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Transcript of -Surgical-Instruments.docx
7/18/2019 -Surgical-Instruments.docx
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Retracting and Exposing Instruments
-used to hold back or retract organs or tissue to gain exposure to the operative site. They areeither "self-retaining" (stay open on their own) or "manual" (held by hand). When identifying
retractors look at the blade not the handle.
• ! eaver retractor (manual) is used to retract deep abdominal or chest incisions.
!vailable in various widt
hs.
• ! #ichardson retractor (manual) is used to retract deep abdominal or chest incisions.
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• !n !rmy-$avy retractor (manual) is used to retract shallow or superficial incisions.
%ther names& '! ' !rmy.
• ! goulet (manual) is used to retract shallow or superficial incisions.
• ! malleable or ribbon retractor (manual) is used to retract deep wounds. ay be bent to
various shapes.
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• !Weitlaner retractor (self-retaining) is used to retract shallow incisions.
• ! *elpi retractor (self-retaining) is used to retract shallow incisions.
• ! +alfour with bladder blade (self-retaining) is used to retract wound edges during deep
abdominal procedures.
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Cutting and Dissecting Instruments
-are sharp and are used to cut body tissue or surgical supplies.
• , handle with blade (deep knife) - 'sed to cut deep delicate tissue.
• / handle with 0 blade (inside knife) 1 'sed to cut superficial tissue.
• 2 handle with 30 blade (skin knife) - 'sed to cut skin.
Knife Handle, Scissors (left to right)
#7, #3, #4 (left to right)
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• traight ayo scissors - 'sed to cut suture and supplies. !lso known as& uture scissors.
• 4urved ayo scissors - 'sed to cut heavy tissue (fascia muscle uterus breast).
!vailable in regular and long si5es.
• et5enbaum scissors - 'sed to cut delicate tissue. !vailable in regular and long si5es.
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Clamping and Occluding Instruments
-are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of
contents.
• ! he
mostat is used to clamp blood vessels or tag sutures. 6ts 7aws may be straight or
curved. %ther names& crile snap or stat.
•! mos8uito is used to clamp small blood vessels. 6ts 7aws may be straight or curved.
hemostat, mosquito (left to right)
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• ! 9elly is used to clamp larger vessels and tissue. !vailable in short and long si5es. %ther
names& #ochester :ean.
• ! burlisher is used to clamp deep blood vessels. +urlishers have two closed finger rings.
+urlishers with an open finger ring are called tonsil hemostats. %ther names& chnidt
tonsil forcep !dson forcep.
• ! right angle is used to clamp hard-to-reach vessels and to place sutures behind or around
a vessel. ! right angle with a suture attached is called a "tie on a passer." %ther names&
ixter.
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• ! hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts
which will remain occluded.
Grasping and Holding Instruments
-are used to hold tissue drapes or sponges.
• !n !llis is used to grasp tissue. !vailable in short and long si5es. ! ";udd-!llis" holds
intestinal tissue< a "heavy allis" holds breast tissue.
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• ! +abcock is used to grasp delicate tissue (intestine fallopian tube ovary). !vailable in
short and long si5es.
• ! 9ocher is used to grasp heavy tissue. ay also be used as a clamp. The 7aws may be
straight or curved. %ther names& %chsner.
• ! dissector is used to hold a peanut.
dissector EX: Dissector holding a peanut
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• ! =oerster sponge stick is used to grasp sponges. %ther names& sponge forcep.
• ! +ackhaus towel clip is used to hold towels and drapes in place. %ther name& towel clip.
• :ick ups thumb forceps and tissue forcepsare available in various lengths with or
without teeth andsmooth or serrated 7aws.
Backhaus towel clip Large & small towel clips
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• #ussian tissue forceps are used to grasp tissue.
• !dson pick ups are either smooth& used to grasp delicate tissue< or with teeth& used to
grasp the skin.%ther names& ura forceps.
