Download - Surgical instruments, drains & catheters
Surgical Instruments
Prof. Dr. Ram Sharan Mehta
1Prof. Dr. RS Mehta, BPKIHS
Objectives
Describe various surgical instruments
Discuss the names of various surgical instruments
2Prof. Dr. RS Mehta, BPKIHS
Perform surgical procedures Chosen based on action These tools are used for
Holding Pulling Clamping Cutting Crushing Closing a wound
3Prof. Dr. RS Mehta, BPKIHS
Definitions
Excision – removal of tissues by surgical cuts Ecraseur – an instrument that permits
excision by a crushing action Incision – surgical cut made into a tissue of
organ Cannula – a tube that is inserted into a body
cavity for drainage of fluid
4Prof. Dr. RS Mehta, BPKIHS
Surgical Instruments I• Forceps: for compressing or grasping tissue. Thumb
forceps and hemostats are typical forceps. Hemostats aid in compressing tissue, especially blood vessels, to stop bleeding (hemostasis).
• Needle holders: hemostat-like devices that hold needles used to suture wounds closed.
• Needles: permanently attached suture material = swaged-on. Tip may be blunt, tapered, sharp, cutting, or some other configuration
• Scalpel handle and blades: size 10 blade most popular, 11 has a straight edge and a sharp point.15 has a very small cutting edge, used for fine, delicate surgery(e.g. eye). 20 is similar to 10 but larger. 5Prof. Dr. RS Mehta, BPKIHS
Surgical Instruments II• Scissors: blunt-blunt, blunt-sharp, or sharp-sharp. They
may also be straight or curved. Some scissors are serrated for cutting thick bandages or cartilage.
• Retractors: pull overlying tissue away from the surgical site. Hand-held retractors and self-retaining
• Suture materials: thickest suture is given the number 6. • <6 = smaller diameter. • Sutures having smaller diameter indicated by 0 (“aught”) smallest
suture is designated 12-0 (twelve-aught). • Synthetic = nylon, or natural = silk or gut. • Some absorbed by the body during the healing process, nylon
removed after wound heals, usually in 7–10 days.
• Gauze pads: sponges used for soaking up blood and other fluids from the surgical site. 6Prof. Dr. RS Mehta, BPKIHS
Scissors Four different types
Utility Suture Surgical Dissecting
SCISSORSTYPES- ACCORDING TO CURVATURE- straight, curved or angled “ “ USE - Dressing, stitch removal, tissue “ “ the Tip - sharp or blunt
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Utility Cut material that may dull the blade
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Suture Remove sutures Type of utility
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Operating Surgical Cut soft tissue Different sizes Blade can be straight, curved, blunt or pointed
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Dissecting Separate and differentiate tissues
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Forceps Three Types
Thumb forceps Clamping forceps Needle holders
Look like tweezers
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Thumb forceps Used for
Grasping Compressing Cutting Pulling tissue
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Clamping forceps Hemostats Control blood flow
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Needle holders Locking forceps Similar to hemostats Holds suture needles when installing stitches
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Scalpels Very sharp knife Handle and blade are packaged separately Used to make surgical cuts called incisions Different sizes and styles Tenotome- dissecting scalpel used for fine
dissection and cutting or dividing tendons
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KNIVES
Interchangeable handles and bladesNo 3 handle for # 15 blade – for small incisionsAnd #11 blade – i& d of abscessesN04 handle for #24 etc for larger incisions
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Tubes Cannula Wound healing Different lengths Types
Trocar Catheters
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Trocar Release fluid or gas build-ups Sharp stylet inside cannula
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Catheters Either metal or rubber Inserted into body structures
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Surgical instruments
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Scalpels
Bard-Parker Small Handles:
#3
Scalpels
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Scalpels
Bard-Parker Small Handles:
#7
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Scalpels
Bard-Parker Small Handles:
#9 (round)24Prof. Dr. RS Mehta, BPKIHS
Scalpels
Bard-Parker Large Handles:
#4
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Scalpels
Blades:
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Scissors
Mayo
Curved:
Straight:27Prof. Dr. RS Mehta, BPKIHS
Scissors Metzenbaum
Curved:
Straight:28Prof. Dr. RS Mehta, BPKIHS
Scissors
Suture Scissors:
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Scissors
Lister Bandage Scissors:
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Thumb Forceps
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Thumb Forceps
Adson:
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Thumb Forceps
Adson-Brown:
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Thumb Forceps
DeBakey:
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Thumb Forceps
Russian:
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Needle Holders
Mayo-Hagar:
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Needle Holders
Olsen-Hagar:
