The Basic Surgical Instruments:The Basic Surgical Instruments:

A-A- Cutting Cutting B-B- Grasping Grasping C- RetractingC- RetractingD-SuturingD-SuturingE-MiscellaneousE-Miscellaneous

Knife (Scalpel) Scissors

A. Cutting Instruments:

A. KnifeA. Knife:: 11 . .Bard Parker HandleBard Parker Handle

# #33Narrow nose, Narrow nose, length 5 incheslength 5 inches..

To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..

# #77Narrow nose, Narrow nose, length 6 ½ incheslength 6 ½ inches..

To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..

# #99Narrow nose, Narrow nose, length 4 ½ incheslength 4 ½ inches

To hold # 10, 11, To hold # 10, 11, 12 & 1512 & 15..

# #44Narrow nose, Narrow nose, length 5½ incheslength 5½ inches

To hold # 20 & 21To hold # 20 & 21..

22 . .BladesBlades

# #1010SmallSmallGeneral General dissectingdissecting..

# #1111SmallSmallStab incisionStab incision..

# #1212SmallSmallTonsil dissectionTonsil dissection..

# #1515SmallSmall Plastic dissection Plastic dissection (reconstruction)(reconstruction)

# #2020LargeLarge Skin incisionSkin incision

b. Scissorsb. Scissors

11 . .MetzenbaumMetzenbaumThin, 7 in. curvedThin, 7 in. curved..To cut delicate To cut delicate tissue, tissue,

peritoneumperitoneum

22 . .Mayo curvedMayo curved

33 . .Mayo StraightMayo Straight

44 . .One point sharpOne point sharp

55 . .WireWire

66 . .Liston, bandageListon, bandage

B. GRASPING: B. GRASPING: Any instrument used to grasp tissue for Any instrument used to grasp tissue for thethe

purpose of clamping or holdingpurpose of clamping or holding..

a. a. HemostatsHemostats

A hinge, crushing A hinge, crushing instrument with a instrument with a

locking device on the locking device on the handles, which holds handles, which holds

the jaws, when closedthe jaws, when closed..

To arrest the flow To arrest the flow of bloodof blood..

11 . .MosquitoMosquito55 in., curved 5 in. in., curved 5 in. straightstraight..

22 . .CrileCrile55 ,½ ,½ curvedcurved..

33 . .StraightStraight forcepsforceps

66 ,¼ ,¼ straightstraight..

44 . .KellyKelly 66 ,¼ ,¼ curvedcurved..

b. b. BabcockBabcock

forcepsforceps

Smooth jaws, Smooth jaws, fenestrated oval fenestrated oval

tips with tips with longitudinal longitudinal

serrationsserrations . .66 ,¼ ,¼ 77 ¾ ¾ in. longin. long..

To grasp delicate To grasp delicate tissues; appendixtissues; appendix..

c. Allisc. Allis forcepsforceps

Smooth jaws Smooth jaws with 4 x 5 fine with 4 x 5 fine

teeth at tips, 6 in teeth at tips, 6 in longlong..

To grasp heavy To grasp heavy tissue, abdominal tissue, abdominal

musclesmuscles..

d. Kockerd. Kocker forcepsforceps

Cross serrationsCross serrations ; ;11 x 2 heavy teeth x 2 heavy teeth

at tip of jaws; 5 at tip of jaws; 5 ½ in, 6 ½ in, 7 ¼ ½ in, 6 ½ in, 7 ¼

in straight and in straight and curvedcurved..

To grasp heavy To grasp heavy tissue, abdominal tissue, abdominal

musclesmuscles..

e. e. DressingDressing

forcepsforceps

Serrations Serrations 5 ½ and 5 ½ and

10 inches10 inches..

To grasp delicate To grasp delicate tissues while they tissues while they are being sutures, are being sutures,

dissected or dissected or excisedexcised..

f. Tissuef. Tissue forcepsforceps

11 x 2 teeth x 2 teeth at tip of at tip of

jaws, 5 ½ jaws, 5 ½ and 10 and 10 inchesinches..

To grasp heavy To grasp heavy tissues while they tissues while they

are being are being sutured, sutured,

dissected or dissected or excisedexcised..

g. g. Adson’sAdson’s

forcepsforceps

44 ,½ ,½ 11 x 2 x 2 fine teeth fine teeth at the tip at the tip

of jawsof jaws..

