Classification of Instruments and It's rec
-
Upload
leni-carunungan -
Category
Documents
-
view
220 -
download
0
Transcript of Classification of Instruments and It's rec
-
8/3/2019 Classification of Instruments and It's rec
1/48
SCISSORS
this surgical instrument is mainly used to cut body tissues.
SUTURE SCISSOR
Have blunt points to prevent structures close to the suture from
being cut. The scrub person may use scissors to cut sutures
during preparation if needed.
http://rds.yahoo.com/_ylt=A2KJkIdHL7lNPW4AaB2JzbkF;_ylu=X3oDMTBqaHBscmZmBHBvcwMxMwRzZWMDc3IEdnRpZAM-/SIG=1kf3kkhv5/EXP=1304010695/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DSUTURE%2BSCISSOR%26ei%3DUTF-8%26fr%3Dyfp-t-701&w=436&h=436&imgurl=image.made-in-china.com%2F2f0j00iejarsKGnSkg%2FSuture-Scissors-Medical-Equipment.jpg&rurl=http%3A%2F%2Fchinayuehai.en.made-in-china.com%2Fproduct%2FFolnXQSxAvkq%2FChina-Suture-Scissors-Medical-Equipment.html&size=16KB&name=Suture+Scissors%2C...&p=SUTURE+SCISSOR&oid=1effecd477c8e9faecdf5af3905e3d1a&fr2=&no=13&tt=10600&sigr=1390mo9ph&sigi=12g7rutu5&sigb=12jh7r53d&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
2/48
-
8/3/2019 Classification of Instruments and It's rec
3/48
Bandage scissors are angled tip scissors, with a blunt tipon the bottom blade, which helps in cutting bandagewithout gouging the skin.
Bandage scissors are very popular in any health carfacility because they are designed to safely lift bandageaway from skin for easy cutting. The bottom blade of th
scissor is longer and goes easily under the bandages. Thblunt tip design of the scissor prevents accidental injur while making bandage removal very easy, smooth, anquick. The scissors safely lifts bandage away from skin foeasy cutting.
CURVED MAYO SCISSOR Used to cut heavy tissues (fascia, muscle,
Uterus, breast)
http://en.wikipedia.org/wiki/Scissorshttp://en.wikipedia.org/wiki/Bandageshttp://en.wikipedia.org/wiki/Health_care_facilityhttp://en.wikipedia.org/wiki/Health_care_facilityhttp://en.wikipedia.org/wiki/Accidental_injuryhttp://en.wikipedia.org/wiki/Scissorshttp://en.wikipedia.org/wiki/Bandageshttp://en.wikipedia.org/wiki/Health_care_facilityhttp://en.wikipedia.org/wiki/Health_care_facilityhttp://en.wikipedia.org/wiki/Accidental_injury -
8/3/2019 Classification of Instruments and It's rec
4/48
MAYO STRAIGHT
Common to most surgical trays, used for cutting densetissue where Metz scissors are too delicate.
used to cut suture and supplies
L
O
N
G
METZENBAUM SCISSOR
SHORT METZENBAUM SCISSOR
http://rds.yahoo.com/_ylt=A2KJke1kb7lNS2UA2RWJzbkF;_ylu=X3oDMTBqNzBoY2J0BHBvcwMxNARzZWMDc3IEdnRpZAM-/SIG=1l4u87299/EXP=1304027108/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DSTRAIGHT%2BMAYO%2BSCISSOR%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=505&h=447&imgurl=www.beehive-solutions.co.uk%2Fcatalog%2Fimages%2FMayo%2520Straight%2520Scissors%25206inc.JPG&rurl=http%3A%2F%2Fwww.beehive-solutions.co.uk%2Fcatalog%2Findex.php%3FcName%3Dinstrument-by-category-scissor&size=35KB&name=Mayo+straight+15...&p=STRAIGHT+MAYO+SCISSOR&oid=becf48e84294a1a2164d04a28e892d9e&fr2=&no=14&tt=1730&sigr=12pok6f9m&sigi=12g1rdsuj&sigb=12qt08ju5&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
5/48
C
U
RVED METZENBAUM (PRINCE)
The most common scissors use for cutting delicate
tissue.
