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SURT-1603

Basic Surgical Instruments

ClassificationNameNotes
Clamping/Occluding Mosquito smallest hemostat; Used to clamp delicate tissue or vessels
Clamping/Occluding Crile second smallest hemostat; serrated to boxlock; Can be used to clamp tissue edges
Clamping/Occluding Kelly second smallest hemostat; serrated partway to boxlock; Can be used to clamp tissue edges
Clamping/Occluding Mayo AKA Mayo-Pean, Pean, Rochester-Pean; largest of the hemostats; Used to clamp tissue (fairly thick) before resection or larger vessels to stop bleeding or to transect
Clamping/Occluding Carmalt used to hold a peanut sponge dissector
Clamping/Occluding Lashey AKA Right Angle; Tip used to bluntly dissect around vessel; Can be used to clamp across small vessels; Used to deliver suture around vessel
Clamping/Occluding Mixter AKA Right Angle; Tip is wider or fatter than Lahey; Not used very often
Clamping/Occluding Adson Tonsil Clamp AKA Schnidt, Boetcher; Commonly used to clamp small bleeders deep in wound or in the throat
Grasping Allis Tip width from narrow to wide; Used to grasp tube-like structures and tumors, etc; Most commonly used grasping clamp
Grasping Fat Allis Fat allis is slightly wider than an allis but not as wide as an adair; Used to grasp tube-like structures and tumors, etc
Grasping Babcock Commonly used to grasp tube-like structure such as ureter and fallopian tubes and vas deferens; Most commonly used to grasp bowel
Grasping Adair Commonly used to grasp vaginal mucosa during an anterior & posterior colporrhaphy; Tip wider than Allis
Clamping or Grasping Kocher/Oschner Commonly used to grasp tendons, ligaments, Muscle/Fascia, heavy tissue
Grasping Bebee not commonly used
Grasping Ring Forceps Most common to hold a folded sponge called stick sponge
Grasping Backhaus Towel Clip Used to clip LINEN drapes to patient; May be used to hold bone; AKA T-clips; short AKA baby towel clip
Grasping Non-Perforating Towel Clamp Most commonly used to secure paper drapes to the patient/field; Used to anchor cautery holder to drapes; Anesthesia uses to clamp upper drape to IV pole
Grasping/Forceps Ferris Smith Largest of the forceps; Used to grasp heavy tissue like bone, tendon, fascia & ligaments
Grasping/Forceps Adson Smallest of the forceps; Mainly used on skin, especially to hold skin during suturing
Grasping/Forceps Adson/Brown not commonly used
Grasping/Forceps Debakey Most commonly used forceps for inside the abdomen or on vessels; Atraumatic; Has multiple tiny teeth; also wide and narrow tips; Has replaced forceps without teeth
Grasping/Forceps Russian Second most commonly used forceps for inside the abdomen; Used in OB-GYN procedures and orthopedics sometimes; Handy to pick up stones
Grasping/Forceps Tissue Forceps Most commonly used forceps to open and close a wound (with teeth version); Handy to pick up heavy tissue (fascia - muscle)
Grasping/Forceps Thumb Forceps Have been replaced with Debakey forceps (rarely used)
Grasping/Forceps Bayonet Commonly used in neurosurgery to place sponges into the wound; The hump of the forceps is always is the upright position when using
Suction Poole Suction Tip w/ Sheath AKA Abdominal Suction Tip; Most commonly used during surgeries in the abdomen; Used when copious amounts of body fluid are present; Used when irrigating the abdominal wound with saline; Sheath is only used when large amounts of fluid are present
Suction Yarkauer Suction Tip AKA Oral Suction Tip, Tonsil Suction Tip; Largest of the suction tips; Commonly used in the oral cavity because of the length of tip & fluid aspiration ability; Can be used in the abdomen instead of the Poole suction tip (surgeon’s preference)
Suction Franzier Suction Tip AKA neuro Suction Tip; Commonly used in neurosurgery (head & back) or in small incisional areas; They have a flat area by tubing end that has a hole to regulate suction power
Suction Adson Suction Tip AKA neuro Suction Tip; Commonly used in neurosurgery (head & back) or in small incisional areas; They have a flat area by tubing end that has a hole to regulate suction power
Cutting 10 blade most common blade to make incision into abdomen and larger body parts
Cutting 11 blade most commonly used to make a stab wound into the body - To drain a cyst (fluid filled tumor)
Cutting 12 blade most commonly used to cut around a tube-like anatomical structure such as a ureter or tonsil pillar; AKA hook knife
Cutting 15 blade most common used to cut into smaller anatomy such as the nose, lip, ear, throat, etc.
