This document lists and provides brief descriptions of various medical instruments used in surgical procedures. It describes instruments such as forceps, retractors, catheters, saws, trocars and more. Each instrument listed is accompanied by one or two examples of the types of surgical procedures or tasks it is used for. The document provides an overview of common instruments and their basic functions in the operating room.

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, amputations.

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