HEMOCLIP APPLIERS AND HEMOCLIP
FOLDER WITH HEMOCLIPS
A device for applying a plurality of hemoclips to blood
vessels and the like includes a longitudinally disposed frame
having a pistol grip and an opposed trigger lever extending from
-
8/3/2019 Classification of Instruments and It's rec
6/48
the proximal end thereof. A narrow, internal passageway extends
the length of the frame, from a loading opening at the proximal
end to a fixed lower jaw at the distal end of the frame. A plurality
of U-shaped hemoclips is disposed in the passageway with the
points thereof extending toward the distal jaw portion. An upper
jaw extends from a clevis member which straddles the frame andis pivotally joined to an upper medial portion thereof. The
trigger lever is pivotable to cause the clevis member to pivot
upwardly and the upper jaw to close upon the lower jaw to crush
a hemoclip disposed there between. A piston resiliently biased in
the internal passageway urges the hemoclips toward the jaw
portion, and a feed release lever is disposed at the proximal end
of the passageway to discharge a hemoclip from the passagewayto the jaw portion with each full actuation of the upper jaw.
NEEDLE HOLDERS
-
8/3/2019 Classification of Instruments and It's rec
7/48
WEBSTER NEEDLE HOLDER
Needle holders are surgical instruments, similar to a
hemostat, used to hold a suturing needle for suturing tissue
during surgical procedures. The parts of a simple needle holder
are the jaws, the joint and the handles
http://upload.wikimedia.org/wikipedia/commons/a/ae/Straight_needle_holding_forceps.jpg -
8/3/2019 Classification of Instruments and It's rec
8/48
CUTTING INSTRUMENTS,
SCALPEL HANDLES AND
BLADES
SCALPELS
The type of scalpel most commonly used has a reusablehandle with a disposable blade.
Most handles are made of brass; the blades may bmade a carbon steel. The blade is attached to the handle byslipping the slit in the blade into the grooves on the handle.
An instrument, never the fingers, is used to attach anddetach the blade; this instrument, usually a heavy
haemostat or Kelly clamp, should not touch the cuttingedge. Blades vary by size and shape; handles vary by widthand length:
A No. 10 blade is used most often. This blade has
http://en.wikipedia.org/wiki/File:Various_scalpels.png -
8/3/2019 Classification of Instruments and It's rec
9/48
a rounded cutting edge along one side and fits on
Nos. 3, 7, 9 handles.
Nos. 20, 21 , and 22 blades are the same shape but
are larger; they fit on No. 4 handles.
A No. 11 blade has a straight edge that comes to asharp point, it fits on Nos. 3, 7, and 9 handles.
A No. 12 blade is shaped like a hook, with the
cutting edge on the inside curvature. It fits on
Nos. 3, 7 and 9 handles.
A No. 15 blade has a smaller and shorter curved
cutting edge than a No. 10 blade. This blade also fits on Nos. 3, 7 and 9 handles.
A No. 15 C blade has the same shape but is smaller
for tiny incisions, such as those for some pediatric
procedures.
A No. 23 blade has a curved cutting edge tha
comes
to more of a point that Nos. 20, 21, and 22 blades.
The No. 23 blade fits on a No. 4 handle.
An assortment of blades with angulations an
configurations for specific uses, such as Beaver blade
also are used. These blades insert into a speciauniversal handle that secures by turning a screw-in
collar. Disposable scalpels are available.