The ones with built-in scissors37Prof. Dr. RS Mehta, BPKIHS
Needle Holders
Castroviejo:
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Hemostatic Forceps
Halsted Mosquito:
We have the curved ones!39Prof. Dr. RS Mehta, BPKIHS
Hemostatic Forceps
Kelly:
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Hemostatic Forceps
Crile:
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Hemostatic Forceps
Rochester-Carmalt:
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Hemostatic Forceps
Satinsky:
• cardiovascular • allow occlusion of only a portion of vessel
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Hemostatic Forceps
Oschner:
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Tissue Forceps
Allis:
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Tissue Forceps
Babcock:
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Tissue Forceps
Doyen: Intestinal
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Other Forceps
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Forceps
Vulsellum:
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Forceps
Alligator:
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Forceps
Serrefine (Bulldog Clamp):
Used for temporary occlusion of medium sized vessels
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Towel Clamps Backhaus:
Drape to skin
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Towel Clamps
Edna:
Nonpenetrating towel clamp Attach drape to drape or instruments to drapes (suction, cautery)
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Hand-held Retractors
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Hand-held Retractors
Senn:
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Hand-held Retractors
Army-Navy:
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Hand-held Retractors
Ribbon (Malleable):
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Hand-held Retractors
Hohmann:
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Hand-held Retractors
Farabeuf:
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Hand-held Retractors
Meyerding:
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Self-Retaining Retractors
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Self-Retaining Retractors
Gelpi:
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Self-Retaining Retractors
Weitlaner:
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Self-Retaining Retractors
Balfour: Abdominal retractor
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Self-Retaining Retractors
Finochietto: Rib retractor
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Self-Retaining Retractors
Meyerding:
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Ovariohysterectomy Hooks
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Ovariohysterectomy Hooks
Snook:
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Suction Tips
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Suction Tips
Poole:
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Suction Tips
Yankauer:
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Suction Tips
Frazier:
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Rongeurs
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Rongeurs
Lempert:
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Rongeurs
Kerrison:
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Rumen (Bloat) Trocar
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Bone-Holding Forceps
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Bone-Holding Forceps
Kern:
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Bone-Holding Forceps
Serrated Reduction:
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Galt Trephine
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Osteotome
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Jacob Chuck
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Duckbill Rongeurs
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Bone Rasp
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Tap Handle
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Retracting and Exposing Instruments A Deaver retractor (manual) is used to retract deep
abdominal or chest incisions. Available in various widths.
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EXPOSING & RETRACTING•BALFOUR ABDOMINAL RETRACTOR
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EXPOSING & RETRACTING•ARMY NAVY
FARABEUF Retractor
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EXPOSING & RETRACTING•GELPI Perineal Retractor
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EXPOSING & RETRACTING•Weitlaner Retractor
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EXPOSING & RETRACTING•Senn Retractors
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EXPOSING & RETRACTING•Finochietto Retractor
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A Richardson retractor (manual) is used to retract deep abdominal or chest incisions
Retracting and Exposing Instruments
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Retracting and Exposing Instruments An Army-Navy retractor (manual) is used to retract
shallow or superficial incisions. Other names: USA, US Army.
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Retracting and Exposing Instruments A goulet (manual) is used to retract shallow or
superficial incisions.
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A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes.
