Presentation on theme: "SURGICAL INSTRUMENTS The basic instruments that every beginner surgeon and nurse should know are placed in four categories. 1-Cutting and Dissecting."— Presentation transcript:
1SURGICAL INSTRUMENTSThe basic instruments that every beginner surgeon and nurse should know are placed in four categories. 1-Cutting and Dissecting 2-Clamping and Occluding 3-Grasping and Holding 4-Retracting and Exposing
21. Cutting and Dissecting instruments handle with 15 blade (deep knife) - Used to cut deep, delicate tissue.handle with 10 blade (inside knife) - Used to cut superficial tissue.handle with 20 blade (skin knife) - Used to cut skin.
3Type of scissorsAll types of scissors can have blunt or sharp blades (A: Sharp, B: Blunt)Sharp scissorUsed to cut and dissect tissueBoth blade tips are sharpAll types can have either straight or curved blades
4Straight Mayo scissors Used to cut suture and supplies. Also known as: Suture scissors.
5Curved Mayo scissorsUsed to cut heavy tissue ( muscle, uterus, breast).Available in regular and long sizes.
6Metzenbaum scissors Used to cut delicate tissue. Available in regular and long sizes.
7hollow organs for homeostasis or to prevent spillage of contents. 2. Clamping and Occluding InstrumentsClamping and occluding instruments are used to compress blood vessels orhollow organs for homeostasis or to prevent spillage of contents.
8A hemostatis used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat
9A mosquito is used to clamp small blood vessels. Its jaws may be straight or curved.
10A Kellyis used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean
11A burlisheris used to clamp deep blood vessels. Burlishers have two closed fingerrings. Burlishers with an open finger ring are called tonsil hemostats.Other names: Schnidt tonsil forcep, Adson forcep
12A right angleA 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
133. Grasping and Holding instruments Grasping and holding instruments are used to hold tissue ,drapes or sponges.
14An AllisAn Allis is used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue
15A Babcockis used to grasp delicate tissue (intestine, fallopian tube, ovary).Available in short and long size
16A Kocher is used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved.Other names: Ochsner.
17A Foerster sponge stick A Forester sponge stick is used to grasp sponges.Other names: sponge forceps
18A Backhaus towel clip A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip
19Adson pick upsAdson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used tograsp the skin. Other names: Dura forceps
20DeBakey forceps Thumb forceps DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgeryThumb forcepsare 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
211x2 Toothed Tissue Forceps Used for grasping and holding tissue, muscle or skin surrounding a woundSingle toothed on one side; fits between two teeth on the other sideAvailable as 1x2 or 2x3 or 3x4
22Walter Splinter Forceps Very fine tipSpear-head design
23Splinter ForcepsFine tip for foreign object retrieval
24Plain Thumb Forceps Used to hold tissue in place when applying sutures Used to gently move tissues out of the way during exploratory surgeryUsed to insert packing into or remove objects from deep cavities
25Mayo-Hegar needle holders Mayo-Hegar needle holders are used to hold needles when suturing. They may also be placed in the sewing categoryshort, medium & longEX: Needle holder with suture
264.Retracting and Exposing Retracting and exposing instruments are 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
27Army-Navy RetractorUsed in narrow incisions with ½” to 1½” of depth (appendectomy, breast biopsy). It is made to retract the edges of the wound and provide optimal visibility for the surgeon. They are used in pairs to provide traction and counter traction. They are held in place during the procedure by the tech or surgical assistant.
28Deaver RetractorCommon retractor used in major abdominal procedures. Comes in several different widths. May also be used during vaginal procedures.
29Green RetractorUsed to retract skin and fatty layers of the abdomen or similar surfaces.
30Parker RetractorSmall narrow retractor used to hold apart the skin and abdominal tissues of small incisions. It is often used in pediatric procedures.
31Rake RetractorsUsed to retract the skin. Could be used in Mastectomy, or orthopedic procedures. They come with two or up to six teeth which could be sharp or blunt.
32Vein RetractorThis retractor is used to retract veins or similar small quantities of tissue.
33Vaginal Speculum Used during gynecological exam or procedure Dilates the opening of the vaginal cavity, allowing for inspection of the vagina and cervixFacilitates access for observation and treatment
34Nasal SpeculumUsed to spread nostrils during examination.
35Ear Currette Can have sharp or blunt scraper ends Used to remove ear wax from ear canal
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