Kocher Clamp
Sturdy clamp to grab fascia, heavy tissue, bone
Not for delicate structures
Allis Clamp
Small atraumatic teeth
No that sharp wont do too much damage
Used in holding mucosa and serosa for colostomies and anastomosis
Approximating organ tissue
Babcock Forceps
Grasp soft tissue:
bowel (less traumatic), ovaries, delicate tissue
Grasp delicate tissue in laser procedures, intestinal and laparotomy procedures. Similar to Allis forceps- less traumatic due to their wider, rounded grasping surface.
Schnidt Clamp
Fine dissection and clamping of vessels in abdominal surgery
Dissection of nerves and vessels in neck surgery and mastectomies
Clamp and tie off fine vessels
Pass ties for abdominal surgery; Create passage for a drain during closure.
Kelly Clamp
Common hemostat for clamp and tying vessels
Curved or straight
Mayo Clamp
Clamp and tie of larger vessels, tough tissue.
Clamp used to load a peanut sponge
Right Angle Clamp
Used to pass suture under vessel
For clamping and tying vessels
*****During ALIF procedures: right angle is used to pass suture to clamp when dissecting middle/median sacral artery which descends over the fourth and fifth lumbar vertebræ, the sacrum and coccyx.
Non-penetrating towel clamp
Used to secure bovie jacket to drape
Secure suction tubing or cords in drapes
Penetrating Towel Clamp
Grasp tissue, secure towels or drapes
Hold or reduce small bone fractures
Will make hole in drapes- not used if non-sterile under drape
Gelpi Retractor
Ratcheted
Finger ring retractor
Once targeted tissue held back, locking mechanism allows retractor to remain in place (self-retaining)
Single sharp prong, turned outward at a 90 degree angle
Weitlaner Retractor
Self-retaining
Finger ring retractor with ratchet lock
Used to hold back tissue and expose surgical site
Curved shanks that lead to blades that have 2-6 prongs.
Interdigitate when instrument closed
Army Navy Retractor
Atraumatic
Tissue or bone retraction
Helpful when closing fascia
Rake Retractor
Wide tip allows more tissue to be retracted
Typically sharp teeth used to catch dermis or subcutaneous tissue in retraction
Commonly used in plastic surgery
Senn Retractor
Handheld
Double-ended retractor to retract mostly surface tissue
Common in plastic surgery, dissection of neck tissue (spine), any surgery involving shallow skin retraction
One angled, blunt end
Other end has three prong rake tip (sharp or blunt)
Malleable Retractor
Able to be bent to accommodate depth needed
Used when suture peritoneum in abdominal approach.
Pushes colon dorsally allowing access to suture above malleable.
Narrow or wide
Vein Retractor
Used to retract small vessels and nerves
Atraumatic- vascular/head and neck surgery
Goiter Retractor
Used in thyroid or parathyroid surgery
Retract strap muscles
Richardson Retractor
Common in abdominal cases
Various sizes
Sturdy
Helpful under dense subcutaneous fat
Renal Vein Retractor
Used in abdominal cases
Sturdy
Various sizes
Deaver Retractor
Various sizes
Retract muscle
Common in abdominal surgery
Balfour Retractor
Different sizes and various blades
Abdominal surgery
Syn Frame
Used in spine surgery
Anterior lumbar interbody fusions, lateral approach
Metzenbaum Scissors
Used for dissection as well as cutting
Used for cutting tissue or vessels (tie, clamp, cut)
Mayo Scissors
Curved or long
Curved used for thicker vessels/tissue
Straight used for suture cutting never use to cut drapes
Bandage Scissors
Blunt tip bottom blade helps cut bandages/drapes without injuring skin.
Russian Forceps
Small atraumatic teeth used to hold onto tissue with gripping strength or to pick up slippery stones or put in bone chips for ortho/neuro cases
Rat Tooth Forceps
Mid length instrument
Smooth with two teeth one side and one opposing.
Traumatic
Used to pick up fascia
Ring Forceps or Sponge-on- a-stick
Abdominal and pelvic surgery
Atraumatic
When used w /sponge retracts tissue
Can be used to dissect tissue
Debakey Forceps
Atraumatic/smooth forceps for fine tissue/nerve/vessels
Common in vascular/general surgery
Use to pass suture/ties as it doesn’t hurt integrity of material being passed
Adson Forceps
Atraumatic
One side with 2 small teeth, the other with one that closes between the opposing teeth
Used to pick up skin for suturing
Pick up peritoneum or delicate tissue
Adson Brown Forceps
Both sides have a fine serrations
Short handle
Used to manipulate delicate tissue
RARELY used
Ferris Smith Forcep
Heavy duty forceps for picking up fascia for deep suturing
Mid length instrument with larger teeth
Bonney Forceps are sometimes referred to as “ortho Adsons” – Orthopods use them frequently
Rongeur
Neurosurgery and orthopedic surgery
Strong jaw for grasping bone fragments or thick cartilaginous tissue
Yankauer Suction Tip
Used to suction blood or smoke from surgical field Plastic or metal tip Used with tubing for suctioning TIPS: Hold like a pencil Suction smoke from bovie cautery Keep suction out of surgeon view Aim is to keep surgical field clear
Frazier Suction
Various tips
More precise suctioning in small areas
Used in spine surgery and vascular surgery
Poole Suction
Deep suction in abdomen for maximum fluid removal
Many small openings to allow for more suction with less frequent clogging
Often used when irrigating or existing large collection of fluid to be drained
Jackson-Pratt Drain
Drains are passed through abdominal wall and secured in place with non absorbable suture
Once fascia is closed, bulb attached to create vacuum suction
Can be used with various collection devices (JP drain typically refers to the grenade form. )
Asepto Syringe
Intraoperative irrigation
Can add abx solution to irrigation
Should irrigate every layer as it is closed
typically holds about 60cc of fluid
Bovie Electrocautery
Hemostasis/dissection
After patient is draped, bovie is secured on drape with non-penetrating towel clamp (next to surgeon’s dominant hand)
Bovie cord passed off table same side as bovie machine
Monopolar setting determined by surgeon
Bovie pad placed on leg for grounding
Can be operated by foot pedal or finger control
Bipolar
Hemostasis used when bovie electrocautery cannot be used
-Near nerves
-Pt with pacemakeer
More precise and delicate
Lap Sponge
Can be used to help with initial dissection
Clean rongeur
Can be seen on X-ray
Counted by scrub tech
Used for fluid absorption or to provide traction when retracting tissue
Raytec Sponge
Typically used only in shallow procedures (inguinal hernia, umbilical hernia, mass excision, etc. )
Not as absorbent as lap sponge
Often used on ring forcep as Sponge stick for retraction or deep precise dabbing of fluid
Visible on xray
Also needs to be counted by scrub
Scalpels
10 blade large incisions
15 blade small incsicions, especially on the face
Surgical Drill
ENT, neuro, spine surgery
