General Instruments

Kelly Hemostatic Clamp

Alias: None Category: Clamping Use: Clamping large blood vessels or tissue Addl Info: Heavy blades; Not for delicate vessels or tissue; straight or curved; looks like the Pean clamp but jaws are serrated only partway

Pean

Alias: None Category: Clamping Use: Clamping large tissue or vessels Addl Info: fully serrated jaws: straight or curved jaws.

Russian Forceps

Alias: None Category: Grasping Use: Grasping Tissue, aortic aneurysm plaque Addl Info: Round, serrated tip

Bonney Tissue Forceps

Alias: None Category: Grasping Use: Grasping heavy tissue or bone Addl Info: 1 x 2 or 2 x 3 teeth

Ferris Smith Tissue Forceps

Alias: None Category: Grasping Use: Grasping heavy tissue or bone Addl Info: 1 x 2 or 2 x 3 teeth

Allis

Alias: None Category: Grasping Use: Grasping organs or tissue during removal (tissue leaving body) Addl Teeth: Baby teeth; Straight or angled tips

Pennington Forceps

Alias: None Category: Grasping Use: Grasping tissue, especially during intestinal or rectal surgeries, C-section Addl Info: 11-mm triangular jaws.

Deaver Retractor

Alias: None Category: Retracting Use: Deep Wound Retraction Addl Info: Handheld; blade width varies from 1" to 4"

Richardson-Eastman Retractor

Alias: None Category: Retracting Use: Exposing Wound Addl Info: Handheld; double-ended; small and large sizes

Cushing Vein retractor

Alias: None Category: Retracting Use: Retracting blood vessels Addl Info: Handheld; blade 8-mm to 18-mm wide

Dandy Nerve Hook

Alias: None Category: Retracting Use: Retracting nerves Addl Info: Blunt tip; tip can be pointed straight, left, or right

Dressing Forceps

Alias: smooth forceps Category: Grasping Use: Grasping tieeu or applying dressings Addl Info: Tips vary from heavy to fine; atraumatic

Schnidt Hemostat

Alias: tonsil snap; Schnidt-Sawtell; Adson tonsil Category: clamp Use: clamping tissue; holding tonsil sponge Addl Info: Serrated only about halfway up the jaw.

Yankauer Suction

Alias: tonsil suction Category: Suctioning Use: Suctioning fluid or blood; May be used to suction smoke Addl Info: Most commonly used suction; metal or plastic (single-patient use) versions; if using two-piece metal suction with removable tip, both pieces must be accounted for in instrument count.

Beckmann retractor

Alias: weitlaner Beckmann Category: retracting Use: exposing wound Addl Info: Self-retaining; 3 x 4 prongs, sharp or blunt prongs; hinged arms

Rochester-Pean Clamp

Alias: None Category: Clamping Use: Clamping heavy tissue Addl Info: Fully serrated jaws; straight or curved tips

You have a #20 knife blade on your field. What size scalpel handle do you need for this blade? A. #4 B. #4 C. #7 D. #2

A. #4

You have a #20 knife blade on your field. What size scalpel handle do you need for this blade? A. #4 B. #3 C. #7 D. #2

A. #4

Which of the following would be the most appropriate instrument to hand a surgeon for clamping off a very small blood vessel? A. Halstead B. Kelly C. Kocher D. Pean

A. Halstead

Peers Towel Clamp

Alias: None Category: Accessory Use: Securing drapes; ESU, camera cords to the drapes Addl Info: Non-perforating jaws

Electrosurgical pencil

Alias: Active electrode; Bovie pencil Category: Cutting Use: cauterizing blood vessels and/or cutting tissue Addl Info: A variety of tips to use with the pencil; tip types include blades (spatulas), points, extensions, and balls

Cerebellar Retractor

Alias: Adson Cerebellar Category: Retracting Use: Exposing wound Addl Info: Self-retaining; 4 x 4 prongs; angled shanks

Brown-Adson Forceps

Alias: Adson-Brown Category: Grasping Use: Grasping delicate tissue (plastic surgery) Addl Info: 7 x 7 teeth (Multiple)

U.S. Army Retractor

Alias: Army-Navy Category: Retracting Use: Exposing superficial wound Addl Info: Handheld; double-ended; usually used in pairs

Babcock

Alias: Babcock Intestinal Forceps Category: Grasping Use: Grasping delicate tissue (e.g. fallopian tube, bowel, vas deferens) Addl Info; No Teeth- Atraumatic; fenestrated tip

Brown Thumb Forceps

Alias: Brown Tissue Forceps Category: Grasping Use: Grasping tissue (plastic surgery) Addl Info: 8 x 8 teeth