-
8/3/2019 Classification of Instruments and It's rec
10/48
-
8/3/2019 Classification of Instruments and It's rec
11/48
-
8/3/2019 Classification of Instruments and It's rec
12/48
TISSUE FORCEPS
1.TISSUE FORCEP WITH TEETH
http://rds.yahoo.com/_ylt=A2KJke5xfblNZ3IAy0ijzbkF/SIG=12rffkhct/EXP=1304030705/**http:/www.jorvet.com/catalog/images/products/077_094_Pictures/J92r.gifhttp://rds.yahoo.com/_ylt=A2KJkIfUfLlN2XsApEKJzbkF;_ylu=X3oDMTBpZm5udGl1BHBvcwM1BHNlYwNzcgR2dGlkAw--/SIG=1kc8j7bgh/EXP=1304030548/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dtissue%2Bforcep%2Bwith%2Bteeth%26ei%3DUTF-8%26fr2%3Dtab-web&w=600&h=780&imgurl=www.ahmadsurgical.com%2Fimages%2FAS-79-316.jpg&rurl=http%3A%2F%2Fwww.ahmadsurgical.com%2Findex.php%3Fmain_page%3Dproduct_info%26cPath%3D93_138%26products_id%3D686&size=31KB&name=Adson+Tissue+For...&p=tissue+forcep+with+teeth&oid=e2997c57ea5c789ead78e0ccff08ad86&fr2=tab-web&no=5&tt=2690&sigr=12qhjv735&sigi=11a80te8s&sigb=12sbr9oe4&.crumb=Hn7YGIU3rHzhttp://rds.yahoo.com/_ylt=A2KJkIfUfLlN2XsAoEKJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1o18fcehg/EXP=1304030548/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dtissue%2Bforcep%2Bwith%2Bteeth%26ei%3DUTF-8%26fr2%3Dtab-web&w=2048&h=1536&imgurl=www.hnmmedical.com%2Fmedia%2Fcatalog%2Fproduct%2Fcache%2F1%2Fimage%2F9df78eab33525d08d6e5fb8d27136e95%2Fa%2Fl%2Fallis_tissue_forceps.jpg&rurl=http%3A%2F%2Fwww.hnmmedical.com%2Fob-gyn-instruments%2Fforceps%2Fforceps-allis%2Fallis-tissue-forceps-4x5-teeth-15-2cm-6.html&size=91KB&name=Allis+Tissue+For...&p=tissue+forcep+with+teeth&oid=16cca482de9a5ed4f53b8adce6705ec8&fr2=tab-web&no=1&tt=2690&sigr=13fmodrf7&sigi=13knlol47&sigb=12sbr9oe4&.crumb=Hn7YGIU3rHzhttp://rds.yahoo.com/_ylt=A2KJkIfUfLlN2XsAokKJzbkF;_ylu=X3oDMTBpaWhqZmNtBHBvcwMzBHNlYwNzcgR2dGlkAw--/SIG=1jdmoetoc/EXP=1304030548/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dtissue%2Bforcep%2Bwith%2Bteeth%26ei%3DUTF-8%26fr2%3Dtab-web&w=600&h=780&imgurl=www.ahmadsurgical.com%2Fimages%2FAS-79-250.jpg&rurl=http%3A%2F%2Fwww.ahmadsurgical.com%2Findex.php%3Fmain_page%3Dindex%26cPath%3D93_138&size=29KB&name=tissue+forceps+t...&p=tissue+forcep+with+teeth&oid=5210fa9f6b6107d8d96dfdb8306fc1e1&fr2=tab-web&no=3&tt=2690&sigr=123iddqd2&sigi=11ajs0qm3&sigb=12sbr9oe4&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
13/48
2. RUSSIAN TISSUE FORCEP
3. ALLIS TISSUE FORCEP
4. RUSSIAN TISSUE FORCEP
are forceps which have been designed to grip tissue.
The ends of the forceps are equipped with small teeth
which act to grasp the tissue under consideration,
allowing people to manipulate it as needed.
GRASPING
INSTRUMENTS
-
8/3/2019 Classification of Instruments and It's rec
14/48
BOBCOCK CLAMP
For grasping soft tissue or bowel.
forceps with loop blades which are also semicircular
in sagittal cross-section. Designed to hold a short length ofintestine without compressing it.
-
8/3/2019 Classification of Instruments and It's rec
15/48
ALLIS CLAMP
Often used for grasping soft tissue such as breast
tissue or bowel tissue
-
8/3/2019 Classification of Instruments and It's rec
16/48
KOCKER(OCHSNER) CLAMP
Used to grasp bone or fascia.
-
8/3/2019 Classification of Instruments and It's rec
17/48
FOERSTER SPONGE FORCEPS
-
8/3/2019 Classification of Instruments and It's rec
18/48
a two-bladed instrument with a handle, used forcompressing or grasping tissues in surgical operations,
handling sterile dressings, and other purposes.
-
8/3/2019 Classification of Instruments and It's rec
19/48
BACKHAUS TOWEL CLAMP
a clamp used for fixing drapes to the skin of anesthetizedpatients. A scissor action with ratchet fixation at the finger
loops and sharp, incurving, needle-like blades.
