Surgical instrument review by Doc Ernie.pdf

Simple to understand review of surgical instruments.

1. SURGICAL INSTRUMENTS
REVIEW
Doc.ErnieUdefiagbon
Reviewed last—May 2012

2. 2-Way Foley’s Catheter

3. 3-Way Foley’s catheter

4. Catheters—Features
•2-way:
-drainage outlet
-valve for inflating balloon(injection water
used)
•3-way:
has in addition a third INLET ROUTE for
irrigation of bladder using normal saline

5. Catheters—Indications for use
•Acute urinary retention [not in chronic cases except with UTI,
hydronephrosis, bladder stones]
•To stent the urethra following urethroplasty
•For urinary diversion egin spinal minjuredpatient using clear
intermittent catheterization
•Monitoring of urine output; as in Shock or intra-op
•To deliver drugs especially cytotoxicsinto the bladder
•To carry out investigations(contrast studies) egUrethrogram
•3-way Foley’s catheter is specially indicated for bladder irrigation in
conditions where there is bleeding into the bladder

6. Catheters—Complications
•Injury to the urethra
•Haemorrhage
•False passage
•Stone formation
•Urinary tract infection
•Bladder mucosa metaplasia

7. Catheters—Contra-indications
•Urethral injury –presents as blood at the tip
of the penis
•Chronic urinary retention without
complications

8. Catheter introducer
•Used as a styletfor
urethral catheter
especially when it is
difficult to pass the
catheter egurethral
stricture
•It is lubricated with KY
gel before inserting it
into the lumen of the
catheter

9. Allis tissue forceps

10. Allis tissue forceps

11. ALLIS TISSUE FORCEPS:
•For holding tough tissue
•For holding smaller amounts of tissues,
•Bringing the edges of the Tumourtogether prior
to the anastomosis,
•Application of traction to skin,
•For alignment prior to closure to produce a
cosmetic scar;
•Also used in fistulectomy-used to hold tissues
of the external anal sphincter

12. Morrison tissue forceps
looks like allisforceps

13. Lane’s tissue forceps

14. Lane’s tissue forceps

15. LANE’S TISSUE FORCEPS:
•For holding tough tissue
•For holding lumpy tissues e.g. nipple in
mastectomy,
•Holding rectum in AP resection,
•Holding fibroid,
•For holding Tendons

16. Babcock tissue forceps

17. Babcock tissue forceps—working end:
-for holding soft tissues e.g. bowel, appendix

18. Babcock tissue forceps

19. Duval forceps;
also used for soft tissues

20. Duval forceps working end

21. Du Val forceps

22. Ambubag

23. Ambubag
•Parts : face mask, valve and bag
•The air in the bag can be enriched with oxygen
via a tube connected to the air in-let valve
•Use: It is used for manual resuscitation to give
positive pressure ventilation
•Complication: may rupture the alveoli if the
pressure applied is too much especially in
infants

24. Anal dilator

25. Anal dilator
•Come in different sizes
•Used for anal dilatation after procedures like
anoplasty, anorectoplasty
•Complication: can injure/tear the neoanus
thus leading to haemorrhage

26. Aneurysm needle

27. ANEURYSM NEEDLE
•Has hole in the spiral end
•Sutures are threaded in the hole to allow for
manouvering-For tying difficult
(inaccessible vessels) arteries e.g. gastric
arteries, thyroid vessels during
thyroidectomy, etc

28. Artery forceps

29. Mosquito(artery) forceps

30. Artery forceps

31. ARTERY FORCEPS
-HALSTEAD MOSQUITO ARTERY FORCEPS STRAIGHT (looks
small):
• Used to pick up small bleeding vessels prior to ligation
or coagulation
-HALSTEAD MOSQUITO ARTERY FORCEPS CURVED(looks
small):
• Used to pick up small bleeding vessels prior to ligation
or coagulation
**ARTERY FORCEPS CAN EFFECT HAEMOSTASIS ON THEIR
OWN ALSO

32. Dressing forceps/Sinus forceps

33. Sinus forceps

34. LISTER'S SINUS FORCEPS
•We could have long and straight types.
•It resembles SPENCER WELLS ARTERY
FORCEPS but there is no LOCKING DEVICE.
USES:
•For parking cavities in wound,
•Removing small foreign body in the wound,
•For tracing the path of a fistula
•For probing a sinus

