16 general instrumentation chapter 16 · pdf file16 general instrumentation chapter 16 kocher...

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CRILE

101750 Crile Artery Forceps Str 14cm 5.5” £24.00

101755 Crile Atraumatic Jaws Str 14cm 5.5” £32.00

101765 Crile Artery Forceps Str 16cm 6.5” £26.00

101770 Crile Artery Forceps 1/2 Teeth Str 16cm 6.5” £26.00

101775 Crile Artery Forceps Str 18cm 7” £37.00

101780 Crile Artery Forceps Cof 14cm 5.5” £26.00

101785 Crile Atraumatic Jaws Cof 14cm 5.5” £32.50

101795 Crile Artery Forceps Cof 16cm 6.5” £32.50

101800 Crile Artery Forceps Cof 18cm 7” £39.50

Crile

Jaw is somewhat lighter than the more popularSpencer Wells Artery Forceps.

HALSTEAD MOSQUITO

103165 Halstead Mosquito Art. Forceps Str 10cm 4” £22.50

103170 Halstead Mosquito Art. Forceps Cof 10 cm 4” £22.50

103175 Halstead Mosquito Art. Forceps Str 12.5cm 5” £25.50

103225 Halstead Mosquito Art. Forceps Cof 12.5cm 5” £25.50

103180 Halstead Mosquito 1/2 Teeth Str 12.5cm 5” £25.50

103185 Halstead Mosquito 1/2 Teeth Cof 12.5cm 5” £25.50

Halstead Mosquito

Very light but adequate for routine haemostasis in all but the largestblood vessels.

Rochester Pean

The long jaw of this Forcep makes it useful as ahysterectomy clamp in small and medium breeds.

Spencer Wells

The Standard Veterinary Artery Forceps. If the textstates “artery forceps or haemostat” this isprobably the one.

ROCHESTER PEAN

106225 Rochester Pean Art. Forceps Str 14cm 5.5” £25.00


106235 Rochester Pean Art. Forceps Str 18cm 7” £30.50


106270 Rochester Pean Art. Forceps Cof 14cm 5.5” £26.00

106275 Rochester Pean Art. Forceps Cof 16cm 6.5” £31.00

106280 Rochester Pean Art. Forceps Cof 18cm 7” £32.50

106285 Rochester Pean Art. Forceps Cof 20cm 8” £37.50

106290 Rochester Pean Art. Forceps22.5cm 9” Cof £39.50

Artery Forceps

IntroductionVeterinary Instrumentation's no quibble lifetime guarantee means thatyou can purchase instruments in the full confidence that they will not letyou down.

The instruments will be replaced free of charge in the event of breakingdue to faulty workmanship. Wear, e.g. in needleholders, is not covered.Veterinary Instrumentation’s range of general surgical instruments isselected as being the most appropriate for routine surgical procedures. Ifyou do not see what you want we can source it for you. Please phone, faxor email the usual contacts.

TerminologyStr = Straight Cof = Curved Aof = Angled

close-up details

16 GENERAL INSTRUMENTATION Chapter 16

Kocher

Having a long jaw this forcep is rather like aRochester Pean but the tips are toothed foradded security.

SPENCER WELLS

106600 Spencer Wells Art. Forceps Str 12.5cm 5” £22.00

106605 Spencer Wells Art. Forceps Str 15cm 6” £24.50





106625 Spencer Wells Art. Forceps Cof 12.5cm 5” £24.00

106630 Spencer Wells Art. Forceps Cof 15cm 6” £26.00




KOCHER

105521 Kocher Artery Forceps Str 15cm 6” £32.50

105522 Kocher Artery Forceps Cof 15cm 6” £34.50

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GENERAL INSTRUMENTATION 16 www.vetinst.com

Negus ForcepsNEGUS FORCEPS

7018/05 Negus Art. Forceps Small Cof 18cm 7” £43.50

MAYO SAFETY PIN

106699 Mayo Safety Pin £15.50

Mayo Safety Pin

Use to organise artery forceps and other similar instruments.

Bone Cutting ForcepsSee GENERAL ORTHOPAEDICS - page 97

Bone Gouge Forceps(Rongeurs)See GENERAL ORTHOPAEDICS - page 96and SPINAL - page 151

Bone Holding ForcepsSee General Orthopaedics, page 87.

VI Bone Holding Forceps

A general purpose Bone Holder for use in maintaining fracture reduction in I/M pinning. Also very useful for lag screwing and bone plating in that drills and screws can be passed through the centre of the jaw at the point ofmaximum compression. A very popular forcep.

VI BONE HOLDING FORCEPS

001210 Bone Holding Forceps 155mm £67.50

Diffenbach (Bulldog) Clamps

Small Cross Action Vascular Clamps. Most commonly used in soft tissuesurgery.

DIFFENBACH (BULLDOG) CLAMPS

107708 Diffenbach Clamp Str 5cm £19.50

107710 Diffenbach Clamp Cof 5cm £19.50

Small Serrated Bone Holding Forceps

SMALL SERRATED BONE HOLDING FORCEPS

001218L Small Serrated Bone Holding Forceps with Rachet12mm Grasp 180mm £65.00

001218 Small Serrated Bone Holding Forceps 7mm Grasp 140mm £65.00

001218S X Small Serrated Bone Holding Forceps 5mm Grasp 90mm £65.00

001218XS X Small Serrated Bone Holding Forceps 3mm Grasp 90mm £65.00

001218SETSerrated Bone Holding Forceps Set of 4 (as above) 225.00

001218LG Small Serrated Bone Holding Forceps with Spinlock12mm Grasp 180mm £65.00

Reduction Forceps Serrated Jaws

REDUCTION FORCEPS SERRATED JAWS

001217 Reduction Forceps Serrated Jaws Spinlock 190mm £75.00

001217/L Reduction Forceps Serrated Jaws Spinlock 240mm £85.00

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16 GENERAL INSTRUMENTATION

ChiselsSee General Orthopaedics, page 103

DOYEN

201950 Bowel Clamps Doyen Str 24cm 9.5” £75.00

201955 Bowel Clamps Doyen Cof 24cm 9.5” £80.00

Doyen

Rather large for small animal surgery but cheaper than thesmall atraumatic bowel clamp.

Bowel Clamps

ATRAUMATIC SMALL BOWEL CLAMP

222165 Bowel Clamps Small Animal Atraumatic Str 17cm £80.00

222170 Bowel Clamps Small Animal Atraumatic Cof 17cm £85.00

Atraumatic Small Bowel Clamp

Jaw design gently holds and seals the bowel with a minimum of pressureand trauma. The fine ratchet facilitates gentle yet secure application.

Str

Cof

SERRATED-BLOCK END

341070 Block End Serr. Dissecting Forceps 5” 12.5cm £11.00

341075 Block End Serr. Dissecting Forceps 6” 15cm £15.00

341080 Block End Serr. Dissecting Forceps 7” 18cm £17.50

347655 Dressing Forceps 205mm £26.00

Serrated-Block End

A cheap, general purpose Dressing Forcep.

