Basic Surgical Instruments Feb./07

The Basic Surgical Instruments: Cutting Grasping Retracting Suturing Miscellaneous

A. Cutting Instruments: Knife (Scalpel) Scissors 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. # 9 Narrow nose, length 4 ½ inches # 4 Narrow nose, length 5½ inches To hold # 20 & 21.

2. Blades # 10 Small General dissecting. # 11 Stab incision. # 12 Tonsil dissection. # 15 Plastic dissection (reconstruction) # 20 Large Skin incision

b. Scissors 1. Metzenbaum Thin, 7 in. curved. To cut delicate tissue, peritoneum 2. Mayo curved 3. Mayo Straight

4. One point sharp 5. Wire 6. Liston, bandage

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.

b. Babcock forceps Smooth jaws, fenestrated oval tips with longitudinal serrations. 6 ¼, 7 ¾ in. long. To grasp delicate tissues; appendix. c. Allis 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.

e. Dressing forceps Serrations 5 ½ and 10 inches. To grasp delicate tissues while they are being sutures, dissected or excised. f. Tissue 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. Adson’s 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.

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.

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. d. Richardson Double-ended, small & large 9 ½ in. long. To retract abdominal wall and organs.

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. g. Weithlaner Self-retaining; 2 blades and bladder blades. For shallow retractions.

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.

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.

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.

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.