Differentiation surgical instruments

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2545_FM_i-xvi 01/11/11 2:10 PM Page ii
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F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2012 by F. A. Davis Company
Copyright © 2012 by F. A. Davis Company. All rights reserved. This product is protected by copyright. No part of it may be reproduced,
stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
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Printed in the United States of America
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Senior Acquisitions Editor: Christa A. Fratantoro
Manager of Content Development: George W. Lang
Developmental Editor: Karen Williams
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As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo
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standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences
from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described
in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances
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2545_FM_i-xvi 01/11/11 2:10 PM Page iv

To the staff, students, anesthesia personnel, and surgeons in
operating rooms across the country
—your hard work makes the “miracle of modern
surgery” a reality for patients every day.
To the staff working in central sterile processing departments
across the country
—you provide an often-unheralded but critically
important service.
2545_FM_i-xvi 01/11/11 2:10 PM Page v

vii
PREFACE TO THE
SECOND EDITION
Feedback about the first edition, several more years of
teaching experience, and new advances in surgical pro-
cedures led me to add three new features to this edition:
• A student-focused CD containing exercises and
games that reinforce important concepts from
the book. Photo IDs, flashcards, practice Mayo
stand setups, and other activities are included.
Additional activities can be found on the book’s
companion Davisplus website (http://davisplus.
fadavis.com/).
• A new “Second Look” feature that highlights sev-
eral instruments with similar characteristics but
small differences and points out the distinctive
features of each instrument.
• Further separation of instruments according to
type. Minimally invasive surgery is here to stay, so
laparoscopic instruments now have their own
chapter and arthroscopic and thoracoscopic
instruments now have their own sections. This
edition also includes a new chapter on robotic
instrumentation, something not included in
previous texts.
Whether you are a student, a new employee in the
surgical suite or central sterile supply area, or a seasoned
veteran wishing to review instrument names, I hope you
will find that this text and its CD are useful and valuable
resources.
—Colleen Rutherford
PREFACE TO THE FIRST EDITION
“Crile, Pean, Mosquito, Mixter” . . . To those who are new
to the operating room environment, the number of in-
struments one has to learn can seem overwhelming.
Learning is further complicated by the fact that many of
the instruments look similar. The purpose of this text is to
help you differentiate among the common surgical in-
struments. As an instructor for a Surgical Technology pro-
gram, I have seen students struggle to learn the surgical
instruments. The students (and I) felt the books that were
available did not do an adequate job of showing the tips
of the instruments, which is often the only way to differ-
entiate between them. That inadequacy is the reason I
decided to photograph and write this book. My goal was
to show the whole instrument as well as a close-up of the
tips to aid students and new operating room staff in
identifying instruments. A description is included with
each instrument to further aid in identification and
classification.
One of the most important methods used to identify
an instrument is to look at the tip. Is the jaw smooth or
serrated? If it is serrated, do the serrations run horizon-
tally or longitudinally? Does the jaw have teeth and what
do the teeth look like? In this text, you will find close-up
pictures of the jaws as well as a description and picture
of the whole instrument that will help you to differenti-
ate one instrument from another. I photographed each
instrument’s tip at an angle that I though best showed
what made it different from other similar instruments.
This should help those new to the operating room envi-
ronment decide which instrument they are looking at.
As an instructor, I felt it was important to place instru-
ments that look alike on the same page so that student
will be able to see the sometimes-subtle differences in
size or jaw serrations.
It would be impossible to include in any text all of the
surgical instruments used in every type of surgical proce-
dure. In this text, I have chosen to include the most
commonly used instruments and instrument types that
operating room personnel should be familiar with.
Instrument nicknames can vary from institution to
institution, even from surgeon to surgeon. I have en-
deavored to include the instrument nickname (“alias”)
only if it is referred to this way on a large regional or na-
tional basis. This text has been critiqued by reviewers
from different parts of the country to get feedback on
whether an “alias” was common enough to be included.
Instrument websites and catalogs were also consulted
for nickname information (see Acknowledgments).
This text is divided into chapters covering each
common specialty service, beginning with general sur-
gery instrumentation. You may see many of the gen-
eral surgical instruments used in specialty surgical pro-
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viii Preface to the Second Edition
cedures. In the interest of space, I have not repeated
those instruments in the specialty chapters unless I felt
they were used so frequently that they warranted being
included.
At the end of each section is a short “quiz” referred to
as a “Surgical Session.” These quizzes can be used by
students to reinforce their own learning, or if you are an
instructor, you may wish to assign these as in-class work
or homework and discuss the answers in class.
To assist educators in preparing their course materi-
als, I have developed an electronic test bank and a
searchable, digital image bank to accompany this text.
These ancillaries are provided on a CD-ROM and are
made available to educators who adopt this book.
Whether you are a student, a new employee of the op-
erating room or central supply area, or are a seasoned
veteran wishing to review instrument names, I hope you
will find this text a useful and valuable resource.
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ix
ACKNOWLEDGMENTS
No one writes a book alone. I would like to acknowl-
edge the following people and resources for their
support of this project:
First, I would like to thank the team who worked
with me to make this book a reality. Christa Fratantoro
and George Lang of F. A. Davis Publishing Company:
your support and encouragement made this process
run smoothly. Karen Williams, developmental editor:
your thoughtful feedback and edits make this book a
much better read for the audience. Jeff Adams and
Steve Fowler of Jeff Adams Photography: your pa-
tience, sense of humor, and hard work during the
photo shoots resulted in beautiful pictures for the
book and a few laughs during the sessions. You proba-
bly learned more about surgical instruments than you
ever wanted to know.
I would like to recognize and thank the following
personnel at Concord Hospital for allowing me to pho-
tograph the setups that appear in Chapter 13: Holly
Clark, Lynn Crispo, Shannon Dennis, Donna Dias, Lela
Holloran, Amy Ireland, Don King, and Brad Morrison. I
appreciate your willingness to allow me into your ORs.
To my family and friends: your support, caring, and
advice mean more than I can say. You truly bring joy to
me on a daily basis. I am a very lucky woman to have all
of you in my life.
I would also like to acknowledge the following surgi-
cal instrument company websites for helping me check
the facts that have gone into this book:
http://www.surgicaltools.com
http://www.codman.com
http://www.intuitivesurgical.com
http://www.karlstorz.com
http://www.orsupply.com
http://www.miltex.com
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xi
REVIEWERS
Dorann Lynne Brown, CST, B.A.
Director, Surgical Technology Program
Mt. Diablo Adult Education
Department of Career Technical Education
Concord, California
Sandra A. Carlson, RN, BSN, CNOR
Chair, Allied Health and Surgical Technology Department
Great Bay Community College
Portsmouth, New Hampshire
Rebecca M. Cuthbertson, RN, BSN
Director, School of Surgical Technology
Carolinas College of Health Sciences
Charlotte, North Carolina
Barbara Inkel, RN, CNOR
Virginia College
Pensacola, Florida
Yvette M. Jackson, RN, MSN, CNOR
Instructor, Surgical Technology
Faulkner State Community College
Bay Minette, Alabama
Dorothy L. Nichols, BBA, R, CNOR
Southern Union State Community College
Health Science Department
Opelika, Alabama
Kathy Patnaude, CS,AS
Midlands Technical College
Health Science Department
Columbia, South Carolina
Karen Owen Powell, CSA
Faculty Instructor, Surgery and Health Professions
Eastern Virginia Medical School
Norfolk, Virginia
Beth D. Stokes, BFA,AAS, CST
Program Manager, Surgical Technology & Sterile
Processing
Cuyahoga Community College
Cleveland, Ohio
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xiii
CONTENTS
A Few Words About Surgical Instruments xv
A general introduction of surgical instrument uses and materials.
CHAPTER 1
General Instruments/Staplers 1
This chapter is devoted to the instruments most commonly used in all types
of surgery. Included are pictures and descriptions of the most common
clamping, grasping, cutting, retracting, suturing, stapling, and miscellaneous
instruments.
CHAPTER 2
Laparoscopic Instruments 29
This chapter covers the most commonly used instruments for laparoscopic
surgeries.
CHAPTER 3
OB-GYN Instruments 39
This chapter covers specialty surgical instruments used in open and
laparoscopic, obstetrical, and gynecological surgery.
CHAPTER 4
Urology Instruments 51
Instruments used to perform open and cystoscopic urological procedures,
including cystoscopes and resectoscopes.
CHAPTER 5
Robotic Instruments 61
This chapter is devoted to robotics and robotic instruments, one of the newer
surgical technologies.
CHAPTER 6
Orthopedic Instruments 67
Specialty instruments and power tools used for orthopedic and arthroscopic
surgery are covered.
CHAPTER 7
Neurosurgical Instruments 83
Specialty instruments for procedures of the brain and spine are covered,
including transphenoidal instruments.
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xiv Contents
CHAPTER 8
Ear,Nose,and Throat Instruments 101
Instruments for the most common procedures of the ear, nose, and throat are
covered, including microscopic and endoscopic instruments.
CHAPTER 9
Dental and Maxillofacial Instruments 121
Instruments commonly used for dental surgery and procedures of facial
repair.
CHAPTER 10
Ophthalmologic Instruments 129
Instruments used in common surgical procedures on the eye.
CHAPTER 11
Vascular,Thoracic,and Cardiac Instruments 145
Instruments used in common chest, vascular, and cardiac surgeries.
CHAPTER 12
Plastic Surgery Instruments 161
Instruments used in common plastic surgery procedures.
CHAPTER 13
Instrument Trays and Setups 167
Examples of common general and specialty instrument sets as well as general
and specialty Mayo and back table setups.
Appendix:Answers to Surgical Session Quizzes 181
Index 183
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xv
A FEW WORDS ABOUT
SURGICAL INSTRUMENTS
Although there are hundreds of different surgical in-
struments, most of them have one thing in common:
they are made partially or wholly of metal. In the past,
instruments were made from a variety of metals, but to-
day most surgical instruments are made of stainless
steel. Most manufacturers choose stainless steel because
it combines several metals, including carbon (adding
strength) and chromium (increasing resistance to
corrosion that can occur with repeated cleaning and
sterilization).
A word of caution about metal: Although stainless
steel is the most common metal used in the manufacture
of surgical instruments, other metals (or alloys) such as
aluminum, brass, or copper are sometimes used. It is es-
pecially important to know which metal your instrument
contains when you are using an ultrasonic cleaner or a
washer decontaminator. Dissimilar metals (e.g., stainless
steel and bronze) that touch each other in a hot, wet
environment can cause one metal to plate to the other,
resulting in permanently damaged instruments.
All instruments are coated during the manufacturing
process. The coating can be shiny (polished), dull
(satin), or black (for use with lasers). The shiny finish
looks nice and it helps resist corrosion, but it also can re-
flect surgical lighting, causing glare and making it diffi-
cult for the operating team to see. The dull (satin) finish
reduces glare. Because shiny and dull finishes potentially
could deflect laser beams, caution is necessary when they
are used during a laser procedure. The black finish all
but eliminates glare and reflection, making it especially
useful for laser procedures because the laser beam can-
not deflect light from the instrument’s surface.
You may notice that some instruments have gold-
plated finger rings, also known as ring handles. This
finish indicates that the instrument has tungsten car-
bide tips, which increase durability. Importantly, cold or
chemical sterilization is not recommended for instru-
ments with tungsten carbide tips.
Black ring handles identify SuperCut scissors, which
have a razor-sharp upper blade that allows ease in cut-
ting tissue. Do not use SuperCut scissors to cut gauze,
tubing, or suture because those actions could dull and
damage the tips. This caveat applies only to tissue
scissors.
Utility scissors (also known as trauma shears) may
have black handles, but the caveat mentioned above
does not apply to them. Utility scissors are designed to
cut tubing, clothing, gauze, or other heavy material.
Scissors with one short and one long gold-plated ring
handle combine the SuperCut upper blade with tung-
sten carbide. According to the manufacturer, SuperCut
scissors have razor-sharp cutting surfaces and increased
durability.
PARTS OF THE SURGICAL INSTRUMENT
When discussing surgical instruments, people often re-
fer to the various parts of the instrument. Many ringed
surgical instruments have six parts—finger rings (ring
handle), ratchet, shanks, boxlocks, jaws, and tips. The
figure below labels the instrument parts. The text that
follows the picture describes how these various parts
function.
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xvi A Few Words About Surgical Instruments
Finger Ring
Ratchet
Shank Boxlock
Tip
Jaws
Functions of the instrument parts:
• Finger rings provide a place for the user to place
his/her fingers and grip the instrument securely.
• Ratchets allow the instrument to be locked in
place.
• Boxlocks (also known as hinge joints) control the
jaws of the instrument.
• Shanks connect the boxlock to the finger rings.
• Jaws combine with the tips as the “working” part
of an instrument. The jaws may be smooth, ser-
rated, or cross-hatched for grasping tissue or
suture. They can be straight or curved to various
degrees.
• Tips can be pointed or round, with or without
teeth (atraumatic). The intended use of the in-
strument determines the number of teeth on its
tips and also determines the design of the tip.
CARING FOR SURGICAL INSTRUMENTS
Surgical instruments are expensive, and like any expen-
sive piece of equipment, they require special care to
keep them in good working order. Listed below are
some general rules for the care of your instruments.
Prior to the start of the case:
• Check all instruments to ensure that they are
free of bioburden (tissue, blood, or other
debris). Any instrument found to contain
bioburden must be removed and replaced. In
some cases, it may be necessary to replace the
entire tray.
• Check all instruments to ensure that they are in
good working order. Inspect tips for malalign-
ment. Check scope shafts to ensure that they are
straight (not bent or warped), and inspect ratch-
ets for proper closure. If you find a damaged
instrument, remove it from the field immediately
and get a replacement that is in good working
order. Never use a damaged instrument on a
patient.
• Do not place heavy instruments on top of delicate
ones.
• Never place rigid endoscopes beneath other in-
struments as this could cause bending or warping
of the shaft. Separate rigid endoscopes into their
own tray, which has holders to keep the shafts
straight.
During the case:
• Do not use saline to wipe or soak instruments; it
can corrode or pit the metal. Wipe instruments
clean or place them in a soaking basin that
contains sterile water.
• Do not place a damaged instrument back on the
tray. Set it aside and get another one.
• Do not use an instrument for any function other
than the one for which it was designed (e.g.,
don’t use Metzenbaum scissors to cut dressings).
Such use can damage the instrument.
• Do not toss or drop instruments onto the table.
Handle them carefully.
At the end of the case:
• Tag damaged instruments according to institu-
tional policy. Set them aside for repair.
• Place heavy instruments on the bottom of the
tray, and place more delicate instruments on the
top.
• Separate rigid endoscopes from other instru-
ments and return them to their storage cases.
This action protects the endoscopes from
potential bending and damage.
• Clean and process all instruments according
to the manufacturer’s recommendations and
following institutional policy.
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1
General Instruments/Staplers
1
Name: Backhaus towel clamp
Alias: perforating towel clamp
Category: accessory
Use: grasping tissue that will be
removed; securing towels or
drapes; holding or reducing
small bone fractures
Length: 3.5" or 5"
Additional Information: perforating tips
Name: Edna towel clamp
Alias: Lorna
Category: accessory
Use: securing drapes; securing
suction, ESU, or camera cords to
the drape
Length: 3.5" or 5"
Additional Information: nonperforat-
ing jaws
Name: Peers towel clamp
Alias: none
Category: accessory
Use: securing drapes; securing
suction, ESU, camera cords to
the drape
Length: 5"
Additional Information: nonperforat-
ing jaws
Name: Roeder towel clamp
Alias: none
Category: accessory
Use: grasping tissue that will be
removed; securing towels or
drapes; holding or reducing
small bone fractures
Length: 5.5"
Additional Information: perforating
tips; ball stops on tips
Additional resources available on the back-of-book CD-ROM and online at
http://davisplus.fadavis.com/.
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2 CHAPTER 1 General Instruments/Staplers
Name: Foerster sponge forceps
Alias: sponge stick; sponge-
holding forceps
Category: grasping
Use: grasping tissue; holding
Raytec sponges
Length: 7" or 9.5"
Additional Information: smooth or
serrated jaws; straight or curved
shank
Name: Frazier suction
Alias: nasal suction; ENT
suction; neurosuction
Category: suctioning
Use: suctioning small quantities
of fluid; suctioning in small areas
Length: 6.5"
Additional Information: short or long
tips; 6 Fr to 16 Fr diameter
(most common sizes are 7 Fr,
9 Fr, and 11 Fr); metal or dis-
posable; angled; thumb hole
controls suction on/off
Name: Poole (or Pool) suction
Alias: abdominal suction
Use: suctioning large quantities
of fluid/blood
Length: 8.25"
Additional Information: removable
sheath allows cannula to suc-
tion smaller areas; both pieces
must be accounted for in instru-
ment count
Name: Yankauer suction
Alias: tonsil suction
Use: suctioning fluid or blood;
may be used to suction smoke
Length: pediatric, 8.5"; adult,
11.75"
Additional Information: most com-
monly used suction; metal or
plastic (single-patient use) ver-
sions; if using two-piece metal
suction with removable tip,
both pieces must be accounted
for in instrument count
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CHAPTER 1 General Instruments/Staplers 3
Name: clip-applying forceps
Alias: hemoclip appliers
Category: accessory
Use: holding and applying
hemoclips
Length: 6.5", 7.75", or 9"
Additional Information: small,
medium, and large; straight or
angled jaws; finger rings may
be color coded to match clip
cartridges
Name: Crile-Wood needle holder
Alias: Crile-Wood needle driver
Category: suturing
Use: holding small or medium-
sized suture needles
Length: 5.5", 6", 7", 8", or 9"
Additional Information: used in delicate
suturing; some brands have tung-
sten carbide jaw inserts
Name: Mayo-Hegar needle holder
Alias: needle driver
Category: suturing
Use: holding heavy (large) suture
needles
Length: 5", 6", 7", 8", 9", 10", or 12"
Additional Information: widely used in
general surgery; some brands
have tungsten carbide jaw inserts;
MRI version available
Name: Baumgartner needle holder
Alias: none
Category: suturing
Use: holding suture needles
Length: 5.5"
Additional Information: jaws shorter
than Crile-Wood or Mayo-Hegar
Name: Ryder needle holder
Alias: French eye needle holder;
neurosurgical needle holder
Category: suturing
Use: holding small suture needles;
used mostly in vascular, intes-
tinal, plastic, or neurosurgery
Length: 5" to 10"
Additional Information: narrow jaws;
smooth or tungsten carbide jaws
2545_Ch01_001-028 18/10/11 11:43 AM Page 3

Name: DeBakey cardiovascular
needle holder
Alias: none
Category: suturing
Use: holding fine suture
needles for vascular or cardiac
procedures
Length: 7", 9", 10.5", or 11.75"
Additional Information: fine, straight
jaws
Name: Webster needle holder
Alias: none
Category: suturing
Use: holding fine suture needles;
used mostly in plastic or ENT
surgery
Length: 4.75" or 5.25"
carbide insert jaws
Name: sternal wire twister
Alias: none
Category: suturing
Use: placing retention or wire
sutures; twisting wire
Length: 6" to 8"
Additional Information: extra-heavy
jaws
Name: probe and grooved director
Alias: Larry probe and grooved
director; fistula probe
Category: probing
Use: probing fistulas, ducts, etc.
Length: 6", 8", or 10" probes; 6"
grooved director
Additional Information: “ear”-shaped
end of the director referred to
as a tongue tie
Name: ruler
Alias: none
Category: accessory
Use: measuring
Length: 6"
Additional Information: measure-
ments marked in inches and
centimeters; paper (disposable)
or metal (reusable) rulers
2545_Ch01_001-028 18/10/11 11:43 AM Page 4

Name: electrosurgical pencil
Alias: active electrode; Bovie pencil
Category: cutting
Use: cauterizing blood vessels
and/or cutting tissue
Length: n/a
Additional Information: a variety of
tips to use with the pencil; tip
types include blades (spatulas),
points, extensions, and balls
Name: handheld cautery
Alias: none
Category: accessory
Use: cauterizing fine vessels or
tissue (e.g., hand surgery);
evacuating subungual hematoma
Length: 5" handle
Additional Information: single-patient
use; shelf life approximately
4 years
Name: Gerald bipolar forceps
Alias: none
Category: accessory
Use: cauterizing small blood
vessels
Length: 5.75"
Additional Information: delicate,
narrow tips; straight or bayonet-
shaped handle
Name: Malis mirror-finish bipolar
cautery forceps
Alias: none
Category: accessory
vessels or delicate tissue
Length: 7"
Additional Information: sharp or blunt
tips; straight, angled, or looped
tips; straight or bayonet-shaped
handle; available with special tip
for use with irrigating system
Name: bipolar cautery cord
Alias: none
Category: accessory
Use: attaching bipolar cautery
forceps to electrosurgical power
unit
Length: 12" long
Additional Information: use with
bipolar cautery forceps only
2545_Ch01_001-028 18/10/11 11:43 AM Page 5

Name: argon beam coagulator
Alias: none
Category: accessory
Use: hemostasis (cauterization of
blood vessels)
Length: n/a
Additional Information: uses argon
gas and electrocautery to
cauterize blood vessels
Name: harmonic scalpel
Alias: none
Category: cutting
Use: cutting and cauterizing tissue
Length: n/a
Additional Information: uses ultra-
sonic wave technology to cut
and cauterize tissue at lower
temperatures (50°C to 100°C)
Name: Desjardin gallstone scoop
Alias: none
Category: accessory
Use: removing gallstones
Length: 11"
Additional Information: 6 mm,
7 mm, 8 mm, or 9 mm
Name: Mayo common duct scoop
Alias: none
Category: accessory
Use: removing stones from the
common duct
Length: 11"
medium, or large
Name: Bakes common bile duct
dilators
Alias: none
Category: dilating
Use: dilating the common bile
duct
Length: 9"
Additional Information: 3-mm to
11-mm tips
Name: sigmoidoscope
Alias: proctoscope
Category: viewing
Use: viewing inside of the anal
canal and sigmoid colon
Length: n/a
Additional Information: obturator is
placed inside the scope for in-
sertion and then removed
2545_Ch01_001-028 18/10/11 11:43 AM Page 6

Name: anoscope with obturator
Alias: none
Category: viewing
Use: retracting/viewing anal canal
Length: n/a
Additional Information: rounded
obturator used for insertion and
then removed
GENERAL GRASPING
Name: Adson dressing forceps
Alias: None
Category: grasping
Use: grasping tissue; applying
dressings
Length: 4.75"
Additional Information: serrated tips
Name: Adson tissue forceps
Alias: rat-tooth forceps
Category: grasping
Use: grasping skin layer during
wound closure
Length: 4.75"
Additional Information: 1 ϫ 2 teeth
Name: Brown-Adson forceps
Alias: Adson-Brown
Category: grasping
Use: grasping delicate tissue
Length: 4.75"
Name: Brown thumb forceps
Alias: Brown tissue forceps
Category: grasping
Use: grasping tissue
Length: 6"
Name: dressing forceps
Alias: smooth forceps
Category: grasping
Use: grasping tissue or applying
dressings
Length: 6", 8", or 10"
Additional Information: tips vary from
heavy to fine; atraumatic
2545_Ch01_001-028 18/10/11 11:43 AM Page 7

Name: tissue forceps
Alias: toothed forceps; rat-tooth;
pick-ups
Category: grasping
Use: grasping tissue; wound
closure
Length: 6", 8", or 10"
Additional Information: most
common tip has 1 ϫ 2 teeth
Name: iris forceps
Alias: none
Category: grasping
Length: 4"
Additional Information: delicate
1 ϫ 2 teeth; slightly or fully
curved tip
Name: DeBakey tissue forceps
Alias: DeBakey atraumatic vascu-
lar forceps
Category: grasping
Use: grasping fine tissue;
commonly used in all types of
surgery
Length: 6", 7.75", 9.5", or 12"
Additional Information: atraumatic;
jaw has 1 ϫ 2 rows of serrations;
tip width 1.5 mm to 3.5 mm;
straight or angled tips
Name: Singley tissue forceps
Alias: Singley Tuttle forceps
Category: grasping
Use: grasping intestinal tissue,
sponges
Length: 9"
Additional Information: serrated,
fenestrated jaws
Name: Bonney tissue forceps
Alias: none
Category: grasping
Use: grasping heavy tissue or
bone
Length: 7"
Additional Information: 1 ϫ 2 or
2 ϫ 3 teeth
Name: Ferris Smith tissue forceps
Alias: None
Category: grasping
Use: grasping heavy tissue or
bone
Length: 7"
2 ϫ 3 teeth
2545_Ch01_001-028 18/10/11 11:43 AM Page 8

Name: Russian forceps
Alias: None
Category: grasping
Use: grasping tissue, aortic
aneurysm plaque
Length: 6", 8", 10", or 12"
Additional Information: round,
serrated tip
Name: Allis
Alias: none
Category: grasping
Use: grasping organs or tissue
during removal
Length: 6", 7.5", or 10"
Additional Information: 2 ϫ 3, 3 ϫ 4,
4 ϫ 5, 5 ϫ 6 teeth; straight or
angled tips
Name: Babcock
Alias: Babcock intestinal forceps
Category: grasping
(e.g., fallopian tube, bowel,
vas deferens)
Length: 6", 7.5", or 9"
Additional Information: no teeth—
atraumatic; fenestrated tip
Name: Kocher
Alias: Ochsner; Rochester-
Ochsner
Category: grasping
Use: grasping heavy tissue (e.g.,
fascia)
Length: 5.5", 6.25", 7", 8", 9", or 10"
Name: Lahey goiter forceps
Alias: Lahey thyroid tenaculum
Category: grasping
Use: grasping tissue during
removal
Length: 6"
Name: Pennington forceps
Alias: None
Category: grasping
Use: grasping tissue, especially
during intestinal or rectal
surgeries, cesarean section
Length: 6" or 8"
Additional Information: 11-mm
triangular jaws
2545_Ch01_001-028 18/10/11 11:43 AM Page 9

Name: Magill catheter introduc-
ing forceps
Alias: intubating forceps
Category: grasping
Use: grasping endotracheal tube
during intubation; grasping and
removing foreign bodies from
the airway
Length: 6" (infant), 8"(child), or
9.75" (adult)
Additional Information: can be used
to grasp other types of catheters
during insertion
Name: Randall forceps
Alias: kidney stone forceps
Category: grasping
Use: grasping stones or polyps
Length: 7.5", 8", or 9"
Additional Information: jaws available
with 1
/4 curve, 1
/2 curve, 3
/4
curve, or full curve (about
120 degrees)
Name: Fletcher-Van Doren
sponge holding forceps
Alias: none
Category: grasping
Use: grasping uterine polyps;
holding Kittner sponges for
blunt dissection
Length: 9.5"
Additional Information: straight or
curved serrated tips
Name: Blake gallstone forceps
Alias: none
Category: grasping
Use: removing gallstones from
gallbladder
Length: 8.5"
curved jaws
GENERAL CLAMPS
Name: Rochester-Pean clamp
Alias: none
Category: clamping
Length: 10" to 12"
Use: clamping heavy tissue
Additional Information: fully serrated
jaws; straight or curved tips
2545_Ch01_001-028 18/10/11 11:43 AM Page 10

Name: Kelly hemostatic clamp
Alias: none
Category: clamping
Use: clamping large blood vessels
or tissue
Length: 5.5" or 7"
Additional Information: heavy blades;
not for delicate vessels or tissue;
straight or curved; looks like the
Pean clamp but jaws are serrated
only partway
Name: Pean
Alias: none
Category: clamping
Use: clamping tissue or vessels
Length: 5.5" to 9"
jaws; straight or curved jaws
Name: Crile hemostatic clamp
Alias: hemostat
Category: clamping
Use: clamping blood vessels or
tissue
Length: 5.5", 6.5", or 7.5"
Additional Information: most com-
monly used size of hemostatic
clamp; straight or curved tips
Name: Halstead mosquito clamp
Alias: mosquito
Category: clamping
Use: clamping delicate blood
vessels or tissue
Length: 5"
Additional Information: for delicate
use only; straight or curved tips
A SECOND LOOK
The Pean, Crile, and Halstead are all types of hemostatic
clamps. They all perform the same function: clamping tis-
sue or blood vessels. Size differentiates one from another. The
Pean is longer and thicker than the Crile or Halstead,
making it suitable for use on thicker tissues. The Hal-
stead is short and has very fine tips, making it suitable for
delicate tissue. The Crile is the in-between size, making it
suitable for many different tissues. It is the most com-
monly used size.
2545_Ch01_001-028 18/10/11 11:43 AM Page 11

Name: Pratt-Smith hemostatic
forceps
Alias: Pratt “T” forceps
Category: clamping
Use: clamping delicate tissue
Length: 6"
Additional Information: T-shaped,
concave, delicately serrated jaws
Name: Rochester mixter
Alias: Mixter thoracic forceps
Category: clamping
Use: clamping bowel; also used
in thoracic surgery
Length: 10" to 12"
Additional Information: right-angled,
curved jaws; longitudinal
serrations
Name: Mixter
Alias: right angle; Gemini
(delicate jawed)
Category: clamp
Use: clamping tissue or grasping
ligature around a curve (e.g., a
pedicle or blood vessel)
Length: 5.5", 7", 9", 10.5", or 12"
Additional Information: jaws vary
from fine to heavy
Name: Schnidt hemostat
Alias: tonsil snap; Schnidt-
Sawtell; Adson tonsil
Category: clamp
Use: clamping tissue; holding
tonsil sponge
Length: 7.25"
Additional Information: serrated only
about halfway up the jaw
Name: Best right-angle colon
clamp
Alias: none
Category: clamping
Use: clamping the colon during
intestinal surgery
Length: 11"
Additional Information: jaws form a
90-degree angle; jaw length
1.37" to 3"
2545_Ch01_001-028 18/10/11 11:43 AM Page 12

Name: Fehland right-angle colon
clamp
Alias: none
Category: clamping
Use: clamping large blood
vessels or colon tissue
Length: 9.75"
Additional Information: horizontal ser-
rations on jaws; jaw length 3.25"
Name: Carter-Glassman resection
clamp
Alias: Glassman gastrointestinal
clamp
Category: clamping
Use: clamping bowel during
resection
Length: 10"
angled jaws (45 degrees)
Name: Doyen intestinal forceps
Alias: Mayo-Robson
Category: clamping
Use: clamping bowel tissue
Length: “baby” Doyen is 6.5",
regular doyen is 9"
curved jaws; longitudinal serra-
tions; cover jaws with clamp
covers (linen shods)
Name: Allen intestinal forceps
Alias: none
Category: clamping
Use: clamping bowel
Length: 8"
Additional Information: 1 ϫ 2 teeth;
vertical serrations
Name: Bainbridge artery and
intestinal forceps
Alias: Bainbridge forceps
Category: clamping
Use: clamping bowel
Length: 6" or 7.25"
Additional Information: longitudinal
serrations; straight (shown) or
curved jaws
2545_Ch01_001-028 18/10/11 11:43 AM Page 13

GENERAL CUTTING
Name: operating room scissors
Alias: none
Category: cutting
Length: 4.5" to 6.5"
Use: cutting tissue, dressings,
drains, or suture
Additional Information: two sharp
tips, or one sharp and one
blunt tip; tips may be delicate
to heavy
A SECOND LOOK
The curved Mayo scissors and Metzenbaum scissors both
have curved blades. The size of the blades differentiates one from
another. Metzenbaum scissors have thinner, more delicate
blades designed to dissect and cut delicate tissue, whereas
the heavier blades of the Mayos are designed to dissect
and cut heavy tissue. Metzenbaum scissors should be used
only to cut tissue, never for drains or sutures; doing so
could ruin the blades.
Name: straight Mayo scissors
Alias: suture scissors
Category: cutting
Use: cutting suture, dressings,
drains
Length: 5.5", 6.75", or 9"
Additional Information: heavy blades
Name: curved Mayo scissors
Alias: dissecting scissors
Category: cutting
Use: cutting heavy tissue or mus-
cle; dissecting heavy tissue
Length: 5.5", 6.75", or 9"
Additional Information: heavy,
curved blades
Name: Metzenbaum scissors
Alias: Metz
Category: cutting
Use: cutting or dissecting
delicate tissue
Length: 5.75", 7", 9", or 10"
blades; NOT for cutting su-
tures, drains, heavy tissue
2545_Ch01_001-028 18/10/11 11:43 AM Page 14

Name: Lister scissors
Alias: bandage scissors
Category: cutting
Use: cutting dressings and
bandages
Length: 3.5", 4.5", 5.5", 7.25", or 8"
Additional Information: guarded blade
Name: iris scissors
Alias: none
Category: cutting
Use: cutting and dissecting fine
tissue; cutting fine sutures
Length: 3.5" or 4.5"
curved (shown) blades; sharp
points
Name: bandage and utility scissors
Alias: trauma scissors; trauma
shears
Category: cutting
Use: heavy-duty cutting (clothes,
bandages); do NOT use on tissue
Length: 6" or 7.5"
Additional Information: serrated
blades
Name: universal wire-cutting
scissors
Alias: wire cutter
Category: cutting
Use: cutting wire sutures, wire, or
wire mesh
Length: 4.75"
Additional Information: one serrated
blade to keep wire from slipping
Name: wire-cutting scissors
Alias: none
Category: cutting
Use: cutting wire sutures, wire, or
wire mesh
Length: 5.5"
curved blades
Name: #3 scalpel handle
Alias: knife handle
Category: cutting
Use: holding a scalpel blade
Additional Information: use with #10,
#11, #12, or #15 blade
2545_Ch01_001-028 18/10/11 11:43 AM Page 15

