University of Pangasinan

College of Nursing
Dagupan City, Philippines
 The Basic Surgical
Instruments
 Cutting and Dissecting
 Grasping and Holding
 Retracting and Exposing
 Clamping and Occluding
 Miscellaneous
 Cutting and Dissecting
Instruments
These are sharp and are used to cut body tissue or surgical supplies.

Curved and Straight Mayo

Scalpel holder Scissors Metzenbaum

Stitch Scissors
Lister/Bandage Scissors Suture Scissors
 Cutting and Dissecting Instruments

Scalpel Blade

#7, #3, #4
(left to right)
• 7 handle with 15 blade (deep knife) - Used to cut deep, delicate tissue.

• 3 handle with 10 blade (inside knife) – Used to cut superficial tissue.

• 4 handle with 20 blade (skin knife) - Used to cut skin.

 Cutting and Dissecting Instruments

Mayo Scissors

Curved/Straight Mayo Scissors

Note: With thick Shank
These are used to cut suture materials and cutting tough tissues.
 Cutting and Dissecting Instruments

Metzenbaum

Curved/Straight Metzenbaum
Note: With thin Shank and curved tips
These are used for tissue dissection and cutting delicate tissues.
 Cutting and Dissecting Instruments

Lister/Bandage Scissors

Note: the blunt tip on one edge

Used to trim bandages to custom size, to cut through clothing or gauze,
and to help remove bandages that someone is wearing
 Cutting and Dissecting Instruments

Suture Scissors

Note: Concave Edge on one Side

Use in cutting sutures
a. Angled Suture Scissors
b. Straight Suture Scissors- for subcutaneous,
Skin or Muscular area
Cutting and Dissecting Instruments

Stitch Scissors

Use only with non-absorbable sutures

 Grasping and Holding
Instruments
are used to hold tissue, drapes or sponges

DeBakey Tissue
Backhaus Towel Clamp
Forceps

Adson Tissue
Randall Stone Forceps Tenaculum Allis Clamp
Forceps

Foerster / Ovum Kocher/ Oschsner

Russian Tissue Sponge Forceps
Babcock Clamp Clamp
Forceps
 Grasping and Holding Instruments

(Tissue Forceps)
These are available in various lengths, with or without teeth,
and smooth or serrated jaws.

DeBakey Tissue Adson Tissue

Forceps Forceps

Russian Tissue
Forceps
 Grasping and Holding Instruments

DeBakey Tissue Forceps

Used to grasp delicate tissue, particularly in cardiovascular

surgery.
 Grasping and Holding Instruments

Adson Tissue Forceps

These are either smooth: used to grasp delicate tissue; or with

teeth: used to grasp the skin.  Other names: Dura forceps.
 Grasping and Holding Instruments

Russian Tissue Forceps

They have serration up to the tips, allowing better

grasp of tissue with minimum trauma.
 Grasping and Holding Instruments

They Are used to hold tissue, drapes or sponges.

Backhaus Towel Clamp

Allis Clamp
Randall Stone Forceps

Tenaculum

Kocher/ Oschsner
Babcock Clamp Foester / Ovum Clamp
Sponge Forceps
Grasping and Holding Instruments

Randall Stone Forceps

To remove kidney stones

Grasping and Holding Instruments

Tenaculum

Used to grasp cervix

Grasping and Holding Instruments

Backhaus Towel Clamp

To anchor drapes and towels

 Grasping and Holding Instruments

Allis Clamp

Has Sharp teeth to hold tissue firmly but can cause damage, so only used
in tissue, which will be excised . Used to grasp subcutaneous layer and
tissue..
 Grasping and Holding Instruments

Kocher/ Oschsner Clamp

Straight or Curved
It is used to grasp heavy tissue. May be used as a clamp.
Grasping and Holding Instruments

Ovum (Foerster)

For DR
Control of bleeding
To grasp sponges
 Grasping and Holding Instruments

Babcock Clamp

Used in muscular and facial layers; delicate tissue (in tube, ovary)
 Retracting and Exposing
Instruments
Used to hold back or retract organs or tissue to gain exposure to
the operative site.   They are either "self-retaining" (stay open
on their own) or "manual" (held by hand).  When identifying
retractors, look at the blade, not the handle.

Senn
Richardson US Army Navy Deaver

Volkmann Rake Green Goiter

Malleable Vein Retractor

Weitlaner Langenbeck Vaginal Speculum

Skin Hooks
 Retracting and Exposing Instruments

Richardson

Single
Double

For deep abdominal and chest incisions .

Used to pull layers of tissue
 Retracting and Exposing Instruments

US Army Navy

For shallow or superficial incision

For pediatric clients
 Retracting and Exposing Instruments

Senn

For minor surgery like arterio-venous

Wrist or antecubital area
Dull or sharp
 Retracting and Exposing Instruments

Deaver

Used to retract deep abdominal or chest

incisions.  Available in various widths.
 Retracting and Exposing Instruments

Malleable

Used to retract deep wounds

May be bent to various shapes
 Retracting and Exposing Instruments

Vein Retractor

Used in vein stripping (varicose veins)

Retracting and Exposing Instruments

Volkmann Rake

Used in retracting skin layers

Retracting and Exposing Instruments

Green Goiter

for thyroidectomy
Retracting and Exposing Instruments

Weitlaner

Used to open neck muscles

For thyroidectomy
Retracting and Exposing Instruments

Langenbeck

For visualization of anal/vaginal

area
Retracting and Exposing Instruments

Skin Hooks

Used to retract thin skin, like eyelids

For eye surgeries
 Retracting and Exposing Instruments

Vaginal Speculum

For Pap Smear, D&C, Visualization of Cervix

 Clamping and Occluding
Instruments
They are used to compress blood vessels or hollow organs for hemostasis or to
prevent spillage of contents.

Straight Mosquito Crile Clamp

Kelly Clamp

Right-Angled (Mixter /Dissector)

Forceps
Pean (Rochester-Pean) Clamp
 Clamping and Occluding Instruments

Straight Mosquito/ Halsted

HEMOSTAT COMPONENT
Used to clamp skin, small blood vessels
Used to hold sutures aside from pedia patients.
 Clamping and Occluding Instruments

Kelly Clamp

Note: The tip has half serrations

Curved or Straight
HEMOSTAT COMPONENT
Used to clamp larger blood vessels and tissues
Curved Kelly- for peritoneum
 Clamping and Occluding Instruments

Crile Clamp

Note: Whole tip has serrations

Curved or Straight
HEMOSTAT COMPONENT
Curved Crile- for fascia ,subcutaneous, & muscular area
 Clamping and Occluding Instruments

Pean (Rochester-Pean) Clamp

For Gastrectomy
 Clamping and Occluding Instruments

Right-Angled (Mixter /Dissector)

Forceps

Used to hold a peanut

 Miscellaneous

Curette Hysterometer
Sharp or Dull
Used with Vaginal Speculum
For scraping uterine wall Measures depth of Uterus
For Double Set-Up With Gradations
THANK YOU
email @:
paul_chris18@yahoo.com
www.nursingshot.blogspot.com

-Credits-
K.A.C.S [Pictures]
Faculties of U-Pang College of Nursing [Lectures]
www.scribd.com