Explanation about different surgical instruments used in the hospital

1. Surgical Instruments
Grasping and Clamping
Retracting
Cutting and Dissecting
Probing and Dilating

2.  Perform surgical procedures
 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 Richardson retractor (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 malleable or ribbon retractor (manual) is
used to retract deep wounds. May be bent to
various shapes.
Retracting and Exposing
Instruments

9.  A Weitlaner retractor (self-retaining) is used to
retract shallow incisions.
Retracting and Exposing
Instruments

10.  A Gelpi retractor (self-retaining) is used to
retract shallow incisions.
Retracting and Exposing
Instruments

11.  A Balfour with bladder blade (self-retaining) is
used to retract wound edges during deep
abdominal procedures.
Retracting and Exposing
Instruments

12. Nasal Speculum
 Used to spread
nostrils during
examination

13. Cutting and Dissecting Instruments
 are sharp and are used to cut body tissue or
surgical supplies.
Knife Handle, Scissors
(left to right)

14. Scalpel Holder
 Holds scalpel blade
 Acts as a handle

15. 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)

16.  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

17.  Curved Mayo scissors - 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
 Used to cut and dissect tissue
 Both blade tips are sharp

21. Sharp/Blunt Scissors
 Used to 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 used to compress blood vessels or hollow
organs for hemostasis or to prevent spillage of
contents.
Clamping and Occluding
Instruments

25.  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

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 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

29. Kelly Hemostat

30.  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

31.  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

32.  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

33. Grasping and Holding Instruments
 are used to hold tissue, drapes or sponges.

34.  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

35. Grasping and Holding Instruments
 A Babcock is used to grasp delicate tissue
(intestine, fallopian tube, ovary). Available in
short and long sizes.

36.  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

37.  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

38.  A dissector is used to hold a peanut.
Grasping and Holding Instruments
dissector
EX: Dissector holding a peanut.

39.  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

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 tissue forceps are used to grasp
tissue.
Grasping and Holding Instruments

42.  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

43. Grasping and Holding Instruments
 Long smooth pick-ups are called dressing
forceps. Short smooth pick-ups are used to
grasp delicate tissue.

44.  DeBakey forceps are used to grasp delicate
tissue, particularly in cardiovascular surgery.
Grasping and Holding Instruments

45. 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)

46.  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.

47. Sponge Forceps
 Used to 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
 Fine tip for foreign
object retrieval

50. Walter Splinter Forceps
 Very fine tip
 Spear-head design

51. 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

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
 Used to hold and pass a suturing needle through
tissue
 Has groove to hold needle within jaws

54. Towel Clamp
 Adds weight to drapes and towels to ensure they
stay in place
 Allow exposure of the operative site

55. THANK YOU FOR ATTENTION!