BASIC SURGICAL INSTRUMENTS

A surgical instrument is a specially designed tool or device for performing specific actions of

carrying out desired effects during a surgery or operation, such as modifying biological tissue, or

to provide access for viewing it.

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

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 Richardson retractor (manual) is used to retract deep abdominal or chest incisions.

An Army-Navy retractor (manual) is used to retract shallow or superficial incisions.

Other names: USA, US Army.

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.

AWeitlaner retractor (self-retaining) is used to retract shallow incisions.

A Gelpi retractor (self-retaining) is used to retract shallow incisions.

A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep

abdominal procedures.

Cutting and Dissecting Instruments

-are sharp and are used to cut body tissue or surgical supplies.

Knife Handle, Scissors (left to right)

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.

Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors.

Curved Mayo scissors - Used to cut heavy tissue (fascia, muscle, uterus, breast).

Available in regular and long sizes.

#7, #3, #4 (left to right)

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

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.

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.

Other names: Rochester Pean.

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.

hemostat, mosquito (left to right)

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.

A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts

which will remain occluded.

Grasping and Holding Instruments

-are used to hold tissue, drapes or sponges.

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.

A Babcock is used to grasp delicate tissue (intestine, fallopian tube, ovary). Available in

short and long sizes.

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.

A dissector is used to hold a peanut.

A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep.

A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip.

dissector EX: Dissector holding a peanut

Backhaus towel clip Large & small towel clips

Pick ups, thumb forceps and tissue forcepsare available in various lengths, with or

without teeth, andsmooth or serrated jaws.

Russian tissue forceps are used to grasp tissue.

Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to

grasp the skin.Other names: Dura forceps.

Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to

grasp delicate tissue.

DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery.

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."

Mayo-Hegar needle holders are used to hold needles when suturing. They may also be

placed in the sewing category.

short, medium & long (top to bottom)

Surgical sets used in:

Orthopedic Surgery

Minor Surgery

Major Surgery

Cesarean Section

Basic Orthopedic Surgery

Product Name QtyMetal Ruler 6" 1Scalpel Handle #3 1Scalpel Handle #4 1Lister Bandage Scissors (One Large Ring) 8" 1Operating Scissors S/S Str 5 1/2" 1Operating Scissors S/B Str 5 1/2" 2Operating Scissors S/B Cvd 5 1/2" 1Stitch Scissors Standard 5 1/2" 1Mayo Dissecting Scissors Str 6 3/4" 1Mayo Dissecting Scissors Cvd 6 3/4" 2TC Wire Cutting Scissors Angled 4 3/4" 1Mixter Forceps Right Angle 7 1/4" 4Kelly Forceps Str 5 1/2" 12Kelly Forceps Cvd 5 1/2" 12Rochester-Pean Forceps Cvd 7 1/4" 3Rochester-Pean Forceps Str 7 1/4" 3Dressing Forceps 5 1/2" 2Dressing Forceps 8" 2Tissue Forceps 1 x 2 Teeth 5 1/2" 2Tissue Forceps 1 x 2 Teeth 8" 2TC Mayo-Hegar NH Serr 7" 1TC Mayo-Hegar NH Serr 8" 1Allis Tissue Forceps 4 x 5 Teeth 6" 2Allis Tissue Forceps 5 x 6 Teeth 7 1/2" 2Needle Nose Pliers 5 1/2" 1Bone/Cartilage Clamp Cvd 8" 1Kern Bone Forceps w/o Ratchet Extra Small 5 3/4" 1Kern Forceps 8 1/2" 1Lewin Bone Forceps Serr 7" 1Lowman Clamp Small Jaw 1Lowman Clamp 1" x 1 1/2" Jaw 4 3/4" 1Liston Bone Forceps Angled 7 3/4" 1Stille-Liston Bone Forceps Str 10 1/2" 1Beyer Rongeur Cvd on Flat 7" 1Ruskin Rongeur Str 7 1/4" 1Hajek Bone Mallet 8" 1Hibbs Osteotome 10 mm 9 1/2" 1Hibbs Osteotome 13 mm 9 1/2" 1Hibbs Chisel 10 mm 9 1/2" 1

Hibbs Chisel 13 mm 9 1/2" 1Key Elevator 1/4" x 7 1/2" 1Key Elevator 1/2" x 7 1/2" 1Sayre Elevator Double End Blunt 6 1/2" 1Weitlaner-Beckman Retractor Sharp 6" 1Weitlaner Retractor 3 x 4 Prong Sharp 6 1/2" 1Backhaus Towel Clamp 3 1/2" 4Backhaus Towel Clamp 5 1/4" 12Frazier Suction Tube 8 French 1Frazier Suction Tube 10 French 1Frazier Suction Tube 12 French 1Hibbs Retractor 7 1/2" 2Senn Retractor Double End Sharp 6 1/4" 2Senn Retractor Double End Blunt 6 1/4" 2Metzenbaum Scissors Cvd 7" 1

