Surgery Practice

What are the

basic parts of
a surgical
instrument?
What are the
basic parts of
a surgical
instrument?
Surgical Hand Gestures
Identify the
hand gestures.
 Scissors

Identify the
hand gestures.
Identify the
hand gestures.
 Hemostat

Identify the
hand gestures.
Identify the
hand gestures.
 Forceps

Identify the
hand gestures.
Identify the
hand gestures.
 Scalpel

Identify the
hand gestures.
Identify the
hand gestures.
 Free Tie

Identify the
hand gestures.
Identify the
hand gestures.
 Suture

Identify the
hand gestures.
Proper Handling of
Instruments
 Scalpel

Identify the
proper way of
handling the
instrument.
A B C
 Scalpel

Identify the
proper way of
handling the
instrument.
A B C
 Scissors

Identify the
proper way of
handling the
instrument.
A B
 Scissors

Identify the
proper way of
handling the
instrument.
A B
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.
Identify the
instrument
and its
purpose.
 Malleable Retractor

Identify the
instrument
and its
purpose. A malleable or ribbon retractor (manual) is used to retract deep
wounds. May be bent to various shapes.
Identify the
instrument
and its
purpose.
 Deaver Retractor

Identify the
instrument
and its
purpose.
A Deaver retractor (manual) is used to retract deep abdominal or chest
incisions. Available in various widths.
Identify the
instrument
and its
purpose.
 Weitlaner Retractor

Identify the
instrument
and its
purpose.
A Weitlaner retractor (self-retaining) is used to retract shallow incisions.
Identify the
instrument
and its
purpose.
 Richardson Retractor

Identify the
instrument
and its
purpose. A Richardson retractor (manual) is used to retract deep abdominal or
chest incisions
Identify the
instrument
and its
purpose.
 Gelpi Retractor

Identify the
instrument
and its
purpose.
A Gelpi retractor (self-retaining) is used to retract shallow incisions.
Identify the
instrument
and its
purpose.
 Army-Navy Retractor

Identify the
instrument
and its
purpose. An Army-Navy retractor (manual) is used to retract shallow or superficial
incisions. Other names: USA, US Army.
Identify the
instrument
and its
purpose.
 Balfour Retractor

Identify the
instrument
and its
purpose.
A Balfour with bladder blade (self-retaining) is used to retract wound
edges during deep abdominal procedures.
Identify the
instrument
and its
purpose.
 Goulet Retractor

Identify the
instrument
and its
purpose. A goulet (manual) is used to retract shallow or superficial incisions.
Identify the
instrument
and its
purpose.
 Skin Hook Retractor

Identify the
instrument
and its
purpose.

Used to retract small incisions or secure a skin edge for suturing

Cutting and Dissecting
Instruments
Are sharp and are used to cut body tissue or surgical supplies.
Identify the
instrument
and its
purpose.
 Metzenbaum scissors

Identify the
instrument
and its
purpose.
Used to cut delicate tissue. Available in regular and long sizes.
Identify the
instrument
and its
purpose.
 Surgical Blade

Identify the
instrument
and its
purpose.
Identify the
instrument
and its
purpose.
 Straight Mayo Scissors

Identify the
instrument
and its
purpose.
Used to cut suture and supplies. Also known as: Suture scissors.
Identify the
instrument
and its
purpose.
 Surgical Blade Holder

Identify the
instrument
and its
purpose.
Identify the
instrument
and its
purpose.
 Curved Mayo scissors

Identify the
instrument
and its
purpose.
Used to cut heavy tissue (fascia, muscle, uterus, breast). Available in
regular and long sizes.
Identify the
instrument
and its
purpose.
 Iris Suture scissors

Identify the
instrument
and its
purpose.
Used in cutting or fine dissection. Can have a curved or straight blade
Clamping and
Occluding Instruments
Used to compress blood vessels or hollow organs for
hemostasis or to prevent spillage of contents.
Identify the
instrument
and its
purpose.
 Hemoclip Applier

Identify the
instrument
and its
purpose.
A hemoclip applier with hemoclips applies metal clips onto blood vessels
and ducts which will remain occluded.
Identify the
instrument
and its
purpose.
 Mosquito

Identify the Straight

instrument
and its
purpose.
Curved

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

Take note!!! Notice that the mosquito has serrations along the entire tip
Identify the
instrument
and its
purpose.
 Kelly

Identify the
instrument
and its
purpose.
A Kelly is used to clamp larger vessels and tissue. Available in short and long
sizes. Other names: Rochester Pean.

