SUTURE MATERIAL
ISYFAUNNISA / 030.11.143
RETRACTING AND EXPOSING INSTRUMENTS
CUTTING AND DISSECTING INSTRUMENTS
CLAMPING AND OCCLUDING INSTRUMENTS
INSTRUMENTS
GRASPING AND HOLDING INSTRUMENTS
WOUND-CLOSING INSTRUMENTS AND MATERIALS
SPECIAL INSTRUMENTS
SURGICAL MATERIALS
RETRACTING AND EXPOSING INSTRUMENTS
These instruments are used to hold tissues and organs in
order to improve the exposure and hence the visibility and
accessibility of the surgical field.
RETRACTING AND EXPOSING INSTRUMENTS
A Deaver retractor
A Richardson retractor
(manual) is used to retract
(manual) is used to retract
deep abdominal or chest
deep abdominal or chest
incisions. Available in
incisions
various widths.
RETRACTING AND EXPOSING INSTRUMENTS
An Army-Navy
A goulet (manual) is used to
retractor (manual) is
retract shallow or superficial
used to retract shallow or
incisions.
superficial incisions. Other
names: USA, US Army.
RETRACTING AND EXPOSING INSTRUMENTS
A malleable or ribbon
A Weitlaner retractor (self-
retractor (manual) is used
retaining) is used to retract
to retract deep wounds.
shallow incisions.
May be bent to various
shapes.
RETRACTING AND EXPOSING INSTRUMENTS
A Gelpi retractor (self-
A Balfour with bladder
retaining) is used to retract
blade (self-retaining) is
shallow incisions
used to retract wound edges
during deep abdominal
procedures.
CUTTING AND DISSECTING INSTRUMENTS
The function of these instruments is to divide tissues,
sutures, bandages, etc.
CUTTING AND DISSECTING INSTRUMENTS
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)
CUTTING AND DISSECTING INSTRUMENTS
Straight Mayo scissors Used to cut suture and
supplies. Also known as:
Suture scissors.
Curved Mayo scissors
- Used to cut heavy
tissue (fascia, muscle,
uterus, breast).
Available in regular and
long sizes.
CUTTING AND DISSECTING INSTRUMENTS
Metzenbaum scissors Used to cut delicate tissue.
Available in regular and
long sizes.
Curved Mayo
CUTTING AND DISSECTING INSTRUMENTS
A hemostat is used to
clamp blood vessels or tag
sutures. Its jaws may be
straight or curved. Other
A mosquito is used to
clamp small blood
vessels. Its jaws may be
straight or curved.
names: crile, snap or stat.
hemostat, mosquito (left to right)
CUTTING AND DISSECTING INSTRUMENTS
Electrocoagulating system
MONOPOLAR
BIPOLAR
CLAMPING AND OCCLUDING INSTRUMENTS
Are used to compress blood vessels or hollow organs for
hemostasis or to prevent spillage of contents.
CLAMPING AND OCCLUDING INSTRUMENTS
A Kelly is used to clamp
A burlisher is used to clamp deep
larger vessels and tissue.
blood vessels. Burlishers have two
Available in short and long
sizes. Other names:
Rochester Pean.
closed finger rings. Burlishers
with an open finger ring are called
tonsil hemostats. Other names:
Schnidt tonsil forcep, Adson
forcep.
Kelly, hemostat, mosquito (left to right)
CLAMPING AND OCCLUDING INSTRUMENTS
A right angle is used to
A hemoclip applier with
clamp hard-to-reach vessels
hemoclips applies metal clips
and to place sutures behind or
onto blood vessels and ducts which
around a vessel. A right angle
will remain occluded.
with a suture attached is
called a "tie on a passer."
Other names: Mixter.
hemoclip applier with hemoclips
GRASPING AND HOLDING INSTRUMENTS
are used to hold tissue, drapes or sponges.
GRASPING AND HOLDING INSTRUMENTS
An Allis is used to grasp
A Babcock is used to grasp
tissue. Available in short
delicate tissue (intestine, fallopian
and long sizes. A "Judd-
tube, ovary). Available in short
Allis" holds intestinal
and long sizes.
tissue; a "heavy allis" holds
breast tissue.
