Surgical Tools

Metzenbaum Scissors

Cut tissue and for blunt dissection, blunt tips

Metzenbaum scissors

Mayo Scissors

Suture scissors

Can also cut thick body tissues

Mayo Scissors

Iris Scissors

Very sharp with fine tip

Can be used for sharp dissection

Iris Scissors

Bandage Scissors

Cuts bandages, fiberglass, fabric

Don't use in surgery...

Bandage Scissors

Bonney Pick ups

Hold thicker tissue

Used in closure of deeper tissue layers

Bonney Pick-ups

DeBakey Pick ups

Hold delicate tissue

Used in CV surgery

Debakey Pick ups

Ferris Smiths Pick ups

Tissue holders, sometimes used in closing deeper layers

Developed for plastic surgery in 1883

Ferris Smiths Pick ups

Adson Pickups

Tissue pickups, primarily used when closing skin

Come with and without teeth

Adson Pickups

Rat tooth pickups

Longer than adson, can be used in closer of skin

Can use in deeper layers

Good to grasp loose bodies

Rat tooth Pickups

Kelly Clamps

clamping large vessels or manipulating heavy tissue

Kelly Clamps

Right angle Clamps

Used for clamping vessels

Right angle Clamps

Allis Clamps

Hold and grasp heavy tissue

Cause tissue damage so used on tissue being removed

Good for holding traction

Allis Clamps

Kocher Clamps

Grasping and holding tissue

Grasps hollow viscera and blood vessels

Kocher Clamps

Hemostats

Come in many sizes, mosquito is the smallest

Used for clamping vessels and hold/dissecting tissue

Hemostats

Beckman Retractor

Used in neurosurgery (laminectomy)

Many varieties: -Weitlaner, - Adson, - Eaton

Beckman Retractor

Army-Navy Retractor

superficial retractor

soft tissues and organs

Long end = Langenbeck end

Short end = Parker end

Army-Navy

Richardson Retractor

Retracts tissues, organs, muscle

AKA "Rich"

Used in multiple specialties

Richardson Retractor

Harrington Retractor

Harrington Retractor

Used in abdominal surgeries

Tissue and organ retractor

Heart shaped blade

Weitlaner Retractor

Self retaining retractor

Used for hernia surgery, fem-pop bypass, plastic surgery, ortho, ENT

Superficial rectractor

Sharp vs Dull points

AKA "Weity"

Weitlaner Retractor

Hohmann Retractor

Used primarily in ortho

Holds back edges of incision

Blunt vs sharp

Hohmann Retractor

Balfour Retractor

Self retaining retractor

urology and gynecology (C-section)

Retracts organs/tissues

Balfour Retractor

Finochietto Retractor

"rib spreader"

Used in cardiothoracic surgery

Finochietto Retractor

Gelpi Retractor

Gelpi Retractor

Neurosurgery and ortho

Holds back incision edges

Sharp vs dull

Collin Abdominal Retractor

bowel and abdominal surgeries

retracts bulky tissue

Collin abdominal retractor

Luer S/Hasson Retractors

Abdominal surgeries (tracheostomies, lap cholecystectomy

OB/GYN (retractor for portal sites)

Luer S Retractor

Hasson Retractors

Judd Mason Retractor

Used in urology

Retracts bladder

Judd Mason Retractor

Lahey Retractor

Pronged vs single blade

Used in neck surgery (thyroid goiter surgery)

Can be used in ortho for hand surgery

Lahey Retractor

Hibbs Retractor

Used in orthopedics

- total hip arthroplasty

-retracts soft tissue over greater trochanter

Hibbs Retractor

Meyerding Retractor

Neurosurgery (spine cases retracts large muscles, incision edges, interspinous ligament)

Also used in cardiovascular, general, urologic surgeries

Meyerding Retractor

Deaver Retractor

Used in deep abdominal or chest incisions (cholecystectomy-open, truncal vagotomy - retraction left lobe of liver)

Deaver Retractor

Senn Retractor

Used in plastics, ortho, neck surgery

Superficial incision/tissue retractor

Senn Retractor

Yankauer Suction

Used in oral surgery to prevent aspiration

Used in ortho and general surgery

Yankauer Suction

Frazier tip suction

Used in ENT

Used in Neurosurgery

Frazier tip suction

Bovie electrocautery

Helps control bleeding

Cut vs Coagulation buttons

- Yellow is cut

- Blue is coag

Monopolar so needs grounding pad

Can be a fire hazard

Bovie electrocautery

Bipolar Cautery

Bipolar cautery

Current only at surgery site (when tips are brought together)

Argon Beam coagulation

Decreased smoke and odor

No eschar build up on the tip of Bovie or bipolar

Lower risk of fire

No cutting option, gas nozzle clogs

Argon beam Coagulation

Aquamantus (Transcollation)

Bipolar and saline

- warms and shrinks tissue

Aquamantus (Transcollation)

10 blade

initial incision blade for many cases

Used in harvesting of radial artery for CABG

Open bronchus in thoracic surgery

10 blade

11 blade

Stab incisions

Arthroscopy, laparoscopy, central lines

Opening aorta, removing calcifications from valves

11 blade

15 blade

used for making smaller incisions

Skin excisions

Open coronary arteries

15 blade