Take note!!! Notice that the mosquito has serrations only along part of
the tip
Identify the
instrument
and its
purpose.
 Mixter

Identify the
instrument
and its
purpose.
A right angle is used to clamp hard-to-reach vessels and to place sutures
behind or around a vessel. A right angle with a suture attached is called a
"tie on a passer." Other names: Mixter.
Identify the
instrument
and its
purpose.
 Burlisher

Take note!!!
Identify the Closed Finger Rings
It might be
instrument helpful to
think of it
and its as a longer
version of
purpose. the Kelly

Open Finger Ring

A burlisher is used to clamp deep blood vessels. Burlishers have two closed
finger rings. Burlishers with an open finger ring are called tonsil
hemostats. Other names: Schnidt tonsil forcep, Adson forcep.
Grasping and Holding
Instruments
Used to hold tissue, drapes or sponges.
Identify the
instrument
and its
purpose.
 Backhaus Towel Clip

Identify the
instrument
and its
purpose.

Used to hold towels and drapes in place. Other name: Towel clip
Identify the
instrument
and its
purpose.
 Babcock

Identify the
instrument
and its
purpose.

A Babcock is used to grasp delicate tissue (intestine, fallopian tube,

ovary). Available in short and long sizes.
Identify the
instrument
and its
purpose.
 Allis

Identify the
instrument
and its
purpose.

An Allis is used to grasp tissue. Available in short and long sizes. A "Judd-
Allis" holds intestinal tissue; a "heavy allis" holds breast tissue.
Identify the
instrument
and its
purpose.
 Kocher

Identify the
instrument
and its
purpose.

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.
Identify the
instrument
and its
purpose.
 Dissector

Identify the
instrument
and its
purpose. Peanut Sponge

Used to hold a peanut

Identify the
instrument
and its
purpose.
 Foerster Sponge Stick

Identify the
instrument
and its
purpose.

Used to grasp sponges. Other names: Sponge Forceps

Identify the
instrument
and its
purpose.
 Dressing Forceps

Identify the
instrument
and its
purpose.

Long smooth pick-ups are called dressing forceps. Short smooth pick-ups
are used to grasp delicate tissue.
Identify the
instrument
and its
purpose.
 Adson pick ups

Identify the
instrument
and its
purpose.
Adson pick ups are either smooth: used to grasp delicate tissue; or with
teeth: used to grasp the skin. Other names: Dura forceps.
Identify the
instrument
and its
purpose.
 Russian tissue forceps

Identify the
instrument
and its
purpose.

Used to grasp tissue.

Identify the
instrument
and its
purpose.
 Thumb Forceps

Rat Tooth Forceps Teeth Tissue Forceps

Identify the
instrument
and its
purpose.

Thumb forceps are used to grasp tough tissue (fascia, breast). Forceps
may either have many teeth or a single tooth. Single tooth forceps are
also called "rat tooth forceps."
Identify the
instrument
and its
purpose.
 DeBakey Forceps

Take Note!!!

Unlike the rat tooth

forceps, the debakey
Identify the forceps are serrated
instrument
and its
purpose.

DeBakey forceps are used to grasp delicate tissue, particularly in

cardiovascular surgery.
Identify the
instrument
and its
purpose.
 Mayo-Hegar Needle Holders

Take note!!!

The grooves in
Identify the the ends help
fix the needle
instrument and prevent it
from moving.
and its
purpose.

Used to hold needles when suturing.