Surgical Instruments
Grasping and Clamping
Retracting
Cutting and Dissecting
Probing and Dilating
 Perform surgical procedures
 Chosen based on action
 These tools are used for
 Holding
 Pulling
 Clamping
 Cutting
 Crushing
 Closing a wound
Retracting and Exposing
Instruments
 used to hold back or retract organs or tissue to
gain exposure to the operative site. They are
either "self-retaining" (stay open on their own) or
"manual" (held by hand). When identifying
retractors, look at the blade, not the handle.
Retracting and Exposing
Instruments
 A Deaver retractor (manual) is used to retract
deep abdominal or chest incisions. Available in
various widths.
 A Richardson retractor (manual) is used to
retract deep abdominal or chest incisions
Retracting and Exposing
Instruments
Retracting and Exposing
Instruments
 An Army-Navy retractor (manual) is used to
retract shallow or superficial incisions. Other
names: USA, US Army.
Retracting and Exposing
Instruments
 A goulet (manual) is used to retract shallow or
superficial incisions.
 A malleable or ribbon retractor (manual) is
used to retract deep wounds. May be bent to
various shapes.
Retracting and Exposing
Instruments
 A Weitlaner retractor (self-retaining) is used to
retract shallow incisions.
Retracting and Exposing
Instruments
 A Gelpi retractor (self-retaining) is used to
retract shallow incisions.
Retracting and Exposing
Instruments
 A Balfour with bladder blade (self-retaining) is
used to retract wound edges during deep
abdominal procedures.
Retracting and Exposing
Instruments
Nasal Speculum
 Used to spread
nostrils during
examination
Cutting and Dissecting Instruments
 are sharp and are used to cut body tissue or
surgical supplies.
Knife Handle, Scissors
(left to right)
Scalpel Holder
 Holds scalpel blade
 Acts as a handle
Cutting and Dissecting Instruments
 7 handle with 15 blade (deep knife) - Used to
cut deep, delicate tissue.
 3 handle with 10 blade (inside knife) – Used
to cut superficial tissue.
 4 handle with 20 blade (skin knife) - Used to
cut skin.
#7, #3, #4
(left to right)
 Straight Mayo scissors - Used to cut suture
and supplies. Also known as: Suture scissors.
EX: Straight Mayo scissors being used to cut suture.
Cutting and Dissecting Instruments
 Curved Mayo scissors - Used to cut heavy
tissue (fascia, muscle, uterus, breast). Available
in regular and long sizes.
Cutting and Dissecting Instruments
 Metzenbaum scissors - Used to cut delicate
tissue. Available in regular and long sizes.
Cutting and Dissecting Instruments
Iris Suture Scissors
 Used to remove
sutures
 Blade has beak or
hook to slide under
sutures
Sharp/Sharp Scissors
 Used to cut and dissect tissue
 Both blade tips are sharp
Sharp/Blunt Scissors
 Used to cut and dissect fascia and muscle
 One blunt tip and one sharp tip
Curved Blunt/Blunt Scissors
 Both blade tips are
blunt
 Can be curved or
straight
Lister Bandage Scissors
 Used to remove bandages and dressings
 Probe tip is blunt; inserted under bandages with
relative safety
 are used to compress blood vessels or hollow
organs for hemostasis or to prevent spillage of
contents.
Clamping and Occluding
Instruments
 A hemostat is used to clamp blood vessels or
tag sutures. Its jaws may be straight or curved.
Other names: crile, snap or stat.
Clamping and Occluding
Instruments
Clamping and Occluding
Instruments
 A mosquito is used to clamp small blood
vessels. Its jaws may be straight or curved.
hemostat, mosquito (left to right)
Curved Mosquito Hemostat
 Used to hold delicate
tissue
 Used to compress
bleeding vessels
 Jaws are fully serrated
 A Kelly is used to clamp larger vessels and
tissue. Available in short and long sizes. Other
names: Rochester Pean.
Kelly, hemostat, mosquito (left to right)
Clamping and Occluding
Instruments
Kelly Hemostat
 A burlisher is used to clamp deep blood vessels.
Burlishers have two closed finger rings.
Burlishers with an open finger ring are called
tonsil hemostats. Other names: Schnidt tonsil
forcep, Adson forcep.
Clamping and Occluding
Instruments
 A right angle is used to clamp hard-to-reach
vessels and to place sutures behind or around a
vessel. A right angle with a suture attached is
called a "tie on a passer." Other names: Mixter.
Clamping and Occluding
Instruments
 A hemoclip applier with hemoclips applies
metal clips onto blood vessels and ducts which
will remain occluded.
hemoclip applier with hemoclips
Clamping and Occluding
Instruments
Grasping and Holding Instruments
 are used to hold tissue, drapes or sponges.
 An Allis is used to grasp tissue. Available in
short and long sizes. A "Judd-Allis" holds
intestinal tissue; a "heavy allis" holds breast
tissue.
Grasping and Holding Instruments
Grasping and Holding Instruments
 A Babcock is used to grasp delicate tissue
(intestine, fallopian tube, ovary). Available in
short and long sizes.
