INSTRUMENTS
• IDENTIFICATION OF INSTRUMRNTS- BY ITS FEATURES
• USES
• STERILIZATION
LISTER BANDAGE SCISSORS
CHEATLES FORCEPS
• NO LOCK
• HEAVY METALLIC FORCEPS
WITH CURVED BLADES &
SERRATIONS.
• USES- TO PICK & TRANSFER
STERILE INSTUMENTS AND
DRAPES.
• KEPT DIPPED IN
ANTISEPTIC SOLUTION.
SPONGE HOLDING FORCEPS
(RAMPLEY’S)
• HAS LOCK.
• FENESTRATED, SERRATED
FLAT ROUND DISTAL END.
• USES-TO SWAB THE
OPERATIVE FIELD AND
CAVITIES.
• TO HOLD THE TOUNGUE.
• AS OVUM FORCEPS
TOWEL CLIPS- TO FIX THE DRAPES, TO FIX THE
SUCTION TUBES, DIATHERMY WIRES AND LAPAROSCOPIC
CABLES.
• OTHERS-
• MAYOS TOWEL
CLIP AND
DOYENS TOWEL
CLIP
TISSUE (THUMB)FORCEPS – PLAIN AND
TOOTHED
TOOTHED TISSUE (THUMB) FORCEPS
• USED TO HOLD SKIN AND
TOUGH STRUCURES LIKE
FASCIA, APONUEROSIS
PLAIN THUMB FORCEPS
• TO HOLD DELICATE SOFT
FRIABLE STRUCURES LIKE
PERITONEUM,
BOWEL,VESSELS,
TENDONS, NERVES.
ADSONS THUMB TISSUE FORCEPS
• SMALL, FINE THUMB
FORCEPS USED FOR FINE
WORK.
• PLAIN/TOOTHED
ALLIS TISSUE HOLDING FORCEPS
• LOCK
• DISTAL BLADES DONOT
APPOSE
• APPOSING TEETH AT THE
TIP
• USES- TO HOLD TOUGH
STRUCURES- SKIN FLAPS,
APONUEROSIS, FIBROUS
TISSUE
BABCOCK’S FORCEPS
• HAS LOCK
• DISTAL BLADES ARE
CURVED WITH
TRIANGULAR FENESTRA
• TIP IS NON TRAUMATIC
• USES-TO HOLD SOFT
STRUCURES- BOWEL,
APPENDIX, FALLOPIAN
TUBE.
LANE’S TISSUE HOLDING FORCEPS
• HAS LOCK
• THICK, STOUT DISTAL
BLADES WITH OVAL
FENESTRA
• OPPOSING TOOTH AT THE
TIP
• USES- TO HOLD TOUGH AND
BULKY STRUCTERS-
BREAST DURING
MASTECTOMY.
CORD HOLDING CLAMP-
CUNNINGHAMS/COLLINGWOOD
STEWART • TO HOLD SPERMATIC CORD
DURING HERNIA SURGERY.
MAYO SCISSOR
• STRIGHT- TO CUT THE
SUTURES
• CURVED- TO CUT THE
TISSUES
METZENBAUM SCISSOR
• CURVED- TO CUT THE
DELICATE TISSUE IN THE
DEPTH.
• STRAIGHT- TO CUT THE
SUTURES IN THE DEPTH.
HEATH SUTURE CUTTING SCISSOR
LITTAUER SUTURE CUTTING
SCISSOR
BARD PARKERS HANDLE
BARD PARKER HANDLE
SUTURES
NEEDLE HOLDER
• HAS LOCK’
• SHORT BLADES
• THICK SHORT BLADES WITH
CRISS CROSS SERRATIONS.
• MAY HAVE GROOVE IN THE
APPOSING ASPECT OF THE
BLADE.
• MOST ARE STRAIGHT /
RARELY CURVED
• DIFFERENT SIZES
• USED TO HOLD NEEDLE
WHILE SUTURING
NEEDLE HOLDER
ARTERY FORCEPS( HAEMOSTAT)
ARTERY FORCEPS
• SMALL ARTERY • STRAIGHT
FORCEPS(MOSQUITO) • CURVED
• MEDIUM SIZED ARTERY
FORCEPS
• LARGE ARTERY FORCEPS
• HAS LOCK
• BLADES HAVE TRANSVERSE
SERRATIONS WHICH ARE
WELL APPOSED
ARTERY FORCEPS
• TO CATCH THE BLEEDING POINTS
• TO OPEN THE FASCIAL PLANES DURING SURGERY
• TO PASS A LIGATURE
• TO HOLD FASCIA , PERITONEUM, APONEUROSIS
• TO HOLD SUTURES
RIGHT ANGLED FORCEPS-LAHEY’S
/MEIGSTER’S
• TERMINAL 1 CM PART IS
CURVED 90 DEGREES
• TIP IS BLUNT
• HAS LOCK
• BLADES- SERRATIONS
• USED TO DISSECT PEDICLE
AND PASS LIGATURE-
CHOLECYSTECTOMY,
THYRIODECTOMY
KOCHER’S FORCEPS
• HAS LOCK
• BLADES – TRANSVERS
SERRATIONS
• APPOSING TOOTH AT THE
TIP
• TO HOLD TOUGH
STRUCURES, PEDICLES
AND CUT END OF
RESECTED BOWEL.
• STRAIGHT AND CURVED
KOCHER’S FORCEPS
LISTER’S SINUS FORCEPS
• NO LOCK
• STRAIGHT, LONG BLADES
WITH SERRATIONS AT THE
TIP.
• TIP IS BLUNT.
• TO DRAIN THE PUS IN
HILTON’S METHOD OF
DRAINING ABSCESS.