Alias: knife handle
Category: cutting
Use: holding large-sized scalpel
blade for cutting heavy tissue or
bone
Length: 5.5"
#21, #22, #23 blades
Alias: knife handle
Category: cutting
Use: holding a scalpel blade;
thinner handle fits in smaller
areas
Length: 6.5"
#11, #12, or #15 blade
#10 #11 #12 #15
#10 Blade: generally used for skin
incisions
#11 Blade: used for small “punc-
ture” incisions (e.g., hook
phlebectomy, arthroscopic, or
endoscopic procedure)
#12 Blade: curved, with cutting
surface on inside; used in
oropharyngeal surgery (tonsils,
UPPP)
#15 Blade: used for cutting small
vessels and tissue, plastic sur-
gery skin incisions, and hand
procedures
A SECOND LOOK
The #3 and #7 scalpel handles are smaller and thinner
than the #4 handle, making them suitable for holding
smaller blades (#10, #11, #12, or #15). The #4 handle is
used to hold #20 or larger blades. The longer, thinner
design of the #7 handle makes it suitable for cutting
inside the wound, generally with a #11 or #15 blade
attached.
BLADES
2545_Ch01_001-028 18/10/11 11:43 AM Page 16

Name: blade knife handle
Alias: beaver blade handle
Category: cutting
Use: holding knife blades
Length: 3" to 5.5"
Additional Information: use with series
50, 60, 70 Beaver blades
Name: Gigli saw handles
Alias: none
Category: cutting
Use: sawing bone (e.g.,
amputations)
Length: wire length 12", 20", or 30"
Additional Information: wire attached
to a pair of solid T-shaped han-
dles or loop handles
GENERAL RETRACTORS
Name: Balfour retractor
Alias: none
Category: retracting
Use: deep abdominal retraction
Length: “baby” version has 90-mm
spread; adult versions have
180-mm or 250-mm spread
Additional Information: have mois-
tened lap pads (used as padding
between retractor blades and
tissue) ready to hand to the
surgeon; available with inter-
changeable side and center
blades for deep retraction
Name: Bookwalter system
Alias: universal ring retractor
system
Use: deep retraction in the
abdomen and pelvis
Length: n/a
Additional Information: have mois-
tened lap pads (used as padding
between retractor blades and
tissue) ready to hand to the
surgeon; oval and round rings;
various sizes/types of retractor
blades; available in bariatric size
2545_Ch01_001-028 18/10/11 11:43 AM Page 17

Name: Omni retractor
Alias: Omni-tract system
Use: exposing underlying struc-
tures during vascular procedures
Length: n/a
Additional Information: includes
long and short posts to adjust to
incision or patient size
Name: self-retaining abdominal
wall retractor
Alias: none
Category: retractor
Use: retracting abdominopelvic
contents during open procedures
Length: n/a
Additional Information: plastic sleeve
with self-retaining rings on
either end; single-patient use
Name: Weitlaner retractor
Alias: none
Use: exposing superficial wound
Length: 4", 5.5", 6.5", 8", or 9.5"
Additional Information: self-retaining;
sharp or dull; 2 ϫ 3 prongs (4"),
3 ϫ 4 prongs (all other sizes)
Name: cerebellar retractor
Alias: Adson Cerebellar
Use: exposing wound
Length: 8"
4 ϫ 4 prongs; angled shanks
Name: Beckmann retractor
Alias: Weitlaner Beckmann
Use: exposing wound
Length: 5.5", 6.5", or 11.75"
3 ϫ 4 prongs; sharp or blunt
prongs; hinged arms
2545_Ch01_001-028 18/10/11 11:43 AM Page 18

Name: Gelpi perineal retractor
Alias: none
exposure
Length: 3.5", 5.5", 7.5", or 10"
single, sharp tines
Name: Joseph skin hook
Alias: none
Use: retracting skin
Length: 6"
Additional Information: single
(shown) or double hook
Name: Gillies dura and skin hook
Alias: none
Use: retracting skin or dura
Length: 7"
Additional Information: 3-mm or
4-mm hook
Name: Guthrie double skin hook
Alias: Guthrie retractor
Length: 5"
Additional Information: sharp, double
prongs
A SECOND LOOK
The Weitlaner, Cerebellar, and Beckmann are all self-
retaining wound retractors. The characteristics of the shanks
are what differentiate one from another. The Weitlaner has
straight shanks, the Cerebellar has angled shanks, and
the Beckmann has hinged shanks.
2545_Ch01_001-028 18/10/11 11:43 AM Page 19

Name: Kelly retractor
Alias: none
Use: exposing wound
Length: 10.5"
Additional Information: handheld;
blade size 40 mm ϫ 50 mm to
75 mm ϫ 90 mm; resembles a
Richardson retractor, but blade
is larger
Name: Richardson retractor
Alias: none
Use: wound
Length: 9.5"
blade size 20 mm ϫ 25 mm to
20 mm ϫ 50 mm
Name: Richardson-Eastman
retractor
Alias: none
Use: exposing wound
double ended; small and large
sizes
Name: Parker retractor
Alias: none
Length: 5" or 7"
double ended; usually used in
pairs
Name: Goelet retractor
Alias: none
Length: 7.5"
pairs
Name: U.S. Army retractor
Alias: Army-Navy
Length: 8.5"
pairs
2545_Ch01_001-028 18/10/11 11:43 AM Page 20

Name: Senn retractor
Alias: none
Length: 6"
double ended; sharp or dull
prongs; usually used in pairs
Name: Hasson retractor
Alias: “S” retractor
Use: exposing wound in
laparoscopic incisions
Length: n/a
Additional Information: handheld
Name: Cushing vein retractor
Alias: none
Use: retracting blood vessels
Length: 8" or 12"
blade 8-mm to 18-mm wide
Name: Green retractor
Alias: goiter retractor; loop
retractor
Use: retracting soft tissue
Length: 8.5"
fenestrated blade
Name: Dandy nerve hook
Alias: none
Use: retracting nerves
Length: 9"
Additional Information: blunt tip; tip
can be pointed straight, left, or
right
Name: Volkmann retractor
Alias: rake
Length: 8.5"
sharp or blunt tips; can have two
to six teeth
2545_Ch01_001-028 18/10/11 11:43 AM Page 21

Name: Murphy retractor
Alias: rake
Length: 7.5"
similar to Volkmann retractor
but has finger grips (prongs)
on the handle
Name: Ollier retractor
Alias: none
Use: retracting heavy tissue
Length: 9"
2.25" ϫ 1.75" blades
Name: Israel retractor
Alias: none
Length: 8"
Additional Information: used mostly
in orthopedic surgery (shown
here for comparison with Ollier
retractor); handheld; rake can
have four to six prongs; blades
are 1.75" ϫ 1.75"
Name: Lahey goiter retractor
Alias: none
Use: exposing wound; retracting
small tissue masses
Length: 8"
right-angle blade; blade length 1"
Name: Deaver retractor
Alias: none
Use: deep wound retraction
Length: 10", 12", or 14"
blade width varies from 1" to 4"
Name: Harrington retractor
Alias: Harrington sweetheart
Use: deep wound retraction
Length: 12"
blade width 1" to 2.5"
2545_Ch01_001-028 18/10/11 11:43 AM Page 22

Name: malleable retractor
Alias: ribbon
Use: retracting deep wounds
Length: 10" or 13"
straight, but may be bent to
desired shape; width varies
from 1" to 3"
Name: Sawyer rectal retractor
Alias: none
Use: retracting anal and/or rectal
wall
Length: blade length 2.25" or 3.25"
available blade width 7
/8" to 1.5"
Name: Pratt rectal speculum
Alias: none
Category: viewing
Use: retracting and viewing anus
and rectum
Length: blade length 3.5"
Additional Information: large (2.5-cm)
or small (1.7-cm) diameter
BLADES, STAPLERS
Name: purse string
Alias: none
Category: suturing
Use: applying circumferential
strand of suture during
esophageal, gastric, colorectal, or
thoracic surgery
Length: n/a
Additional Information: suture held in
place by stainless steel staples;
single-patient use
Name: EEA stapler
Alias: intraluminal stapler
Category: stapling
Use: anastomosing bowel to the
stomach or bowel to bowel
Length: n/a
use; comes in a variety of diame-
ters; creates a circular anastomo-
sis and resects excess tissue
2545_Ch01_001-028 18/10/11 11:43 AM Page 23

Name: skin stapler
Alias: none
Category: stapling
Use: closing skin incisions
Length: n/a
Additional Information: single-
patient use; regular or wide
width
Name: staple remover
Alias: none
Category: accessory
Use: removing skin staples
Length: n/a
patient use
Name: ligaclip stapler
Alias: none
Category: stapling
Use: clipping off vessels or ducts
during open procedures
Length: n/a
Additional Information: applies one
clip at a time; single-patient use
Name: endoscopic ligaclip
applier
Alias: none
Category: stapling
Use: clipping off vessels or ducts
during endoscopic procedures
such as a laparoscopic
cholecystectomy
Length: n/a
patient use; rotary handle al-
lows rotation of instrument tip
to needed position; applies one
clip at a time
Name: endoscopic GIA stapler
Alias: none
Category: stapling
Use: applying a whole row of
staples to tissue while knife
simultaneously cuts the tissue
Length: n/a
patient use; reloads available;
30-mm, 45-mm, or 60-mm
staple lines
2545_Ch01_001-028 18/10/11 11:43 AM Page 24

Name: linear stapler
Alias: TA stapler
Category: stapling
Use: stapling across a large tissue
area (e.g., creating a gastric
pouch, anastomosing bowel, or
closing stomach/bowel incisions)
Length: n/a
use; 30-mm, 45-mm, 60-mm, or
90-mm staple lines
Name: GIA stapler
Alias: linear cutter
Category: stapling/cutting
Use: places two double rows of
staples while simultaneously cut-
ting the tissue between rows
Length: n/a
use; 60 mm, 80 mm, or 100 mm;
hand the surgeon both halves of
the stapler so he/she can place it
around the desired area of tissue
Name: Contour curved cutter/
stapler
Alias: none
Category: stapling
Use: used during low anterior
colon resection
Length: n/a
Additional Information: puts in four
rows of staples with a cut between
the second and third row
Q&A
Surgical Session—General Instruments
1) You have just handed the surgeon a heavy suture.
Which scissors should you have ready to hand to him/
her for cutting suture?
a. Curved Mayo
b. Metzenbaum
c. Iris
d. Straight Mayo
2) The surgeon is performing a colectomy. He/she
has just entered the peritoneal cavity and now
requests a large, self-retaining retractor. You would
hand him/her a:
a. Senn
b. Richardson
c. Bookwalter
d. Weitlaner
2545_Ch01_001-028 18/10/11 11:44 AM Page 25

3) You have a #20 knife blade on your field. What size
scalpel handle do you need for this blade?
a. #4
b. #3
c. #7
d. #2
4) The surgeon is getting ready to perform skin clo-
sure of an incision. Which of the following forceps
would generally be used during skin closure?
a. Russian
b. Bonney
c. Adson
d. DeBakey
5) The surgeon is about to irrigate the abdomen with
large amounts of normal saline. He/she asks for an
abdominal suction. What is the other name for this
instrument?
a. Frasier
b. Poole
c. Yankauer
d. Tonsil
6) A Mixter is another name for a:
a. Schnidt
b. Crile
c. right angle
d. Kelly
7) Mosquito is another name for a:
a. Kelly
b. Halstead
c. Pean
d. Schnidt
8) The surgeon is performing an inguinal herniorrha-
phy. He/she has made the skin incision and dis-
sected down a short way into the underlying tissue.
The assistant asks for a retractor. Which of the fol-
lowing would NOT be appropriate to hand
him/her?
a. U.S. Army
b. Volkmann
c. Bookwalter
d. Parker
9) Which of the following instruments does NOT have
sharp teeth?
a. Lahey
b. Kocher
c. Backhaus
d. Babcock
10) The nonperforating clip used to hold suction and
other cords to the drape is a(n):
a. Backhaus
b. Edna
c. Lahey
d. Kocher
11) A Foerster is a:
a. tonsil clamp
b. tissue clamp
c. sponge stick
d. suction tip
12) The surgeon inserts a Blake drain into the
incision. Which scissors would you hand him/her
to cut the drain?
a. Metzenbaum
b. Straight iris
c. Straight Mayo
d. Curved iris
13) Which of the following is NOT a type of
handheld retractor?
a. Senn
b. Volkmann
c. U.S. Army
d. Weitlaner
14) The surgeon needs to cut through a heavy muscle.
Which scissors would be the most
appropriate to hand him/her?
a. Metzenbaum
b. Curved Mayo
c. Curved iris
d. Straight iris
15) Which of the following would be the most appro-
priate instrument to hand a surgeon for clamping
off a very small blood vessel?
a. Halstead
b. Kelly
c. Kocher
d. Pean
16) All of the following are rake retractors
EXCEPT a(n):
a. Volkmann
b. Israel
c. Goelet
d. Murphy
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17) Which towel clamp has ball stops on the tips?
a. Edna
b. Peers
c. Backhaus
d. Roeder
18) A Sawyer retractor is used to retract ____________
tissue.
a. abdominal
b. pelvic
c. rectal
d. extremity
19) _____________ forceps may be used to grasp an
endotracheal tube or catheter for insertion.
a. Blake
b. Magill
c. Pennington
d. Allis
20) Which of the following forceps has triangular jaws?
a. Pennington
b. Kocher
c. Allis
d. Magill
2545_Ch01_001-028 18/10/11 11:44 AM Page 27

2545_Ch01_001-028 18/10/11 11:44 AM Page 28

Laparoscopic Instruments
2
Name: endoscopic camera
Alias: none
Category: viewing
Use: viewing inside the body dur-
ing endoscopic procedures
Length: n/a
Additional Information: many different
systems available; requires com-
patible light cord and light source
Care of Endoscopic Cameras
• Attach the camera and turn it on prior to surgery
to make sure it works. If the light cable is fiberop-
tic, it should be checked. Dark areas, places where
you cannot see light coming through, indicate
broken fibers and indicate that you should replace
the cable.
• NEVER place cameras at the bottom of an instru-
ment tray; the weight of the other instruments
could damage the camera.
• When you set up your table, NEVER place anything
on top of the camera, which is very delicate. Another
instrument or piece of equipment could easily
damage it.
• NEVER coil the camera cord tighter than the
diameter of a large soda bottle. Coiling the cord
too tightly can damage and/or break the fiberoptic
fibers.
• Follow manufacturer’s instructions for cleaning and
sterilizing cameras, cords, and couplers. After clean-
ing, inspect the components for cleanliness and
possible damage.
• NEVER use anything abrasive to clean the camera,
lens, or components.
Name: 0-degree endoscope
Alias: rigid endoscope; straight
endoscope
Category: viewing
Use: providing visualization inside
the body cavity
Length: n/a
Additional Information: available in
5-mm or 10-mm diameters
29
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30 CHAPTER 2 Laparoscopic Instruments
Name: 30-degree endoscope
Alias: rigid endoscope
Category: viewing
Use: providing visualization
inside the body cavity
Length: n/a
5-mm or 10-mm diameters;
30 degrees refers to the angle of
the distal (objective) lens; also
available with 70-degree and
90-degree distal lenses
Care of Rigid Endoscopes1
• NEVER pick up and hold scopes by the distal end.
The weight of the eyepiece could easily bend the
shaft.
• Scrubbed personnel should look through the eye-
piece before attaching the camera prior to surgery.
Distortion or cloudiness indicates that the eyepiece
and objective lens should be cleaned. If cleaning
does not solve the problem, one (or both) of the
lenses may be damaged and need repair or replace-
ment. Use another scope.
• Prior to surgery, check the scope shaft for damage,
dents, or bends. If the scope is damaged, get
another one.
• Attach the camera and turn it on prior to surgery
to make sure it works. If the light cable is fiberop-
tic, it should be checked. Dark areas, places
where you cannot see light coming through,
indicate broken areas and also indicate that you
should replace the cable.
• NEVER place scopes at the bottom of an instru-
ment tray; the weight of the other instruments
could bend or damage the scope. Place the scope
in its storage case.
• When the scope is not in use, place it on a flat
surface to avoid accidental flexion and damage.
• When you set up your table, NEVER place anything
on top of the scope, which is very delicate. Another
instrument or piece of equipment could easily
damage it.
• When handing the scope to the surgeon or using
the scope during a procedure, support the shaft
with one hand to avoid overflexion and possible
damage.
• NEVER coil the light cord tighter than the diame-
ter of a large soda bottle. Coiling the cord too
tightly can damage and/or break the fiberoptic
fibers.
• Follow manufacturer’s instructions for cleaning
and sterilizing scopes. Prior to sterilization, clean
and rinse all lumens and valves thoroughly. After
cleaning, inspect the scope for cleanliness and
possible damage.
1Some material adapted from Karl Storz website,
http://www.karlstorz.com.
Name: Veress needle
Alias: Veress insufflation cannula
Category: accessory
Use: puncturing the peritoneum
and introducing carbon dioxide
to create a pneumoperitoneum
during laparoscopic surgery
Length: 80 mm to 200 mm
use; attached to insufflator tubing
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CHAPTER 2 Laparoscopic Instruments 31
Name: disposable trocars and ports
Alias: none
Category: accessory
Use: introducing instruments and
camera inside body cavities dur-
ing endoscopic surgery
Additional Information: single use
only; 5-mm, 10-mm, 12-mm, or
15-mm diameter
Name: reusable trocars and ports
Alias: none
Category: accessory
Use: introducing instruments and
camera to inside body cavities
during endoscopic surgery
Additional Information: one example
shown; 5.5-mm, 10-mm, or 12.5-mm
diameter; requires appropriate
decontamination and sterilization
between uses, following manufac-
turer’s recommendations and
institutional policy
Name: laparoscopic instrument
handles
Alias: none
Category: n/a
Use: manipulating laparoscopic
instruments
Length: n/a
Additional Information: rotating handle
with cautery connection (handle 1);
insulated handle with cautery con-
nection (handle 2); handle with
rachet (handle 3)
Name: aspirating needle
Alias: none
Category: accessory
Use: aspirating fluid from cyst,
organ, or tissue
Length: 33 cm or 45 cm
Additional Information: tip is a
19-gauge needle
2545_Ch02_029-038 18/10/11 11:47 AM Page 31

Name: suture passer
Alias: none
Category: suturing
Use: transmural suturing of
wound sites and fixation of
prosthetic device during laparo-
scopic surgery
Length: n/a
Additional Information: single-pa-
tient use; the nondisposable
metal suture passer is known as
a Gore suture passer
Name: suture hook
Alias: none
Category: suturing
Use: hooking sutures through
tissue during laparoscopic
surgery
Length: 32 cm
angled distal end
Name: 10-mm spoon
Alias: none
Category: grasping
Use: removing tissue or stones
Additional Information: 5-mm laparo-
scopic spoons available
Name: Allis forceps
Alias: none
Category: grasping
Use: grasping or retracting tissue
Length: 35 cm
Additional Information: 5-mm jaws;
also available with 5-mm
atraumatic jaws
Name: Babcock
Alias: none
Category: grasping
Use: grasping/holding delicate
tissue
Length: 35 cm
Additional Information: atraumatic
jaws; 5-mm diameter
2545_Ch02_029-038 18/10/11 11:47 AM Page 32

Name: biopsy forceps
Alias: none
Category: grasping
Use: obtaining small pieces of tis-
sue for biopsy specimens
Length: 35 cm
several sizes
Name: curved grasper
Alias: dissecting forceps
Category: grasping
Use: grasping tissue or organs
Length: 35 cm
Additional Information: serrated jaws
Name: bowel clamp
Alias: none
Category: clamping
Use: clamping or grasping bowel
Length: 35 cm
jaws
Name: Kocher
Alias: Ochsner
Category: grasping
removal
Length: 35 cm
Name: Maryland dissector
Alias: none
Category: grasping
Use: grasping or dissecting fine
tissue
Length: 35 cm
Additional Information: straight
(shown) or curved tips; fully
serrated blades
Name: alligator forceps
Alias: blunt grasper
Category: grasping
Use: tissue grasping
Length: 35 cm
Additional Information: square or
rectangular tip; fully serrated tip
2545_Ch02_029-038 18/10/11 11:47 AM Page 33

Name: toothed grasper
Alias: claw grasper
Category: grasping
Use: grasping tissue to be
removed
Length: 35 cm
5 mm or 10 mm
Name: Mixter
Alias: right angle
Category: grasping
Use: grasping tissue around or
under tissue and vessels
Length: 35 cm
Additional Information: angled jaws
Name: paddle grasper
Alias: none
Category: grasping
Length: 35 cm
Additional Information: atruamatic
jaws
Name: needle holder
Alias: none
Category: suturing
Use: holding suture needles
Length: 35 cm
Additional Information: straight,
right-curved, or left-curved jaws
Name: hook scissors
Alias: none
Category: cutting
Use: cutting tissue
Length: 35 cm
Additional Information: single-action
jaws
Name: micro scissors
Alias: none
Category: cutting
Use: cutting delicate tissue
Length: 35 cm
Additional Information: straight tip;
single-action jaws
2545_Ch02_029-038 18/10/11 11:47 AM Page 34

Alias: none
Category: cutting
delicate tissue
Length: 35 cm
Additional Information: blunt tips
Name: Gyrus cautery instruments
Alias: none
Category: cutting; cauterizing
Length: n/a
use; instruments attach to the
Gyrus machine
Name: Kleppinger bipolar forceps
Alias: none
Category: accessory
Use: bipolar cauterization of
tissue and vessels
Additional Information: scissor- or
syringe-type handle
Name: bipolar cautery
Alias: none
Category: accessory
Use: bipolar cauterization of
tissue and vessels
Additional Information: fenestrated
tips
Name: L hook
Alias: none
Category: accessory
Use: monopolar cauterization of
tissue
Additional Information: insulated
around the tip to direct current
to desired tissue
Name: endoscopic Kittner
Alias: endoscopic dissector;
endoscopic pusher
Category: accessory
Use: dissecting blunt tissue
Length: 38 cm
Additional Information: available with
single or dual cotton tips
2545_Ch02_029-038 18/10/11 11:47 AM Page 35

Name: endoscopic catcher
Alias: endo bag
Category: accessory
Use: retrieving and containing
specimens
Length: small (110 mm) or large
(160 mm)
small (2.5" ϫ 6" deep) or large
(5" ϫ 9" deep)
Q&A
Surgical Session—Laparoscopic Instruments
1) A Kleppinger is a type of:
a. monopolar cautery
b. clamp
c. bipolar cautery
d. scissors
2) The L hook is a type of:
a. monopolar cautery
b. bipolar cautery
c. grasper
d. retractor
3) An endoscopic Kittner is used for:
a. sharp dissection
b. blunt dissection
c. cutting of tissue
d. retracting of organs
4) Another name for a right-angle grasper is a(n):
a. Oschner
b. Mixter
c. Kleppinger
d. L hook
5) A Babcock:
a. has teeth
b. has solid tips
c. is used on heavy, rough tissue
d. is used for gentle retraction of delicate tissue
6) Which instrument category includes the Maryland?
a. cutting
b. grasping
c. clamping
d. suturing
7) The other name for a Kocher is a(n):
a. Mixter
b. Halstead
c. Ochsner
d. Kelly
8) The Gore is a type of:
a. clamp
b. suture passer
c. cautery
d. scissors
9) The tip of the aspirating needle is what gauge?
a. 18
b. 19
c. 20
d. 22
10) The needle used to introduce carbon dioxide into
the peritoneum is a:
a. Versaille
b. Versatile
c. Veress
d. Veritine
11) Never coil the camera cords smaller in diameter
than a:
a. 6" circle
b. large soda bottle
c. bottle cap
d. 12" circle
2545_Ch02_029-038 18/10/11 11:47 AM Page 36

12) Which of the following is TRUE regarding the
care of endoscopic cameras?
a. Use an abrasive cleaner to clean the lens.
b. Place the camera at the bottom of the
instrument tray.
c. Attach the camera and turn it on prior to the
start of the procedure to make sure it works.
d. When checking a fiberoptic camera, dark spots
indicate fibers that are working.
13) If an endoscope is dented or damaged, you
should:
a. use it anyway
b. get a new one
c. have the circulator fix it prior to the procedure
d. try to fix the dent or damage yourself and then
use it
14) All of the following are true about the care of
rigid endoscopes except for one. Which is it?
a. Never place the scope at the bottom of an
instrument set.
b. When not in use, place the scope on a firm, flat
surface to avoid flexion.
c. Never place anything on top of the scope.
d. Pick up and hold scopes by the distal end.
2545_Ch02_029-038 18/10/11 11:47 AM Page 37

2545_Ch02_029-038 18/10/11 11:47 AM Page 38

39
OB-GYN Instruments
3
Name: Auvard weighted vaginal
speculum
Alias: weighted speculum
Use: retracting the vaginal floor
Length: 24 cm
Additional Information: 2.75" ϫ 1.5" or
3" ϫ 1.5" blades; 2.5 lb
Name: DeLee bladder retractor
Alias: bladder blade
Use: retracting the bladder
during cesarean section
Length: 9.25"
Additional Information: manual retrac-
tor; also available with blade
offset to left or right
Name: O’Sullivan-O’Connor
retractor
Alias: Irish; O’Connor-O’Sullivan
Length: n/a
Use: retracting the abdominal or
pelvic wall
interchangeable blades (45 mm
ϫ 80 mm and 70 mm ϫ 105 mm);
have moistened lap pads avail-
able to hand to the surgeon (to
use as padding between the
blades and tissue); all individual
pieces of the retractor must be
counted according to your insti-
tutional policy
2545_Ch03_039-050 18/10/11 12:04 PM Page 39

40 CHAPTER 3 OB-GYN Instruments
Name: Simpson delivery forceps
Alias: Simpson obstetrical forceps
Category: grasping
Use: forceps delivery of an infant
Length: 12" or 14"
Additional Information: forceps
come in two parts; hand to sur-
geon as two separate pieces
Name: Goodell uterine dilator
Alias: none
Category: dilating
Use: dilating the cervix
Length: 10" or 13"
corrugated blades
Name: Sims retractor
Alias: Sims double-ended vaginal
speculum
Use: retracting vaginal wall
Length: n/a
Additional Information: double ended;
blade width and length may vary
(available in size 1, 2, or 3)
Name: Heaney retractor
Alias: lateral retractor
Length: 10"
Additional Information: distal
blade 25 mm ϫ 45 mm, 28 mm
ϫ 65 mm, or 28 mm ϫ 82 mm
Name: Heaney-Simon retractor
Alias: none
Length: 11.5"
Additional Information: blade 1"
wide ϫ 4.5" long
2545_Ch03_039-050 18/10/11 12:04 PM Page 40

CHAPTER 3 OB-GYN Instruments 41
Name: Hulka tenaculum with
sound
Alias: none
Category: grasping
Use: measuring cervix/uterus
(sound); grasping cervix
(tanaculum)
Length: 11.5"
Additional Information: combines
uterine sound and single-tooth
tanaculum
Name: Graves vaginal speculum
Alias: duckbill speculum
Use: retracting anterior and poste-
rior vaginal walls
Length: n/a
Additional width: small (75 mm
ϫ 20 mm), medium (100 mm ϫ
30 mm), or large (115 mm ϫ 35
mm); also available with angled
blade (45 degrees)
Name: Pederson vaginal speculum
Alias: none
(narrow); often used for
pediatric patients
Length: n/a
Additional Information: narrower
blades than the Graves speculum;
small (76 mm ϫ 13 mm),
medium (100 mm ϫ 22 mm),
and large (120 mm ϫ 25 mm);
also available in side-opening
style
Name: Hank dilators
Alias: none
Category: dilating
Use: dilating cervical os
Length: 10"
solid; round “stop” on each end;
numbered (0.90 Fr to 0.94 Fr);
align on back table by diameter,
from smallest to largest
Name: side-opening vaginal
speculum
Alias: lateral speculum
Length: n/a
Additional Information: blade length
1.25" wide by 4"
2545_Ch03_039-050 18/10/11 12:04 PM Page 41

Name: Hegar dilators
Alias: none
Category: dilating
Use: dilating cervical os
Length: 7.5"
Additional Information: double
ended; hollow; numbered
(0.75 Fr to 0.94 Fr); align on
your back table by diameter,
from smallest to largest
Name: Allis clamp
Alias: none
Category: grasping
Use: grasping organs or tissue
during removal
Length: 6", 7.5", or 10"
Additional Information: 2 ϫ 3, 3 ϫ 4,
4 ϫ 5, 5 ϫ 6 teeth; straight or
angled tips
A SECOND LOOK
Hank and Hegar dilators are both double ended; they
are used for cervical dilation. Their construction differenti-
ates one from the other. The Hank dilator is solid and fea-
tures a stop on each end. The Hegar dilator is hollow,
and its smooth shafts have no end stops.
2545_Ch03_039-050 18/10/11 12:04 PM Page 42

Name: Allis-Adair clamp
Alias: T clamp
Category: grasping
Length: 6.5"
Name: Babcock
Alias: none
Category: grasping
(e.g., fallopian tube, bowel, vas
deferens)
Length: 6", 7.5", or 9"
Additional Information: atraumatic,
fenestrated tips
A SECOND LOOK
The Allis clamp and Allis-Adair clamp are both for-
ceps, used for grasping and holding tissue. The width
and number of teeth in the jaws differentiate one from the
other. The widest of the Allis forceps has only 5 ϫ 6
teeth, whereas the jaws of the Allis-Adair forceps are
even wider. The Allis-Adair can hold heavier tissue.
2545_Ch03_039-050 18/10/11 12:04 PM Page 43

Name: Bozeman dressing forceps
Alias: packing forceps
Category: grasping
Use: applying dressing or insert-
ing vaginal packing
Length: 10.5"
double-curved jaws
Name: Heaney hysterectomy
forceps
Alias: none
Category: clamping
Use: occluding heavy tissue
Length: 8.25"
serrations; single- or double-
toothed blade; straight or
curved blades
Name: Heaney-Ballantine
hysterectomy forceps
Alias: none
Category: clamping
Use: occluding heavy tissue
Length: 8.25"
Additional Information: curved jaws;
1 ϫ 2 teeth; vertical serrations
A SECOND LOOK
Heaney and Heaney-Ballantine hysterectomy forceps
are both used to grasp and hold heavy tissue. The direc-
tion of the jaw serrations differentiates one from the other. The
jaw serrations of the Heaney forceps are horizontal,
whereas the jaw serrations of the Heaney-Ballantine
forceps are vertical.
2545_Ch03_039-050 18/10/11 12:04 PM Page 44

Name: Kocher
Alias: Ochsner; Rochester-
Ochsner
Category: grasping
Use: grasping heavy tissue (e.g.,
fascia)
Length: 5.5", 6.25", 7", 8", 9",
or 10"
Name: Thomas-Gaylor biopsy
punch
Alias: Gaylor biopsy punch
Category: cutting
Use: obtaining biopsy specimens
from uterus
Additional Information: angled, sharp
jaws; 5-mm bite
Name: Lahey traction forceps
Alias: tenaculum; Lahey thyroid
clamp
Category: grasping
removal (e.g., uterus)
Length: 6"
Name: Braun tenaculum
Alias: tenaculum; Schoeder
Category: grasping
Use: grasping cervix; applying
traction to uterus
Length: 9.5" or 10"
Additional Information: single or dou-
ble toothed; straight or curved
Name: Barrett tenaculum
Alias: Barrett uterine tenaculum
Category: grasping
Use: grasping cervix
Length: 7"
Additional Information: looks like a
shorter version of the Braun
tenaculum
Name: Sims uterine sound
Alias: none
Category: probing and dilating
Use: measuring depth of in-
trauterine cavity
Length: 13.5"
Additional Information: graduated in
centimeters; malleable
2545_Ch03_039-050 18/10/11 12:04 PM Page 45

Name: Thomas curette
Alias: blunt curette
Category: cutting
Use: scraping endocervical and
endometrial linings
Length: 11"
Additional Information: sizes 1 to 6;
blunt, looped blades
Name: Sims curette
Alias: sharp curette
Category: cutting
Use: scraping endocervical and
endometrial linings
Length: 11"
sharp, looped blades
A SECOND LOOK
Both Thomas and Sims curettes are used to scrape tis-
sue from the endocervical and endometrial linings. The
blade distinguishes one from the other. The blade of the
Thomas curette is rounded and dull, whereas the blade
of the Sims curette has a sharp edge.
2545_Ch03_039-050 18/10/11 12:04 PM Page 46