Retracting and Exposing Instruments
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A Weitlaner retractor (self-retaining) is used to retract shallow incisions.
Retracting and Exposing Instruments
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A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures.
Retracting and Exposing Instruments
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ELECTROSURGERY
•INITIAL Incision is made by a SCALPEL
•Doubling the current increases the heat produced fourfold
•ARGON Enhanced ESU Tip is held at 60 degree angle, causing LESS Tissue Damage
•BUZZING – the process of coagulating the VESSELS
•BUZZ should not exceed more than 3 SECONDS
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Powered Surgical InstrumentsDRILLBURRBLADEREAMERABRADER
AIR-POWEREDELECTRICALLY POWERED
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VIEWING•Speculums•Endoscopes•Hollow Endoscopes•Lensed Endoscopes
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LASER SURGERY•Light amplification by stimulated emission of radiation (LASER)
•Types of LASES = ARGON, CARBON DIOXIDE, HOLMIUM, KRYPTON, NEODYMIUM, PHOSPHATE, RUBY/XENON
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Prof. Dr. RS Mehta, BPKIHS
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Drains Tubes Catheters
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Catheters
Are used for evacuating or injecting fluids. Catheters are sized on a french scale according to the
diameter of the lumen.
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Drains and tubes Are devices used to drain fluid from the body when excessive drainage is expected.
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A- Respiratory Tubes
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A-1- Airway
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A-2- Laryngeal tube
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A-3-Endotracheal intubation
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A-4- Cricothyroidotomy
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Cricothyroidotomy
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A-5- Tracheostomy tube
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A-5- Tracheostomy tube
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A-6- Chest Tube
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Collection Unit
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Thoracic catheters
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The Trocar CatheterWith a large trocar needle is
used for a closed thoracostomy.
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A-7- Thoracentesis needle
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B- Gastrointestinal Tubes
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B-1- Nasogastric Tube
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Ryle’s Tube
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B-2- P.E.G. (Percutaneous Endoscopic Gastrostomy)
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B-3- Nasogastric and nasojejunal feeding tube
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Feeding NGT
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B-4- Rectal Tube
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A Rectal Tube
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B-5- T Tube- Kehr's T-tube
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B-6- Blackemore Sengstaken Tube
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C- Genitourinary Tubes &Catheter
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C-1- Catheters
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-Rubber-Plastic-Silicone
2-ways foley3-ways foley
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2Way Foley CathetersTo drain the bladderAn inflatable balloon near the tip
which holds the catheter in place
2 way Foley
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3 Way FoleyHas an inlet for irrigation.
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Robinson CatheterStraight Drainage Of The Bladder.
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Nilatone (straight) catheter
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Silicone Catheter
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suprapubic catheter
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C-2- Condom Catheter
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C-3 Double J Catheter
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C-4- Nephrostomy TubesMalecotPigtail
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D-vascular Tube
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D-1- Butterfly Needle
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D-2- IV Cannula
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D-3- Venous Catheter
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D-4- IV set (venoset)
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D-5- BT (blood transfusion) set
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D-6- Fogarty CatheterArterial embolectomy catheter is used to
remove blood clots from an artery.