Dissecting Forceps 1/2 Teeth

Dissecting Forceps

DISSECTING FORCEPS 1/2 TEETH

341145 Dissecting Forceps 1/2 Teeth 15cm 6” £22.00

341160 Dissecting Forceps 1/2 Teeth 18cm 7” £23.00

341170 Lanes Diss Forceps 1/2 Teeth 6” 15cm £24.00

349520 Lanes Diss Forceps 2/3 Teeth 7” 18cm £25.00

ADSON

341200 Adson Serr. Diss. Forceps 12.5cm 5” £23.00

341201 Adson Serr. Extra Fine 12.5cm 5” £29.50

341210 Adson Diss. Forceps 1/2 Teeth 12.5cm 5” £32.00

341212 Adson Brown Dissecting Forceps 12.5cm 5” £35.00

341214 Adson Brown Serr/ Croc 15cm 6” £42.50

341215 Adson Brown 1/2 Teeth 15cm 6” £42.50

341220 Adson DeBakey Dissecting Forceps 125mm 5” £42.50

Adson

Ideal for fine surgical procedures. Available in a range of jaw designs.

DEBAKEY - ATRAUMATIC

342005 DeBakey Diss. Forceps 6” £42.50

342010 DeBakey Diss. Forceps 18cm 7” £42.50

342015 DeBakey Diss. Forceps 8” £42.50

342020 DeBakey Diss. Forceps 20.5cm 8.5” £49.50

342030 DeBakey Diss. Forceps Angled 15cm 6” £49.50

DeBakey - Atraumatic

The Forceps in this range grip as firmly as rat tooths but cause minimaldamage to delicate tissues. Particularly useful in surgery of the ear, bowelor urogenital system.

teeth profile (end view)

Epilation

A Very Fine Rat Tooth for delicate procedures including corneal surgery.

ST. MARTIN DISSECTING FORCEPS

014160 St. Martin Diss. Forceps Teeth 90mm 3.25” £51.50

St. Martin Dissecting Forceps

EPILATION

342450 Epilation Diss. Forceps Sq. Jaws Plain 9cm 3.5” £31.50

Actual size

341200 341201 341210 341212 341220

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TREVES, RAT TOOTH FORCEPS

346850 Treves Diss. Forceps Teeth 12.5cm 5” £17.50

346855 Treves Diss. Forceps 1/2 Teeth 15cm 6” £19.50

346860 Treves Diss. Forceps Teeth 18cm 7” £23.50

347665 Fine Rat Tooth Thumb Forceps 205mm £29.50

Treves Rat Tooth Forceps

A cheap general purpose Rat Tooth Dissecting Forceps.

CASTROVIEJO

014175 Castroviejo Needleholders with Catch T.C. 150mm £120.00

014177 Castroviejo Needleholders without catch T.C. 150mm £120.00

014179 Castroviejo Needleholders with Catch T.C. 165mm £120.00

014178 Castroviejo Needleholderswith Catch T.C. 180mm £120.00

Tungsten CarbideMost Veterinary Instrumentation Needleholders are availablewith Tungsten Carbide Inserts (T.C. Jaws). They grip betterand wear better. They are especially useful for holding smallerneedles.

Their handles are gold plated to make it easier to spot them ona tray of artery forceps.

Needleholders

Castroviejo

The classic Ophthalmic Needleholders with a Catch. Occasionalophthalmic surgeons should consider Miniature Fosters or Ryders. Thesqueeze action of the Castroviejos can be awkward at first.

MINIATURE FOSTER GILLIES

602710 Miniature Foster Gillies T.C. 100mm 4” £95.00

Miniature Foster Gillies

Foster Gillies

Smaller than the standard Gillies this instrument isideal for finer surgery or smaller hands.

FOSTER GILLIES

582650 Foster Gillies Needleholders RH 12.5cm 5” £80.00

582660 Foster Gillies Needleholders LH 12.5cm 5” £85.00

602700 Foster Gillies Needleholders T.C. Jaws RH 12.5cm 5” £120.00

602705 Foster Gillies Needleholders T.C. Jaws LH 12.5cm 5” £125.00

Gillies

Combined Scissor/ Needleholder.

GILLIES

582950 Gillies Needleholders RH 16cm 6.25” £47.50

582951 Gillies Needleholders LH 16cm 6.25” £51.50

602950 Gillies Needleholders T.C. Jaws RH 16cm 6.25” £95.00

602951 Gillies Needleholders T.C. Jaws LH 16cm 6.25” £115.00

Actual size

Actual size

Actual size

McPhails

The McPhails Needleholder has soft copper jaws for extra needle grip. Thecatch engages with a moderate squeeze on the handles. Further pressurereleases the catch and the needle.

McPHAILS

584650 McPhails Needleholders 15cm 6” £70.00



Castroviejo Needleholders/ Scissor

This Instrument functions as a standard Castroviejo needleholder but thejaws incorporate a suture cutting function in the style of Olsen Hegars orGillies. Jaws are Tungsten Carbide for maximum grip.

CASTROVIEJO NEEDLEHOLDERS/ SCISSOR

014181 Castroviejo NH/ Scissor Str T.C. 150mm £120.00

014182 Castroviejo NH/ Scissor Cof T.C.150mm Cof £120.00

014183 Castroviejo NH/ Scissor Str ‘S’Cut T.C. 150mm £125.00

014184 Castroviejo NH/ Scissor Cof ‘S’Cut T.C. 150mm £125.00

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Mayo and Mayo Hegar (T.C.)

The veterinary general purpose Needleholder,available in a large range of sizes with or withoutTungsten Carbide Jaws.

MAYO AND MAYO HEGAR (T.C.)

584750 Mayo Needleholders 12.5cm 5” £32.00

584760 Mayo Needleholders 14cm 5.5” £33.50

584780 Mayo Needleholders16.5cm 6.5” £34.50

584765 Mayo Needleholders18cm 7.0” £37.50

584810 Mayo Needleholders 18.5cm 7.5” £39.50

584820 Mayo Needleholders 20cm 8” £42.50

604700 Mayo Hegar T.C. Jaws 12.5cm 5” £57.50

604705 Mayo Hegar T.C. Jaws 14cm 5.5” £60.00

604712 Mayo Hegar T.C. Jaws 15cm 6” £65.00

604715 Mayo Hegar T.C. Jaws 16.5cm 6.5” £67.50

604715L Mayo Hegar T.C. Jaws - Left Handed 16.5cm 6.5” £75.00

604720 Mayo Hegar T.C. Jaws 18.5cm 7” £75.00

604730 Mayo Hegar T.C. Jaws 7.5” £80.00

604735 Mayo Hegar T.C. Jaws 8” £85.00

604740 Mayo Hegar T.C. Jaws 23cm 9” £95.00

Kilner Needleholders

Kilner Needleholders are similar to 14cm Mayosbut the arms are cranked, offsetting the jawsfrom the handles by around 10mm.

KILNER NEEDLEHOLDERS

608000 Kilner Needleholders 14cm 5.5” £69.50

DeBakey

Much lighter in construction than the Mayo Hegar. Theseneedleholders are very useful for deep surgical procedureswhere there is limited space e.g. chest surgery.