Name: Kevorkian-Younge endocer-
vical biopsy curette
Alias: endocervical curette
Category: cutting
Use: obtaining endometrial or
cervical tissue samples
Length: 12"
or without a basket tip
Name: Russian forceps
Alias: none
Category: grasping
Use: grasping heavy tissue
Length: 6", 8", or 10"
Additional Information: rounded tips
Name: Bonney tissue forceps
Alias: Cowan; Victor Bonney
Category: grasping
Use: grasping heavy tissue or bone
Length: 6.25", 7.75", or 9"
2 ϫ 3 teeth
Name: Heaney needle holder
Alias: Heaney needle driver;
curved needle holder
Category: suturing
Use: suturing around curved
structures
Length: 8.5"
Additional Information: curved jaw
Name: Foerster sponge forceps
Alias: sponge stick
Category: grasping
Use: grasping tissue or holding
Raytec sponges
Length: 9.5"
serrated jaws
Name: Overstreet endometrial
polyp forceps
Alias: polyp forceps
Category: grasping
Use: grasping uterine polyps
Length: 9.25"
Additional Information: hollow,
fenestrated jaw
2545_Ch03_039-050 18/10/11 12:04 PM Page 47

Name: Lister scissors (large)
Alias: bandage scissors
Category: cutting
Use: opening uterus during ce-
sarean section
Length: 7.5"
Additional Information: guarded
blade to protect infant when
cutting the uterus
Name: Jorgenson scissors
Alias: none
Category: cutting
Use: cutting heavy tissue
Length: 9"
Additional Information: curved
blades
Name: Mayo-Noble scissors
Alias: none
Category: cutting
Use: dissecting heavy tissue
Length: 6.5"
curved blades; blunt tips
Name: umbilical scissors
(American pattern)
Alias: none
Category: cutting
Use: cutting umbilical cord after
delivery of the infant
Length: 4.25"
Additional Information: curved blades
Name: Rubin catheter
Alias: female catheter
Category: accessory
Use: catheterizing female bladder
Length: 6.5"
10 Fr to 18 Fr; can be
resterilized
2545_Ch03_039-050 18/10/11 12:04 PM Page 48

Q&A
Surgical Session—OB-GYN Instruments
1) You are second scrubbing a cesarean section. The
surgeon has reached the bladder, and you need to
retract it out of the way. Which retractor will you
use?
a. Heaney
b. DeLee
c. Sims
d. U.S. Army
2) The surgeon is performing a D and C. He/she
wants to measure the depth of the intrauterine
cavity. The instrument you hand him/her is a:
a. Sims curette
b. Thomas curette
c. Sims sound
d. Goodell
3) During a hysterectomy the surgeon asks for a
T clamp. Another name for this instrument is:
a. Allis
b. Allis-Adair
c. Heaney
d. Heaney-Ballantine
4) You are setting up for an abdominal hysterectomy.
You know that once the surgeon enters the peri-
toneum, he/she will want to have a self-retaining
retractor to expose the abdominal/pelvic cavity.
Which instrument do you need to make sure you
have?
a. Heaney retractor
b. Sims retractor
c. Ribbon retractor
d. O’Sullivan-O’Connor retractor
5) The surgeon is performing a D and C. He/she asks
for the curettes with the sharp blades. Which curette
do you hand to him/her?
a. Sims
b. Thomas
c. Hegar
d. Hank
6) A type of endocervical curette is a:
a. Heaney
b. Kevorkian
c. Masterson
d. Hegar
7) A type of obstetrical forceps used to deliver an
infant is a:
a. Russian
b. Simpson
c. Bozeman
d. Bonney
8) The surgery is completed and the surgeon wants
to insert vaginal packing. The _____________ is a
type of dressing forceps used to do this.
a. Braun
b. Schoeder
c. Bozeman
d. Simpson
9) Another name for a weighted vaginal speculum
is a(n):
a. Graves
b. Auvard
c. Pederson
d. Goodell
10) During a D and C, the surgeon asks for a tenaculum
to grasp the cervix. You would hand him/her a(n):
a. Braun
b. Bozeman
c. Allis-Adair
d. Goodell
11) The surgeon is performing a hysterectomy and
needs to suture around a ligament. Which needle
holder has an angled tip that facilitates use around
structures?
a. Mayo-Hegar
b. Heaney
c. Castroviejo
d. Crile-Wood
12) During an open tubal ligation, which instrument
would be used to grasp or control the fallopian
tubes?
a. Kocher
b. Kelly
c. Babcock
d. Lahey
2545_Ch03_039-050 18/10/11 12:04 PM Page 49

13) During a vaginal hysterectomy, all of the following
are handheld retractors that could be used
a(n):
a. Sims
b. Heaney
c. Heaney Simon
d. O’Sullivan-O’Connor
14) The scissors that has a guard on it, used to open
the uterus during a cesarean section, is a:
a. Lister
b. Rubin
c. Jorgenson
d. Mayo-Noble
15) A Graves is a type of:
a. weighted vaginal speculum
b. nonweighted vaginal speculum
c. endocervical curette
d. hysterectomy clamp
16) The cervical dilator that has a “stop” on either
end is a:
a. Heaney
b. Ballantine
c. Hegar
d. Hank
17) A Rubin is a type of:
a. clamp
b. forceps
c. catheter
d. curette
18) A Bonney tissue forceps is used to:
a. grasp delicate tissue
b. grasp blood vessels
c. grasp heavy tissue or bone
d. grasp fallopian tubes
19) A ___________ is a type of sponge stick.
a. Heaney
b. Foerster
c. Overstreet
d. Russian
20) The surgeon requests the biopsy punch. You
would hand him/her a(n):
a. Lahey
b. Phaneuf
c. Thomas-Gaylor
d. Allis
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51
Urology Instruments
4
Name: Randall forceps
Alias: kidney stone forceps
Category: grasping
Use: grasping stones or polyps
Length: 9"
Additional Information: standard or
long; 1
/4, 1
/2, 3
/4, or full-curve jaws
Name: Mayo-Guyon clamp
Alias: Guyon-Mayo vessel clamp
Category: clamping
Use: clamping heavy tissue or
organs
Length: 9.25"
Additional Information: heavy jaws;
double curve
Name: McDougal pedicle clamp
Alias: none
Category: clamping
Use: clamping heavy tissue or
pedicles
Length: 10"
Additional Information: full double
curve
Alias: none
Length: 8" or 12"
Additional Information: solid or ring
(open) handle; blade width
8 mm to 18 mm
2545_Ch04_051-060 18/10/11 11:52 AM Page 51

52 CHAPTER 4 Urology Instruments
Alias: none
Use: retraction of nerves
Length: 8.5"
can be angled straight, left, or
right
Name: malleable catheter stylet
Alias: none
Category: accessory
Use: stylet for catheter insertion
Length: n/a
Additional Information: blunt tip;
malleable; 4-Fr or 6-Fr diameter
Name: Malis-Jensen bipolar
forceps
Alias: none
Category: accessory
Use: coagulating fine vessels
Length: 7.5"
Additional Information: bayonet-
shaped handle also available
Alias: none
Category: accessory
Use: coagulating small blood
vessels
Length: 5.75"
Additional Information: delicate, nar-
row tips; bayonet-shaped handle
Name: Gerald tissue forceps
Alias: none
Category: grasping
Length: 7"
delicate jaws
2545_Ch04_051-060 18/10/11 11:52 AM Page 52

CHAPTER 4 Urology Instruments 53
Name: Bishop-Harmon forceps
Alias: none
Category: grasping
Use: grasping fine tissue
Length: 3.5"
Additional Information: 1 ϫ 2 teeth (tis-
sue forceps) or serrated tips (dress-
ing forceps); delicate (0.3-mm) or
standard (0.5-mm) tip
Name: tying forceps
Alias: none
Category: grasping
Use: tying small sutures
Length: 4"
curved jaws; some have 1 ϫ 2
teeth
Name: Church scissors
Alias: none
Category: cutting
Use: blunt tissue dissection
Length: 7"
Additional Information: no edge on
blades; duller blades
Name: jeweler’s forceps
Alias: none
Category: grasping
Use: grasping very fine tissue
Length: 4.75" to 5.25"
Additional Information: delicate or
very delicate (for microsurgery)
pointed tips; straight or
curved tips
A SECOND LOOK
The Gerald tissue forceps is a grasping instrument
used to catch and hold delicate tissue. The Gerald
bipolar forceps is a cauterizing instrument used to
burn, sear, or destroy small vessels. Although they may
look similar at first glance, a plug on the proximal end of
the bipolar forceps differentiates one from the other. This plug
is used to attach the forceps to a bipolar cautery cord.
2545_Ch04_051-060 18/10/11 11:52 AM Page 53

Alias: Metz
Category: cutting
delicate tissue
Length: 5.75", 7", 9", or 10
blades—do NOT use for cutting
sutures, drains, heavy tissue
Name: Joseph scissors
Alias: none
Category: cutting
Use: cutting tissue
Length: 5.75"
curved (shown) blades; sharp
tips
A SECOND LOOK
The Joseph, Church, and Metzenbaum scissors all can
be used for dissecting and cutting delicate tissue. The
blades and tips differentiate one from the other. The blades of
the Church scissors lack the sharp edge of the Metzen-
baum blades. The Joseph scissors has sharp, pointed
tips, while the tips of the Church and Metzenbaum scis-
sors are round.
2545_Ch04_051-060 18/10/11 11:52 AM Page 54

Name: Jorgensen scissors
Alias: none
Category: cutting
Use: cutting heavy tissue
Length: 9"
Additional Information: curved blades
Name: Mayo-Noble scissors
Alias: none
Category: cutting
Use: dissecting heavy tissue
Length: 6.5"
curved blades; blunt tips
Name: Potts-Smith scissors
Alias: none
Category: cutting
Use: cutting blood vessels
Length: 5.25" to 7"
Additional Information: 25-degree,
40-degree, or 60-degree angled
blades; delicate or standard
blades
Name: Westcott utility scissors
Alias: none
Category: cutting
Use: cutting and dissecting fine
tissue; cutting fine sutures
Length: 5"
Additional Information: 25 mm from
midscrew to tip
Name: Van Buren urethral sounds
Alias: Van Buren dilators
Category: dilating
Use: dilating the urethra
Length: 10.5"
Additional Information: 8-Fr to 40-Fr
diameters; arrange on back table
according to size, starting with
the smallest
Name: Lowsley prostatic retractor
Alias: none
Use: inserted through bladder;
pushes prostate down toward
perineum
Length: 13"
Additional Information: curved or
straight
2545_Ch04_051-060 18/10/11 11:52 AM Page 55

Name: Young bulb retractor
Alias: none
Use: retracting prostate
Length: 8.5"
Additional Information: notched to
fit around urethra
Name: Young bifid retractor
Alias: none
Use: retracting prostate
Length: 8"
Additional Information: notched to
fit around urethra
Name: Ellik evacuator
Alias: none
Use: removing fluid, blood clots,
tissue, and calculi from bladder
during procedures such as
TURP or bladder biopsy
Length: n/a
Additional Information: glass body
with rubber bulb and tubing;
before using, remove air by
filling bulb and glass bowl with
saline
Name: microinvasive evacuator
Alias: none
Use: removing fluid, blood clots,
tissue, and calculi from bladder
during procedures such as
TURP or bladder biopsy
Length: n/a
patient style; before using, fill
evacuator with saline; filter
traps tissue specimen
2545_Ch04_051-060 18/10/11 11:52 AM Page 56

Name: cystoscope
Alias: none
Category: viewing
Use: viewing into bladder during
transurethral procedures
Length: n/a
Additional Information: use with vari-
ous scopes (0 degree, 30 degree,
or 70 degree), depending on
procedure
Name: resectoscope
Alias: none
Category: cutting
Use: cutting and coagulating
tissue during TURP or TURB
Length: n/a
Additional Information: used with
various styles of cutting loops,
depending on procedure
Name: loop electrode
Alias: none
Category: accessory
Use: resecting tissue during TURP
or TURB
Length: n/a
Additional Information: fits various
makes of resectoscopes
Name: roller ball electrode
Alias: none
Category: accessory
Use: ablating and coagulating
tissue
Length: n/a
Additional Information: ball style or
barrel style (flattened sides);
3-mm or 5-mm tip
Name: filiforms and followers
Alias: none
Category: accessory (filiforms);
dilating (followers)
Use: filiforms get past difficult
strictures; followers dilate and
drain
Length: 12.5" or 18"
Additional Information: Filiforms are
used to get past the stricture
and then the followers are
passed to dilate urethra and
drain bladder; filiforms range
from 2 Fr to 6 Fr and are avail-
able with a straight, spiral, or
coudé tip; followers range from
10 Fr to 24 Fr and are available
with straight or coudé tips
2545_Ch04_051-060 18/10/11 11:52 AM Page 57

Name: Bugbee electrode
Alias: none
Category: accessory
Use: monopolar coagulation of
small vessels or areas of tissue
Length: n/a
Additional Information: monopolar
cautery requires patient to have
a grounding pad in place prior
to use; most commonly used
size is 3 Fr
Name: urethral guidewire
Alias: none
Category: accessory
Use: accessing and identifying
ureters during transurethral
procedures; guiding
instruments
Length: 145 cm to 150 cm
Additional Information: many styles,
including J tip and fixed or
movable core
Name: laser fiber
Alias: none
Category: accessory
Use: laser ablation or cauteriza-
tion of tissue; transurethral
lithotripsy of stones
Length: n/a
Additional Information: inspect
closely before use for any dam-
age to tip or insulation; test
beam to ensure proper aim;
follow institutional safety poli-
cies regarding laser use; 150 ␮m
to 940 ␮m tips
Name: stone retrieval basket
Alias: none
Category: grasping
Use: retrieving and removing
urinary stones
Additional Information: several styles,
all performing the same func-
tion; shaft diameter is 3 Fr in
most styles
Name: stone grasping forceps
Alias: none
Category: grasping
Use: grasping and removing uri-
nary stones
Additional Information: three wires
at tip used to grasp stone; shaft
diameter 3.0 Fr or 4.5 Fr
2545_Ch04_051-060 18/10/11 11:52 AM Page 58

Name: collagen injection system
Alias: none
Category: accessory
Use: injecting collagen to treat
incontinence
Length: n/a
Additional Information: collagen
injection adds bulk to surround-
ing urethral tissue, aiding
internal sphincter function
Name: semirigid ureteroscope
Alias: none
Category: viewing
Use: viewing into ureter during
transurethral procedures; used
most commonly for stone removal
Length: n/a
Additional Information: long, thin shaft;
to avoid damage, never place
other instruments on top of it or
hold it by the end of the shaft
Care of Urologic Scopes
• Read manufacturer’s instructions for cleaning and
sterilizing the cystoscope—some cystoscopes and
attachments can be autoclaved (steam sterilized)
and some cannot. Make sure you know whether the
scope, camera, cords, and so on can be autoclaved
prior to the sterilization process.
• Handle the scope by the middle of the shaft; han-
dling it by the ends could cause it to bend.
• Do not place anything on top of the scope or place
it at the bottom of a pan of instruments. It should
be placed in the storage container that it comes for
transport.
• Coiling the cord too tightly could damage or break
the fiberoptic bundles.
• When setting up your sterile field prior to the
procedure, check all scopes and accessories for
damage (bending, cracks in the cord casing, etc.).
Assemble the scope, making sure you have all the
pieces (sheath, telescope, obturator, bridge, and
instruments). Make sure all instruments function
properly.
Q&A
1) The surgeon needs to dilate the patient’s urethra.
You would hand her/him a:
a. Van Dyne
b. Van Buren
c. Randall
d. Cushing
2) All of the following are scissors EXCEPT:
a. Potts-Smith
b. Jorgensen
c. Westcott
d. Randall
3) A ________________ is used to cut and coagulate
prostate tissue during a TURP.
a. cystoscope
b. resectoscope
c. ureteroscope
d. Malis-Jensen bipolar
4) Which instrument is used to collect fluid and re-
sected tissue during a TURP?
a. Ellik evacuator
b. Roth
c. Jorgensen
d. Randall
Surgical Session—Urology Instruments
2545_Ch04_051-060 18/10/11 11:52 AM Page 59

5) A _____________ is a type of stone forceps.
a. Roth
b. Randall
c. Ripstein
d. Rochester
6)_____________ scissors would be used on heavy tissue.
a. Westcott utility
b. Metzenbaum
c. Potts-Smith
d. Mayo-Noble
7) A double-curved clamp used on heavy tissue is a:
a. Mayo-Guyon
b. Randall
c. Rochester Mixter
d. Ripstein
8) All of the following are forceps EXCEPT:
a. Bishop-Harmon
b. jeweler’s
c. Church
d. Gerald
9) ________________ is a type of bipolar forceps.
a. Ripstein
b. Malis-Jensen
c. Mayo-Guyon
d. Van Buren
10) All of the following could be used during a
transurethral procedure EXCEPT a(n):
a. cystoscope
b. resectoscope
c. Ellik evacuator
d. Jorgensen scissors
11) During a radical nephrectomy, the surgeon
requests a vein retractor. You hand him/her a:
a. Mayo-Guyon
b. Young
c. Cushing
d. Ripstein
12) A Bugbee is a type of:
a. bipolar cautery
b. clamp
c. roller ball
d. monopolar cautery
13) A Young bifid is a type of:
a. handheld (manual) retractor
b. scissors
c. suture guide
d. laser fiber
14) Filiforms are used to:
a. drain the bladder
b. get past difficult strictures
c. dilate the urethra
d. continuously irrigate the bladder
15) Which of the following might be used to dilate the
urethra and drain the bladder?
a. followers
b. filiforms
c. Maguire
d. Westcott
16) Which of the following is TRUE about the care of
urological scopes?
a. You should hold it by the end of the shaft.
b. You should hold it in the middle of the shaft.
c. It should be placed at the bottom of the
instrument pan.
d. It is safe to autoclave any scope, regardless of
manufacturer’s recommendations.
17) The purpose of a collagen injection for urinary
incontinence is to:
a. cauterize tissue
b. dissolve tissue
c. add bulk to tissue
d. determine if the tissue is cancerous
18) A ______________ is a type of pedicle clamp.
a. Westcott
b. McDougal
c. Randall
d. Maguire
19) A Lowsley is a prostatic _______________.
a. retractor
b. clamp
c. scissors
d. forceps
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61
Robotic Instruments
5
Insert opening
Flush port (#2)
Main flush port (#1)
Instrument housing
(cartridge)
Instrument shaft
PARTS OF A ROBOTIC INSTRUMENT
CARE AND CLEANING OF ROBOTIC INSTRUMENTS1
The following general guidelines for the care, cleaning,
and handling of robotic instruments are not meant to
replace the manufacturer’s instructions. Please be sure
to read and follow all of the manufacturer’s instructions
regarding instrument use and care.
General Care
• Examine each instrument before and after use.
If you observe any abnormalities, do not use the
instrument.
• Do NOT hold robotic instruments by the shaft.
Doing so could bend or damage an instrument.
• Do NOT place other instruments on top of robotic
instruments.
• Insert instruments into the robotic arms according
to manufacturer’s instructions.
• Never try to force an instrument into a robotic
arm.
Cleaning Robotic Instruments
• Follow manufacturer’s instructions for cleaning,
disinfecting, and sterilizing the instruments.
• Use only pH-neutral cleaning agents to clean robotic
instruments.
• Clean all instruments thoroughly prior to disinfec-
tion and sterilization.
• Disinfection is an additional step to cleaning, NOT
a substitute for it.
Sterilization Guidelines
• Temperature setting for prevacuuming is 270°F to
272°F (132°C to 134° C).
• Minimum exposure time is 4 minutes.
• Average drying time is 20 minutes
Storing Robotic Instruments
• Store instruments in a clean, dry area.
• Avoid storing robotic instruments in direct
sunlight.
• Avoid areas with high
humidity or high temperature.
1 Some information adapted from Intuitive Surgical website,
www.intuitivesurgical.com.
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62 CHAPTER 5 Robotic Instruments
Name: hand controls
Alias: none
Category: accessory
Use: controlling movement of
robotic instrument
Length: n/a
Additional Information: located on
surgeon’s console
(From Rutherford, CJ. Differen-
tiating Surgical Equipment
and Supplies. FA Davis,
Philadelphia, 2010, p 167,
with permission.)
Name: cannula
Alias: none
Category: accessory
Use: providing a port to pass in-
struments inside the body cavity
Length: n/a
Additional Information: 8 mm avail-
able in long or standard length,
with blunt or bladeless obtura-
tors; 5 mm available in standard
length, with sharp or blunt
obturator
Name: robotic endoscope
Alias: none
Category: viewing
Use: viewing inside body cavity
Length: n/a
Additional Information: used with
system’s imaging processing
equipment to give surgeon 3-D
pictures of surgical field
Name: Potts scissors
Alias: none
Category: cutting
Use: cutting blood vessels or fine
tissue
Length: n/a
angled tips
Name: meganeedle holder
Alias: none
Category: suturing
Use: suturing heavy tissue or
large blood vessels
Length: n/a
Additional Information: also available
with a built-in suture cutter
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CHAPTER 5 Robotic Instruments 63
Name: large needle holder
Alias: none
Category: suturing
Use: suturing tissue or blood
vessels
Length: n/a
5-mm diameter; finer tips than
the megadriver, but not as fine
as the microforceps
Name: clip appliers
Alias: none
Category: accessory
Use: applying hemoclips to
blood vessels
Length: n/a
two sizes to apply small or large
clips
Name: round tip scissors
Alias: none
Category: cutting
Use: dissecting and cutting tissue
Length: n/a
Additional Information: rounded
(blunt) tips; straight or curved
tips; 5-mm and 8-mm diameter
Name: dissecting forceps
Alias: none
Category: grasping
Use: grasping, retracting, or
blunt dissection of tissue
Length: n/a
Name: Cobra grasper
Alias: none
Category: grasping
Use: grasping or retracting tissue
during removal
Length: n/a
Additional Information: sharp
(penetrating) 3 ϫ 4 teeth
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64 CHAPTER 5 Robotic Instruments
Name: tenaculum forceps
Alias: none
Category: grasping
Use: grasping and retracting
tissue
Length: none
Additional Information: single-tooth
jaws
Name: harmonic shears
Alias: none
Category: cutting
Use: cutting and cauterizing
tissue using ultrasonic energy
Length: n/a
Additional Information: tip is
separate insert that is placed
on the instrument
Name: cautery hook
Alias: none
Category: cutting
Use: cauterizing tissue
Length: n/a
with spatula tip; monopolar
cautery requires patient to have
a grounding pad
Name: grasper
Alias: none
Category: grasping
Use: grasping and retracting
bowel or other soft tissue
Length: n/a
Additional Information: atraumatic,
serrated jaws
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CHAPTER 5 Robotic Instruments 65
Q&A
Surgical Session—Robotic Instruments
1) A _________________ should be used only on tissue
that will be removed.
a. Cobra
b. Rosano
c. DeBakey
d. dissecting forceps
2) All of the following statements about storage of
robotic instruments are true EXCEPT:
a. They should be stored in a clean, dry area.
b. Do not store in direct sunlight.
c. After sterilization, store them in the shipping
box they came in.
d. Do not store in an area with high humidity or
high temperature.
3) Do not sterilize robotic instruments at temperatures
above ____________.
a. 240°F
b. 210°F
c. 260°F
d. 285°F
4) The minimum exposure time for pre-vac steriliza-
tion of robotic instruments is __________ minutes.
a. 2
b. 3
c. 4
d. 5
5) A ___________ is a type of scissors.
a. Rosano
b. Potts
c. DeBakey
d. snap-fit
6) All of the following are grasping instruments
EXCEPT the:
a. tenaculum
b. Cobra
c. Rosano
d. Potts
7) All of the following are categorized as accessory
instruments EXCEPT the:
a. endoscope
b. hand controls
c. clip applier
d. cannula
2545_Ch05_061-066 18/10/11 11:55 AM Page 65

2545_Ch05_061-066 18/10/11 11:55 AM Page 66

Orthopedic Instruments
6
Name: bone file
Alias: none
Category: cutting
Use: smoothing bone surfaces
Length: 9.5"
Additional Information: half-round
blade; fine teeth
Name: Putti rasp
Alias: Putti-Platt
Category: cutting
Use: smoothing bone surface
Length: 10.5" or 12"
ended; one straight end and
one curved end
Name: Strully scissors
Alias: none
Category: cutting
Use: dissecting tissue
Length: 8.75"
Additional Information: curved tips
with probe on the end
Name: tenotomy scissors
Alias: Stevens tenotomy scissors
Category: cutting
Use: dissecting fine tissue
Additional Information: tapered tips
67
2545_Ch06_067-082 18/10/11 12:01 PM Page 67

68 CHAPTER 6 Orthopedic Instruments
Name: Dingman zygoma hook
Alias: bone hook
Use: retracting bone
Additional Information: single sharp
hook
Name: femoral bone hook
Alias: none
Use: grasping femur to retract it
out of the way
Length: n/a
Additional Information: blunt tip
Name: Cushing Little Joker
periosteal elevator
Alias: Little Joker
Category: cutting
Use: removing periosteum from
bone
Length: 6" or 7.5"
Additional Information: solid or
hollow handle
Name: Penfield #4
Alias: #4
Category: dissecting
Use: blunt dissecting of tissue
Length: 8.5"
ended; slightly curved tip
Name: Key periosteal elevator
Alias: none
Category: cutting
bone
Length: 6"
Additional Information: blade width
0.12" to 1"
Name: Cobb elevator
Alias: none
Category: cutting
bone
Length: 11"
13 mm, 19 mm, 25 mm, or
32 mm; round or hexagonal
handle
2545_Ch06_067-082 18/10/11 12:01 PM Page 68

CHAPTER 6 Orthopedic Instruments 69
Name: Molt elevator
Alias: none
Category: cutting
bone
Length: 7"
Additional Information: double ended,
round ends; slightly curved
Name: Ruskin mini-bone rongeur
Alias: none
Category: cutting
Use: cutting away small pieces
of bone
Length: 6"
3-mm bite; straight or curved
Name: Leksell rongeur
Alias: Leksell duckbill rongeur
Category: cutting
Use: cutting off bites of bone
Length: 9.5"
Additional Information: 3-mm, 5-mm,
8-mm bite
Name: Kleinert-Kutz rongeur
Alias: none
Category: cutting
Use: cutting off small bites of
bone
Length: 6"
Additional Information: double action;
slightly or strongly curved jaws;
2-mm bite
Name: Horsley bone-cutting forceps
Alias: none
Category: cutting
Use: cutting bone
Length: 7.5"
Additional Information: straight tips
Name: mini-Liston bone-cutting
forceps
Alias: none
Category: cutting
Use: cutting bone
Length: 6"
Additional Information: forward- or
backward-angled blades
2545_Ch06_067-082 18/10/11 12:01 PM Page 69

Name: needlenose pliers/wire
cutter
Alias: none
Category: cutting
Use: cutting or twisting wires;
removing hardware or pins
Length: 6.5"
Additional Information: jaws have
built-in wire cutter
Name: K-wire flat nose pliers
Alias: flat nose pliers
Category: grasping
Use: pulling or bending wires;
removing hardware or pins
Length: 6.75"
Additional Information: smooth
(shown) or serrated jaws
Name: depth gauge
Alias: none
Category: accessory
Use: measuring depth of drill
holes
Length: 6.5"
Additional Information: callibrated in
millimeters (mm)
Name: box osteotome
Alias: none
Category: cutting
Use: inserted into the femoral
canal to create a pilot hole for
femoral reaming
Length: n/a
Additional Information: surgeon will
need a mallet for striking the
head of the osteotome
Name: Hibbs osteotome
Alias: none
Category: cutting
Use: cutting bone
Length: 9.5"
curved; blade 0.25" to 1.5";
surgeon will need a mallet
for striking the head of the
osteome
2545_Ch06_067-082 18/10/11 12:01 PM Page 70

Name: Lambotte osteotomes
Alias: none
Category: cutting
Use: scoring or cutting bone
Length: straight, 5" (mini) or 9";
curved, 9"
Additional Information: mini os-
teotomes (blade width 4 mm to
20 mm); straight or curved 9"
Lambotte tips (blade width
0.25" to 1.5"); surgeon will need
a mallet for striking the head of
the osteotome
Name: Cushing pituitary rongeur
Alias: none
Category: cutting
Length: 6", 7", or 8" shaft
Use: removing pieces of interver-
tebral disc or bone
angled-up, or angled-down jaws;
1.5-mm or 2-mm jaw bite
Name: cannulated pin cutter
Alias: none
Category: cutting
Use: cutting wires, pins
Length: 7.25"
Additional Information: 1.6-mm
capacity; end cutting; designed
to slide over inserted wire; cut
piece remains inside the channel
Name: Martin diamond wire cutter
Alias: none
Category: cutting
Use: cutting wires
Length: 6.5"
Additional Information: maximum
capacity 1.25 mm
Name: Brun bone curette
Alias: none
Category: cutting
Use: scraping away pieces of bone
Length: 9"
Additional Information: sizes 0000 to
6; straight or angled tip
2545_Ch06_067-082 18/10/11 12:01 PM Page 71

Name: Cobb bone curette
Alias: Dawson-Yuhl curette
Category: cutting
Use: scraping away pieces of bone
Length: 11"
8-mm cup (two examples
shown)
Name: bone tamp
Alias: none
Category: accessory
Use: tamping bone
Length: 6"
Additional Information: 2 mm to
10 mm
Name: orthopedic mallet
Alias: none
Category: accessory
Use: tapping on osteotomes or
chisels; inserting pins
Length: 7.25" or 7.5"
Additional Information: 1.5" head
diameter; 1 lb or 2 lb
Name: bone mallet
Alias: none
Category: accessory
Use: tapping on osteotomes or
chisels; inserting pins
Length: 7.5"
Additional Information: many styles
Name: Townley caliper
Alias: slide calipers
Category: accessory
Use: measuring
Length: 4"
Additional Information: marked in
mm and inches for measuring
Name: Lewin bone clamp
Alias: Lewin spinal perforating
forceps
Category: clamping
Use: temporary clamping of
bone fragments
Length: 7"
Additional Information: jaws extend
in a curve
2545_Ch06_067-082 18/10/11 12:01 PM Page 72

Name: Lowman bone-holding
clamp
Alias: none
Category: clamping
Use: holding bone in place
Length: 4.75", 7.25", or 8"
Additional Information: 1 ϫ 2 jaws
Name: meniscus clamp
Alias: none
Category: clamping
Use: clamping meniscus tissue
Length: 7"
Additional Information: 1 ϫ 2 teeth at
tips of the jaw
Name: cement system
Alias: cement mixer
Category: accessory
Use: mixing bone cement powder
and liquid
Length: n/a
Additional Information: closed system;
make sure system is assembled
correctly, according to manufac-
turer’s instructions
Name: cement gun
Alias: none
Category: accessory
Use: holding bone cement appli-
cator; applying bone cement
Length: n/a
Additional Information: insert tube of
bone cement into the gun for
application during surgery
Name: Malis mirror-finish bipolar
cautery forceps
Alias: none
Category: accessory
vessels or delicate tissue
Length: 7"
Additional Information: sharp or blunt
tips; bayonet style
Name: plate press
Alias: none
Category: accessory
Use: recontouring plates to
desired shape
Length: n/a
Additional Information: none
2545_Ch06_067-082 18/10/11 12:02 PM Page 73

Name: Stryker power system
Alias: none
Category: accessory
Use: providing power for
drilling, sawing, or reaming
Length: n/a
Additional Information: adapters
enable use as a drill, saggital
saw; reamers; battery operated
ORTHOPEDIC RETRACTORS
Alias: none
Additional Information: 3 ϫ 4 sharp
or blunt prongs; hinged arms
Alias: Adson retractor
Use: exposing wound
Length: 8"
Additional Information: 4 ϫ 4 prongs;
angled shanks
Name: Weitlaner retractor
Alias: none
Length: 4", 5.5", 6.5", 8", or 9.5"
Additional Information: self-retain-
ing; sharp or dull prongs; 2 ϫ 3
prongs (4"), 3 ϫ 4 prongs (all
other sizes)
Name: Heiss skin retractor
Alias: none
Use: retracting skin during hand
surgery
Length: 4"
Additional Information: 4 ϫ 4 prongs
2545_Ch06_067-082 18/10/11 12:02 PM Page 74

Alias: none
Use: retraction of blood vessels
Length: 8" or 12"
Additional Information: open handle
Name: Volkmann retractor
Alias: rake
Length: 8.5"
Other: sharp or blunt tips; two to
six teeth
Name: Senn retractor
Alias: none
(hand or foot surgery)
Length: 6"
double ended; sharp or dull
prongs; usually used in pairs
Name: Ragnell retractor
Alias: none
Length: 6"
blunt on both ends
Alias: none
Length: 8.5"
pointed straight, left, or right
Name: Hohmann retractor
Alias: none
Use: exposing wound during hip
or knee surgery
Length: 9.5" to 11"
Additional Information: pointed blade;
blade width varies
2545_Ch06_067-082 18/10/11 12:02 PM Page 75

Name: blunt Hohmann retractor
Alias: none
Use: exposing wound during hip
or knee surgery
Length: 9.5" to 11"
Additional Information: blunt blade;
blade width varies
Name: Sauerbruch retractor
Alias: none
Length: 9.5"
Additional Information: blade end
slightly curved; blade width
1.75" to 3"
Name: Israel retractor
Alias: none
Length: 8"
Additional Information: rake has four
or five prongs; 1.75" ϫ 1.75"
blades
Name: Aufranc retractor
Alias: Cobra
Use: exposing wound during
knee or hip surgery
Length: 8.5"
Additional Information: hollow
handle; three tip styles
Name: Bennett retractor
Alias: none
Use: tibial retraction
Length: 10"
1.75" or 2.5"
Name: Blount knee retractor
Alias: none
Use: exposing wound during
knee surgery
Length: 8.75"
Additional Information: notched
blade
2545_Ch06_067-082 18/10/11 12:02 PM Page 76

