[1025] Instruments Exam #1

Allis

Grasping/Holding

Counted Indiv

Traumatic

Used for manipulating tissue that will be removed, allows for a firm grip on tumors

Variable Length

Allis Adair

Grasping/Holding

Counted Indiv

Traumatic

Used for manipulating tissue that will be removed when a medium jaw is needed, holds firmly on tumors

Kocher (AKA: Ochsner)

Grasping/Holding

Counted Indiv

Traumatic

Used to manipulate bone, muscle, tendons, ligaments, or adipose tissue

Can accidentally puncture an organ, never to be used on delicate tissues (Rat Tooth)

Variable Length

Lahey Thyroid Clamp

Grasping/Holding

Counted Indiv

Traumatic

Used to hold large masses of tissue without slippage

i.e., fatty tissue, thyroid tissue, cervix during vaginal procedures

Never use near bowel or large vessels, clamp can easily tear gloves

Variable Length

Babcock

Grasping/Holding

Counted Indiv

Atraumatic

Used on tissue that can be easily torn but needs a delicate + firm grip

Can be used to safely manipulate bowel or fallopian tubes

Variable Length

Pean (AKA: Rochester, 5”, 6”)

Clamping/Occluding

Counted Indiv

Heavy duty clamp used where large portions of tissue need to be clamped across for occlusion

Can hold kitners or loop of a tail sponge

Occlude vasculature/ducts when cutting across mesentery

Variable Length (Straight or Curved)

Right Angle Clamp (AKA: Mixter Clamp)

Clamping/Occluding

Counted Indiv

Used in deep holes on small blood vessels where visibility is difficult

Passes suture ties around vessels

Variable Length

Tonsil (AKA: Schnidt)

Clamping/Occluding

Counted Indiv

Occlude medium to small vessels in deep narrow spaces

Used to hold a tie on a pass for medium/deep incisions

Can hold tonsil sponge for blotting in back of throat

Hemostat (AKA: Snap, Stat, Kelly, Crile, Tag)

Clamping/Occluding

Counted Indiv

Curved Kelly used in almost every case to occlude medium to small vessels in shallow incisions

Straight Kelly can tag sutures, occludes appendix and guides knife during appendectomy

Mosquito

Clamping/Occluding

Counted Indiv

Occlude small/delicate vessels in shallow cases requiring delicate motions around small blood vessels like neck or in plastic procedures

Comes in straight or curved vers

Forester Sponge Stick (AKA: Ring Clamp)

Accessory/Grasping/Holding

Counted Indiv

Holds folded raytec sponge, used in deep holes for blunt dissection or blotting small amts of blood

Can be used to stabilize cervix

Variable length, straight + curved version

Bowel/Intestinal Clamps (Has many different names)

Clamping/Occluding

Counted Indiv

Has flexibility with minimal damage to tissue

Temporarily occludes bowel by clamping completely across it

Can come in straight/curved

Buie Pile Hemorrhoid Clamp

Clamping/Occluding

Counted Indiv

Grasps/manipulates hemorrhoidal tissue

Minimize trauma to surgical site, grooved serrations for secure grip

Pennington Clamp (Duval lung forcep, lovelace)

Grasping/Holding

Counted Indiv

Triangular tip is useful for grasping broad, fragile surfaces such as lung or a hemorrhoid

Variable sizes

Ball and Socket Towel/Drape Clamp

Accessory

Counted Indiv

Secures drapes, cords, and tubing to drapes to prevent slippage and maintain sterility

Variable length

Non-penetrating Towel Clamp (AKA: Lorna, Edna)

Accessory

Counted Indiv

Secure drapes, cords, tubing to drapes and prevent slippage

Length variable

Penetrating Towel Clamp (AKA: Backhaus)

Accessory

Counted Indiv

Holds linen towels in place during draping

Not used on top of drapes as they can puncture

Once placed, can’t be removed until end of case

Length variable