DEBAKEY

602005 DeBakey Needleholders T.C. Jaws 7” £87.50

602010 DeBakey Needleholders T.C. Jaws 20cm 8” £94.50

602015 DeBakey Needleholders T.C. Jaws 23cm 9” £97.50



Olsen Hegar Scissor/ Needleholder

Olsen Hegar's combine the best features of Gillies andneedleholders. They cut stitches but also lock. Highlyrecommended. Combined Scissor/ Needleholder.Looser ‘feel’ will feel more like a scissor than aneedleholder in use.

OLSEN HEGAR SCISSOR/ NEEDLEHOLDER

585400 Olsen Hegar Needleholders 14cm 5.5” £60.00

585410 Olsen Hegar Needleholders 16.5cm 6.5” £65.00

585420 Olsen Hegar Needleholders 7.5” £70.00

605340 Olsen Hegar Needleholders T.C. Jaws 11.5cm 4.5” £77.50

605350 Olsen Hegar Needleholders T.C. Jaws14cm 5.5” £85.00

605350S Olsen Hegar Needleholders ‘S’ Cut T.C. Jaws 14.5cm 5.5” £95.00

605355 Olsen Hegar Needleholders T.C. Jaws 16.5cm 6.5” £85.00

605355L Olsen Hegar Needleholders T.C. Jaws L H 16.5cm 6.5” £90.00

605380 Olsen Hegar Needleholders ‘S’ Cut T.C. Jaws 17cm £95.00



605360 Olsen Hegar Needleholders T.C. Jaws 19cm 7.5” £90.00

605361 Olsen Hegar Needleholders Razor Cut 14.5cm 5.5 ” £87.50

605362 Olsen Hegar Needleholders Razor Cut 17cm 6.5” £90.00

Ryder

Ideal for small needles.The smaller sizes are an alternative forophthalmic needleholders.

RYDER

606340 Ryder (Micro) T.C. Jaws 12.5cm 5” £90.00

606305 Ryder (Micro) 15cm 6” £85.00

606345 Ryder (Micro) T.C. Jaws 15cm 6” £92.50

606350 Ryder (Micro) T.C. Jaws 18cm 7” £95.00

606340

The Derf Needleholder is a small T.C.needleholder with slightly heavier jaws than theRyder. More resistant to surgeon abuse!

Derf Needle Holder

DERF NEEDLE HOLDER

607010 Derf Needleholder T.C. Jaws 12cm £80.00

Actual S

ize

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Galibans Suture Forceps

GALIBANS SUTURE HOLDING FORCEPS

58900 Galibans Suture Holding Forceps £44.50

Osteotomes

LANGENBECK

684375 Langenbeck Retractor 6mm Blade 215mm £42.50

684395 Langenbeck Long Reach 6mm x 35mm Blade 215mm £47.50




Langenbeck

Good retraction is the key to success in many procedures,especially surgery on deep structures e.g. the pelvis or the larynx.

MORRIS

684750 Morris Retractor 38mm 1.5" 215mm £62.50

684755 Morris Retractor 50mm 2" 260mm £62.50

684760 Morris Retractor 65mm 2.5" 220mm £62.50

Morris

Much wider than the Langenbeck, good for fat abdomens.

Senn (Cats Paw)

Retractors

SENN (CATS PAW)

833305 Senn Retractor (Cats Paw) 160mm £24.50

Fat Pad Retractor

Visualisation of the medial meniscus is maximised by retraction of the fatpad. Previously this has been acheived by use of a Senn (Cats Paw)retractor. The Fat Pad Retractor has the same clawed foot but has a muchmore practical means of holding the instrument.

FAT PAD RETRACTOR

001114 Fat Pad Retractor 180mm £24.50

OSTEOTOMES

623880 Osteotome Swedish 30mm x 205mm £47.50





001341 Osteotome Light 15mm x 140mm £47.50






Osteotomes

Use an Osteotome to make a precise elective cut, e.g. trochantericosteotomy, excision arthroplasty.

Light

Swedish Pattern

Malleable (Walton) Retractors

These flat plates ofsoft stainless steel arebent intra-operativelyto retain abdominalstructures.

MALLEABLE (WALTON) RETRACTORS

687613 Malleable Retractor 13mm 175mm £20.50



‘STUBBY’ OSTEOTOME

001366 ‘Stubby’ Osteotome 3mm x 70mm £47.50







0013SET ‘Stubby’ Osteotome Set (one of each) £200.00

Use when placing sutures under tension. A good example is the placement of a lateral stabilising suture in the management of anterior cruciate ligament failure or abdominal sutures in an overweight dog.Galibans used by an assistant are used to atraumatically secure the firstthrow. The Galibans are removed as the second throw is tightened.

‘Stubby’ Osteotome

Available from 3mm to14mm and as a set at asignificantly discountedprice. 70mm long

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TRAVERS

703051 Travers Retractor (70mm Spread) 16.5cm 6.5" £195.00

703050 Travers Retractor (90mm Spread) 20cm 8” £215.00

703053 Travers Retractor Mini (43mm Spread) 95mm £105.00

Travers

Expensive but very useful for retraction of skin and superficial soft tissue.

WEISLANDER

702150 Weislander S/R Retractor Sharp 60mm Gape 14cm 5.5” £165.00

702152 Weislander S/R Retractor Blunt 60mm Gape 14cm 5.5” £165.00

Weislander

Arms are flat compared with the Wests.

WEST

703250 West Retractor(50mm Spread) 140mm 5.5” £155.00

703253 Mini West Retractor(40mm Spread) 95mm £105.00

West

Widely used but sharp points tend to snag tissues. Curved arms sit quitenicely on small veterinary patients.

Aln Skin Retractor

ALN SKIN RETRACTOR

252370 Aln Skin Retractor 7.5cm 3” £37.50

GOSSET

701550 Gosset Retractor Large (130mm spread) £215.00

710600 Gosset Retractor Small (100mm spread) £215.00

Gosset

Good as a rib retractor,laparotomy retractor and forretraction of ventral cervicalstructures during cervicalfenestration.

Finsen Self Retaining Retractor

Spring Loaded Retractor for small incisions. The blade width is 14mm.Very reasonably priced.

FINSEN SELF RETRACTOR

252374 Finsen Retractor 75mm £47.50

Gelpi Self Retaining Retractor

The Gelpi is an extremely versatile self retaining retractor useful in almostany orthopaedic procedure. Veterinary Instrumentation Gelpis are differentfrom standard Gelpis in two respects:

1.Short blunt tips give focal retraction for precise exposure of the fractureor lesion.

2. The teeth on the ratchet are smaller than usual giving finer control overthe spread of the tips.

Gelpis are virtually an extra pair of hands and are invaluable incircumstances where the surgeon is working alone. This is the norm ingeneral practice. The curved shape sits nicely on our patients. Useful inthe following procedures and many more:

• Total Head and Neck Excision • CrCL repairs• Meniscal examination • All arthrotomy procedures• Fracture repairs • Wobblers• Laminectomies • Rib retractors in small patients

Two pairs of Gelpis placed at right angles to one another may be used tocreate a window into a joint or fracture site.