Cutting 3 scalpel handle This handle only houses certain blades:
Cutting 4 scalpel handle This handle only houses certain blades:
Cutting 20 blade large blade that similar to
Cutting 7 scalpel handle This handle only houses certain blades:
Cutting Beaver Handle Commonly used for plastic reconstructive surgeries; Used to incise small, delicate areas of the body: nose, ears, eyes, lips, fingers & toes
Cutting 65 blade Similar to the 10 blade; used to make incision into smaller body parts
Cutting 64 blade Similar to the 11 blade; used to make a stab wound in the body
Grasping/Forceps Lorenz Adson has grooved diamond jaw insert
Cutting Metzenbaum Scissors Used on delicate tissue like bowel and peritoneum; Basic length is most common; Length also depends on the depth of the wound; Called Metz for short
Cutting Mayo Scissors Used on heavy tissue; Most commonly used to cut muscle/fascia and organs with tough muscular tissue, like the uterus
Cutting Suture Scissors most commonly used as basic suture scissors
Cutting Bandage Scissors Most commonly used to cut the heavy muscular tissue of the uterus when delivering a fetus from the womb via a C-section delivery; Also used to cut the umbilical cord following delivery of the fetus
Cutting Jones Scissors short, fine scissors commonly used to cut delicate tissue; Commonly used to carefully dissect tissue during the removal of the thyroid gland or the parotid gland; Tips are more slender and pointed than a short Metzenbaum scissors
Cutting Wire Scissors Commonly used when wire suture is used in orthopedic procedures
Suturing Mayo Hager Needle Holder Most commonly used; Holds larger, denser needles
Suturing Heaney Needle Holder Most commonly used for OB/GYN surgical procedures; Used for suturing in narrow, deep cavities (vaginal canal)
Suturing Crilewood Needle Holder Used to hold finer (less dense), smaller needles; Commonly used in plastic surgery
Suturing Webster Needle Holder One of the smaller, shorter needle holders used; Commonly used in plastic surgery and orthopedics (hands & toes)
Suturing Castroviejo Needle Holder Smallest of the needle holders; Doesn’t have finger rings – has band loops; Comes with locking capabilities or without; Holds very fine, small needles
Retractors Skin Hook Hand held classification
Retractors Senn Miller Rakes Smallest of the rake retractors; Used to retract tissue layer on procedures involving hands, fingers, small anatomy; Hand held classification
Retractors 3-Prong Rakes Used to retract superficial tissue layers; Hand held classification
Retractors 4-Prong Rakes Used to retract superficial tissue layers; Hand held classification
Retractors 6-Prong Rakes Used to retract superficial tissue layers; Hand held classification
Retractors Isreael Rakes Usually comes dull; Largest of the rakes; Used for deeper retraction of wound edges; Hand held classification
Retractors 2-Prong/Collins Retracts superficial wound edges; Comes in a pair - not always used as a pair; Hand held classification
Retractors Army/Navy Referred to as A/N retractor; One end deeper than other; Used for superficial & deeper retraction of wound edges or tissue; Hand held classification
Retractors Bard Parker AKA Band; Used to retract superficial wound edges; Usually used in pairs – One on each side of the incision; Hand held classification
Retractors Ribbon AKA Malleable; Bent to fit wound depth; Retracts organs and wound layers to expose surgical site; Hand held classification
Retractors Harrington One of the longest, deepest retractors for abdominal wounds; Used to retract organs for exposure of the surgical site; Sometimes called sweetheart retractor – pad with sponge
Retractors Deaver Large, deep retractor; Commonly used to retract organs and/or tissue layers to expose surgical site; Use moist lap sponge to pad under retractor or dip retractor in saline or water before using
Retractors Kelly Wide retractors – used to retract abdominal tissue layers; Similar to the Richardson retractors but larger; Hand-held – dip in saline or water before use
Retractors Richardson Similar to the Kelly retractors but smaller blade widths; Used to retract tissue layers of the abdominal wound
Retractors Appy Richardson Blade is narrower than Richardsons; Used to retract narrow, deep incisions - McBurney’s; Comes in smaller, shorter blade called Baby Appy Richardson
Retractors Mastoid Small self-retaining retractor; Used for retracting small wounds – face, eyes, ears, nose, hands, toes, etc.; Has rake-like ends that are usually dull
Retractors Spring Retractor Used to retractor wound layers – superficial or deep; Usually two are used – One at one end of the wound & one at the other end
Retractors Gelpi Self retaining retractor; Used to open an incision wider; Can be used superficially or deep; Clamp-like rings with sharp points; Usually use two / long abdominal incisions
Retractors Cerebellar Self-retaining retractor with rake-like ends that meet when closed; Used superficially or deeper – x 2 for abdominal wounds
Retractors Weitlaner Self-retaining retractor with rake-like ends that overlap when closed; Used superficially or deeper – x 2 for abdominal wounds; AKA Weitlander
Retractors Balfour Large self-retaining retractor – used to retract tissue edges in abdominal wounds/large wounds; Comes with stationary blade of different sizes or removable blades deep/shallow; Has a bladder blade – 3 dimensional pull
Created by: phule