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Surgical Instruments

The document provides a detailed overview of various surgical instruments, including their specific uses and characteristics. It covers knife handles, blades, forceps, retractors, clamps, and other tools essential for different surgical procedures. Each instrument is described with its purpose, design, and typical applications in medical settings.

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mkatrinaoli
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0% found this document useful (0 votes)
4 views19 pages

Surgical Instruments

The document provides a detailed overview of various surgical instruments, including their specific uses and characteristics. It covers knife handles, blades, forceps, retractors, clamps, and other tools essential for different surgical procedures. Each instrument is described with its purpose, design, and typical applications in medical settings.

Uploaded by

mkatrinaoli
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

#3 Knife Handle – Most commonly used to hold the #10 90 Degree Dural Elevator – As the name suggests, the

blade, this trusty handle can also work hand in hand 90 Degree Dural Elevator is comprised of a straight
with the #11, #12, and #15 blade. handle with a 90 degree angle at the tip. This seemingly
simple tool is a key player in craniotomy– the removal
of part of the skull bone encompassing the brain.

Cobb Elevator – With more rounded edges than the 90


degree dural elevator, the cobb elevator is used mainly
to cut and dissect when working on paraspinous
muscles and removing periosteum, a thick layer of
tissue that covers bones at surfaces of joints.
#7 Knife Handle – Similar to the #3 knife handle, the #7
knife handle typically holds the #15 blade, but will work
just fine with the #10, #11, or #12. When used in
conjunction with the #15 blade, the medical duo is used
to cut deep, delicate tissue

Freer Elevator – On one end, find a blunt tear-drop tip.


On the other end, a sharp tear-drop tip. Which will be
used most? Depends on the procedure, most
commonly used for orthopedic and neurosurgical
#10 Blade – This blade is a classic with its traditional operations to debulk and lift in conjunction with other
blade shape and curved edge, perfect for making small instruments in the classic stainless steel, of course.
incisions in skin and muscle, and is commonly used in
in coronary artery bypass operations, thoracic surgery,
and repair of the inguinal hernia. Paired typically with
the #3 handle, what is also known as the inside knife is
used to cut superficial tissue.

#11 Blade – This blade is an elongated triangular blade


with a sharp hypotenuse edge and a pointed tip perfect
for precise stab incisions.

Adson Bipolar Forceps – Ah, the first of our many


forceps. Yes, forceps come in many different shapes,
names, sizes and specific uses, although not without
differences. Adson forceps, just like most forceps, are
similar to tweezers made of stainless steel meant to
#15 Blade – Similar to the #10 blade, the #15 is ideal for hold onto something else that is hard to hold onto
short and precise incisions. It differs mainly in size, alone– another tool or tissue that may be small or
being slightly smaller than the #10. slippery. The Adson bipolar forceps in particular, with
their small and tight built, are constructed to allow for
more control during the surgical process.
Adson Brown Forceps – Adson Brown forceps differ
with their short jaws and narrow tips, used to pick up
delicate tissue. These teeth are not meant to bite but Carmalt Forceps – Belonging to the family of hemostat
rather hold tissue and cause as little damage or tear as forceps (tools used in surgery to control bleeding),
possible, and are used most often in cosmetic and ENT these forceps feature grooves along the blades while
surgery. the tips are cross-serrated. This thorough texture
allows for a good grip on heavy tissue.

Alexander Periosteotome – This double sided tool is


Backbiting Forceps – Backbiting forcep scissors, most the ultimate two-in-one, with one end crafted into the
often used for sinus surgery, have a giraffe-like long and shape of a mallet and the other into a rough chisel. This
slanted neck for easy access into the nasal cavity. is a handy tool in removing tissue, typically in surgeries
Meant to go smoothly into the middle meatus, the thin performed inside the chest.
and tapered shaft help in avoiding disruption to the
middle turbinates during operations.

Babcock Forceps – These big friendly giants are not out Weitlaner Retractor
to pinch. With identifiable loop blades, their job is to
hold intestine and tissue without causing damage.
More gentle than the Allis forceps, this gizmo excels in
holding onto tube-shaped structures commonly seen in
intestinal and laparotomy procedures. The jaws are
circumferential and non-perforating. Made to be used
in laser procedures, these tools can be coated in non-
reflective black polymer coating, which reduces laser
reflection to protect patients and staff during surgeries.
Gelpi Retractor Alm Retractor – Used during general and orthopedic
procedures, the Alm retractor holds small areas of the
body with its 4×4 prongs which could be sharp or blunt,
depending on the procedure.

