surgical instruments Top 100 surgical instruments with their names, uses, and pictures.pdf

doctorpanuta 681 views 50 slides Mar 11, 2024
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About This Presentation


O.T instruments come in a wide variety, each designed for specific procedures & tasks.


Slide Content









ACCESSORY:

An accessory is an instrument that does not fall
into any of the other categories but has a specific
function and is an integral part of the surgical
procedure. An example of an accessory item is a

mallet, electrosurgical pencil, lens warmer, screw-
driver, or harmonic scalpel.

CLAMPING: ANB OC CEES INES

Clamping and occluding instruments are used to
compress vessels and other tubular structures to
impede or obstruct the flow of blood and other
fluids. These clamps are atraumatic ratcheted
instruments that are straight, curved, or angled
and have a variety of inner jaw patterns. These
clamps may totally occlude or partially occlude the
tissues between the jaws.

The most common example of a
clamping and occluding instrument is the Crile
hemostatic forceps or hemostat. Other examples

are the Kelly forceps, Glover bulldog, Satinsky
clamp, Doyen intestinal clamp, or Mixter forceps.

Cutting and dissecting instruments are used to
incise, dissect, and excise tissues. Cutting instru-
ments have single or double razorsharp edges or
blades, such as a scalpel, scissors, or osteotomes.
Dissecting instruments may have a cutting edge
and come in a variety of designs. Examples include
curettes, cone tip dissectors, and biopsy forceps.

Instrument: STRAIGHT MAYO SCISSORS
Other Names: Suture scissors
Use(s): Used for cutting suture

Instrument: CURVED MAYO SCISSORS
Other Names: Heavy tissue scissors
Use(s): Dissect or undermine heavy fibrous
tissues

GRASPING AND: HOEBING

Grasping and holding instruments are designed to
grip and manipulate body tissues. They are often
used to stabilize tissue that is to be excised, dis-
sected, repaired, or sutured. Tissue forceps are
the nonratcheted style and are often referred to
as pickups or thumbs. The tips may be smooth or
serrated and may have interlocking teeth.

GRASPING AND HOEDING

vary in size and shape according to use. Common
examples of tissue forceps are Debakey, Adson,
Cushing, Russian, and Ferris-Smith. The ratcheted
type of grasping forceps can be curved or straight;
the jaws may be smooth or serrated and have in-
terlocking teeth or sharp prongs. Some examples
are the Kocker forceps, Allis forceps, bone-holding
forceps, and tenaculum.

Instrument: DEBAKEY TISSUE FORCEPS
Other Names: DeBakey's, DeBakes

Use(s): Grasps numerous types of tissue;
commonly used in cardiac, vascular surgery,

and gastrointestinal procedures

Description: An atraumatic tissue forceps with
an elongated, narrowed blunt tip. A set of parallel
fine serrations runs the lenath of one ¡aw with a

center row of serrations on the opposite side
that interlocks to grip when closed.

Instrument Insight: These are considered a
vascular tissue forceps, but they are commonly
used in all specialty areas because of the ability
to securely grip without causing damage to the
tissues.

Instrument: PLAIN TISSUE FORCEPS
Other Names: Semken dressing forceps,
smooth forceps, tissue forceps without teeth
Use(s): Used for grasping tissue and dressing
application.

Description: Atraumatic tissue forceps with

horizon
heavy.

| serrated tips that vary from fine to

Instrument: TOOTHED TISSUE FORCEPS Instrument Insight: It is important to ensure
Other Names: Semken tissue forceps, rat tooth, the teeth are properly aligned and in working
tissue forceps with teeth order before use.
Use(s): Used for grasping moderate to heavy

tissue and used during wound closure.

Instrument: TOOTHED ADSON TISSUE Instrument Insight: All of the Adson tissue
FORCEPS forceps are the same size and shape. They are
Other Names: Adson with teeth, rat tooth differentiated by the inner tips.

Use(s): Aligns the edges of the wound during

stapling of the skin; grasps superficial tissues so

that Steri. can be placed.

Instrument: TOWEL CLIP (PENETRATING)
Other Names: Backhaus towel clip, Roeder
towel clip, Jones

Use(s): Used for holding towels in place when
draping, when grasping tough tissue, and during
reduction of small bone fractures.

RETRACHNG ANB: EXPOSING

Retracting and exposing instruments are de-
signed to hold back or pull aside wound edges,
organs, vessels, nerves, and other tissues to gain
access to the operative site. They are generally
referred to as retractors and are either manual
(handheld) or self-retaining (stay open on their
own). Retractors have one or more blades.

RETRACTING ANB EXPOSING

Handheld retractors consist of a blade
attached to some type of handle, which is pulled
back or held in place by the user. Manual retrac-
tors are often used in pairs, one on each side of
the wound. Some are double-ended, with a blade
on each end with a slight variation in size or shape.
Examples of handheld retractors are Parker, Joseph
skin hook, Senn, Ragnell and Richardson.

Self-
retaining retractors are holding devices with
two or more blades that spread the wound apart
or hold tissues back. A self-retaining retractor has
a ratchet, crank, spring, or locking device that
holds it open. Some will have permanent attached
blades, while others will have interchangeable
blades that come in a variety of shapes, lengths,
and widths, depending on the operative location.
Screws, hooks, wing nuts, or clamping devices
secure the blades in place.