Name: Blount double-prong knee
retractor
Alias: none
Use: exposing wound during knee
surgery
Length: 8.75"
Additional Information: notched blade
Name: Taylor spinal retractor
Alias: none
Use: retracting tissue during spine
surgery
Length: 8"
3" or 4"
Name: Hibbs retractor
Alias: none
Use: exposing wound
Length: 9.5"
Additional Information: sawtooth
blade edge; 1" ϫ 3" blade
ARTHROSCOPIC INSTRUMENTS
Name: shaver
Alias: none
Category: cutting
Use: removing or trimming bone
or tissue
Length: n/a
Additional Information: various burrs
and blades attach to the hand
piece; activated by foot pedal
(newer systems have wireless foot
pedals)
Name: sheath and obturator
Alias: none
Category: accessory
Use: allowing introduction of
instruments into joint cavity
Length: n/a
Additional Information: obturator
available with sharp or blunt tip
2545_Ch06_067-082 18/10/11 12:02 PM Page 77

Name: fluid pump and tubing
Alias: none
Category: accessory
Use: controlling fluid flow in
and out of joint space during
arthroscopic surgery
Length: n/a
of a variety of systems available
(From Rutherford, CJ: Differentiating Surgical Equipment
and Supplies. FA Davis, Philadelphia, 2010, p 135, with
permission.)
Name: camera system
Alias: none
Category: viewing
Use: viewing inside joint
Length: n/a
Additional Information: many
systems available; handling
precautions the same as for any
endoscope camera system (see
Chapter 2)
Name: arthroscope
Alias: none
Category: viewing
Use: viewing inside joint
Length: n/a
Additional Information: 4-mm stan-
dard diameter, with 25-degree
lens; available in small joint size
(1.9 mm or 2.3 mm), with
30-degree or 70-degree lens
and Supplies. FA Davis, Philadelphia, 2010, p 142.)
Name: arthroscopic probe
Alias: none
Category: probing and dilating
Use: probing and retracting
tissue
Length: 115 mm
2545_Ch06_067-082 18/10/11 12:02 PM Page 78

Name: duckbill straight biter
Alias: none
Category: cutting
Use: cutting tissue
Length: n/a
Additional Information: cutting away
small pieces of tissue
Name: banana knife
Alias: none
Category: cutting
Use: cutting tissue during meni-
sectomy or knee arthroscopy
Length: n/a
Additional Information: double-edged
or serrated tip
Name: arthroscopic scissors
Alias: none
Category: cutting and dissecting
Use: cutting tissue or suture
Length:
straight tip or tip that is angled
30 degrees right or left
Name: arthroscopic graspers
Alias: none
Category: grasping
Use: grasping tissue or suture
Length: n/a
Additional Information: various sizes
and styles
Name: arthroscopic punches
Alias: none
Category: cutting and dissecting
Use: cutting cartilage or tissue
Length: n/a
2545_Ch06_067-082 18/10/11 12:02 PM Page 79

Q&A
Surgical Session—Orthopedic Instruments
1) You are scrubbed on an open shoulder surgery. The
surgeon asks for a rasp to smooth the bone. You
would hand him/ her a:
a. Putti
b. Penfield
c. Molt
d. Bennett
2) All of the following are handheld (manual) retrac-
tors EXCEPT the:
a. Hohmann
b. Blount
c. Beckmann
d. Israel
3) A small self-retaining skin retractor used in hand
surgery is a:
a. Heiss
b. Beckmann
c. Senn
d. Ragnell
4) You hand the surgeon a Hibbs osteotome. The next
instrument you need to have ready to hand is a:
a. pin cutter
b. mallet
c. curette
d. pliers
5) Dawson-Yuhl bone curettes are more commonly
known as a:
a. Cobb
b. Brun
c. Hibbs
d. Lambotte
6) All of the following are rongeurs EXCEPT the:
a. Ruskin
b. Kleinert-Kutz
c. Molt
d. Leskell
7) A Stevens scissors is also known as a _____________
scissors.
a. Mayo
b. Metzenbaum
c. tenotomy
d. Strully
8) The surgeon wishes to measure the femoral head.
You hand him/her a:
a. Hibbs
b. Townley
c. Molt
d. Key
9) The instrument used to create a pilot hole for
femoral reaming is a:
a. Senn
b. Lambotte
c. box osteotome
d. Brun
10) A type of self-retaining retractor with hinged
arms is a:
a. Weitlaner
b. cerebellar
c. Beckmann
d. Farabeuf
11) You are scrubbed on a total knee replacement.
The surgeon asks for a tibial retractor. You would
hand him/her a:
a. Senn
b. Bennett
c. Farabeuf
d. Taylor
12) All of the following are periosteal elevators
EXCEPT a:
a. Molt
b. Key
c. Cushing “Little Joker”
d. Putti
13) A banana knife is generally used for which type of
procedures?
a. total knee arthroplasty
b. spinal decompression
c. arthroscopic surgery
d. tibial nailing
14) A Lewin is a type of:
a. curette
b. elevator
c. rasp
d. bone clamp
2545_Ch06_067-082 18/10/11 12:02 PM Page 80

15) A Taylor retractor would most likely be used in
__________ surgery.
a. knee
b. shoulder
c. spinal
d. foot
16) A fluid pump, camera, and duckbill straight
biter would most likely be used in which type of
surgery?
a. open rotator cuff repair
b. total knee replacement
c. arthroscopic knee surgery
d. open carpal tunnel surgery
17) The surgeon requests a nerve hook. You would
hand him/her a:
a. Cushing
b. Dandy
c. Blount
d. Hohmann
18) The surgery you are scrubbed on requires the use
of a vein retractor. You would have a
______________ on your table.
a. Cushing
b. Dandy
c. Bennett
d. Cobb
19) Ragnell, Senn, and Volkmann are all types of:
a. self-retaining retractors
b. elevators
c. curettes
d. handheld (manual) retractors
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2545_Ch06_067-082 18/10/11 12:02 PM Page 82

83
Neurosurgical Instruments
7
Name: Adson cranial rongeur
Alias: none
Category: cutting
Use: removing pieces of cranial
bone and soft tissue
Length: 8"
Additional Information: straight tip;
8-mm bite
Name: Beyer rongeur
Alias: Lamprey rongeur
Category: cutting
Use: removing small pieces of
Length: 6"
Additional Information: 2-mm bite
Name: Stookey cranial rongeur
Alias: none
Category: cutting
Use: removing pieces of cranial
Length: 7.5"
Additional Information: angled jaw;
3-mm bite
Name: Leksell rongeur
Alias: none
Category: cutting
Use: removing small bites of bone
and soft tissue
Length: 9.5"
Additional Information: 3-mm, 4-mm,
6-mm bite
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84 CHAPTER 7 Neurosurgical Instruments
Name: Kerrison cervical rongeur
Alias: Kerrison
Category: cutting
Use: removing pieces of verte-
bral disc or bone
Length: 6", 7", or 8"
5-mm bite; 40-degree or
90-degree plate, up or down
Name: Cushing pituitary rongeur
Alias: upbiter (jaws angled up);
downbiter (jaws angled down)
Category: cutting
Length: 6", 7", or 8"
Use: removing pieces of
vertebral disc or bone
1.5-mm or 2-mm bite
Name: Spurling rongeur
Alias: Spurling intervertebral
disc rongeur
Category: cutting
Use: removing bits of vertebral
disc
Length: 6" or 7"
4-mm ϫ 10-mm bite
Name: Penfield dissector #1
Alias: #1
Use: dissecting and manipulat-
ing tissue, bone, or nerves
Length: 7.5"
Additional Information: broad
curved dissector at one end,
and sharp round spoon at
other end
Alias: #2
Use: dissecting and manipulat-
ing tissue, bone, or nerves
Length: 7.5"
Additional Information: slightly
curved dissector at one end,
and bone wax packer at other
end
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CHAPTER 7 Neurosurgical Instruments 85
Alias: #3
Use: dissecting and manipulating
tissue, bone, or nerves
Length: 7.25"
Additional Information: fully curved
dissector at one end, and bone
wax packer at other end
Alias: #4
Length: 8.5"
Additional Information: single ended;
slightly curved tip
Alias: #5
Length: 11.5"
Additional Information: fully curved
dissector at one end, and slightly
curved dissector at the other end
A SECOND LOOK
#1 #2 #3 #4 #5
All of the Penfields are used for tissue dissection, and
each has a curved dissecting tip on one end. What is on
the other end distinguishes each Penfield from the others. Pen-
field #2 and #3 have a bone wax packer on the other
end; #1 has a sharp, rounded spoon curette tip; and #5
has another curve dissector. Penfield #4 is a single-
ended instrument, with only a curved dissector.
2545_Ch07_083-100 18/10/11 12:14 PM Page 85

Name: Woodson elevator and
spatula
Alias: Woodson dural separator
and packer
Category: cutting
Use: separating (lifting) the
dura from the disk
Length: 7" or 10"
ended; one end slightly wider
than the other
Name: Adson periosteal elevator
Alias: Joker
Category: cutting
the bone; elevating skull off the
dura
Length: 6.5"
curved; round or square end
Name: Cushing periosteal elevator
Alias: none
Category: cutting
the bone
Length: 7.5"
Additional Information: narrow or
wide blade; sharp or blunt
blade
Name: Cobb elevator
Alias: none
Category: cutting
the bone
Length: 11"
Additional Information: blade
width 13 mm, 19 mm, 25 mm,
or 32 mm; round or hexagonal
handle
Name: ball tip probe
Alias: none
Category: probing
Use: manipulating and probing
tissue and vessels
Length: 9.5"
2545_Ch07_083-100 18/10/11 12:14 PM Page 86

Name: Greenberg retractor
Alias: none
Use: retracting cranial tissue; used
during a craniotomy
Length: n/a
mounts on side of OR table
Name: Beckmann-Adson laminec-
tomy retractor
Alias: Beckmann goiter retractor
Use: exposing wound
Length: 12"
Additional Information: hinged
shanks; 4 ϫ 4 sharp prongs
Alias: Adson retractor
Use: exposing wound
Length: 8"
Additional Information: 4 ϫ 4 prongs;
angled shanks
Name: Jansen retractor
Alias: Gifford; Allport; mastoid
Use: retracting the mastoid or
scalp
Length: 4" or 4.5"
Additional Information: blunt; 3 ϫ 3 or
4 ϫ 4 prongs; self-retaining
Name: Taylor spinal retractor
Alias: none
Use: retracting tissue during
spinal surgery
Length: 8"
3" or 4"
Name: Williams retractor
Alias: none
Use: exposing deep wound during
spinal surgery
Length: 7"
1 cm or 2 cm; blade length 5 cm
or 7 cm
2545_Ch07_083-100 18/10/11 12:14 PM Page 87

Name: Scoville hemilaminectomy
retractor
Alias: Scoville-Haverfield
Use: deep retraction of tissue
during laminectomy
Length: arms 8" long
Additional Information: flat or four-
prong blades
Name: Meyerding retractor
Alias: none
Use: exposing wound; used
widely in spinal surgery
Length: 9" or 10"
0.75" to 2"; saw-toothed edge
Name: Scoville brain spatula
Alias: none
Use: retracting brain tissue
Length: 8"
Additional Information: double-
ended; blade width 0.77 mm or
0.84 mm; malleable; moisten
with saline before handing to
surgeon
Name: Davis brain spatula
Alias: none
Use: retracting brain tissue
Length: 7"
Additional Information: double-
ended blade widths 0.25"
to 1.5"; malleable; moisten
with saline before handing to
surgeon
Name: Adson dural scissors
Alias: none
Category: cutting
Use: cutting or dissecting dura
Length: 7"
Additional Information: curved,
blunt blades
2545_Ch07_083-100 18/10/11 12:14 PM Page 88

Name: Strully scissors
Alias: none
Category: cutting
Length: 8.75"
Additional Information: ball tip
(probe) on points; curved blades
Name: Liston-Stille bone cutter
Alias: none
Category: cutting
Use: cutting bone
Length: 10.5"
angled blades
Name: Brun bone curettes
Alias: spinal curettes
Category: cutting
Use: scraping bone and tissue
Length: 9"
6; straight or angled tip
Name: corkscrew dural hook
Alias: dural hook
Category: accessory
Use: hooking and lifting dura
Length: 6.5"; hook storage inside
handle
Alias: nasal suction; neurosuction
Use: suctioning small quantities of
fluid; used in small spaces
Length: 6.5"
tips; 6-Fr to 16-Fr diameter; metal
or disposable; angled
Name: Adson suction
Alias: none
Use: fine suctioning during
neuro- or spinal surgery
Length: 6"
Additional Information: 7 Fr, 9 Fr, 11
Fr, or 15 Fr; straight or curved
blade (two examples shown)
2545_Ch07_083-100 18/10/11 12:14 PM Page 89

Name: Raney scalp clip-applying
forceps
Alias: Raney clip appliers
Category: accessory
Use: applying Raney retracting
clips
Length: 6.25"
Additional Information: stainless
steel; or plastic clips
Name: Dandy clamp
Alias: Cairn clamp
Category: clamping
Use: retracting dura out of the
way; scalp hemostasis
Length: 5.5"
Additional Information: jaw curved
on the side; serrated tips or
1 ϫ 2 teeth
A SECOND LOOK
Adson and Frazier are both used to suction small
amounts of fluid from delicate areas of the body. The
shape of the thumb suction control distinguishes one from the
other. The Adson suction has a thin, flat, oval-shaped
control, whereas the Frazier’s thumb control is thicker
and more square.
2545_Ch07_083-100 18/10/11 12:14 PM Page 90

Name: Greene tubing clamp
Alias: none
Category: grasping
Use: attaching tubing to surgical
drapes
Length: 6.5"
Additional Information: tubing fed
through rings on top of clamp
Name: Cushing bayonet forceps
Alias: none
Category: grasping
Use: grasping tissue or inserting
packing into nose or ears
Length: 7"
or 1 ϫ 2 teeth
Name: ring forceps
Alias: tumor forceps
Category: grasping
Use: grasping tissue or tumors
Length: 6" to 9"
2-mm tips
A SECOND LOOK
At first glance, the Dandy and Crile clamps may look
similar. The jaws and serrations differentiate one from the
other. The jaws of the Dandy are serrated only halfway
down, whereas the jaws of the Crile are fully serrated.
2545_Ch07_083-100 18/10/11 12:14 PM Page 91

Alias: none
Category: accessory
vessels
Length: 5.75"
Additional Information: delicate, nar-
row tips; bayonet-shaped handle
Name: Cushing tissue forceps
Alias: none
Category: grasping
Length: 7"
1 ϫ 2 teeth; tips are slightly
finer than regular tissue forceps
Name: Vienna nasal speculum
Alias: none
Use: retracting nasal walls
Length: 5.5"
Additional Information: small
(9.5 mm ϫ 27 mm), medium
(11 mm ϫ 30 mm), or large
(13 mm ϫ 32mm) blades
Name: Gerzog mallet
Alias: none
Category: accessory
Use: pounding instruments (like
osteotomes) or driving in pins
Length: 6.75"
Additional Information: 1" head
diameter; lead-filled head
Name: screwdriver with sleeve
Alias: none
Category: grasping
Use: holding and inserting
screws during instrumentation
Length: n/a
Name: locking cap screwdriver
Alias: none
Category: accessory
Use: tightens locking caps
during rod insertion
Length: n/a
2545_Ch07_083-100 18/10/11 12:14 PM Page 92

Name: bar-holding forceps
Alias: none
Category: grasping
Use: holding spinal rods
Length: n/a
Name: bending iron
Alias: none
Category: accessory
Use: contouring rods during
spinal procedures
Length: n/a
Additional Information: left and right
sided
Name: rod bender
Alias: none
Category: accessory
Use: contouring rods during
spinal procedures
Length: n/a
Name: extraction pliers
Alias: none
Category: grasping
Use: removing screws during
spinal surgery
Length: n/a
Name: cannulated tap and handle
Alias: tap
Category: accessory
Use: tapping insertion hole for
cannulated screws
Length: n/a
Name: hexagonal screwdriver
Alias: none
Category: accessory
Use: inserting/removing screws
with hexagonal heads
Length: n/a
2545_Ch07_083-100 18/10/11 12:14 PM Page 93

Name: pedicle probe
Alias: none
Category: probing
Use: probing and manipulating
tissue during spinal surgery
Length: n/a
Name: pedicle screw reamer
Alias: none
Category: cutting
Use: reaming hole prior to
inserting pedicle screw
Length: n/a
Name: trial spacer handle
Alias: none
Category: accessory
Use: holding trial sizers used to
size bone graft implant
Length: n/a
Additional Information: used only
to hold trial spacers, not the
implant
Name: spacer implant holder
Alias: none
Category: grasping
Use: holding implant for inser-
tion during spinal procedures
Length: n/a
Name: rod pusher
Alias: none
Category: accessory
Use: maneuvering rods during
spinal surgery
Length: n/a
Name: impactor
Alias: none
Category: accessory
Use: impacting bone graft in
place
Length: n/a
2545_Ch07_083-100 18/10/11 12:14 PM Page 94

Name: graft rasp
Alias: none
Category: cutting
Use: scraping bone to make graft
fit properly
Length: n/a
Name: graft shaver
Alias: none
Category: cutting
Use: shaving bits of bone to make
graft fit properly
Length: n/a
Name: graft packer
Alias: none
Category: accessory
Use: packing bone graft into
place
Length: n/a
Name: neuro pattie tray
Alias: none
Category: accessory
Length: n/a
Use: holding moistened neuro
patties
Additional Information: moisten
patties with normal saline before
applying to tray; separate patties
by size
Name: Love nerve root retractor
Alias: none
Use: retracting nerve root
Length: 8"
45 degree, or 90 degree
Name: lamina spreader
Alias: none
Use: retracting lamina during
spinal surgery
Additional Information: self-retaining
2545_Ch07_083-100 18/10/11 12:14 PM Page 95

Name: Cloward vertebra spreader
Alias: none
Use: opening the vertebral space
during spinal surgery
Length: 7"
Additional Information: square tips;
downward-angling shanks
Name: Midas Rex drill
Alias: none
Category: cutting
Use: cutting cranial bone flap;
creating burr holes; cutting
bone during spinal surgery
Length: n/a
Additional Information: operated
with foot pedal; many burr and
blade sizes available; burrs and
blades attach to the hand piece
TRANSPHENOIDAL INSTRUMENTS
Name: Frazier suction and
obturator
Alias: none
Use: removing fluids and tissue
from wound
Length: 7.5"
Additional Information: various
diameters available
Name: mirror
Alias: none
Category: visualizing
Use: visualizing inside the
wound
Length: 9.5"
Name: Cushing-Landolt
transphenoidal speculum
Alias: none
Use: visualizing inside nose dur-
ing transphenoidal surgery
Length: 3" or 3.5" blades
2545_Ch07_083-100 18/10/11 12:14 PM Page 96

Name: transphenoidal knife handle
Alias: none
Category: cutting
Use: holding scalpel blade
Length: 9.5"
Additional Information: usually used
with #11 or #15 blade
Name: transphenoidal osteotome
Alias: none
Category: cutting
Use: entering the sella floor
Length: n/a
Additional Information: tap with a
mallet before cutting
Name: transphenoidal Kerrison
rongeur
Alias: sella punch
Category: cutting
Use: puncturing the sella turcica
Length: n/a
Name: Rhoton pituitary curettes
Alias: none
Category: cutting
Use: removing pieces of tumor
Length: 9.5"
Additional Information: bayonet
handle; ring diameter 5 mm
Name: half-ring curette
Alias: none
Category: cutting
Length: 9.5"
handle
Name: transphenoidal enucleator
Alias: none
Category: cutting
Length: 9.5"
Additional Information: tip can be
angled left or right, or reverse
curve
2545_Ch07_083-100 18/10/11 12:14 PM Page 97

Name: probes
Alias: none
Category: probing
Use: probing inside the wound
Length: n/a
Additional Information: angled or
straight tip
Name: pituitary spoon
Alias: pituitary scoop
Category: accessory
Use: removing tumor tissue
Length: 9.5"
handle
Name: three-prong fork
Alias: none
Category: grasping
Use: applying tissue for recon-
struction of the sella floor
Length: 9"
Name: Adson hydrophyseal forceps
Alias: none
Category: grasping
Use: grasping and removing
tumor tissue
Length: 9"
curved up, or curved down
Q&A
Surgical Session—Neurosurgical Instruments
1) While performing a craniotomy, the neurosurgeon
asks for the clamps used to retract the dura and
hold it out of the way. You would hand him/her:
a. Kelley clamps
b. Cairn (Dandy) clamps
c. Peans
d. Laheys
2) While performing a craniotomy, the neurosurgeon
asks for a “brain spatula.” You would hand him/
her a:
a. ribbon
b. Scoville
c. Green
d. Beckman
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3) Before handing the neurosurgeon the brain
spatula, you first need to moisten it with:
a. sterile water
b. alcohol
c. normal saline
d. betadine
4) While performing a lumbar discectomy, the sur-
geon asks for a Leksell. You hand him/her a:
a. retractor
b. rongeur
c. clamp
d. periosteal elevator
5) Which of the following instruments is NOT a
cranial rongeur?
a. Stookey
b. Adson
c. Beyer
d. Gerzog
6) All of the following are self-retaining retractors
EXCEPT the:
a. Williams
b. Beckman-Adson
c. cerebellar
d. Taylor
7) You hand the surgeon the scissors with a ball tip
on them. You just handed the ___________
scissors.
a. Potts
b. Adson
c. Strully
d. Mayo
8) The surgeon needs to shave a small amount of bone
from the graft. You would hand a graft
____________.
a. packer
b. rasp
c. sizer
d. impactor
9) You are first scrubbing a lumbar laminectomy. The
surgeon needs a large hinged self-retaining retrac-
tor. What would you hand to him/her?
a. Jansen
b. cerebellar
c. Taylor
d. Beckmann-Adson
10) During neurosurgery the surgeon requests the
ring forceps. The other name for this is
___________________.
a. tumor forceps
b. Cushing forceps
c. Gerald forceps
d. grasper forceps
11) The name for the tubing holding forceps is
a. Cushing
b. Greene
c. ring
d. grasper
12) Which cranial rongeur has the largest bite size?
a. Adson
b. Bacon
c. Beyer
d. Stookey
13) The cranial rongeur with a 2-mm bite size is a(n):
a. Adson
b. Bacon
c. Beyer
d. Stookey
14) Which Penfield dissector is single ended?
a. #1
b. #2
c. #3
d. #4
15) The surgeon is placing a pin. After handing the
pin, the next instrument you have ready is the
__________________.
a. Gerzog
b. Taylor
c. Cushing
d. Jansen
16) All of the following are jaw types for the Cushing
pituitary EXCEPT the:
a. straight
b. left
c. up-biting
d. down-biting
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17) Which of the following is a self-retaining retractor
that mounts on the side of the OR bed?
a. ACF
b. Greenberg
c. Jansen
d. Williams
18) The Cushing-Landolt speculum is used for which
type of surgery?
a. open cranial
b. spinal
c. transphenoidal
d. spinal cord
19) All of the following are transphenoidal
instruments EXCEPT:
a. Rhoton pituitary curettes
b. straight point needles
c. three-prong forks
d. Dandy clamps
20) A Love retractor is used to retract the:
a. cranial flap
b. cranial tissue
c. nerve root
d. spinal cord
2545_Ch07_083-100 18/10/11 12:14 PM Page 100

Ear, Nose, and Throat Instruments
8
MICRO-EAR INSTRUMENTS
Name: Spratt curette
Alias: Brun mastoid curette
Category: cutting
Use: removing pieces of mastoid
bone
Length: 6.5"
Additional Information: cup sizes from
3.2 mm to 10.2 mm
Name: Wullstein micro-ear forceps
Alias: none
Category: grasping
Use: inserting prostheses or tubes;
grasping delicate tissue or remov-
ing ossicles
Length: working length 3"
serrated jaws
Name: McGee wire-crimping forceps
Alias: none
Category: accessory
Use: crimping the wire on the
stapes prosthesis
Additional Information: jaws curve
slightly downward
Name: House-Wullstein oval cup
forceps
Alias: none
Category: cutting
Use: removing ossicles
Length: working length 3.25"
Additional Information: straight jaws,
or angled left or right
101
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102 CHAPTER 8 Ear, Nose, and Throat Instruments
Name: round cup forceps
Alias: none
Category: cutting
Use: removing the ossicles
Additional Information: cup diameter
1 mm to 3 mm
Name: House-Dieter malleus nipper
Alias: none
Category: cutting
Use: reshaping the malleous
Additional Information: guillotine
cutting tip
Name: House-Bellucci alligator
scissors
Alias: none
Category: cutting
Use: extra-delicate cutting in the
ear (e.g., severing stapedial
tendon)
Additional Information: straight tips
or angled to the right or left
Name: House measuring rod
Alias: none
Category: accessory
Use: measuring distance between
incus and footplate for sizing
prosthesis
Length: 6.5"
Additional Information: individual
instruments come with the rod
3.5 mm, 4 mm, 4.5 mm, or 5
mm from the tip
Name: House stapes curette
Alias: none
Category: cutting
Use: removing tiny pieces of
bone
Length: 6.25"
ended; oval-shaped cups
Name: Jordan-Rosen curette
Alias: none
Category: cutting
Use: removing small pieces of
bone or debris
Length: 6.5"
Additional Information: angled,
round blade
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CHAPTER 8 Ear, Nose, and Throat Instruments 103
Name: Derlacki mobilizer
Alias: none
Category: cutting
Use: mobilizing the stapes
Length: 6"
Name: Shambaugh-Derlacki elevator
Alias: none
Category: cutting
Use: elevating periosteum from
bone
Length: 5.5"
Additional Information: blunt, 1.5-mm
tip
Name: Lempert heavy elevator
Alias: none
Category: cutting
Use: elevating periosteum from
bone
Length: 7.5"
5 mm
Name: Lillie attic hook
Alias: none
Category: probing
Use: probing the mastoid
Length: 7"
Additional Information: tip angled
50 or 90 degrees; tip length
4 mm
Name: House-Crabtree dissector
Alias: Jimmy
Category: cutting
Use: dissecting tissue and ossicles
in middle ear
Length: 6.5"
Additional Information: malleable
shaft; 1.3-mm or 2-mm tip; tip
angled 90 degrees
Name: House strut hook
Alias: none
Category: accessory
Use: removing ossicle fragments
Length: 6.5"
shaft; sharp, 0.75-mm to 3-mm
tip; angled 90 degrees
2545_Ch08_101-120 18/10/11 12:18 PM Page 103

Name: House oval window hook
Alias: none
Category: accessory
Use: positioning soft tissue graft
over the oval window
Length: 6.5"
shaft; 0.3-mm, 90-degree tip
Name: Jordan hook
Alias: none
Category: accessory
Use: removing remainder of the
footplate
Length: 6.5"
Additional Information: tip angled
up, down, right, or left
Name: Hough-Sanders hoe
excavator
Alias: none
Category: cutting
Length: 6.5"
shaft; 90-degree tip
Name: Hough excavator
Alias: none
Category: accessory
Length: 6"
Additional Information: angled shaft;
blade width 0.5 mm or 0.25 mm
Name: Rosen needle
Alias: House-Rosen needle
Category: cutting
Use: fracturing the crura from
the footplate; elevating tissue
Length: 6.5"
Additional Information: blunt point
Name: House-Barbara shattering
needle
Alias: none
Category: cutting
Use: fracturing the crura from
the footplate
Length: 6.5"
shaft; sharp point
2545_Ch08_101-120 18/10/11 12:18 PM Page 104

Name: Billeau ear loop
Alias: none
Category: accessory
Use: removing cerumen or foreign
bodies from external ear canal
Length: 7"
Additional Information: metal or
Teflon-coated loop; various sizes
Name: Buck ear curette
Alias: none
Category: accessory
Use: removing cerumen or foreign
bodies from external ear canal
Length: 6"
3; sharp or blunt loop
Name: Baron suction tube
Alias: none
Use: suctioning within narrow
spaces (e.g., inside the ear)
Length: working length varies from
3" to 4"
Additional Information: sizes 3 Fr, 5 Fr,
or 7 Fr; metal stylet; increase
suction by covering thumb hole
Name: Schuknecht roller knife
Alias: none
Category: cutting
Use: creating tympanomeatal flap
Length: 6.5"
Additional Information: vertical or
horizontal blade
Name: flap knife
Alias: none
Category: cutting
Use: creating tympanomeatal flap
Length: 6.5"
Additional Information: rounded tip
Name: House incudostapedial
joint knife
Alias: IS joint knife
Category: cutting
Use: separating incus from stapes;
incising and dissecting tissue
Length: 6.5"
Additional Information: 45-degree
blade; sharp tip
2545_Ch08_101-120 18/10/11 12:18 PM Page 105

Name: House sickle knife
Alias: none
Category: cutting
Use: creating tympanomeatal
flap
Length: 6.5"
Additional Information: sickle-shaped
cutting edge
Name: Hough drum scraper
Alias: none
Category: accessory
Use: removing epithelium from
drum surrounding a perforation
Length: 5.75"
Additional Information: angled shaft;
90-degree blade
Name: Beckman speculum
Alias: none
Use: retracting tissue for viewing
within the ear or nose
Length: 5"
Additional Information: sizes 0 to 3
EAR,NOSE,ANDTHROAT INSTRUMENTS
Name: Caplan septal scissors
Alias: none
Category: cutting
Use: cutting nasal tissue
Length: 8"
straight or angled; blunt tip
Name: Cottle angular scissors
Alias: turbinate scissors
Category: cutting
Length: 6.5"
Additional Information: heavy, narrow,
rounded blades
Name: Fomon dorsal angular
scissors
Alias: none
Category: cutting
Length: 5.25"
Additional Information: angled
shank; blunt tip
2545_Ch08_101-120 18/10/11 12:18 PM Page 106

Name: Heymann-Knight angular
scissors
Alias: Knight angular scissors
Category: cutting
Length: 7"
Additional Information: angled, blunt
blades
Name: Boettcher tonsil scissors
Alias: Boettcher dissecting scissors
Category: cutting
Use: cutting tonsil tissue
Length: 7.25"
double-edged blades
Name: Peck-Joseph scissors
Alias: none
Category: cutting
Use: cutting fine tissue or mucous
membrane
Length: 5.5"
Additional Information: blades sharp
or blunt, straight or curved
Name: Foman nasal rasp
Alias: none
Category: cutting
Use: cutting, smoothing nasal
bone
Length: 8.5"
both blades down cutting
Name: Kleinert-Kutz rasp
Alias: none
Category: cutting
bone
Length: 8.5"
Additional Information: double ended
Name: Maltz-Lipsett rasp
Alias: none
Category: cutting
bone
Length: 7.5"
Additional Information: straight down-
cutting blade; horizontal and
vertical ridges
2545_Ch08_101-120 18/10/11 12:18 PM Page 107

Name: Miller bone file
Alias: none
Category: cutting
Use: filing nasal bone
Length: 7"
Additional Information: single-cut or
crosscut blade pattern
Name: Anderson-Nievert osteotome
Alias: none
Category: cutting
Use: cutting nasal bone
Length: 8"
Additional Information: blade has
single guard; straight or curved,
right or left
Name: Cottle chisel-osteotome
Alias: none
Category: cutting
Use: cutting nasal cartilage or
bone
Length: 7"
Additional Information: round corners;
blade width 4 mm to 12 mm;
depth markings on blade
Name: Ballenger knife
Alias: swivel knife
Category: cutting
Use: blade on a swivel for
cutting nasal tissue
Length: 8"
5-mm swivel blade; straight or
bayonet style
Name: Cottle nasal knife
Alias: none
Category: cutting
Use: cutting periosteum from
bone
Length: 5.5"
Additional Information: stiff blade
Name: Pierce submucous dissector
Alias: none
Category: cutting
Use: dissecting nasal mucous
membrane
Length: 7.5"
ended; right- and left-side blades
2545_Ch08_101-120 18/10/11 12:18 PM Page 108

Name: myringotomy knife
Alias: tympanostomy knife
Category: cutting
Use: making incision into tympanic
membrane for release of fluid
and insertion of tube
Length: 7"
Additional Information: angled shaft
Name: Barnhill curette
Alias: none
Category: cutting
Use: scraping away adenoid tissue
Length: 8.5"
11-mm to 19-mm blades
Name: Rosenmueller fossea curette
Alias: none
Category: cutting
Use: scraping away adenoid tissue
Length: 9"
Additional Information: narrow,
curved loop end
Name: Key periosteal elevator
Alias: none
Category: cutting
bone
Length: 6.5"
Additional Information: blade widths
3 mm to 2.5 cm; single ended;
curved or straight
Name: Freer elevator
Alias: none
Category: cutting
Use: dissecting tissue from septum
Length: 8"
sharp tips
Name: MacKenty septal elevator
Alias: none
Category: cutting
Use: dissecting tissue from septum
Length: 5.75"
Additional Information: flat, curved
blade
2545_Ch08_101-120 18/10/11 12:18 PM Page 109

