BASIC SURGICAL INSTRUMENTS & THEIR USES

RETRACTING & EXPOSING CUTTING & DiSSECTING CLAMPING & OCCLUDING GRASPING & HOLDING INSTRUMENTS
INSTRUMENTS INSTRUMENTS INSTRUMENTS - hold tissue, drapes, or sponges
- hold back or retract - sharp & used to cut - compress compress blood
organs or tissue to gain body tissue or vessels or hollow organs DESJARDIN’S FORCEP
exposure to operative site surgical supplies hemostasis or to prevent - extracting galls stones from
- when identifying spillage of contents common bile duct
#7 HANDLE WITH #15
retractors, look at the
BLADE (DEEP KNIFE) RANDALL FORCEP
blade, not the handle
- cut deep & delicate HEMOSTAT - non-ratcheted finger ring
• Self-retaining - stay
tissues - clamp blood vessels urology instrument used for
open on their own
#3 HANDLE WITH #10 or tag sutures grasping & removing kidney
• Manual - held by hand
BLADE (INSIDE KNIFE) - its jaws may be stones, gall stones, or polyps
- cut skin & straight or curved
DEAVER RETRACTOR subcutaneous tissue - hemostatic clamps, OVUM FORCEP
- manual #4 HANDLE WITH #20 arterial forceps or - grasp, hold, manipulate, &
- deep abdominal or chest remove tissue from inside uterus

:
BLADE (OUTSIDE KNIFE) pean
incisions including ovum & placenta
- available various widths - cut superficial tissue
MOSQUITO OCHSNER OR KOCHER
- clamp small blood - clamping of blood vessels to avoid
ARMY-NAVY RETRACTOR
vessels bleeding during procedures such
- manual
- its jaws may be as orthopedic surgery
- shallow or superficial
- may grasp tissue
incisions straight or cur ved
- USA/US Army retractor & has a locking grip DOYEL INTESTINAL CLAMP
with 3-5 teeth to - resection anastomosis of the
BLADDER RETRACTOR allow rachet intestines in case of strangulated
- facilitate dissection of clamping at
STRAIGHT MAYO hernia
the vascular pedicles various pressures
during laparoscopic SCISSOR ALLIS
radical cystectomy - cut suture & supplies - grasp tissue
- suture scissor KELLY - available in short & long sizes
RICHARDSON - clamp larger - judd-allis holds intestinal tissue
RETRACTOR vessels & tissue while a heavy allis holds breast tissue
- manual - available in short
- deep abdominal or chest & long sizes BABCOCK
incisions - rochester pean - grasp delicate tissue like intestines,
fallopian tube, & ovary
MALLEABLE OR BURLISHER - available in short & long sizes
RIBBON RETRACTOR - clamp deep blood
- manual CURVED MAYO FOERSTER SPONGE STICK OR SPONGE FORCEPS
SCISSOR vessels
- deep wounds - surgical clamp with a round
- may be bent to - cut heavy tissue eyelet used to grasp sponges
various shapes (fascia, muscle,
uterus, & breast) RIGHT ANGLE DISSECTOR
WEITLANER RETRACTOR - available in regular - hold peanut
- self-retaining
- clamp hard-to-reach
& long sizes vessels & to place
- shallow incisions BACKHAUS TOWEL CLIP
- shaped like scissors sutures behind or
- hold towels & drapes in place
with downward around a vessel
pointing prongs at the - a right angle with PICK UPS, THUMB, & TISSUE FORCEPS
tip, either blunt or a suture attached is - grasp tissue
sharp blades called a “tie on - available in various lengths, with
a passer” or without teeth, & smooth or
SENN SKIN RETRACTOR - mixter serrated jaws
- double-ended
- primarily surface tissue METZENBAUM HEANEY RUSSIAN TISSUE FORCEPS
- often used in plastic - wound closure & grasping dense tissues
surgery, small bone & SCISSOR - help surgeons to
joint procedures, or - cut delicate tissue excise the uterus
- available in straight from its adnexal ADSON PICK UPS OR DURA FORCEPS
thyroidectomy & - either smooth to grasp delicate
dissection of neck tissue & curve, regular & ligaments &
tissue or with teeth to grasp skin
long sizes tissues
BALFOUR WITH
BLADDER BLADE HEMOCLIP DEBAKEY FORCEPS
RETRACTOR APPLIERS - grasp delicate tissue
- self-retaining - applies metal particularly in cardiovascular surgery
- wound edges clips onto small
during deep blood vessels & THUMB FORCEPS
abdominal
procedure
ducts which will - grasp tough tissue
retain occluded - may have many or single tooth
- single tooth are called rat tooth forceps
 OTHER BASIC SURGICAL INSTRUMENTS

SPONGE FORCEPS SKIN HOOK CURVED BLUNT/BLUNT SCISSORS

- hold gauze squares or sponge to mop - flat end is a blunt retractor - both blade tips are blunt
up surgical site - three-prong end may de sharp to dull - can be cur ved or straight
- jaws are serrated - retracts small incisions of secure a
skin edge for suturing

TRANSFER FORCEPS IRIS SUTURE SCISSORS EAR CURRETTE

- when sterile, transfer forceps are - remove sutures - have sharp or blunt scraper ends
being used to arrange items on - blade has beak or hook to slide under - remove ear wax from ear canal
sterile tray & transfer items to sutures
sterile field

SPLINTER FORCEPS SCALPEL HOLDER NASAL SPECULUM

- with fine teeth for foreign retrieval - hold scalpel blade - spread nostrils during examination
- acts as a handle

PLAIN THUMB FORCEPS LISTER BANDAGE SCISSOR VAGINAL SPECULUM

- hold tissue in place when applying - remove/cute bandages & dressings - during gynecological examination or
sutures - probe tip is blunt procedure
- gently move tissues out of the wat - inserted under bandages with - dilates the opening of the vaginal
during exploratory surgery relative safety cavity, allowing for inspection of
- insert packing into or remove objects the vagina and cervix
from deep cavities - facilitates access for obser vation &
treatment

KELLY HEMOSTAT SHARP/SHARP SCISSORS

- clamp small vessels or hold tissue - cut & dissect tissue
- jaws are partially serrated - both blade tips are sharp
- cur ved or straight

NEEDLE HOLDER SHARP/BLUNT SCISSORS SPONGES

- hold & pass suturing needle through - cut & dissect fascia & muscle
tissue - one blunt tip & one sharp tip
- has groove to hold needle within
jaws