Balfour Retractor – Don’t you hate pesky abdominals


getting in the way? Now, they don’t have to. The
Balfour retractor holds open abdominal incisions in
place, allowing the surgeon to work on the area freely.

Senn Retractor – This handheld gizmo, typically used in


hand and foot surgeries, is a double ended retractor
with one 90 degree angled end and the other end
pronged, which can be sharp or dull. The use of this tool
is dated back to the 10th century A.D., where it was
described in Arab physician Abu al-Qasim al-Zahrawi’s
medical encyclopedia, Kitab al-Tasrif.

Deaver Retractor – With a similar purpose to the


Balfour retractor, the Deaver retractor holds open Davis Mouth Gag – Used in oral and oropharyngeal
incisions of abdomen and chest. Deaver retractors surgery, this instrument is not so unlike the Balfour
were developed with the intention to keep the organs retractor, in that it holds open the muscles, allowing the
inside the abdomen away from surgical apparatuses surgeon the freedom to operate. Because this is a
during the surgical process. In this instance, the curved strong tool that keeps control of many delicate bones
edges are held by hand or in place by a clamp to allow and muscles (isn’t the mouth fun?), caution must be
more freedom for the surgeon to work. This tool is taken when opening and moving the lips, teeth, and
manual and available in various widths. joints.
Allis Clamp – Don’t underestimate this instrument. the operation of the entire body, it is important to take
Seemingly flimsy, this gadget has sharp teeth that allow special care and have a cardiothoracic surgeon nearby.
a firm grasp on tissue, as it is often used in the process
of tissue removal, or to grab on to tendons and fascia
(a length of connective tissues, also known as fibrous
tissues, found near nerves, blood vessels, bones,
muscles, and other organs). In order to reach the site of
operation, surgeons are able to travel around the fascia
with the help of the Allis clamp. This forcep comes in a
number of shapes and sizes and the surgeon will pick
out the one most appropriate for the patient and the
procedure. During gynecological procedures, for
instance, the Allis clamp with the 4×5 teeth will
commonly be used. This instrument will most likely be
Army-Navy Retractors – This retractor is handheld with
found made of high quality steel, as it is meant to be
broad blades, ideal for getting into and exposing large
sterilized and reused.
muscles, and is most often used in orthopedic and
general surgeries. The double ended feature allows for
one side (the longer side, a.k.a the “navy side”) to be
inserted deeper into the wound. This manual tool is
also known as the USA retractor and the US Army.

Senn Retractor
Aortic Cross-Clamp – The aortic cross clamp (or simply:
the cross clamp) is used mostly in cardiac surgery,
where the cross-clamp is used to hold the aorta. This
separates the heart from the body’s circulation, and is
followed by cardioplegia, a state where the heart
refrains from beating. These operations must be
quickly performed or the doctor must take other
precautions such as chilling the heart to preserve
functionality and prevent damage. If oxygen does not
reach tissue for a long period of time, damage can
follow. Another risk is the possibility for patients to
develop clots which could then lead to vein blockage or
a stroke. These possibilities are caused by the clamping
down of the cross clamp. However, releasing the clamp
may cause trouble too, such as reperfusion injury,
where a body part might be very suddenly flooded with
blood flow, which may overload tissues. This tool is a Bovie – Invented by William Bovie who contributed to
key when it comes to procedures of and around the the U.S medical community throughout his lifetime
heart, but since the organs are so crucial and central to spanning between 1882-1958, the Bovie is an
instrument used for electrosurgical dissection and
hemostasis. Typically a noun describing the tool, DeBakey Atraumatic Multi-Purpose Clamp – Use this
“bovie” can also be used as a verb. For example, “to tool either as a hemostat in blood flow prevention, or
Bovie a blood vessel”, or to dissect or cauterized the as forceps to get a better grip on delicate tissues with
blood vessel with the Bovie tool. its atraumatic teeth. The clamp is angled at 60 or 90
degrees.