Name: Cottle septal elevator
Alias: none
Category: cutting
Use: measuring depth; removing
periosteum from septal bone
Length: 9"
ended; graduated in centimeters
Name: McIvor mouth gag
Alias: none
Use: retracting walls of the
mouth
Length: n/a
Additional Information: interchange-
able blade width 2.5" to 4";
self-retaining
Name: Sludder-Jansen mouth gag
Alias: none
Use: retracting walls of the mouth
Length: 5"
arms curved to fit the face
Name: Green retractor
Alias: loop retractor; Green goiter
Use: retracting soft tissue/thyroid
during neck surgery
Length: 8.5"
open handle
Name: Jansen retractor
Alias: mastoid retractror
Use: retracting tissue covering
the mastoid
Length: 4" or 4.5"
Additional Information: blunt; 3 ϫ 3
or 4 ϫ 4 prongs; self-retaining
Name: Love nasopharyngeal
retractor
Alias: none
Use: retracting soft tissue in
nasopharyngeal area
Length: n/a
18 mm to 25 mm; angled
2545_Ch08_101-120 18/10/11 12:18 PM Page 110

Name: Weder tongue blade
Alias: none
Category: retracting tongue
downward
Length: n/a
Additional Information: small (2.8 cm
wide) or large (3.5 cm wide)
Name: Trousseau tracheal dilator
Alias: none
Category: dilating
Use: dilating tracheal stoma
Length: 5.5"
Additional Information: jaw width 3 mm
or 6 mm
Name: Boucheron ear speculum
Alias: none
Category: viewing
Use: allows visualization of ear
canal
Length: n/a
Additional Information: eight sizes
(two examples shown)
Name: Gruber ear speculum
Alias: none
Category: viewing
Use: allows visualization of ear
canal
Length: n/a
Additional Information: eight sizes (two
examples shown); narrower body
Name: microscope handle covers
Alias: none
Category: accessory
Use: placed on microscope handles
to allow surgeon to manipulate
and adjust the microscope
Length: n/a
Name: Cottle speculum
Alias: none
Use: retracting nasal walls to allow
visualization of nasal passage
Length: 5.75"
Additional Information: thin, narrow
blades
2545_Ch08_101-120 18/10/11 12:18 PM Page 111

Name: Cottle nasal speculum
Alias: none
Length: 5.25"
Additional Information: short,
medium, long, and extra-long
blades; tapered blade
Name: Vienna nasal speculum
Alias: none
Length: 5.5"
Additional Information: small
(9.5 mm ϫ 27 mm), medium
(11 mm ϫ 30 mm), or large
(13 mm ϫ 32 mm) blades
Name: Cushing bayonet forceps
Alias: none
Category: grasping
Use: grasping tissue or inserting
packing into nose or ears
Length: 7"
Name: Brown bayonet forceps
Alias: none
Category: grasping
Length: 6" or 8"
2545_Ch08_101-120 18/10/11 12:18 PM Page 112

Name: Brown-Adson forceps
Alias: Adson-Brown
Category: grasping
Length: 4.75"
Name: Cottle columella clamp
Alias: none
Use: retracting anterior septum
Length: 4.25"
11-mm jaws
A SECOND LOOK
The Cushing and Brown are both bayonet-shaped for-
ceps used for grasping and holding tissue. The characteris-
tics of their tips distinguish one from the other. The Cushing
has a horizontally serrated tip, whereas the tip of the
Brown has 7 ϫ 7 teeth.
2545_Ch08_101-120 18/10/11 12:18 PM Page 113

Alias: none
Category: grasping
Use: grasping fine tissue; applying
small dressings
Length: 3.5"
(tissue forceps) or serrated tips
(dressing forceps); delicate
(0.3-mm) or standard
(0.5-mm) tip
Name: Hurd dissector and pillar
retractor
Alias: none
Category: retractor
Use: retracting and dissecting
pillae
Length: 9"
ended; retractor at one end, and
dissector tip at the other end
Name: Bruening ethmoid
exenteration forceps
Alias: none
Category: cutting
Use: cutting and removing
ethmoid bone
Length: 2" working length
Additional Information: sharp,
fenestrated jaws
Name: Jansen-Middleton septum
forceps
Alias: none
Category: cutting
pieces of septal bone
Length: 8"
spoon-shaped blades
Name: Jansen-Struycken septum
forceps
Alias: none
Category: cutting
pieces of septal bone
Length: 7.75"
through-cutting blades
2545_Ch08_101-120 18/10/11 12:18 PM Page 114

Name: Knight polypus and
turbinate forceps
Alias: none
Category: cutting
Use: cutting and removing nasal
polyps or turbinate bone
Length: 6.75"
with serrated jaws; serrated style
used as nasal dressing forceps
Name: laryngeal mirror
Alias: dental mirror
Category: viewing
Use: visualizing the mouth,
pharynx, and larynx
Length: n/a
Additional Information: mirror diameter
14 mm to 24 mm
Alias: Sharp skin hook
Length: 6"
Additional Information: single or
double hook; rounded handle
Alias: nasal suction; neurosuction
Use: suctioning small quantities of
fluid from nose or ears; suctioning
in small areas
Length: 6.5"
tips; diameter 6 Fr to 16 Fr;
metal or disposable; angled
Name: Webster needle holder
Alias: none
Category: suturing
Use: holding delicate suture needles
Length: 5"
serrated jaws
Name: Wullstein ear curette
Alias: none
Category: accessory
Use: removing wax or foreign
bodies from ear
Length: 5.75"
Additional Information: ring tip
diameter 1.3 mm to 2.3 mm
2545_Ch08_101-120 18/10/11 12:18 PM Page 115

Name: Cottle mallet
Alias: none
Category: accessory
Use: exerting force on another
instrument (e.g., osteotome or
chisel)
Length: 7.5"
Additional Information: flat face used
with chisels or osteotomes;
round face used with Cottle
bone crusher to prepare
cartilage implant material
Name: cartilage cutting board
Alias: none
Category: accessory
Use: providing flat, hard surface
to reshape cartilage or grafts
Length: 3" ϫ 5"
Additional Information: Teflon
coated
Name: Takahashi
Alias: pituitary forceps
Category: cutting
Use: removing small tissue
fragments and polyps
Length: 5"
Additional Information: bite size
2 mm or 3 mm
Name: House gelfoam pressure
forceps
Alias: none
Category: clamping
Use: compressing gelfoam;
thinning fascia grafts
Length: 6"
Additional Information: flat blades
Name: Rubin morselizer
Alias: none
Category: cutting
Use: crushes nasal cartilage,
enabling repositioning of the
septum to midline
Length: 10"
Additional Information: 15-mm
ϫ 5.5-mm jaws
2545_Ch08_101-120 18/10/11 12:18 PM Page 116

Name: Hajek septum chisel
Alias: none
Category: cutting
Use: chiseling away pieces of nasal
bone
Length: 6"
Additional Information: v-shaped
cutting blade; blade width 4 mm,
6 mm, or 8 mm
Name: Latrobe soft palate retractor
Alias: none
Use: retracting soft palate
Length: 5.5" working length
Additional Information: open handle
Name: Jako microlaryngeal
grasping forceps
Alias: none
Category: grasping
Use: grasping very delicate or
small pieces of tissue during
layngoscopy
Length: 9.5" working length
left-angled, or right-angled jaws
Name: Jackson velvet eye aspirat-
ing tube
Alias: none
Use: suctioning larynx during
laryngoscopy
Length 10" to 26"
Additional Information: 4-mm diameter
Name: rigid laryngoscope
Alias: none
Category: viewing
Use: visualizing adult larynx, often
looking for tumors or masses
Length: n/a
Additional Information: one example of
many types of rigid laryngoscopes
Name: rigid pediatric laryngoscope
Alias: none
Category: viewing
Use: visualizing pediatric (child)
larynx
Length: n/a
Additional Information: one example of
many types of rigid laryngoscopes
2545_Ch08_101-120 18/10/11 12:18 PM Page 117

Name: laryngoscope (intubating)
Alias: none
Category: viewing
Use: visualizing vocal cords and
glottic opening for endotra-
cheal intubation
Length: n/a
Additional Information: adult or
pediatric sizes; comes in various
sizes of interchangeable blades;
straight (Miller) or curved
(Mac) blades
Name: Walshem septal straightener
Alias: none
Category: grasping
Use: straightening displaced
nasal fracture
Length: n/a
Additional Information: rounded tips
Name: coblation machine
Alias: none
Category: accessory
Use: used with coblation machine
during removal of tonsils and
adenoids
Length: n/a
Additional Information: radio-
frequency technology can target
tissue with minimal damage to
surrounding structures
permission.)
Name: Tivnen tonsil-seizing forceps
Alias: none
Category: grasping
Use: grasping tonsil tissue for
removal
Length: 8.5"
Other: jaws have 3 ϫ 3 prongs
Name: Yankauer suction
Alias: tonsil suction
Use: suctioning fluid and blood
Length: n/a
Additional Information: nondisposable;
removable tip for cleaning; make
sure you have both pieces and
that tip is on tight
2545_Ch08_101-120 18/10/11 12:19 PM Page 118

Name: Xomed XPS microdissector
Alias: straight shot
Category: cutting
Use: removing nasal polyps
Length: n/a
Additional Information: a rotating
blade at the tip of the hand
piece does the cutting; newer
versions have option of running
a high-speed otologic drill
permission.)
Name: Stealth machine
Alias: image guidance system
Category: viewing
Use: transforms CT scans, ultra-
sound, MRI, or plain radiographs
into 3-D images, allowing the
surgeon to determine the exact
location of his/her instrument
during the procedure
Length: n/a
Additional Information: also used
for other types of surgeries (e.g.,
surgery of the brain)
permission.)
Q&A
Surgical Session—Ear, Nose, and Throat Instruments
1) Prior to performing a septoplasty, the surgeon
needs to remove the preoperative packing and
visualize the nasal passage. You would hand
him/her bayonet forceps and a:
a. Vienna nasal speculum
b. Freer elevator
c. Cottle nasal knife
d. Cottle angular scissor
2) Which of the following could be used to remove
wax or foreign bodies from the ear?
a. Knight
b. Wullstein
c. Weder
d. Latrobe
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3) You are scrubbed on a tracheotomy. The surgeon
asks for a tracheal dilator. You would hand
him/her a:
a. Knight
b. Weder
c. Peck-Joseph
d. Trousseau
4) All of the following are grasping instruments
EXCEPT a:
a. Bishop-Harmon
b. Frasier
c. Brown-Adson
d. Cushing bayonet
5) Prior to performing a tonsillectomy, the surgeon
asks for a mouth gag. You could hand him/her a:
a. Cottle
b. Hurd
c. McIver
d. Joseph
6) The surgeon is performing a myringotomy. You an-
ticipate needing suction once the incision is made.
Which of the following would you have ready to
hand him/her?
a. Frasier
b. Hurd
c. Brown-Adson
d. Jansen
7) All of the following are cutting instruments
EXCEPT a:
a. Maltz nasal rasp
b. Takahashi
c. Rubin morselizer
d. McIvor
8) All of the following are scissors EXCEPT a:
a. Foman
b. Barnhill
c. Cottle angular
d. Caplan
9) When the surgeon needs to retract the tongue
downward, you hand a:
a. Weder
b. Jansen
c. Gruber
d. Wullstein
10) A ________________ is a morselizer.
a. Hurd
b. Jennings
c. Rubin
d. Peck-Joseph
11) _________________ is a type of soft palate
retractor.
a. Carmalt
b. Latrobe
c. Brown
d. House
12) The surgeon needs to mobilize the stapes. A
_______________ is a stapes mobilizer.
a. Derlacki
b. Crabtree
c. Rosen
d. Jordan
13) The image-guided system (stealth) can
transform which of the following types of images
into 3-D images?
a. plain x-rays
b. CT scan
c. MRI scan
d. all of the above
14) A ________________ is a wire-crimping forceps.
a. Maguire
b. McIntosh
c. McGee
d. Miller
15) All of the following are micro-ear instruments
EXCEPT a:
a. House measuring rod
b. House stapes curette
c. Lillie attic hook
d. Takahashi
16) The coblator uses ______________ to destroy
tissue.
a. heat
b. radio frequency
c. laser
d. argon beam
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121
Dental and Maxillofacial
Instruments 9
Name: bone reduction forceps
Alias: maxillofacial repositioning
forceps
Category: grasping
Use: holding fractured bone
segments together
Length: 5" or 6.75"
Additional Information: pointed tips
Name: plate and bone holding
forceps
Alias: plate-introducing forceps
Category: grasping
Use: holding plate and fracture
site intact until it can be screwed
into place
Length: n/a
Additional Information: ball tip end
fits into the screw hole, holding
plate in place
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122 CHAPTER 9 Dental and Maxillofacial Instruments
Name: depth gauge
Alias: none
Category: accessory
Use: measuring depth of drill
holes to determine screw size
Length: 6.5"
Additional Information: calibrated in
millimeters (mm)
Name: bone tap
Alias: none
Category: accessory
Use: tapping bone to start a
screw hole
Length: n/a
Additional Information: used with a
mallet
A SECOND LOOK
At first glance, the bone reduction and plate holding
forceps look similar. What differentiates one from the other
is located at the tip of the instrument. The ball on one of
the plate holder’s tips holds the plate while the sharp
tip is clamped into the bone, preventing damage to the
plate. The bone reduction forceps has two sharp tips
because it is used to clamp bone to bone.
2545_Ch09_121-128 18/10/11 12:20 PM Page 122

CHAPTER 9 Dental and Maxillofacial Instruments 123
Name: quick coupling handle
Alias: none
Category: accessory
Use: holding drill bits
Length: n/a
Additional Information: end sleeve
pulls back to allow bit insertion
Name: drill bits
Alias: none
Category: accessory
Use: drilling holes for screw
placement
Length: varies
Name: drill guide
Alias: none
Category: accessory
Use: guiding drill bit to avoid
damage to surrounding tissue
Length: n/a
Additional Information: drill bit inserts
through center hole; double
ended
Name: trocar drill bit
Alias: none
Category: accessory
Use: drilling holes for screw
placement
Length: n/a
Name: McKesson mouth prop
Alias: mouth prop
Use: keeping patient’s mouth
open during surgery
Length: n/a
Additional Information: adult and
pediatric sizes; most institutions
require inclusion in the count
Name: dental syringe
Alias: none
Category: accessory
Use: injecting prefilled cartridges
of local anesthetic
Length: n/a
Additional Information: various styles
available
2545_Ch09_121-128 18/10/11 12:20 PM Page 123

Category: accessory
Use: visualizing mouth or larynx
Length: n/a
6 (mirror diameters 14 mm to
24 mm)
Name: periosteal elevator
Alias: none
Category: cutting
bone
Length: 6"
Additional Information: angled right
or left
Name: Cogswell elevator
Alias: none
Category: cutting
the bone
Length: 6"
Name: Crane pick elevator
Alias: none
Category: cutting
bone
Length: 6"
Additional Information: angled tip
Name: reverse elevator
Alias: none
Category: cutting
bone
Length: 6"
Additional Information:
blunt tip
Name: Sedillot periosteal elevator
Alias: none
Category: cutting
bone
Length: 7" or 7.5"
sharp blade; solid or ring
handle
2545_Ch09_121-128 18/10/11 12:20 PM Page 124

Name: Lucas curette
Alias: none
Category: cutting
Use: removing pieces of bone
Length: 7"
(left and right)
Name: molar extracting forceps
Alias: none
Category: grasping
Use: extracting molars
Length: 6"
Additional Information: English-style
jaw pattern
Name: extracting forceps
Alias: none
Category: grasping
Use: extracting upper or lower
teeth
Length: 6.5"
Additional Information: types differ
according to teeth being extracted
Name: Bane rongeur
Alias: none
Category: cutting
Use: cutting away pieces of bone
Length: 7"
tapered jaws
Name: Gillies bone and zygoma
hook
Alias: Dingman zygoma hook
Use: retracting zygoma (also used
for other bones)
Additional Information: single, sharp
hook
Name: Mead mallet
Alias: none
Category: accessory
Use: exerting force on an object
(e.g., chisel or osteotome)
Length: 7.5"
Additional Information: 1" head
diameter
2545_Ch09_121-128 18/10/11 12:20 PM Page 125

Name: McKesson suction
Alias: none
Category: suction
Use: suctioning blood and fluid
Length: 7"
Additional Information: tip diameter
2 mm, 3 mm, or 4 mm
Name: Dean scissors
Alias: none
Category: cutting
Use: cutting or dissecting tissue
Length: 6.75"
Additional Information: angled
blades; curved handles
Name: Castroviejo locking forceps
Alias: none
Category: grasping
Use: grasping screws or other
small objects
Length: 4.75"
Additional Information: locking
mechanism holds object in
place
Name: 90-degree plate bender
Alias: none
Category: accessory
Use: contouring plates hold
fractures in place
Length: n/a
Additional Information: used like
pliers to contour plate for
precise right-angle bends
Name: large plate bender
Alias: none
Category: accessory
Use: contouring larger plates
used to hold the fractures in
place
Length: n/a
Additional Information: tightened
handle screw holds plate in
place
2545_Ch09_121-128 18/10/11 12:20 PM Page 126

Name: combination bending and
cutting pliers
Alias: none
Category: cutting
Use: bending and cutting plates
used to fix facial fractures
Length: n/a
Additional Information: performs
the job of three instruments
(bending, right-angle bending,
and cutting); used with 1.0-mm
to 2.0-mm plates
Name: screws and plates for facial
fractures
Alias: none
Category: accessory
Use: repairing facial/mandibular
fractures
Length: n/a
Additional Information: various sized
plates and screws that can be
contoured to repair most
fractures
Q&A
Surgical Session—Dental and Maxillofacial
Instruments
1) The surgeon requests an elevator. All of the follow-
ing are elevators EXCEPT the:
a. Cogswell
b. Crane
c. Lucas
d. Sedillot
2) Extracting forceps are used to remove:
a. periosteum
b. teeth
c. bone
d. grafts
3) You hand the surgeon an osteotome. The next
instrument to hand is a ______________.
a. Mead
b. McKesson
c. Crane
d. Lucas
4) Which of the following is a type of suction?
a. Mead
b. McKesson
c. Gillies
d. Cottle
5) The surgeon requests a bone hook. You hand
him/her a _________________.
a. Mead
b. Castroviejo
c. Brown
d. Gillies
6) The surgeon needs to hold two fragments of a frac-
ture together. The instrument used for this is a:
a. rongeur
b. bending iron
c. tamp
d. bone reduction forceps
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7) The instrument used to measure the hole for screw
length is a:
a. tamp
b. depth gauge
c. trocar guide
d. countersink
8) A ________________ is a type of rongeur.
a. Blair
b. Bane
c. Cogswell
d. Clodius
9) A Dean is a type of:
a. clamp
b. scissors
c. suction
d. rongeur
2545_Ch09_121-128 18/10/11 12:21 PM Page 128

Ophthalmologic Instruments
10
Name: Barraquer eye speculum
Alias: none
Use: retracting eyelids during
surgery
fenestrated blades
Name: Kratz-Barraquer eye
speculum
Alias: none
surgery
Length: 1.6"
blades
Name: Williams eye speculum
Alias: none
surgery
Length: 2.7" (pediatric) or
3.4" (adult)
blades; 11-mm blades (pediatric),
14-mm blades (adult)
129
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130 CHAPTER 10 Ophthalmologic Instruments
Name: Bowman lacrimal probes
Alias: none
Category: probing
Use: probing lacrimal ducts
Length: 5.9"
Additional Information: sizes
0000 to 8
Name: strabismus retractor
Alias: none
Use: retracting conjunctiva
during strabismus surgery
Length: 5.5"
Additional Information: curved blade
Name: Schepens orbital retractor
Alias: none
Use: retracting tissue during
orbital or retinal surgery
Length: 5.75"
notch in blade
Name: Desmarres lid retractor
Alias: none
Use: retracting eyelid
Additional Information: size 0
(11-mm blade width), size 1
(13-mm blade width), size 2
(15-mm blade width), and
size 3 (17-mm blade width)
Name: Knapp lacrimal sac retractor
Alias: none
Use: retracting lacrimal sac
Length: 5.3"
Additional Information: blunt blade
with four prongs
Name: iris retractor
Alias: none
Use: retracting the iris
Length: 4"
patient use
2545_Ch10_129-144 18/10/11 12:23 PM Page 130

CHAPTER 10 Ophthalmologic Instruments 131
Name: vitrectomy suction/
suctioning probe
Alias: none
Category: cutting
Use: cutting and suctioning tissue
from eye during vitrectomy
Length: n/a
of many different systems
Name: McPherson bipolar forceps
Alias: none
Category: accessory
Use: coagulating fine blood
vessels
Length: 3.5"
Additional Information: angled tips
Name: microsurgery bipolar
forceps
Alias: none
Category: accessory
vessels of the eye
Length: n/a
patient use
Name: Adson suction
Alias: none
Use: fine suctioning during eye
surgery
Length: 6"
Additional Information: 5 Fr, 7 Fr, 9 Fr,
11 Fr, or 15 Fr; straight or curved
blade; opening for obturator
insertion
Name: Castroviejo caliper
Alias: none
Category: accessory
Length: 3.5"
Use: measuring
Additional Information: measures in
mm; straight or curved; thumb-
screw holds tips apart
Name: Serrefine clamp
Alias: none
Category: clamping
Use: holding sutures out of
surgical field
Length: 1.5"
Additional Information: serrated jaws
2545_Ch10_129-144 18/10/11 12:23 PM Page 131

Name: Hanna trephine system
(donor cornea)
Alias: none
Category: cutting
Use: cutting graft from donor
cornea
Length: n/a
Additional Information: requires in-
sertion of single-use trephine
blade
Name: Hanna trephine system
(recipient cornea)
Alias: none
Category: cutting
Use: cutting patient’s diseased
cornea for removal
Length: n/a
Additional Information: requires in-
sertion of single-use trephine
blade
Name: microkeratome
Alias: none
Category: cutting
Use: making incisions during eye
surgery
Length: 4.5"
patient use
Name: Desmarres chalazion
forceps
Alias: none
Category: grasping
Use: everting eyelid to expose
chalazion
Length: 3.75"
Additional Information: solid,
oval-shaped lower plate
Name: Francis chalazion forceps
Alias: none
Category: grasping
Use: everting eyelid to expose
chalazion
Length: 4"
Additional Information: solid, round
lower plate
2545_Ch10_129-144 18/10/11 12:23 PM Page 132

Name: Meyerhoeffer chalazion
curette
Alias: none
Category: cutting
Use: removing chalazion
Length: 5"
Additional Information: 1.5-mm to
3.5-mm cups
Name: Vannas capsulotomy scissors
Alias: Gills Welsh Vannas
capulotomy scissors
Category: cutting
Use: making an incision into the
capsule
Length: 3.3"
Additional Information: sharp tips
A SECOND LOOK
The Desmarres and Francis forceps are both used to
evert the eyelid and expose the chalazion. The shape of
the tips differentiates one from the other. The shape of the
Desmarres tips is more oval, whereas the shape of the
Francis tips is more circular.
2545_Ch10_129-144 18/10/11 12:23 PM Page 133

Name: Castroviejo corneal
section scissors
Alias: none
Category: cutting
Use: making corneal incisions or
completing corneal trephination
Length: 4.2"
Additional Information: micro blades
for very delicate cutting; angled
blades
Name: Manson-Aebri corneal
scissors
Alias: none
Category: cutting
Use: making corneal incisions or
completing corneal trephination
Length: 4.75"
Additional Information: one blade
slightly shorter than the other
Name: Knapp strabismus scissors
Alias: none
Category: cutting
Use: cutting eye muscles
Length: 4.6"
blunt blades
Name: enucleation scissors
Alias: none
Category: cutting
Use: freeing the globe and tran-
secting the optic nerve during
enucleation procedure
Length: 5.5"
lightly, moderately, or strongly
curved blades
Name: iris scissors
Alias: none
Category: cutting
Use: incising the iris
Length: 4"
Additional Information: sharp,
pointed tips; locking handle
2545_Ch10_129-144 18/10/11 12:23 PM Page 134

Name: air injection cannula
Alias: none
Category: accessory
Use: injecting air during retinal
surgery
Length: 0.75" (excluding hub)
Additional Information: 27 gauge
or 30 gauge; shaft angled
45 degrees
Name: Jensen capsule polisher
Alias: none
Category: accessory
Use: polishing the posterior
capsule
Length: 1"
Additional Information: 27-gauge
cannula
Name: Thornton aspirating
capsule polisher
Alias: none
Use: aspirating the cortex
Length: 0.9" (excluding the hub)
cannula
Name: Nichamin side-port cannula
Alias: none
Category: accessory
Use: maintaining the anterior
chamber
Length: 2.75"
Additional Information: 21-gauge or
23-gauge needle
Name: Simcoe irrigating/aspirating
unit
Alias: none
Use: irrigating and aspirating the
cornea
Length: 12.6" of silicon tubing; 0.6"
tip (excluding hub)
cannula; aspiration through top
port, irrigation through hub
2545_Ch10_129-144 18/10/11 12:23 PM Page 135

Name: Castroviejo locking needle
holder
Alias: none
Category: suturing
Use: holding fine suture
material for suturing in the eye
Length: 5.4"
curved jaws; fine (for more
delicate sutures) or medium
Name: Lewis lens loop
Alias: none
Category: accessory
Use: positioning implanted lens
Length: 5.3"
Additional Information: loop length
6 mm ϫ 7 mm
Name: Stone lens nucleus
prolapser
Alias: none
Category: cutting
Use: loosening the lens nucleus
during cataract surgery
Length: 4.5"
Additional Information: curved tip
Name: Bechert lens forceps
Alias: none
Category: grasping
Use: grasping intraocular lens
for implantation; also used as a
tying forceps
Length: 3.5"
Name: Colibri forceps
Alias: none
Category: grasping
Use: holding edges of scleral or
corneal incisions
Length: 3.3"
Name: folding forceps
Alias: none
Category: grasping
Use: grasping and folding
intraocular lens implant
Length: 4.25"
2545_Ch10_129-144 18/10/11 12:24 PM Page 136

Name: insertion forceps
Alias: none
Category: grasping
Use: inserting intraocular lens
Length: 4.5"
angled tip
Name: lens forceps
Alias: none
Category: grasping
Use: grasping intraocular lens
Length: 4.5"
Additional Information: angled tips;
locking handle
Name: McPherson micro tying and
suture forceps
Alias: none
Category: suturing
Use: grasping and tying fine
suture
Length: 3.3"
Additional Information: straight blades
with 4-mm tying platform
Name: Landers vitrectomy lens
forceps
Alias: none
Category: grasping
Use: holding lens implants
Length: 4"
grooved blades
Name: Kelman-McPherson micro
tying and tissue forceps
Alias: none
Category: grasping
Use: grasping fine tissue and fine
sutures
Length: 3.25"
angled tips; 5-mm tying platform
Name: O’Gawa-Castroviejo tying
forceps
Alias: none
Category: suturing
Use: tying fine sutures
Length: 4.25"
blades; 6-mm tying platform
2545_Ch10_129-144 18/10/11 12:24 PM Page 137

Name: O’Gawa-Utrata capsu-
lorhexis forceps
Alias: none
Category: grasping
Use: opening the lens capsule
Length: 4"
Additional Information: fine,
angled tips
Name: Simcoe lens implantation
forceps
Alias: none
Category: grasping
Use: implanting the lens
Length: 4.75"
Additional Information: upper tip fits
into positioning hole; lower tip
stabilizes lens
Name: iris forceps (smooth)
Alias: none
Category: grasping
Use: grasping delicate tissue;
applying dressings
Length: 4"
Additional Information: serrated tip
Name: iris forceps (toothed)
Alias: none
Category: grasping
Length: 4"
1 ϫ 2 teeth
Name: Nugent utility forceps
Alias: none
Category: grasping
Use: applying dressings; grasping
tissue
Length: 4.25"
Additional Information: smooth jaws
or crisscross serrations
Name: Moody curved fixation
forceps
Alias: none
Category: grasping
Use: lifting edges of the
conjunctiva
Length: 4.25"
2545_Ch10_129-144 18/10/11 12:24 PM Page 138

Name: VanRens sleeve-spreading
forceps
Alias: none
Category: grasping
Use: spreading the sleeve used to
secure silicone band during a
scleral buckle procedure
Length: 4.5"
Additional Information: cross-action
handle
Name: micro lens hook
Alias: none
Use: manipulating the lens
Length: 4.5"
Name: Osher Y hook
Alias: none
Category: accessory
Use: manipulating and centering
one-piece lenses
Length: 4.9"
Additional Information: Y-shaped,
two-prong tip
Name: Drysdale nucleus
manipulator
Alias: none
Category: accessory
Use: rotating and cracking the
nucleus; manipulating tissue
Length: 4.3"
Additional Information: flattened
paddle tip; angled arm
Name: Osher nucleus manipulator
Alias: none
Category: grasping
Use: grasping or lifting the
nucleus
Length: 4.5"
Additional Information: blunt,
two-prong tip
2545_Ch10_129-144 18/10/11 12:24 PM Page 139

Name: Gass retinal detachment
hook
Alias: none
Category: cutting
Use: dissecting, peeling, and
removing membranes
Length: 5.6"
Additional Information: eye opening
located at the tip
Name: Graefe strabismus hook
Alias: none
Category: cutting
Use: dissecting and freeing
muscle from the sclera
Additional Information: size 1, 2, or
3; flat hook
A SECOND LOOK
The Drysdale and Osher are both used to manipulate tis-
sue during ophthamologic surgery. The tip and the angle
of the arm differentiate one from the other. The angled arm of
the Drysdale has a rounded half circle at the tip. The
Osher has a straight arm with a blunt, two-prong tip.
2545_Ch10_129-144 18/10/11 12:24 PM Page 140

Name: Jameson muscle hook
Alias: none
Use: lifting and retracting eye
muscles
Length: 5"
Name: Green strabismus hook
Alias: none
Use: lifting and retracting eye
muscles
Length: 5"
Additional Information: right-angled
tip
Name: Troutman-Barraquer iris
spatula
Alias: none
Category: accessory
Use: repositioning the iris
Length: 3.75"
Name: Barraquer iris spatula
Alias: none
Category: accessory
Use: repositioning the iris
Length: 3.5"
Additional Information: gently curved
blade
Name: Schocket double-ended
scleral depressor
Alias: none
Category: accessory
Use: marker end designed for
reaching behind the globe;
rounded end used for depressing
sclera
Length: 5.3"
Additional Information: n/a
Name: Urretts-Zavalia depressor
and fixation pick
Alias: none
Category: accessory
Use: rotating the globe to allow
examination
Length: 4.8"
Additional Information: square tip
2545_Ch10_129-144 18/10/11 12:24 PM Page 141

Name: straight and curved
needle holders
Alias: none
Category: suturing
Use: holding very fine suture
material for suturing in the eye
Length: 4.3"
Additional Information: locking
handle
Q&A
Surgical Session—Ophthalmologic Instruments
1) The surgeon asks for an eye speculum. You could
hand him/her any of the following EXCEPT the:
a. Williams
b. Barraquer
c. Schepens
d. Kratz Berraquer
2) The next step in the surgery requires the use of
lacrimal probes. You need to have the
_______________ probes ready.
a. Bowman
b. Adson
c. Gills-Welsh
d. Peyman
3) The Y-hook used to manipulate and center lenses is
a(n):
a. Gass
b. Osher
c. Williams
d. Green
4) A ______________ is a type of strabismus hook.
a. Graefe
b. Barraquer
c. Adson
d. Castroviejo
5) You are scrubbed on a corneal transplant. The sur-
geon is preparing to cut the donor cornea. You
need to have the ______________ trephine ready.
a. Williams
b. DeMerres
c. Francis
d. Hanna
6) Which of the following instruments is likely NOT
to be found on the setup for chalazion surgery?
a. Francis forceps
b. Desmarres forceps
c. Meyerhoeffer curette
d. Knapp scissors
7) A _____________ is a type of lens loop.
a. Lewis
b. Bechert
c. McPherson
d. Landers
8) Many different lens forceps may be used during
eye surgery. Which of the following is NOT a lens
forceps?
a. Landers
b. Simcoe
c. Kelly Decemet
d. Bechert
9) You are scrubbed on a scleral buckle procedure.
The surgeon requests a sleeve-spreading forceps to
aid in securing the silicone sleeve. You would hand
him/her a(n):
a. Nugent
b. VanRens
c. iris
d. Drysdale
10) A ___________ is a retractor with a notched end,
used mainly during orbital surgery.
a. Bowman
b. Schepens
c. Serrefine
d. DeMerres
2545_Ch10_129-144 18/10/11 12:24 PM Page 142

