click below
click below
Normal Size Small Size show me how
SURT-1603
Basic Surgical Instruments
| Classification | Name | Notes |
|---|---|---|
| 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 |