Bone Curette – Have a bone to curette? Who doesn’t.


Look no further than the one and only bone curette.
Cartilage Crusher – With a name worthy of a
With sharp edges and an easy grip handle, this small ice
professional wrestling’s championship belt, the
cream scoop shaped tip will take care of all your
cartilage crusher does just what the name suggests–
curetting needs.
crushes cartilage. Used mostly in reconstruction and
rhinoplasty, the tool is joined with a mallet and hit until
the desired results are achieved.

Adson Cerebellar Retractor – Used in neurosurgical


procedures, this handy dandy tool allows surgeons the
Castroviejo needle holder – Commonly used in eye best control when working with and retracting the
surgery, microsurgery, and suturing due to its ability to cerebellum, a part of the brain located in the back of
easily and precisely control the handles, the Castroviejo the skull that connects to muscular activity. When
needle holder has connected handles and sometimes a working on this sensitive part of the body, nobody has
lock in which the needle is held in place for optimal the time or the arm strength to hold this tool and more.
security. Luckily, it has a locking feature that allows the ring
handles to keep their position so surgeons can do it all.
Cottle Angular Scissors – Did someone sit on these Duval Clamp – Also known as the Pennington clamp
scissors? No. Cottle angular scissors are designed with after Australian surgeon David Geoffrey Pennington,
a dent in the handle to reach mucosal tissue in the nose this tool is used mainly to grasp tissue without causing
and may be used to remove the cartilaginous hump. damage most commonly in intestinal, rectal, and
Also known as turbinate scissors or posterior scissors, OB/GYN procedures.
these blunt blades come in small and medium sizes.

Desmarres Retractors – With a curved tip like a flower,


the Desmarres retractor is designed to hook beneath
the eyelid and is used during intravitreal injections of
the eye, which has become a rather common
procedure in the United States. Before the tool is used, Fogarty Clamp – The Fogarty clamp is not just another
the patient will be asked to look downward, and the atraumatic tissue gripper. This clamp is surfaced with
instrument will be inserted under the upper lid, when rubber-shod serrated blades that allow for an
the doctor will retract the eyelid back to expose the site atraumatic grip on tissues and blood vessels. This
of injection. rubber-shod is a disposable piece and should not be
reused for different patients.

Doyan Rib Rasp – With a long neck, comfortable


handle, and horizontal hook, the Doyen rib raspatory is
designed for cardiothoracic surgeries. Suitable for
righties, lefties, adult sized patients and smaller ones Frazier Suction Tube – Invented and named after
too, this silver fox has the ability to hold or scrape away Michael Frazier, this thin tool is used for suctioning out
at ribs. fluids from cavities in the most precise way. The shaft is
made of flexible material, to allow for different and
bendable positions during the procedure. If left undealt
with, fluids and other materials may begin to build up
and hinder the process of surgery. With the Frazier
suction tube, the wound is able to stay dry and clear, as
the adjustable tool refrains from interfering.
Gerald’s forceps – Used on delicate vessels during
vascular surgery, the non-toothed Gerald’s forceps are
best for optimal precision–just look at those tips. Often
Israel Retractor – The Israel retractor may not solve
used in cardiothoracic procedures, this tissue grasper
problems in the middle east, but it will handle heavy
comes in light to intermediate weight, and a stop peg
tissue in orthopedic surgeries. The blades resemble a
to assure that tissues are delicately handled.
rake, and, like most retractors, this tool is used to retain
edges on an incision, wound, organ, or tissue.