35. Kocher’s haemostatic forceps-straight

36. Kocher’s haemostatic forceps-uses
•To hold the retracting cut ends of vessels in
tough tissues egpalm, sole, scalp
•To hold gauze-pellets for blunt dissection
•To hold superficial thyroid vessels—original
use of this instrument
•To hold rib during rib resection
•To hold the tough fibrous fascia of palms and
soles

37. NEEDLE HOLDER

38. NEEDLE HOLDER

39. NEEDLE HOLDER

40. MAYO’S NEEDLE HOLDER—USED FOR
SUTURING

41. Bard Parker scapelhandle

42. Bard Parker scapelhandle
•-BARD PARKER NUMBER 4: This is the largest
•It is the HANDLE FOR SCAPEL BLADES 20, 21,
22, 23, and 24
•-BARD PARKER NUMBER 3, 5 and 7 HANDLE
(smaller) FOR SCAPEL BLADES 10, 11, 12 13,
14,15

43. Surgical Blades

44. Prostate biopsy needle

45. Prostate biopsy needle
•Has a trigger mechanism like a gun and a core
needle
•The core needle cuts a bit of tissue into its lumen
when the trigger is released
•For Prostate biopsy: for histological diagnosis
•Sextant biopsy usually done(taken from 6 areas)
•Types: -Transrectal—digitally guided or TRUS
guided
-Transperinealtrucut
-Transurethral resection

46. Prostate biopsy—Indications
•Malignant DRE features in the prostate
•Significantly increased PSA level
*Antibiotic Prophylaxis started before biopsy
COMPLICATIONS
•Bleeding per urethra from injury to prostate
•Bleeding per rectum from injury to the rectum
•Infection
•Rectal fistula

47. Bladder syringe

48. Bladder syringe
•Used for bladder wash out or lavage
•Small volumes of saline used(<10ml)
•Precaution: don’t exert too much pressure to
avoid bladder rupture

49. Infusion giving set

50. Parts of a drip giving set
•Connector to drip
•Counting chamber-used to regulate the
number of drops and prevent air from
entering the infusion tube that delivers the
fluid
•The Infusion tube
•Regulator
•Connector to cannula

51. Blood giving set

52. Parts of a Blood giving set
•Connector to drip
•Counting chamber-used to regulate the number
of drops and prevent air from entering the
infusion tube that delivers the blood
•a Filter in the counting chamber for removing
micro clots
•The Infusion tube
•Regulator
•Connector to cannula

53. Plastibell

54. Plastibell
•A device shaped like a bell used for
circumcision
•It has a ring with groove on the outside which
fits around the glansand a ligature which is
used to tie the prepuce over the groove
•The handle is broken off after this
•Precaution: use appropriate size for the glans;
not too big or too small

55. Bone nibbler

56. Bone nibbling forceps
•for straightening the edges of the bone
•2 types (a). the DOUBLE ACTION (3 pivots)
and
(b). the SINGLE ACTION (smaller)

57. Bone cutter

58. Bone cutter
•For cutting bone after periosteumhas been
stripped
•It has 2 hooks.
•Cutting s done from under

59. Rigid Bronchoscope

60. Rigid Bronchoscope

61. Rigid Bronchoscope
•Used for visualisingthe bronchial tree.
•Goes with light source.
•Can be done under local anaesthesia, using
xylocainegel
•Has Fenestrationsat the tip for ventilating
the lungs while the procedure is going on
•Can be used for biopsy, removal of foreign
body

62. Rigid Bronchoscope
COMPLICATIONS OF USE
•Tracheal/bronchial perforation
•Haemorrhage
•Respiratory tract infection
•Tracheal fibrosis/ stenosis

63. Rigid Oesophagoscope

64. Rigid Oesophagoscope
FEATURE: Caliberated,noholes at the distal end
and wider than the bronchoscope
USES
•To visualisethe oesophagus
•To take biopsy from oesophageallesions
•To remove oesophagealforeign body
•To guide filiformbougiethrough oesophageal
stricture

65. Rigid Oesophagoscope
COMPLICATIONS OF USE
•Haemorrhage
•Injury to the oesophagus
•Oesophhagealperforation
•Oesophagealfibrosis/stenosis
•Injuries to the tongue/oropharynx