To grasp very To grasp very delicate tissues, delicate tissues, nerve, or blood nerve, or blood

vessel for vessel for suturing, suturing,

dissecting or dissecting or excisingexcising..

h. Spongeh. Sponge forcepsforceps

99 ½ ½ in, straight and in, straight and curvedcurved..

To hold sponges or To hold sponges or grasp tissue, transfer grasp tissue, transfer

forcepsforceps..

i. Towel clipi. Towel clip33 ½ ½ in and 5 ½ and in and 5 ½ and 10 inches10 inches..

To hold drapes in To hold drapes in place to retract place to retract

tissuestissues..

C. RETRACTING: C. RETRACTING: any instrument used any instrument used toto

hold open the edges of ahold open the edges of a woundwound..

.a.aCushingCushing veinvein

Single-Single-bladed 8 ½ bladed 8 ½

in. longin. long..

For For shallow shallow

retractionsretractions..

b. Volkmanb. Volkman44 prongs prongs sharp or dull, sharp or dull,

8 ½ in. long8 ½ in. long..

c. Armyc. Army-- navynavy

Double-Double-ended, 8 ½ ended, 8 ½

in. longin. long..

For For shallow shallow

retractionsretractions..

d. d. RichardsonRichardson

Double-Double-ended, small ended, small

& large& large 99 ½ ½ in. longin. long..

To retract To retract abdominal abdominal

wall and wall and organsorgans..

e. Ribbone. RibbonFlexible, two Flexible, two widths; widths;

narrow 1 ½ in narrow 1 ½ in wide – 2 in., 1 wide – 2 in., 1 2inches long2inches long..

To retract To retract abdominal abdominal

wall and wall and organsorgans..

f. Deaverf. DeaverThree widths, Three widths, narrow, narrow,

medium 1 ½, medium 1 ½, wide – 2 in., wide – 2 in.,

12 in long12 in long..

To retract To retract abdominal abdominal

wall and wall and organsorgans..

g. g. WeithlanerWeithlaner

Self-retaining; Self-retaining; 2 blades and 2 blades and

bladder bladder bladesblades..

For shallow For shallow retractionsretractions..

h. Balfourh. Balfour Self-retainingSelf-retaining ; ;22 blades and bladder blades and bladder

bladesblades..

For abdominal For abdominal wall retractionswall retractions..

i. Hupp i. Hupp trachealtracheal

Three sharp prongs, Three sharp prongs, blunt hook, overall blunt hook, overall

length 5 ¼ inlength 5 ¼ in..

To retract To retract trachea or other trachea or other shallow woundsshallow wounds..

IV. SUTURING: IV. SUTURING: any instrument used to carry suture any instrument used to carry suture through tissuethrough tissue..

a. Needlea. Needle holderholder

66 and 7 in. and 7 in. longlong..

To hold suture To hold suture needle for suturing needle for suturing

woundswounds..

b. Clip applierb. Clip applier and and

removerremover

55 ,½ ,½ 66 , ,and 7 in. and 7 in. longlong..

To introduce and To introduce and remove skin clipsremove skin clips..

E. PROBING: E. PROBING: any instrument with a blunt end used any instrument with a blunt end used toto

probe a cavityprobe a cavity..

a. Probea. ProbeFlexible, 5 in., Flexible, 5 in., and 8 inand 8 in..

b. Groovedb. Grooved directordirector

Grooved on long Grooved on long axis, 5 ½ inaxis, 5 ½ in..

To probe a cavity, To probe a cavity, to guide a probe; to guide a probe;

to control the to control the pathway of an pathway of an

incisionincision..

F. MISCELLANEOUSF. MISCELLANEOUS

a. Poole a. Poole suctionsuction

tiptip

Fenestrated Fenestrated removable tip 9 in removable tip 9 in

long and ¼ in long and ¼ in diameterdiameter..

To remove fluid To remove fluid from abdominal from abdominal

cavitycavity..

b. Yankauerb. Yankauer suction tipsuction tip

Angular, Angular, removable tip 9 in removable tip 9 in

long and ¼ in long and ¼ in diameterdiameter..

To withdraw fluid To withdraw fluid from throat from throat

cavitycavity..

c. Laparotomyc. Laparotomy ringring

Circular, 1 ½ in Circular, 1 ½ in diameterdiameter..

For tagging For tagging spongessponges..