutting heavy fascia and sutures. Metzenbaum scissors (A) are more delicate than Mayo scissors. Metzenbaum scissors are used to cut delicate tissues. Metzen Forceps: consist of two tines held together at one end with a spring device that holds the tines open. Forceps can be either tissue or dressing forceps. Dressing forceps have smooth or smoothly serrated tips. Tissue forceps have teeth to grip tissue. Many forceps bear the name of the originator of the design, such as Adson tissue forceps. Rat Tooth: A Tissue Forceps Interdigitating teeth hold tissue without slipping. Used to hold skin/dense tissue. Adson Tissue Forceps Sponge forceps can be straight or curved. Sponge forceps can have smooth or serrated jaws. Used to atraumatically hold viscera (bowel and bladder). Hemostatic forceps: Hinged (locking) Forceps. Many hemostatic forceps bear the name of the designer (Kelly, Holstead, Crile). They are used to clamp and hold blood vessels. Classification by size and shape and size of tips Hemostatic forceps and hemostats may be curved or straight.

Small serrated teeth on edge of tips. The Adsons tissue forceps has delicate Comparison of Kelly and Mosquito tips serrated tips designed Mosquito for light, careful hemostats (A) handling of tissue. have a smaller, Intestinal Tissue Forceps: Hinged (locking) forceps finer tip. used for grasping and holding tissue. Allis: An Intestinal Tissue Forceps Carmalt Interdigitating Heavier than Kelly. short teeth to Preferred for clamping grasp and hold of ovarian pedicals during bowel or tissue. an ovariohysterectomy Slightly surgery because the traumatic, use to serrations run hold intestine, longitudinally. fascia and skin. Doyen Intestinal Forceps Babcock: An Intestinal Tissue Forceps Doyen intestinal More delicate that forceps are non-crushing Allis, less directly intestinal occluding forceps traumatic. with longitudinal Broad, flared ends serrations. with smooth tips. Used to temporarily Used to occlude lumen of bowel. atraumatically hold viscera (bowel and bladder). Payr Pylorus Clamps Sponge Forceps

Kelly Hemostatic Forceps and Mosquito Hemostats Both are transversely serrated. Mosquito hemostats (A) are more delicate than Kelly hemostatic forceps (B).

KIDAYAN, Margie Mae D. January 29,2011 BSN3-G SURGICAL INSTRUMENTS

Payr pylorus clamp is a crushing intestinal instrument. Used to occlude the end of bowel to be resected. Needle holder: Hinged (locking) instrument used to hold the needle while suturing tissue. Good quality is ensured with tungsten carbide inserts at the tip of the needle holder. Mayo-Hegar Heavy, with mildly tapered jaws. No cutting blades. Olsen-Hegar Includes both needle holding jaw and scissors blades. The disadvantage to having blades within the needle holder is the suture material may be accidentally cut. Senn Blades at each end. Blades can be blunt (delicate) or sharp (more traumatic, used for fascia). Hohman Levers tissue away from bone during orthopedic procedures. Locking forceps with curved, pointed tips. Gelpi

SOURCE: http://cal.vet.upenn.edu/projects/surgery/1000.htm

Weitlaner Ends can be blunt or sharp. Has rake tips. Ratchet to hold tissue apart.