Operating Room Instruments

Type of Scissors

Mayo Curve

Used to cut the ligatures or other suture material during operation by the assistant surgeon or scrub nurse, it is also used to cut the tissues and internal organs so that adjacent tissues are protected while using it. Can also used to do the episiotomy in second stage of labor without causing damage to the surrounding tissues in the perineum.

Mayo Straight

Used for cutting the ligatures and sutures. It is also used for removing sutures of incisions.

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Metzenbaum

Used to cut delicate tissues

Umbilical scissors

Used to cut umbilical cord

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Scissors

Stitch Scissors Iris Scissors

Operating Scissors

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Kelly Curve

Is used to clamp larger vessels and tissue. It can also be used in clamping the baby’s umbilical cord. The jaws may be curved or straight, it is design for general used, the locking grip permits clamping with a variety of

pressures.

Kelly Straight

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Scalpel or Blade Holder

A metal instruments used to attached different types of blades atthe distal ends.

Needle Holder

used to hold the needle while suturing

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Allis Forceps

Used to hold thin, but tough structures to give traction on these structure, to hold the skin and facia.

Pennington

It holds the edges and act as a haemostat to decrease the bleeding from the incision.

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Bob Cock

More delicate than Allis, less directly traumatic. Broad flared ends with smooth tips.

Mixter

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Kocker / Ochsner ( Curve & Straight )

Kocker ( Ochsner ) Curve

used to catch the edges of the incision while suturing the after the operation. It is also used to hold the ribs in ribs resection. Can used to grasps heavy tissue. The jaws may be curved or straight.

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Towel clip

is a metal instrument , light but strong, in different lengths. It has a catch lock near by the proximal end to fix the grip of drapes. The distal end are curved to two sharp points as teeth to catch the drapes firmly with the pointed tips. Shafts are short and its handle are curved.

Uses1. To fix the drapes in any manner to exposed only the required

area.2. To fix the tubing like suction tube to the drapes preventing

displacement.3. To hold or elevate the ribs in chest injuries.

4. Can be used as a tongue holding forceps, but the disadvantage that it perforate the tongue.

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Retractors

Self Retaining retractors

It is a special instrument with special fittings for retaining in the space. A rectangle metal pieces are connected together and to small retracting blades are attached to both ends of the rectangle pieces by the metal rods. The rods are slightly curved to give space in between. It is used to retract organ in abdominal surgery for prolong time.

Bladder retractor

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used to retract tough structures like facia, pelvic and abdominal

operation

Balfour Set

Richardson Retractors

used to retract deep abdominal incisions

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Harrington Retractor

Goulet Retractor

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Deaver

used in retracting abdominal organs like spleen, liver etc. Can also be used to retract deep abdominal or chest incisions

Crile / Ribbon /Malleable

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it is used to retract deep wound incisions. May be bent in various shapes.

Army navy

It is used to retract swallow or superficial incisions

Muscle Retractor

It is used to retract swallow or superficial incisions

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Light handle

Used to cover the light during an operation. It can be manipulated by the scrub nurse to prevent contamination

ADSON THUMB /TOOTHLESS FORCEPS

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It used to hold the skin for suturing soft tissues thus preventing damage

Adson tissue /toothtedforceps

It has a delicate serrated tips design for light , careful handling of the tissues .

Thumb forceps / toothless forceps

used to hold the skin for suturing or to hold the soft tissues thus

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preventing the damage

Tissue / toothed forceps

used to hold tough structure like the skin , facia , rectal sheath while suturing It also used to lift the knots of sutures .

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Delivery Room Instruments

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Tennaculum

used in holding anterior and posterior lip of the cervix in vaginal operation like D & C for better visualization.

Ovum Forceps

Used for removing products of conception from the uterus incase of incomplete or inevitable abortion. Used to remove any retain placental or membrane pieces from the uterus after delivery .Used to removed any foreign body from the uterine cavity.

Uterine Forceps

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used to introduce dressing for vaginal packing to control bleeding from laceration in the birth canal due to traumatic condition. It is also used to pack the uterus in bleeding when other control measures fails after D & C

Uterine Sounds or Hysterometer

Is a long slender instruments indicated by centimeters and inches. It is used to ascertain the length or depth of the cervix & uterus before any operations of the uterus through vagina. It is used as a first dilator before introducing the uterine dilators .It is also used to ascertain the size and directions of the uterus

Hegar Cervical Dilators

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used to dilate the cervix when approached is required through the cervix in pathological condition of the uterus. It is also used for dilating the cervix for curetting the uterine content for evacuation of the products of conception.

Amniotom Hook

used for snipping Bag of water( BOW)

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Fetal forceps / Simpson forceps

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used for extracting the baby in the second stage of labor used in forceps delivery. when the cervix is fully dilated. Diff. types of forceps are used to extract the fetal head depending upon the descend of fetal head .

Vaginal retractor

used in an operation of the cervix and vagina to retract the posterior vaginal wall. It is used to exposed the neck of the cervix.

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Vaginal speculum

is used in operation of the cervix . It has 2 blades which can be open

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laterally and adjusted at various angle by adjusting the screw after introducing it into the vagina. Every part of the vagina can be visualized by retracting the tissue with the same instruments and it gives good exposure of the cervix..

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