Gelpis are available in a number of lengths. Measurement ‘a’ gives thedepth of the tips.

GELPI SELF RETAINING RETRACTOR

001330 Gelpi Self Retaining Retractor. 180mm(120mm spread) (a=20mm) £155.00

001330SL Gelpi Self Retaining Retractor with Spinlock for extra strength (a=20mm) 190mm £155.00

001330S Gelpi Self Retaining Retractor 180mm Sharp Tips (a=20mm) £155.00

001331 Gelpi Long Reach (a=40mm) 200mm £155.00

001331L Gelpi Very Long Reach (a=60mm) 200mm £155.00

001332 Gelpi Small (50mm spread) (a=15mm) 135mm £155.00

0013301 Gelpi Mini Flat (45mm spread) (a=15mm) 90mm £95.00

0013302 Gelpi Mini Curved (45mm spread) (a=15mm) 90mm £95.00

001333 Odd Leg Gelpi (pair) (a=25/40mm) 205mm £315.00

001334 Odd Leg Gelpi Short (pair) (a20/30) 130mm £315.00

001330BUNGEE Gelpi Bungee Retractor £175.00

GelpiBungee

Retractor

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COLLINS

703260 Collins Retractor (110mm Spread) £140.00

Collins

The two blades swivel as retraction takes place. They self-centre in theincision.

Mini Self Retaining RetractorsMini Multipronged Retractors

These Retractors facilitate retraction in and around small joints or in verysmall patients.

Ideal for retraction in and around small joints or in very small patients. Thecurved version allows slightly deeper retraction.

Mini Gelpis

MINI GELPIS

0013301 Gelpi Mini Flat (45mm Spread) 90mm £95.00

0013302 Gelpi Mini Curved (45mm Spread) 90mm £95.00

MINI MULTIPRONGED RETRACTORS

703253 Mini West Retractor (40mm Spread) 95mm £105.00

703053 Mini Travers Retractor (43mm Spread) 95mm £105.00

Travers

West

Flat

Curved

RIB RETRACTOR

704000 Rib Retractor Finnochetto Small (95mm Spread) £135.00

704005 Rib Retractor Finnochetto Large (130mm Spread) £140.00

Rib RetractorFinnochetto is the standard ribretractor available in large andsmall.

LARGE ABDOMINAL RETRACTOR

25-2375AHM AHM Balfour Retractor (180mm Spread) £175.00

25-2375 Standard Balfour Retractor (180mm Spread) £155.00

25-2375R Balfour Locking Ring £17.50

25-2377 Medium Balfour Retractor (115mm Spread) £150.00

25-2376 Baby Balfour Retractor (90mm Spread) £145.00

684755 Morris Retractor 50mm £62.50

AHM Balfour

The original Balfour has for many years served as the standard largeabdominal retractor for canine surgery. However the standard midlinecanine approach is very different from the standard human approach.Alasdair Hotston Moore has re-visited the original design and has madesome significant changes which improve the instrument both in use andsterilisation.For further information about Balfour Retractors see Chp 9, page 240.

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Dressing - Blunt/ Blunt

DRESSING - Blunt/Blunt

742610 Dressing Scissors Blunt Str 12.5cm 5” £16.50

742620 Dressing Scissors Blunt Str 14cm 5.5” £20.00

742630 Dressing Scissors Blunt Str 15cm 6” £22.00



742900 Dressing Scissors Blunt Cof 12.5cm 5” £20.00

742622 Dressing Scissors Serr. B/B Cof 14cm 5” £20.00

742910 Dressing Scissors Blunt Cof 14cm 5.5” £24.00

742910L Dressing Scissors Blunt Cof 14cm 5.5”Left Handed £25.00

742920 Dressing Scissors Blunt Cof15cm 6” £28.00

742930 Dressing Scissors Blunt Cof 18cm 7” £38.50

742940 Dressing Scissors Blunt Cof 20cm 8” £46.50

Dressing - Sharp/ Sharp

DRESSING - Sharp/ Sharp

742600 Dressing Scissors Sharp Str 10cm 4” £17.50

742700 Dressing Scissors Sharp Str 11cm 4.5” £18.50

742710 Dressing Scissors Sharp Str 12.5cm 5” £20.50

742720 Dressing Scissors Sharp Str 14cm 5.5” £21.50




743010 Dressing Scissors Sharp Cof 12.5cm 5” £20.50

Dressing - Blunt/ Sharp

DRESSING - Blunt/ Sharp

742810 Dressing Scissors Blunt/ Str Sharp 5” £21.00

742820 Dressing Scissors Blunt/ Str Sharp 6” £22.00

743100 Dressing Scissors Blunt/ Cof Sharp 5” £22.00

743120 Dressing Scissors Blunt/ Cof Sharp 6” £23.00Dressing - Blunt/ Blunt Coloured Handles

DRESSING - Blunt/ Blunt Coloured Handles

742622G Dressing Scissors Serr B/B Cof Gold Handles 5” £22.00

742622B Dressing Scissors Serr B/B Cof Blue Handles 5” £22.00

742622RB Dressing Scissors Serr B/B Cof Rainbow Handles 5” £22.00

742622P Dressing Scissors Serr B/B Cof Purple Handles 5” £22.00

Scissors

Lister Bandage

LISTER BANDAGE

744800 Lister Bandage Scissor 14cm 5.5” £21.50

744810 Lister Bandage Scissor 18cm 7” £24.00

The comfortable handles and serrated blades make these a useful allround dressing scissor cheap enough for each consulting room.

These standard Dressing Scissors are now available with differentcoloured handles to enable easy identification. Never lose your pair again.

GENERAL PURPOSE DRESSING SCISSORS

744840 General Purpose Dressing Scissors 190mm £9.50

General Purpose Dressing Scissors

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HEATH STITCH

743800 Heath Stitch Scissors 15cm 6” £46.50

Heath Stitch

General purpose Stitch Cutter.

LITTAUER STITCH

745095 Littauer Stitch Scissors 8cm 3.5” £18.00


745110 Littauer Stitch Scissors 12.5cm 5” Str. £18.00

Littauer Stitch

Very nice for removal of small awkward sutures.

LITTAUER STITCH



745110 Littauer Stitch Scissors 12.5cm 5” £26.00

Very nice for removal of small awkward sutures.

IrisA useful general purpose Ophthalmic Scissor.Lightweight, standard action scissor for conjunctivaand, less satisfactorily, the cornea. Very rarely usedon the iris in veterinary ophthalmology.

IRIS

744100 Iris Scissors Str 9cm £18.50

744120 Iris Scissors Cof 9cm £21.00

744110 Iris Scissors Str 11cm £18.50

744130 Iris Scissors Cof 11cm £21.00

744131 Iris Scissors Tungsten Carbide Str 11cm £36.50

VETERINARY BANDAGE SCISSORS

744820 Veterinary Bandage Scissors 14cmm 5.5” £22.50

744830 Veterinary Bandage Scissors 19cm 7.5” £25.50

The limbs of small animal veterinary patients are typically much smallerthan their human counterparts. Most bandage scissors are designed forthe human limb. Veterinary Bandage Scissors should be lower in profile toget between bandage and skin and, for ease of use, need to be slightlystraighter than standard human bandage scissors.