Jorgenson Scissors – Used for getting deep into tissues,


Iris Scissors – These fine scissors with a very sharp tip
these snappers come with a long handle and a curved
are delegated to ophthalmic surgery, but can most
blade for procedures such as hysterectomies.
likely be found being used during other medical
procedures and as a part of autopsy tool kits and more.
In fact, they are so easy and fun to use that they have
made a name for themselves even in the world of non
medical practices such as crafts. Both closed and open
shank versions are available on the market. The goal
with these is to keep them as sharp as possible, which
Bulldog Clamp – This versatile tool comes in a variety of will make the craft or surgery process more precise.
shapes, sizes, and curvatures that allow surgeons to Those interested in using these scissors can find a pair
reach difficult and distant blood vessels. This tool’s suitable for the right or left hand, for optimal control. It
unique structure prevents excessive bleeding in the is important to keep the moving parts oiled and those
area of the procedure. When the handles are squeezed, used for medical purposes must be sterilized with
the clamp opens up, and when the pressure is released, antiseptic soap and an autoclave, and stored in a safe
the clamp shuts down, therefore preventing patients place, possibly with the tips covered.
from losing blood. Bulldog clamps can range from 2.5
cm to 5 cm in length and can be straight or curved.
Mosquito Clamp – Think small. The mosquito clamp is
typically found to be between 3 inches to 5 inches in
length, and is considered to be one of the smaller
hemostatic forceps. These clamps are one of many
hemostatic forceps, and no, they are not used to catch
mosquitos, but small blood vessels in order to control
bleeding. Mosquito forceps, with their blunt grip,
manage small blood vessels but are not set out to do
any damage or trauma. Tips may be straight or curved,
but regardless of the shape, these clamps, along with
most hemostatic forceps, will most likely include a Burlisher Clamp – Can you tell the difference between
locking feature that will allow doctors to work with this clamp and the others? Also known as the Adson
more liberty. These instruments will most likely be forcep and the Schnidt tonsil forcep, this instrument is
found in stainless steel or carbon steel, in which case used to clamp deep blood vessels. The burlisher has
they will be able to be reused after sterilization. In two closed finger rings, and if they are found with an
other cases, the tool may be found in disposable open finger ring, the tool would be known as a tonsil
plastic, but will only be able to used once. hemostat.

Kelly Clamp – The Kelly clamp, which is much more


elongated, and also known as the Rochester Pean, is
used to clamp larger vessels and tissue. Mosquito
clamps are considered to be smaller and daintier types
of Kelly forceps, which have the same function but aim
at larger sized vessels and tissues during procedures.
These too are typically made from stainless steel, or Tonsil Hemostats – Similar to the burlisher clamp,
other forms of high quality steel, and should be which has two closed finger rings, the tonsil hemostat
sterilized in hot water and chemicals, if they are to be has open finger rings and a catch for locking the blades.
reused. They can also be found in reusable plastic but These forceps are able to control hemorrhage by
should only be used once in this form. getting a grip on the end of blood vessels. Used both in
general surgery as well as neurosurgery, these forceps Hurd Dissector – This two-faced tool, also known as the
are typically found at a length of seven to nine inches, Hurd tonsil dissector and Pillar retractor is a double
formed completely with stainless steel. The goal for a ended tool used in oral procedures and tonsillectomies.
surgeon is to perform an operation with little to no One side has a retractor lip end, while the other side is
tissue damage, in which case the tonsil hemostat a sharp and rounded end for dissecting.
forcep is the perfect tool, as the two finger rings make
handling the instrument an easy task. In tonsil related
operations, the tool is used to remove affected pieces
when necessary.

Hurd Dissector

Hoke Osteotome – This tool is used during


neurosurgery and has a straight and sturdy handle, a
dip found three quarters of the way through, and a flat
blade perfect for cutting bone and preparing to cut
bone. Ranging from 3.0 mm to 16.0 mm, curved or
straight, this is a versatile instrument that can reshape
bony areas or even cut through skull.

Right Angle Forceps – You guessed it. This tool features


a right angle to reach vessels that are out of the way
and to place sutures in particular places in relation to
vessels.

Yankauer Suction Tip – Created in 1907 by American


doctor Sidney Yankauer, this firm but bendable plastic
oral suction tool is used to remove secretions. Watch
the blood slide down the lightly tinted blue tube.
Facelift Scissors – In the process of facelift procedures,
facelift scissors work to separate the face’s overlying
skin from the muscles and tissue. This procedure is
typically accompanied with sutures. The loose facial
and neck skin is then pulled back.

Heaney-Simon Vaginal Retractor – This peculiarly


shaped instrument has a grooved handle that controls
a smooth flat blade that curves up into a right angle.
Vaginal retractors such as the Heaney-Simon retractor
or the Miyazaki retractor, which both fall under the
category of vaginal handheld retractors, can be used in
Ballantine Clamp – Who do you call when you need to the deep pelvic surgery and are made comfortable for
clamp and sever a tough ligament from both sides of handling.
the uterus? Anyone with a Heaney-Ballentine clamp, of
course. This tool falls under the category of heavy
clamps, as it has a rigid shaft and vertical serrations that
can crush parametrial and paracervical tissue during
hysterectomies, for instance.