66. Burette giving set(soluset)

67. The parts of a solusetincludes—
•-Connector to drip
•-Infusion tube; to let in the infusion into the
caliberatedchamber
•-Inlet for air; to allow atmoshericair pressure
drive the infusion
•-Caliberatedfluid chamber; delivers fixed
volume
•-Valve, a stopper, within the chamber that
prevent air embolism

68. The parts of a solusetcontd—
•-Counting chamber
•-Regulator
•-A port for giving IV drugs
•-Connector to cannula
•-A lock that prevent dislodgement from the
cannula

69. Burette giving set(soluset)—Use:
It is used mostly for neonates,
where you don’t want to cause
overload or in adults when you
are wary of the amount of
fluid to give

70. IV Canula:fordelivering IV
drugs,infusion,etc
COLOUR SIZE
•Yellow 24G
•Blue 22G
•Pink 20G
•Green 18G
•Grey 16G

71. Materials required to set up IV canula
•Sterile injection pack containing cotton wool
•Methylatedspirit
•Plaster
•Tourniquet
•Appropriate size canula
•5ml syringe
•Injection water

72. Steps in passing IV canula
•Apply tourniquet and wait to see dilated veins
in the part you choose to use—cubitalfossa,
forearm or dorsum of hand
•Then clean this part with methylatedspirit
and pass the canulathrough skin into the vein
•Flush with injection water and secure in place
with the plaster

73. Rigid cervical collar

74. Rigid cervical collar
Used for splinting the cervical spine in
conditions like:
•Fractured cervical vertebrae
•Subluxationof the cervical spine
•Cervical spondylosis

75. Rigid Cervical collar—Philadelphia type
•Has hollow spaces
which allows for better
aeration
•Has a jaw extension
which limits movement
•It is more comfortable

76. Soft Cervical collar—Non Rigid; not
effective for splinting cervical spine

77. Chest ThoracostomyTube

78. Under water seal drain

79. Chest tube

80. Chest tube—Features
•Made of plastic or silasticmaterial
•Graduated
•Has fenestrations at the tip
•Coated with radio-opaque material(blue line)
•Usually drained into an underwater seal
container/tank/bottle to prevent pneumothorax
•The underwater seal tank aids active drainage by
exerting negative pressure on the pleura space

81. Indications
•Massive pleural effusion e.g. massive
haemothorax, massive hydrothorax,
•Pneumothorax
•Empyemathoracis
•Post thoracotomy–a chest tube must be inserted
any time the chest is opened to prevent
iatrogenic pneumothorax
***A chest x-ray must be done before passage,
immediately after passage and before removal
of the chest tube

82. Care of chest tube—”STOP”
•Storage -note the daily volume
•Tube -check the nature of the current effluent from the tube.
check if tube is still patent ;Look out for kinking
egoscillations in a chest tube shows that the tube is still draining.
•Opening –this is the area of the skin where the tube enters the body
check if there is any leakage around the tube, any skin excoriations
or local infections
•Patient –examine the patient as a whole and check if...
the purpose for which the tube was inserted is being served,look
out for signs of improvement.
Any complications in the patient; look out for fever.

83. Complications of Chest tube
•Injury to the neurovascular bundle of the
intercostalspace
•Injury to the lungs
•Injury to the heart, in rare cases
•Wrong placement e.g. into the stomach
•Infection in the pleural space
•Fistula formation
•Iatrogenic pneumothorax

84. SPIROMETER:
—used for chest physiotherapy

85. Plain catgut suture
natural,absorbable,monofilament

86. Chromic catgut suture:
natural,absorbable,monofilament

87. Vicrylsuture:
synthetic,absorbable,multifilament

88. Poly DioxanoneSuture(PDS)
synthetic,absorbable,monofilament

89. SILK SUTURE
natural,non-absorbable,multifilament

90. Nylon suture
synthetic,non-absorbable,monofilament

91. Prolenesuture
synthetic,non-absorbable,monofilament

92. Stainless steel suture
natural,non-absorbable,monofilament
(used for apposing bone)

93. Sterile skin tape: used for surgical skin
wound closure as alternative to suture

94. Mitchell Clip Set

95. MICHEL CLIP SET:
•APPROXIMATOR
•APPLICATOR
•REMOVER
a.Approximator: Used to do skin alignment before
Thyroidectomy
b. Applicator: for applying Michelle clip
c. Remover: like wire cutting scissors but smaller
USE: FOR SKIN CLOSURE IN THYROIDECTOMY

