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types of surgical instruments

 Equipments 

Forceps

Surgical forceps may be broadly divided into two categories;

1.Thumb forceps 

Thumb forceps also known as gripping forceps, non-locking forceps or pinning forceps.

Thumb forceps are spring forceps used by compression between thumb and forefinger and are used for grasping, holding or manipulating body tissue.


2. Ring forceps 

Also called hemostats, hemostatic forceps and locking forceps.

Locking forceps used for clamps and are used to securely hold tissue. 

When they are used to control blood flow, called hemostats forceps. 

Hinged forceps may come with or without a "lock" for clamping.


Types of Surgical Forceps

Two types ; locking and non locking forceps.

 Locking (artery forceps), Non locking (thumb forceps, pick-ups)

Artery forceps belong to a group of surgical instruments called hemostats.


Artery forceps/ Haemeostatic forceps (locking mechanism)

They are available in straight and curved.

1. Spencer wells hemostatic forceps 

Available in curved, straight.

Used to hold bleeding vessels.

Used to do blunt dissection.

Used to split internal obliques and transversus abdominis during appendectomy.

2.  Kocher's hemostatic forceps

Strong forceps for controlling bleeding in surgery with interlocking teeth at the tips.

3. Mosquito hemostatic forceps

 (curved, straight)

Using to hold fine bleeding blood vessels.

Jaw are serrated.

4. Crile Hemostatic Forceps

Straight and curve

5. Adson Artery forceps

6. Cairns artery forceps 

7. Cooley artery forceps

9. Debakey artery forceps

10. Debakey bainbridge forceps

11. Dunhill artery forceps 

12. Heiss artery forceps

13. Kelly crile artery forceps

14. Lawson tait artery forceps

15. Moynihan forceps

Long shanks and short jaws with full, horizontal serrations. Tips are blunt and used to grasping sections of tissue.

16. Rochester-pean forceps 

Available in both straight and curved styles with fully serrated jaws. Used to clamping larger tissue and vessels for hemostasis.

17. Allis tissue forceps

Surgical instrument with sharp teeth, used to hold or grasp heavy tissue, grasp fascia and soft tissues such as breast or bowel tissue.

18. Babcock tissue forceps (intestinal tissue holding forceps)

Used to grasp tissue, frequently used with intestinal and laparotomy to gain a clear view of the operating site.

19.  Lister sinus forceps

Used to hold gauge swab to clean abscess cavity.

20. Lahey right angle forceps

Used for blunt dissection and for clamping vessels.

Used for clamping, dissection, or grasping tissue.


Others forceps are;


1. Desjardins choledocholithotomy forceps

Used to remove stone from common bile duct.

Used to remove stone from kidney, bladder stone.

2. Suprapubic cystolithotomy forceps

Used in suprapubic cystolithotomy to extract stone from bladder.

3. Speedlock bone reduction forceps

Used to remove and place bone fragments and bony tissues in a required position.

4. Doyen intestinal forceps

Non-crushing forceps commonly used for grasping on large organs such as intestines. 

5. Lane twins intestinal forceps (straight, curved)

instrument used for gripping, used to clamp the stomach and rectum during surgery.

6. Lane tissueb (intestinal) holding forceps


Hinged forceps 

1. Cheatles forceps

2. Rampley swab holding forceps

Uses fo cleansing skin with swab.

Used to hold fundus and hartman pouch during cholecystectomy.

3. Spongy forceps

Jaw are serrated


Thumb forceps 

Thumb forceps are available with a variety of tips such as flat, serrated, cupped, ringed, grooved, diamond dusted or have teeth. The tips may also be straight, curved or angled. 

1. Plain dissecting forceps/ non toothed dissecting forceps

Used to hold blood vessels and nerves while dissecting.

2. Plain thumb forceps

Used to hold tissue in place when applying suture.

Used to insert packing into or remove objects from deep cavities.

3. Brown adson thumb forceps

4.  Rat tooth thumb tissue forceps

5. Toothed tissue forceps 

Used for grapsing and holding tisuue, muscle or skin surrounding wound.

6. Tooth dissecting forceps

Hold skin while skin suturing.

Hold scalp while scalp suturing.




Retractor 


1. Morris retractor

Used to retract abdominal wall incisions.

Used to hold incision or wound open.

2. Deaver retractor 

Used to retract deep abdominal or chest incisions. 

Used in thoracic and abdominal surgery for holding back muscle, tissue, and bone.

3. Langenbeck retractors

Commonly used within surgical procedures to separate the edges of incision. Used to hold back tissue or organs. 

4. Jolls thyroid retractor

Holdings to aid in exposing the bodies cavities accessed during surgery.


