NAZARETH MEDICAL COLLEGE

PERIOPERATIVE THEATRE TECHNOLOGY

MAY 2021

PERUCE AYIETA MUKHWANA

SURGICAL INSTRUMENTS AND THEIR USES

POTT/05/061

10/6/2021
1.GENERAL SURGICAL INSTRUMENTS

INSTRUMENTS USES

Ferguson gallstones scope Removing stones from the gallbladder.

Carter -glassman intestinal clamp Clamping bowel during a resection.

Doyen intestinal clamp Clamping bowel during a resection.

Gemini forceps Dissecting tissue planes clamping vessels and

placing a tie our vessel loop under and around
a tubular structure.

Lately gall duct forceps\mixture forceps Dissecting tissue planes,clamping

vessels,placing a tie or vessel loop under and
around a tubular structure.

Sarot forceps\long curved forceps Dissecting planes and clamping vessels deep in
the wound.

Gall bladder trocar Used for draining gallbladder of bile during an

open cholostectomy procedure.

Pennington forceps Grasping tissue and organs during general

procedures.

Used during intestinal and rectal procedures.

Used for grasping the uterine layers during

closure of cesarean section.

Desjardin gallstone forceps \Randall stone Used for grasping polyps and stones in the
forceps common bile duct and gallbladder.

Probe and grooved director Used to detect an obstruction in a tubular

structure or determine the path and the
extent of a fistula tract.

Bakes common duct dilators Used to open and expand the common bile
 duct to allow passage of bile from the liver.

Richardson-eastman retractor Used for restraction of wound edges.

Richardson retractor\Rich retractor Used for retraction of wound edges.

Kelly retractor Used for retraction of wound edges.

Dearer retractor Used for deep retraction of organs and

viscera.

Harrington retractor Retraction deep in abdominal wound

Retract the liver and intestines.

Mayo abdominal retractor Used for retraction of the abdominal wall.

Balfour retractor Used for retraction of a large abdominal

wound.

Book Walter retractor Used for retraction of large abdominal

wounds.

Pratt rectal speculum Providing exposure for visualization of the

anus and rectum.

Sawyer rectal retractor Used for providing exposure for visualization

of the anus and rectum.

Linear cutter stapler Used during gastric or bowel surgery for

resection and anastomosis.

Used to transact tissues in

thoracic,gynecologic and pediatric procedures.

Lighting and driving stapler Used for ligation and division of blood vessels
and other tissues during abdominal
gynecologic and thoracic procedures.

Used in gastrointestinal surgery to ligate and

divide the greater omentum and the
mesentery.

Intraluminal stapler Used in open abdominal and laparoscopic

 procedures.

2.LAPAROSCOPIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Endoscopic camera Viewing inside the body during endoscopic

procedure.

O-degree endoscope Providing visualization inside the body cavity.

30-degree endoscope Providing visualization inside the body cavity.

Veress needle Puncturing the perineum and introducing

carbon dioxide to create a
pneumoperitoneum during laparoscopic
surgery.

Disposable trocars and ports Introducing instruments and camera inside

body cavity during endoscopic surgery.

Reusable trocars and ports Introducing instruments and camera to inside

body cavity during endoscopic surgery.

Laparoscopic instrument handle Manupulating laparoscopic instruments.

Aspiring needle Aspiring fluid from organs and tissues.

Suture passer Suturing of wound sites and fixation of

prosthetic device during laparoscopic surgery.

Suture hook Hooking sutures through tissue during

laparoscopic surgery.

Allis forceps Grasping or retracting tissues

Babcock Grasping /holding delicate tissues.

Biopsy forceps Obtaining small pieces of tissue to biopsy

specimens.

Curved grasper Grasping tissues or organs.

Bowel clamp Clamping or grasping bowel.

Maryland dissector Grasping or dissecting fine tissues.

Alligator forceps Tissue grasping.

Toothed grasper Grasping tissue to be removed.

Paddle grasper Grasping tissue.

Needle holder Holding sature needles.

Hook Scissors Cutting tissue.

Micro Scissors Cutting delicate tissue.

Metzenbaum Scissors Cutting or dissecting delicate tissue.

Wepping bipolar forceps Bipolar cauterization of tissue and vessels.

Bipolar cautery Bipolar caueterization of tissue and vessels.

Endoscopic kittner Dissecting blunt tissue.

Endoscopic catcher Retrieving and containing specimens.

3.OBSTETRICS AND GYNECOLOGIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Auvard weighted vaginal speculum Retracting the vaginal floor.

Deelee bladder retractor Retracting the bladder during cesarean

section.

Simpson delivery forceps Forceps delivery for an infant.

Goodell uterine dilator Dilating the cervix.

Sims retractor Retracting vaginal wall.

Heaney retractor Retracting vaginal wall.

Leep loop electrode Removing abnormal cervical cells electro

surgically for further pathologic examination.

Heaney hysterectomy forceps Used for clamping vessels and uterine

ligaments during a hysterectomy.

Cord clamps Used to clamp the cord of the remains

attached to the newborn following separation
from the placenta.