96. Michelle's clip with approximator:
used for surgical skin wound closure as
alternative to suture

97. Colostomy bag
used in care of colostomy to prevent
skin soilage,excoriation,orinfection

98. Corrugated rubber drain
used for drainage of wound, abscess

99. Non-Crushing intestinal clamp

100. Crushing intestinal clamp

101. INTESTINAL CLAMPS
NON-CRUSHING CRUSHING

102. PEYER'S INTESTINAL CLAMP
•Could be medium or small size, used in bowel
resection and anastomosis
•The non-crushing clamp is applied to the part
to be anastomosed
•The crushing clamp is applied to the part to
be resected
•Both of them prevent faecalspillage
•The crushing clamp also cuts of the blood
supply

103. Tissue Retractors
GENERAL function: to pull tissues away and
create access for surgery
•Used in superficial and deep retraction,
•Some are hand-held while others are self-
retaining
•The self-retaining ones help to stop the
bleeders on the wound edge

104. Langenbeck’sretractor

105. Czerny retractor

106. Deaver’sretractor

107. Deaver’sretractor

108. Deaver’sretractor

109. Morris retractor

110. Morris retractor

111. Kelly’s retractor

112. Doyen’s bladder retractor

113. Use: to retract the bladder during
abdominal surgeries

114. RETRACTORS
•-LANGENBECKS SINGLE SHARP HOOK
RETRACTOR: Hand held
•-CZERNEYS SINGLE BLUNT HOOK RETRACTOR:
Hand held
•-MORRIS DOUBLE BLUNT HOOK RETRACTOR:
Hand held, for retracting the abdominal wall
•-KELLYS RETRACTOR: Hand held, for deep
abdominal retraction
•-DEAVERS RETRACTOR: Hand held, for deep
abdominal retraction

115. Hook retractor

116. Hook retractor
•Double blunt hook retractor -for delicate and reconstructive surgery,
-Minor surgeries like excision of sebaceous cyst,
HERNIA SAC, THYROIDECTOMY
•Single blunt hook retractor -for delicate and reconstructive surgery
-Minor surgeries like excision of sebaceous cyst,
HERNIA SAC, THYROIDECTOMY
•Single sharp hook retractor -for delicate and reconstructive surgery
-Minor surgeries like excision of sebaceous cyst,
HERNIA SAC, THYROIDECTOMY
• NB: a. SHARP hook retractor -FOR SKIN
and
b. Blunt hook retractor -softer tissues

117. Malleable retractor: apart from being
used for retraction, it is used to
protect the gut when closing the
abdominal wound

118. SELF RETAINING RETRACTORS
•-WEST MASTOID RETRACTOR: self retractor used in minor surgeries e.g.:
• Herniorrhaphy,
• Excision,
• Burr hole in neurosurgery and
• In orthopedics
•
•-POZZIS ABDOMINAL RETRACTOR: has a 3rd blade for FURTHER
EXPOSURE
•
•-JOLLS THYROID RETRACTOR: to retract skin flap during Thyroidectomy
•
•-MILLINS BLADDER RETRACTOR: has a 3rd blade for FURTHER EXPOSURE
in bladder surgeries

119. Self retaining abdominal retractor

120. Joll’sthyroid retractor
(self retaining)

121. West mastoid/Wetlainerretractor
(self retaining)

122. Millin’sretractor

123. Pozzisabdominal retractor + 3rd blade

124. Des JardinForceps

125. Des JardinForceps:
used for stone removal—gall , renal stones

126. Des JardinForceps

127. Sponge holding forceps

128. Rampley'ssponge holding forceps

129. RAMPLEY’S SPONGE HOLDING TISSUE
FORCEPS:
•Used for surgical skin preparation
•Used as Swab on stick -to avoid leaving some
swabs in deep cavities
•Can also be used to grab viscera eggall
bladder fundusduring cholecystectomy

130. Crystalloid infusions/drips

131. Crystalloid infusions/drips
•Normal saline (isotonic) used for anti-shock,
rehydration and maintenance fluid
•Ringer’s lactate/Hartmann’s solution(isotonic)
used for anti-shock, burns, rehydration, and
maintenance fluid
•5% dextrose water: Isotonic; used as
maintenance fluid in adults
•4.3% dextrose in 0.18 saline: Isotonic; used as
paediatricmaintenance fluid

132. Crystalloid infusions/drips
•5% dextrose saline: hypertonic; used as
maintenance fluid for adults
•10% dextrose water: hypertonic; used for
correction of hypoglycemia and as maintenance
fluid for new born babies
•50% dextrose water: hypertonic; used for
correction of hypoglycemia
•Darrow’s solution: hypertonic; used for diarrhea
disease. Comes as half strength(for children) and
full strength(for adults).

