Instruments

1. INSTRUMENTS
MOHAMMAD AMIR
JJM MEDICAL COLLEGE
INDIA

2. RAMPLEY’S SWAB HOLDING FORCEPS
 Used for cleansing the skin
with swab
 It is used for removing
laminated membrane and
daughter cysts from Hydatid
cyst.
 Used to hold fundus and
Hartman’s pouch during
cholecystectomy.

3. Doyen’s cross action Towel Clips
 Used to fix draping
towels.
 Used for fixing
diathermy
cables, suction tubes
etc.
 May be used to hold
ribs while elevating
flail segment of chest.

4. Bard Parker’s Handles
 Blades 10,11,12 and 15
fit in B.P handle 3.
 Blades18,19,20,21,22, 23
and 24 fit in B.P
handle 4.

5. Spencer Well’s Haemostatic Forceps
 Used to hold bleeding
vessels.
 Used to split internal
oblique and transverse
abdominis during
appendectomy.
 Used to do blunt
dissection.

6. Kocher’s Haemostatic Forceps
 Used to crush the base
of the appendix during
appendectomy.
 Used to hold meniscus
during menisectomy.
 Used to do sub total
thyroidectomy.

7. Mosquito Haemostatic Forceps
 Used to hold fine
bleeding vessels.
 Used to puncture the
mesoappendix at an
avascular site.
 Used in operations of
infants.

8. Lister’s Sinus Forceps
 Used to do I&D of
abscess by Hilton’s
method.
 Used to hold gauge
swab to clean abscess
cavity.

9. Allis’ Tissue Forceps
 Used to hold skin
while raising skin
flaps.
 Used to pick up a fold
of peritoneum during
laparotomy.
 Used to hold linea alba
while closing midline
incisions.

10. Babcock’s Tissue Forceps
 Used to pick up
appendix during
appendectomy.
 Used to hold delicate
visceral organs.
 Used to hold cut
margins of bladder
during open
prostatectomy.

11. Plain Dissecting Forceps
 Used to hold delicate
visceral organs
 Used to hold blood
vessels and nerves
while dissecting.
 Used to hold the
hernial sac in hernia
repair.

12. Toothed Dissecting Forceps
 Used to hold tough
structures like skin
while suturing.
 Used to hold scalp
while scalp suturing.
 Used to hold rectus
sheath while closure of
abdomen.

13. Needle Holders
 Used to hold needles
while suturing.

14. Mayo’s Scissors
 Used to tough structures
like linea alba,rectus sheath
during entry in to the
abdomen.
 Used to cut delicate
structures like hollow
viscus, investing layer of
deep fascia of the neck in
thyroid surgery.
 Used to raise skin flaps by
sharp dissection.

15. Heath’s Suture Cutting scissors
 Used to cut sutures on
skin and mucous
membrane.

16. Langenbach’s Retractor
 They are used to help
better visualization of
the operative
field, tissue handling
is minimized and
bleeding better seen
and controlled.

17. Morris Retractor
 Used while making
and closing abdominal
incisions for ease of
working in the deeper
layers.
 Used to retract
Pectoralis major in
MRM for better
visualization during
axillary dissection.

18. Deaver’s Retractor
 Used in
Cholecystectomy for
retraction of right lobe
of liver.
 Used in Truncal
vagotomy for
retraction of left lobe
of liver.
 Used in kidney
operations to retract
the anterior
abdominal wall.

19. Joll’s Thyroid Retractor
 It is a self retaining
retractor used in
thyroid surgeries to
retract the skin.

20. Metallic Probe
 Used in fistulectomies.
 Used to assess the
depth of penetrating
injuries.
 Used to assess the
length of sinus.

21. Lahey’s Right Angled Forceps
 Used to dissect the cystic
duct and artery in
cholecystectomy.
 Used in Vagotomies to
dissect the vagus nerve and
pass ligatures around them
before division.
 Used in thyroid surgeries to
dissect and ligate middle
thyroid vein,superior thyroid
pedicle,etc.

22. Desjardin’s Choledocholithotomy
Forceps
 Used to remove stones
from common bile
duct.
 Used to remove stone
from kidney, bladder
stone.

23. Metallic Bougie
 Used to dilate urethra
in urethral strictures.
 Used to dilate urethra
before cystoscopy.
 Used to repair
ruptured urethra by
railroad technique.

24. Bakes’ Dilator
 Used in
Choledocholithotomy, after
removing the stones from
the bile duct, it is used to
sound the bile duct for any
retained stones.
 The patency of the ampulla
can checked, In impacted
stones or ampullary
stenosis,it is not possible to
pass the dilator in to the
duodenum

25. Doyen’s Intestinal Clamps
 Used in gut resection
and anastomosis.

26. Suprapubic Cystolithotomy Forceps
 Used in suprapubic
cystolithotomy to
extract the stone from
the bladder.

27. Red Rubber Catheter
 It comes in sizes of
6,8,10etc.the size of the
catheter is expressed in mm
as number of size/2 +1.
 Used to drain urine.
 Used to measure amount of
residual volume of urine.
 Used to administer
chemotherapy drugs for Ca
bladder.

28. Foley’s Self Retaining Catheter
 Diameter of the catheter in
mm is calculated by no. of
catheter in french scale/3.
 Used to drain urine.
 Used in suprapubic
cystostomy.
 Used for urethral
catheterization following
prostatectomy.

29. Malaecot’s Catheter
 Used in suprapubic
cystostomy.
 Used to drain abscess
cavities.
 Used as intercostal
tube drain.

30. Kelly’s rectal Speculum
 Used to diagnose
haemorroids,anal
polyps, internal
opening of the
perianal fistula.
 Used to take biopsy
from anal, rectal
growth.
 Used in polypectomy.

31. Flatus tube
 Used to relieve
gaseous distension of
large gut due to
paralytic ileus.
 Used to decompress
sigmoid volvulus non
operatively.

32. Fuller’s Metallic Tracheaostomy tube
 Indications:
 FB impacted in larynx.
 B/L recurrent nerve palsy.
 Acute laryngeal edema.
 In respiratory paralysis
requiring mechanical
ventilation for longer
periods.

33. Disposable Corrugated Drain
 Used as a drain to
drain pus ,blood,etc

34. Mayo’s Vein stripper
 Used to do stripping of
varicose veins.

35. Giglie’s Saw
 Used to cut bones in
amputations.
 Used to do
craniotomies.

36. Bladder wash Syringe
 Used to give bladder
wash with antiseptic
solution.
 Used to clear blocked
foley’s catheter.

37. Suprapubic Cystostomy Trocar and
Cannula
 Used to perform
suprapubic cystostomy
secondary urethral
rupture to relieve
urinary retention.
 Used to perform
suprapubic cystostomy
secondary to distal
urethral obstruction.

38. Disposable Core Biopsy Trocar and
Needle
 Used to take core
biopsy from
breast, liver for tissue
diagnosis.

39. Vim Silverman’s Liver biopsy Trocar and
Needle
 Used to take liver
biopsy.

40. Bone cutter and Bone Nibbler
 Used to reshape the
bone during
osteotomies, amputati
ons.

41. Bone Chisel and Osteotome
 Used to chip out bone.
 Used to perform
osteotomies.

42. Rib Cutter
 Used to cut ribs in case
of draining empyema
thoracis.
 Use to resect a part of
the rib.

43. Bone Saw
 Used to cut bone in
case amputation.
 To cut casts.

44. Periosteum Elevator
 Used to elevate the
periosteum during
amputations.

45. Kidney Tray
 Used to collect
specimens.
 Used to safely transfer
sharp instruments.

46. THANK YOU