By: Cecil Reyes
King Faisal University
College of Nursing
Feb./07
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The Basic Surgical Instruments:
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A. Cutting Instruments:
Knife (Scalpel)
Scissors
A. Knife:
1. Bard Parker Handle
#3 Narrow nose, To hold # 10, 11, 12
length 5 inches. & 15.
#7 Narrow nose, To hold # 10, 11, 12
length 6 ½ inches. & 15.
#9 Narrow nose, To hold # 10, 11, 12
length 4 ½ inches & 15.
#4 Narrow nose, To hold # 20 & 21.
length 5½ inches
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2. Blades
# 10 Small General
dissecting.
# 11 Small Stab incision.
# 12 Small Tonsil
dissection.
# 15 Small Plastic
dissection
(reconstruction)
# 20 Large Skin incision
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b. Scissors
1. Metzenbaum Thin, 7 in. curved. To cut delicate
tissue, 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 the
purpose of clamping or holding.
a. Hemostats A hinge, crushing To arrest the flow
instrument with a locking of blood.
device on the handles,
which holds the jaws,
when closed.
1. Mosquito 5 in., curved 5 in.
straight.
2. Crile 5 ½, curved.
3. Straight 6 ¼, straight.
forceps
4. Kelly 6 ¼, curved.
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b. Babcock Smooth jaws, To grasp delicate
forceps fenestrated oval tissues; appendix.
tips with
longitudinal
serrations.
6 ¼, 7 ¾ in. long.
c. Allis Smooth jaws with To grasp heavy
forceps 4 x 5 fine teeth tissue, abdominal
at tips, 6 in long. muscles.
d. Kocker Cross serrations; To grasp heavy
forceps 1 x 2 heavy teeth tissue, abdominal
at tip of jaws; 5 ½ muscles.
in, 6 ½ in, 7 ¼ in
straight and
curved.
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e. Dressing Serrations To grasp delicate
forceps 5 ½ and 10 tissues while they
inches. are being sutures,
dissected or
excised.
f. Tissue 1 x 2 teeth To grasp heavy
forceps at tip of tissues while they
jaws, 5 ½ are being sutured,
and 10 dissected or
inches. excised.
g. Adson’s 4 ½, 1 x 2 To grasp very
forceps fine teeth delicate tissues,
at the tip nerve, or blood
of jaws. vessel for suturing,
dissecting or
excising.
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h. Sponge 9 ½ in, straight and To hold sponges or grasp
forceps curved. tissue, transfer forceps.
i. Towel clip 3 ½ in and 5 ½ and 10 To hold drapes in place
inches. to retract tissues.
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C. RETRACTING: any instrument used to
hold open the edges of a
wound.
a. Cushing Single-bladed For shallow
vein 8 ½ in. long. retractions.
b. Volkman 4 prongs
sharp or dull,
8 ½ in. long.
c. Army- Double-ended, For shallow
navy 8 ½ in. long. retractions.
d. Richardson Double-ended, To retract
small & large abdominal
9 ½ in. long. wall and
organs.
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e. Ribbon Flexible, two To retract
widths; narrow abdominal wall
1 ½ in wide – 2 and organs.
in., 1 2inches
long.
f. Deaver Three widths, To retract
narrow, abdominal wall
medium 1 ½, and organs.
wide – 2 in., 12
in long.
g. Weithlaner Self-retaining; For shallow
2 blades and retractions.
bladder
blades.
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h. Balfour Self-retaining; For abdominal
2 blades and bladder wall retractions.
blades.
i. Hupp tracheal Three sharp prongs, blunt To retract
hook, overall length 5 ¼ in. trachea or other
shallow wounds.
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IV. SUTURING: any instrument used to carry suture
through tissue.
a. Needle 6 and 7 in. long. To hold suture needle
holder for suturing wounds.
b. Clip applier 5 ½, 6, and 7 in. To introduce and
and remover long. remove skin clips.
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E. PROBING: any instrument with a blunt end used to
probe a cavity.
a. Probe Flexible, 5 in., and
8 in.
b. Grooved Grooved on long To probe a cavity, to
director axis, 5 ½ in. guide a probe; to
control the pathway
of an incision.
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F. MISCELLANEOUS
a. Poole suction Fenestrated To remove fluid
tip removable tip 9 in from abdominal
long and ¼ in cavity.
diameter.
b. Yankauer Angular, removable To withdraw fluid
suction tip tip 9 in long and ¼ from throat cavity.
in diameter.
c. Laparotomy Circular, 1 ½ in For tagging
ring diameter. sponges.
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