5. Cutting & Dissecting
Cutting instruments have sharp edges.
They are used to dissect, incise,
separate, or excise tissue.
Most instrument sets will include #3
and #7 knife handles & suture, curved
mayo, metz and tenotomy scissors.
6. Knife Handles
Come in various
widths & lengths
Blades are attached
by slipping the slit
in the blade into the
groove on the
handle
#7 #4 #3
7. Knife Blades
Blades with
numeric prefix of
“1” (e.g., 10, 11,
12, 15) fit #3 or #7
handles
Blades with the
numeric prefix “2”
(e.g., 20, 21, 22, 23,
24) fit #4 handles
8. Knife Blades
#10 are used for
large skin incisions
#15 are used for
short shallow
incisions
#11 are used for
initial skin puncture
of tiny deep
incisions
#10 #15 #11
9. Other Knife handles
Long handles are
used inside deep
incisions (e.g., open
abdominal cases)
Beaver knifes are
used for small
delicate cases
10.
11.
12. Scissors
Blades of scissors may
be straight, angled, or
curved
Tips may be pointed
or blunt, handles may
be long or short
Should be used only
for their intended
purpose
27. Grasping & Holding
These instruments are used to
grasp tissue and hold it in place
without injuring surrounding
tissues
Forceps can be ringed or the
thumbed variety
41. Clamping & Occluding
These instruments are used to
apply pressure
Some clamps are designed to crush
the structure when applied
Others are noncrushing and are
used to occlude or secure tissue
42. Clamping & Occluding
Most instrument sets will include
mosquito, crile, kelly, tonsil, peon,
and right angle clamps.
79. Suturing and Stapling
Needle holder sizes vary according
to type of needle used
Most instrument sets will have
webster, crilewood, and mayo
hegar type needle holders.
80. Suturing and Stapling
Clip appliers place individual
staples, available in reusable and
disposable
Disposable staplers
134. Handling instruments
Instruments are placed firmly into the
surgeon’s palm in such a manner that it is
ready of immediate use.
Ringed instruments are handed with the box
locks closed.
Curved instruments are passed with the
curve in the direction of intended use.
135.
136.
137.
138. To facilitate suturing the needle is
secured about 1/8 inch down from the
tip of the needle holder and about a
third of the distance from the eye or
swaged end
139. Care of Instruments
During the procedure,
used instruments
should wiped with a
damp sponge or
placed in a basin of
sterile distilled water.
140. Care of Instruments
Do not saline on
instruments.
Do not allow blood to
dry on instruments.
Saline & blood can
damage instrument
surfaces causing
corrosion and pitting.
141. Care of Instruments
Flush suction tips with
sterile distilled water
periodically to keep
lumens patent.
Flush all lumened
instruments
thoroughly at the end
of case to prevent
blood from drying
inside lumens.
142. Care of Instruments
Powered hand
pieces and
batteries should
not be immersed
in liquid as this
could damage
internal
mechanisms.