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