Crile-Wood needle holder

Alias: Crile-wood needle driver Category: suturing Use: holding small or medium-sized suture needles Addl Info: Used in delicate suturing; some brands have tungsten carbide jaw inserts

Debakey tissue forceps

Alias: Debakey atraumatic vascular forceps Category: Grasping Use: Grasping fine tissue; commonly used in all types of surgery (heart surgery and vascular) Addl Info: atraumatic; jaw has 1 x 2 rows of serrations; straight or angled tips

Curved Mayo Scissors

Alias: Dissecting scissors Category: cutting Use: Cutting or dissecting delicate tissue Addl Info: delicate blades; NOT for cutting sutures, drains, heavy tissue

Ryder Needle Holder

Alias: French eye needle holder; neurosurgical needle holder Category: Suturing Use: holding small suture needles; used mostly in vascular, intestinal plastic, or neurosurgery Addl Info: Narrow jaws; smooth or tungsten carbide jaws

Guthrie double skin hook

Alias: Guthrie retractor Category: retracting Use: retracting skin Addl Info: Sharp, double prongs

Clip-applying forceps

Alias: Hemoclip appliers Category: Accessory Use: Holding and applying hemoclips Addl Info: small, medium, and large; straight or angled jaws; finger rings may be colored to match clip cartridges

Crile Hemostatic Clamp

Alias: Hemostat; Crile Category: Clamping Use: Clamping blood vessels or tissue Addl Info: Most commonly used size of hemostatics clamp; straight or curved tips.

#4 Scalpel Handle

Alias: Knife handle Category: Cutting Use: Holding large-sized scalpel blade for cutting heavy tissue or bone Addl Info: Use with #20, #21, #22, #23 blades

Lahey Goiter Forceps

Alias: Lahey thyroid tenaculum Category: Grasping Use: grasping tissue during removal Addl Info: 3 x 3 teeth

Probe and groove director

Alias: Larry probe and grooved director; fistula probe Category: probing Use: Probing fistulas, ducts, etc. Addl Info: "ear"-shaped end of the director referred to as a tongue tie

Edna Towel Clamp

Alias: Lorna Category: Accessory Use: Securing drapes; securing suction, ESU, or camera cords to the drape Addl Info: Non-perforating jaws

Rochester Mixter

Alias: Mixter thoracic forceps Category: clamping Use: clamping bowel; also used in thoracic surgery Addl Info: right-angled, curved-jaws; longitudinal serrations

Halstead mosquito clamp

Alias: Mosquito Category: Clamping Use: Clamping delicate blood vessels or tissue Addl Info: for delicate use only; straight or curved tips

Frazier Suction

Alias: Nasal suction; ENT suction; neurosuction Category: Suctioning Use: Suctioning small quantities of fluid; suctioning in small areas Addl Info: Short or long tips; metal or disposable; thumb holes controls suction on/off

Bipolar Cautery Cord

Alias: None Category: Accessory Use: Attaching bipolar cautery forceps to electrosurgical power unit Addl Info: Use with bipolar cautery forceps only

Handheld Cautery

Alias: None Category: Accessory Use: Cauterizing fine vessels or tissue (e.g. hand surgery); evacuating subungual hematoma Addl Info: Single-patient use; shelf life approximately 4 years.

Gerald Bipolar Forceps

Alias: None Category: Accessory Use: Cauterizing small blood vessels Addl Info: delicate, narrow tips; straight or bayonet-shaped handle

Malis mirror-finish bipolar cautery forceps

Alias: None Category: Accessory Use: Cauterizing small vessels or delicate tissue Addl Info: sharp or blunt tips; straight, angled, or looped tips; straight or bayonet-shaped handle; available with special tip for use with irrigating system

Ruler

Alias: None Category: Accessory Use: Measuring Addl Info: Measurements marked in inches and centimeters; paper (disposable) or metal (reusable) rulers

Staple remover

Alias: None Category: Accessory Use: Removing Skin Staples Addl Info: Single-patient use

Balfour Retractor

Alias: None Category: Self-retaining retractor Use: Deep abdominal retraction Addl Info: have moistened lap pads (used as padding between retractor blades and tissue) ready to hand to the surgeon; available with interchangeable side and center blades for deep retraction

Weitlaner retractor

Alias: None Category: Self-retaining retractor Use: Exposing superficial wound Addl Info: Self-retaining; sharp or dull; 2 x 3 prongs (4"), 3 x 4 prongs (all other sizes)

Skin Stapler

Alias: None Category: Stapling Use: Closing Skin incisions Addl Info: Single-patient use; regular or wide width