Our Veterinary Bandage Scissors meet these requirements and makedressing removal much easier.

Strabismus Scissors

STRABISMUS SCISSORS

746900 Strabismus Scissors Str 9cm £22.00

747010 Strabismus Scissors Cof 9cm £22.00

746910 Strabismus Scissors Str 11cm £24.00

747020 Strabismus Scissors Cof 11cm £24.00

Stronger than corneal and conjunctival scissors,strabismus scissors are suitable for cuttingmuscles and skin.

CASTROVIEJO SUTURE REMOVAL SCISSORS

014185 Castroviejo Suture Removal Scissors 120mm £42.50

Castroviejo Suture Removal Scissors

Designed for the removal of very fine sutures. The Castroviejo actionmatches that of the Castroviejo Needleholders.

EYE ENUCLEATION SCISSORS

014225 Eye Enucleation Scissors 140mm £76.50

Eye Enucleation Scissors

Standard Curved Surgical Scissors do not match the radius of the eye ofdogs and cats. The Eye Enucleation Scissor closely matches requiredradius and slides easily behind the eyeball to cut the optic nerve andinternal opthalmic artery and vein, without the requirement to applydangerous traction to the globe. Use in conjuction with Eye EnucleationClamps, see page 259.

Veterinary Bandage Scissors

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Surgical Scissor - Standard

MAYO-STANDARD

745300 Mayo Chamf Blades Str 14cm 5.5” £23.00

745300L Mayo Chamf Blades Str Left Handed 14cm 5.5” £24.00

745310 Mayo Chamf Blades Str16.5cm 6.5” £26.00

745320 Mayo Chamf Blades Str 19cm 7.5” £32.00

745330 Mayo Chamf Blades Str 21.5cm 8.5” £43.50

745400 Mayo Chamf Blades Cof 14cm 5.5” £26.00

745410 Mayo Chamf Blades Cof 16.5cm 6.5” £33.00

745420 Mayo Chamf Blades Cof 19cm 7.5” £42.50

745430 Mayo Chamf Blades Cof 21.5cm 8.5” £52.50

Surgical ScissorsSurgical Scissors are typically either one of two designs. The Mayo isthe general purpose Surgical Scissor in which the blade occupiesapproximately one third of the length of the scissor. The 14cm straightMayo is the standard veterinary Surgical Scissor. The Metzenbaum is afiner lighter Scissor in which the blade occupies approximately onequarter of the scissor length. Using a 14.5cm Metzenbaum rather than a14cm Mayo will give you a finer scissor but a similar working distance.

Each style of Scissor is available in four different qualities which varyaccording to blade construction and cutting characteristics. They can beidentified by handle colour.

• Standard Stainless

• Supercut Black

• Tunsten Carbide Gold

• Supercut T.C. Black & Gold

METZENBAUM-STANDARD

746100 Metzenbaum ‘Lahey’ Scissor Str 14.5m 5.75” £31.00

746101 Metzenbaum Scissor Str 15cm 6” £31.00


746110L Metzenbaum Scissor Str Left Handed 18cm 7” £35.00


746120 Metzenbaum Scissor Str 21.5cm 8.5” £44.00

746130 Metzenbaum Scissor Str 24cm 9.5” £49.50

746200 Metzenbaum ‘Lahey’ Scissor Cof 14.5cm 5.75” £37.50

746210 Metzenbaum ‘McIndoe’ Scissor Cof 18cm 7” £42.50

746215 Metzenbaum Scissor Cof 20cm 8” £47.50

746220 Metzenbaum Scissor Cof 21.5cm 8.5” £52.50

746230 Metzenbaum Scissor Cof 24cm 9.5” £57.50

One blade is sharpened to a tapered edge which greatly enhances theability of the scissor to slice through tissues. The standard scissor hasmuch more of a crushing action. Identified by having black handles.

Surgical Scissor - Supercut

SURGICAL SCISSORS -SUPERCUT

760000 Mayo Supercut Str 14cm 5.5” £37.50

760002 Mayo Supercut Cof 14cm 5.5” £37.50

760008 Metzenbaum Supercut Str 5.75” Str £42.50

760009 Metzenbaum Supercut Cof 14.5cm 5.75” £42.50

760010 Metzenbaum Supercut Str 18cm 7” £49.50

760012 Metzenbaum Supercut Cof 18cm 7” £49.50

Surgical Scissors - Tungsten Carbide

SURGICAL SCISSORS-TUNGSTEN CARBIDE

752250 Mayo Clinical Hard Edge Str 15cm 6” £67.50

752260 Mayo Clinical Hard Edge Str 18cm 7” £67.50

752280 Mayo Clinical Hard Edge Cof15cm 6” £69.50

752290 Mayo Clinical Hard Edge Cof 18cm 7” £69.50

754020 Metzenbaum Hard Edge Str 14.5cm 5.75” £77.50

754030 Metzenbaum Hard Edge Str 18cm 7” £77.50

754060 Metzenbaum Hard Edge Str 23cm 9.5” £77.50

754080 Metzenbaum Hard Edge Cof 5.75” £77.50

754090 Metzenbaum Hard Edge Cof 18cm 7” £77.50

754120 Metzenbaum Hard Edge Cof 23cm 9.5” £77.50

754095 Metzenbaum Hard Edge Cof 35cm 14” £77.50

Stay sharper, longer. Gold handles to distinguish from general surgicalitems. The cutting edge is constructed of Tungsten Carbide, a very hardmaterial.

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VOLKMAN

782205 Volkman Single Ended Scoop 3mm x 170mm £40.00




782600 Volkman Scoop Double EndedSmall 4mm/ 6mm x 205mm £47.50

782610 Volkman Scoop Double EndedMedium 5mm/ 6mm x 200mm £47.50

782620 Volkman Scoop Double EndedLarge 6mm/ 8mm x 200mm £47.50

Volkman

Useful for heavy curettage and collection of cancellous bone grafts.

Scoops

RAMPLEYS

786505 Rampleys Sponge Forceps 250mm £38.50

Rampleys

CheatleFor manipulation of instruments during setting up.

Sponge Forceps

Steriliser Forceps

CHEATLE

787655 Cheatle Steriliser Forceps B/J 26.5cm 10.5” £44.50

COSMETIC SURGEON SCISSORS WITH ‘OPEN' SHANKS

755100 Cosmetic Surgeon Scissors Str T.C. 15cm 6" £85.00

755110 Cosmetic Surgeon Scissors Cof T.C.15cm 6" £85.00

Favoured by human cosmetic surgeons, these scissors have very finerazor sharp blades with hard inserts for long life. They have a beautifulaction and have a place in a veterinary surgery where precise cutting isrequired. T.C. Blades.

Cosmetic Surgeon Scissors

close-up detail

The Supercut T.C. is our best scissor having the special cuttingcharacteristic of the Supercut Style but with the long lasting TungstenBlades. Identified by one black and one gold handle

Surgical Scissor - Supercut T.C.