• >ong smooth pick-ups are called dressing forceps. hort smooth pick-ups are used to
grasp delicate tissue.
• e+akey forceps are used to grasp delicate tissue particularly in cardiovascular surgery.
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• Thumb forceps are used to grasp tough tissue (fasciabreast). =orceps may either have
many teeth or a single tooth. ingle tooth forceps are also called "rat tooth forceps."
• ayo-?egar needle holders are used to hold needles when suturing. They may also be
placed in the sewing category.
short, medium & long (top to bottom)
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urgical sets used in&
• %rthopedic urgery
• inor urgery
• a7or urgery
• 4esarean ection
Basic Orthopedic Surgery
Product Name ty
etal #uler @"
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calpel ?andle A/
calpel ?andle A2
>ister +andage cissors (%ne >arge #ing) B"
%perating cissors C tr C3"
%perating cissors C+ tr C3" 3
%perating cissors C+ 4vd C3"
titch cissors tandard C3"
ayo issecting cissors tr @ /C2"
ayo issecting cissors 4vd @ /C2" 3
T4 Wire 4utting cissors !ngled 2 /C2"
ixter =orceps #ight !ngle , C2" 2
9elly =orceps tr C3" 3
9elly =orceps 4vd C3" 3
#ochester-:ean =orceps 4vd , C2" /
#ochester-:ean =orceps tr , C2" /
ressing =orceps C3" 3
ressing =orceps B" 3
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Tissue =orceps x 3 Teeth C3" 3
Tissue =orceps x 3 Teeth B" 3
T4 ayo-?egar $? err ,"
T4 ayo-?egar $? err B"
!llis Tissue =orceps 2 x Teeth @" 3
!llis Tissue =orceps x @ Teeth , C3" 3
$eedle $ose :liers C3"
+oneC4artilage 4lamp 4vd B"
9ern +one =orceps wCo #atchet Dxtra mall /C2"
9ern =orceps B C3"
>ewin +one =orceps err ,"
>owman 4lamp mall ;aw
>owman 4lamp " x C3" ;aw 2 /C2"
>iston +one =orceps !ngled , /C2"
tille->iston +one =orceps tr 0 C3"
+eyer #ongeur 4vd on =lat ,"
#uskin #ongeur tr , C2"
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?a7ek +one allet B"
?ibbs %steotome 0 mm E C3"
?ibbs %steotome / mm E C3"
?ibbs 4hisel 0 mm E C3"
?ibbs 4hisel / mm E C3"
9ey Dlevator C2" x , C3"
9ey Dlevator C3" x , C3"
ayre Dlevator ouble Dnd +lunt @ C3"
Weitlaner-+eckman #etractor harp @"
Weitlaner #etractor / x 2 :rong harp @ C3"
+ackhaus Towel 4lamp / C3" 2
+ackhaus Towel 4lamp C2" 3
=ra5ier uction Tube B =rench
=ra5ier uction Tube 0 =rench
=ra5ier uction Tube 3 =rench
?ibbs #etractor , C3" 3
enn #etractor ouble Dnd harp @ C2" 3
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enn #etractor ouble Dnd +lunt @ C2" 3
et5enbaum cissors 4vd ,"
!a"or Basic Surgery
Product Name ty
etal #uler @"
calpel ?andle A/ 3
calpel ?andle A2 3
Fankauer uction Tube (lip on Dnd) 3
Weinstein terili5ing #ack G" /
ayo issecting cissors tr C3"
ayo issecting cissors 4vd @ /C2"
?artmann os8uito =cp tr el err / C3" /
?artmann os8uito =cp 4vd el err / C3" /
?alsted os8uito =orceps tr " @
?alsted os8uito =orceps 4vd " @
#ochester-:ean =orceps 4vd @ C2" @
