Cutting and Dissecting

Grasping and Clamping

Retracting
Probing and Dilating

Cutting and Dissecting Instruments

are sharp and are used to cut body tissue or surgical

supplies.

Knife Handle, Scissors

(left to right)

Scalpel Holder
Holds scalpel blade
Acts as a handle

Scalpels and blades

7 handle with 15 blade (deep knife) - Used to cut deep,

delicate tissue.
3 handle with 10 blade (inside knife) Used to cut
superficial tissue.
4 handle with 20 blade (skin knife) - Used to cut skin.

#7, #3, #4
(left to right)

Scaplel grips
Fingertip grip-applying

downward pressure from

index for skin incision

Pencil grip-motion

comes from the thumb

and index for precise
incisions

Suture scissors
Straight Mayo scissors - Used to cut suture and

supplies. Also known as: Suture scissors.

EX: Straight Mayo scissors being used to cut suture.

Suture Scissors

Isis Suture scissors

Used to remove sutures
Blade has beak or hook to
slide under sutures

Lister Bandage Scissors

Used to remove bandages and dressings

Probe tip is blunt; inserted under bandages with relative
safety

Tissue scissors

Sharp/Sharp Scissors
Used to cut and dissect tissue
Both blade tips are sharp

Tissue scissors

Sharp/Blunt Scissors
Used to cut and dissect fascia and muscle
One blunt tip and one sharp tip

Holding surgical instruments

Correct use involves

grasping with the thumb

and 4-th finger, using the
3-rd finger for balance and
index for orientation

Tissue scissors
Curved Blunt/Blunt Scissors
Both blade tips are blunt
Can be curved or straight-

Cooley arteriotomy scissors

Used for longitudinal

arteriotomy

Amputation instruments
Special cutting instruments used in amputations for

muscle and bone

Amputation saw

Amputation knife

Amputation instruments
Gigli saw-used for

cutting the bone

Percy amputation

retractor

Grasping, clamping, occluding

instruments
These istruments are used to grasp, pick up,hold and

manipulate tissues, tools and materials.

Towel Clamp

Bachaus towel clamp

Schaedel towel clips

Adds weight to drapes and towels to ensure they stay in place

Allow exposure of the operative site
english towel clamp

Towel Clamp
Doyen towel clamp

English towel clamp

Sponge Forceps

Used to hold gauze squares or

sponge to mop up the
surgical site
Jaws are serrated

Transfer Forceps

When sterile, transfer

forceps;
arrange items on sterile
tray
transfer items to sterile
field

Forceps

Anatomical forceps
Used to hold tissue in place when applying sutures
Used to gently move tissues out of the way during
exploratory surgery
Used to insert packing into or remove objects from
deep cavities

Forceps
Surgical forceps
Used for grasping and
holding tissue, muscle or skin
surrounding a wound
Single toothed on one
side; fits between two teeth on
the other side
Available as 1x2 or 2x3
or 3x4
Inca o pensa fina (vasculara)

Forceps
DeBakey vascular

forceps-used for delicate

handling of tissue in
vascular surgery

Forceps grasping
Pencil grip for grasping

and manipulating tissues

Clamps
Pean clamp used

grasping various tissues

and clamping blood
vessels. It has serrated
blades.

Clamps
Mosquito

Halsted

Clamps
A Kocher is used to grasp heavy tissue. May also be used

as a clamp. The jaws may be straight or curved with

serrated blades and interlocking teeth at the tips.

Clamps
A Miculicz is used to grasp heavy tissue. May also be used

as a clamp. The jaws are curved with serrated edges only

on the tips and interlocking teeth.

