SURGICAL INSTRUMENTS

GUYS, keep it LOW. #MahirapNa

BASIC CATEGORIES :
A. Cutting and Dissecting
B. Clamping and occluding
C. Grasping and holding
D. Retracting and exposing

#7

#3

#4

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

Blades #10, 11, 12, 15 fit the #3 handle.

Blades #22, #23 fit the #4 handle.

CUTTING AND DISSECTING INSTRUMENTS

CUTTING AND DISSECTING INSTRUMENTS

CUTTING AND DISSECTING INSTRUMENTS

Classification
Curve

Straight

CUTTING AND DISSECTING INSTRUMENTS

Mayo and Metzenbaum(METZ)

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.
Metzenbaum scissors have a longer handle
to blade ratio.

CUTTING AND DISSECTING INSTRUMENTS

CUTTING AND DISSECTING INSTRUMENTS

CUTTING AND DISSECTING INSTRUMENTS

CUTTING AND DISSECTING INSTRUMENTS

Straight Mayo scissors being

used to cut suture.

Curved Mayo scissors

Used to cut heavy tissue
(fascia, muscle, uterus, breast).
Available in regular and long sizes.

Metzenbaum scissors
Used to cut delicate tissue.
Available in regular and long sizes.

CLAMPING AND OCCLUDIN G

INSTRUMENTS
Clamping and occluding instruments are used to compress blood vessels
or hollow organs for hemostasis or to prevent spillage of contents.

A hemostat is used to clamp blood

vessels or tag sutures. Its jaws may be
straight or curved.
Other names: crile, snap or stat.

CLAMPING AND OCCLUDIN G

INSTRUMENTS

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.

CLAMPING AND OCCLUDIN G

INSTRUMENTS

A mosquito is used to clamp

small blood vessels. Its jaws
may be straight or curved.

A Kelly is used to clamp larger

vessels and tissue. Available in
short and long sizes.

CLAMPING AND OCCLUDIN G

INSTRUMENTS
Classification by size and shape and size of tips

Hemostatic forceps and

hemostats may be curved or
straight.

CLAMPING AND OCCLUDIN G

INSTRUMENTS
Comparison of Kelly and Mosquito tips

Both are transversely serrated.

Mosquito hemostats (A) are more
delicate than Kelly
hemostatic forceps (B).

Mosquito hemostats (A) have a

smaller, finer tip.

GRASPING AND HOLDING

INSTRUMENTS

Grasping and holding instruments are used

to hold tissue, drapes or sponges

GRASPING AND HOLDING

INSTRUMENTS
Allis: An Intestinal Tissue Forceps

Interdigitating short teeth to grasp

and hold bowel or tissue.

Slightly traumatic, use to hold
intestine, fascia and skin.

GRASPING AND HOLDING

INSTRUMENTS
Babcock: An Intestinal Tissue Forceps

A Babcock is used to grasp delicate tissue

(intestine, fallopian tube, ovary). Available in
short and long sizes.

More delicate that Allis, less directly

traumatic.
Broad, flared ends with smooth tips.
Used to atraumatically hold viscera
(bowel and bladder).

GRASPING AND HOLDING

INSTRUMENTS
Sponge Forceps (Ovum Forceps, Pick up Forceps

Sponge Forceps holding

a 4 X 4.
Sponge forceps can be straight or curved.
Sponge forceps can have smooth or serrated jaws.
Used to atraumatically hold viscera (bowel and bladder).

GRASPING AND HOLDING

INSTRUMENTS

A Kocher is used to grasp heavy tissue. May also

be used as a clamp. The jaws may be straight or
curved. Other names: Ochsner.

GRASPING AND HOLDING

INSTRUMENTS
Towel Clamps or Towel Clips
Locking forceps with curved, pointed tips.
Towel clamps secure drapes to a patient's
skin. They may also be used to hold tissue.

large & small towel clips