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

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Presentation on theme: "Surgical Instruments Grasping and Clamping Retracting Cutting and Dissecting Probing and Dilating."— Presentation transcript:

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  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  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  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  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  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!


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