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