Scissors 

1.  Mayo scissors; straight or curved. 

Used in the cutting of fascia. 

Used for cutting body tissues near the surface of a wound. 

2. Heath suture cutting scissors; with smooth or toothed/serrated blades. 

Used for suture removal

To cut sutures on skin and mucus membrane.

3. Sharp scissors

Both blade tips are sharp.

Used to cut and dissect tissue.

4. Curve blunt/blunt scissors

Both blsde tips are blunt.

Curved or straight 

5. Sharp-Blunt scissors 

Used to cut and dissect fascia and muscle.

One blunt tip and one sharp tip.

6. Lister bandage scissors

Used to remove bandages and dressings.

Probe tip is blunt, inserted under safety 


Equipments used in Surgery


1. Metallic probe 

Used to gauge the depth of a cavity.

Used to assess depth of penetrating injuries.

For example; Used to assess length of sinus.

2. Metallic Bougie

Used to dilate urethra in Urethral stricture.

Used to dilate urethra before cystoscopy.

Used 6o repair Urethral rupture

3. Bakes dilator

Bullet-shaped tip used to dilate and enlarge a duct.

Used in the treatment of stenosis of the urethra. 

4.  Backhaus towel clamp

5. Doyen intestinal clamp

Used in gut resection and anastomosis.

Used to grasp internal organs, secure bleeders during surgeries. 

6.Red rubber catheter

Used to drain urine.

Used to measure amount of residual volume of urine.

7. Foley's self retaining catheter

Foley catheter an indwelling catheter passes through urethra and into the bladder to drain urine. 

In bladder by a balloon inflated with liquid.

8. Malecot (Stamey) catheter

Used to drain of different body fluids; urine, bile, pus.

Used to drain abscess cavity.

Used as intercostal tube drain

9. Flatus tube

Used for remove gaseous distension (removal of flatus) and wlso used for treatment of sigmoid volvulus (portion of colon twist itself) and intussusception. It is used also for barium enema.

10.  Fuller's metallic tracheostomy tube

Constructed of silver or stainless steel and and lack of a cuff.

Curved tube, inserted into a tracheostomy stoma; hole made in neck and windpipe (Trachea).

connector to attach a ventilator.

11. Disposable corrugated drainage

Used to drain pus, blood.

12. Myo vein stripper

Used to stripping of varicose vein.

13. Gigli saw

Gigli saw is a flexible wire saw used by surgeons for bone cutting. 

14. Bladder wash syring

Used to bladder wash

Used to clear foley's catheter.

15. Bulb irrigation syring

16. Suprapubic cystostomy trocar and cannula

Trocar is a pen shaped instrument with a sharp triangular point at one end, inside a hollow cylinder, known as a cannula.

Trocars used to during laparoscopic procedures. 

Used to urethral repture to relieve urinary retention.

17. Disposable core biopsy trocar and cannula

Used to take core biopsy from breast, liver for tissue diagnosis.

18. Vim silverman liver biopsy needle

Used to take liver biopsy.

19. Bone cutter and bone nibbler

Used to reshape the bone.

Amputations

Used to perform osteotomy

20. Bone chisel and osteotome

Used to chip out bone.

Used to perform osteotomy.

21. Rib cutter

Used to cut ribs.

Used to resect part of ribs.

22. Bone saw

Used to cut bones in case of amputation.

To cut casts.

23. Periosteum elevator 

Used to lift full thickness soft tissue flaps.

24. Kidney tray

Used to collect specimens.

25. Backhaus towel clamp


27. Scalpel handle 

Scalpels or Scalpel Handles are to be use with surgical blades for tissue separation.

28. Doyen cross action towel clip

Used to fix draping towel

Used for fixing cable, suction, tubes

29. Bard parker's handle 

Used for tissue separation, dissection, puncture or cut .

It combined use with surgical blades of varying shapes and sizes. 

30. Needle holders

Used to hold needle while suturing.

31. Mayo hegar needle holder 

Used to drive curved needles during surgeries.

32.  Bone curette 

Used for cyst removal, tooth socket debridement.

Used to collect a bone sample for a biopsy.

Used to scrapping hard tissue.

33. Payr Intestinal clamp (crushing)

specialized instrument commonly used during gut surgeries for secure closure of bowl loops and pylorus.

34. Debakey satinsky clamp

Used to clamp a vessel for partial or total clipping.

35.  Kelly rectal speculum (proctoscope)

Used to diagnose hemorrhoids (piles), rectal anal polyp.

Used to take biopsy from anal, rectal growth.

Used to procedure to remove a polyp (polypectomy)

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