CLAMPINGINSTRUMENTS
-
8/3/2019 Classification of Instruments and It's rec
20/48
MOSQUITO(HALSTED)CLAMP
A small, straight or curved hemostatic forceps used to
hold delicate tissue or compress a bleeding vessel.
http://rds.yahoo.com/_ylt=A2KJke09iblNJHEAf0SJzbkF;_ylu=X3oDMTBpdDZuNzZrBHBvcwM5BHNlYwNzcgR2dGlkAw--/SIG=1mdgr3b8l/EXP=1304033725/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DMOSQUITO%2BCLAMP%26ei%3DUTF-8%26y%3DSearch%26fr%3Dyfp-t-701%26fr2%3Dtab-web&w=640&h=480&imgurl=www.jorvet.com%2Fcatalog%2Fimages%2Fproducts%2F077_094_Pictures%2FJ70c.gif&rurl=http%3A%2F%2Fwww.jorvet.com%2Fcatalog%2Fproduct_info.php%2FcPath%2F3%2Fproducts_id%2F71%3FosCsid%3Dc166134458d43953187ce9304cdb0f99&size=30KB&name=Mosquito+forcep%2C...&p=MOSQUITO+CLAMP&oid=7bbe873df673118eb64fa27cb6c968cf&fr2=tab-web&no=9&tt=5770&sigr=13dqcubrg&sigi=120555ro6&sigb=138iqfhr3&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
21/48
KELLY CLAMPS:CURVED AND STRAIGHT
a curved hemostat without teeth, introduced forgynecologic surgery.
http://rds.yahoo.com/_ylt=A2KJkIftiblNYXQAVIGjzbkF/SIG=129q8j8hm/EXP=1304033901/**http:/www.georgetiemann.com/prodimg/old/105-1145.jpg -
8/3/2019 Classification of Instruments and It's rec
22/48
http://rds.yahoo.com/_ylt=A2KJkK7SjLlNAUIAvm.JzbkF;_ylu=X3oDMTBqaHBscmZmBHBvcwMxMwRzZWMDc3IEdnRpZAM-/SIG=1ivmjomhl/EXP=1304034642/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DCURVED%2BCRILE%2BCLAMP%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=400&h=400&imgurl=www.allmedicalsupplies.com%2Fimages%2FPRODUCT%2Fmedium%2FL17-3168.jpg&rurl=http%3A%2F%2Fwww.allmedicalsupplies.com%2Fp-1204-crile-forceps-6-14.aspx&size=12KB&name=crile+forceps+6+...&p=CURVED+CRILE+CLAMP&oid=996f4ed9f22b2a7abb1a011c5f21f7bc&fr2=&no=13&tt=109&sigr=120kg24qd&sigi=11tl15iiv&sigb=12nk5gd6n&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
23/48
CURVED CRILE CLAMP
A forceps with pronged jaws designed to engage the jawof a rubber dam clamp so that they may be separated to pass
over the widest buccolingual contour of a tooth.
RETRACTORS
When an incision is made, it has to be kept
open during surgery. This job of keeping the
incision wide open by retractors.
These instruments are used to pull back
the tissues so that the surgeon can easily access.
Retractors are made available in different
sizes and shapes.
For instance, lung retractors may be used
to push aside the lungs gently for getting an
unobstructed view of the surgical site.
-
8/3/2019 Classification of Instruments and It's rec
24/48
ARMY NAVY RETRACTOR
Common to the both major and minor orthopedic andgeneral surgery trays
(manual) is used to retract shallow or superficial
incisions. Other names: USA, US Army
-
8/3/2019 Classification of Instruments and It's rec
25/48
DEAVER RETRACTORS
(manual) is used to retract deep abdominal or chest
incisions. Available in various widths.
-
8/3/2019 Classification of Instruments and It's rec
26/48
RICHARDSON RETRACTOR
(manual) is used to retract deep abdominal or
chest incisions. Available in various widths.
