Surgical Instruments

Question 1

1. Instrument
2. Use

Answer 1

Needle holder (usually Olsen-Hegar)

Question 2

1. Instrument
2. Use

Answer 2

1. Operating scissors (sharp/sharp & sharp/bunt)
2. Use

Question 3

1. Instrument
2. Use

Answer 3

1. Rat Tooth thumb forceps
2. Use:
   - Grasping tissue

Question 4

1. Instrument
2. Use

Answer 4

1. Ferguson Angiotribe forceps
2. Use:
   - Used to crush tissues at high
   risk of bleeding (arteries,
   uterus)
   - Similar to Carmalt Forceps
   except only has one male-
   female groove

Question 5

1. Instrument
2. Use

Answer 5

1. Allis tissue forceps
2. Use:
   - Used for grasping tough tissue traumatically, or tissue being removed
   - Claw-like tips

Question 6

1. Instrument
2. Use

Answer 6

1. Crile forceps
2. Use
   - Similar to Kelly forceps
    Serrations extend entire
   length of jaw
    Resemble large mosquito
   forceps
   ◦ Curved and straight
    Use on large vessels

Question 7

1. Instrument
2. Use

Answer 7

1. Rochester-Carmalt forceps
2. Use
   - Used to clamp large vessels or large
   tissue masses
   - Different from other hemostats
   ◦ both horizontal and vertical
   serrations on the jaw near the tip,
   giving it a checkerboard
   appearance, multiple male-female
   groves down length
   - Large 8” long instrument,
   ◦ with jaw about 3 ½” of entire length
   ◦ Straight or curved tips

Question 8

1. Instrument
2. Use

Answer 8

1. Kelly forceps (straight and curved)
2. Use:
   - Used on medium sized
   vessels or small tissue
   masses
   - Horizontal serrations are
   wider than mosquito
   ◦ only extend ½ the length of
   the jaw
   ◦ Curved and straight

Question 9

1. Instrument
2. Use

Answer 9

1. Mosquito forceps (straight and curved)
2. Use:
   - Generally used to clamp small vessels
   - Small jaws with fine horizontal serrations extending entire length of jaw
   - Straight and curved tips

Question 10

1. Instrument
2. Use

Answer 10

1. Mayo Scissors
2. Use:
   - Cutting large
   muscle masses, cartilage,
   non-delicate tissue.

Question 11

1. Instrument
2. Use

Answer 11

1. Metzenbaum Scissors
2. Use:
   - Delicate surgical dissection
   - Blades are thin, delicate
   - Shaft is long and thin
   - Blades can be straight or curved

Question 12

1. Instrument
2. Use

Answer 12

1. Mayo-Hegar Needle Holders
2. Use:
   - Available in a variety of lengths,
   depending upon procedure and
   surgeon preference
   - No cutting blades, suture is cut
   with operating scissors

Question 13

1. Instrument
2. Use

Answer 13

1. Debakey Thumb Forceps
2. Use:
   - Atraumatic forceps
   ◦ used only on delicate tissue
   - Tips have no teeth
   - Ridge or groove design
   - Designed as cardiovascular
   forceps

Question 14

1. Instrument
2. Use

Answer 14

1. Adson Thumb Forceps
2. Use:
   - Have a very narrow tip that broadens to a side shaft
   - Holding/manipulating delicate tissue
   ◦ have flat, atraumatic serrations
   with no teeth
   ◦ used for holding dressing
   materials during surgery,
   dressing/packing wounds

Question 15

1. Instrument
2. Use

Answer 15

1. Adson-Brown Thumb Forceps
2. Use:
   - Tips have 2 parallel rows of nine shallow teeth
   - Holding/manipulating delicate tissue

Question 16

1. Instrument
2. Use

Answer 16

1. Army-Navy Retractors
2. Use:
   - Double-ended with different lengths
   of blades on either end
   ◦ No teeth causing little trauma
   - Pressure damage (if you don’t know
   your own strength!)

Question 17

1. Instrument
2. Use

Answer 17

1. Senn Retractor
2. Use:
   - Double-ended, handheld retractor
   ◦ Narrow, blunt blade on one end
   & toothed, traumatic blade at the other end
   ◦ The teeth may be sharp or blunt
   ◦ Primarily used with surface
   tissue

Question 18

1. Instrument
2. Use

Answer 18

1. Gelpi Retractor
2. Use:
   - Has single, traumatic sharp-
   pointed tips
   - Useful in orthopedic surgery

Question 19

1. Instrument
2. Use

Answer 19

1. Balfour Retractor
2. Use:
   - Self-retaining retractor
   - Soft tissue surgery
   - Useful for abdominal
   procedures
   - Wide spreading retractor
   ◦ provides excellent visualization
   ◦ keeps the abdominal walls in
   lateral retraction
   ◦ has a 3rd blade for cranial
   retraction