Basic Instruments

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Adson without teeth, Adson with teeth, Adson Brown 1. :

Army-Navy, Green Loop, Vein Retractors and Skin Hooks 3. :

Army-Navy Retractor- Hand-held retractor with right angles at each end; one side is slightly deeper than the other. Adson Forcep with or without teeth - Adsons with teeth are frequently used at the end of a case to close skin; 4-3/4" long. Adson-Brown Forceps - Tips have a multiple-tooth pattern; used to grasp superficial, delicate tissue; 4-3/4" long. Used frequently in plastics and foot surgery. Allis, Heaney, Tenaculum, Right Angle, Sponge Forceps 2. : Vein Retractor - Hand-held retractor with a smooth, curved end that is used to retract blood vessels. BackhausTowel Clip, Babcock, Massachusetts/Lahey, Oschner/Kocher
4.

Green Loop Retractor - Hand-held retractor with a curved, open loop at the end; used on head/neck cases (thyroid). Skin Hook - Delicate hand-held retractor; used to retract skin; single or double, sharp or blunt hook at one end; come in various sizes.

Allis - Atraumatic grasping clamp; used on delicate tissue; has tiny, non-perforating teeth at the end of an angular jaw; sometimes used for draping. Heaney Clamp - Traumatic instruments with a heavy jaw and a single or double tooth inside the jaw. Mainly used to clamp ligaments of the uterus (GYN surgery). Tenaculum - Traumatic instrument used to grasp the cervix and apply traction to the uterus during GYN procedures; single- or double-tooth. Right Angle Clamp - Tips form a right angle; comes in various lengths; can be used to make a tie-on-a-passer. Sponge Forceps - Tip is rounded with a hollow center. When making a "sponge stick" this instument is used to hold a raytec sponge. Because it is non-perforating, it is sometimes used during draping.

BackhausTowel Clip - Used to clip towels during draping process or as a grasper of tissue. Can be perforating or non-perforating. Babcock - grasping/holding non-perforating, atraumatic clamp (i.e., appendix, bowel, fallopian tubes). Massachusetts/Lahey-Traumatic clamp used to grasp tough tissue; tips form "M". Oschner/Kocher - Traumatic grasping clamp; has a tooth at the tip; curved or straight, short or long. Balfour with Blade 5. :

Balfour with Blade - Self-retaining retractor used to maintain exposure in abdominal surgery; may be used with a bladder blade. Retractor, bladder blade(s) and wing nuts are counted to prevent them from being left in the wound.

Bishop, Bayonet, DeBakey Forceps 6. :

Deavor, Malleable, Richardson Retractors 9. :

Bayonet Forceps - Used to grasp tissue during neurosurgery and some otorhinolaryngology (ear and nose) procedures; some can be used with electrical cord for cauterization purposes. CV/Cooley/DeBakey Forceps - Most frequently used pick-up because of its atraumatic, delicate grasping ability. They have a "ditch" down the midline of the tip. 6-, 7.75", 9.5" or 12" long. Bishops Forcep with or without teeth - The tiniest forceps, have 3 small holes on each side of the handle; used on skin, primarily in plastic surgery. Blades 7. :

Deavor - Hand-held retractor used during abdominal surgery. Various widths. Malleable/Ribbon - Flexible, hand-held retractor that bends to create a custom- made retractor when other retractors are too large or too small; various widths. Richardson Retractor- Hand-held, right-angled retractor. Grooved Director/Guide - Probe 10. :

Grooved Director/Guide - Used to probe vessels during general or vascular surgery; looks like a "Mickey Mouse head" and has a groove down the center to direct the probe. Probe - To gauge depth or direction of a sinus or cavity by inserting it therein; slides down the groove of the guide. Halsted Mosquito, Hemostat, Schnidt Tonsil Clamp, Kelly/Peon/Mayo Clamp, Sarot 11. :

Bonney, Ferris-Smith Forceps 8. :

