General Surgical Clamps - PowerPoint PPT Presentation

1 / 16
About This Presentation
Title:

General Surgical Clamps

Description:

The severed edge of the lumen of the bowel might be held open with this clamp. ... This small fine tipped clamping instrument is used in cases requiring delicate ... – PowerPoint PPT presentation

Number of Views:142
Avg rating:3.0/5.0
Slides: 17
Provided by: cars8
Category:

less

Transcript and Presenter's Notes

Title: General Surgical Clamps


1
General Surgical Clamps
2
Allis
  • The jaws of this clamp run perpendicular to the
    handle of the clamp and they meet at a very
    narrow edge. This makes it useful for holding
    tissue edges rather gently. The severed edge of
    the lumen of the bowel might be held open with
    this clamp. It also holds a firm grip on tumors.

3
Allis Adair
  • Another version of the Allis clamp is the Allis
    Adair. It looks and functions the same as a
    regular Allis except that the jaw is wider. It
    is most frequently used during anterior or
    posterior vaginal repairs.

4
Babcock
  • This clamp has a delicate yet firm grip on
    tissues that can be torn easily. Bowel can be
    safely manipulated with this clamp and it should
    be available on all such cases. It may also
    safely grip a fallopian tube in GYN procedures.

5
Kelly Clamp
  • This clamping instrument is fine tipped and comes
    in curved or straight versions. The curved Kelly
    will be used in almost every case. It is the
    clamp you will give the surgeon if asked for a
    hemostat. It may also be referred to as a snap.
    A straight Kelly is used during an appendectomy
    where a straight clamp is used along with a knife
    to cut the appendix away from the cecum. It is
    rarely used otherwise. The true Kelly has
    serrations along the distal half of its jaw. The
    Crile clamp is used interchangeably with the
    Kelly. It has serrations along the entire jaw.
    Either clamp may be used when asked for a Kelly,
    snap, or hemostat.

6
Kocher
  • This stout clamp is most commonly used in its
    straight version. It could also come curved
    (rarely). It has a single tooth at its tip and
    is very useful in orthopedic procedures for
    manipulating bone. Never put it on the mayo
    stand for bowel cases because it will put a hole
    in the bowel if picked up accidentally.

7
Lahey Clamp
  • This clamps three sharp teeth hold large masses
    of tissue with out slippage. Most commonly in
    breast procedures, orthopedic procedures, or on
    skin edges during abdominoplasty to hold up the
    thick heavy apron of skin while the surgeon
    dissects down to the muscle. They also hold a
    firm grip on the cervix during vaginal
    hysterectomies. Never use near bowel or large
    vessels. When this clamp is open, it might
    easily tear gloves.

8
Mosquito
  • This small fine tipped clamping instrument is
    used in cases requiring delicate motions around
    small blood vessels such as thyroid procedures or
    plastic procedures.

9
Pean
  • This clamping instrument is fairly heavy duty.
    It comes in 6, 8, and 10 versions. They are
    used in cases where large portions of tissue need
    to be clamped across. Cutting across the omentum
    during a bowel resection is an expected use. The
    stout jaws of the Pean make it the clamp of
    choice to hold kitners or the loop of a tail
    sponge.

10
Right Angle Clamp
  • This clamp is fine tipped and used in deep holes
    on small blood vessels where visibility is
    difficult. The steep angle of the clamp allows
    the surgeon to see the tip of the clamp and the
    tissue it is holding.

11
Ring Clamp
  • This clamp has an open ring on its tip making it
    useful for holding a raytec sponge folded in
    thirds and then half for use as a sponge stick.
    The sponge stick is used in deep holes for blunt
    dissection or blotting small amounts of blood.
    The sponge should be changed after each use.

12
Tonsil Clamp
  • This long fine tipped clamp is used in deep
    narrow holes on small vessels. It is also the
    clamp used to hold a tie on a pass.

13
Tonsil Kelly Mosquito
14
Non-penetrating Towel Clamp
  • Used in the same way a security clamp is. It
    holds cords and tubing on the drape during a case
    without putting a hole in the drape. The sterile
    field is maintained. It belongs to the
    miscellaneous group.

15
Penetrating Towel Clamp
  • Used while draping to hold towels in place. They
    are not used on top drapes as they will puncture
    the material and break the sterile field. They
    belong to the miscellaneous category.

16
Security Clamp
  • This miscellaneous instrument is used most often
    to secure cords or tubing to the drapes. It is
    non-penetrating so the sterile field remains
    intact. It will not tare or puncture the drapes.
Write a Comment
User Comments (0)
About PowerShow.com