Debakey Cardiovascular Needle Holder

Alias: None Category: Suturing Use: Holding fine suture needles for vascular or cardiac procedures Addl Info: fine, straight jaws

Webster Needle Holder

Alias: None Category: Suturing Use: Holding fine suture needles; used mostly in plastic or ENT surgery Addl Info: Smooth or carbide insert jaws

Sternal Wire Twister

Alias: None Category: Suturing Use: Placing retention or wire sutures; twisting wire Addl Info: Extra-heavy jaws

Baumgartner needle holder

Alias: None Category: Suturing Use: holding suture needles Addl Info: jaws shorter than Crile-wood or Mayo-Hegar

Roeder Towel Clamp

Alias: None Category: accessory Use: Grasping tissue that will be removed; securing towels or drapes; holding or reducing small bone fractures Addl Info: Perforating tips; ball stops on tips

Adson dressing forceps

Alias: None Category: grasping Use: grasping tissue; applying dressings Addl Info: Serrated tips

Senn Retractor

Alias: None Category: retracting Use: Exposing superficial wound Addl Info: handheld; double-ended; sharp or dull prongs; usually used in pairs

Gelpi perineal retractor

Alias: None Category: retracting Use: exposing superficial wound exposure (fat, tissue, bone) Addl Info: self-retaining; single, sharp tines

Richardson Retractor

Alias: None Category: retracting Use: wound Addl Info: Handheld (Has lip on end)

Kocher

Alias: Ochsner; Rochester Ochsner Category: Grasping Use: Grasping heavy tissue (fascia, bone) Addl Info: 1 x 2 teeth; straight or curved

Pratt-Smith hemostatic forceps

Alias: Pratt "T" forceps Category: clamping Use: Clamping delicate tissue Addl Info: T-shaped, concave, delicately serrated jaws.

Volkmann retractor

Alias: Rake Category: Retracting Use: Exposing superficial wound Addl Info: Handheld; sharp or blunt tips; can have two to six teeth

Murphy Retractor

Alias: Rake Category: retracting Use: Exposing superficial wound Addl Info: handheld; similar to Volkmann retractor but has finger grips (prongs)(4) on the handle

Malleable Retractor

Alias: Ribbon Category: Retracting Use: Retracting deep wounds Addl Info: Handheld; straight, but may be bent to desired shape; width varies from 1" to 3"

Foerster Sponge Forceps

Alias: Sponge stick; stick-holding forceps Category: Grasping Use: Grasping tissue; Holding Raytec sponges Addl Info: smooth or serrated jaws; straight or curved shank

Straight mayo scissors

Alias: Suture scissors Category: Cutting Use: cutting suture, dressings, drains Addl Info: Heavy blades

Tissue forceps

Alias: Toothed forceps; rat-toothed; pick-ups Category: grasping Use: grasping tissue; wound closure, applying dressing Addl Info: most common tip has 1 x 2 teeth

Buckwalter System

Alias: Universal ring retractor system Category: Self-retaining retractor Use: Deep retraction in the abdomen and pelvis Addl Info: Have moistened lap pads (used as padding between retractor blades and tissue) ready to hand to the surgeon; oval and round rings; various sizes/types of retractor blades; available in bariatric size

Poole (or Pool) Suction

Alias: abdominal suction Category: Suctioning Use: Suctioning large quantities of fluid/blood Addl Info: Removable sheath allows cannula to suction smaller areas; both pieces must be accounted for in instrument count.

Blade knife handle

Alias: beaver blade handle Category: Cutting Use: Holding knife blades Addl Info: use with series 50, 60, 70 Beaver blades

#7 Scalpel Handle

Alias: knife handle Category: Cutting Use: Holding a scalpel blade: thinner handle fits in smaller areas. Delicate tissue, punctures. Addl Info: Use with #10, #1, #12, or #15 blade.

#3 scalpel handle

Alias: knife handle Category: cutting Use: holding a scalpel blade Addl Info: Use with #10, #11, # 12, OR #15 Blade

Adson Tissue forceps

Alias: mouse tooth forceps Category: Grasping Use: grasping skin layer during wound closure Addl Info: 1 x 2 teeth (1 tooth)

Mayo-Hegar needle holder

Alias: needle driver Category: Suturing Use: holding heavy (large) suture needles Addl Info: Widely used in General surgery; some brands have tungsten carbide jaw inserts; MRI version available

Allen intestinal forceps

Alias: none Category: clamping Use: clamping bowel Addl Info: 1 x 2 teeth; vertical serrations

Kelly Retractor

Alias: none Category: retracting Use: exposing wound Addl Info: handheld; resembles a Richardson retractor, but blade is larger. (Has a lip on the end)