MALLEABLE RETRACTORS
A malleable retractor is a flat length of low-
http://rds.yahoo.com/_ylt=A2KJkezCOLlNqxEAzU2JzbkF;_ylu=X3oDMTBqMGphbm9uBHBvcwMyMARzZWMDc3IEdnRpZAM-/SIG=1mupksj7s/EXP=1304013122/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3Dsurgical%2Bmalleable%2Bretractors%26sado%3D1%26ei%3Dutf-8%26fr%3Dyfp-t-701%26fr2%3Dsg-gac&w=320&h=320&imgurl=www.uphs.upenn.edu%2Fsurgery%2Fdse%2Fmedicalstudents%2Fagnew%2Finstruments%2Fmalleable-retractor.jpg&rurl=http%3A%2F%2Fwww.uphs.upenn.edu%2Fsurgery%2Fdse%2Fmedicalstudents%2Fagnew%2Feducationalresources.html&size=5KB&name=malleable-retrac...&p=surgical+malleable+retractors&oid=33811b91a4ce6b721e786a9e340ff347&fr2=sg-gac&no=20&tt=299&sigr=12lrs3u1d&sigi=12onjo7mr&sigb=13k6keedc&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
27/48
carbon stainless steel , silver or silver plated copper
that may be bent to the desired angle and depth
for retraction.
-
8/3/2019 Classification of Instruments and It's rec
28/48
DEEP GELPI RETRACTOR
Most commonly used in orthopedic and spine surgery.
BALFOUR ABDOMINAL RETRACTOR
A Balfour retractor is a surgical instrument which is
used by a surgeonto hold open abdominal incisions during alaparotomy. Retractors of all shapes and sizes are used toclearly expose the surgical site during surgeries so that thesurgeon can see what he or she is doing, and they work in a
variety of ways. In the case of a Balfour retractor, the deviceholds itself in place, leaving the hands of surgeon and
assistants free to focus on surgical tasks. In laparoscopic
http://www.wisegeek.com/what-is-a-laparotomy.htmhttp://www.wisegeek.com/what-is-laparoscopic.htmhttp://www.wisegeek.com/what-is-a-laparotomy.htmhttp://www.wisegeek.com/what-is-laparoscopic.htm -
8/3/2019 Classification of Instruments and It's rec
29/48
surgery, retractors are not used, with the surgeon making aseries of small incisions and viewing the site of the surgery
with cameras.
This particular retractor consists of a long rod with twoattached loops on either side and a central retractor blade.
The loops can be pushed apart to open up the wound, and aratcheting device holds them in place, although Balfourretractors have been known to slide themselves closed underintense pressure. The central blade can be raised or loweredto increase the view of the surgical field or to hold tissue out
of the way so that a surgeon can operate
-
8/3/2019 Classification of Instruments and It's rec
30/48
WEITLANER RETRACTOR
Available with both sharp and dull jaws.
an instrument or appliance for drawing back an impeding
part, as the edge of an incision.
RIB SPREADER A rib spreader is a type ofretractor specifically
designed to separate ribs in thoracic surgery.
http://dictionary.reference.com/browse/thehttp://en.wikipedia.org/wiki/Retractor_(medical)http://en.wikipedia.org/wiki/Ribhttp://dictionary.reference.com/browse/thehttp://en.wikipedia.org/wiki/Retractor_(medical)http://en.wikipedia.org/wiki/Rib -
8/3/2019 Classification of Instruments and It's rec
31/48
Senn Retractors
-
8/3/2019 Classification of Instruments and It's rec
32/48
Senn retractors are double ended retractors used in
surgical procedures. One end is typically L shaped, and
the other has three bent prongs. The pronged ends come
in sharp and dull tips.
They are regularly used in hand and foot surgeries.
