Cutting and Dissecting
Grasping and Clamping
Retracting
Probing and Dilating
Cutting and Dissecting Instruments
are sharp and are used to cut body tissue or surgical
supplies.
Knife Handle, Scissors
(left to right)
Scalpel Holder
Holds scalpel blade
Acts as a handle
Scalpels and blades
7 handle with 15 blade (deep knife) - Used to cut deep,
delicate tissue.
3 handle with 10 blade (inside knife) Used to cut
superficial tissue.
4 handle with 20 blade (skin knife) - Used to cut skin.
#7, #3, #4
(left to right)
Scaplel grips
Fingertip grip-applying
downward pressure from
index for skin incision
Pencil grip-motion
comes from the thumb
and index for precise
incisions
Suture scissors
Straight Mayo scissors - Used to cut suture and
supplies. Also known as: Suture scissors.
EX: Straight Mayo scissors being used to cut suture.
Suture Scissors
Isis Suture scissors
Used to remove sutures
Blade has beak or hook to
slide under sutures
Lister Bandage Scissors
Used to remove bandages and dressings
Probe tip is blunt; inserted under bandages with relative
safety
Tissue scissors
Sharp/Sharp Scissors
Used to cut and dissect tissue
Both blade tips are sharp
Tissue scissors
Sharp/Blunt Scissors
Used to cut and dissect fascia and muscle
One blunt tip and one sharp tip
Holding surgical instruments
Correct use involves
grasping with the thumb
and 4-th finger, using the
3-rd finger for balance and
index for orientation
Tissue scissors
Curved Blunt/Blunt Scissors
Both blade tips are blunt
Can be curved or straight-
Cooley arteriotomy scissors
Used for longitudinal
arteriotomy
Amputation instruments
Special cutting instruments used in amputations for
muscle and bone
Amputation saw
Amputation knife
Amputation instruments
Gigli saw-used for
cutting the bone
Percy amputation
retractor
Grasping, clamping, occluding
instruments
These istruments are used to grasp, pick up,hold and
manipulate tissues, tools and materials.
Towel Clamp
Bachaus towel clamp
Schaedel towel clips
Adds weight to drapes and towels to ensure they stay in place
Allow exposure of the operative site
english towel clamp
Towel Clamp
Doyen towel clamp
English towel clamp
Sponge Forceps
Used to hold gauze squares or
sponge to mop up the
surgical site
Jaws are serrated
Transfer Forceps
When sterile, transfer
forceps;
arrange items on sterile
tray
transfer items to sterile
field
Forceps
Anatomical forceps
Used to hold tissue in place when applying sutures
Used to gently move tissues out of the way during
exploratory surgery
Used to insert packing into or remove objects from
deep cavities
Forceps
Surgical forceps
Used for grasping and
holding tissue, muscle or skin
surrounding a wound
Single toothed on one
side; fits between two teeth on
the other side
Available as 1x2 or 2x3
or 3x4
Inca o pensa fina (vasculara)
Forceps
DeBakey vascular
forceps-used for delicate
handling of tissue in
vascular surgery
Forceps grasping
Pencil grip for grasping
and manipulating tissues
Clamps
Pean clamp used
grasping various tissues
and clamping blood
vessels. It has serrated
blades.
Clamps
Mosquito
Halsted
Clamps
A Kocher is used to grasp heavy tissue. May also be used
as a clamp. The jaws may be straight or curved with
serrated blades and interlocking teeth at the tips.
Clamps
A Miculicz is used to grasp heavy tissue. May also be used
as a clamp. The jaws are curved with serrated edges only
on the tips and interlocking teeth.
