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Feb./07
By: Cecil ReyesKing Faisal University
College of Nursing
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The Basic Surgical Instruments:A.CuttingB.GraspingC.Retracting
D.SuturingE.Miscellaneous
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Knife (Scalpel) Scissors
A. Cutting Instruments:
A. Knife:1.Bard Parker Handle
# 3 Narrow nose,length 5 inches.
To hold # 10, 11, 12& 15.
# 7 Narrow nose,length 6 inches.
To hold # 10, 11, 12& 15.
# 9 Narrow nose,
length 4 inches
To hold # 10, 11, 12
& 15.# 4 Narrow nose,
length 5 inchesTo hold # 20 & 21.
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2.Blades# 10 Small General
dissecting.
# 11 Small Stab incision.
# 12 SmallT
onsildissection.
# 15 Small Plasticdissection(reconstruction)
# 20 Large Skin incision
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b. Scissors
1. Metzenbaum Thin, 7 in. curved. To cut delicatetissue, peritoneum
2. Mayo curved
3. Mayo Straight
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4. One point sharp
5. Wire
6.Liston, bandage
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B. GRASPING: Any instrument used to grasp tissue for thepurpose of clamping or holding.
a. Hemostats A hinge, crushinginstrument with a lockingdevice on the handles,which holds the jaws,when closed.
To arrest the flowof blood.
1.Mosquito 5 in
., curved 5 in
.straight.
2. Crile 5 , curved.
3. Straightforceps
6 , straight.
4. Kelly 6 , curved.
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b. Babcockforceps
Smooth jaws,fenestrated oval
tips withlongitudinalserrations.6 , 7 in. long.
To grasp delicatetissues; appendix.
c. Allisforceps
Smooth jaws with4 x 5 fine teeth
at tips, 6 in long.
To grasp heavytissue, abdominal
muscles.
d. Kockerforceps
Cross serrations;1 x 2 heavy teethat tip of jaws; 5 in, 6 in, 7 instraight andcurved.
To grasp heavytissue, abdominalmuscles.
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e. Dressingforceps
Serrations5 and 10inches.
To grasp delicatetissues while theyare being sutures,dissected orexcised.
f. Tissueforceps
1 x 2 teethat tip of
jaws, 5 and 10inches.
To grasp heavytissues while they
are being sutured,dissected orexcised.
g. Adsonsforceps
4 , 1 x 2fine teeth
at the tipof jaws.
To grasp verydelicate tissues,
nerve, or bloodvessel for suturing,dissecting orexcising.
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h. Sponge
forceps
9 in, straight and
curved.
To hold sponges or grasp
tissue, transfer forceps.i. Towel clip 3 in and 5 and 10
inches.To hold drapes in placeto retract tissues.
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C. RETRACTING: any instrument used tohold open the edges of awound.
a. Cushingvein
Single-bladed8 in. long.
For shallowretractions.
b. Volkman 4 prongssharp or dull,
8 in.
long.
c. Army-navy
Double-ended,8 in. long.
For shallowretractions.
d. Richardson Double-ended,small & large
9 in.long
.
To retractabdominal
wall andorgans.
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e. Ribbon Flexible, twowidths; narrow1 in wide 2in., 12incheslong.
To retractabdominal wall
and organs.
f. Deaver Three widths,narrow,
medium 1 ,wide 2 in., 12in long.
To retractabdominal wall
and organs.
g. Weithlaner Self-retaining;2 blades and
bladderblades.
For shallowretractions.
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h. Balfour Self-retaining;2 blades and bladder
blades.
For abdominalwall retractions.
i. Hupp tracheal Three sharp prongs, blunthook, overall length 5 in.
To retracttrachea or othershallow wounds.
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IV. SUTURING: any instrument used to carry suturethrough tissue.
a. Needleholder
6 and 7 in. long. To hold suture needlefor suturing wounds.
b. Clip applierand remover
5 , 6, and 7 in.long.
To introduce andremove skin clips.
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E. PROBING: any instrument with a blunt end used toprobe a cavity.
a. Probe Flexible, 5 in., and8 in.
b. Grooveddirector
Grooved on longaxis, 5 in.
To probe a cavity, toguide a probe; tocontrol the pathway
of an incision.
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F. MISCELLANEOUS
a. Poole suction
tip
Fenestrated
removable tip 9 inlong and indiameter.
To remove fluid
from abdominalcavity.
b. Yankauersuction tip
Angular, removabletip 9 in long and
in diameter.
To withdraw fluidfrom throat cavity.
c. Laparotomyring
Circular, 1 indiameter.
For taggingsponges.
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