http://en.wikipedia.org/wiki/Retractor_(medical)http://en.wikipedia.org/wiki/List_of_surgical_procedureshttp://en.wikipedia.org/wiki/Hand_surgeryhttp://aa.wrs.yahoo.com/_ylt=Axt7wnbJP6hN7GEAinezRwx.;_ylu=X3oDMTB1Ymxnb2k0BHNlYwNzYwRjb2xvA3NnMQR2dGlkA1BIQzAwMV83Mg--/SIG=1n6thiife/EXP=1302900809/**http:/ph.images.search.yahoo.com/images/view?back=http://ph.search.yahoo.com/search?ei=UTF-8&p=image+of+senn+retractor&rd=r1&w=320&h=320&imgurl=www.chmedical.co.kr/images/goods/Product/senn%20muller.jpg&size=17.9kB&name=senn+muller+jpg++++&rcurl=http://www.chmedical.co.kr/Main/Instruments/InstrumentsSub.aspx?Sub=6&rurl=http://www.chmedical.co.kr/Main/Instruments/InstrumentsSub.aspx?Sub=6&p=senn+retractor&type=jpeg&no=1&tt=8&oid=c998237691559840&tit=senn+muller+jpg&sigr=1253k3kmp&sigi=11q2pjfsl&sigb=12aoc5fgn&fr=slv8-msgrhttp://en.wikipedia.org/wiki/Retractor_(medical)http://en.wikipedia.org/wiki/List_of_surgical_procedureshttp://en.wikipedia.org/wiki/Hand_surgery -
8/3/2019 Classification of Instruments and It's rec
33/48
ACCESORY
INSTRUMENTS
FRAZIER SUCTION TIPS
It is a right angle tube with a small diameter , it is used
when encountering little or no fluid except capillary bleeding
and irrigating fluid , such as in brain, spinal, plastic, or
orthopaedic procedures . The frazier tip keeps the field dry
without the need for sponging.
http://rds.yahoo.com/_ylt=A2KJkexsablNiSYASZaJzbkF;_ylu=X3oDMTBpaWhqZmNtBHBvcwMzBHNlYwNzcgR2dGlkAw--/SIG=1inh8uphc/EXP=1304025580/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DFRAZIER%2BTIP%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=728&h=475&imgurl=img.medscape.com%2Fpi%2Femed%2Fckb%2Fclinical_procedures%2F79926-79932-80526-109929.jpg&rurl=http%3A%2F%2Femedicine.medscape.com%2Farticle%2F80526-treatment&size=383KB&name=Frazier+suction+...&p=FRAZIER+TIP&oid=9b3624bf15a8a0bc0e173c66e1264372&fr2=&no=3&tt=1970&sigr=11lor7d0q&sigi=12d28fb1j&sigb=12g0lgnj8&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
34/48
POOLE ABDOMINAL TIP
It is a hollow tube with perforated outer filter shield .It i
-
8/3/2019 Classification of Instruments and It's rec
35/48
used during abdominal laparotomy or within any cavity inwhich
copious amounts of fluid or pus are encountered. The outerfilter
filled prevents the adjacent tissues from being pulled into theSuction apparatus.
ASPIRATIONBlood, body fluid, or tissue may be aspirated manually to
obtain specimen for laboratory examination or to obtainmarrow
For transplantation. Suction is often performed with a needle
and syringe.
-
8/3/2019 Classification of Instruments and It's rec
36/48
TROCARIt is needed to cut through tissues for access to fluid or a body cavity
A trocar has sharp cutting edges at the end of a hollow tube. Acannula
with a blunt end fits inside the trocar to keep fluid or gad fromescaping
until the cannula is removed.
http://rds.yahoo.com/_ylt=A2KJke74ablNAm4A2leJzbkF;_ylu=X3oDMTBqaWRlZWhnBHBvcwMxOQRzZWMDc3IEdnRpZAM-/SIG=1hiuqud1e/EXP=1304025720/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DASPIRATION%2BTROCAR%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=254&h=242&imgurl=www.suretechmedical.com%2Fimages%2Fradio_pcncatherater.jpg&rurl=http%3A%2F%2Fwww.suretechmedical.com%2Fradio_ptc.html&size=7KB&name=PCN+TROCAR+CATHE...&p=ASPIRATION+TROCAR&oid=dfe5b8f6e73ea13980f29452cedecbda&fr2=&no=19&tt=256&sigr=11dc5an3h&sigi=11m1eaj7j&sigb=12meamei7&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
37/48
CANNULA
A cannula with a blunt end and perforation around thetip
may be used to aspirate fluid without cutting into tissue.
