Surgical Nursing and AnesthesiaInstrumentsKelly ForcepAlso known as Kelly Hemostatic ForcepsHemostats are used to control hemostasisJaws can be straight or curvedSerrations are horizontal and only etend ! the length o" the #aw$ochester%&armaltHas horizontal serrations and vertical serrations on the tip o" the #aw giving a checkerboard appearance'sually () longJaw is * +,-) long'sed to clamp large vessels or large tissue masses&rile Hemostatic ForcepsSimilar to KellySerrations etend the entire length o" the #awAllis .issue ForcepsFairly traumatic'sed "or grasping skin such as the linea alba or tissue being removed "rom patient /e0g0 tumor1 skin1 etc02Ferguson AngiotribeNot a true hemostat3ery traumatic in design /crushing2&an be used on any vessel that is not viable to the body /i0e0 uterine stump2Adson 4ressing ForcepNo teeth on tipHas 5at1 atraumatic serrations'sed to aid in the placement o" bandages or wound dressings0Adson%6rown Forceps.ip has two parallel rows o" nine shallow teeth&ommonly used in general surgeryFound in most surgical packsAdson%6rown with .eeth7acks shallow teeth o" plain Adson%6rownInstead has 8rat teeth) at posterior end3ery traumatic 4ressing ForcepsSurgical 6lades9ost common is :+; :++ used "or a stab incision:+- used "or declaw:+< is the same shape as a :+; but hal" the length /mini :+;27arger blades generally used "or 7arge animal practice6ard =arker Handle * handle is used "or blades :+;%+> ? handle is used "or blades -;%->'nits o" measurement are used "or photographic documentation@roove 4irectorAids surgeon in making incisions in the linea alba=rovides a 8channel) that the scalpel can "ollow to avoid accidental incising o" the abdominal viscera6ackhaus .owel &lamp=enetrating design'sed to secure drape to the patientAvailable in * +,-) or < +,-) size6ackhaus $oeder .owelclamp6alls on the tips prevent ecessive penetration into the tissueJones .owel &lampSmaller and more lightweight than 6ackhaus style towel clampsIdeal "or smaller or eotic patientsSpay HookAlso known as a 8Snook Hook)'sed to locate and eteriorize the uterine horns when an ovariohysterectomy is per"ormed9ayo%Hegar&ommonly used needle holderAvailable in a variety o" lengths depending upon surgeonAs pre"erence and procedureBlsen%HegarAvailable in a variety o" sizesScissors are built into #aw "or cutting sutureIneperienced individuals may cut suture while attempting to grasp needleArmy%Navy $etractor'sed to de5ect or retract tissue away "rom working surgical CeldHandheld4ouble%ended6lades vary in size&ause little traumaSenn $etractorHandheld retractor4ouble%endedBne end is a narrow1 blunt blade.he other end is a toothed1 traumatic end.eeth may be sharp or blunt@elpi $etractorSel"%retaining retractorFairly traumaticNot used in so"t tissue surgery as o"ten as orthopedic and neurological proceduresDeitlander $etractorSel"%retainingHas teeth which can be blunt or sharp@enerally used in orthopedic procedures1 but can be used in so"t tissue surgeryIris Scissor7ister 6andage Scissor9etzenbaum 4issecting Scissors'sed "or delicate surgical dissection6lades are thin1 delicate1 and E+,? o" the overall length6lades can be straight or curved9ayo /dressing2 Scissors'sed when cutting through large muscle masses1 cartilage1 or other non%delicate tissue6lades are thick and E+,* o" instrument length&an be curved or straightDire &utting ScissorsInstruments "or Brthopedic SurgeryJacobAs 6one &huck &huck and KeyFtenderJacobAs 6one &huck6one ForcepsAlso called 8bone cutters)Have a sharp edge on both #aws'sed "or cutting through bone and removing small pieces o" bone6one $ongeursHave cupped tips with sharp edges'sed to break up bits and pieces o" bone "or gra"ting purposesAlso used to remove pieces o" unnecessary boneKerns 6one%Holding Forceps4esigned to hold bone "ragments until permanent Cation can be achievedIntramedullary /I92 =ins.his is an Albatross9ade "rom metal and range in size "rom +,+G%+,- in diameter0'sed to stabilize certain types o" "ractures or so"t tissue in orthopedic surgery&an be smooth tipped or threaded /like a screw2&an be used or in con#unction with wire1 plates1 and screws=laced using a hand chuck1 electric drill1 or a nitrogen air drill0Bsteotome'sed "or cutting segments o" bone=eriosteal Flevator'sed to prepare "ractured bone "or permanent CationFlevates the periosteum so that an implant may be placed&ome in a variety o" shapes and sizes4ental InstrumentsDhatAs the dental "ormula "or a lampreyHH.artar $emoving ForcepsAllow "or easy removal o" heavy calculus "rom the tooth sur"ace$oot Flevators'sed to epand alveolus with a rocking motion while advancing toward periodontal ligament7oosens tooth "or etraction without breaking tooth into pieces.ooth Ftracting Forceps'sed to grasp tooth and remove "rom socket once loosened.ooth Splitter9ay also be called a 8&rown Splitter)'sed to break tooth "or better removalScalersJacIuette'sed to remove plaIue and calculus "rom the tooth sur"ace1 good "or tight spacesHand instrument&urette'sed to clean plaIue and calculus "rom the tooth root sur"ace0 Not a hand instrumentJ DhyHScalers contAd'niversal Scaler'sed to remove plaIue and calculus "rom the tooth sur"ace0 Fplorer =robe'sed to measure gingival attachment loss and the depth o" pockets around the tooth indicating periodontal disease Scalers contAd&law .ype Scraper'sed "or scraping calculus "rom tooth1 speciCcally canine teethSickle ScalerHand instrument with two cutting edges0 'sed in a pulling motion to remove heavy accumulation o" calculus "rom crown sur"ace04ental Hoe'sed /in human dentistry2 in a pulling motion to smooth and shape the 5oor and sides o" dental caries Veterinary Dentistry?'sed "or scaling enamel sur"ace0Insert'sed in con#unction with an ultrasonic dental machine0'ses ultrasonic vibration to remove plaIue "rom teeth9any styles available4iamond &utting Dheel'sed "or leveling and reducing teeth=rophy Angle'sed to polish teeth a"ter dental cleaning is completed to Cll in any grooves that may have "ormed0.his slide show was created by Emily Dzek Fall -;;KDith help "romJ 6usch1 Sara J0 Small Animal Surgical NursingJ Skills and &oncepts0 Flsevier 9osbyJ St0 7ouis1 9issouri1 -;;G0