-Surgical-Instruments.docx

24
 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. ! eaver retractor (manual) is used to retract deep abdominal or chest incisions. !v ailable in va rious widt  hs. ! #ichardson retractor (manual) is used to retract deep abdominal or chest incisions.

Transcript of -Surgical-Instruments.docx

Page 1: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 1/23

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.

Page 2: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 2/23

• !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.

Page 3: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 3/23

• !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.

Page 4: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 4/23

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)

Page 5: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 5/23

• 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.

Page 6: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 6/23

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)

Page 7: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 7/23

• ! 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.

Page 8: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 8/23

• ! 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.

Page 9: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 9/23

• ! +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

Page 10: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 10/23

• ! =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

Page 11: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 11/23

• #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.

Page 12: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 12/23

• 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) 

Page 13: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 13/23

urgical sets used in&

• %rthopedic urgery

• inor urgery

• a7or urgery

• 4esarean ection

Basic Orthopedic Surgery

Product Name ty

etal #uler @"

Page 14: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 14/23

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

Page 15: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 15/23

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"

Page 16: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 16/23

?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

Page 17: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 17/23

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" @

Page 18: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 18/23

#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

Page 19: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 19/23

 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

Page 20: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 20/23

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

Page 21: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 21/23

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

Page 22: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 22/23

+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"

Page 23: -Surgical-Instruments.docx

7/18/2019 -Surgical-Instruments.docx

http://slidepdf.com/reader/full/-surgical-instrumentsdocx 23/23

;ackson Iaginal #etractor

:haneuf =orceps !ngular B" 3

?ildebrandt 'terine ?emostatic =orceps @ C3"

e>ee %+ =orceps 3"