Major Basic Surgery

Product Name QtyMetal Ruler 6" 1Scalpel Handle #3 2Scalpel Handle #4 2Yankauer Suction Tube (Slip on End) 2Weinstein Sterilizing Rack 11 ¼" 3Mayo Dissecting Scissors Str 5 1/2" 1Mayo Dissecting Scissors Cvd 6 3/4" 1Hartmann Mosquito Fcp Str Del Serr 3 1/2" 3Hartmann Mosquito Fcp Cvd Del Serr 3 1/2" 3Halsted Mosquito Forceps Str 5" 6Halsted Mosquito Forceps Cvd 5" 6Rochester-Pean Forceps Cvd 6 1/4" 6Rochester-Pean Forceps Cvd 8" 3Rochester-Pean Forceps Str 6 1/4" 6Rochester-Pean Forceps Str 8" 3Rochester-Ochsner Forceps Cvd 6 1/4" 2Rochester-Ochsner Forceps Str 6 1/4" 2Rochester-Ochsner Forceps Str 8" 2Crile Forceps Str 5 1/2" 12Crile Forceps Cvd 5 1/2" 12Dressing Forceps 5 1/2" 2Dressing Forceps 8" 2Tissue Forceps 1 x 2 Teeth 5 1/2" 3Tissue Forceps 1 x 2 Teeth 8" 1Russian Tissue Forceps 8" 2TC Mayo-Hegar NH Serr 6" 2TC Mayo-Hegar NH Serr 7" 2 Operating Scissors S/B Str 5 1/2" 2 Operating Scissors S/B Cvd 5 1/2" 2

 Stevens Tenotomy Scissors Cvd 4 1/4" 1Probe Double End 6" 2Probe w/ Eye 6" 2Babcock Intestinal Forceps 6 1/4" 2Babcock Intestinal Forceps 8" 2Allis Tissue Forceps 4 x 5 Teeth 6" 3Allis Tissue Forceps 5 x 6 Teeth 7 1/2" 6Adson Brown Tissue Forceps 4 3/4" 2Adson Forceps Serr 4 3/4" 1Backhaus Towel Clamp 5 1/4" 12Metzenbaum Scissors Cvd 9" 1US Army Retractor (Set of 2) 8 1/2" 2Richardson Retractor w/ -Grip Handle Medium 1Richardson Retractor w/ -Grip Handle Large 1Richardson-Eastman Retractor (Set of 2) 1Deaver Retractor #2   1" x 13" 2Deaver Retractor #0   1" x 9" 2Deaver Retractor #3   1 1/2" x 12" 2Deaver Retractor #4   2" x 12" 1Zalkind Ribbon Retractor Malleable 3/4" x 7" 2Zalkind Ribbon Retractor Malleable 1" x 13" 2Zalkind Ribbon Retractor Malleable 1 1/2" x 13" 2Senn Retractor Double End Sharp 6 1/4" 2Senn Retractor Double End Blunt 6 1/4" 2Balfour Abdominal Retractor 7" 1Schnidt Hemostat Half Cvd Jaws 7 1/2" 2Metzenbaum Scissors Cvd 7" 2Foerster Sponge Forceps Str Serr 9 1/2" 2Foerster Sponge Forceps Cvd Serr 9 1/2" 2

Minor Basic Surgery

Product Name QtyScalpel Handle #3 2Scalpel Handle #4 2Yankauer Suction Tube (Slip on End) 2Mayo Dissecting Scissors Cvd 5 1/2" 1Mayo Dissecting Scissors Cvd 6 3/4" 1Halsted Mosquito Forceps Str 5" 6Halsted Mosquito Forceps Cvd 5" 6Crile Forceps Str 5 1/2" 12Crile Forceps Cvd 5 1/2" 12Dressing Forceps 5 1/2" 2Dressing Forceps 8" 1Tissue Forceps 1 x 2 Teeth 5 1/2" 3TC Mayo-Hegar NH Serr 6" 2Operating Scissors S/S Str 5 1/2" 2Mayo Dissecting Scissors Cvd 5 1/2" 1

Mayo Dissecting Scissors Cvd 6 3/4" 1Probe Double End 6" 2Allis Tissue Forceps 4 x 5 Teeth 6" 3Adson Brown Tissue Forceps 4 3/4" 2Backhaus Towel Clamp 5 1/4" 12 Frazier Suction Tube 8 French 1 Goelet Retractor Double End 1 1/4" x 1 1/2" 2 US Army Retractor (Set of 2) 8 1/2" 2 Zalkind Ribbon Retractor Malleable 3/4" x 7" 2 Senn Retractor Double End Sharp 6 1/4" 2 Senn Retractor Double End Blunt 6 1/4" 2 Metzenbaum Scissors Cvd 7" 2 Foerster Sponge Forceps Str Serr 9 1/2" 2 Foerster Sponge Forceps Cvd Serr 9 1/2" 2

Cesarean Section

Product Name QtyMayo Dissecting Scissors Str 9" 1Mayo Dissecting Scissors Cvd 9" 1Masson Needle Holder 10 1/2" 1TC Heaney Needle Holder Cvd 8 1/4" 1Jackson Vaginal Retractor 1Phaneuf Forceps Angular 8" 2Hildebrandt Uterine Hemostatic Forceps 6 1/2" 1DeLee OB Forceps 12" 1