Halsted Mosquito - Small hemostatic clamp used in delicate areas and in pediatrics procedures. Clamps tissue or used to tag suture, may be straight or curved. Always 5" long. Horizontal serrations along the entire length of the jaws. Bonney Tissue Forcep - Heavy grasping forceps; 1x2 or 2x3 teeth; 6.25", 7.75" or 9" long. Ferris-Smith Forceps - Heavy forceps; 1 x 2 or 2 x 3 teeth; used to grasp tough tissue. 7" long. Heavier, larger instrument than the Bonney Forcep, even though they have similar use. Hemostat - Most commonly used hemostatic/atraumatic clamp. Has horizontal serrations along length of the jaw; straight or curved; also call a crile clamp; 5-1/2" long. Schnidt Tonsil Clamp - 7-1/2" long hemostatic clamp with slight curve and partial serrations. Kelly/Peon/Mayo Clamp - Heavy atraumatic clamp used for tough tissue. Clamp used to load a peanut. Straight or curved; 5", 7-1/2" or 10 inches long. Sarot - Slender, atraumatic long clamp used for deep, confined areas; can be used to make a tie-on-a-passer.

Knife Handles 12. :

Richardson Retractors 15. :

#3 Knife Handle - Most frequently used handle; holds #10, #11, #12 and #15 blades #3L Knife Handle - identical to #3 above, but longer in length. #4 Knife Handle - Holds only the #20 blade. Russian Forceps, Tissue Forceps 16. : #7 Knife Handle - Usually used with blades #11 & #12, but #10 & #15 also fit. Beaver Knife Handle - Used during surgeries on delicate areas (eye/plastic). Small screw twists open and closed to load or remove blade (do not discard small screw when throwing away the blade or it will render the instrument useless); handle is round. Needle Holders 13. :

Tissue Forceps with or without teeth - Used to grasp or pick up tissue or when applying dressings. 6" or 10" long. Russian Forceps - Have a rounded tip with teeth that look like a horseshoe or the sun; used to approximate tissue during wound closure; most frequently used in GYN.

Heaney Needleholder - Curved needleholder used exclusively in OB/GYN. Crilewood Needleholder - Used to load and pass suture with needles that are small and delicate. Used for delicate tissue, various lengths, with or without carbide insert. Mayo-Hegar Needleholder - Used for heavy, thick needles/tissue, various lengths, serrated, with or without carbide insert. Webster Needleholder - short needleholder. O'Connor/O'Sullivan 14. :

O'Connor/O'Sullivan - Self-retaining, circular retractor used to retract abdominal wall during intra-abdominal or pelvic surgery (GYN); may be used with a bladder blade.

Scissors 17. :

Suctions 19. :

Metzenbaum Scissors - Most commonly used tissue scissor; used to dissect soft, fine, delicate tissue. Straight or curved, various lengths. 7", 9", or 10" long. Baby Metzenbaum Scissors - Small Metzenbaum scissor used in pediatric or plastic surgery. 5-3/4" long. Mayo Scissors - Used to cut thick or tough tissue; width of jaws are thicker than Metzenbaum scissors. Curved or straight (suture scissors). 7-3/4" long. Iris Scissors - Used to cut delicate tissue. Straight or curved; small, fine, sharp tips/blades; 4 1/2" long. Stevens Tenotomy Scissors - Short narrowed tip. Used to dissect delicate tissue. Straight or curved, various lengths. Senn Rake, Parker, Volkmann, Weitlaner, Gelpi Retractors 18. : Yankauer Suction - May be plastic or metal; aka: "tonsil suction." Poole Suction - Has many tiny holes along the length of the outer cylinder; can be separated from inner cannula that has only one hole at the end. Long and slender; used to remove irrigation fluids from the abdominal cavity; inner cannula frequently used in GYN. Frazier Suction - Very slender, angled or straight suction tip. Used when small amounts of suction are anticipated (eye, fingers, toes) or in small, enclosed areas (nose, ear). Comes 6 to 16 French diameter. CV Suction - Blunt, "olive" tip used in small, delicate areas (i.e: blood vessels). Tie-on-a-passer / Banjo 20. : Senn Rake - Hand-held retractor with a right angle on one end and a rake on the other; sharp or blunt prongs on rake; used for superficial retraction (hand, foot). Parker (Goelet)- Hand-held retractor that is curved on each end. Resembles a toboggan. Volkmann - Hand-held retractor with a 2- to 6-prong rake on one end. aka: "rake." Weitlaner - Self-retaining retractor with teeth that angle outward to maintain wound exposure. Gelpi - Self-retaining retractor with a single tooth that angles outward to maintain wound exposure. Tie-on-a-passer - Made with a suture tie and a curved clamp (right angle or sarot); used deep in the abdominal cavity to provide retraction of a vessel or to tie off a vessel.