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Differentiate vascular tubes from;
-spinal needle or catheter-peritoneal catheter
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Spinal Needle
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Peritoneal Catheter
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Peritoneal Catheter
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Thank you
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IMPORTANT TERMS
Atraumatic Dilation Dissection Grasping Retraction Sharp Traumatic Trocar
Prof. Dr. RS Mehta, BPKIHS 159
CLASSIFICATION OF INSTRUMENTS
Cutting and Dissecting
Grasping and Holding Clamping and
Occluding Exposing and
Retracting Suturing and Stapling Viewing
Suctioning and Aspirating
Dilating and Probing Measuring Accessory
Instruments Microinstrumentatio
n
Prof. Dr. RS Mehta, BPKIHS 160
CUTTING AND DISSECTING•SCALPELS• Insert Blade using a HEAVY HEMOSTAT of KELLY CLAMP•No. 10 BLADE used MOST OFTEN•No. 11 Blade •No. 12 Blade •No. 15 Blade•No. 23 Blade
•KNIVES•SCISSORS•BONE Cutters and Debulking Tools•Biopsy Forceps and Punches•Curettes•Snares•Blunt Dissectors
Prof. Dr. RS Mehta, BPKIHS 161
CUTTING AND DISSECTING
•Bone Curette
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CUTTING AND DISSECTING•Mayo Scissors
•Metzenbaum Scissors
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CUTTING AND DISSECTING•Suture Scissors (Blunt /Blunt)
Prof. Dr. RS Mehta, BPKIHS 164
GRASPING & HOLDING•Tissue Forceps•Smooth Forceps•Toothed Forceps•Allis Forceps•Babcock Forceps•Stone Forceps•Tenaculums•Bone Holders
Prof. Dr. RS Mehta, BPKIHS 165
GRASPING & HOLDING•Rat-Toothed Tissue Forceps
Prof. Dr. RS Mehta, BPKIHS 166
GRASPING & HOLDING•Allis Tissue Forceps
Prof. Dr. RS Mehta, BPKIHS 167
GRASPING & HOLDING•Babcock Intestinal Forceps
Prof. Dr. RS Mehta, BPKIHS 168
GRASPING & HOLDING•Backhaus Towel Clamps
Prof. Dr. RS Mehta, BPKIHS 169
CLAMPING & OCCLUDING•Hemostatic Forceps•Hemostats•Crushing Clamps•Noncrushing Vascular Clamps
Prof. Dr. RS Mehta, BPKIHS 170
CLAMPING & OCCLUDING•Hemostatic Forceps•Hemostats•Crushing Clamps•Noncrushing Vascular Clamps- used to occlude peripheral or major blood vessels
Prof. Dr. RS Mehta, BPKIHS 171
CLAMPING & OCCLUDING•Pean Intestinal forceps
Prof. Dr. RS Mehta, BPKIHS 172
CLAMPING & OCCLUDING•Hemostatic Forceps•Hemostats•Crushing Clamps•Noncrushing Vascular Clamps
Prof. Dr. RS Mehta, BPKIHS 173
CLAMPING & OCCLUDING•Hemostatic Forceps•Hemostats•Crushing Clamps•Noncrushing Vascular Clamps
Prof. Dr. RS Mehta, BPKIHS 174
EXPOSING & RETRACTING•BALFOUR ABDOMINAL RETRACTOR
Prof. Dr. RS Mehta, BPKIHS 175
EXPOSING & RETRACTING•ARMY NAVY
FARABEUF Retractor
Prof. Dr. RS Mehta, BPKIHS 176
EXPOSING & RETRACTING•GELPI Perineal Retractor
Prof. Dr. RS Mehta, BPKIHS 177
EXPOSING & RETRACTING•Weitlaner Retractor
Prof. Dr. RS Mehta, BPKIHS 178
EXPOSING & RETRACTING
•Spay Hook
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EXPOSING & RETRACTING•Senn Retractors
Prof. Dr. RS Mehta, BPKIHS 180
EXPOSING & RETRACTING•Finochietto Retractor
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EXPOSING & RETRACTING•Ribbon Retractor
Prof. Dr. RS Mehta, BPKIHS 182
SUTURING & STAPLING•Needle Holders•Tungsten Carbide Jaws•Crosshatched Serrations•Smooth Jaws•Staplers•Clip Appliers•Terminal End Staplers•Internal Anastomosis Staplers•End-to-End Circular Staplers
Prof. Dr. RS Mehta, BPKIHS 183
SUTURING & STAPLING•Terminal End Staplers•Internal Anastomosis Staplers•End-to-End Circular Staplers