Thomas uterine curette Used for bluntly removing uterine contents

after sharp correcting.

Sims uterine curette Used for scraping the endocervial and

endometrial lining of the uterus during
dilation and curettage procedures.

Kerokian-younge endocervical curette Used for obtaining cervical scrapings or

biopsies.

Mayo uterine Scissors Used for cutting the heavy uterine ligaments
and vessels during a total abdominal
hysterectomy.

Long angled no.3 knife handle Removing abnormal cervical tissues during a
cold conization of the cervix.

4.CARDIOVASCULAR THORACIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Endopath thoracic tracor Used for an access port to internal organs in

thorascopic procedures.

Blunt hook Used for manipulating the leaflets in valve

surgeries.

Grunwald suture ring Keeping numerous sutures properly arranged

during cardiac valve replacement procedures.

Vorse tubing occluding clamp Used to clamp off tubing and cannulas.

Debaky bulldog clamp Used for clamping off the flow in a vessel.

Dicthrich bulldog clamp Used to impose the flow in a vessel.

Glover bulldog clamp Used to stop flow in a vessel and to clamp

vessel loops encircling a vessel.

Hemoclip appliers Used to clip side branches on vessels instead

of tying with suture material.

Cooky clamp Used for total occlusion of a vessel.

Satinsky venacava clamp Used for partially occluding of vessels.

Glover patent ductus clamp Used as total occlusion clamp.

Beck aortic clamp Used as total occlusion clamp on larger

vessels.

Javid carotid artery clamp Used during a carotid endorterctomy

procedure to secure the javid shunt in the
carotid artery when directing blood flow.
5.OPTHALMIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Tonometer Used for measuring intraocular pressure of the

eye by recording the resistance of cornea to
weight.

Fox eye shield Used for protection of the eye after surgery.

Jeweller's bipolar forceps Used for coagulating small blood vessels of the
eye and eyelids.

Castrovicjo caliper Used for measuring eye structure.

Wells nucleation spoon Used for lifting the globe upward to dissect
the optic nerve during nucleation.

Bartraquer iris spatula Used for repositioning the Iris.

Gracther collar button Used for iris retraction and polishing the
capsule.

Sinkey hook Used for manipulating the lens.

Irritating needle Attaches to the balanced salt solution bottle to

irrigate the cornea.

Serrefine damps Used to tag and hold bridle of fine suture.

Meyhouffer chalazion curetter Used for removing chalazion contents by

scraping.

Strabimus scissors Used for dissecting the lateral and medial

muscles during recession and resection.

Knapp iris scissors Used for incising and dissecting the iris.

Castroviejo corneal scissors Used for incising and dissecting the cornea.

Westcott tenetomy scissors Used for incising the cornea,sclera and iris.

6.ORTHOPEDIC SURGICAL INSTRUMENTS

INSTRUMENTS USES
Depth guage Used for confirmation of the depth of the drill
hole in bone to determine the length of the
screw.

Ruler Used for measuring structure and distances.

Mallet Used to impact and extract implants or exert

force on osteontomes,chisels and other
specially designed instruments.

Bone tamp Used to compact or wedge a structure into

place.

Townley caliper Used for measuring structures and distances.

Drill guide Used to align the drill bit in the centre of the
hole in plate and prevents the drill from
slipping and making a larger hole.

Bone cement injector Used for injecting polymethyl methacrylate

bone cement during total joint procedures.

Pump tubing Attaches irrigation fluid bags to pump at one

end with the other end attached to the
arthroscopic irrigation cannula.

Ablation wand To clean up and smooth out meniscus and

articular surfaces during an arthroscopy.

Chuck and key Used to hold rotating devices such as the drill
bit in a power tool.

Lead hand Used during hand procedures to position the

hand open for exposure.

7.NEUROSURGICAL INSTRUMENTS

INSTRUMENTS USES

Raney clip applier Used for applying raney clips to scalp flap
 edges during a craniotomy.

Scalp clip gun Used for providing homeostasis by

compressing the tissue layers of the scalp
edges when turning a flap during a
craniotomy.

Cushing bipolar forceps Used for coagulating tissue that is grasped

between the tips.

Dandy forceps Clamping and occluding

Strully scissors Used for blunt and sharp dissection of

dissection of delicate tissues.

Taylor dural Scissors Cutting and dissecting.

Ball tip probe Probing and dilating.

Dura hook Retracting and exposing.

Pippen suction tip Suntioning and aspiration.

Needle holder Used for holding very fine suture needles

during micro surgical procedures.

Beyer rongeur Used for removing pieces of bone and the soft
tissue surrounding the bone.

Peapod rongeur Used for removing herniated disc fragments

when performing a disectomy.

8.GENITOURINARY SURGICAL INSTRUMENTS

INSTRUMENTS USES

Irrigation tubing Used for instillation of irrigation fluids into the

urinary bladder causing distortion.
Reducer caps Reduce leakage of irrigation when inserting a
device into the working channels of
bridges ,the catheter-deflecting element and
flexible scopes.

