The cardiac procedure tray contains various instruments used in open heart surgeries including retractors, forceps, scissors, clamps, and needle holders. Key items are the Himmelstein sternal retractor used to separate the sternum, various forceps and scissors for delicate tissue manipulation, mosquito clamps for hemostasis, and needle holders for suturing. Pean clamps are used for clamping larger tissues and vessels while Derra clamps specifically aid in cardiovascular anastomoses. The tray aims to provide the necessary tools to perform open heart procedures with precision.

1. Cardiac procedure tray/
Open heart instrument tray
Lecturer:umar tariq
Msc ott/anaesthesia

2. Cardiac procedure tray contains
• Himmelstein sternal retractor.
• Ribbon retractor
• 5-tissue forceps toothed/nontoothed
• 1-cushing bayonet tissue forceps
• 2-Adson forceps toothed/non toothed
• 2-Russain forceps
• 10-Debakey forceps
• 2-straight & curved mayo scissor
• 3 metzenbaum scissors

3. • 3-potts smith
• 2-tenotomy scissors
• 1-cooley scissor
• 1-wire cutter scissor
• 12 mosquito clamps -6 straight,6 curved
• 2-jacobson mosquito clamps
• 8-curved crile clamps
• 6-straight crile clamps
• 2 pean clamps
• 2-herrick kidney clamps
• 2-straight kocher

4. • 2-mixter`s rt angle
• 2 tonsil clamps
• 3-derra clamps
• 2-debakey coarctation clamps
• 2-aortic aneurysm clamps
• 2-Debakey tengential clamps
• 2-satinsky
• 2-patent ductus
• 8-vascular needle holders
• 18 towel clips piercing
• 6 towel clips piercing
• 2-Sternal needle holder
• 2-yaunkers tip

5. HIMMELSTEIN STERNUM RETRACTOR
• Used in cardio thoracic procedures
• It is most effectively used as a sternum
seperator.

7. RIBBON RETRACTOR
• Hand held malleable retractor.
• Useful in multiple procedures.
• Available in different lengths and widths
• Smaller ribbon retractor may be used in neuro
surgical and orthopaedic procedures
• Large ribbon retractor are used in abdomen &
cardio vascular procedures to hold back larger
organs.

9. CUSHING BAYONET TISSUE FORCEPS
• Cushing tissue forceps are light to medium
weight thumb forceps.
• Used on delicate tissues
• Commonly used in neurosurgeries
• Very narrow tips and are useful in smaller
areas.

12. COOLEY SCISSOR
• It is a metzenbaum type scissor.
• Mayo type tips.
• Commonly used in cardiovascular surgeries.
• Used for delicate tissue dissection.

14. SUTURE WIRE CUTTER SCISSOR
• Angled , one jaw is serrated and the other is
sharp.
• Used for cutting sutures for suture removal
• Tips are blunt
• Also used in wire cutting in orthopaedic
procedures

17. Tenotomy scissor
• Used to perform delicate surgery
• Can be straight or curved , blunt or sharp
depending upon the necessity.
• Commonly used in neuro ,cardiovascular ,
ophthalmic and oral surgeries.

20. Jacobson mosquito clamps
• Used to hold delicate tissues and to control
bleeding.
• Extra delicate forceps and light weighted.

23. Pean clamps
• Used for clamping larger tissues & vessels for
hemostasis.
• Full horizontal serrations are present on both
the jaws
• Available in multiple lengths
• Used in multiple procedures
• Length is 9 inches

25. Derra clamps
• Commonly used for anastomosis in cardio
vascular procedures.
• Used to control blood flow from the carotid
artery, aorta, and inferior vena cava
• Atraumatic teeth provides a secure but delicate
grip on vessels.
• Available in 3 sizes
• Causes little to no damage on vessels
• Double angled

28. Sternal needle holder/wire twister