PCCR Surgical Instruments

Mayo Scissors

Metzenbaum Scissors

Mayo-Hager Needle Driver

10-blade

Wide rounded edge with the "hole" lower on the blade

Straight, large incisions through skin and muscle tissue

20-blade

Look at the "hole", it is higher up in a 20-blade

Larger incisions and dissections in general surgery and orthopedic procedures

11 blade

Sharper edge

precise, stab-like incisions like for abscesses

15-blade

pointy/round edge (combo of 10 and 11)

short, precise, and curved incisions

Bonney Forceps

"Bony" or "ribbed" tips

For grabbing heavy tissues

Russian Forceps

Look at the unique cluster of teeth

For heavy or thick tissues or skin

DeBakey Forceps

Think "debaby" they are thin and pointy with little teeth compared to the other forceps

For holding delicate tissues like vasculature

Gerald forceps

Extremely precise, like gerald ford (our late president)

For microsurgical procedures

Adson forceps with teeth

Fatter and shorter

Good for more precise control

Adson forceps without teeth

Fatter and shorter

Adson-Brown forceps

Harrington-Sweetheart Retractors

Makes the shape of a heart at the tip :)

For retracting larger/heavy/bulky structures

Deaver retractors

Makes the curve of a letter D

Kelly retractor

Looks like a golf club, Kelly plays golf!

Eastman retractor

Forms the letter E

Richardson retractor

Similar to kelly, but shorter blade

Richard is not as good at golf compared to kelly

Richardson-eastman retractor

Combo of eastman and richardson

Golf club short end (+) Shape of E

S retractor

Self-explanatory

Cushing retractor

Specifically for retracting veins

Cushing > Back scratcher between the cushions (looks like a back scratcher)

Senn retractor

Looks like a fork on the end (small)

Rake retractor

Larger fork on the end! Like a rake for leaves!

Army-Navy retractor

Blunt edges (no biconvex curve) compared to eastman-richardson

Military is blunt and to the point

Self-retaining retractor

Holds itself in place

Yankauer sunction

Notice the dual holes at the end and gentle curve

Frazier suction

sharp curve, like the letter F

Crile clamps

Can be curved or straight, not to be confused with blunter Mayo-Hegar needle drivers

Small

Mosquito clamps

thinner and more delicate that criles

Smallest

Towel clamps

Looks like they are wide enough to grab a small hand towel

Kelly clamps

Ribbed!! Unlike crile. Can be curved or straight

Medium-sized

Kocher clamps

Little teeth on the end !!

Largest (compared to kelly and others)

Right angle clamps

Self-explanatory

Allis clamp

Teeth toward each other, kind of looks like upside-down A

Babcock clamp

I can't put an image but it's a thicker allis (see slides)

B think bigger

Trocars

Conduits to allow entry of the laparoscopic instruments into cavity

Laparoscopes

Allows for the visualization of operative field

Graspers

grasping tissue during laparoscopic cases

Drills/Saws

drilling/cutting bone

Bovie

Aka electrocautery = heat generated coagulation

Clamps

holding objects in place, maintain control of tissue, cutting off blood flow

Suction

removes fluid from the surgical field

Retractors

pull back any tissue/organ/etc. to maintain exposure of the surgical site

Forcepts

aka pickups; grasping tissue

Needle-drivers

hold and "drive" the needle

Scissors

primarily cutting but can also assist in dissection by spreading tissue

Mayo v Mets

Mayo - thicker tissue/sutures, more aggressive/harsh cuts

Metz- thinner tissue/sutures, delicate dissection, gentle use