Telescope bridge Used to adapt the telescope lens to fit into the
cytoscope sheath and may allow insertion of
one or two accessories.

Working element Used with a resectoscope,telescope and

electrode to react tissue and coagulate
bleeders during a transurethral reaaction of
the prostate or a bladder tumor.

Loop electrode Commonly used for resection and coagulation

of prostatic and bladder tissues during
transurethral procedures.

Ball loop electrode Used for coagulation or a larger surface area

of the bladder.

Guidewire Used for guiding stents,dilators,baskets and

other devices into the urethra.

Young renal clamp Uses for clamping heavy tissues and the
pedicles during open kidney procedures.

Biopsy forceps Used to remove small bites of tissue in the

bladder for examination.

Stone basket Used for entrapping and removing renal

calculi via a ureteroscope or a cytoscope.

Randall stone forceps Used for grasping renal stones.

9.BASIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Electrosurgical pencil Uses electrical current to coagulate and cut

blood vessels and tissues to provide
 homeostasis.

Halstead forceps Used for occluding bleeders in small or

superficial wounds before cauterization or
ligation.

Crile forceps Used for occluding bleeders before

cauterization or ligation.

Kelly forceps Occluding bleeders before cauterization or

ligation.

Carmalt forceps Used for occluding larger blood vessels and

tissues before ligation.

Mixture forceps Used to clamp,dissect and occlude tissues.

Adson forceps Clamp small vessels in a deep wound or holds

tonsil sponges.

Straight mayo scissors Used for cutting sutures.

Curved mayo scissors Dissect or undermine heavy fibrous tissues.

Lister bandage scissors Cut dressings,drapes and other items and also
used in cesarean section to open the uterus
without harm to the baby.

Wire scissors Cut small-guage wire and sutures.

Beaver handle Used when precision cutting is needed in a

confined space or when incising a small
structure.

Plain tissue forceps Used for grasping tissue and dressing

application.

10.0TORHINOLARYNGOLOGY SURGICAL INSTRUMENTS

INSTRUMENTS USES

House strut caliper Used for measuring the ossicles and distances in
the middle ear for repair or
 replacement,especially the staples.

Cottle bone crusher Used to flatten the special cartilage before

replacing it in the nose.

Cottle mallet Exerts force on osteotomes,chisels,gouges,tamps

and other specially designed instruments.

Laryngeal mirror Used for visualization of pharyngeal and

laryngeal areas from the back of the throat.

Suction coagulation tip Uses for removing the tonsils and adenomas by
cauterizing tissue and at the same time
sunctioning fluid,debris and plume from the
operative site.

Coblation wand Used for removing tonsils and adenomas.

Billeau ear loop Used for removing cerumen from the ear canal.

Dean ronguer Removes bone.

Myringotomy knife Used for incising the lymphatic membrane for

removal of fluid and insertion of aeration tubes.

House sickle knife Used to cut tissue in the ear canal and middle ear
often used to create a lymphatic flap when
performing middle ear surgery.

Lempert elevator Used to cut and dissect tissue in the middle ear
and ear canal.

11.ORAL INSTRUMENTS

INSTRUMENTS USES

Mouth mirror Used for visualization of the mouth,including

the teeth,gums,tongue,palate and cheeks.

Arch bars Used to manage a fracture of the mandible.

Crane elevator To loosen tooth or root from a bony socket

 before use of the extraction forceps.

Apical elevator To loosen tooth or root from a bony socket

before use of the extraction forceps.

Root tip pick Used to retrieve loose root fragments from

the socket after an extraction.

West periosteal Used to retract gingival tissue.

Often used after tooth extraction to make sure

debris and tissue are removed from the
Lucas bone curette
socket.

Kelly scissors Used for cutting and excising excess or

diseased soft tissues.

Dean scissors Used for cutting and excising excess or

diseased soft tissues.

Spencer suture scissors Used to cut sutures intraoperatively and to

remove suture post-operatively.

Minnesota check retractor To retract the tongue and cheek away from
the surgical site

Molt mouth gag To retract the mouth open during procedures.

Mouth prop To keep the mouth propped open during

procedures.

12.ROBOTIC SURGICAL INSTRUMENTS

INSTRUMENTS USES

Permanent cautery spatula Coagulates tissues and maintains hemostasis

and aids in blunt dissection.

Curved scissors Used for precision cutting and sharp and blunt
dissection of tissue.

Cobra grasper The cobra grasper is used for grasping and

 retracting dense tissues.

Debakey forceps Facilitates atraumatic tissue handling.

Resano forceps Facilitates firm but atraumatic handling of

value and arterial tissues.

Large needle driver Used for securing the needle while suturing
tissues.

Suturecut needle driver Used for grasping needles and cutting sutures.

Atrial retractor Provides exposure of the miltral valve and

atrial retraction.

Pk dissecting forceps Used for grasping,coagulating and cutting

tissues.

POTTS scissors Used for the creation of an arteriotomy for

coronary anastomosis.
REFERENCE

AUTHOR:RENEE NEMITZ.

TITLE:SURGICAL INSTRUMENTATION INTERACTIVE APPROACH.