BY: MODY M. MATIASBY: MODY M. MATIAS

OPERATING OPERATING ROOM ROOM INSTRUMENTSINSTRUMENTS

WASH AREAWASH AREA

OPERATING ROOM TABLEOPERATING ROOM TABLE

DELIVERY TABLEDELIVERY TABLE

FOUR BASIC CATEGORIESFOUR BASIC CATEGORIES

RETRACTING AND EXPOSINGRETRACTING AND EXPOSING CUTTING AND DISSECTINGCUTTING AND DISSECTING CLAMPING AND OCCLUDINGCLAMPING AND OCCLUDING GRASPING AND HOLDINGGRASPING AND HOLDING MISCELLANEOUS INSTRUMENTMISCELLANEOUS INSTRUMENT

BACK TABLE OR MAYO TABLEBACK TABLE OR MAYO TABLE

ARMY NAVY RETRACTORARMY NAVY RETRACTOR

MANUAL RETRACTOR USED TO MANUAL RETRACTOR USED TO RETRACT SHALLOW INSISIONRETRACT SHALLOW INSISION

RICHARDSON RETRACTORRICHARDSON RETRACTOR

MANUAL RETRACTOR USED TO MANUAL RETRACTOR USED TO RETRACT DEEP INSISIONRETRACT DEEP INSISION

DEAVER RETRACTORDEAVER RETRACTOR

MANUAL RETRACTOR USED TO RETRACT MANUAL RETRACTOR USED TO RETRACT DEEP INSISIONDEEP INSISION

BALFOUR RETRACTORBALFOUR RETRACTOR

SELF RETAINING RETRACTOR USED SELF RETAINING RETRACTOR USED TO RETRACT LARGE INSISIONTO RETRACT LARGE INSISION

MALLEABLE OR RIBBON MALLEABLE OR RIBBON RETRACTORRETRACTOR

SELF RETAINING RETRACTOR USED SELF RETAINING RETRACTOR USED TO RETRACT DEEP INSISIONTO RETRACT DEEP INSISION

WEITLANER RETRACTORWEITLANER RETRACTOR

SELF RETAINING RETRACTOR USED TO SELF RETAINING RETRACTOR USED TO RETRACT SKIN FASCIA OR SHALLOW RETRACT SKIN FASCIA OR SHALLOW INSISIONINSISION

VAGINAL RETRACTORVAGINAL RETRACTOR

SELF RETAINING RETRACTORSSELF RETAINING RETRACTORS

CUTTING AND DISSECTINGCUTTING AND DISSECTING

#7 HANDLE WITH #15 SURGICAL #7 HANDLE WITH #15 SURGICAL BLADE(DEEP KNIFE) USED TO CUT BLADE(DEEP KNIFE) USED TO CUT DEEP, DELICATE TISSUEDEEP, DELICATE TISSUE

#3 HANDLE WITH #10 SURGICAL #3 HANDLE WITH #10 SURGICAL BLADE(INSIDE KNIFE) USED TO CUT BLADE(INSIDE KNIFE) USED TO CUT SUPER FICIAL TISSUESUPER FICIAL TISSUE

#4 HANDLE WITH #20 SURGICAL #4 HANDLE WITH #20 SURGICAL BLADE(SKIN KNIFE) USED TO CUT BLADE(SKIN KNIFE) USED TO CUT SKIN.SKIN.

CUTTING AND DISSECTING CUTTING AND DISSECTING INSTRUMENTSINSTRUMENTS

BLADES AND HANDLES

1. Handles

•# 3 Handle•# 4 Handle

2. Handles and Blades

Blades #10, 11, 12, 15 fit the #3 handle. Blades #22, #23 fit the #4 handle and are commonly used for large animals.

The scalpel is held The scalpel is held with thumb, middle with thumb, middle and ring finger and ring finger while the index while the index finger is placed on finger is placed on the upper edge to the upper edge to help guide the help guide the scalpel. Long gentle scalpel. Long gentle cutting strokes are cutting strokes are less traumatic to less traumatic to tissue than short tissue than short chopping motionschopping motions..

The scalpel should never be used in a "stabbing" motion

CURVE MAYO SCISSORCURVE MAYO SCISSOR

USED TO CUT HEAVY TISSUE USED TO CUT HEAVY TISSUE (FASCIA,MUSCLE,BREAST) AVAILABLE IN (FASCIA,MUSCLE,BREAST) AVAILABLE IN REGULAR AND LONG SIZEREGULAR AND LONG SIZE

METZENBAUM SCISSORMETZENBAUM SCISSOR

This scissors are more delicate than Mayo scissors, it is used to cut delicate tissues and have a longer handle

HOW TO HOLD SCISSORHOW TO HOLD SCISSOR

The thumb and ring The thumb and ring finger are inserted finger are inserted into the rings of the into the rings of the scissors while the scissors while the index and middle index and middle finger are used to finger are used to guide the guide the instrument.The instrument.The instrument should instrument should remain at the tips of remain at the tips of the fingers for the fingers for maximum control.maximum control.