11) The surgeon requests a lacrimal sac retractor. You
a. Arruga
b. Moody
c. Nugent
d. Knapp
12) The surgeon is suturing and requests a tying for-
ceps. You could hand him/her any of the follow-
ing EXCEPT a(n):
a. McPherson
b. Jameson
c. Kelman-McPherson
d. O’Gawa-Castroviejo
13) You are scrubbed on cataract surgery. You know
that the surgeon will need a lens nucleus pro-
lapser next. In anticipation, you have the
_______________ ready to hand to him/her.
a. Stone
b. Lewis
c. Colibri
d. Schocket
14) A(n) ___________________ is a type of capsu-
lorhexis forceps.
a. Simcoe
b. O’Gawa-Castroviejo
c. O’Gawa-Utrata
d. Bracken-Farkas
15) The surgeon requests a capsule polisher. You
a. Colibri
b. Thornton
c. Arruga
d. Gills-Welsh
16) A __________________ is a type of muscle hook.
a. Troutman
b. Gass
c. Drysdale
d. Jameson
17) _______________ are small clamps that keep sutures
out of the field where the surgeon is working.
a. Serrefines
b. McPhersons
c. Peans
d. Kellys
18) Francis and Desmarres are types of
_______________ forceps.
a. muscle
b. corneal
c. chalazion
d. strabismus
2545_Ch10_129-144 18/10/11 12:24 PM Page 143

2545_Ch10_129-144 18/10/11 12:24 PM Page 144

145
Vascular,Thoracic, and Cardiac
Instruments 11
Name: DeBakey bulldog clamp
Alias: none
Category: clamping
Use: temporary occlusion of
peripheral blood vessels
Length: 3" to 4.5"
jaws; jaw length 20 mm, 30 mm,
45 mm, or 60 mm; reusable or
disposable
Name: Diethrich bulldog clamp
Alias: none
Category: clamping
Use: temporary occlusion of small
peripheral blood vessels; can be
used as a suture tag
Length: 2"
curved (shown) jaws; jaw length
8 mm, 12 mm, or 20 mm
Name: Glover bulldog clamp
Alias: none
Category: clamping
Use: temporary occlusion of
peripheral blood vessels
Length: 2" to 4.75"
(shown) or curved jaws; jaw
length 1.8 cm to 6 cm
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146 CHAPTER 11 Vascular, Thoracic, and Cardiac Instruments
Name: Fogarty spring clip applier
Alias: bulldog applier
Category: accessory
Use: applying single-use spring
clips (bulldogs)
Length: 7"
Additional Information: two sizes;
applies 6-mm or 12-mm clips
Name: bulldog applying forceps
Alias: none
Category: accessory
Use: applying bulldog clamps
during cardiac/vascular
procedures
Length: 9"
Additional Information: angled tips
Name: Javid carotid graft clamp
Alias: carotid shunt clamp
Category: grasping
Use: holding temporary bypass
graft in place
Length: 6.25" or 7"
6-mm angled jaws
Name: Fogarty hydragrip clamp
Alias: none
Category: clamping
Use: occlusion of arteries
Length: 4.5" (curved); 6.5"
(straight)
Additional Information: replaceable
jaw inserts permit occlusion
with minimal trauma to blood
vessel
Name: Fogarty aortic cross-clamp
Alias: none
Category: clamping
Use: cross-clamping the aorta
Length: 8.5"
Additional Information: jaws use
61-mm inserts
Name: DeBakey aorta clamp
Alias: none
Category: clamping
Use: total occlusion of blood
flow in the aorta
Length: 7.25"
shanks; atraumatic jaws
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CHAPTER 11 Vascular, Thoracic, and Cardiac Instruments 147
Name: Cosgrove flex clamp
Alias: none
Category: clamping
Use: clamping aorta during mini-
mally invasive heart procedures
Length: n/a
Additional Information: jaw length
33 mm, 61 mm, or 86 mm; thin
flexible shaft allows it to be
passed through small incisions
Name: DeBakey peripheral
vascular clamp
Alias: DeBakey multipurpose
clamp
Category: clamping
Use: occluding blood vessels
Length: 8.25", 9", or 12"
DeBakey-style serrated jaws;
angled 60 degrees
Name: DeBakey coarctation and
peripheral vascular clamp
Alias: none
Category: clamping
Use: clamping large vessels; may
be used to occlude more than
one vessel at a time
Length: 9"
Additional Information: DeBakey-style
atraumatic jaws
Name: DeBakey sidewinder clamp
Alias: none
Category: clamping
Use: clamping the aorta
Length: 9" to 10.5"
1.75" or 2.5"
Name: DeBakey coarctation clamp
Alias: none
Category: clamping
such as the femoral or iliac arter-
ies; may be used to occlude more
than one vessel at a time
Length: 9"
atraumatic jaws; straight or angled
(shown) shanks
2545_Ch11_145-160 18/10/11 2:11 PM Page 147

Name: DeBakey multipurpose
clamp
Alias: none
Category: clamping
Use: clamping large blood
vessels
Length: 8 or 8.5"
atraumatic jaws; jaw length
2" or 2.5"
Name: peripheral vascular clamp
Alias: none
Category: clamping
Use: clamping blood vessels
Length: 8.5"
serrations
Name: Cooley cardiovascular clamp
Alias: none
Category: clamping
Use: temporary occlusion of the
iliac artery during aortic
aneurysm repair
Length: 10.75"
7 cm or 7.3 cm; Cooley
patterned jaws
Name: Cooley coarctation clamp
Alias: none
Category: clamping
such as the femoral or iliac
arteries; may be used to occlude
more than one vessel at a time
Length: 7"
Additional Information: Cooley
patterned jaws
A SECOND LOOK
The DeBakey and Cooley tips are the two most common
types of atraumatic instrument tip patterns in vascular
instrumentation. The configuration of the teeth differentiates
one type from the other. The DeBakey tips have longitudinal
rows of atraumatic teeth in a 1 ϫ 2 configuration along
the entire length of the jaw. The Cooley tips have longi-
tudinal rows of atraumatic teeth in a 2 ϫ 3 configuration
along the entire length of the jaw.
2545_Ch11_145-160 18/10/11 2:11 PM Page 148

Name: Satinsky clamp
Alias: Satinsky vena cava clamp
Category: clamping
Use: partial occlusion of blood
vessel; occludes blood flow to
clamped-off area but allows flow
to continue through the rest of
the vessel
Length: 9.5" or 10"
jaws; jaw length 3.5 cm to 7.5 cm
Name: Gemini artery forceps
Alias: right angle; Mixter
Category: clamping
Use: clamping of fine peripheral
arteries; passing tie or loop
underneath a vessel
Length: 5.5" to 11"
jaws; jaws have fine J curve
Name: Vorse-Webster tube-occluding
forceps
Alias: tube-occluding forceps
Category: clamping
Use: clamping chest tubes, bypass
machine tubing, or other large
tubes
Length: 7" to 8"
Additional Information: heavy jaws
Name: Duval lung-grasping forceps
Alias: Duval grasping forceps
Category: grasping
Use: grasping lung tissue or
intestinal tissue
Length: 8"
Additional Information: triangular jaws
Name: Sarot bronchus clamp
Alias: none
Category: clamping
Use: clamping bronchus during
lung surgery
Length: 9"
Additional Information: jaws curved
for right or left side; jaws have
teeth on one side and holes on
the other
2545_Ch11_145-160 18/10/11 2:11 PM Page 149

Name: DeBakey cardiovascular
needle holder
Alias: none
Category: suturing
Use: holding fine suture needles
for vascular suturing
Length: 7", 9", 10.5", or 11.75"
serrated DeBakey-style jaws
Name: Castroviejo needle holder
Alias: none
Category: suturing
Use: holding fine suture needles
(microsurgery)
Length: 5.5"
curved, smooth or serrated
jaws; handle has lock
Name: Barry sternal needle holder
Alias: none
Category: suturing
Use: holding wire sternal sutures
Length: 7"
Additional Information: blunt ended
Name: wire-twisting forceps
Alias: none
Category: grasping
Use: twisting short lengths of wire
or stainless steel suture together
(e.g., when closing the sternum)
Length: 5"
Additional Information: shorter jaws
than the Barry needle holder
Name: Rumel stylet
Alias: Rumel vascular tourniquet;
Rumel tourniquet hook
Category: accessory
Use: pulling umbilical tape or
vessel loop through a tubing
tourniquet; holding aortic and
venous cannulas or blood vessels
in place
Length: 8"
Additional Information: hook on
distal end
2545_Ch11_145-160 18/10/11 2:11 PM Page 150

Name: Lawrie scissors
Alias: none
Category: cutting
Use: cutting fine blood vessels to
extend an opening
Length: 7"
Additional Information: circumflex jaws
Name: Potts-Smith scissors
Alias: none
Category: cutting
Use: cutting fine blood vessels to
extend an opening
Length: 5.25" to 7"
Additional Information: blades can
have 25-degree, 45-degree, or
60-degree angle; delicate or
standard blades; essential for
arteriotomy
A SECOND LOOK
Both the Lawrie and Potts-Smith scissors are delicate,
used for extending an opening in a vessel. The angle of
the blades differentiates one from the other. The blades of the
Potts-Smith scissors can be angled 25 to 60 degrees.
The Lawrie scissors have 125-degree circumflex blades.
2545_Ch11_145-160 18/10/11 2:11 PM Page 151

Name: Stevens tenotomy scissors
Alias: tenotomy scissors
Category: cutting
Use: cutting or dissecting fine
tissue or blood vessels
curved (shown) blades; tips
narrow to a blunt end
Name: microscissors
Alias: none
Category: cutting
Length: 4"
Use: cutting fine blood vessels
Additional Information: ultrafine
curved blades
Name: Jameson scissors
Alias: none
Category: cutting
Use: dissecting or cutting fine
tissue; dissecting plaque from
an artery
Length: 5.5" or 7"
blades; sharp points
Name: Giertz-Shoemaker rib shears
Alias: Stille-Giertz rib shears
Category: cutting
Use: cutting the ribs
Length: 9.75"
Additional Information: double-action
handle; guillotine blade
Name: pin and wire cutter
Alias: none
Category: cutting
Use: cutting wire or stainless
steel suture
Length: 7"
Additional Information: double-action
handle
Name: sternal saw
Alias: none
Category: cutting
Use: cutting through the sternum
Length: n/a
Additional Information: attaches to a
nitrogen source for power
2545_Ch11_145-160 18/10/11 2:11 PM Page 152

Name: Alexander-Farabeuf raspatory
Alias: Alexander double-ended
costal periosteotome
Category: cutting
Use: removing cartilage and tissue
from bone
Length: 8.5"
Name: Doyen rib raspatory
Alias: Doyen coastal elevators
Category: cutting
Use: removing tissue and cartilage
from the ribs
Length: 7"
Additional Information: left or right
blade
Name: Semb raspatory
Alias: none
Category: cutting
bone
Length: 8"
Name: Bailey-Gibbon rib contractor
Alias: Bailey rib approximator
Category: grasping
Use: approximating ribs back
together
Length: 7"
Additional Information: 0.5" or
1.37" arms
Alias: none
Use: retracting tissue
Length: 6.75"
Additional Information: hinged
shanks; 3 ϫ 4 prongs
Name: Allison lung retractor
Alias: none
Use: retracting lung
Length: 10.5" or 12.5"
1.5" or 2.5"
2545_Ch11_145-160 18/10/11 2:11 PM Page 153

Name: Cosgrove mitral valve
retractor
Alias: none
Use: retraction during mitral
valve surgery
Length: 8"
provides right and left atrium
and mitral valve exposure
Name: Cooley atrial retractor
Alias: none
Use: retracting atria during mitral
valve surgery
Length: 8"
Additional Information: left- or
right-side blade
Name: Burford-Finochietto rib
spreader
Alias: none
Length: 6" (child) or 10" (adult)
spread
Use: retracting ribs
Length: n/a
able blades (shallow or deep)
Name: Tuffier rib spreader
Alias: none
Use: retracting ribs
Length: 7" spread
Additional Information: 2" blade
Name: epicardial retractor
Alias: Parsonnet
Use: retracting epicardial fat to
expose the coronary arteries
Length: 1.5" to 3"
Alias: none
Length: 8.5"
points straight, left, or right
2545_Ch11_145-160 18/10/11 2:11 PM Page 154

Alias: none
Length: 8" or 12"
Additional Information: open or solid
handle; blade width 8 mm to
18 mm
Name: Mills/Dennis micro-ring
forceps
Alias: none
Category: grasping
Use: grasping very fine tissue or
vessels
Length: 6" to 9"
2-mm ring
Name: Gerald tissue forceps
Alias: none
Category: grasping
Length: 7"
Additional Information: 1 ϫ 2 teeth or
serrated jaws
Name: Rosano forceps
Alias: none
Category: grasping
Length: 6"
Additional Information: jaws have
double rows of blunt teeth
Name: DeBakey tissue forceps
Alias: none
Category: grasping
Use: grasping tissue or blood vessels
Length: 6" to 12"
jaws in 1 ϫ 2 row; micro, delicate,
or standard jaws; straight or
angled jaws
Name: heparin needle
Alias: none
Category: accessory
Use: injecting heparinized saline
into blood vessel lumen
Length: 2" or 3"
Additional Information: 3-mm, 3.7-mm,
or 5-mm tip
2545_Ch11_145-160 18/10/11 2:11 PM Page 155

Name: Hardy dissector
Alias: none
Category: cutting
Length: 7" or 9.5"
Additional Information: left or right
sided; sharp inner edge
Name: Garrett dilators
Alias: vascular dilators
Category: dilating
Use: dilating blood vessels
Length: 8"
Additional Information: thin shaft,
elongated tip; set includes sizes
1-mm to 5-mm tips; tip size
increases in 0.5-mm increments
Name: vascular tunneling set
Alias: none
Category: dilating
Use: placing vascular grafts
Length: n/a
Additional Information: set includes
various lengths and diameters
Name: Castroviejo caliper
Alias: none
Category: accessory
Length: 3.5"
Use: measuring and marking
Additional Information: measures in
mm; straight or curved; thumb-
screw holds tips apart
Name: aortic punch
Alias: none
Category: cutting
Use: punching hole in aorta for
joining cardiac bypass grafts
Length: n/a
Additional Information: 2.7-mm to
5.6-mm blade diameter; single-
patient use
2545_Ch11_145-160 18/10/11 2:11 PM Page 156

Name: internal defibrillator paddles
Alias: none
Category: accessory
Use: shocking heart muscle back
into an organized rhythm
Length: n/a
able paddles for adult, pediatric,
and infant; some sets have button
on the handle to discharge the
paddles and some do not; plug
end of the cord passes off the field
to be hooked into defibrillator
THORACOSCOPY INSTRUMENTS
The following instruments are spe-
cific to thoracoscopy, but other gen-
eral endoscopic instruments may also
be used. Please refer to Chapter 2,
Laparoscopic Instruments, for de-
scriptions of those instruments.
Name: 0-degree scope
Alias: none
Category: viewing
Use: viewing inside the chest cavity
Length: n/a
Additional Information: lens angle
0 degrees
Name: 30-degree scope
Alias: none
Category: viewing
Use: viewing inside the chest cavity
Length: n/a
Additional Information: 30-degree lens
angle allows looking in various
directions
Name: clip-applying forceps
Alias: hemoclip appliers
Category: accessory
Use: holding and applying
hemoclips
Length: 6.5", 7.75", or 9"
medium, and large sizes; straight
or angled jaws; finger rings may
be color coded to match clip
cartridges
2545_Ch11_145-160 18/10/11 2:11 PM Page 157

Alias: dissecting scissors
Category: cutting
Use: dissecting and cutting tissue
Length: n/a
Additional Information: use on tissue
only; do not use to cut suture
or drains
Name: DeBakey grasping forceps
Alias: none
Category: grasping
Length: 11"
DeBakey-style jaws; spring or
ratchet handle
Name: needle holder
Alias: none
Category: suturing
Use: holding suture needles for
suturing
Length: 9"
Additional Information: spring handle
Trocars
Name: trocars
Alias: none
Category: accessory
Use: allows introduction of instru-
ments and camera to the inside
of body cavities for endoscopic
thoracic surgery
Length: n/a
Additional Information: reusable;
requires appropriate decontam-
ination and sterilization between
uses, following manufacturer’s
recommendations and institu-
tional policy; 5.5-mm, 7.0-mm,
or 11.0-mm diameter
and Supplies. FA Davis, 2010, p 142, with permission.)
Name: mediastinoscope
Alias: none
Category: viewing
Use: viewing inside the
mediastinal space
Length: n/a
Additional Information: needs light
source and video source
2545_Ch11_145-160 18/10/11 2:11 PM Page 158

Q&A
Surgical Session—Vascular, Thoracic, and Cardiac Instruments
1) The surgeon asks for a bulldog clamp. You could
hand him/her any of the following EXCEPT a:
a. Glover
b. DeBakey
c. Diethrich
d. Lawrie
2) A Gemini is what type of a clamp?
a. aortic cross clamp
b. right angle
c. peripheral occlusion
d. bulldog
3) Replaceable jaw inserts are used on which clamp?
a. Fogarty
b. DeBakey
c. Satinsky
d. Javid
4) The surgeon needs to contract the ribs back
together prior to closing the chest. You anticipate
this and have a __________________ ready to hand
him/her.
a. Giertz-Stille
b. Bailey-Gibbon
c. Garrett
d. Gerald
5) The surgeon asks for a lung retractor. You would
hand him/her a(n)
a. Allison
b. Davidson
c. Duval
d. DeBakey
6) During a carotid endarterectomy, the surgeon
requests a carotid artery bypass shunt clamp. You
hand him/her a
a. Fogarty
b. Javid
c. Cooley
d. Glover
7) Potts scissors tips can be angled at all of the
following degrees EXCEPT:
a. 25
b. 45
c. 50
d. 60
8) A ________________ is a type of rib raspatory.
a. Barry
b. Satinsky
c. DeBakey
d. Doyen
9) You are scrubbed on a lung lobectomy. You know
this surgeon uses a bronchus clamp with teeth.
You have a(n) _______________ clamp ready to
hand him/her.
a. Sarot
b. Allison
c. Glover
d. Collin
10) The CABG surgery is almost complete, and the
surgeon is ready to place the stainless steel sutures
in the sternum. You would use a _____________
needle holder to pass the wire sutures on.
a. DeBakey
b. coronary
c. Barry
d. Castroviejo
11) All of the following are types of scissors
EXCEPT a:
a. Lawrie
b. tenotomy
c. Jameson
d. Rummel
12) During a thoracotomy, the surgeon needs to
remove a rib. Which instrument would be used
to cut the rib?
a. Giertz-Shoemaker
b. Doyen
c. Alexander-Farabeuf
d. Matson
13) All of the following can be types of DeBakey
clamps EXCEPT a(n):
a. sidewinder
b. coarctation
c. aorta
d. carotid artery bypass shunt
2545_Ch11_145-160 18/10/11 2:11 PM Page 159

14) Which of the following is NOT a raspatory?
a. Bailey
b. Doyen
c. Semb
d. Matson
15) During coronary valve surgery, the surgeon
requests a handheld atrial retractor. You would
hand him/her a
a. Tuffier
b. Buford-Finochietto
c. Charpentier
d. Cooley
16) During vascular surgery, the surgeon needs to
dilate a blood vessel. You would have the
________________ dilators ready.
a. Crane
b. Cogswell
c. Garrett
d. Javid
17) A ______________ is a type of flexible aortic clamp
that is used during minimally invasive surgery.
a. Caldwell
b. Cosgrove
c. Cogswell
d. Costgove
18) A _______________ is a lung tissue grasping
forceps with triangular jaws.
a. Duval
b. DeBakey
c. Barry
d. Cooley
19) A self-retaining retractor used to retract epicardial
fat is a(n):
a. Allison
b. Dandy
c. Parsonnet
d. Cushing
20) A Hardy is a type of
a. scissors
b. clamp
c. rib retractor
d. dissector
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161
Plastic Surgery Instruments
12
Name: Ryder slim-needle holder
Alias: none
Category: suturing
Use: holding delicate suture
needles
Length: 5" or 6"
Additional Information: smooth
(shown) or cross-serrated jaws
Name: Crile-Wood needle holder
Alias: fine-needle driver; plastic
needle driver
Category: suturing
Use: holding small or medium-
size suture needles
Length: 5.5", 6", 7", 8", or 9"
Additional Information: used during
delicate surgery
Name: Castroviejo micro-needle
holder
Alias: micro-needle holder
Category: suturing
Use: holding fine suture material
for suturing
Length: 5.4"
(shown) or curved jaws
Alias: none
Category: grasping
Use: grasping fine tissue; applying
dressings
Length: 3.5"
(tissue forceps) or serrated tips
(dressing forceps); delicate
(0.3-mm) or standard (0.5-mm) tip
2545_Ch12_161-166 18/10/11 2:14 PM Page 161

162 CHAPTER 12 Plastic Surgery Instruments
Name: Blair elevator
Alias: none
Category: cutting
the bone
Length: 7.5" to 8"
Additional Information: sharp or dull
(shown) tip
Name: Clodius elevator
Alias: none
Category: cutting
the bone
Length: 7.5"
Additional Information: useful in
limited-access areas
Name: Cottle double hook
Alias: none
Length: 6"
Additional Information: 3 mm
between prongs
Alias: none
Length: 6"
(shown) or double hook
Name: Freeman face-lift retractor
Alias: Walter retractor
Use: retracting skin and tissue
during plastic surgery procedures
Length: 6.5"
Additional Information: sharp prongs
Name: Tebbetts retractor
Alias: lighted breast retractor
Use: retracting breast tissue;
visualizing underlying struc-
tures; suctioning fluid
Length: 90-mm, 115-mm,
150-mm, or 190-mm blade
Additional Information: fiberoptic
illumination; handle includes
connector for suction tuning
2545_Ch12_161-166 18/10/11 2:14 PM Page 162

CHAPTER 12 Plastic Surgery Instruments 163
Name: liposuction cannulas
Alias: none
Use: suctioning fat from under
the skin during liposuction
procedures
Length: various sizes and lengths
for different areas of the body
Category: accessory
Use: visualizing mouth or larynx
Length: n/a
6; mirror diameter 14 mm to
24 mm
Name: Dingman mouth gag
Alias: none
Use: holding mouth open during
surgery
Length: 5.25"
interchangeable blades
Name: dermatome
Alias: none
Category: cutting
Use: cutting skin grafts of uniform
thickness
Length: n/a
Additional Information: have sterile
mineral oil available to lubricate
skin prior to cutting skin graft;
skin must be held taut while cut-
ting the graft; various blade sizes
available
Name: hand grafting knife
Alias: none
Category: cutting
Use: cutting skin grafts; débriding
wound
Length: n/a
Additional Information: single-use
blade attaches to knife handle
2545_Ch12_161-166 18/10/11 2:14 PM Page 163

Name: dermamesher
Alias: skin mesher
Category: cutting
Use: creating cuts in the skin
graft, making a "mesh" that
allows the graft to cover a
larger area
Length: n/a
Additional Information: read manu-
facturer’s instructions; some
meshers use a skin carrier
Name: Freeman nipple-marking
template
Alias: areola marker
Category: accessory
Use: marking areola for breast
surgery
Length: n/a
Additional Information: 24 mm to
50 mm
Name: McKissock keyhole
Alias: none
Category: accessory
Use: marking breast incisions for
reduction mammoplasty
Length: n/a
Name: iris scissors
Alias: none
Category: cutting
Use: cutting fine tissue
(shown) or straight blades;
sharp points
Name: Littler plastic surgery
scissors
Alias: Littler suture carrying
scissors
Category: cutting
Length: 4.5"
Additional Information: blade holes
act as suture carriers
2545_Ch12_161-166 18/10/11 2:14 PM Page 164

CHAPTER 12 Plastic Surgery Instruments 165
Name: Stevens tenotomy scissors
Alias: tenotomy scissors
Category: cutting
Length: 4"
slightly curved wedge-shaped
(shown) blades
Name: Kaye face-lift scissors
Alias: none
Category: cutting
Use: dissecting fine tissue during
facelift
Length: 4"
blunt tips
Q&A
Surgical Session—Plastic Surgery Instruments
1) At the beginning of breast reduction surgery, the
surgeon requests an instrument to mark the areola.
You hand him/her a:
a. Blair
b. Crile-Wood
c. Clodius
d. Freeman
2) A _____________ is a type of self-retaining mouth
gag.
a. Cottle
b. Blair
c. Dingman
d. Clodius
3) You are scrubbed in on a skin graft. The surgeon is
ready to cut the graft from the thigh. The instru-
ment he/she may use is a:
a. Lucas
b. McKesson
c. dermatome
d. Crane
4) Which of the following is FALSE concerning
Bishop-Harmon tissue forceps?
a. The tips can have teeth.
b. The tips can be serrated.
c. They are used on heavy tissue.
d. Tips are 0.3 mm or 0.5 mm in diameter.
5) Cannulas of various sizes (depending on the body
site) are used in what type of procedure?
a. skin graft
b. breast augmentation
c. liposuction
d. blephroplasty
6) Which procedure is most likely to use a McKissock?
a. breast augmentation
b. mastectomy
c. breast reduction
d. liposuction
2545_Ch12_161-166 18/10/11 2:14 PM Page 165

7) A Ryder is a type of:
a. needle holder
b. clamp
c. scissors
d. suction
8) Kaye scissors would most likely be used during
which procedure?
a. breast augmentation
b. breast reduction
c. face-lift
d. rhinoplasty
9) A Tebbetts is categorized as a _________________
instrument.
a. clamping
b. grasping
c. cutting
d. retracting
10) A Freeman is a type of:
a. clamp
b. retractor
c. forceps
d. scissors
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167
Instrument Trays and Setups
13
This chapter provides an introduction to the contents of
some common instrument trays and illustrates pointers
for setting up your Mayo and back table. The content
presented here is not exhaustive but rather provides ex-
amples that show instruments in their context of surgical
practice. The first part of the chapter illustrates examples
of the setup guidelines presented below, whereas the sec-
ond half shows examples of various instrument trays.
Most important, every institution has its own defini-
tion of what individual trays should contain, and every
setup differs according to the surgeon and the person
who sets up for the procedure. My intention here is to
provide examples of the types of instruments that can be
included in trays as well as some examples of how these
instruments can be set up for surgery. My hope is that
you will use these photographs as a guide, not as a rigid
view of what a particular tray or setup should or should
not contain.
The following list provides some general guidelines
for setting up your Mayo and back table:
• Set up the sterile field as close as possible to the
time the procedure begins. NEVER set up far in
advance or cover the sterile field with a drape.
• Develop a logical, organized,
and efficient approach to set-
ting up, with little wasted mo-
tion. Items should be handled
only once. After you place an
item, leave it where you placed
it; do not rearrange items.
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168 CHAPTER 13 Instrument Trays and Setups
• Instruments on the Mayo vary
according to the surgical proce-
dure, but keep the number of
instruments to a minimum.
Avoid disorganization and
wasted time while hunting for
needed items.
• Space on the top of the Mayo is
limited. Therefore, place there
only the items needed to start
the procedure (such as scalpels
and superficial retractors) and
those that will be used repeat-
edly (common rings such as
Kochers, Allis, or hemostats;
Mayo and Metzenbaum scissors;
smooth and tissue forceps).
• Remove and replace instru-
ments (e.g., deep retractors)
as necessary as the surgery
progresses. Organize all other
instruments on the back table.
2545_Ch13_167-180 18/10/11 2:16 PM Page 168

CHAPTER 13 Instrument Trays and Setups 169
• Place instrument rings on a
rolled towel. Do not hang in-
struments over the edge of
the Mayo.
• To facilitate quick opening by the surgeon, close
instruments only to the first ratchet.
• Check instruments for damage before placing
them on the Mayo or back table.
• Place sharps in an organized manner to allow them
to be passed safely and efficiently (or placed in the
neutral zone safely) and to facilitate the instrument
count. Know where your sharps are at all times.
After sharps are returned to you, return them to
their original place on the Mayo or back table.
• Minimize your motion around the Mayo and back
table.
• Mentally divide your back table into sections and
work on one section at a time.
• Arrange basins and medicine
cups so that the circulator can
easily use proper aseptic tech-
nique when pouring fluids or
medication.
• Group all like sponges together
(e.g., all Raytecs together, all lap
pads together). Do not place
differing sponges on top of one
another (e.g., do not place the
sponges under the lap pads).
• To avoid confusion, ask for your
dressings at the end of the proce-
dure so they do not get mixed up
with the counted sponges (e.g.,
Raytecs and 4 ϫ 4 dressing sponges
look alike and could easily get
mixed, throwing off your count).
2545_Ch13_167-180 18/10/11 2:16 PM Page 169

EXAMPLES OF SURGICAL
EQUIPMENT AND SETUPS
Major General Trays
Laparoscopic Cholecystectomy Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 170

Laparoscopic Bowel Trays
D and C Setups
2545_Ch13_167-180 18/10/11 2:16 PM Page 171

C-section Setups
Cytoscope Setups
2545_Ch13_167-180 18/10/11 2:16 PM Page 172

Ureteroscope
Orthopedic Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 173

Power Instrument Tray
Small and Large Fragment Sets
2545_Ch13_167-180 18/10/11 2:16 PM Page 174

Hip Arthroscopy Tray
M & T Tray
Dental Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 175

Craniofacial Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 176

Retinal Tray
Cataract Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 177

Corneal Tray
Open Heart Trays
Mediastinoscopy Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 178

Liposuction Trays
2545_Ch13_167-180 18/10/11 2:16 PM Page 179

2545_Ch13_167-180 18/10/11 2:16 PM Page 180

181
Appendix: Answers to Surgical
Session Quizzes
CHAPTER 1
General Instruments
1. d 2. c 3. a 4. c 5. b 6. c 7. b
8. c 9. d 10. b 11. c 12. c 13. d 14. c
15. a 16. c 17. d 18. c 19. b 20. a
CHAPTER 2
Laparoscopic Instruments
1. c 2. a 3. b 4. d 5. b 6. d 7. c
8. b 9. b 10. c 11. b 12. c 13. b 14. d
CHAPTER 3
OB-GYN Instruments
1. b 2. c 3. b 4. d 5. a 6. b 7. b
8. c 9. b 10. a 11. b 12. c 13. d 14. a
15. b 16. d 17. c 18. c 19. b 20. c
CHAPTER 4
Urology Instruments
1. b 2. d 3. b 4. a 5. b 6. d 7. a
8. c 9. b 10. d 11. c 12. d 13. a 14. d
15. b 16. a 17. b 18. c 19. b
CHAPTER 5
Robotic Instruments
1. a 2. c 3. d 4. c 5. b 6. d 7. a
CHAPTER 6
Orthopedic Instruments
1. a 2. c 3. a 4. b 5. a 6. c 7. c
8. b 9. c 10. c 11. b 12. d 13. c 14. d
15. c 16. c 17. b 18. a 19. d
CHAPTER 7
Neurosurgical Instruments
1. b 2. b 3. c 4. b 5. d 6. d 7. c
8. b 9. d 10. a 11. b 12. a 13. c 14. d
15. a 16. b 17. b 18. c 19. d 20.c
CHAPTER 8
Ear, Nose, and Throat Instruments
1. a 2. b 3. d 4. b 5. c 6. a 7. d
8. b 9. a 10. c 11. b 12. a 13. d 14. c
15. d 16. b
CHAPTER 9
Dental and Maxillofacial Instruments
1. c 2. b 3. a 4. b 5. d 6. d 7. b
8. b 9. b
CHAPTER 10
Ophthalmologic Instruments
1. c 2. a 3. b 4. a 5. d 6. d 7. a
8. c 9. b 10. b 11. d 12. b 13. a 14. c
15. b 16. d 17. a 18. b 19. c
CHAPTER 11
Vascular,Thoracic, and Cardiac Instruments
1. d 2. b 3. a 4. b 5. a 6. b 7. c
8. d 9. a 10. c 11. d 12. a 13. d 14. a
15. d 16. c 17. b 18. a 19. c 20. d
CHAPTER 12
Plastic Surgery Instruments
1. d 2. a 3. c 4. c 5. c 6. c 7. c
8. a 9. c 10. b
2545_App_181-182 18/10/11 2:47 PM Page 181