Cannulas also are used to open blocked vessels or ducts for
drainage or to shunt blood flow from the surgical site.
http://rds.yahoo.com/_ylt=A2KJkIVHarlN6DwAorCJzbkF;_ylu=X3oDMTBpcWpidGtpBHBvcwM4BHNlYwNzcgR2dGlkAw--/SIG=1hutbpbd1/EXP=1304025799/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DASPIRATION%2BCANNULA%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=600&h=400&imgurl=premedicalsrl.com%2Fimmagini%2Fimmagini_prodotti%2Fstandard_022.jpg&rurl=http%3A%2F%2Fpremedicalsrl.com%2Fen_standard12.html&size=32KB&name=cannula+the+devi...&p=ASPIRATION+CANNULA&oid=fc27033a166db9a0a6b00e7ee41be65e&fr2=&no=8&tt=1140&sigr=11b1c64tg&sigi=11tk92teb&sigb=12nqrp71t&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
38/48
VIEWING Surgeons can examine the interior of body cavities,
hollow organs or structures with viewing instruments and
can perform any procedures through them.
SPECULUMS
The hinged blunt blades of a speculum enlarge and holdopen a canal (e.g vagina, rectum) for a cavity(e.g nose.) An
ear speculum is like a funnel.
http://rds.yahoo.com/_ylt=A2KJkIWRZ7lNCUYAUEWJzbkF;_ylu=X3oDMTBpdnJhMHUzBHBvcwMxBHNlYwNzcgR2dGlkAw--/SIG=1kf4jenti/EXP=1304025105/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DSURGICAL%2BSPECULUMS%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=500&h=500&imgurl=i00.i.aliimg.com%2Fphoto%2Fv0%2F111700176%2FCOLLIN_SPECULUM_SURGICAL_INSTRUMENTS_MEDIUM.jpg&rurl=http%3A%2F%2Fwww.alibaba.com%2Fproduct-tp%2F111700176%2FCOLLIN_SPECULUM_SURGICAL_INSTRUMENTS_MEDIUM.html&size=42KB&name=SPECULUM+SURGICA...&p=SURGICAL+SPECULUMS&oid=acd519c2968519a059a3da40272dcbb4&fr2=&no=1&tt=7860&sigr=12su2r6km&sigi=12jddml0p&sigb=12n6f1s6h&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
39/48
ENDOSCOPES
The round or oval sheath of an endoscope is insertedinto a
body orifice or through a small incision, each type ofendoscope
Is designed for viewing in a specific anatomic location.
http://rds.yahoo.com/_ylt=A2KJkIdCaLlNHGsAOUmJzbkF;_ylu=X3oDMTBpZTByOGFiBHBvcwMyBHNlYwNzcgR2dGlkAw--/SIG=1igrjjn1l/EXP=1304025282/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DSURGICAL%2BENDOSCOPES%26ei%3Dutf-8%26fr%3Dyfp-t-701&w=1033&h=816&imgurl=www.gigahertz-optik.de%2Ffiles%2Fs17_01.jpg&rurl=http%3A%2F%2Fwww.gigahertz-optik.de%2F%3F%2F807-1-surgical-endoscope-flux-measurement.htm&size=64KB&name=surgical+endosco...&p=SURGICAL+ENDOSCOPES&oid=89017736a940110c0f22be4551deff64&fr2=&no=2&tt=33000&sigr=12d6tn7jl&sigi=117fdk0vj&sigb=12op1rcsn&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
40/48
STAPLERS
Whether reusable or disposable ,all surgical staples are
Bulky, heavy instruments. Reusable staplers have many
moving parts and are disassembled for cleaning andassembled
at the sterile field before use. Sterile- single use, disposable
staplers that are completely assembled eliminate the many
problems associated with reusable instruments .The staples
are usually made from titanium , stainless steel , or
http://rds.yahoo.com/_ylt=A2KJkIbCY7lNVgEAAu.JzbkF;_ylu=X3oDMTBqdGFzdWxiBHBvcwMxNQRzZWMDc3IEdnRpZAM-/SIG=1j2jt3hot/EXP=1304024130/**http:/images.search.yahoo.com/images/view?back=http%3A%2F%2Fimages.search.yahoo.com%2Fsearch%2Fimages%3Fp%3DSURGICAL%2BSTAPLER%26ei%3Dutf-8&w=1105&h=756&imgurl=image.made-in-china.com%2F2f0j00eBytAmaMcZcw%2FSurgical-Skin-Stapler.jpg&rurl=http%3A%2F%2Fnppochina.en.made-in-china.com%2Fproduct%2FUMIxgiSYaXkT%2FChina-Surgical-Skin-Stapler.html&size=60KB&name=Surgical+Skin+St...&p=SURGICAL+STAPLER&oid=a55b3dfbf70569fdc98036a8df211408&fr2=&no=15&tt=3160&sigr=12r4l5af8&sigi=1240cu9q0&sigb=1282h2s6h&.crumb=Hn7YGIU3rHz -
8/3/2019 Classification of Instruments and It's rec
41/48
absorbable material.