 A Kocher is used to grasp heavy tissue. May
also be used as a clamp. The jaws may be
straight or curved. Other names: Ochsner.
Grasping and Holding Instruments
 A Foerster sponge stick is used to grasp
sponges. Other names: sponge forcep.
Foerster sponge stick EX: Sponge sticks holding a
4 X 4
and probang.
Grasping and Holding Instruments
 A dissector is used to hold a peanut.
Grasping and Holding Instruments
dissector
EX: Dissector holding a peanut.
 A Backhaus towel clip is used to hold towels
and drapes in place. Other name: towel clip.
Backhaus towel clip Large & small towel
clips
Grasping and Holding Instruments
 Pick ups, thumb forceps and tissue forceps
are available in various lengths, with or without
teeth, and smooth or serrated jaws.
Grasping and Holding Instruments
 Russian tissue forceps are used to grasp
tissue.
Grasping and Holding Instruments
 Adson pick ups are either smooth: used to
grasp delicate tissue; or with teeth: used to grasp
the skin. Other names: Dura forceps.
Grasping and Holding Instruments
Grasping and Holding Instruments
 Long smooth pick-ups are called dressing
forceps. Short smooth pick-ups are used to
grasp delicate tissue.
 DeBakey forceps are used to grasp delicate
tissue, particularly in cardiovascular surgery.
Grasping and Holding Instruments
Grasping and Holding Instruments
 Thumb forceps are used to grasp tough tissue
(fascia, breast). Forceps may either have many
teeth or a single tooth. Single tooth forceps are
also called "rat tooth forceps."
single tooth forceps, many teeth forceps
(top to bottom)
 Mayo-Hegar needle holders are used to hold
needles when suturing. They may also be placed
in the sewing category.
Grasping and Holding Instruments
short, medium & long
(top to bottom)
EX: Needle holder with suture.
Sponge Forceps
 Used to hold gauze
squares or sponge to
“mop up” the surgical site
 Jaws are serrated
Transfer Forceps
When sterile, transfer
forceps;
 arrange items on
sterile tray
 transfer items to
sterile field
Splinter Forceps
 Fine tip for foreign
object retrieval
Walter Splinter Forceps
 Very fine tip
 Spear-head design
1x2 Toothed Tissue Forceps
 Used for grasping and
holding tissue, muscle
or skin surrounding a
wound
 Single toothed on one
side; fits between two
teeth on the other
side
 Available as 1x2 or
2x3 or 3x4
Plain Thumb Forceps
 Used to hold tissue in place when applying
sutures
 Used to gently move tissues out of the way
during exploratory surgery
 Used to insert packing into or remove objects
from deep cavities
Needle Holder
 Used to hold and pass a suturing needle through
tissue
 Has groove to hold needle within jaws
Towel Clamp
 Adds weight to drapes and towels to ensure they
stay in place
 Allow exposure of the operative site
THANK YOU FOR ATTENTION!

Surgical Instruments used during surgery

  • 1.
    Surgical Instruments Grasping andClamping Retracting Cutting and Dissecting Probing and Dilating
  • 2.
     Perform surgicalprocedures  Chosen based on action  These tools are used for  Holding  Pulling  Clamping  Cutting  Crushing  Closing a wound
  • 3.
    Retracting and Exposing Instruments used to hold back or retract organs or tissue to gain exposure to the operative site. They are either "self-retaining" (stay open on their own) or "manual" (held by hand). When identifying retractors, look at the blade, not the handle.
  • 4.
    Retracting and Exposing Instruments A Deaver retractor (manual) is used to retract deep abdominal or chest incisions. Available in various widths.
  • 5.
     A Richardsonretractor (manual) is used to retract deep abdominal or chest incisions Retracting and Exposing Instruments
  • 6.
    Retracting and Exposing Instruments An Army-Navy retractor (manual) is used to retract shallow or superficial incisions. Other names: USA, US Army.
  • 7.
    Retracting and Exposing Instruments A goulet (manual) is used to retract shallow or superficial incisions.
  • 8.
     A malleableor ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes. Retracting and Exposing Instruments
  • 9.
     A Weitlanerretractor (self-retaining) is used to retract shallow incisions. Retracting and Exposing Instruments
  • 10.
     A Gelpiretractor (self-retaining) is used to retract shallow incisions. Retracting and Exposing Instruments
  • 11.
     A Balfourwith bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures. Retracting and Exposing Instruments
  • 12.
    Nasal Speculum  Usedto spread nostrils during examination
  • 13.
    Cutting and DissectingInstruments  are sharp and are used to cut body tissue or surgical supplies. Knife Handle, Scissors (left to right)
  • 14.
    Scalpel Holder  Holdsscalpel blade  Acts as a handle
  • 15.
    Cutting and DissectingInstruments  7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue.  3 handle with 10 blade (inside knife) – Used to cut superficial tissue.  4 handle with 20 blade (skin knife) - Used to cut skin. #7, #3, #4 (left to right)
  • 16.