133. Haemacel:
Colloid infusion, Hypertonic, used as
plasma expander
Other colloids:dextran, pentastarch,
gelofucin, heptastarch, etc

134. Laryngeoscope

135. Laryngeoscope:
for visualisingthe larynx, for endotracheal
intubation

136. Non-toothed Dissecting forceps

137. Toothed dissecting forceps

138. DISSECTING FORCEPS
•DISSECTING FORCEPS PLAIN: for holding soft tissues e.g.
used when closing the peritoneum
•DISSECTING FORCEPS TOOTHED: for holding tough tissues
e.g. skin
•DISSECTING FORCEPS TOOTHED fine
and
•DISSECTING FORCEPS NON-TOOTHED
are both used for delicate surgery

139. MACDONALD'S DISSECTOR
•Its used for Blunt dissection,
•Its used for application of bone wax (applied
to cranium / in bone surgery)

140. Dissecting scissors

141. Mayo’s dissecting scissors

142. Mayo’s dissecting scissors

143. Mayo’s Cutting Scissors(straight)

144. DISSECTING SCISSORS
•MAYO’S SCISSORS CURVED: for tissue
dissection in SUPERFICIAL SURGERY and
HERNIORRHAPHY
•MAYO’S SCISSORS STRAIGHT: for cutting
sutures and ligatures
•McIndoe’sscissors is used for fine dissection

145. Nasogastrictube

146. NG Tube—Indications:
*Diagnostic Indications
•Diagnosis of upper GIT bleeding
•Diagnosis of ZollingerEllison syndrome
•Diagnosis of oesophageal atresia
*Prophylactic
•Prevention of aspiration during surgery in a patient with full
stomach.
*Therapeutic
•Gastric decompression in gastric outlet obstruction or intestinal
obstruction
•Gastric lavagefor poisoning
•Gastric lavagewith cold saline to treat upper GI(gastric) bleeding
•Feeding of unconscious patients whose GIT is intact

147. NG Tube—Complications
•Injury to the nasopharynx
•False passage into the trachea
•Oesophageal fibrosis leading to stenosis/stricture
•Oesophageal perforation with fistula formation
•Injury to oesophageal varices
•Kinking

148. Drainage bag

149. Drainage bag
•For draining urine via urethral catheter
•Used for creating a tube wound drain
•Used for creating an abdominal drain
•Connected to NG tube during gastric/bowel
decompression

150. Endotrachealtube(non-cuffed)

151. Endotrachealtube(cuffed)

152. Endotrachealtube(cuffed) with valved
tube(blue in color) for inflating baloon

153. Baloonof Cuffed Endotrachealtube

154. Endotrachealtube
•There are cuffed and non-cuffed tubes
•They are made from plastic, silastic, portex
•Graduated and coated with radio-opaque
material(blue line)
•The cuffed tube has a baloonclose to the tip
and a valvedtube for inflating it with air
•Cuffed tube prevent aspiration of secretions
into the lungs but can cause pressure necrosis

155. Face mask
used for delivering oxygen

156. Oropharyngealairway

157. Oropharyngealairway:
depresses the tongue to maintain the
airway; used in unconscious patient
and during general anaesthesia

158. Tracheostomytube

159. TRACHEOSTOMY TUBE
•Types:
*Metallic
*Portex–cuffed, non cuffed
*Single lumen or Double lumen
•Parts:
-Introducer
-Tube
-Inflating valve (cuffed only)
-Cuff/Balloon (cuffed only)
-Anchor

160. TRACHEOSTOMY TUBE
INDICATIONS(cardinal)
•Upper airway obstruction egtumors,
infections, foreign body
•Head and neck surgeries , maxillofacial
surgeries
•Lower airway toileting
•Surgical prophylaxis egin tracheomalacia

161. TRACHEOSTOMY TUBE
COMPLICATIONS
•Pressure necrosis
•Fibrosis
•Stenosisof the tracheal
•Fistula formation
•Wound infection
•Tube migration
•Tube occlusion