Heaney Needle Holder – Another tool you might see in


a hysterectomy, along with dilation and curettage, the Hemoclip Applier – This tool can be used in any surgery
Heaney needle holder uses ratcheted blades for and is more commonly seen in vascular surgery to gain
medium weight suturing. This holder can just as well be hemostasis, the stopping of blood flow, with the use of
used as a cardiovascular approximation and closure a hemoclip. The tool should not be squeezed with the
instrument. hemoclip until the desired vessel is prepared and in the
correct position.
carotid clamp, a.k.a Javid carotid artery clamp, is the
tool for you. When brought together, the two sides are
perfect for clamping around an artery.

Henley Retractor – Perfect for cardiothoracic


procedures, this tool that (let’s be honest) looks a bit
like a contraption of some sort, is actually designed for
optimal efficiency, allowing surgeons to manipulate the
positionality.
Knight Scissors – Talk about a knight in shining armor,
these Knight scissors are typically made with tungsten
carbide inlays, one side matching a standard blade and
the other one featuring micro-serrations. Often used
for rhinoplasties, these scissors fit nicely into the nasal
cavities.

Hoen Elevator –Used for neurosurgical procedures, this


tool is used to move mainly soft tissue and bone if
necessary. Coming in different sizes, the Hoen elevator
also features a somewhat sharp edge if dissection is on
the table.

Kocher Clamp – This hemostat has interlocking tip


teeth that are used to grab bone or fascia. Emil Theodor
Kocher, inventor of the Kocher clamp in 1822, used the
instrument to prevent blood loss during surgery. The
Swiss surgeon was awarded a Nobel Prize in 1909 for
his contributions. These forceps may be straight or
curved and has a tooth at the end of one blade and a
groove in the other for optimal blood prevention and
tissue slippage.

Javid Carotid Clamp –Have an artery that needs


clamping during a cardiothoracic surgery? The Javid
Finally, the obturator allows the cannula to penetrate
the abdomen. This procedure is usually made with
several small incisions into a patient’s abdomen with
the assistance of a camera. Following the incisions,
trocars are placed inside and passed through.

Littler Scissors – Are these scissors littler than yours?


It’s not a competition! A hole in the blade allows suture
material to be passed and carried. Fine tissue may also
be dissected with these finger ring scissors.

K-Wire Cutter – This handy dandy tool can be used all


over the place, but is designed to cut wire in a
perpendicular fashion. Derived from Martin Kirschner,
who introduced the Kirschner wire in 1909, K-wires are
used for fixation during operations. These wires may
pass through skin and into bone.

Mayo-Hegar Needle Holder – Number sixty three (on


our list) but certainly not least, this versatile tool comes
in different sizes and is one of the most popular surgical
instruments, as seen in oral, gynecological, bariatric,
and dermatological procedures.

Trocar – A trocar is an instrument with a three sided


cutting point enclosed in a tube which gives access to
the abdominal cavity during a laparoscopic operation.
It is made up of three main parts which include the
cannula, the seal, and the obturator. The cannula is a Metzenbaum Scissors – Designed by American surgeon
shaft that allows access into the patient’s abdominal Myron Firth Metzenbaum, these cutters are most
cavity. The seal is on top of the cannula and allows commonly used in organ and heart operations, as the
instruments to pass through without letting air escape.
long shanks are ideal for cutting delicate tissue and
performing blunt dissections.

Penfield #1 – Manipulate tissue, scoop small bone, or


dissect with the tip. The bottom is curved and only
Nasal Rasp – In the case where a patient is experiencing semi-sharp.
problems with breathing, a nasal rasp has the ability to
scrape out foreign bodies or other sources of
discomfort during a rhinoplasty.

Penfield #2 – Very similar to the penfield #3, the


penfield #2 has a curved but more straight edged tip.
The bottoms look almost identical, and can both be
used to press bone wax into bleeding bone.