SURGICAL SCISSORS -SUPERCUT TC

760000TC Mayo Supercut T.C. Str 14cm 5.5” £85.00

760002TC Mayo Supercut T.C. Cof 14cm 5.5” £85.00

760008TC Metzenbaum Supercut T.C. Str 14.5cm 5.75” £85.00

760009TC Metzenbaum Supercut T.C. Cof 14.5cm 5.75” £85.00

760010TC Metzenbaum Supercut T.C. Str 18cm 7” £92.50

760012TC Metzenbaum Supercut T.C. Cof 18cm 7” £92.50

Bitch Speculum

KILLIAN

546455 Bitch Speculum (Killian) Blade Length 6.5cm 2.5" £62.50

Killian

Essentially a human nasal speculum this 6.5cm bladed instrument is thestandard bitch speculum. Adding a focal light source improves visualisationenormously.

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Backhaus

General purpose Towel Clip.Available in a range of sizes.

Towel Clips

BACKHAUS

841350 Backhaus 9cm 3.5” £21.00

841355 Backhaus 10cm 4” £23.00

841360 Backhaus 12.5cm 5” £27.50

PROBES

901010 Blunt Dissection Probe 140mm £11.50

901015 Winged Director 130mm £11.50

AllisGeneral purpose tissue forceps.

Tissue Forceps

ALLIS

801150 Allis 2/3 Teeth 15cm 6” £33.50

801155 Allis 3/4 Teeth 15cm 6” £33.50

801156 Allis 3/4 Teeth 18cm 7” £33.50

801160 Allis 4/5 Teeth 15cm 6” £33.50

801165 Allis 5/6 Teeth 15cm 6” £33.50

801170 Allis 6/7 Teeth 15cm 6” £33.50

801175 Baby Allis 4/5 Teeth 13cm 5” £32.50

BabcockAn alternative to Allis's. Less traumatic but less grip.

BABCOCK

801350 Babcock 16.5cm 6.5” £35.00

801354 Babcock 18cm 7” £37.50

801355 Babcock 20cm 8” £47.50

801360 Babcock 23cm 9” £55.00

Youngs Tongue Forceps

YOUNGS TONGUE FORCEPS

7853/05 Youngs Tongue Forceps 170mm £47.50

Use the blunt probe to track fistulae. The butterfly cutting guide has a groovealong its length to allow a scalpel to be run down without fear of damagingdeeper tissues, the vulnerable tissues being protected by the guide.

Miscellaneous

Jones Cross Action

Shardel Cross Action

CROSS ACTION

846550 Shardel Cross Action 9cm 3.5” £13.50

171566 Jones Cross Action 9cm 3.5” £11.50

841352 Atraumatic Towel Clamp 4.5” £25.00

Probes and Cutting Guides

Ball and Socket Towel Clamp

Traditional pointed Towel Clips hold drapes in place very well, but areinclined to bruise the patient and can be a reason for wound interferencepost-op. They are also inclined to rip paper drapes and put holes in clothdrapes, reducing there efficacy as a barrier. Ball and Socket Towel Clampsdo not penetrate the skin and are less inclined to rip paper drapes and putholes in cloth drapes.

BALL AND SOCKET TOWEL CLAMP

843005 Ball and Socket Towel Clamp 5” £25.50

Atraumatic Towel Clip

307


Swann Morton Fine Blades (Beaver Type)

SWANN MORTON BLADES - Carbon Steel

0201 100 Blades individually packed Size 10 £12.50








SWANN MORTON SCALPEL BLADE REMOVER

240109 Scalpel Blade Remover Forceps £16.50

5525 Scalpel Blade Remover Disposable (Box 10) £11.50

Swann Morton Scalpel Blades

Swann Morton Blades & Handles

No. 3

No. 4

No. 4L

No. 7

No. 9

No. B3

PM40

HandlesVeterinary Instrumentation's No.3 Scalpel Handle is a standard handle buthas a centimetre/ millimetre scale along its length. In addition the back andedge are sharp enough to act as a periosteal elevator for strippingperiosteum and muscle from bone.

SWANN MORTON HANDLES

0803VI No 3 Handle with Scale and Periost Elevator Back £3.75

0803 No 3 Handle with Scale £4.75

0923 No B3 Handle £14.00

0804 No 4 Handle £4.75

0814 No 4 Long Handle £6.50

0807 No 7 Handle £4.75

0909 No 9 Handle £4.75

02652 PM40 Standard Handle £4.75

0805 No 5(b) Scalpel Handle £11.50

SWANN MORTON FINE STAINLESS HANDLE - Beaver type

06051 Fine Stainless Handle Beaver Type 130mm £18.50



06054 VI Beaver Blade Handle 130mm £13.50

Swann Morton Fine Blades

Fine blades are designed for finework, eg. ophthalmic surgery,meniscus surgery.

SWANN MORTON FINE BLADES - Beaver type

05901 25 Blades individually packed SM61 £25.50





05906 25 Blades individually packed SM65a £25.50




02551 PM40 standard Blade (box 10) £8.25

Actual size

61 62 63 64 65 65A 67 68 69

Sterile Swann Morton Blades are made in Sheffield from thefinest steel. These Blades are the result of experience plusmodern production methods.

Cygnetic provides the surgeon with additional strength and stabilitythrough the patented combination of blade and handle.

Blade attachment and removal is significantly easier and safer using thelever action locking mechanisn. Blades no longer need to be flexed prior tofitting or removal. With lever open blade simply drops out for disposal.

Handle easily strips for cleaning.

Cygnetic Scalpel Handle and Blades

CYGNETIC HANDLES AND BLADES

CY5398 Cygnetic Handle by Swann Morton £21.00

CY5301 Cygnetic Blades No 10 (Pack 50) £10.50




With lever open blade is free to drop inand out. No need to lever blade to attachand detach from handle

11 15 20

10

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INSTRUMENT BOXES

BX201040 Box 200mm x 100mm x 40mm £54.50

BX201040NF Box 200mm x 100mm x 40mm No Filter £49.50

BX221250 Box 220mm x 120mm x 50mm £62.50


BX221550 Box 220mm x 150mm x 50mm £79.50

BX281450 Box 280mm x 140mm x 50mm £79.50


BX341650 Box 340mm x 165mm x 50mm £89.50

BX341670 Box 340mm x 165mm x 70mm £92.50

BX402070 Box 400mm x 200mm x 70mm £105.00

FILBX___ Filter (State Size Of Box) £7.50

Stainless Steel in construction with a bacterial filter in the base. The Filterallows steam to enter and water vapour to leave but excludes bacteria.

Available in a range of sizes to suit most instrument sets and autoclaves.Some sizes are available without Filter. Replace Filters annually.

Instrument Boxes

Autoclavable Silicone Insert fits the base of theStainless Box to prevent instruments contactingand damaging each other. There is an insert tofit each of our Standard Boxes.