2545_App_181-182 18/10/11 2:47 PM Page 182

183
A
Abdominal suction. See Poole (or Pool)
suction
Active electrode. See Electrosurgical pencil
Adson cranial rongeur, 83
Adson dressing forceps, 7
Adson dural scissors, 88
Adson hydrophyseal forceps, 98
Adson periosteal elevator, 86
Adson retractor. See Cerebellar retractor
Adson suction, 89-90, 131
Adson tissue forceps, 7
Adson tonsil clamp. See Schnidt hemostat
Adson-Brown forceps. See Brown-Adson
forceps
Air injection cannula, 135
Alexander double-end costal periosteotome.
See Alexander-Farabeuf raspatory
Alexander-Farabeuf raspatory, 153
Allen intestinal forceps, 13
Alligator forceps
laparoscopic, 33
Allis clamp, 42-43
Allis forceps, 9
laparoscopic, 32
Allis-Adair clamp, 43
Allison lung retractor, 153
Allport retractor. See Jansen retractor
Anderson-Nievert osteotome, 108
Anoscope with obturator, 7
Aortic punch
Argon beam coagulator, 6
Army-Navy retractor. See U.S. Army retractor
Arthroscope, 78
Arthroscopic instruments
arthroscope, 78
banana knife, 79
camera system, 78
duckbill straight biter, 79
fluid pump and tubing, 78
graspers, 79
probe, 78
punches, 79
scissors, 79
setup for, 175
shaver, 77
sheath and obturator, 77
Aspirating needle, 31
Aspirating tubes
Jackson velvet eye, 117
Aufranc retractor, 76
Auvard weighted vaginal speculum, 39
B
Babcock forceps, 9, 43
laparoscopic, 32
Babcock intestinal forceps. See Babcock
forceps
Backhaus towel clamp, 1
Bailey rib approximator. See Bailey-Gibbon rib
contractor
Bailey-Gibbon rib contractor, 153
Bainbridge artery and intestinal forceps, 13
Bainbridge forceps. See Bainbridge artery and
intestinal forceps
Bakes common bile duct dilator, 6
Balfour retractor, 17
Ball tip probe, 86
Ballenger knife, 108
Bandage and utility scissors, 15
Bandage scissors. See Lister scissors
Bane rongeur, 125
Bar-holding forceps, 93
Barnhill curette, 109
Baron suction tube, 105
Barraquer eye speculum, 129
Barraquer iris spatula, 141
Barrett tenaculum, 44
Barrett uterine tenaculum. See Barrett
tenaculum
Barry sternal needle holder, 150
Baskets
stone retrieval, 58
Baumgartner needle holder, 3
Beaver blade handle. See Blade knife handle
Bechert lens forceps, 136
Beckman speculum, 106
Beckmann goiter retractor. See Beckmann-Adson
laminectomy retractor
Beckmann retractor, 18-19, 74, 153
Beckmann-Adson laminectomy retractor, 87
Bending iron, 93
Bennett retractor, 76
Best right-angle colon clamp, 12
Beyer rongeur, 83
Billeau ear loop, 105
Biopsy forceps
laparoscopic, 33
Biopsy punches
Thomas-Gaylor, 45
Bipolar cautery
laparoscopic, 35
Bipolar cautery cord, 5
Bishop-Harmon forceps, 53, 114, 161
Bladder blade. See DeLee bladder retractor
Blade knife handle, 17
Blades
No. 10, 16
No. 11, 16
No. 12, 16
No. 15, 16
Blair elevator, 162
Blake gallstone forceps, 10
Blount knee retractor, 76
double-prong, 77
Blunt curette, Thomas curette
Blunt grasper. See Alligator forceps
Blunt Hohmann retractor, 76
Boettcher dissecting scissors. See Boettcher tonsil
scissors
Boettcher tonsil scissors, 107
Bone cutter
Liston-Stille, 89
Bone file, 67
Bone hook. See Dingman zygoma hook
Bone mallet, 72
Bone reduction forceps, 121-122
Bone tamp, 72
Bone tap, 122
Bonney tissue forceps, 8, 47
Bookwalter system retractors, 17
Boucheron ear speculum, 111
Bovie pencil. See Electrosurgical pencil
Bowel clamp
laparoscopic, 33
Bowman lacrimal probe, 130
Box osteotome, 70
Bozeman dressing forceps, 44
Braun tenaculum, 44
Brown bayonet forceps, 112-113
Brown thumb forceps, 7
Brown tissue forceps. See Brown thumb forceps
Brown-Adson forceps, 7, 113
Bruening ethmoid exenteration forceps, 114
Brun bone curette, 71, 89
Brun mastoid curette. See Spratt curette
Buck ear curette, 105
Bugbee electrode, 58
Bulldog applier. See Fogarty spring clip applier
Bulldog applying forceps, 146
Burford-Finochietto rib spreader, 154
C
Cairn clamp. See Dandy clamp
Calipers
Castroviejo, 131, 156
Townley, 72
Camera
arthroscopic, 78
endoscopic, 29
Cannulas
air injection, 135
liposuction, 163
Nichamin side-port, 135
for robotic instruments, 62
Cannulated pin cutter, 71
Cannulated tap and handle, 93
Caplan septal scissors, 106
Capsule polishers
Jensen, 135
Thornton aspirating, 135
Carotid shunt clamp. See Javid carotid artery
graft clamp
Carter-Glassman resection clamp, 13
Cartilage cutting board, 116
Castroviejo calipers, 131, 156
Castroviejo corneal section scissors, 134
Castroviejo locking forceps, 126
Castroviejo needle holders, 150
locking, 136
micro, 161
Catheter stylets
malleable, 52
Catheters
Rubin, 48
Cautery
bipolar, 35
cord for, 5
Gyrus, 35
handheld, 5
L hook for, 35
laparoscopic instruments for, 35
robotic hook for, 64
Cement gun, 73
Cement mixer. See Cement system
Cement system, 73
INDEX
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184 Index
Cerebellar retractor, 18-19, 74, 87
Chisel-osteotomes
Cottle, 108
Chisels
Hajek septum, 117
Church scissors, 53-54
Clamps
Allis, 42-43
Allis-Adair, 43
Backhaus towel, 1
Best right-angle colon, 12
bowel
laparoscopic, 33
bulldog
DeBakey, 145
Diethrich, 145
Glover, 145
Carter-Glassman resection, 13
Cooley cardiovascular, 148
Cooley coarctation, 148
Cosgrove flex, 147
Cottle columella, 113
Crile hemostatic, 11
Dandy, 90-91
DeBakey aorta, 146
DeBakey coarctation, 147
DeBakey coarctation and peripheral vascular, 147
DeBakey multipurpose, 148
DeBakey peripheral vascular, 147
DeBakey sidewinder, 147
Edna towel, 25
Fehland right-angle colon, 13
Fogarty aortic cross-clamp, 146
Fogarty hydragrip, 146
Greene tubing, 91
Halstead mosquito, 11
Javid carotid graft, 146
Kelly hemostatic, 11
Lewin bone, 72
Lowman bone-holding, 73
Mayo-Guyon, 51
McDougal pedicle, 51
meniscus, 73
Mixter, 12
Pean, 11
Peers towel, 25
peripheral vascular, 148
Rochester Mixter, 12
Rochester-Pean, 10
Roeder towel, 25
Sarot bronchus, 149
Satinsky, 149
Schnidt hemostat, 12
Serrefine, 131
towel, 25
Claw grasper. See Toothed grasper
Clip appliers
Fogarty spring, 146
robotic, 63
Clip-applying forceps, 3
for thoracoscopy, 157
Clodius elevator, 162
Cloward vertebra spreader, 96
Coagulators
argon beam, 6
Cobb bone curette, 72
Cobb elevator, 68, 86
Coblation machine, 118
Cobra grasper
robotic, 63
Cobra retractor. See Aufranc retractor
Cogswell elevator, 124
Colibri forceps, 136
Collagen injection system, 59
Combination bending and cutting pliers, 127
Contour curved cutter/stapler, 25
Cooley atrial retractor, 154
Cooley cardiovascular clamp, 148
Cooley coarctation clamp, 148
Corkscrew dural hook, 89
Cosgrove flex clamp, 147
Cosgrove mitral valve retractor, 154
Cottle angular scissors, 106
Cottle chisel-osteotome, 108
Cottle columella clamp, 113
Cottle double hook, 162
Cottle mallet, 116
Cottle nasal knife, 108
Cottle nasal speculum, 112
Cottle septal elevator, 110
Cottle speculum, 111
Coupling handle
quick, 123
Cowan forceps. See Bonney tissue forceps
Crane pick elevator, 124
Crile hemostatic clamp, 11
Crile-Wood needle driver. See Crile-Wood needle
holder
Crile-Wood needle holder, 3, 161
Curettes
Barnhill, 109
Brun bone, 71, 89
Buck ear, 105
Cobb bone, 72
House stapes, 102
Jordan-Rosen, 102
Kevorkian-Younge endocervical biopsy, 47
Lucas, 125
Meyerhoeffer chalazion, 133
Rhoton pituitary, 97
Rosenmueller fossea, 109
Sims, 46
Spratt, 101
Thomas, 46
Wullstein ear, 115
Curved grasper
laparoscopic, 33
Curved Mayo scissors, 14
Curved needle holders, 142. See also Heaney
needle holder
Cushing bayonet forceps, 91, 112-113
Cushing Little Joker periosteal elevator, 68
Cushing periosteal elevator, 86
Cushing pituitary rongeur, 71, 84
Cushing tissue forceps, 92
Cushing vein retractor, 21, 51, 75, 155
Cushing-Landolt transsphenoidal
speculum, 96
Cutting board
cartilage, 116
Cystoscope, 57
D
Dandy clamp, 90-91
Dandy nerve hook, 21, 52, 75, 154
Davis brain spatula, 88
Dawson-Yuhl curette. See Cobb bone curette
Dean scissors, 126
Deaver retractor, 22
DeBakey aorta clamp, 146
DeBakey atraumatic vascular forceps. See
DeBakey tissue forceps
DeBakey bulldog clamp, 145
DeBakey cardiovascular needle holder, 4, 150
DeBakey coarctation clamp, 147
peripheral vascular and, 147
DeBakey grasping forceps
DeBakey multipurpose clamp, 148. See also
DeBakey peripheral vascular clamp
DeBakey peripheral vascular clamp, 147
DeBakey sidewinder clamp, 147
DeBakey tissue forceps, 155
DeBakey tissue forceps, 8
Defibrillator paddles
internal, 157
0-degree endoscope, 29
30-degree endoscope, 30
90-degree plate bender, 126
0-degree scope
30-degree scope
for thoracoscopy
DeLee bladder retractor, 39
Dental and maxillofacial instruments, 121-127
bone tap, 122
curettes
Lucas, 125
dental syringe, 123
depth gauge, 122
drill bits, 123
trocar, 123
drill guide, 123
elevators
Cogswell, 124
Crane pick, 124
periosteal, 124
reverse, 124
Sedillot periosteal, 124
forceps
bone reduction, 121-122
Castroviejo locking, 126
extracting, 125
molar extracting, 125
plate and bone holding, 121-122
hooks
Gillis bone and zygoma, 125
laryngeal mirror, 124
mallets
Mead, 125
McKesson mouth prop, 123
plate benders
90-degree, 126
large, 126
pliers
combination bending and cutting, 127
quick coupling handle, 123
rongeurs
Bane, 125
scissors
Dean, 126
screws and plates
for facial fractures, 127
setup of, 175-176
suction
McKesson, 126
Dental mirror. See Laryngeal mirror
Dental syringe, 123
Depressors
Schocket double-ended scleral, 141
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Index 185
Urretts-Zavalia depressor and fixation pick,
141
Depth gauge, 70, 122
Derlacki mobilizer, 103
Dermamesher, 164
Dermatome, 163
Desjardin gallstone scoop, 6
Desmarres chalazion forceps, 132-133
Desmarres lid retractor, 130
Diethrich bulldog clamp, 145
Dilators
Bakes common bile duct, 6
Garrett, 156
Goodell uterine, 40
Hank, 41
Hegar, 42
Trousseau tracheal, 111
Dingman mouth gag, 163
Dingman zygoma hook, 68. See also Gillies bone
and zygoma hook
Disposable trocars and ports, 31
Dissecting forceps. See also Curved grasper
robotic, 63
Dissecting scissors. See Curved Mayo scissors;
Metzenbaum scissors
Dissectors
endoscopic Kittner, 35
Hardy, 156
House-Crabtree, 103
Hurd dissector and pillar retractor, 114
Maryland
laparoscopic, 33
Penfield No. 1, 84-85
Penfield No. 3, 85
Penfield No. 4, 68, 85
Penfield No. 5, 85
Pierce submucous, 108
Down biter. See Cushing pituitary rongeur
Doyen costal elevators. See Doyen rib
raspatory
Doyen intestinal forceps, 13
Doyen rib raspatory, 153
Dressing forceps, 7, 44
Drill bits, 123
trocar, 123
Drill guide, 123
Drills
Midas Rex, 96
Drysdale nucleus manipulator, 139-140
Duckbill speculum. See Graves vaginal
speculum
Dural hook. See Corkscrew dural hook
Duval grasping forceps. See Duval lung-grasping
forceps
Duval lung-grasping forceps, 149
E
Ear, nose, and throat instruments, 101-119
aspirating tube
Jackson velvet eye, 117
chisel
Hajek, 117
chisel-osteotome
Cottle, 108
clamp
Cottle columella, 113
Coblation machine in, 118
curettes
Barnhill, 109
Buck ear, 105
House stapes, 102
Jordan-Rosen, 102
Rosenmueller fossea, 109
Spratt, 101
Wullstein, 115
cutting board
cartilage, 116
dilator
Trousseau tracheal, 111
dissectors
House-Crabtree, 103
Hurd dissector and pillar retractor,
114
Pierce submucous, 108
elevators
Cottle septal, 110
Freer, 109
Key periosteal, 109
Lempert heavy, 103
MacKenty septal, 109
Shambaugh-Derlacki, 103
excavators
Hough, 104
Hough-Sanders hoe, 104
files
Miller bone, 108
forceps
Bishop-Harmon, 114
Brown bayonet, 112-113
Brown-Adson, 113
Bruening ethmoid exenteration, 114
Cushing bayonet, 112-113
House gelfoam pressure, 116
House-Wullstein oval cup, 101
Jako microlaryngeal grasping, 117
Jansen-Middleton septum, 114
Jansen-Struycken septum, 114
Knight polypus and turbinate, 115
McGee wire-crimping, 101
round cup, 102
Takahashi, 116
Tivnen tonsil-seizing, 118
Wullstein, 101
hooks
House oval window, 104
House strut, 103
Jordan, 104
Joseph skin, 115
Lillie attic, 103
knives
Ballenger, 108
Cottle nasal, 108
flap, 105
House incudostapedial joint, 105
House sickle, 106
myringotomy, 109
Schuknecht roller, 105
laryngoscopes
intubating, 118
rigid, 117
rigid pediatric, 117
loop
Billeau ear, 105
mallets
Cottle, 116
measuring rod
House, 102
microdissector
Xomed XPS, 119
micro-ear, 101-106
microscope handle cover, 111
mirror
laryngeal, 115
mobilizer
Derlacki, 103
morselizer
Rubin, 116
mouth gags
McIvor, 110
Sludder-Jansen, 110
needle holder
Webster, 115
needles
House-Barbara shattering, 104
Rosen, 104
nipper
House-Dieter malleus, 102
osteotomes
Anderson-Nievert, 108
rasps
Fomon nasal, 107
Kleinhert-Kutz, 107
Maltz-Lipsett, 107
retractors
Green, 110
Jansen, 110
Latrobe soft palate, 117
Love nasopharyngeal, 110
scissors
Boettcher tonsil, 107
Caplan septal, 106
Cottle angular, 106
Fomon dorsal angular, 106
Heymann-Knight angular, 107
House-Bellucci alligator, 102
Peck-Joseph, 107
scraper
Hough drum, 106
specula
Beckman, 106
Boucheron ear, 111
Cottle, 111
Cottle nasal, 112
Gruber ear, 111
Vienna nasal, 112
Stealth machine in, 119
straightener
Walshem septal, 118
suction
Frazier, 115
Yankauer, 118
suction tubes
Baron, 105
tongue blade
Weder, 111
Edna towel clamp, 1
EEA stapler, 23
Electrodes
Bugbee, 58
loop, 57
roller ball, 57
Electrosurgical pencil, 5
Elevators
Blair, 162
Clodius, 162
Cobb, 68, 86
Cogswell, 124
Cottle septal, 110
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186 Index
Crane pick, 124
Freer, 109
Lempert heavy, 103
MacKenty septal, 109
Molt, 69
periosteal, 124
Adson, 86
Cushing, 86
Cushing Little Joker, 68
Key, 68, 109
Sedillot, 124
reverse, 124
Shambaugh-Derlacki, 103
Woodson elevator and spatula, 86
Ellik evacuator, 56
Endo bag. See Endoscopic catcher
Endocervical curette. See Kevorkian-Younge
endocervical biopsy curette
Endoscopes. See also specific types
anoscope with obturator, 7
care of rigid, 30
0-degree, 29
30-degree, 30
robotic, 62
semirigid ureteroscope, 59
sigmoidoscope, 6
Endoscopic camera, 29
Endoscopic catcher, 36
Endoscopic dissector. See Endoscopic Kittner
dissector
Endoscopic GIA stapler, 24
Endoscopic instruments. See Laparoscopic
instruments; specific instruments
Endoscopic Kittner dissector, 35
Endoscopic ligaclip applier, 24
Endoscopic pusher. See Endoscopic Kittner
dissector
ENT suction. See Frazier suction
Enucleation scissors, 134
Enucleators
transsphenoidal, 97
Epicardial retractor, 154
Evacuators
Ellik, 56
microinvasive, 56
Excavators
Hough, 104
Hough-Sanders hoe, 104
Extracting forceps, 125
Extraction pliers, 93
F
Fehland right-angle colon clamp, 13
Female catheter. See Rubin catheter
Femoral bone hook, 68
Ferris Smith tissue forceps, 8
Fibers
laser, 58
Files
bone, 67
Miller bone, 108
Filiforms, 57
Fistula probe. See Probe and grooved director
Flap knife, 105
Flat nose pliers. See K-wire flat nose pliers
Fletcher-Van Doren sponge holding
forceps, 10
Foerster sponge forceps, 2, 47
Fogarty hydragrip clamp, 146
Fogarty spring clip applier, 146
Folding forceps, 136
Followers, 57
Fomon dorsal angular scissors, 106
Fomon nasal rasp, 107
Forceps
Adson dressing, 7
Adson hydrophyseal, 98
Adson tissue, 7
Allen intestinal, 13
alligator
laparoscopic, 33
Allis, 9
laparoscopic, 32
Babcock, 9, 43
laparoscopic, 32
Bainbridge artery and intestinal, 13
bar-holding, 93
biopsy
laparoscopic, 33
Bishop-Harmon, 53, 114, 161
Blake gallstone, 10
bone reduction, 121-122
Bonney tissue, 8, 47
Bozeman dressing, 44
Brown bayonet, 112-113
Brown thumb, 7
Brown-Adson, 7, 113
Bruening ethmoid exenteration, 114
bulldog applying, 146
Colibri, 136
Cushing bayonet, 91, 112-113
Cushing tissue, 92
DeBakey tissue, 8, 155
Desmarres chalazion, 132-133
Doyen intestinal, 13
dressing, 7
Duval lung-grasping, 149
extracting, 125
Ferris Smith tissue, 8
Fletcher-Van Doren sponge holding, 10
Foerster sponge, 2, 47
folding, 136
Francis chalazion, 132-133
Gemini artery, 149
Gerald bipolar, 5, 52, 92
Gerald tissue, 52-53, 155
Heaney hysterectomy, 44
Heaney-Ballantine hysterectomy, 44
Horsley bone-cutting, 69
House gelfoam pressure, 116
House-Wullstein oval cup, 101
insertion, 137
iris, 8
smooth, 138
toothed, 138
Jako microlaryngeal grasping, 117
Jansen-Middleton septum, 114
Jansen-Struycken septum, 114
jeweler’s, 53
Kelman-McPherson micro tying and tissue,
137
kidney stone. See Randall forceps
Kleppinger bipolar
laparoscopic, 35
Knight polypus and turbinate, 115
Kocher, 9, 45
laparoscopic, 33
Lahey goiter, 9
Lahey traction, 45
lens, 137
Bechert, 136
Landers vitrectomy, 137
Magill catheter introducing, 10
Malis mirror-finish bipolar
cautery, 5, 73
Malis-Jensen bipolar, 52
McGee wire-crimping, 101
McPherson bipolar, 131
McPherson micro tying and suture, 137
microsurgery bipolar, 131
Mills/Dennis micro-ring, 155
mini-Liston bone-cutting, 69
molar extracting, 125
Moody curved fixation, 138
Nugent utility, 138
O’Gawa-Castroviejo tying, 137
O’Gawa-Utrata capsulorhexis, 138
Overstreet endometrial polyp, 47
Pennington, 9
plate and bone holding, 121-122
Pratt-Smith hemostatic, 12
Randall, 10, 51
Raney scalp clip-applying, 90
ring, 91
robotic
dissecting, 63
tenaculum, 64
Rosano, 155
round cup, 102
Russian, 9, 47
Simcoe lens implantation, 138
Simpson delivery, 40
Singley tissue, 8
slip-applying, 3
stone grasping, 58
Takahashi, 116
tissue, 8, 47
Tivnen tonsil-seizing, 118
tying, 53
Van Rens sleeve-spreading, 139
Vorse-Webster tube-occluding, 149
wire-twisting, 150
Wullstein micro-ear, 101
Fork
three-prong, 98
Francis chalazion forceps, 132-133
Frazier suction, 2, 89-90, 115
obturator and, 96
Freeman face-lift retractor, 162
Freeman nipple-marking template, 164
Freer elevator, 109
French eye needle holder. See Ryder needle
holder
G
Garrett dilator, 156
Gaspers
curved laparoscopic, 33
Gass retinal detachment hook, 140
Gauge
depth, 70, 122
Gaylor biopsy punch. See Thomas-Gaylor biopsy
punch
Gelpi perineal retractor, 19
Gemini artery forceps, 149
Gemini (delicate jawed) clamp. See Mixter clamp
General instruments, 1-25
argon beam coagulator, 6
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Index 187
bipolar cautery cord, 5
blade knife handle, 17
blades as
No. 10, 16
No. 11, 16
No. 12, 16
No. 15, 16
clamps
Backhaus towel, 1
Best right-angle colon, 12
Carter-Glassman resection, 13
Crile hemostatic, 11
Edna towel, 1
Fehland right-angle colon, 13
Halstead mosquito, 11
Kelly hemostatic, 11
Mixter, 12
Pean, 11
Peers towel, 1
Rochester Mixter, 12
Rochester-Penn, 10
Roeder towel, 1
dilator
Bakes common bile duct, 6
electrosurgical pencil, 5
forceps
Adson dressing, 7
Adson tissue, 7
Allen intestinal, 13
Allis, 9
Babcock, 9
Bainbridge artery and intestinal, 13
Blake gallstone, 10
Bonney tissue, 8
Brown thumb, 7
Brown-Adson, 7
clip-applying, 3
DeBakey tissue, 8
Doyen intestinal, 13
dressing, 7
Ferris Smith tissue, 8
Fletcher-Van Doren sponge
holding, 10
Foerster sponge, 2
Gerald bipolar, 5
iris, 8
Kocher, 9
Lahey goiter, 9
Magill catheter introducing, 10
Malis mirror-finish bipolar cautery, 5
Pennington, 9
Pratt-Smith hemostatic, 12
Randall, 10
Russian, 9
Singley tissue, 8
tissue, 8
Gigli saw handle, 17
handheld cautery, 5
needle holders
Baumgartner, 3
Crile-Wood, 3
DeBakey cardiovascular, 4
Mayo-Hegar, 3
Ryder, 3
Webster, 4
probe and grooved director, 4
retractors
Balfour, 17
Beckmann, 18-19
Bookwalter system, 17
cerebellar, 18-19
Cushing vein, 21
Dandy nerve hook, 21
Deaver, 22
Gelpi perineal, 19
Gillies dura and skin hook, 19
Goelet, 20
Green, 21
Guthrie double skin hook, 19
Harrington, 22
Hasson, 21
Israel, 22
Joseph skin hook, 19
Kelly, 20
Lahey goiter, 22
malleable, 23
Murphy, 22
Ollier, 22
Omni, 18
Parker, 20
Richardson, 20
Richardson-Eastman, 20
Sawyer rectal, 23
self-retaining abdominal wall, 18
Senn, 21
U.S. Army, 20
Volkmann, 21
Weitlaner, 18-19
ruler, 4
scalpel
harmonic, 6
scalpel handles
No. 3, 15-16
No. 4, 16
No. 7, 16
scissors
bandage and utility, 15
curved Mayo, 14
iris, 15
Lister, 15
Metzenbaum, 14
operating room, 14
straight Mayo, 14
universal wire-cutting, 15
wire-cutting, 15
scoops
Desjardin gallstone, 6
Mayo common duct, 6
scopes
anoscope with obturator, 7
sigmoidoscope, 6
setup of, 167-170
speculum
Pratt rectal, 23
staple remover, 24
staplers
EEA, 23
endoscopic GIA, 24
endoscopic ligaclip applier, 24
GIA, 25
ligaclip, 24
linear, 25
purse string, 23
skin, 24
suctioning
Frazier, 2
Poole (or Pool), 2
Yankauer, 2
wire twister
sternal, 4
Gerald bipolar forceps, 5, 52, 92
Gerald tissue forceps, 52-53, 155
Gerzog mallet, 92
GIA stapler, 25
Giertz-Shoemaker rib shears, 152
Gifford retractor. See Jansen retractor
Gigli saw handle, 17
Gillies bone and zygoma hook, 125
Gills Welsh Vannas capsulotomy scissors. See
Vannas capsulotomy scissors
Glassman gastrointestinal clamp. See Carter-
Glassman resection clamp
Glover bulldog clamp, 145
Goelet retractor, 20
Goiter retractor. See Green retractor
Goodell uterine dilator, 40
Graefe strabismus hook, 140
Graft packer, 95
Graft rasp, 95
Graft shaver, 95
Graspers
arthroscopic, 79
Mixter
laparoscopic, 34
paddle
laparoscopic, 34
robotic, 64
Cobra, 63
toothed
laparoscopic, 34
Graves vaginal speculum, 41
Green goiter retractor. See Green retractor
Green retractor, 21, 110
Green strabismus hook, 141
Greenberg retractor, 87
Greene tubing clamp, 91
Gruber ear speculum, 111
Guidewires
urethral, 58
Guthrie retractor. See Guthrie double
skin hook
Guyon-Mayo vessel clamp. See Mayo-Guyon
clamp
Gyrus cautery instruments
laparoscopic, 35
H
Hajek septum chisel, 117
Half-ring curette, 97
Halstead mosquito clamp, 11
Hand controls
for robotic instruments, 62
Hand grafting knife, 163
Handheld cautery, 5
Handles
knife. See No. 3 scalpel handle, No. 4 scalpel
handle, No. 7 scalpel handle
quick coupling, 123
Hank dilator, 41-42
Hanna trephine system
for donor cornea, 132
for recipient cornea, 132
Hardy dissector, 156
Harmonic scalpel, 6
Harmonic shears
robotic, 64
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188 Index
Harrington retractor, 22
Harrington sweetheart retractor. See Harrington
retractor
Hasson retractor, 21
Heaney hysterectomy forceps, 44
Heaney needle driver. See Heaney needle
holder
Heaney needle holder, 47
Heaney retractor, 40
Heaney-Ballantine hysterectomy forceps, 44
Heaney-Simon retractor, 40
Hegar dilator, 42
Heiss skin retractor, 74
Hemoclip appliers. See Clip-applying forceps
Hemostat. See Crile hemostatic clamp
Heparin needle, 155
Hexagonal screwdriver, 93
Heymann-Knight angular scissors, 107
Hibbs osteotome, 70
Hibbs retractor, 77
Hohmann retractor, 75
Hook scissors
laparoscopic, 34
Hooks
corkscrew dural, 89
Cottle double, 162
Dandy nerve, 21, 52, 75, 154
Dingman zygoma, 68
femoral bone, 68
Gass retinal detachment, 140
Gillies bone and zygoma, 125
House oval window, 104
House strut, 103
Jameson muscle, 141
Jordan, 104
Joseph skin, 19, 115, 162
Lillie attic, 103
micro lens, 139
Osher Y, 139
strabismus
Graefe, 140
Green, 141
Horsley bone-cutting forceps
Hough drum scraper, 106
Hough excavator, 104
Hough-Sanders hoe excavator, 104
House gelfoam pressure forceps, 116
House incudostapedial joint knife, 105
House measuring rod, 102
House oval window hook, 104
House sickle knife, 106
House stapes curette, 102
House strut hook, 103
House-Barbara shattering needle, 104
House-Bellucci alligator scissors, 102
House-Crabtree dissector, 103
House-Dieter malleus nipper, 102
House-Rosen needle. See Rosen needle
House-Wullstein oval cup forceps, 101
Hulka tenaculum with sound, 41
I
Image guidance system. See Stealth machine
Impactor, 94
Injection system
collagen, 59
Insertion forceps, 137
Instrument handles
laparoscopic, 31
Instrument trays and setups, 167-179
for back table, 167-169
for cataract procedures, 177
for corneal procedures, 178
for craniofacial procedures, 176
for C-section, 172
for cystoscopy, 172173
for D and C, 171-172
for dental procedures, 175-176
general principles of, 167-169
for laparoscopic bowel procedures, 171
for laparoscopic cholecystectomy,
170-171
for liposuction, 179
for M and T, 175
for major general surgery, 170
for Mayo table, 167-169
for mediastinoscopy, 178-179
for open heart procedures, 178
for orthopedic procedures, 173-174
hip arthroscopy, 175
power instruments in, 174
small and large fragments sets in, 174
for retinal procedures, 177
for ureteroscopy, 173
Internal defibrillator paddles, 157
Intraluminal stapler. See EEA stapler
Intubating forceps. See Magill catheter
introducing forceps
Iris forceps, 8
smooth, 138
toothed, 138
Iris retractor, 130
Iris scissors, 15, 134, 164
Irish retractor. See O’Sullivan-O’Connell
retractor
Irrigating/aspirating unit
Simcoe, 135
IS joint knife. See House incudostapedial joint
knife
Israel retractor, 22, 76
J
Jackson velvet eye aspirating tube, 117
Jako microlaryngeal grasping forceps, 117
Jameson muscle hook, 141
Jameson scissors, 152
Jansen retractor, 87, 110
Jansen-Middleton septum forceps, 114
Jansen-Struycken septum forceps, 114
Javid carotid artery graft clamp, 146
Jensen capsule polisher, 135
Jeweler’s forceps, 53
Jimmy. See House-Crabtree dissector
Joker. See Adson periosteal elevator
Jordan hook, 104
Jordan-Rosen curette, 102
Jorgensen scissors, 48, 55
Joseph scissors, 54
Joseph skin hook, 19, 115, 162
K
Kaye face-lift scissors, 164
Kelly hemostatic clamp, 11
Kelman-McPherson micro tying and tissue
forceps, 137
Kerrison cervical rongeur, 84
Kerrison rongeur. See Kerrison cervical
rongeur
Kevorkian-Younge endocervical biopsy curette,
47
Key periosteal elevator, 68, 109
Keyholes
McKissock, 164
Key retractor, 20
Kidney stone forceps. See Randall forceps
Kleinert-Kutz rasp, 107
Kleinert-Kutz rongeur, 69
Kleppinger bipolar forceps
laparoscopic, 35
Knapp lacrimal sac retractor, 130
Knapp strabismus scissors, 134
Knife handles. See also No. 3 scalpel handle; No.
4 scalpel handle, No. 7 scalpel handle
blade, 17
transsphenoidal, 97
Knight angular scissors. See Heymann-Knight
angular scissors
Knight polypus and turbinate forceps, 115
Knives
arthroscopic banana, 79
Ballenger, 108
Cottle nasal, 108
flap, 105
hand grafting, 163
House incudostapedial joint, 105
House sickle, 106
myringotomy, 109
Schuknecht roller, 105
Kocher forceps, 9, 45
laparoscopic, 33
Kratz-Barraquer eye speculum, 129
K-wire flat nose pliers, 70
L
L hook
laparoscopic, 35
Lahey goiter forceps, 9
Lahey goiter retractor, 22
Lahey thyroid clamp. See Lahey traction
forceps
Lahey thyroid tenaculum. See Lahey goiter
forceps
Lahey traction forceps, 44
Lambotte osteotome, 71
Lamina spreader, 95
Lamprey rongeur. See Beyer rongeur
Landers vitrectomy lens forceps, 137
Laparoscopic instruments, 29-36
bowel clamp, 33
cautery
bipolar, 35
Gyrus instruments for, 35
dissectors
endoscopic Kittner, 35
Maryland, 33
endoscopes
care of, 30
0-degree, 29
30-degree, 30
endoscopic camera, 29
endoscopic catcher, 36
forceps
alligator, 33
Allis, 32
Babcock, 32
biopsy, 33
Kleppinger bipolar, 35
Kocher, 33
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Index 189
graspers
curved, 33
Mixter, 34
paddle, 34
toothed, 34
handles for, 31
L hook, 35
10-mm spoon, 32
needle holder, 34
needles
aspirating, 31
Veress, 30
scissors
hook, 34
Metzenbaum, 35
micro, 34
setup of, 170-171
suture hook, 32
suture passer, 32
trocars and ports
disposable, 31
reusable, 31
Laparoscopic instruments handles
for, 31
Large needle holder
robotic, 63