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#ochester-:ean =orceps 4vd B" /
#ochester-:ean =orceps tr @ C2" @
#ochester-:ean =orceps tr B" /
#ochester-%chsner =orceps 4vd @ C2" 3
#ochester-%chsner =orceps tr @ C2" 3
#ochester-%chsner =orceps tr B" 3
4rile =orceps tr C3" 3
4rile =orceps 4vd C3" 3
ressing =orceps C3" 3
ressing =orceps B" 3
Tissue =orceps x 3 Teeth C3" /
Tissue =orceps x 3 Teeth B"
#ussian Tissue =orceps B" 3
T4 ayo-?egar $? err @" 3
T4 ayo-?egar $? err ," 3
%perating cissors C+ tr C3" 3
%perating cissors C+ 4vd C3" 3
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tevens Tenotomy cissors 4vd 2 C2"
:robe ouble Dnd @" 3
:robe wC Dye @" 3
+abcock 6ntestinal =orceps @ C2" 3
+abcock 6ntestinal =orceps B" 3
!llis Tissue =orceps 2 x Teeth @" /
!llis Tissue =orceps x @ Teeth , C3" @
!dson +rown Tissue =orceps 2 /C2" 3
!dson =orceps err 2 /C2"
+ackhaus Towel 4lamp C2" 3
et5enbaum cissors 4vd E"
' !rmy #etractor (et of 3) B C3" 3
#ichardson #etractor wC -*rip ?andle edium
#ichardson #etractor wC -*rip ?andle >arge
#ichardson-Dastman #etractor (et of 3)
eaver #etractor A3 " x /" 3
eaver #etractor A0 " x E" 3
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eaver #etractor A/ C3" x 3" 3
eaver #etractor A2 3" x 3"
Halkind #ibbon #etractor alleable /C2" x ," 3
Halkind #ibbon #etractor alleable " x /" 3
Halkind #ibbon #etractor alleable C3" x /" 3
enn #etractor ouble Dnd harp @ C2" 3
enn #etractor ouble Dnd +lunt @ C2" 3
+alfour !bdominal #etractor ,"
chnidt ?emostat ?alf 4vd ;aws , C3" 3
et5enbaum cissors 4vd ," 3
=oerster ponge =orceps tr err E C3" 3
=oerster ponge =orceps 4vd err E C3" 3
!inor Basic Surgery
Product Name ty
calpel ?andle A/ 3
calpel ?andle A2 3
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Fankauer uction Tube (lip on Dnd) 3
ayo issecting cissors 4vd C3"
ayo issecting cissors 4vd @ /C2"
?alsted os8uito =orceps tr " @
?alsted os8uito =orceps 4vd " @
4rile =orceps tr C3" 3
4rile =orceps 4vd C3" 3
ressing =orceps C3" 3
ressing =orceps B"
Tissue =orceps x 3 Teeth C3" /
T4 ayo-?egar $? err @" 3
%perating cissors C tr C3" 3
ayo issecting cissors 4vd C3"
ayo issecting cissors 4vd @ /C2"
:robe ouble Dnd @" 3
!llis Tissue =orceps 2 x Teeth @" /
!dson +rown Tissue =orceps 2 /C2" 3
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+ackhaus Towel 4lamp C2" 3
=ra5ier uction Tube B =rench
*oelet #etractor ouble Dnd C2" x C3" 3
' !rmy #etractor (et of 3) B C3" 3
Halkind #ibbon #etractor alleable /C2" x ," 3
enn #etractor ouble Dnd harp @ C2" 3
enn #etractor ouble Dnd +lunt @ C2" 3
et5enbaum cissors 4vd ," 3
=oerster ponge =orceps tr err E C3" 3
=oerster ponge =orceps 4vd err E C3" 3
Cesarean Section
Product Name ty
ayo issecting cissors tr E"
ayo issecting cissors 4vd E"
asson $eedle ?older 0 C3"
T4 ?eaney $eedle ?older 4vd B C2"
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;ackson Iaginal #etractor
:haneuf =orceps !ngular B" 3
?ildebrandt 'terine ?emostatic =orceps @ C3"
e>ee %+ =orceps 3"