Insert shown in use with Castroviejo

Scissors (not included)

Fingered Silicone Insert

FINGERED SILICONE INSERT

BXSIL201040 Silicone Insert for Box 200 x 100mm £26.00

BXSIL2540 Silicone Insert for Box 250x150mm £32.00






Other sizes available POAPREMIUM INSTRUMENT BOXES

BX301410P Box External 300mm x 140mm x 95mm £155.00Box Internal 275mm x 128mm x 80mm



BXPFILTER Replacement Paper Filters w Indicators (x 100) £14.50

BXREUSE Reuseable Filters (1,000 Cycles) £29.50

BXPFIND Paper Labels with Indicators (x 100) £14.50

PSS100 Disposabel Security Padlocks (x 100) £17.50

PSL100 Security Padlocks with Sterilisation Indicator (x 100) £25.00

PBXS270125 Fingered Silicone Mat, Green, 270 x 125mm £32.00

Premium Instrument Boxes

Veterinary Instrumentation’s range of Premium Instrument Boxes are madefrom lightweight anodised aluminium. Both lid and base are perforated, butprotected by replaceable paper filters in the lid and reuseable filters in thebase which allow steam penetration but not micro-organisms. The clip onlid incorporates a silicone seal which is impervious to micro-organisms.Paper labels to identify kits and safety padlocks add to peace of mind. Afingered silicone mat will prevent instruments damaging each other.

Premium Box Baskets without Lids fitneatly inside the Premium Box. Thismeans that the instruments to be sterilisedmay be placed inside the basket inside thebox which is sealed with paper filters. TheBox with sterile contents is stored. Whenrequired the assistant opens the Box andthe surgeon lifts out the Basket of sterileinstruments.

Premium Box Baskets without Lid & Accessories

PREMIUM BOX BASKETS WITHOUT LIDS & ACCESSORIES

PBBX26011570 260 x 115 x 70mm for BX301410P £59.50

PBBX26011550 260 x 115 x 50mm for BX301410P £57.50

PBBX26011540 260 x 115 x 40mm for BX301470P + BX301410P £55.00

PBX270125 Silicone Mat 270 x 125mm £32.00

PSS100 Plastic Security Seal -Blue (x 100) £17.50

INSTRUMENT BOX PADLOCK SECURITY TAGS WITH INDICATOR

PSL20 Instrument Box Padlock Security Tag with Indicator (20) £6.50

PSL100 Instrument Box Padlock Security Tag with Indicator (100) £25.00

Instrument Box Padlock Security Tags with Indicator

Anti-tamper Security Padlock with SteamSterilisation Indicator Spot. Spot colourchanges from pale blue to brown. Singleuse only. Padlock has to be broken to beremoved. Supplied in packs of 20 and 100.

Premium Box Baskets with Lid & Accessories

PREMIUM BOX BASKETS WITH LIDS & ACCESSORIES

PBBXCAGE70 260 x 115 x 70mm with Lid for BX301410P £79.50

PBBXCAGE40 260 x 115 x 40mm with Lid for BX301470P + BX301410P £79.50

PBBX13011550 130 x 115 x 50 (Two fit side by side in BX301410P & BX301470P) £55.00

PBX270125 Silicone Mat 270 x 125mm £32.00

PSS100 Plastic Security Seal -Blue (x 100) £17.50

Premium Box Baskets with Lids fit neatlyinside the Premium Box. This means that theinstruments to be sterilised may be placedinside the basket inside the box which issealed with paper filters. The Box with sterilecontents is stored. When required theassistant opens the Box and the surgeon liftsout the Basket of sterile instruments.

309

GENERAL INSTRUMENTATION 16

Holloware

Sterile Surgical Skin Marker

Supplied in a sterile peel pouch the surgical marker allows the surgeon todemarcate selected sites prior to or during surgery. The Marker is scrubresistant, non toxic and highly visible. Especially useful around the eyesand ears where accurate reconstruction is vital. Also useful for large skinreconstruction procedures.

Veterinary Instrumentation offers a wide selection of Left HandedInstruments. A selection of which is shown below. If the instrument youare looking for is not shown, please contact us and we will get it for you.

STERILE SURGICAL SKIN MARKER

001487 Surgical Skin Marker Single £3.25

001488 Surgical Skin Marker Single (Pack of 6) £14.50

HOLLOWARE

KID6 6” Kidney Dish £11.50




LOTBWL4 4” Lotion Bowl £12.50




LEFT HANDED SCISSORS

745300L Mayo Scissor Blunt/Blunt Straight LH 14cm 5.5" £24.00

745400L Mayo Scissor Blunt/Blunt Curved LH 14cm 5.5" £27.00

745310L Mayo Scissor Blunt/Blunt Straight LH 16.5cm 6.5" £27.00

745410L Mayo Scissor Blunt/Blunt Curved LH 16.5cm 6.5" £32.00

746100L Metzenbaum Scissor Blunt/Blunt Straight LH 14.5cm 5.75" £30.00

746200L Metzenbaum Scissor Blunt/Blunt Curved LH 14.5cm 5.75" £37.00

746110L Metzenbaum Scissor Blunt/Blunt Straight LH 18cm 7" £35.00

746115L Metzenbaum Scissor Blunt/Blunt Straight LH 20cm 8" £41.00

744800L Lister Bandage Scissor LH 14cm 5.5" £24.00

744810L Lister Bandage Scissor LH 18cm 7" £25.50

744110L Iris Scissor Round Straight LH 11cm 4.25" £19.00

744130L Iris Scissor Round Curved LH 11cm 4.25" £22.00

LEFT HANDED FORCEPS

103175L Halsted Mosquito Artery Forcep Straight LH 12.5cm 5" £24.50

103225L Halsted Mosquito Artery Forcep Curved LH 12.5cm 5" £24.50

101750L Crile Artery Forcep Straight LH 14cm 5.5" £25.00

101780L Crile Artery Forcep Curved LH 14cm 5.5" £27.00

106230L Rochester Pean Artery Forcep Straight LH 16cm 6.5" £27.00

106275L Rochester Pean Artery Forcep Curved LH 16cm 6.5" £32.00

841350L Backhaus Towel Forcep LH 9cm 3.5" £22.00

LEFT HANDED NEEDLEHOLDERS

604715L Mayo Hegar Needleholder LH 16.5cm £75.00

604720L Mayo Hegar Needleholder LH 18.5cm 7" £80.00

585400L Olsen Hegar Needleholder LH 14cm 5.5" £65.00

605355L Olsen Hegar Needleholder LH 16.5cm 6.5" £90.00

605355L Olsen Hegar Needleholder LH 16.5cm 6.5" £90.00

582660 Foster Gillies Needleholder LH 12.5cm 5" £85.00

602705 Foster Gillies Needleholder LH T.C. Jaws 12.5cm 5" £125.00

582951 Gillies Needleholder LH 16cm 6.25" £51.50

602951 Gillies Needleholder LH T.C. Jaws 16cm 6.25" £115.00

Left Handed Instruments

Kit contains a selection of Left Handed Instruments plus Standard Instruments.Kit contains:

1 x Mayo Scissors Str 5.5”, 1 x Metzenbaum Scissors Str 5.75”, 1 xMetzenbaum Scissors Cof 5.75”, 2 x Halstead Forceps Str 5”, 2 x HalsteadForceps Cof 5”, 4 x Crile Forceps Cof 5.5”, 4 x Backhaus Towel Clips & 1xOlsen Hegar Needleholders. Plus 1 x standard Debakey Forceps 6”, 1 xAdsons Forceps & 1 x Scapel Handle No.3 in a Stainless Steel Case.