CLIP APPLIERS
Individual staples can be placed with a preloaded orsingle
clip applier. These clips are used to mark tissue and to
-
8/3/2019 Classification of Instruments and It's rec
42/48
occlude vessels or small lumens of tubes. Powered or
manual styles are available. Endoscopic clip appliers have
been used for many years with laparoscopic tubal occlusion
for reproductive sterilization.
SURGICAL NEEDLES
COMMON SUTURE NEEDLES AND USES
NAME BODY EYE POINT COMMONUSAGE
Keith Straight Both Spear SkinKing 3/8 circle Both Spear Rentention
sutures
-
8/3/2019 Classification of Instruments and It's rec
43/48
Fistula 1/2circle(heavy)
Eye Spear Back and thighmuscles
Trocar 1/2 circle Both Trocar CervixScalp 1/2 circle Eye Trocar Scalp
Reverse Cutting 3/8 circle Both Spear Skin, plasticsurgery
Ferguson 1/2 circle
(medium size)
Both Round Subcutaneous,
fascia,peritoneum,abdominal
muscleMayo
Gastrointestinal1/2 circle heavy Both Round Uterine muscle
Cardiovascular 1/2 circle(thin)1/2circle(doublearm 2-needles)
Bothatraumatic
RoundRound
GastrointestinaCardiovascular
SUGICAL SUTURE
Is a medical device used to hold body tissuestogether after an injury or surgery. It generally
http://en.wikipedia.org/wiki/Medical_devicehttp://en.wikipedia.org/wiki/Tissue_(biology)http://en.wikipedia.org/wiki/File:Atraumatisches_Nahtmaterial_17.JPGhttp://en.wikipedia.org/wiki/Medical_devicehttp://en.wikipedia.org/wiki/Tissue_(biology) -
8/3/2019 Classification of Instruments and It's rec
44/48
consists of a needle with an attached length ofthread.
Different Surgical
Instruments andTheir Functions
Various basic maneuvers are common to all surgical procedures.
The surgeon dissects, resects, or alters tissues and/ or organs to
restore or repair bodily functions or body parts. Bleeding must be
controlled during process.Surgical instruments are designed toprovide
http://en.wikipedia.org/wiki/Needlehttp://en.wikipedia.org/wiki/Threadhttp://en.wikipedia.org/wiki/Needlehttp://en.wikipedia.org/wiki/Thread -
8/3/2019 Classification of Instruments and It's rec
45/48
the tools the surgeon needs for each maneuver , whether they aresmall
or large , short or long straight or curved, sharp or blunt , all
instruments can be classified by their function . Because the nomen-
clature is not standardized, names of specific instruments must be
learned in the clinical practice setting. All instruments should beused
only for their intended purpose, and they should not be abused.
-
8/3/2019 Classification of Instruments and It's rec
46/48
-
8/3/2019 Classification of Instruments and It's rec
47/48
University of Perpetual Help System Jonelta- GMA
Campus
Barangay San Gabriel, GMA Cavite
College of Nursing
Requirement
In RLE
Submitted by:Buergo, Melanie
Bunan, Edgar AllanCabagong, Jonah Mae
Cadalin, Glory AnnCalica, Ma.Fe
Caluya, EdgardoCarunungan, Leni
Caserial, Glorie AnnCastillo, Cristine May
Celis, Edgil Edison
BSN IIIA/ Group 4
Submitted to:
Araceli Amurao, RN, RM, MANClinical Instructor
-
8/3/2019 Classification of Instruments and It's rec
48/48
Operating
Room
Instrumentsand Their
FunctionsBSN IIIA/Group 4
04 May 2011