Notre Dame of Dadiangas University

College of NursingGeneral Santos City, Philippines

The Basic Surgical

Instruments Cutting and Dissecting Grasping and Holding Retracting and Exposing Clamping and Occluding Miscellaneous

Cutting and Dissecting Instruments

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

Scalpel holderCurved and Straight Mayo

Scissors Metzenbaum

Lister/Bandage Scissors Suture Scissors Stitch Scissors

Cutting and Dissecting Instruments

Scalpel Blade

• 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.

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

Cutting and Dissecting Instruments

Mayo Scissors

Curved/Straight Mayo Scissors

Note: With thick Shank

These are used to cut suture materials and cutting tough tissues.

Cutting and Dissecting Instruments

Metzenbaum

Curved/Straight MetzenbaumNote: With thin Shank and curved tipsThese are used for tissue dissection and cutting delicate tissues.

Cutting and Dissecting Instruments

Lister/Bandage Scissors

Note: the blunt tip on one edge

Used to trim bandages to custom size, to cut through clothing or gauze, and to help remove bandages that someone is wearing

Cutting and Dissecting Instruments

Suture Scissors

Note: Concave Edge on one Side

Use in cutting sutures

a. Angled Suture Scissors

b. Straight Suture Scissors- for subcutaneous, Skin or Muscular area

Cutting and Dissecting Instruments

Stitch Scissors

Use only with non-absorbable sutures

Grasping and Holding Instruments

are used to hold tissue, drapes or sponges

DeBakey Tissue Forceps

Adson Tissue Forceps

Russian Tissue Forceps

Randall Stone Forceps Tenaculum

Babcock Clamp

Foerster / Ovum Sponge Forceps

Backhaus Towel Clamp

Allis Clamp

Kocher/ Oschsner Clamp

Grasping and Holding Instruments

(Tissue Forceps)

DeBakey Tissue Forceps Adson Tissue

Forceps

Russian Tissue Forceps

These are available in various lengths, with or without teeth, and smooth or serrated jaws.

Grasping and Holding Instruments

DeBakey Tissue Forceps

Used to grasp delicate tissue, particularly in cardiovascular surgery.

Grasping and Holding Instruments

Adson Tissue Forceps

These are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin.  Other names: Dura forceps.

Grasping and Holding Instruments

Russian Tissue Forceps

They have serration up to the tips, allowing better grasp of tissue with minimum trauma.

Grasping and Holding Instruments

Randall Stone Forceps

Tenaculum

Babcock Clamp Foester / Ovum Sponge Forceps

Backhaus Towel Clamp

Allis Clamp

Kocher/ Oschsner Clamp

They Are used to hold tissue, drapes or sponges.

Grasping and Holding Instruments

Randall Stone Forceps

To remove kidney stones

Grasping and Holding Instruments

Tenaculum

Used to grasp cervix

Grasping and Holding Instruments

Backhaus Towel Clamp

To anchor drapes and towels

Grasping and Holding Instruments

Allis Clamp

Has Sharp teeth to hold tissue firmly but can cause damage, so only used in tissue, which will be excised . Used to grasp subcutaneous layer and tissue..

Grasping and Holding Instruments

Kocher/ Oschsner Clamp

Straight or CurvedIt is used to grasp heavy tissue. May be used as a clamp.

Grasping and Holding Instruments

Ovum (Foerster)

For DRControl of bleedingTo grasp sponges

Grasping and Holding Instruments

Babcock Clamp

Used in muscular and facial layers; delicate tissue (in tube, ovary)

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.

Senn

Volkmann Rake

US Army Navy Deaver

Malleable Vein Retractor Green Goiter

Weitlaner Langenbeck Skin Hooks Vaginal Speculum

Richardson

Retracting and Exposing Instruments

Richardson

For deep abdominal and chest incisions .Used to pull layers of tissue

DoubleSingle

Retracting and Exposing Instruments

US Army Navy

For shallow or superficial incisionFor pediatric clients

Retracting and Exposing Instruments

Senn

For minor surgery like arterio-venousWrist or antecubital areaDull or sharp

Retracting and Exposing Instruments

Deaver

Used to retract deep abdominal or chest incisions.  Available in various widths.

Retracting and Exposing Instruments

Malleable

Used to retract deep woundsMay be bent to various shapes

Retracting and Exposing Instruments

Vein Retractor

Used in vein stripping (varicose veins)

Retracting and Exposing Instruments

Volkmann Rake

Used in retracting skin layers

Retracting and Exposing Instruments

Green Goiter

for thyroidectomy

Retracting and Exposing Instruments

Weitlaner

Used to open neck muscles

For thyroidectomy

Retracting and Exposing Instruments

Langenbeck

For visualization of anal/vaginal area

Retracting and Exposing Instruments

Skin Hooks

Used to retract thin skin, like eyelids

For eye surgeries

Retracting and Exposing Instruments

Vaginal Speculum

For Pap Smear, D&C, Visualization of Cervix

Clamping and Occluding Instruments

They are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.

Straight Mosquito

Kelly Clamp

Pean (Rochester-Pean) Clamp

Crile Clamp

Right-Angled (Mixter /Dissector) Forceps

Clamping and Occluding Instruments

Straight Mosquito/ Halsted

HEMOSTAT COMPONENT

Used to clamp skin, small blood vessels

Used to hold sutures aside from pedia patients.

Clamping and Occluding Instruments

Kelly Clamp

Note: The tip has half serrations

Curved or Straight

HEMOSTAT COMPONENT

Used to clamp larger blood vessels and tissues

Curved Kelly- for peritoneum

Clamping and Occluding Instruments

Crile Clamp

Curved or Straight

HEMOSTAT COMPONENT

Curved Crile- for fascia ,subcutaneous, & muscular area

Note: Whole tip has serrations

Clamping and Occluding Instruments

Pean (Rochester-Pean) Clamp

For Gastrectomy

Clamping and Occluding Instruments

Right-Angled (Mixter /Dissector) Forceps

Used to hold a peanut

Miscellaneous

Curette

Sharp or Dull

For scraping uterine wall

For Double Set-Up

Hysterometer

Used with Vaginal SpeculumMeasures depth of UterusWith Gradations

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