Kit discounted by over 10%+.

LEFT HANDED INSTRUMENT STARTER KIT

LHKIT Left Handed Instrument Starter Kit £425.00

Left Handed Instrument Starter Kit

Irrigation BulbsDuring extended procedures,particularly those performed underpowerful lighting, it is very important toprevent tissues becoming dessicatedand devitalised. It is advisable todelegate irrigation to someone otherthan the primary surgeon who is likelyto be focussed on other things. A smalllotion bowl of saline plus an IrrigationBulb is an effective way to keep tissuesmoist. Available in two sizes. Fully autoclavable.

IRRIGATION BULBS

IRB60 Irrigation Bulb 60mm Diameter £18.95

IRB45 Irrigation Bulb 45mm Diameter £18.95

IRBSET Irrigation Bulb Set of 2 (one of each) £32.00

HIGGINSONS ENEMA PUMP

G1894 Higginsons Enema Pump £45.00

Higginsons Emema Pump

The originalHigginsons EnemaPump.

310

IntroductionThe majority of surgical instruments are made ofStainless Steel. There aremany different types of stainless steel alloys (60+), with varying amounts ofNickel & Chromium to increase resistance to corrosion. All types ofstainless steel will corrode under certain conditions — ‘stainless’ is a littlemisleading. The proportions of the various constituents affect thecharacteristics of the final steel, along with the degree of hardeningapplied.

Surgical instruments must be hard enough to take and keep a cutting edge(eg scissors) or have a certain spring (eg artery forceps). The steelpossessing these qualities contains less chromium and more carbon thanorthopaedic implants, which are made of steel with the primarycharacteristic of resistance to corrosion, making it too soft for instruments.The penalty is that this type of higher carbon stainless steel (calledMartensitic) is much more likely to corrode and stain.

The parts of the steel likely to rust are protected by a thin layer ofchromium oxide which is produced by the chromium part of the steel.Actions which encourage the production of chromium oxide minimisecorrosion. Actions which either physically or chemically destroy this layerof chromium oxide encourage rusting or staining. Maximising thechromium oxide layer is the basis of sound instrument care. This layerthickens with age and increases the resistance of your instruments tocorrosion — in new instruments it is relatively thin. This is why you mayhave marking problems with new instruments but your old ones are fine —new instruments will be more intolerant of inappropriate detergents,inadequate lubrication and the corrosive environment of the autoclave etc.

Wire, and Implant Cutters have a size rating for a reason! Inappropriateuse will damage instruments and invalidate warranties.

4. Avoid mixing different metals when processing instruments — keepchrome plated, industrial finish & aluminium items separate fromstainless, particularly in ultrasonic cleaners.

Cleaned lubricated instruments are ready for packaging. Always carry outa visual check at this stage — are thecutting edges of scissors free ofdamage, do the jaws of artery forceps& needle-holders meet correctly withno signs of twisting for example.Check that all thumbscrews are tight,as in Gelpi & Stifle Distractor joints

Also look for fine cracks ininstruments, for example across thebox joints in Artery Forceps.

To keep your instruments in peak condition, there are some basic ruleswhich should be followed.

1. Handle your instruments with care — dropping, scratching etc. will alldamage the surface of instruments and reduce their resistance tocorrosion.

2. Store with care. If instruments are stored damp they will corrode.Delicate instruments should be packed with protective tips & siliconestorage box inserts to stop them rattling around. Always make sureheavy instruments are not stored on top of lighter equipment.

3. Use them to do what they were designed for! Artery Forceps are notNeedleholders or Wire Twisters. Bone Cutters are not designed to cut

Manual cleaning protocol — stainless instruments

1. Open all joints and rinse gross loose debris from instruments inwarm water (NOT hot — this will coagulate proteins & make theinstruments much harder to clean) immediately after use. They willbe much harder to clean if left to dry!

2. Completely submerge instruments in an enzyme based neutral pHdetergent — soak for time specified in detergent instruction.

3. Gently scrub instruments with a soft bristled brush to remove allremaining visible soil, keeping the instrument under the surface ofthe detergent to reduce spray. Use a pipe-cleaner brush oninstruments with a lumen. Pay special attention to joints & ratchets.

4. Remove from the enzyme solution and rinse thoroughly in tap waterfor at least 3 minutes.

5. Ideally place the instruments in an ultrasonic cleaning bath for 10-15 minutes or as per cleaner instruction manual.

6. Remove from bath at completion of cycle, (or after step 4 if noultrasonic available) then rinse instruments thoroughly with purified(distilled) water.

7. Dry with a clean non-shedding wipe — leaving them to air-dry willresult in water spotting.

8. Lubricate with either spray surgical instrument oil or place ininstrument milk bath — follow directions for product used.

17 INSTRUMENT CARE Chapter 17

Damaged items should be sent for repair or disposed of. It is good practiceto sterilize items being sent for repair. Many repairers require a certificateof decontamination to be sent with instruments, and instruments shouldnever be sent out in a soiled condition.

There are many materials for packing instruments for autoclaving. Paperpeel-packs are commonly used, along with nylon autoclave film. We do notrecommend the use of laundered fabrics as instrument wraps, as residualdetergents and bleaches can cause pH & chlorine related damage to yourinstruments. Disposable autoclavable instrument wrapping fabrics similarto disposable drapes are available.

Sterilisation

The autoclave is a very hostile environment for your instruments. Thecombination of heat & moisture promotes corrosion and staining,particularly if there are residual detergents etc. in wrapping materials. Thisis also true where tap water instead of distilled or demineralised water isused in the autoclave. Mineral deposits on instruments are unsightly aswell as interfering with normal joint function etc. They are difficult toremove, so prevention is better than cure.

Rust in the steam pipes of your autoclave will transfer to your instruments,so autoclave maintenance is important. Regular servicing ensures theautoclave is working correctly. Vacuum autoclaves help remove residualsteam from packs, and it is important that directions are followed andcycles are completed. Regularly check the door seal is undamaged, andreplace if necessary. If applicable to your machine, drain & refill the watertank regularly with distilled water. You may well be surprised what comesout!

If your packs are coming out of the autoclave wet through then there is acycle problem & you need to speak to your autoclave engineer for advice.Wet storage will result in corrosion and damage to your instruments.

So — store your instruments clean, dry, lubricated & protected and they willgive you many years of service. A good, easy to follow instrument careprotocol will extend instrument life, save money and result in happysurgeons!

Needleholder with damaged jaws Box joint showing cracking& biological debris

Joint showing wear due toinadequate lubrication

16 general instrumentation chapter 16 · pdf file16 general instrumentation chapter 16 kocher...

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