or instrument
DESCRIPTION
OR InstrumentTRANSCRIPT
OPERATING OPERATING ROOM ROOM
INSTRUMENTSINSTRUMENTS
WASH AREAWASH AREA
OPERATING ROOM TABLEOPERATING ROOM TABLE
DELIVERY TABLEDELIVERY TABLE
FOUR BASIC CATEGORIESFOUR BASIC CATEGORIES
RETRACTING AND EXPOSINGRETRACTING AND EXPOSING CUTTING AND DISSECTINGCUTTING AND DISSECTING CLAMPING AND OCCLUDINGCLAMPING AND OCCLUDING GRASPING AND HOLDINGGRASPING AND HOLDING MISCELLANEOUS INSTRUMENTMISCELLANEOUS INSTRUMENT
BACK TABLE OR MAYO TABLEBACK TABLE OR MAYO TABLE
ARMY NAVY RETRACTORARMY NAVY RETRACTOR
MANUAL RETRACTOR USED TO MANUAL RETRACTOR USED TO RETRACT SHALLOW INSISIONRETRACT SHALLOW INSISION
RICHARDSON RETRACTORRICHARDSON RETRACTOR
MANUAL RETRACTOR USED TO MANUAL RETRACTOR USED TO RETRACT DEEP INSISIONRETRACT DEEP INSISION
DEAVER RETRACTORDEAVER RETRACTOR
MANUAL RETRACTOR USED TO RETRACT MANUAL RETRACTOR USED TO RETRACT DEEP INSISIONDEEP INSISION
BALFOUR RETRACTORBALFOUR RETRACTOR
SELF RETAINING RETRACTOR USED SELF RETAINING RETRACTOR USED TO RETRACT LARGE INSISIONTO RETRACT LARGE INSISION
MALLEABLE OR RIBBON MALLEABLE OR RIBBON RETRACTORRETRACTOR
SELF RETAINING RETRACTOR USED SELF RETAINING RETRACTOR USED TO RETRACT DEEP INSISIONTO RETRACT DEEP INSISION
WEITLANER RETRACTORWEITLANER RETRACTOR
SELF RETAINING RETRACTOR USED TO SELF RETAINING RETRACTOR USED TO RETRACT SKIN FASCIA OR SHALLOW RETRACT SKIN FASCIA OR SHALLOW INSISIONINSISION
VAGINAL RETRACTORVAGINAL RETRACTOR
SELF RETAINING RETRACTORSSELF RETAINING RETRACTORS
CUTTING AND DISSECTINGCUTTING AND DISSECTING #7 HANDLE WITH #15 SURGICAL #7 HANDLE WITH #15 SURGICAL
BLADE(DEEP KNIFE) USED TO CUT BLADE(DEEP KNIFE) USED TO CUT DEEP, DELICATE TISSUEDEEP, DELICATE TISSUE
#3 HANDLE WITH #10 SURGICAL #3 HANDLE WITH #10 SURGICAL BLADE(INSIDE KNIFE) USED TO CUT BLADE(INSIDE KNIFE) USED TO CUT SUPER FICIAL TISSUESUPER FICIAL TISSUE
#4 HANDLE WITH #20 SURGICAL #4 HANDLE WITH #20 SURGICAL BLADE(SKIN KNIFE) USED TO CUT BLADE(SKIN KNIFE) USED TO CUT SKIN.SKIN.
CUTTING AND DISSECTING CUTTING AND DISSECTING INSTRUMENTSINSTRUMENTS
BLADES AND HANDLES
1. Handles
•# 3 Handle•# 4 Handle
2. Handles and Blades
Blades #10, 11, 12, 15 fit the #3 handle. Blades #22, #23 fit the #4 handle and are commonly used for large animals.
The scalpel is held The scalpel is held with thumb, middle with thumb, middle and ring finger and ring finger while the index while the index finger is placed on finger is placed on the upper edge to the upper edge to help guide the help guide the scalpel. Long gentle scalpel. Long gentle cutting strokes are cutting strokes are less traumatic to less traumatic to tissue than short tissue than short chopping motionschopping motions..
The scalpel should never be used in a "stabbing" motion
CURVE MAYO SCISSORCURVE MAYO SCISSOR
USED TO CUT HEAVY TISSUE USED TO CUT HEAVY TISSUE (FASCIA,MUSCLE,BREAST) AVAILABLE IN (FASCIA,MUSCLE,BREAST) AVAILABLE IN REGULAR AND LONG SIZEREGULAR AND LONG SIZE
METZENBAUM SCISSORMETZENBAUM SCISSOR
This scissors are more delicate than Mayo scissors, it is used to cut delicate tissues and have a longer handle
HOW TO HOLD SCISSORHOW TO HOLD SCISSOR
The thumb and ring The thumb and ring finger are inserted finger are inserted into the rings of the into the rings of the scissors while the scissors while the index and middle index and middle finger are used to finger are used to guide the guide the instrument.The instrument.The instrument should instrument should remain at the tips of remain at the tips of the fingers for the fingers for maximum control.maximum control.