Large plate bender, 126
Larry probe and grooved director. See Probe and
grooved director
Laryngeal mirror, 115, 124, 163
Laryngoscopes
intubating, 118
rigid, 117
rigid pediatric, 117
Laser fiber, 58
Lateral retractor. See Heaney retractor
Lateral speculum. See Side-opening vaginal
speculum
Latrobe soft palate retractor, 117
Lawrie scissors, 151
Leksell duckbill rongeur. See Leksell rongeur
Leksell rongeur, 69, 83
Lempert heavy elevator, 103
Lens forceps, 137
Bechert, 136
Landers vitrectomy, 137
Lewin bone clamp, 72
Lewin spinal perforating forceps, See Lewin bone
clamp
Lewis lens loop, 136
Ligaclip stapler, 24
Lillie attic hook, 103
Linear cutter. See GIA stapler
Linear stapler, 25
Liposuction cannulas, 163
Lister scissors, 15, 48
Liston-Stille bone cutter, 89
Little Joker. See Cushing Little Joker periosteal
elevator
Littler plastic surgery scissors, 164
Locking cap screwdriver, 92
Loop electrode, 57
Loop retractor. See Green retractor
Loops
Billeau ear, 105
Lewis lens, 136
Lorna. See Edna towel clamp
Love nasopharyngeal retractor, 110
Love nerve root retractor, 95
Lowman bone-holding clamp, 73
Lowsley prostatic retractor, 55
Lucas curette, 125
M
MacKenty septal elevator, 109
Magill catheter introducing forceps, 10
Malis mirror-finish bipolar cautery
forceps, 5, 73
Malis-Jensen bipolar forceps, 52
Malleable catheter stylet, 52
Malleable retractor, 23
Mallets
bone, 72
Cottle, 116
Gerzog, 92
Mead, 125
orthopedic, 72
Maltz-Lipsett rasp, 107
Manipulators
Drysdale nucleus, 139-140
Osher nucleus, 139-140
Manson-Aebri corneal scissors, 134
Martin diamond wire cutter, 71
Maryland dissector
laparoscopic, 33
Mastoid retractor. See Jansen retractor
Maxillofacial repositioning forceps. See Bone
reduction forceps
Mayo common duct scoop, 6
Mayo scissors, 14
Mayo-Guyon clamp, 51
Mayo-Hegar needle holder, 3
Mayo-Noble scissors, 48, 55
Mayo-Robson forceps. See Doyen intestinal
forceps
McDougal pedicle clamp, 51
McGee wire-crimping forceps, 101
McIvor mouth gag, 110
McKesson mouth prop, 123
McKesson suction, 126
McKissock keyhole, 164
McPherson bipolar forceps, 131
McPherson micro tying and suture
forceps, 137
Mead mallet, 125
Measuring rod
House, 102
Mediastinoscope, 158
Mediastinoscopy trays, 178
Meganeedle holder
robotic, 62
Meniscus clamp, 73
Metz scissors. See Metzenbaum scissors
Metzenbaum scissors, 14, 54
laparoscopic, 35
Meyerding retractor, 88
Meyerhoeffer chalazion curette, 133
Micro lens hook, 139
Micro scissors
laparoscopic, 34
Microinvasive evacuator, 56
Microkeratome, 132
Microscissors, 152
Microscope handle covers, 111
Microsurgery bipolar forceps, 131
Midas Rex drill, 96
Miller bone file, 108
Mills/Dennis micro-ring forceps, 155
Mini-Liston bone-cutting forceps, 69
Mirrors
laryngeal, 115, 124, 163
neurosurgical, 96
Mixter clamp, 12. See also Gemini artery forceps
Mixter grasper
laparoscopic, 34
Mixter thoracic forceps. See Rochester Mixter
10-mm spoon
laparoscopic, 32
Mobilizers
Derlacki, 103
Molar extracting forceps, 125
Molt elevator, 69
Moody curved fixation forceps, 138
Morselizers
Rubin, 116
Mosquito. See Halstead mosquito clamp
Mouth gags
Dingman, 163
McIvor, 110
Sludder-Jansen, 110
Mouth prop. See McKesson mouth prop
Murphy retractor, 22
Myringotomy knife, 109
N
Nasal suction. See Frazier suction
Needle drivers
Crile-Wood. See Crile-Wood needle
holder
Mayo Hegar. See Mayo-Hegar needle
holder
Needle holders
Barry sternal, 150
Baumgartner, 3
Castroviejo, 150
locking, 136
micro, 161
Crile-Wood, 3, 161
curved, 142
DeBakey cardiovascular, 4, 150
French eye. See Ryder needle holder
Heaney, 47
laparoscopic, 34
Mayo-Hegar, 3
neurosurgical. See Ryder needle holder
robotic
large, 63
meganeedle, 62
Ryder, 3
Ryder slim-needle holder, 161
straight, 142
Webster, 4, 115
Needlenose pliers/wirecutters, 70
Needles
aspirating, 31
heparin, 155
House-Barbara shattering, 104
Rosen, 104
Veress, 30
Neuro pattie tray, 95
Neurosuction. See Frazier suction
Neurosurgical instruments, 83-98
bending iron, 93
bone cutters
Liston-Stille, 89
clamps
Dandy, 90-91
Greene tubing, 91
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190 Index
curettes
Brun bone, 89
half-ring, 97
Rhoton pituitary, 97
dissectors
Penfield No. 3, 85
Penfield No. 4, 85
Penfield No. 5, 85
drills
Midas Rex, 96
dural hooks
corkscrew, 89
elevators
Adson periosteal, 86
Cobb, 86
Cushing periosteal, 86
enucleator
transsphenoidal, 97
forceps
Adson hydrophyseal, 98
bar-holding, 93
Cushing bayonet, 91
Cushing tissue, 92
Gerald bipolar, 92
Raney scalp clip-applying, 90
ring, 91
graft packers, 95
graft rasps, 95
graft shavers, 95
impactor, 94
knife handles
transsphenoidal, 97
mallets
Gerzog, 92
mirror, 96
neuro pattie tray, 95
osteotomes
transsphenoidal, 97
pituitary spoon, 98
pliers
extraction, 93
probes, 98
ball tip, 86
pedicle, 94
reamers
pedicle screw, 94
retractors
Beckmann-Adson laminectomy, 87
cerebellar, 87
Greenberg, 87
Jansen, 87
Love nerve root, 95
Meyerding, 88
Scoville hemilaminectomy, 88
Taylor spinal, 87
Williams, 87
rod bender, 93
rod pusher, 94
rongeurs
Adson cranial, 83
Beyer, 83
Cushing pituitary, 84
Kerrison cervical, 84
Kerrison transsphenoidal, 97
Leksell, 83
Spurling, 84
Stookey cranial, 83
scissors
Adson dural, 88
Strully, 89
screwdrivers
hexagonal, 93
locking cap, 92
screwdriver with sleeve, 92
spacer handles
trial, 94
spacer implant holder, 94
spatulas
Davis brain, 88
Scoville brain, 88
specula
Cushing-Landolt transsphenoidal, 96
Vienna nasal, 92
spreaders
Cloward vertebra, 96
lamina, 95
suction
Adson, 89-90
Frazier, 89-90
Frazier with obturator, 96
tap and handle
cannulated, 93
three-prong fork, 98
transsphenoidal, 96-98
Neurosurgical needle holder. See Ryder needle
holder
Nichamin side-port cannula, 135
Nippers
House-Dieter malleus, 102
Nipple-marking template
Freeman, 164
No. 1. See Penfield No. 1 dissector
No. 10 blade, 16
No. 11 blade, 16
No. 12 blade, 16
No. 15 blade, 16
No. 3 scalpel handle, 15-16
No. 4 scalpel handle, 16
No. 7 scalpel handle, 16
Nugent utility forceps, 138
O
OB-GYN instruments, 39-48
biopsy punch
Thomas-Gaylor, 45
catheter
Rubin, 48
clamps
Allis, 42-43
Allis-Adair, 43
curettes
Kevorkian-Younge endocervical biopsy, 47
Sims, 46
Thomas, 46
dilators
Goodell uterine, 40
Hank, 41-42
Hegar, 42
forceps
Babcock, 43
Bonney tissue, 47
Bozeman dressing, 44
Foerster sponge, 47
Heaney hysterectomy, 44
Heaney-Ballantine hysterectomy, 44
Kocher, 45
Lahey traction, 45
Overstreet endometrial polyp, 47
Russian, 47
Simpson delivery, 40
needle holders
Heaney, 47
retractors
DeLee bladder, 39
Heaney, 40
Heaney-Simon, 40
O’Sullivan-O’Connell, 39
Sims, 40
scissors
Jorgensen, 48
Lister, 48
Mayo-Noble, 48
umbilical (American pattern), 48
setup of, 171-172
sound
Sims uterine, 45
specula
Auvard weighted vaginal, 39
Graves vaginal, 41
Pederson vaginal, 41
side-opening vaginal, 41
tenacula
Barrett, 45
Braun, 45
Hulka with sound, 41
Obturators
anoscope with, 7
Ochsner forceps. See Kocher forceps
Ochsner-Rochester forceps. See Kocher forceps
O’Connell-O’Sullivan retractor. See O’Sullivan-
O’Connell retractor
O’Gawa-Castroviejo tying forceps, 137
O’Gawa-Utrata capsulorhexis forceps, 138
Ollier retractor, 22
Omni retractor, 18
Omni-tract system. See Omni retractor
Operating room scissors, 14
Ophthalmologic instruments, 129-142
calipers
Castroviejo, 131
cannulas
air injection, 135
cannulas as Nichamin side-port, 135
capsule polishers
Jensen, 135
Thornton aspirating, 135
clamps
Serrefine, 131
curettes
Meyerhoeffer chalazion, 133
depressors
Schocket double-ended scleral, 141
Urretts-Zavalia depressor and fixation pick,
141
forceps
Bechert lens, 136
Colibri, 136
Desmarres chalazion, 132-133
folding, 136
Francis chalazion, 132-133
insertion, 137
iris (smooth), 138
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Index 191
iris (toothed), 138
Kelman-McPherson micro tying and tissue,
137
Landers vitrectomy lens, 137
lens, 137
McPherson bipolar, 131
McPherson micro tying and
suture, 137
microsurgery bipolar, 131
Moody curved fixation, 138
Nugent utility, 138
O’Gawa-Castroviejo tying, 137
O’Gawa-Utrata capsulorhexis, 138
Simcoe lens implantation, 138
Van Rens sleeve-spreading, 139
Hanna trephine system
hooks
Gass retinal detachment, 140
Graefe strabismus, 140
Green strabismus, 141
Jameson muscle, 141
micro lens, 139
Osher Y, 139
irrigating/aspirating unit
Simcoe, 135
loops
Lewis lens, 136
manipulators
Drysdale nucleus, 139-140
Osher nucleus, 139-140
microkeratome, 132
needle holders
straight and curved, 142
probes
Bowman lacrimal, 130
vitrectomy suction/suctioning, 131
prolapsers
Stone lens nucleus, 136
retractors
Desmarres lid, 130
iris, 130
Knapp lacrimal sac, 130
Schepens orbital, 130
strabismus, 130
scissors
Castroviejo corneal section, 134
enucleation, 134
iris, 134
Knapp strabismus, 134
Manson-Aebri corneal, 134
Vannas capsulotomy, 133
setup of, 177-178
spatulas
Barraquer iris, 141
Troutman-Barraquer iris, 141
specula
Barraquer eye, 129
Kratz-Barraquer eye, 129
Williams eye, 129
suction
Adson, 131
Orthopedic instruments, 67-79
arthroscopic
arthroscope, 78
arthroscopic graspers, 79
arthroscopic probe, 78
arthroscopic punches, 79
arthroscopic scissors, 79
banana knife, 79
camera system, 78
duckbill straight biter, 79
fluid pump and tubing, 78
shaver, 77
sheath and obturator, 77
bone tamp, 72
calipers
Townley, 72
cement system, 73
cement gun in, 73
clamps
Lewin bone, 72
Lowman bone-holding, 73
meniscus, 73
curettes
Brun bone, 71
Cobb bone, 72
depth gauge, 70
elevators
Cobb, 68
Cushing Little Joker periosteal, 68
Key periosteal, 68
Molt, 69
Penfield No. 4, 68
file
bone, 67
forceps
Horsley bone-cutting, 69
Malis mirror-finish bipolar cautery, 73
mini-Liston bone-cutting, 69
plate press, 73
hooks
Dingman zygoma, 68
femoral bone, 68
mallets
bone, 72
orthopedic, 72
osteotomes
box, 70
Hibbs, 70
Lambotte, 71
pin cutters
cannulated, 71
pliers
K-wire flat nose, 70
needlenose pliers/wirecutters, 70
rasp
Putti, 67
retractors
Aufranc, 76
Beckmann, 74
Bennett, 76
Blount double-prong knee, 77
Blount knee, 76
blunt Hohmann, 76
cerebellar, 74
Cushing vein, 75
Heiss skin, 74
Hibbs, 77
Hohmann, 75
Israel, 76
Ragnell, 75
Sauerbruch, 76
Senn, 75
Taylor spinal, 77
Volkmann, 75
Weitlaner, 74
rongeurs
Cushing pituitary, 71
Kleinert-Kutz, 69
Leksell, 69
Ruskin mini-bone, 69
scissors
Strully, 67
Stryker power system, 74
tenotomy, 67
wire cutters
Martin diamond, 71
Orthopedic mallet, 72
Osher nucleus manipulator, 139-140
Osher Y hook, 139
Osteotomes
Anderson-Nievert, 108
box, 70
Hibbs, 70
Lambotte, 71
transsphenoidal, 97
O’Sullivan-O’Connell retractor, 39
Overstreet endometrial polyp forceps, 47
P
Packers
graft, 95
Packing forceps. See Bozeman dressing
forceps
Paddle grasper
laparoscopic, 34
Parker retractor, 20
Parsonnet retractor. See Epicardial retractor
Pean clamp, 11
Peck-Joseph scissors, 107
Pederson vaginal speculum, 41
Pedicle probe, 94
Pedicle screw reamer, 94
Peers towel clamp, 1
Pencil
Bovie. See Electrosurgical pencil
Pencils
electrosurgical, 5
Penfield No. 1 dissector, 84-85
Penfield No. 2 dissector, 84-85
Penfield No. 3 dissector, 85
Penfield No. 4 dissector, 68, 85
Penfield No. 5 dissector, 85
Pennington forceps, 9
Perforating towel clamp. See Backhaus towel
clamp
Periosteal elevator, 124. See also Elevators
Peripheral vascular clamp, 148
Pickups. See Tissue forceps
Pierce submucous dissector, 108
Pin cutters
cannulated, 71
wire and, 152
Pituitary forceps. See Takahashi forceps
Pituitary spoon, 98
Plastic surgery instruments, 161-165
cannulas
liposuction, 163
dermamesher, 164
dermatome, 163
elevators
Blair, 162
Clodius, 162
forceps
Bishop-Harmon, 161
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192 Index
Freeman nipple-marking template,
164
hooks
Cottle double, 162
Joseph skin, 162
knives
hand grafting, 163
liposuction setup of, 179
McKissock keyhole, 164
mirrors
laryngeal, 163
mouth gags
Dingman, 163
needle holders
Castroviejo micro-needle holder,
161
Crile-Wood, 161
retractors
Freeman face-lift, 162
Tebbetts, 162
scissors
iris, 164
Kaye face-lift, 164
Littler plastic surgery, 164
Stevens tenotomy, 164
Plate and bone holding forceps,
121-122
Plate benders
90-degree, 126
large, 126
Plate introducing forceps. See Plate and bone
holding forceps
Plate press, 73
Plates and screws
Pliers
combination bending and
cutting, 127
extraction, 93
K-wire flat nose, 70
Polyp forceps. See Overstreet endometrial polyp
forceps
Poole (or Pool) suction, 2
Potts scissors
robotic, 62
Potts-Smith scissors, 55, 151
Pratt rectal speculum, 23
Pratt “T” forceps. See Pratt-Smith hemostatic
forceps
Pratt-Smith hemostatic forceps, 12
Probe and grooved director, 4
Probes
arthroscopic, 78
ball tip, 86
Bowman lacrimal, 130
neurosurgical, 98
pedicle, 94
probe and grooved director, 4
vitrectomy suction/suctioning, 131
Proctoscope. See Sigmoidoscope
Prolapser
Stone lens nucleus, 136
Punches
aortic, 156
arthroscopic, 79
Purse string stapler, 23
Putti rasp, 67
Putti-Plant rasp. See Putti rasp
Q
Quick coupling handle, 123
R
Ragnell retractor, 75
Rake. See Murphy retractor; Volkmann retractor
Randall forceps, 10, 51
Raney clip appliers. See Raney scalp clip-applying
forceps
Raney scalp clip-applying forceps, 90
Raspatories
Alexander-Farabeuf, 153
Doyen rib, 153
Semb, 153
Rasps
Fomon nasal, 107
graft, 95
Kleinert-Kutz, 107
Maltz-Lipsett, 107
Putti, 67
Rat-tooth forceps. See Adson tissue forceps;
Tissue forceps
Reamers
pedicle screw, 94
Rectoscope, 57
Retractors
Adson cerebellar. See Cerebellar retractor
Allison lung, 153
Aufranc, 76
Balfour, 17
Beckmann, 18-19, 74, 153
Beckmann-Adson laminectomy, 87
Bennett, 76
Blount knee, 76, 77
blunt Hohmann, 76
Bookwalter system, 17
cerebellar, 18-19, 74, 87
Cooley atrial, 154
Cosgrove mitral valve, 154
Cushing vein, 21, 51, 75, 155
Dandy nerve hook, 21, 52, 75, 154
Deaver, 22
DeLee bladder, 39
Desmarres lid, 130
epicardial, 154
Freeman face-lift, 162
Gelpi perineal, 19
Goelet, 20
Green, 21, 110
Greenberg, 87
Harrington, 22
Hasson, 21
Heaney, 40
Heaney-Simon, 40
Heiss skin, 74
Hibbs, 77
Hohmann, 75
iris, 130
Israel, 22, 76
Jansen, 87, 110
Joseph skin hook, 19
Kelly, 20
Knapp lacrimal sac, 130
Lahey goiter, 22
Latrobe soft palate, 117
Love nasopharyngeal, 110
Love nerve root, 95
Lowsley prostatic, 55
malleable, 23
Meyerding, 88
Murphy, 22
Ollier, 22
Omni, 18
O’Sullivan-O’Connell, 39
Parker, 20
Ragnell, 75
Richardson, 20
Richardson-Eastman, 20
Sauerbruch, 76
Sawyer rectal, 23
Schepens orbital, 130
Scoville hemilaminectomy, 88
self-retaining abdominal wall, 18
Senn, 21, 75
Sims, 40
strabismus, 130
Taylor spinal, 77, 87
Tebbetts, 162
U.S. Army, 20
Volkmann, 21, 75
Weitlaner, 18-19, 74
Williams, 87
Yong bulb, 56
Young bifid, 56
Reusable trocars and ports, 31
Reverse elevator, 124
Rhoton pituitary curette, 97
Rib contractors
Bailey-Gibbon, 153
Rib shears
Giertz-Shoemaker, 152
Rib spreaders
Burford-Finochietto, 154
Tuffier, 154
Ribbon. See Malleable retractor
Richardson retractor, 20
Richardson-Eastman retractor, 20
Right-angle clamp. See Mixter clamp
Right-angle forceps. See Gemini artery forceps
Right-angle grasper. See Mixter grasper
Rigid endoscope. See 0-degree endoscope;
30-degree endoscope
Rigid laryngoscope, 117
pediatric, 117
Ring forceps, 91
Robotic endoscope, 62
Robotic instruments, 61-64
basic parts of, 61
cannula, 62
care and cleaning of, 61
cautery hook, 64
clip appliers, 63
endoscope, 62
forceps
dissecting, 63
tenaculum, 64
grasper, 64
Cobra, 63
hand controls of, 62
harmonic shears, 64
large needle holder, 63
meganeedle holder, 62
scissors
Potts, 62
round tip, 63
sterilization and storing of, 61
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Index 193
Rochester Mixter clamp, 12
Rochester-Ochsner forceps. See Kocher forceps
Rochester-Pean clamp, 10
Rod bender, 93
Rod pusher, 94
Roeder towel clamp, 1
Roller ball electrode, 57
Rongeurs
Adson cranial, 83
Bane, 125
Beyer, 83
Cushing pituitary, 71, 84
Kerrison cervical, 84
Kleinert-Kutz, 69
Leksell, 69, 83
Ruskin mini-bone, 69
Spurling, 84
Stookey cranial, 83
transsphenoidal Kerrison, 97
Rosano forceps, 155
Rosen needle, 104
Rosenmueller fossea curette, 109
Round cup forceps, 102
Round tip scissors
robotic, 63
Rubin catheter, 48
Rubin morselizer, 116
Ruler, 4
Rumel stylet, 150
Rumel tourniquet hook. See Rumel stylet
Rumel vascular tourniquet. See Rumel stylet
Ruskin mini-bone rongeur, 69
Russian forceps, 9, 47
Ryder needle holder, 3
S
S retractor. See Hasson retractor
Sarot bronchus clamp, 149
Satinsky clamp, 149
Satinsky vena cava clamp. See Satinsky clamp
Sauerbruch retractor, 76
Saw handles
Gigli, 17
Saws
sternal, 152
Sawyer rectal retractor, 23
Scalpel handles
No. 3, 15-16
No. 4, 16
No. 7, 16
Scalpels
harmonic, 6
Schepens orbital retractor, 130
Schnidt-Sawtell clamp. See Schnidt hemostat
Schocket double-ended scleral depressor, 141
Schoeder tenaculum. See Braun tenaculum
Schuknecht roller knife, 105
Scissors
Adson dural, 88
arthroscopic, 79
bandage. See Lister scissors
bandage and utility, 15
Boettcher tonsil, 107
Caplan septal, 106
Castroviejo corneal section, 134
Church, 53-54
Cottle angular, 106
curved Mayo, 14
Dean, 126
dissecting. See Curved Mayo scissors
enucleation, 134
Fomon dorsal angular, 106
Heymann-Knight angular, 107
hook
laparoscopic, 34
House-Bellucci alligator, 102
iris, 15, 134, 164
Jameson, 152
Jorgensen, 48, 55
Joseph, 54
Kaye face-lift, 165
Knapp strabismus, 134
laparoscopic, 34-35
Lawrie, 151
Lister, 15, 48
Littler plastic surgery, 164
Manson-Aebri corneal, 134
Mayo-Noble, 48, 55
Metzenbaum, 14, 54
laparoscopic, 35
micro
laparoscopic, 34
operating room, 14
Peck-Joseph, 107
Potts-Smith, 55, 151
robotic
Potts, 62
round tip, 63
straight Mayo, 14
Strully, 67, 89
suture. See Straight Mayo scissors
tenotomy, 67
trauma. See Bandage and utility scissors
umbilical (American pattern), 48
universal wire-cutting, 15
Vannas capsulotomy, 133
Westcott utility, 55
wire-cutting, 15
Scoops
Desjardin gallstone, 6
Mayo common duct, 6
Scoville brain spatula, 88
Scoville hemilaminectomy retractor, 88
Scoville-Haverfield retractor. See Scoville
hemilaminectomy retractor
Scrapers
Hough drum, 106
Screwdrivers
hexagonal, 93
locking cap, 92
with sleeve, 92
Screws and plates
Sedillot periosteal elevator, 124
Self-retaining abdominal wall retractor, 18
Sella punch. See Transsphenoidal Kerrison
rongeur
Semb raspatory, 153
Semirigid ureteroscope, 59
Senn retractor, 21, 75
Serrefine clamp, 131
Shambaugh-Derlacki elevator, 103
Sharp curette. See Sims curette
Sharp skin hook. See Joseph skin hook
Shaver
arthroscopic, 77
Shavers
graft, 95
Shears
robotic harmonic, 64
trauma. See Bandage and utility scissors
Sheath and obturator
arthroscopic, 77
Side-opening vaginal speculum, 41
Sigmoidoscope, 6
Simcoe irrigating/aspirating unit, 135
Simcoe lens implantation forceps, 138
Simpson delivery forceps, 40
Simpson obstetrical forceps. See Simpson delivery
forceps
Sims curette, 46
Sims double-edged vaginal speculum. See Sims
retractor
Sims retractor, 40
Sims uterine sound, 44
Singley tissue forceps, 8
Singley Tuttle forceps. See Singley tissue forceps
Skin stapler, 24
Slide calipers. See Townley caliper
Sludder-Jansen mouth gag, 110
Sounds
Sims uterine, 45
Van Buren urethral, 55
Spacer handle
trial, 94
Spacer implant holder, 94
Spatulas
Davis brain, 88
iris
Barraquer, 141
Troutman-Barraquer, 141
Scoville brain, 88
Specula
Auvard weighted vaginal, 39
Barraquer eye, 129
Beckman, 106
Boucheron ear, 111
Cottle, 111
Cottle nasal, 112
Cushing-Landolt transsphenoidal, 96
Graves vaginal, 41
Gruber ear, 111
Kratz-Barraquer eye, 129
Pederson vaginal, 41
Pratt rectal, 23
side-opening vaginal, 41
Vienna nasal, 92, 112
Williams eye, 129
Spinal curette. See Brun bone curette
Sponge holding forceps. See Fletcher-Van Doren
sponge holding forceps; Foerster sponge
forceps
Sponge stick. See Foerster sponge forceps
Spoons
10-mm laparoscopic, 32
pituitary, 98
Spratt curette, 101
Spreaders
Cloward vertebra, 96
lamina, 95
Spurling intervertebral disc rongeur. See Spurling
rongeur
Spurling rongeur, 84
Staple remover, 24
Staplers
EEA, 23
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194 Index
endoscopic GIA, 24
endoscopic ligaclip applier, 24
GIA, 25
intraluminal. See EEA stapler
ligaclip, 24
linear, 25
purse string, 23
skin, 24
TA. See Linear stapler
Stealth machine, 119
Sternal saw, 152
Sternal wire twister, 4
Stevens tenotomy scissors, 67, 152, 165
Stille-Giertz rib shears. See Giertz-Shoemaker rib
shears
Stone grasping forceps, 58
Stone lens nucleus prolapser, 136
Stone retrieval basket, 58
Stookey cranial rongeur, 83
Strabismus retractor, 130
Straight endoscope. See 0-degree endoscope
Straight Mayo scissors, 14
Straight needle holders, 142
Straight shot. See Xomed XPS microdissector
Straighteners
Walshem septal, 118
Strully scissors, 67, 89
Stryker power system, 74
Stylets
Rumel, 150
Suction
Adson, 89-90, 131
Frazier, 2, 89-90, 115
obturator and, 96
McKesson, 126
Poole (or Pool), 2
Yankauer, 2, 118
Suction tubes
Baron, 105
Suture hook
laparoscopic, 32
Suture passer
laparoscopic, 32
Suture scissors. See Straight Mayo scissors
Swivel knife. See Ballenger knife
Syringes
dental, 123
T
T clamp. See Allis-Adair clamp
TA stapler. See Linear stapler
Takahashi forceps, 116
Tamps
bone, 72
Tap and handle
cannulated, 93
Taps. See also Cannulated tap and handle
bone, 122
Taylor spinal retractor, 77, 87
Tebbetts retractor, 162
Tenacula. See also Braun tenaculum; Lahey
traction forceps
Barrett, 45
Braun, 45
Hulka with sound, 41
Tenaculum forceps
robotic, 64
Tenotomy scissors, 67, 152, 165
Thomas curette, 46
Thomas-Gaylor biopsy punch, 44
Thoracoscopy instruments, 157-158
clip-applying forceps, 157
DeBakey grasping forceps, 158
0-degree scope, 157
30-degree scope, 157
mediastinoscope, 158
mediastinoscopy setup of, 178
Metzenbaum scissors, 158
needle holder, 158
trocars, 158
Thornton aspirating capsule polisher, 135
Three-prong fork, 98
Tissue forceps, 7-8. See also specific types
Tivnen tonsil-seizing forceps, 118
Tongue blades
Weder, 111
Tonsil snap. See Schnidt hemostat
Tonsil suction. See Yankauer suction
Toothed forceps. See Tissue forceps
Toothed grasper
laparoscopic, 34
Towel clamps, 1
Lorna. See Edna towel clamp
perforating. See Backhaus towel clamp
Townley caliper, 72
Transsphenoidal enucleator, 97
Transsphenoidal Kerrison rongeur, 97
Transsphenoidal knife handle, 97
Transsphenoidal neurosurgical instruments,
96-98. See also specific instruments
Transsphenoidal osteotome, 97
Trauma scissors. See Bandage and utility scissors
Trauma shears. See Bandage and utility
scissors
Trays, setup of, 173-175
Trephine systems
Hanna
Trial space handle, 94
Trocar drill bit, 123
Trocars
ports and
disposable, 31
reusable, 31
Trousseau tracheal dilator, 111
Troutman-Barraquer iris spatula, 141
Tube-occluding forceps. See Vorse-Webster tube-
occluding forceps
Tuffier rib spreader, 154
Tumor forceps. See Ring forceps
Turbinate scissors. See Cottle angular scissors
Tying forceps, 53
Tympanostomy knife. See Myringotomy knife
U
Umbilical scissors (American pattern), 48
Universal ring retracting system. See Bookwalter
system
Universal wire-cutting scissors, 15
Upbiter. See Cushing pituitary rongeur
Ureteroscope
semirigid, 59
Urethral guidewire, 58
Urology instruments, 51-59
clamps as
Mayo-Guyon, 51
McDougal pedicle, 51
collagen injection system, 59
electrodes
Bugbee, 58
loop, 57
roller ball, 57
evacuators
Ellik, 56
microinvasive, 56
filiforms and followers, 57
forceps
Bishop-Harmon, 53
Gerald bipolar, 52
Gerald tissue, 52-53
jeweler’s, 53
Malis-Jensen bipolar, 52
Randall, 51
stone grasping, 58
tying, 53
guidewires in
urethral, 58
laser fiber, 58
malleable catheter stylet, 52
retractors
Cushing vein, 51
Lowsley prostatic, 55
Young bifid, 56
Young bulb, 56
scissors
Church, 53-54
Jorgensen, 55
Joseph, 54
Mayo-Noble, 55
Metzenbaum, 54
Potts-Smith, 55
Westcott utility, 55
scopes
cystoscope, 57
rectoscope, 57
semirigid ureteroscope, 59
setup of, 172-173
sounds in
Van Buren urethral, 55
stone retrieval basket, 58
Urretts-Zavalia depressor and fixation pick, 141
U.S. Army retractor, 20
V
Van Buren dilator. See Van Buren urethral sound
Van Buren urethral sound, 55
Van Rens sleeve-spreading forceps, 139
Vannas capsulotomy scissors, 133
Vascular dilator. See Garrett dilator
Vascular tunneling set, 156
Vascular, thoracic, and cardiac instruments,
145-158
calipers
Castroviejo, 156
clamps
Cooley cardiovascular, 148
Cooley coarctation, 148
Cosgrove flex, 147
DeBakey aorta, 146
DeBakey bulldog, 145
DeBakey coarctation, 147
DeBakey coarctation/peripheral vascular,
147
DeBakey multipurpose, 148
DeBakey peripheral vascular, 147
DeBakey sidewinder, 147
Diethrich bulldog, 145
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Index 195
Fogarty hydragrip, 146
Glover, 145
Javid carotid graft, 146
peripheral vascular, 148
Sarot bronchus, 149
Satinsky, 149
clip appliers
Fogarty spring, 146
dilators
Garrett, 156
dissectors
Hardy, 156
forceps
bulldog applying, 146
DeBakey tissue, 155
Duval lung-grasping, 149
Gemini artery, 149
Gerald tissue, 155
Mills/Dennis, 155
Rosano, 155
Vorse-Webster tube-occluding, 149
wire-twisting, 150
internal defibrillator paddles, 157
needle holders
Barry sternal, 150
Castroviejo, 150
DeBakey cardiovascular, 150
needles
heparin, 155
pin and wire cutter, 152
punches
aortic, 156
raspatories
Alexander-Farabeuf, 153
Doyen rib, 153
Semb, 153
retractors
Allison lung, 153
Beckmann, 153
Cooley atrial, 154
Cosgrove mitral valve, 154
Cushing vein, 155
epicardial, 154
rib contractors
Bailey-Gibbon, 153
rib shears
Giertz-Shoemaker, 152
rib spreaders
Burford-Finochietto, 154
Tuffier, 154
scissors
Jameson, 152
Lawrie, 151
microscissors, 152
Potts-Smith, 151
Stevens tenotomy, 152
setup of, 178
sternal saw, 152
stylets
Rumel, 150
for thoracoscopy, 157-158
clip-applying forceps, 157
DeBakey grasping forceps, 158
0-degree scope, 157
30-degree scope, 157
mediastinoscope, 158
Metzenbaum scissors, 158
needle holder, 158
trocars, 158
vascular tunneling set, 156
Veress insufflation cannula. See Veress needle
Veress needle, 30
Victor Bonney forceps. See Bonney tissue forceps
Vienna nasal speculum, 92, 112
Vitrectomy suction/suctioning probe, 131
Volkmann retractor, 21, 75
Vorse-Webster tube-occluding forceps, 149
W
Walshem septal straightener, 118
Webster needle holder, 4, 115
Weder tongue blade, 111
Weighted speculum. See Auvard weighted vaginal
speculum
Weitlaner Beckmann retractor. See Beckmann
retractor
Weitlaner retractor, 18-19, 74
Westcott utility scissors, 55
Williams eye speculum, 129
Williams retractor, 87
Wire cutter. See Universal wire-cutting scissors
Wire cutters
Martin diamond, 71
needlenose pliers/wire cutters, 70
Wire twisters
sternal, 4
Wire-cutting scissors, 15
Wire-twisting forceps, 150
Woodson dural separator and packer. See
Woodson elevator and spatula
Wullstein ear curette, 115
Wullstein micro-ear forceps, 101
X
Xomed XPS microdissector, 119
Y
Yankauer suction, 2, 118
Young bifid retractor, 56
Young bulb retractor, 56
2545_Index_183-195 28/10/11 12:02 PM Page 195

Differentiation surgical instruments

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