Nasal Speculum – Did you know “speculum” is the Latin


word for mirror? Although probably not the best tool
for seeing your own reflection, the nasal speculum acts
to spread the nostrils, so that the inside can be more
easily seen, examined, and worked on.

Nerve Hook – No hook for a captain, but a fine one for


a surgeon, the nerve hook is meant for neurosurgical
procedures that call for movement or retraction of
Penfield #3 – As stated above, this instrument is hard
nerves and soft tissues. With no sharp edges, this is not
to differentiate from its former tool, the penfield #2.
a tool out to do any damage.
Remember that this one has a more rounded tip.
Putti Rasp – This double ended shovel shaped
instrument is a bone rasp with curved, pointed rasp
Penfield #4 – Used in general surgery, neurosurgery, surfaces at both ends. It is ideal for procedures that
and more, this gentle tool is used for poking or moving include gentle bone reshaping, found in neurosurgical
tissue, and acts as an extension of your finger, allowing or orthopedic surgeries. It has a narrow and sleek
a fuller understanding of which tissue is being touched. design that allows this tool to be fit into small spaces
while affecting bone or tissue from a number of angles.

Perforating Towel Clamp – If only your hands could do


all the work. Luckily, the non offensive and non
penetrating towel clamps are here to hold your towels,
instruments, tissues, and just give you a hand.

Ragnell Retractor – This tool too is a double ended


double bladed piece, falling under the retractor family.
Commonly used in orthopedic operations, this
Poole Suction – After irrigating the abdominal cavity, instrument can be used to lift parts that hold down
use this tool to suck up fluid. The instrument’s design organs or tissues.
allows this function to be conducted without getting
clogged.

Potts Scissors – These elongated finger ring scissors


with a sixty to ninety degree angle are great for
trimming and opening vessels in procedures around
the chest.
Rat Tooth Forceps – A rat tooth suggests the Scapula Retractor – Did a monster crush this spatula?
intermeshing of tips on surgical instruments when they No, the design is intentional, as each part of this angled
are brought together. This texture allows a good hold tool serves a significant purpose. Beginning with the
on tissue or other items while not causing too much ribbed handle, gripping is made comfortable and
damage. secure. The bent blade gives a stable hold, which
donates secured access to the work area, and the slots
in the blades serve to minimize stress on the bone.

Rat Tooth Forceps

Rib Approximator – This device may look intimidating


but it won’t bite, it will only bring your ribs back to
closure after a thoracotomy wound. A large dial moves
the claws, and holds tight throughout the procedure.
Senn Retractor – This is not the dinner table and that
surgical instrument is certainly not a fork. The Senn
retractor is used to hold back surface tissue with sharp
but blunt prongs. At the other end, find an angled,
blunt end.

Sickle Knife – Used in procedures such as


Sauerbruch Rongeur – Did you know the word
tonsillectomies and adenoidectomies, this tool can cut
“rongeur” is a french word meaning rodent? This
the mucosa and submucosa which can aid in elevation
rodent tool has the strength to open bone and is often
in tonsillectomy and adenoidectomy procedures. The
used in neurosurgery, podiatric surgery, and orthopedic
tip which is found to be blunt is designed to cause as
surgery to open up the areas that are to be operated
little damage to surrounding tissue as possible.
on. This rongeur is destiquishible by the square jaw and
comfortable grip. It is a stainless steel tool.
Sinus Probe – Used in sinus procedures, the sinus
probe works to widen the gateway to the sinus areas.

Sims Retractor – This tool is used in vaginal procedures


to retract the anterior wall and expose the posterior
wall by dilating the vagina. This gives the gynecologist
a clear view of the body cavity so that he or she may
understand what is happening and what to do next.
When it comes to gynecological instruments, plastic Sinus Scissors – Used in endoscopic sinus surgery, sinus
materials are common, as they may only be used once. scissors feature a cutting blade and a long shaft which
However, the sims retractor also comes available in is perfect for getting into the sinus passway and
stainless steel, in which case they must be sterilized removing tissue as needed.
after every use. These tools come in a variety of sizes to
fit each patient appropriately.