Prof. Dr. RS Mehta, BPKIHS 184
VIEWING•Speculums•Endoscopes•Hollow Endoscopes•Lensed Endoscopes
Prof. Dr. RS Mehta, BPKIHS 185
SUCTIONING & ASPIRATING•Suction•Poole Abdominal Tip•Frazier Tip•Yankeur Tip•Autotransfusion•Aspiration•Trocar•Cannula
Prof. Dr. RS Mehta, BPKIHS 186
SUCTIONING & ASPIRATING•Suction•Poole Abdominal Tip•Frazier Tip•Yankeur Tip•Trocar•Cannula
Prof. Dr. RS Mehta, BPKIHS 187
DILATING & PROBING
Prof. Dr. RS Mehta, BPKIHS 188
MEASURING
Prof. Dr. RS Mehta, BPKIHS 189
ACCESSORY INSTRUMENTS
Prof. Dr. RS Mehta, BPKIHS 190
MICROINSTRUMENTATION
Prof. Dr. RS Mehta, BPKIHS 191
Powered Surgical InstrumentsDRILLBURRBLADEREAMERABRADER
AIR-POWEREDELECTRICALLY POWERED
Prof. Dr. RS Mehta, BPKIHS 192
HANDLING INSTRUMENTS
•Standardized BASIC sets
•Scrub Person counts ALL instruments, sharp and sponges with the CIRCULATOR
•Handle Loose Instruments SEPARATELY
•Sort by CLASSIFICATION
•PROTECT Sharps
Prof. Dr. RS Mehta, BPKIHS 193
Handling INSTRUMENTS during SURGERY
• Know the NAME and USE
• Handle INDIVIDUALLY
• Use for the INTENDED purpose
• Use of HAND SIGNALS
• Short INSTRUMENTS = Superficial Work
• LONG Instruments = DEEP
• PASS instruments DECISIVELY and FIRMLY
• FREE-HAND TECHNIQUE
• Watch the sterile field for LOOSE instruments
• With a MOIST, SPONGE wipe blood and organic debris from instruments using a DEMINERALIZED STERILE, DISTILLED H20
Prof. Dr. RS Mehta, BPKIHS 194
ELECTROSURGERY
•INITIAL Incision is made by a SCALPEL
•Doubling the current increases the heat produced fourfold
•ARGON Enhanced ESU Tip is held at 60 degree angle, causing LESS Tissue Damage
•BUZZING – the process of coagulating the VESSELS
•BUZZ should not exceed more than 3 SECONDS
Prof. Dr. RS Mehta, BPKIHS 195
LASER SURGERY•Light amplification by stimulated emission of radiation (LASER)
•Types of LASES = ARGON, CARBON DIOXIDE, HOLMIUM, KRYPTON, NEODYMIUM, PHOSPHATE, RUBY/XENON
Prof. Dr. RS Mehta, BPKIHS 196
PATIENT SAFETY in LASERS Eyes and Eyelids should
be adequately protected (aluminum foil, moist pads)
Antiseptics must be NONFlammable
Rectum should be packed with a MOISTENED sponge to prevent escape of METHANE gas
Anesthetic Agents should be NONCombustible
Flexible metallic or insulated silicone endotracheal tubes
Wear high filtration MASKS for CO2 laser ablation such as condylomata (Venereal warts)
Prof. Dr. RS Mehta, BPKIHS 197
Advantages of LASERS
Precise CONTROL = ACCURATE incision
Access to HARD to REACH areas (endoscopes, rhodium reflector mirrors)
Unobstructed view of the surgical site
Minimal TRAUMA to tissues
DRY, Bloodless SURGICAL Field
Minimal THERMAL effect
Reduced RISK for INFECTION
Prompt Healing Reduced OPERATING
TimeProf. Dr. RS Mehta, BPKIHS 198
Prof. Dr. RS Mehta, BPKIHS
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200Prof. Dr. RS Mehta, BPKIHS
BASIC SURGICAL INSTRUMENTS
Fundamentals of Primary Health Care B
201Prof. Dr. RS Mehta, BPKIHS
BASIC SURGICAL INSTRUMENTS Basic laparotomy instruments are essential to
accomplish most types of general surgery. Each instrument can be placed into one of the four following basic categories: Retracting and Occluding Instruments Cutting and Dissecting Instruments Clamping and Occluding Instruments Grasping and Holding Instruments
202Prof. Dr. RS Mehta, BPKIHS
Retracting and Exposing Instruments used to hold back or retract organs or tissue to gain
exposure to the operative site. They are either "self-retaining" (stay open on their own) or "manual" (held by hand). When identifying retractors, look at the blade, not the handle.
