The Basic Surgical Instruments

1
Basic Surgical Instruments
2
The Basic Surgical Instruments

1. Cutting
2. Grasping
3. Retracting
4. Suturing
5. Miscellaneous

3
A. Cutting Instruments

• Knife (Scalpel)
• Scissors

A. Knife 1. Bard Parker Handle A. Knife 1. Bard Parker Handle A. Knife 1. Bard Parker Handle A. Knife 1. Bard Parker Handle
3 Narrow nose, length 5 inches. To hold 10, 11, 12 15.
7 Narrow nose, length 6 ½ inches. To hold 10, 11, 12 15.
9 Narrow nose, length 4 ½ inches To hold 10, 11, 12 15.
4 Narrow nose, length 5½ inches To hold 20 21.
4
(No Transcript)
5
2. Blades 2. Blades
10 Small General dissecting.
11 Small Stab incision.
12 Small Tonsil dissection.
15 Small Plastic dissection (reconstruction)
20 Large Skin incision
6
b. Scissors b. Scissors
1. Metzenbaum Thin, 7 in. curved. To cut delicate tissue, peritoneum
2. Mayo curved
3. Mayo Straight
7
4. One point sharp
5. Wire
6. Liston, bandage
8
B. GRASPING Any instrument used to grasp tissue for the purpose of clamping or holding. B. GRASPING Any instrument used to grasp tissue for the purpose of clamping or holding. B. GRASPING Any instrument used to grasp tissue for the purpose of clamping or holding.
a. Hemostats A hinge, crushing instrument with a locking device on the handles, which holds the jaws, when closed. To arrest the flow of blood.
1. Mosquito 5 in., curved 5 in. straight.
2. Crile 5 ½, curved.
3. Straight forceps 6 ¼, straight.
4. Kelly 6 ¼, curved.
9
b. Babcock forceps Smooth jaws, fenestrated oval tips with longitudinal serrations. 6 ¼, 7 ¾ in. long. To grasp delicate tissues appendix.
c. Allis forceps Smooth jaws with 4 x 5 fine teeth at tips, 6 in long. To grasp heavy tissue, abdominal muscles.
d. Kocker forceps Cross serrations 1 x 2 heavy teeth at tip of jaws 5 ½ in, 6 ½ in, 7 ¼ in straight and curved. To grasp heavy tissue, abdominal muscles.
10
e. Dressing forceps Serrations 5 ½ and 10 inches. To grasp delicate tissues while they are being sutures, dissected or excised.
f. Tissue forceps 1 x 2 teeth at tip of jaws, 5 ½ and 10 inches. To grasp heavy tissues while they are being sutured, dissected or excised.
g. Adsons forceps 4 ½, 1 x 2 fine teeth at the tip of jaws. To grasp very delicate tissues, nerve, or blood vessel for suturing, dissecting or excising.
11
h. Sponge forceps 9 ½ in, straight and curved. To hold sponges or grasp tissue, transfer forceps.
i. Towel clip 3 ½ in and 5 ½ and 10 inches. To hold drapes in place to retract tissues.
12
C. RETRACTING any instrument used to hold open the edges of a wound. C. RETRACTING any instrument used to hold open the edges of a wound. C. RETRACTING any instrument used to hold open the edges of a wound.
Cushing vein Single-bladed 8 ½ in. long. For shallow retractions.
b. Volkman 4 prongs sharp or dull, 8 ½ in. long.
c. Army- navy Double-ended, 8 ½ in. long. For shallow retractions.
d. Richardson Double-ended, small large 9 ½ in. long. To retract abdominal wall and organs.
13
e. Ribbon Flexible, two widths narrow 1 ½ in wide 2 in., 1 2inches long. To retract abdominal wall and organs.
f. Deaver Three widths, narrow, medium 1 ½, wide 2 in., 12 in long. To retract abdominal wall and organs.
g. Weithlaner Self-retaining 2 blades and bladder blades. For shallow retractions.
14
h. Balfour Self-retaining 2 blades and bladder blades. For abdominal wall retractions.
i. Hupp tracheal Three sharp prongs, blunt hook, overall length 5 ¼ in. To retract trachea or other shallow wounds.
15
IV. SUTURING any instrument used to carry suture through tissue. IV. SUTURING any instrument used to carry suture through tissue. IV. SUTURING any instrument used to carry suture through tissue.
a. Needle holder 6 and 7 in. long. To hold suture needle for suturing wounds.
b. Clip applier and remover 5 ½, 6, and 7 in. long. To introduce and remove skin clips.
16
(No Transcript)
17
E. PROBING any instrument with a blunt end used to probe a cavity. E. PROBING any instrument with a blunt end used to probe a cavity. E. PROBING any instrument with a blunt end used to probe a cavity.
a. Probe Flexible, 5 in., and 8 in.
b. Grooved director Grooved on long axis, 5 ½ in. To probe a cavity, to guide a probe to control the pathway of an incision.
18
F. MISCELLANEOUS F. MISCELLANEOUS F. MISCELLANEOUS
a. Poole suction tip Fenestrated removable tip 9 in long and ¼ in diameter. To remove fluid from abdominal cavity.
b. Yankauer suction tip Angular, removable tip 9 in long and ¼ in diameter. To withdraw fluid from throat cavity.
c. Laparotomy ring Circular, 1 ½ in diameter. For tagging sponges.
19
(No Transcript)