Frontal Sinus Curette – This curette allows for Sponge Forceps – These forceps are used in nearly all
exploration and scraping of tissue in the nasal cavity. procedures to hold sponges or swabs. With ratcheted
According to Diseases of the Sinuses: Diagnosis and handles, these forceps may be found straight or curved
Management, Part 611 by David W. Kennedy, William to get a better sight of the procedure, work properly,
E. Bolger, and S. James Zinreich, the 90 degree frontal and get the job done.
sinus curette operates by being “inserted above the
roof of the agger nasi cell. The curette is then pulled
anteriorly breaking down the posterior and superior
agger nasi cell walls.”
Tendon Passer – This tool acts to deliver tendons–
flexible connective tissue that keeps muscle and bone
together. In the case of hand repair regarding tendons,
tendon passers may guide the tendon through the
lumbrical canal and guide other areas with the tendon.
This instrument is a fine leader, as it can guide and
explore areas and work alongside a tendon probe for
such operations.

Spring Retractor – This funky noodle shaped tool


belongs to the retractor family, and it is ready to hold
back skin with its penetrating tips. Width is adjustable
at the end of the tool, and the ratchet holds the
position until further adjusted.

Tenotomy Scissors – These delicate angels come in


varying shapes and sizes including straight or curved,
and blunt or sharp. Due to their form, they are a great
resource in ophthalmic and neurosurgical procedures,
as they are meant to perform more gentle procedures.

Takahashi Forceps – If you are in need of soft tissue, Tonsil Snare – A part of the tonsillectomy set, the tonsil
bony fragment, or cartilage removal, the Takahashi snare utilizes three finger rings that allow the operator
Forceps are a great tool to turn to. to remove the dissected tonsil by controlling a wire
loop at the opposite end of the instrument.

Uterine Sound – The function of this instrument is to


determine dilation levels in a uterus, encourage
dilation, understand the length and direction of the
cervical canal and uterus by probing the uterus through
the cervix.
procedures, secure small needles and suture material
with their smooth or serrated jaws.
Vein Retractor – This petal shaped retractor can be
used in a number of procedures and for a variety of
body parts from retracting mouth muscles in dentistry
to ribs and tissues in general surgery. For delicate
procedures such as neurosurgery in which damage to
tissues must be avoided, the vein retractor is the ideal
tool to push and pull with a gentle touch.

Weighted Vaginal Speculum – The weighted vaginal


speculum, particularly the auvard weighted vaginal
speculum is the most commonly used of the types of
vaginal speculum when it comes to gynecological
instruments. This one holds the vaginal canal open
during the procedure in order to conduct pelvic exams.
With the auvard weighted vaginal speculum, the
weight has the ability to become separated. Another
Nasal Foreign Body Hook – As the name reveals, this included feature is the blade which helps to keep the
tool is used to remove foreign bodies from the nose.
vagina open. When the patient is ready with her knees
Who knows what you can find up there? According
bent and feet in stirrups, the speculum should be
to Medscape, nasal foreign bodies, also known as NFBs inserted while it is closed, and only opened once inside
are not uncommon in the emergency department to allow a clear view of the cervix. These instruments
setting. Although the obstruction of the nasal cavity can be found in stainless steel so that they may be
may not seem too serious, mucosal damage can lead to
sterilized and used again or disposable plastic for a
severe irritation or disruption of the airway. The most
singular use.
common place to find nasal foreign bodies are near the
front of the middle turbinate or below the inferior
turbinate. The most commonly found foreign body is
jewelry beads.

Ribbon Retractor – This seemingly simple tool is able to


retract deep wounds. This tool is considered to be
manual, as adjustment is made manually, and will not
hold the position. This malleable retractor can be bent
to various shapes.

Webster Needle Holder – These finger ring holders,


commonly seen in plastic surgery and other
Inguinal hernia mayo stan set-up

Westcott Scissors – Connected at the tip and shaped


like an eye, these scissors (also known as spring
scissors) are appropriately designed for ophthalmic
operations, as they best handle delicate tissues. Keep
precision accurate by refraining from cutting in quick
motions, and completing cuts to the tips for the best
incisions with most control.

Love Nerve Retractor – What’s not to love? With the


love nerve retractor, surgeons may lift up and expose
underlying organs and tissues that the procedure is
intended for. It is used in general surgery, and, like
almost all of our favorite surgical instruments, is made
of stainless steel material to preserve its durability
while maintaining sterilization and cleanliness.

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