203Prof. Dr. RS Mehta, BPKIHS
Retracting and Exposing Instruments A Deaver retractor (manual) is used to retract deep
abdominal or chest incisions. Available in various widths.
204Prof. Dr. RS Mehta, BPKIHS
A Richardson retractor (manual) is used to retract deep abdominal or chest incisions
Retracting and Exposing Instruments
205Prof. Dr. RS Mehta, BPKIHS
Retracting and Exposing Instruments An Army-Navy retractor (manual) is used to retract
shallow or superficial incisions. Other names: USA, US Army.
206Prof. Dr. RS Mehta, BPKIHS
Retracting and Exposing Instruments A goulet (manual) is used to retract shallow or
superficial incisions.
207Prof. Dr. RS Mehta, BPKIHS
A malleable or ribbon retractor (manual) is used to retract deep wounds. May be bent to various shapes.
Retracting and Exposing Instruments
208Prof. Dr. RS Mehta, BPKIHS
A Weitlaner retractor (self-retaining) is used to retract shallow incisions.
Retracting and Exposing Instruments
209Prof. Dr. RS Mehta, BPKIHS
A Gelpi retractor (self-retaining) is used to retract shallow incisions.
Retracting and Exposing Instruments
210Prof. Dr. RS Mehta, BPKIHS
A Balfour with bladder blade (self-retaining) is used to retract wound edges during deep abdominal procedures.
Retracting and Exposing Instruments
211Prof. Dr. RS Mehta, BPKIHS
Cutting and Dissecting Instruments are sharp and are used to cut body tissue or surgical
supplies.
Knife Handle, Scissors(left to right)
212Prof. Dr. RS Mehta, BPKIHS
Cutting and Dissecting Instruments 7 handle with 15 blade (deep knife) - Used to cut
deep, delicate tissue. 3 handle with 10 blade (inside knife) – Used to cut
superficial tissue. 4 handle with 20 blade (skin knife) - Used to cut
skin.
#7, #3, #4(left to right) 213Prof. Dr. RS Mehta, BPKIHS
Straight Mayo scissors - Used to cut suture and supplies. Also known as: Suture scissors.
EX: Straight Mayo scissors being used to cut suture.
Cutting and Dissecting Instruments
214Prof. Dr. RS Mehta, BPKIHS
Curved Mayo scissors - Used to cut heavy tissue (fascia, muscle, uterus, breast). Available in regular and long sizes.
Cutting and Dissecting Instruments
215Prof. Dr. RS Mehta, BPKIHS
Metzenbaum scissors - Used to cut delicate tissue. Available in regular and long sizes.
Cutting and Dissecting Instruments
216Prof. Dr. RS Mehta, BPKIHS
are used to compress blood vessels or hollow organs for hemostasis or to prevent spillage of contents.
Clamping and Occluding Instruments
217Prof. Dr. RS Mehta, BPKIHS
A hemostat is used to clamp blood vessels or tag sutures. Its jaws may be straight or curved. Other names: crile, snap or stat.
Clamping and Occluding Instruments
218Prof. Dr. RS Mehta, BPKIHS
Clamping and Occluding Instruments A mosquito is used to clamp small blood vessels. Its
jaws may be straight or curved.
hemostat, mosquito (left to right)
219Prof. Dr. RS Mehta, BPKIHS
A Kelly is used to clamp larger vessels and tissue. Available in short and long sizes. Other names: Rochester Pean.