STRAIGHT MAYO SCISSORSTRAIGHT MAYO SCISSOR

USED TO CUT SUTURE AND SUPPLIES USED TO CUT SUTURE AND SUPPLIES ALSO KNOWN AS SUTURE SCISSORSALSO KNOWN AS SUTURE SCISSORS

STRAIGHT MAYO SCISSORSTRAIGHT MAYO SCISSOR

USED TO CUT SUTURE AND SUPPLIES USED TO CUT SUTURE AND SUPPLIES ALSO KNOWN AS SUTURE SCISSORSALSO KNOWN AS SUTURE SCISSORS

This is the wrong This is the wrong way to hold the way to hold the scissors. The ring scissors. The ring finger should be finger should be inserted into the inserted into the ring.ring.

This is also the This is also the wrong way to wrong way to hold the scissors. hold the scissors. The tips of the The tips of the scissors should scissors should be pointing be pointing upwardsupwards

There are three kinds of absorbable suture:

Dexon: This is a synthetic material which takes 3 or 4 weeks to dissolve and is therefore can be

uncomfortable for the woman. However, it is easy to use and does not tangle like catgut.

Catgut (plain): This is a natural material that takes 4 or 5 days to dissolve and is therefore no in place long

enough for the healing of a vaginal repair. Chromic Catgut: This is a catgut that has been treated

with chromic acid to keep it from rapidly dissolving. It is ideal for the repair of vaginal tears. It takes about 10 days to partially dissolve and by 20 days dissolution is

complete. Catgut tends to kink and tangle if

BANDAGE SCISSORBANDAGE SCISSOR

GRASPING AND GRASPING AND HOLDING HOLDING

INSTRUMENTSINSTRUMENTS

TISSUE FORCEP W/ TEETH OR TOOTH/MOUSE TOOTH FORCEP

Interdigitating teeth hold tissue without slipping.Used to hold hard tissue.

ADSON FORCEP

Small serrated teeth on edge of tips. The Adsons tissue forceps has delicate serrated tips designed for light, careful handling of tissue.

TISSUE FORCEP WITH TISSUE FORCEP WITH TEETH/TOOTHTEETH/TOOTH

USED TO HOLD HARD TISSUEUSED TO HOLD HARD TISSUE

TISSUE FORCEP W/O TEETH OR TISSUE FORCEP W/O TEETH OR TOOTH/THUMB FORCEPTOOTH/THUMB FORCEP

USED TO GRASP DELICATE OR SOFT USED TO GRASP DELICATE OR SOFT TISSUE TISSUE

Thumb forceps Thumb forceps are held like a are held like a pencil. pencil.

Thumb Forceps Thumb Forceps are are notnot called called tweezers'Thumtweezers'Thumb Forceps are b Forceps are notnot held like a held like a knife.knife.

ALLIS FORCEP

Interdigitating short teeth to grasp and hold bowel or tissue.Slightly traumatic, use to hold intestine, fascia and skin.LOCKING FORCEP

BABCOCK FORCEP

More delicate than Allis, less directly traumatic. Broad, flared ends with smooth tips.Used to atraumatically hold viscera (bowel and bladder).

SPONGE FORCEP

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

TOWEL FORCEPTOWEL FORCEP

USED TO CLAMP TOWELS AND USED TO CLAMP TOWELS AND LINENSLINENS

USED ALSO TO SECURE CAUTERY USED ALSO TO SECURE CAUTERY WIRE AND SUCTION TUBESWIRE AND SUCTION TUBES

CLAMPING AND CLAMPING AND OCCLUDING OR OCCLUDING OR

HAEMOSTAT HAEMOSTAT INSTRUMENTSINSTRUMENTS

MOSQUITO FORCEPMOSQUITO FORCEP

USED TO CLAMP OR OCCLUDE SMALL USED TO CLAMP OR OCCLUDE SMALL BLOOD VESSELSBLOOD VESSELS

CURVE KELLY FORCEPCURVE KELLY FORCEP

USED TO LIGATE BLEEDINGUSED TO LIGATE BLEEDING

STRAIGHT KELLY FORCEPSTRAIGHT KELLY FORCEP

USED TO CLAMP SHALLOW INSCISIONUSED TO CLAMP SHALLOW INSCISION

NEEDLE HOLDER: Hinged (locking) instrument used to hold the needle while suturing tissue.Good quality is ensured with tungsten carbide inserts at the tip of the needle holder.

1. Mayo-Hegar

Heavy, with mildly tapered jaws.No cutting blades.

KOCHER

3. Kocher

Used to grasp bone or fascia.

UTERINE FORCEUTERINE FORCE

MISCELLANEOUSEMISCELLANEOUSE INSTRUMENTSINSTRUMENTS

NEEDLE HOLDERNEEDLE HOLDER

USED TO HOLD NEEDLE FOR USED TO HOLD NEEDLE FOR SUTURINGSUTURING

Kidney basinKidney basin