Instruments used in obstetrics and gynecologyFrom Wikipedia, the free encyclopediaThe following is a list of instruments that are used in modernobstetrics and gynecology.[1][2]

This list isincomplete; you can help byexpanding it.InstrumentUses

SpeculumA specialized form of vaginal speculum is the weighted speculum, which consists of a broad half tube which is bent at about a 90 degree angle, with the channel of the tube on the exterior side of the angle. One end of the tube has a roughly spherical metal weight surrounding the channel of the speculum. A weighted speculum is placed in the vagina during vaginal surgery with the patient in the lithotomy position. The weight holds the speculum in place and frees the surgeon's hands for other tasks.

Auvard's speculumSpeculum used in standard vaginal procedures.

Cusco's speculumBivalved self retaining speculum. Its advantage over Sim's speculum is that no assistance is required to hold it in place. Hence, minor procedures like papsmear, IUCD insertions can be performed independently. Its disadvantage is the limited visualization of vagina walls.

Sim's double-bladed posteriorvaginalspeculum

Scalpel

Vulsellum

Single toothed vulsellum

Multiple toothed vulsellum

Giant vulsellum

Mucus sucker - disposable or metal

Forceps

Long straighthemostaticforceps

Allis tissue forceps

Babcock's forceps

Lanes tissue forceps

Uterusholding forceps

Sponge holding forceps

Kocher'sarteryforceps

Kocher's forcepswith toothed jaws[3]

Green-Armytage hemostatic forceps

Willet'sscalptraction forceps

Ovumforceps

Punch biopsyforceps

Uterine dressing forceps

FemCerv Endocervical SamplerThe FDA cleared disposable FemCerv endocervical Sampler can be used to biopsy theendocervicalcanal duringcolposcopyorthe evaluation of abnormal uterine bleeding. FemCerv is intended to collect a 360 Endocervical tissue sample for histological evaluation. After collection the device is closed to contain and protect the sample within the patented collection chamber. To release the tissue sample the device is opened and the tip swished in a vial of fixative. The sample is then sent to the pathology lab for processing..

SpiraBrush CXAnectocervicalbiopsybrush used in place ofpunch forcepsduringcolposcopyto collect a fulltransepithelialtissue sample. The resulting sample is then sent to apathology labfor evaluation and diagnosis ofcervical cancer. Abnormalities in these samples are similar to those seen in traditional cervical biopsies, and range from reactivesquamousandglandularepithelial cells to overt invasivecarcinoma.[4]

SoftECCThe FDA Compliant disposable Soft-ECCendocervicalcurette can be used to biopsy the endocervical canal duringcolposcopyor the evaluation of abnormal uterine bleeding. Unlike the conventional sharp endocervical curette, the Soft-ECC is intended to gently frictionally abrade and collect abundant trans-epithelial tissue samples into the patent pending KYLON fabric. The tip device containing the sample can be placed in the fixative vial and transported to the lab. In the lab, the tissue can be easily and efficiently removed from the curette fabric for processing that is identical to the conventional endocervical curettage tissue sample.

SoftBiopsyThe FDA Compliant disposable SoftBiopsy can be used to biopsy theexocervixand lower genital tract duringcolposcopyor when a suspicious lesion is detected. Unlike the sharp edge biopsy design of gynecological biopsy devices, the SoftBiopsy design is intended to gently frictionally abrade and collect abundant trans-epithelial tissue samples into the patent pending KYLON fabric. The tip device containing the sample can be placed in the fixative vial and transported to the lab. In the lab, the tissue can be easily and efficiently removed from the curette fabric for processing that is identical to the conventional lower genital tract biopsy or curettage tissue sample.

Laminariatent introducing forceps with laminaria tent

Needle holding forceps

Straight

Curved

Tootheddissectingforceps

Untoothed dissecting forceps

Delivery forceps

Long curved obstetrics forceps

Das's long curved obstetrics forceps

Wrigley's forceps

Kielland's forceps

Axis traction device

Cannula

Karman's plastic suction cannula

Hysterosalpingographycannula

Insufflationcannula

Budine's cannula

Scissors

Episiotomyscissors

Embryotomyscissors

Mayo's scissors

Bonney scissors

Metzenbaum scissors

Perineorrhaphyscissors

Long straight scissors

Uterine sound

Cervicaldilators

Hawkin-Ambler's

Das

Ventouse cups

Metallic

Silastic

Oldham's perforator

Cranioclast

Hook with crochet

Jardine's decapitation hook with knife

Pinnard's stethoscope

Disposable cord-clamp

Curette

Flushing curette

Uterine curette

Sharp curette

Shaman's curette

Retractors

Doyen's retractor

Landon's retractor

Anterior vaginal wall retractor

Balfour self-retaining retractor

Deaver's retractor

Electronicfetal monitorwith abdominal transducers

Implants

Copper-Tuterine

Hormonal implants e.g.Norplant

Laparoscopicinstruments for tubal sterilization

Veress needle

Trochar

Cannula

Hysteroscope

Telescope

Coagulators

Graspers

Scissors

Spatula and cytobrush

Catheters

Metallic - male or female

Rubber

Myoma screwUsed to stabilize and manipulate non-degenerating myomas, fibroids or other tissues intended for removal during laparoscopic procedures.

Towel clips

Clamps

Bonney'smyomectomyclamp

Cervical occlusion clamp

Barkelay Bonney vaginal clamp

Pessary

Hodge-Smith type

Ring type

Colposcope

Perineometer

Axis traction device for delivery forceps Cusco's self retaining bivalve vaginal speculum seen from behind Cusco's self retaining bivalve vaginal speculum (closed) seen from the left. It is very much used in taking smears from the vagina forPapanicolaou testtest and routine examinations. Cusco's self retaining bivalve vaginal speculum (opened) seen from the right Cusco's self retaining bivalve vaginal speculum (closed) seen from the right Das's modification to the long curved delivery forceps (shorter in length) with axis traction devices in place, seen from the right side (left blade on top: with respect to the mother's vaginal wall) Das's modification to the long curved delivery forceps (shorter in length) with axis traction devices in place, seen from the right side (left blade in front: with respect to the mother's vaginal wall). The instrument is held in properly as during a delivery. Das's modification to the long curved delivery forceps with the blades lying loose. The one with the lock is the left blade (judged with respect to the mother). Das's modification to the long curved delivery forceps with the blades locked in place Metallic cup for the Ventouse suction device used to assist deliveries Sim's double-bladed vaginal speculum Sim's double-bladed vaginal speculum Allis tissue forceps Allis tissue forceps Doyen's retractor Kocher's forceps with toothed jaw Disposable manual mucous sucker Straight needle holding forceps Willet'sscalptractionforceps Jardine's decapitation hook with knife Jardine'sdecapitationhook withknife A cranioclast Acranioclast Budine'scannula Hook with crochet Embryoscissors Oldham'sperforator Ayre's spatula and Slide holding bottle(open) used forPapanicoulau smear Ayre's spatula and Slide holding bottle - Koplick's jar (open) used forPapanicoulau smear

Upper-Long straight hemostatic forceps;Lower-Kocher's hemostatic forceps