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Surgical Instruments Slides

Surgical instruments are classified by their function which includes cutting, grasping, clamping, exposing, suturing, viewing, and suctioning. Common instruments in most sets include various knife handles and blades, scissors, forceps, retractors, needle holders, and clamps. Proper care of instruments involves cleaning them with water and preventing blood from drying to avoid damage. Powered instruments require special handling to avoid liquid damage to internal parts.

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96 views

Surgical Instruments Slides

Surgical instruments are classified by their function which includes cutting, grasping, clamping, exposing, suturing, viewing, and suctioning. Common instruments in most sets include various knife handles and blades, scissors, forceps, retractors, needle holders, and clamps. Proper care of instruments involves cleaning them with water and preventing blood from drying to avoid damage. Powered instruments require special handling to avoid liquid damage to internal parts.

Uploaded by

Janelle Storage
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Surgical Instruments Instruments

 Instruments are classified by their function


– Cutting & Dissecting
– Grasping & Holding
– Clamping & Occluding
– Exposing & Retracting
– Suturing & Stapling
– Viewing
– Suctioning

Instruments Cutting & Dissecting


– Dilating & Probing
– Measuring
– Microinstruments
– Powered instruments

Cutting & Dissecting Knife Handles


 Cutting instruments have sharp edges.  Come in various
#7 #4 #3
They are used to dissect, incise, widths & lengths
separate, or excise tissue.  Blades are attached
by slipping the slit
 Most instrument sets will include #3
in the blade into the
and #7 knife handles & suture, curved groove on the
mayo, metz and tenotomy scissors. handle
Knife Blades Knife Blades
 Blades with  #10 are used for
numeric prefix of large skin incisions
“1” (e.g., 10, 11,  #15 are used for
12, 15) fit #3 or #7 short shallow
handles incisions
 Blades with the  #11 are used for
numeric prefix “2” initial skin puncture
(e.g., 20, 21, 22, 23, of tiny deep #10 #15 #11
24) fit #4 handles incisions

Other Knife handles


 Long handles are
used inside deep
incisions (e.g., open
abdominal cases)
 Beaver knifes are
used for small
delicate cases

Scissors
 Blades of scissors may
be straight, angled, or
curved
 Tips may be pointed
or blunt, handles may
be long or short
 Should be used only
for their intended
purpose
Straight Mayo (Suture) Scissors Bandage/Dressing Scissors

Curved Mayo Scissors


Tissue/Dissecting
Scissors

Metzenbaum Scissors Tenotomy scissors


Iris Scissors
Other cutting
Instruments

Ronguer Osteotome

Curette Freer Elevator


Rasp Grasping & Holding

Grasping & Holding Grasping & Holding


 These instruments are used to  Most instrument sets will include
grasp tissue and hold it in place kocher, allis, babcock, adson,
without injuring surrounding tissue, debakey forceps, sponge
tissues sticks & towel clips.
 Forceps can be ringed or the
thumbed variety

Forceps Kocher
Allis Babcock

Sponge Stick Towel Clip

Adsons Tissue
Ferris Smith DeBakey

Russians Clamping & Occluding

Clamping & Occluding Clamping & Occluding


 These instruments are used to  Most instrument sets will include
apply pressure mosquito, crile, kelly, tonsil, peon,
 Some clamps are designed to crush and right angle clamps.
the structure when applied
 Others are noncrushing and are
used to occlude or secure tissue
Anatomy of a Clamp Mosquito

Crile

Kelly
Tonsil

Peon

mosquito crile kelly tonsil peon

Right Angle

Non-crushing Clamps
Bowel Clamp Vascular Clamp

Bulldogs

Exposing and Retracting

Exposing and Retracting Exposing and Retracting


 Used to pull Soft tissue and muscle  Most instrument sets will include
aside to expose surgical site small hand held , army-navy,
 2 types: malleable, weitlaner, and
– Hand held
richardson retractors.
– Self retaining
Skin Hooks

Hand Held Retractors

Senn Cushing Vein Retractor

Volkman Army-Navy
Malleable (Ribbon) Richardson

Kelly Harrington

Deaver
Self Retaining
Retractors
Weitlaner Cerebellar

Gelpi Balfour

Bookwalter

Suturing and Stapling


Suturing and Stapling Suturing and Stapling
 Needle holder sizes vary according  Clip appliers place individual
to type of needle used staples, available in reusable and
 Most instrument sets will have disposable
webster, crilewood, and mayo  Disposable staplers
hegar type needle holders.

Webster

Needle Holders

Crilewood Mayo Hegar


Castroviejo Skin Stapler

Weck Hemoclip Applier Ligaclip Applier

Staplers

Viewing
Viewing Nasal Speculum
 Surgeons can examine body
cavities, hallow organs, or
structures with viewing
instruments
 Procedures may be performed
through them

Vaginal Speculums Rectal Speculums

Rigid Endoscope Laparoscopic Trocars


Laparoscopic Instruments Thorascopic Trocars

Arthroscopy Cannulas Cystoscopy Sheath

Camera & Light Cord Flexible Bronchoscope


Flexible Ureteroscope Proctoscope

Yankauer

Suctions

Frazier Poole
Uterine Dilators

Probes & Dilators

Uterine Sound Urethral Sounds

Lacrimal Duct Probe Vascular Tunnelers


Rulers

Measuring

Depth Gauge Total Hip Trials

Castroviejo Needle Holder

Microinstruments
Micro Scissors Bishop Harman Forceps

Powered Instruments
 3Types
– Battery powered
Powered Instruments
– Air powered
– Electric powered

Stryker System 5 Midas Rex


Total Performance System

Arthroscopic Shaver

Minor Set
Major Set/Lower Tray

Major Set/Upper Tray Major Retractor Set


Handling instruments
Care & Handling of  Instruments are placed firmly into the
surgeon’s palm in such a manner that it is
Instruments ready of immediate use.
 Ringed instruments are handed with the box
locks closed.
 Curved instruments are passed with the
curve in the direction of intended use.

 To facilitate suturing the needle is


secured about 1/8 inch down from the
tip of the needle holder and about a
third of the distance from the eye or
swaged end
Care of Instruments Care of Instruments
 During the procedure,  Do not saline on
used instruments instruments.
should wiped with a  Do not allow blood to
damp sponge or dry on instruments.
placed in a basin of  Saline & blood can
sterile distilled water. damage instrument
surfaces causing
corrosion and pitting.

Care of Instruments Care of Instruments


 Flush suction tips with  Powered hand
sterile distilled water
periodically to keep
pieces and
lumens patent. batteries should
 Flush all lumened not be immersed
instruments in liquid as this
thoroughly at the end could damage
of case to prevent
blood from drying internal
inside lumens. mechanisms.

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