     Straight Mayoscissors - Used to cut suture and supplies. Also known as: Suture scissors. EX: Straight Mayo scissors being used to cut suture. Cutting and Dissecting Instruments
  • 17.
     Curved Mayoscissors - Used to cut heavy tissue (fascia, muscle, uterus, breast). Available in regular and long sizes. Cutting and Dissecting Instruments
  • 18.
     Metzenbaum scissors- Used to cut delicate tissue. Available in regular and long sizes. Cutting and Dissecting Instruments
  • 19.
    Iris Suture Scissors Used to remove sutures  Blade has beak or hook to slide under sutures
  • 20.
    Sharp/Sharp Scissors  Usedto cut and dissect tissue  Both blade tips are sharp
  • 21.
    Sharp/Blunt Scissors  Usedto cut and dissect fascia and muscle  One blunt tip and one sharp tip
  • 22.
    Curved Blunt/Blunt Scissors Both blade tips are blunt  Can be curved or straight
  • 23.
    Lister Bandage Scissors Used to remove bandages and dressings  Probe tip is blunt; inserted under bandages with relative safety
  • 24.
     are usedto compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents. Clamping and Occluding Instruments
  • 25.
     A hemostatis used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat. Clamping and Occluding Instruments
  • 26.
    Clamping and Occluding Instruments A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved. hemostat, mosquito (left to right)
  • 27.
    Curved Mosquito Hemostat Used to hold delicate tissue  Used to compress bleeding vessels  Jaws are fully serrated
  • 28.
     A Kellyis used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean. Kelly, hemostat, mosquito (left to right) Clamping and Occluding Instruments
  • 29.
  • 30.
     A burlisheris used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep. Clamping and Occluding Instruments
  • 31.
     A rightangle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other names: Mixter. Clamping and Occluding Instruments
  • 32.
     A hemoclipapplier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded. hemoclip applier with hemoclips Clamping and Occluding Instruments
  • 33.
    Grasping and HoldingInstruments  are used to hold tissue, drapes or sponges.
  • 34.
     An Allisis used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue. Grasping and Holding Instruments
  • 35.
    Grasping and HoldingInstruments  A Babcock is used to grasp delicate tissue (intestine, fallopian tube, ovary). Available in short and long sizes.
  • 36.
     A Kocheris used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other names: Ochsner. Grasping and Holding Instruments
  • 37.
     A Foerstersponge stick is used to grasp sponges. Other names: sponge forcep. Foerster sponge stick EX: Sponge sticks holding a 4 X 4 and probang. Grasping and Holding Instruments
  • 38.
     A dissectoris used to hold a peanut. Grasping and Holding Instruments dissector EX: Dissector holding a peanut.
  • 39.
     A Backhaustowel clip is used to hold towels and drapes in place. Other name: towel clip. Backhaus towel clip Large & small towel clips Grasping and Holding Instruments
  • 40.
     Pick ups,thumb forceps and tissue forceps are available in various lengths, with or without teeth, and smooth or serrated jaws. Grasping and Holding Instruments
  • 41.
     Russian tissueforceps are used to grasp tissue. Grasping and Holding Instruments
  • 42.
     Adson pickups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps. Grasping and Holding Instruments
  • 43.
    Grasping and HoldingInstruments  Long smooth pick-ups are called dressing forceps. Short smooth pick-ups are used to grasp delicate tissue.
  • 44.
     DeBakey forcepsare used to grasp delicate tissue, particularly in cardiovascular surgery. Grasping and Holding Instruments
  • 45.
    Grasping and HoldingInstruments  Thumb forceps are used to grasp tough tissue (fascia, breast). Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps." single tooth forceps, many teeth forceps (top to bottom)
  • 46.
     Mayo-Hegar needleholders are used to hold needles when suturing. They may also be placed in the sewing category. Grasping and Holding Instruments short, medium & long (top to bottom) EX: Needle holder with suture.
  • 47.
    Sponge Forceps  Usedto hold gauze squares or sponge to “mop up” the surgical site  Jaws are serrated
  • 48.
    Transfer Forceps When sterile,transfer forceps;  arrange items on sterile tray  transfer items to sterile field
  • 49.
    Splinter Forceps  Finetip for foreign object retrieval
  • 50.
    Walter Splinter Forceps Very fine tip  Spear-head design
  • 51.
    1x2 Toothed TissueForceps  Used for grasping and holding tissue, muscle or skin surrounding a wound  Single toothed on one side; fits between two teeth on the other side  Available as 1x2 or 2x3 or 3x4
  • 52.
    Plain Thumb Forceps Used to hold tissue in place when applying sutures  Used to gently move tissues out of the way during exploratory surgery  Used to insert packing into or remove objects from deep cavities
  • 53.
    Needle Holder  Usedto hold and pass a suturing needle through tissue  Has groove to hold needle within jaws
  • 54.
    Towel Clamp  Addsweight to drapes and towels to ensure they stay in place  Allow exposure of the operative site
  • 55.
    THANK YOU FORATTENTION!