Dissection instruments
Disector (right angle
clamp)- a 90 degree tip
angle clamp used for
dissecting tissues and
maneuvering threads
with serrated blades
Special clamps
Museux clamp-for
grasping the uterus
Special clamps
Schrodder Braun-similar
to Museux, for
gynecological
procedures
Special clamps
Dartigue clamp-for grasping and maneuver of the entire uterus
Special clamps
Lovelace clamp-for
grasping and maneuver
of the lung
Special Clamps
A Collin clamp (en coeur,
ringed gallbladder ) is
used for grasping and
mobilizing structures
(gallbladder, breast,
hemorrhoids)
Special Clamps
A Babcock is used to grasp delicate tissue (intestine,
fallopian tube, ovary). Available in short and long sizes.
Special clamps
Desjardin forceps-for grasping and extraction of
stones (gallblader, kidney)
Special clamps
Klammer straight intestinal
clamp-longitudinal serrated
blades
Angled intestinal clamp
Hemostatic clamps
Kelly Hemostat
Used to clamp small vessels or hold tissue
Jaws are partially serrated
Curved or straight
Vascular surgery Hemostatic clamps
Satinsky clamps are designed to partially occlude the wall
of a vessel over a distance
Vascular surgery Hemostatic clamps
Dietrich bulldog clamp
Debakey vascular clamp
Hemostatic clamps
A hemoclip applier with hemoclips applies metal clips
onto blood vessels and ducts which will remain occluded.
Manual retractors
Wolkman retractor-for
retracting the SKIN edges after
initial incision
Manual retractors
Farabeuf retractor-various
tissue/organ retractor
Langenbeck retractor
Manual retractors
Israel retractor
Manual retractors
Allison lung retractor-
for retracting the lung in
cardiothoracic surgeries
Abdominal manualRetractors
Doyen abdominal
retractor, it comes in
various lenghts and sizes
Retractors
A malleable or ribbon retractor (manual) is used to
retract deep wounds. May be bent to various shapes.
Autostatic retractors
A Weitlaner retractor (self-retaining) is used to retract
shallow incisions.
Autostatic retractors
Finochetto-used in
thoracotomy
Autostatic retractors
Gosset-in pelvic surgery
Autostatic retractors
A Balfour with bladder blade (self-retaining) is used to
retract wound edges during deep abdominal procedures.
Autostatic retractors
Thompson retractor
Probing and dilating instruments
Double ended probe
Doyen probe
Probing and dilating instruments
Nasal Speculum
Used to spread nostrils
during examination
Probing and dilating instruments
Sims Rectal speculum
Anoscope
Probing and dilating instruments
Kristeller vaginal
speculum
Probing and dilating instruments
Vaginal speculum
Used during
gynecological exam or
procedure
Dilates the opening of
the vaginal cavity, allowing
for inspection of the vagina
and cervix
Facilitates access for
observation and treatment
Suturing instruments
Skin clips
Clip forceps
Needle holders
Suture materials (needle
and thread)
Skin clips and Michel clamp
Needle holders
Mathieu
Hegar
Baraquer
Needle holder grasp
Position of needle
Angled at 45 degrees
In the middle 1/3-rd of
the needle
Types of needles
Hagedon
Bassini
Atraumatic
Intestinal
Straight
Bassini-cutting edge,
regular eyed, half circle
Hagedon-micro point
spatula curved, regular
eyed, 3/8 circle
Types of needles
Non traumatic-round,
taper point, drill ended
Intestinal-round, taper
point, regular eye
Types of needles
Straight-used for
intradermic sutures
Needles
Deschamps
Reverdin
Needles-ligature conductors
Used for guiding the
needles in suturing, to
avoid other tissue
damage
Mechanical suture
Linear stapler
Circular stapler
Bone surgery
Chisel and mallet
Periosteal elevator
Doyen, Semb
Rib-cutting shears
(Geitz)
Bone-cutting ForcepsLuer
Volkman curette
Bone chisel and mallet
Periosteal elevator
Doyen
Semb
Rib shears
Geitz rib shears-for
cutting ribs in
thoracotomy
Bone-cutting forceps
Luer
Stille-Luer
Curette
Wolkmann-
Kramer splint
Flexible, used for
temporary imobilisation