STRAIGHT MAYO SCISSORSTRAIGHT MAYO SCISSOR
USED TO CUT SUTURE AND SUPPLIES USED TO CUT SUTURE AND SUPPLIES ALSO KNOWN AS SUTURE SCISSORSALSO KNOWN AS SUTURE SCISSORS
STRAIGHT MAYO SCISSORSTRAIGHT MAYO SCISSOR
USED TO CUT SUTURE AND SUPPLIES USED TO CUT SUTURE AND SUPPLIES ALSO KNOWN AS SUTURE SCISSORSALSO KNOWN AS SUTURE SCISSORS
This is the wrong This is the wrong way to hold the way to hold the scissors. The ring scissors. The ring finger should be finger should be inserted into the inserted into the ring.ring.
This is also the This is also the wrong way to wrong way to hold the scissors. hold the scissors. The tips of the The tips of the scissors should scissors should be pointing be pointing upwardsupwards
There are three kinds of absorbable suture:
Dexon: This is a synthetic material which takes 3 or 4 weeks to dissolve and is therefore can be
uncomfortable for the woman. However, it is easy to use and does not tangle like catgut.
Catgut (plain): This is a natural material that takes 4 or 5 days to dissolve and is therefore no in place long
enough for the healing of a vaginal repair. Chromic Catgut: This is a catgut that has been treated
with chromic acid to keep it from rapidly dissolving. It is ideal for the repair of vaginal tears. It takes about 10 days to partially dissolve and by 20 days dissolution is
complete. Catgut tends to kink and tangle if
BANDAGE SCISSORBANDAGE SCISSOR
GRASPING AND GRASPING AND HOLDING HOLDING
INSTRUMENTSINSTRUMENTS
TISSUE FORCEP W/ TEETH OR TOOTH/MOUSE TOOTH FORCEP
Interdigitating teeth hold tissue without slipping.Used to hold hard tissue.
ADSON FORCEP
Small serrated teeth on edge of tips. The Adsons tissue forceps has delicate serrated tips designed for light, careful handling of tissue.
TISSUE FORCEP WITH TISSUE FORCEP WITH TEETH/TOOTHTEETH/TOOTH
USED TO HOLD HARD TISSUEUSED TO HOLD HARD TISSUE
TISSUE FORCEP W/O TEETH OR TISSUE FORCEP W/O TEETH OR TOOTH/THUMB FORCEPTOOTH/THUMB FORCEP
USED TO GRASP DELICATE OR SOFT USED TO GRASP DELICATE OR SOFT TISSUE TISSUE
Thumb forceps Thumb forceps are held like a are held like a pencil. pencil.
Thumb Forceps Thumb Forceps are are notnot called called tweezers'Thumtweezers'Thumb Forceps are b Forceps are notnot held like a held like a knife.knife.
ALLIS FORCEP
Interdigitating short teeth to grasp and hold bowel or tissue.Slightly traumatic, use to hold intestine, fascia and skin.LOCKING FORCEP
BABCOCK FORCEP
More delicate than Allis, less directly traumatic. Broad, flared ends with smooth tips.Used to atraumatically hold viscera (bowel and bladder).
SPONGE FORCEP
Sponge forceps can be straight or curved.Sponge forceps can have smooth or serrated jaws.Used to atraumatically hold viscera (bowel and bladder).
TOWEL FORCEPTOWEL FORCEP
USED TO CLAMP TOWELS AND USED TO CLAMP TOWELS AND LINENSLINENS
USED ALSO TO SECURE CAUTERY USED ALSO TO SECURE CAUTERY WIRE AND SUCTION TUBESWIRE AND SUCTION TUBES
CLAMPING AND CLAMPING AND OCCLUDING OR OCCLUDING OR
HAEMOSTAT HAEMOSTAT INSTRUMENTSINSTRUMENTS
MOSQUITO FORCEPMOSQUITO FORCEP
USED TO CLAMP OR OCCLUDE SMALL USED TO CLAMP OR OCCLUDE SMALL BLOOD VESSELSBLOOD VESSELS
CURVE KELLY FORCEPCURVE KELLY FORCEP
USED TO LIGATE BLEEDINGUSED TO LIGATE BLEEDING
STRAIGHT KELLY FORCEPSTRAIGHT KELLY FORCEP
USED TO CLAMP SHALLOW INSCISIONUSED TO CLAMP SHALLOW INSCISION
NEEDLE HOLDER: Hinged (locking) instrument used to hold the needle while suturing tissue.Good quality is ensured with tungsten carbide inserts at the tip of the needle holder.
1. Mayo-Hegar
Heavy, with mildly tapered jaws.No cutting blades.
KOCHER
3. Kocher
Used to grasp bone or fascia.
UTERINE FORCEUTERINE FORCE
MISCELLANEOUSEMISCELLANEOUSE INSTRUMENTSINSTRUMENTS
NEEDLE HOLDERNEEDLE HOLDER
USED TO HOLD NEEDLE FOR USED TO HOLD NEEDLE FOR SUTURINGSUTURING
Kidney basinKidney basin