Joseph skin hook

Alias: none Category: retracting Use: retracting skin (hold skin in place) Addl Info: Single or double hook

Backhaus towel clamp

Alias: perforating towel clamp Category: Accessory Use: Grasping tissue that will be removed; securing towels or drapes; holding or reducing small bone fractures Addl Info: Perforating tips

Mixter

Alias: right angle; Gemini (delicate jawed) Category: Clamp Use: Clamping tissue or grasping ligature around a curve Addl Info: jaws vary from fine to heavy

The nonperforating clip used to hold suction and other cords to the drape is a(n): A. Backhaus B. Edna C. Lahey D. Kocher

B. Edna

Mosquito is another name for a: A. Kelly B. Halstead C. Pena D. Schnidt

B. Halstead

The surgeon is about to irrigate the abdomen with large amounts of normal saline. He/she asks for an abdominal suction. What is the other name for this instrument? A. Frazier B. Poole C. Yankauer D. Tonsil

B. Poole

Mayo vs Metzenbaum scissors

Both have curved blades. The SIZE of the blades differentiates one from another. Metzenbaum scissors have thinner, more delicate blades designed to dissect and cut delicate tissue, whereas, heavier blades of the Mayos are designed to dissect and cut heavy tissue. Metzenbaum scissors should be used only to cut tissue, NEVER for drains or sutures; doing so could ruin the blades.

The surgeon is getting ready to perform skin closure of an incision. Which of the following forceps would generally be used during skin closure? A. Russian B. Bonney C. Adson D. DeBakey

C. Adson

The surgeon is performing a colectomy. He/she has just entered the peritoneal cavity and now requests a large, self-retaining retractor. You would hand him/her a: A. Senn B. Richardson C. Bookwalter D. Weitlaner

C. Bookwalter

The surgeon is performing an inguinal herniorrhaphy. He has made the skin incision and dissected down a short way into the underlying tissue. The assistant asks for a retractor. Which of the following would NOT be appropriate to hand him/her? A. U.S. Army B. Volkmann C. Bookwalter D. Parker

C. Bookwalter

The surgeon needs to cut through a heavy muscle. Which scissors would be the most appropriate to hand him/her? A. Metzenbaum B. Curved mayo C. Curved iris D. Straight iris

C. Curved iris

All of the following are rake retractors EXCEPT a(n) A. Volkmann B. Israel C. Goelet D. Murphy

C. Goelet

A Mixter is another name for a A. Schnidt B. Crile C. Right Angle D. Kelly

C. Right angle

A Forester is a: A. Tonsil clamp B. Tissue Clamp C. Sponge Stick D. Suction Tip

C. Sponge stick

The surgeon inserts a Blake drain into the incision. Which scissors would you hand him/her to cut the drain? A. Metzenbaum B. Straight iris C. Straight Mayo D. Curved iris

C. Straight mayo

#11 blade

Used for small "puncture" incisions (e.g. hook phlebectomy, arthroscopic, or endoscopic procedure)

#12 blade

Curved with cutting surface on the inside; used in oropharyngeal surgery (tonsils, UPPP)

Which of the following instruments does NOT have sharp teeth? A. Lahey B. Kocher C. Backhand D. Babcock

D. Babcock

You have just handed the surgeon a heavy suture. Which scissors should you have ready to hand him/her for cutting the suture? A. Curve mayo B. Metzenbaum C. Iris D. Straight Mayo

D. Straigh Mayo

Which of the following is NOT a type of handheld retractor? A. Send B. Volkmann C. U.S. Army D. Weitlaner

D. Weitlaner

#10 blade

Generally used for skin incisions

Scalpel Handles

The #3 and #7 scalpel handles are SMALLER and THINNER than the #4 handle, making them suitable for holding smaller blades (#10, #11, #12, or #15). The #4 handle is used to hold #20 or larger blades. The longer, thinner design of the #7 handle makes it suitable for cutting inside the wound, generally with a #11 or #15 blade attached.

Hemostatic Clamps

The Pean, Crile and Halstead are all types of hemostatic clamps. They all perform the same function: clamping tissue or blood vessels. SIZE differentiates one from another. The Pean is longer and thicker than the Crile or Halstead, making it suitable for use on thicker tissues. The Crile is the in-between size, making it suitable for many different tissues. It is the most commonly used size.

Self-Retaining Retractors

The Weitlaner, Cerebellar, and Beckmann are all self-retaining wound retractors. The CHARACTERISTICS OF THE SHANKS are what differentiate one from another. The Weitlaner has straight shanks, the Cerebellar has angle shanks, and the Beckmann has hinged shanks.

#15 blade

used for cutting small vessels and tissue; plastic surgery skin incisions, and hand procedures