GRASPING AND HOLDING INSTRUMENTS
A Kocher is used to grasp
A Foerster sponge stick is used
heavy tissue. May also be
to grasp sponges. Other names:
used as a clamp. The jaws
sponge forcep.
may be straight or curved.
Other names: Ochsner.
Foerster sponge stick
EX: Sponge sticks holding a 4 X 4
and probang.
GRASPING AND HOLDING INSTRUMENTS
A dissector is used to hold a
peanut.
A Backhaus towel clip is used to
hold towels and drapes in place.
Other name: towel clip.
dissector
EX: Dissector holding a peanut.
Backhaus towel clip
Large & small towel clips
GRASPING AND HOLDING INSTRUMENTS
Pick ups, thumb
forceps and tissue
forceps are available in
various lengths, with or
without teeth, and smooth
or serrated jaws.
Russian tissue forceps are used
to grasp tissue.
GRASPING AND HOLDING INSTRUMENTS
Adson pick ups are either
Long smooth pick-ups are called
smooth: used to grasp
dressing forceps. Short smooth
delicate tissue; or with
pick-ups are used to grasp delicate
teeth: used to grasp the
tissue.
skin. Other names: Dura
forceps.
GRASPING AND HOLDING INSTRUMENTS
DeBakey forceps are
Thumb forceps are used to grasp
used to grasp delicate
tough tissue (fascia,
tissue, particularly in
breast). Forceps may either have
cardiovascular surgery.
many teeth or a single tooth.
Single tooth forceps are also called
"rat tooth forceps."
single tooth forceps, many teeth forceps
(top to bottom)
GRASPING AND HOLDING INSTRUMENTS
Mayo-Hegar needle holders are used to hold needles when
suturing. They may also be placed in the sewing category.
short, medium & long (top to bottom)
EX: Needle holder with suture.
WOUND-CLOSING INSTRUMENTS AND MATERIALS
These instrument and surgical materials are used during
tissue closure procedures.
WOUND-CLOSING INSTRUMENTS AND MATERIALS
Staplers
Linear Stapler
Circular Staplers
WOUND-CLOSING INSTRUMENTS AND MATERIALS
Clips
Michel-clips
Self-adhesive strips
Surgical adhesives
WOUND-CLOSING INSTRUMENTS AND MATERIALS
Clips
Surgical materials
SPECIAL INSTRUMENTS
These instruments are not used routinely during all surgical
interventions.
SPECIAL INSTRUMENTS
Volkmanns curette
Probe
Instruments of bone surgery
Sucker system
SURGICAL MATERIALS
SURGICAL MATERIALS
Surgical needles
Medicina is used numerous materials (bone, fishbone, thorn) as
surgical needles, and metal needles are widespread from the XIX.
Century.
SURGICAL MATERIALS
The criteria of the ideal surgical needles
- Made in best quality and minimal tissue reaction causing
stainless steel
- Slim and narrow, but strong
- Stabil fixation and control in the needle holder
- Lead the thread by safely and minimal traumatisation
- Sharp to get through the tissues
- Rigid, but flexible
- Easy sterilisation
SURGICAL MATERIALS
Conventional needles
Closed eyed
- Double thread (traumatisation)
- Lace time
- Re-sterilisation
- Care of needle-tip
- Corrosion
French-eyed
SURGICAL MATERIALS
Atraumatic needles
- Simple thread (atraumatic)
- Manufactured connection of needle
and threads
- No Lace time
- No re-sterilisation
- No Care of needle-tip
- No Corrosion
SURGICAL MATERIALS
Shape of needle
Circle
3/8 Circle
Circle
5/8 Circle
Progressive curved
Multiple curved
Straight
J-shaped
SURGICAL MATERIALS
Shape of its body
Round needle
Triangular (Cutting) needle
SURGICAL MATERIALS
Round needle
Taperpoint
Tapercutting
Blunt taper
SURGICAL MATERIALS
Cutting needle
Conventional
Reverz cutting
Spatula
SURGICAL MATERIALS
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