162. TRACHEOSTOMY TUBE
ITEMS FOUND BY PATIENT’S BED SIDE:
•Bell
•Pen and paper
•Suction machine
•Oxygen
•Saline
•Sodium bicarbonate(NaHCO3)
•Tracheal dilator
•A spare tracheostomytube

163. Enema pack

164. Enema pack
CONTENT
•Enema tube(flatus tube)
•Connecting tube
•Jug
•Funnel
•Bowl
***warm saline or warm soapy water used

165. Enema pack
INDICATION:
•Faecalimpaction
•Hirchsprung’sdisease
•High AnorectalMalformation
•For bowel preparation before colonic surrgery
•For hydrostatic reduction of Intussusception
CONTRAINDICATION:
•When there is bowel perforation

166. Dressing Pack

167. Dressing Pack
CONTENT:
•DRESSING FORCEPS
•DISSECTING FORCEPS
•LARGE BOWL
•SMALL BOWL
•GALLIPOT
•GAUZE
***used for wound dressing

168. Swab stick
used for taking specimen for microbial
analysis/culture

169. Gardner-Well tongs:
used for cervical spine traction

170. Gardner-Well traction

171. modified crutchfield

172. Surgicel:
absorbable haemostatic material

173. Surgicel:
made from cellulose acetate

174. Gel foam:
absorbable haemostatic material

175. Gel foam:
made from gelatin

176. Hudson Brace,Drill,Burr:
used for creating cranial burr hole

177. Humbyknife

178. Humbyknife
•Made up of stainless steel
•Consist of a handle and a stem; also
•An adjustable roller for adjusting the thickness
of the skin graft; and
•A blade holder to which is loaded the blade
•A wooden board is used with it
•It is used for taking split skin graft for partial
thickness skin grafting

179. Towel clip
•Backhaus •Mayo’s

180. Towel clip—uses
•For fixing drapes in position
•To fix suction tubes, diathermy probe, etc to
drapes
•For holding ribs while elevating them as in flail
chest or stoved-in chest
•Can be used in place of tongue holding
forceps

181. Proctoscope

182. Proctoscope—sheath and introducer

183. Proctoscope
•Proctoscope: has a sheath and introducer.
•There are two types; the lighted and the
ordinary (angle poise lamp is used with this)
•Also called Anoscope
•Used to visualisethe rectum and anal canal
•To take biopsy
•Used for sclerotherapy

184. Anoscope: introducer and sheath

185. Sigmoidoscope

186. Sigmoidoscope
•Has a sheath and introducer
•Some have attached a device for insufflating
air (as shown above)
•It is used with a light source
•Used to visualisethe sigmoid colon
•To take biopsy
•Used to reduce sigmoid volvulusby air
insufflation

187. Redivacdrain:
-closed vacuum(active) tube drain
-used after thyroidectomy,ORIF,etc

188. Sofra-tulle:
contains framycetinsulphate

189. Sofra-tulle:
antibiotic impregnated vaselinegauze used
for wound dressing,
easy to remove;doesnot stick

190. Uretericcatheter:
for stentingthe ureter;
for urinary diversion from the ureter

191. Urethral bougie:
for urethral dilatation/bouginage

192. Listonsurethral dilator:
•of various sizes, largest 36,
•for dilating when there is a stricture.
•you start from the smallest and then work
gradually up.
•done under aseptic conditions
Complications:
•Urethral injury leading to further stricture
•Urethral perforation
•Pain

193. FiliformBougie

194. FiliformBougie
•Made of a hygroscopicgum elastic material
•Used in cases of very tight urethral strictures
•The bougiesare negotiated in bunches
•Once it passes through, it is left in place and
absorb urethral secretion swelling in the
process to cause urethral dilatation

195. Suction nozzle

196. Suction nozzle:
connected to a suction tube and used
to suck blood or any fluid collection
during surgery

197. AplanationTonometer

198. AplanationTonometer: used to
measure intraocculartension/pressure
in Glaucoma management

199. Austin Moore prosthesis

200. Austin Moore prosthesis
•This hemiarthroplastyprosthesis has a femoral
head part and a medullarystem which is
fenestrated
•It is used for replacement of the femoral head
and neck of femur in intracapsularfractures of
neck of femur

201. BohlerBraun frame with Skeletal traction
Skeletal traction: for ;locating the patellar -one inch
down and one inch lateral. Done under local
anaestheticand under general anaesthesia, asepsis