Dissection instruments
Disector (right angle

clamp)- a 90 degree tip

angle clamp used for
dissecting tissues and
maneuvering threads
with serrated blades

Special clamps
Museux clamp-for

grasping the uterus

Special clamps
Schrodder Braun-similar

to Museux, for
gynecological
procedures

Special clamps
Dartigue clamp-for grasping and maneuver of the entire uterus

Special clamps
Lovelace clamp-for

grasping and maneuver

of the lung

Special Clamps
A Collin clamp (en coeur,

ringed gallbladder ) is
used for grasping and
mobilizing structures
(gallbladder, breast,
hemorrhoids)

Special Clamps
A Babcock is used to grasp delicate tissue (intestine,

fallopian tube, ovary). Available in short and long sizes.

Special clamps
Desjardin forceps-for grasping and extraction of

stones (gallblader, kidney)

Special clamps
Klammer straight intestinal

clamp-longitudinal serrated
blades

Angled intestinal clamp

Hemostatic clamps
Kelly Hemostat
Used to clamp small vessels or hold tissue
Jaws are partially serrated
Curved or straight

Vascular surgery Hemostatic clamps

Satinsky clamps are designed to partially occlude the wall

of a vessel over a distance

Vascular surgery Hemostatic clamps

Dietrich bulldog clamp

Debakey vascular clamp

Hemostatic clamps
A hemoclip applier with hemoclips applies metal clips

onto blood vessels and ducts which will remain occluded.

Manual retractors
Wolkman retractor-for

retracting the SKIN edges after

initial incision

Manual retractors
Farabeuf retractor-various
tissue/organ retractor

Langenbeck retractor

Manual retractors
Israel retractor

Manual retractors
Allison lung retractor-

for retracting the lung in

cardiothoracic surgeries

Abdominal manualRetractors
Doyen abdominal

retractor, it comes in
various lenghts and sizes

Retractors
A malleable or ribbon retractor (manual) is used to

retract deep wounds. May be bent to various shapes.

Autostatic retractors
A Weitlaner retractor (self-retaining) is used to retract

shallow incisions.

Autostatic retractors
Finochetto-used in

thoracotomy

Autostatic retractors
Gosset-in pelvic surgery

Autostatic retractors
A Balfour with bladder blade (self-retaining) is used to

retract wound edges during deep abdominal procedures.

Autostatic retractors
Thompson retractor

Probing and dilating instruments

Double ended probe

Doyen probe

Probing and dilating instruments

Nasal Speculum
Used to spread nostrils
during examination

Probing and dilating instruments

Sims Rectal speculum

Anoscope

Probing and dilating instruments

Kristeller vaginal

speculum

Probing and dilating instruments

Vaginal speculum
Used during
gynecological exam or
procedure
Dilates the opening of
the vaginal cavity, allowing
for inspection of the vagina
and cervix
Facilitates access for
observation and treatment

Suturing instruments
Skin clips

Clip forceps
Needle holders
Suture materials (needle

and thread)

Skin clips and Michel clamp

Needle holders
Mathieu

Hegar

Baraquer

Needle holder grasp

Position of needle
Angled at 45 degrees

In the middle 1/3-rd of

the needle

Types of needles
Hagedon

Bassini
Atraumatic
Intestinal

Straight

 Bassini-cutting edge,

regular eyed, half circle

Hagedon-micro point

spatula curved, regular

eyed, 3/8 circle

Types of needles
Non traumatic-round,

taper point, drill ended

Intestinal-round, taper

point, regular eye

Types of needles
Straight-used for

intradermic sutures

Needles
Deschamps

Reverdin

Needles-ligature conductors
Used for guiding the

needles in suturing, to
avoid other tissue
damage

Mechanical suture
Linear stapler

Circular stapler

Bone surgery
Chisel and mallet

Periosteal elevator

Doyen, Semb
Rib-cutting shears
(Geitz)
Bone-cutting ForcepsLuer
Volkman curette

Bone chisel and mallet

Periosteal elevator
Doyen

Semb

Rib shears
Geitz rib shears-for

cutting ribs in
thoracotomy

Bone-cutting forceps
Luer

Stille-Luer

Curette
Wolkmann-

Kramer splint
Flexible, used for

temporary imobilisation