• INITIALLY USED TO PACK
THE SINUS CAVITIES.
RETRACTORS
• INSTRUMENTS USED TO RETRACT TISSUES AWAY FROM
THE OPERATING FIELD
• TO PROTECT AND PREVENT DAMAGE TO THE ADJACENT
STRUCURES
• SELF RETAINING OR NON SELF RETAINING.
RETRACTORS
• LONG HANDLE &SMALL
SOLID RIGHT ANLE BLADE
• USED TO RETRACT THE
TISSUES IN SUPERFICIAL
SURGERIS
(HERNIA)
CAT PAW RETRACTOR
• TO RETRACT THE SKIN
EDGES
MORRIS RETRACTOR
• RETRACT ABDOMINAL
WALL DURING
LAPAROTOMY
DEAVERS RETRACTOR
• SHAPE LIKE QUESTION
MARK
• RETRACTOR WITH BROAD
GENTLY CURVED BLADE
• USED TO RETRACT LIVER
AND ABDOMINAL VISCERA-
GIVES ADEQUATE
EXPOSURE TO SURGICAL
FIELD
BALFOUR’S RETRACTOR
• SELF RETAINING
RETRACTOR USED IN
ABDOMINAL SURGERY TO
RETRACT THE ABDOMINAL
WALL
SELF RETAINING RETRACTOR-
BALFOURS RETRACTOR
JOLL’S THYROID RETRACTOR
• SELF RETAINING
RETRACTOR USED IN
THYROID SURGERY
SELF RETAINING MASTOID
RETRACTOR
• SELF RETAINING , WIDE
EXPOSURE OF THE OPERATIVE
FIELD
• PROXIMAL SHAFT HAS FINGER
BOWS AND RACHET
• CURVED LONG BLADES WITH
SHARP OUTWARD CURVED
TEETH TO RTRACT TISSUES
• USED IN MASTOID SURGERY,
LAMINECTOMY,TO RETRACT
SCALP IN NUEROSURGERY.
• WHEN SHAFT APPROXIMATED
BLADES WILL OPEN.
MOYNIHANS INTESTINAL OCCLUSION
CLAMPS
• HAS LOCK
• LONG DISTAL BLADES WITH
LONGITUDINAL
SERRATIONS
• NON TRAUMATIC
• NON CRUSHING
• STRAIGHT AND CURVED
• OCCLUDES LUMEN AND
BLOOD VESSELS-
PREVENTS SPILLAGE AND
BLEEDING
• RESECTION AND
PAYR’S CRUSHING CLAMP
• STOUT AND HEAVY
INSTRUMENT
• LONG BLADES WITH
LONGITUDINAL
SERRATIONS
• NO FINGER BOWES
• NO LOCK IN THE HANDLE
• DOUBLE LIVER
• CRUSHES THE BOWEL.
• USED IN GASTRECTOMY.
VOLKMANN’S SCOOP
• TO SCOOP CAVITIES, ULCER
BED, GRANULATION TISSUE
• DIFFERENT SIZED SCOOPS
AT EITHER SIDE
SYRINGES
SYRINGES
TRACHEOSTOMY TUBES
TRACHEOSTOMY TUBE WITH
INFLATION PART AND SYRINGE-
PLASTIC
UNCUFFED TRACHEOSTOMY TUBE-
METAL
• OTHER- FULL
FOLEY’S 2 WAY SELF RETAINING
CATHETER
FREDRICK EUGENE BASIL FOLEY- AMERICAN UROLOGIST
• SIZE- FRENCH
• 3 F=1MM
• 16 F= DIAMETER OF
CATHETER IS 5.33 MM OR
CIRCUMFERENCE IS 16 MM
• OTHER USES-
PERCUTANEOUS
CYSTOSTOMY,
CHOLECYSTOSTOMY,
FEEDING JEJUNOSTOMY.
• STERILIZED BY GAMA
RADIATION
• SILICON FOLEYS
CATHETER- LESS IRRITANT ,
CAN KEEP UPTO 3 MONTHS.
3 WAY SELF RETAINING FOLEY’S
CATHETER
• FOR BLADDER IRRIGATION
AFTER TURP
SIMPLE RED RUBBER CATHETER
• SELF RETAINING BECAUSE
OF UMBRELLA/FLOWER
LIKE AT THE TIP
• USES- SPC,
CHOLECYSTOSTOMY, TO
DRAIN PUS FROM
PERINEPHRIC AND
PYONEPHROSIS, INFECTED
PSUEDOCYST, AMOEBIC
LIVER ABSCESS.
• AS A FEEDING
GASTROSTOMY TUBE
AIRWAY
MOUTH GAG
ENDOTRACHEAL TUBE
RYLES TUBE
• 100 – 110 CMS LONG
• 3 LEAD SHOTS AT THE TIP-
RADIO-OPAQUE, EASY TO
PASS
• ,MARKINS-40CMS, 50 CMS,60
CMS,70 CMS
RYLES TUBE-USES
• DIAGNOSTIC- GASTRIC FUNCTION TEST, HALLANDER’S
TEST, DIAGNOSE TRACHEO ESOPHAGEAL FISTULA, BAID
TEST(PSUEDOCYST OF PANCREAS)
• THERAPUETIC-ACUTE ABDOMINAL CONDTION, AFTER
ABDOMINAL SURGERIES, ENTERAL FEEDING.
SIMPLE RUBBER CATHETER
FLATUS TUBE
FLATUS TUBE
KEHR’S T TUBE
• AFTER CBD EXPLORATION
SUCTION CATHETERS
LISTER’S URETHRAL DIALATOR