Kelly, hemostat, mosquito (left to right)
Clamping and Occluding Instruments
220Prof. Dr. RS Mehta, BPKIHS
A burlisher is used to clamp deep blood vessels. Burlishers have two closed finger rings. Burlishers with an open finger ring are called tonsil hemostats. Other names: Schnidt tonsil forcep, Adson forcep.
Clamping and Occluding Instruments
221Prof. Dr. RS Mehta, BPKIHS
A right angle is used to clamp hard-to-reach vessels and to place sutures behind or around a vessel. A right angle with a suture attached is called a "tie on a passer." Other names: Mixter.
Clamping and Occluding Instruments
222Prof. Dr. RS Mehta, BPKIHS
A hemoclip applier with hemoclips applies metal clips onto blood vessels and ducts which will remain occluded.
hemoclip applier with hemoclips
Clamping and Occluding Instruments
223Prof. Dr. RS Mehta, BPKIHS
Grasping and Holding Instruments are used to hold tissue, drapes or sponges.
224Prof. Dr. RS Mehta, BPKIHS
An Allis is used to grasp tissue. Available in short and long sizes. A "Judd-Allis" holds intestinal tissue; a "heavy allis" holds breast tissue.
Grasping and Holding Instruments
225Prof. Dr. RS Mehta, BPKIHS
Grasping and Holding Instruments A Babcock is used to grasp delicate tissue (intestine,
fallopian tube, ovary). Available in short and long sizes.
226Prof. Dr. RS Mehta, BPKIHS
A Kocher is used to grasp heavy tissue. May also be used as a clamp. The jaws may be straight or curved. Other names: Ochsner.
Grasping and Holding Instruments
227Prof. Dr. RS Mehta, BPKIHS
A Foerster sponge stick is used to grasp sponges. Other names: sponge forcep.
Foerster sponge stick EX: Sponge sticks holding a 4 X 4
and probang.
Grasping and Holding Instruments
228Prof. Dr. RS Mehta, BPKIHS
A dissector is used to hold a peanut.
Grasping and Holding Instruments
dissector EX: Dissector holding a peanut.
229Prof. Dr. RS Mehta, BPKIHS
A Backhaus towel clip is used to hold towels and drapes in place. Other name: towel clip.
Backhaus towel clip Large & small towel clips
Grasping and Holding Instruments
230Prof. Dr. RS Mehta, BPKIHS
Pick ups, thumb forceps and tissue forceps are available in various lengths, with or without teeth, and smooth or serrated jaws.
Grasping and Holding Instruments
231Prof. Dr. RS Mehta, BPKIHS
Russian tissue forceps are used to grasp tissue.
Grasping and Holding Instruments
232Prof. Dr. RS Mehta, BPKIHS
Adson pick ups are either smooth: used to grasp delicate tissue; or with teeth: used to grasp the skin. Other names: Dura forceps.
Grasping and Holding Instruments
233Prof. Dr. RS Mehta, BPKIHS
Grasping and Holding Instruments Long smooth pick-ups are called dressing forceps.
Short smooth pick-ups are used to grasp delicate tissue.
234Prof. Dr. RS Mehta, BPKIHS
DeBakey forceps are used to grasp delicate tissue, particularly in cardiovascular surgery.
Grasping and Holding Instruments
235Prof. Dr. RS Mehta, BPKIHS
Grasping and Holding Instruments Thumb forceps are used to grasp tough tissue
(fascia, breast). Forceps may either have many teeth or a single tooth. Single tooth forceps are also called "rat tooth forceps."
single tooth forceps, many teeth forceps(top to bottom)
236Prof. Dr. RS Mehta, BPKIHS
Mayo-Hegar needle holders are used to hold needles when suturing. They may also be placed in the sewing category.
Grasping and Holding Instruments
short, medium & long(top to bottom)
EX: Needle holder with suture.
237Prof. Dr. RS Mehta, BPKIHS