202. Stirupand Denham Pin

203. Steimanspin & Stirup
Steiman'spin -used in the management of the
fracture of the lower third of the femur for
applying traction. It is mounted on the stirrup

204. External fixator(exofixator)

205. Intra medullarynail

206. plate and screws

207. Internal and External Fixators
•Internal fixatorsegplate and screws,
intramedullaryrod are used to retain fractures
after open reduction
•External fixatorsare used for both open and
closed reduced fractures especially open
fractures that are very contaminated needing
to be dressed

208. Thyroid dissector:
used for dissecting the capsule(fascial
covering) of the thyroid

209. Thyroid clamp
•Used to hold the
thyroid gland while
dissecting around it to
excise it

210. Boomerang needle:
used for applying corner stitcesat 5 and 7
O’ clock position during transvesical
prostatectomy to prevent haemorrhage
from inferior vesicalvessels

211. SCOOP
-For scraping dead tissue or
granulation tissue

212. CHISEL
-One side beveled; for the removal of
excess callus from bone and cutting
bone chips for bone grafting

213. Osteotome:
Both sides beveled; for the removal of
excess callus from bone and cutting
bone chips for bone grafting.

214. Gouge
-for removing sequestrumin
osteomyelitis

215. Spinal needle

216. Spinal needle: used for spinal
anaesthesia

217. Hand Drill with chalk or lock
-you use hand drill to insert pin. Hand
drill's applicator has a lock to hold the pin

218. ENT set
•Indirect laryngeoscope;
laryngeal mirror—used
to visualisethe vocal
cords/larynx
•Spatulla: wooden
metallic
for depressing the
tongue
•Ear forceps for
removing foreign body

219. Ellik'sbladder suction
•Used during Trans
Urethral Resection of
prostate to suck up the
resectedpieces of the
prostate, blood and
irrigation fluid which
accumulates in the
operation site

220. Ferguson's bone holding forceps
-for holding straight bones during
manipulation, 3 sizes

221. Gabriel's syringe
used for injecting sclerosants(eg5%
phenol in arachisoil) in haemorrhoids

222. Lane’s Gastroenterostomyclamp
twin instrument with two pairs of blades

223. Lane’s Gastroenterostomyclamp
non crushing clamp
•LANES TWIN GASTRO-INTESTINAL CLAMP -
For GASTRO ENTEROSTOMY
(i.e. gastrojejunostomy),
•One part to the stomach and one part to the
jejenum
-Where there is HOOK is for the STOMACH
And
-Where there is NO HOOK is for JEJUNUM
•The two clamps are joined together by a screw
joint proximally and a fixed square ring distally

224. Lane’s twin gastro-intestinal clamp
•HOOK part for the
STOMACH
•NO HOOK part is for
JEJUNUM

225. LARYNGEAL MASK

226. LARYNGEAL MASK
•Applied over the glottis/
laryngeal opening for
ventilation during
general anaesthesiafor
short duration
procedures

227. Local Anaestheticagents
•Lidocain •Bupivacain(marcain)

228. Mallet
-it is used as orthopaedichammer

229. Magill forceps
endotrachealintubatingforceps;
also for packing the airway with gauze
ribbon when non cuffed tube is used

230. MousseauBarbintube
used for palliative treatment of the
lower third oesophagealcancers

231. O’Shaughnessy—Right angled forceps
used to ligatevessels present at a
depth egcystic artery during
cholecystectomy

232. Moynihan’sright angled forceps
used to ligatevessels present at a depth
egcystic artery during cholecystectomy

233. Mixterright angled forceps
used to ligatevessels present at a depth
egcystic artery during cholecystectomy

234. Negus’ artery forceps:
used to ligatevessels present at a depth eg
cystic artery during cholecystectomy

235. Periostealelevator (straight & curved)
-For stripping the periosteumof bone

236. PULSE OXIMETER
measure pulse rate and oxygen
saturation

237. Spyke& Bristow's bone levers
-pushes tissue away from the bone in
order to expose the bone

238. Trachea dilator

239. Zimmer's frame
for ambulation/physiotherapy after
lower limb fracture has healed

240. Gigglisaw with handle
-used for cutting bone egamputation
or craniectomy

241. Shod—for clamping vessels

242. Collingwood Stuart hernia ring -
For retracting spermatic cord and its
contents during Repair of the
posterior wall to prevent damage

243. Ilizarovdevice: for bone lengthening