AS 422 Fall 2018

Double-ended, smooth blades with slightly curved, rounded lip at 90 degrees to the fenestrated handle facing the same way. Used to retract skin, fat, and muscle away from surgical field.

Handheld instrument with a curled, three-pronged claw at one end and an L-Shaped, single blade at the other. It is suitable for short-term displacement of soft tissue.

Purpose: Used to grasp and suspend delicate tissues such as connective tissue or when dissecting muscle.
Description: small, two handles are manually compressed together for manipulation of tissue (does not have a ratchet or lock system), wide, flat thumb grasp area that is commonly serrated, contains small interdigitating teeth (smaller compared to the teeth of the Rat Tooth Thumb Forceps)

Purpose: used for skin or dense tissue such as fascia.
Description: constructed of two handles which are manually compressed together for manipulation of tissue (does not have a ratchet or lock system), contain large interdigitating teeth (compared to the teeth of the Adson Thumb Forceps)

Use:. The Periosteal Orthopedic Elevator is an instrument used in bone surgery to lift periosteum from bones or dissect soft tissue. The elevator is used to along the bone but does not cut into it.

Identifying markings: a delicate, round, tapered tip so it does not damage surrounding tissue, large handle.

Use: The Allis Tissue Forceps is used to hold tissue in place and crush it, grasping and crushing, use ONLY on tissue to be removed.
Identifying markings: finger rings, crushing teeth (in 4x5 or 5x6 configuration, may be in 1 row or 2), makes a triangular “A- Shape” (for Allis) with its prongs when closed, ratcheting lock

Use: The Brown Adson Thumb Forceps is used to hold delicate tissue or dressing material.
Identifying markings: multiple intermeshing teeth with a broad tip providing good tissue and needle handling. Flat, wide handle with ridges. Teeth tips look like mini hair combs.

Use: surgical instrument used as a treatment that provides stability for bone and soft tissue at a distance from the operative or injury focus to heal. It gives easy access to the relevant skeletal and soft tissue structures
Description: External Fixators are used to bind and align the fractured bone externally with the help of various elements like Clamps, Rods, Bars and Fixation pins that will be place outside the fracture arm or leg and will give support to the bones until healed.

Use: It comes in straight and curved jaws. To grasp long organs, occlude the lumen of the intestine and blood vessels, the are good to handle delicate structures. Is a non-crushing intestinal forcep so it doesn’t damage the intestines.
Markings: They come in curved and straight jaws. The jaws contain fine serrations which a longitudinal. The jaws are flexible because they are partially made of plastic.

Use: fixation of cortical bone. May remain in or later be removed.
ID:
-closely-spaced, shallow threads and larger core-to-outer diameter ratios than cancellous screws
-stronger than cancellous screws of the same outer diameter
-may be self-tapping, usually blunt ended

Use: vascular surgery to minimize tissue damage during manipulation.
ID: long narrow tips with multiple delicate sets of teeth

Use: to assist in the healing of broken and fractured bones.They are used inside the body on bones. While the implants are typically designed to remain in the body forever, there are instances when their removal may be considered appropriate and even necessary.Identifying markings: rectangular plate with holes in place for screws. Made out of surgical steel or titanium.

Rochester Pean forceps are used for clamping larger tissue and vessels for hemostasis. Identifying marks: Horizontal striations/ horizontal serrated jaws, (compare to Crile), goes all the way down. These are very versatile and are available in multiple length and can be either straight or curved.
Fully serrated jaws prevent vessels from slipping through the hemostat.
Sometimes referred to as the “Big Kelly”

Use: used on larger vessels than mosquito forceps. Used for clamping blood vessels or tissue before cauterization or ligation. Identifying markings: entire length of jaws contain transverse grooves.

Use: used on larger vessels than mosquito forceps. Also used for clamping large blood vessels or manipulating heavy tissue. They may also be used for soft tissue dissection.Identifying markings: only distal half of the jaws contain transverse grooves. These are made either straight or curved.

Use: A thin wire or pin use to stabilize bone fragments. They can be drilled through bone or placed percutaneously . They come in different sizes and as they get larger they become less flexible
ID:They are sharp, smooth stainless steel pins, looks like a hooked nailed.

Uses: Closing skin incisions and can come in 12,14,16,& 18mm.
ID: Each clip is a 2 mm wide band of metal with a downturned sharp prong at each end. When the clip is bent double the points face each other and approximate.There is a special instrument for applying and removing the clips, called the Michel Applying and Removing Forceps.

Uses:For collecting and removing a core bone sample for biopsy.
ID: A surgical instrument that has a cylindrical blade and can come in varying sizes, has a “T” shape.

A clamp used for fixing drapes onto the skin of anesthetized patients. They produce a scissor action with ratchet fixation at the finger loops and have sharp, incurving, needle-like blades. Due to their sharp points, care must be used to avoid tissue damage

Surgical scissors with two sharp points. They have thin, stainless-steel blades for making fine cuts. Available either straight or curved. Used for delicate tissue dissection, such as intraocular tissue.

Double spring instrument with delicate jaws at the end. Slender shape allows them to reach far into interproximal areas.

Designed to hold curved suture needles during suturing. They are used for performing instrument suture ties. The jaws commonly have a tungsten carbide insert that provides excellent grip. It's hard, resistant to wear and can be replaced when worn. Don't have a built in scissor like the Olsen-Hegar needle holders.

Used for cutting sutures and paper drape material. There are many different kinds. They are classified by the type of points they have (sharp/sharp, sharp/blunt, blunt/blunt). The shape of the blades can be straight or curved. The cutting edge of the blade can be plain or serrated as well.

A plier handled tool with a locking mechanism and clam shell shaped mouth piece to aid in grasping, manipulating or extracting bone and bony tissue during surgical procedures.
They come in various neck angles and clamp sizes.

Meant to cut through wire used in surgeries. They come in a variety of angles, all of which have a short jaw with a gradual thick to fine edge. They can be categorized by the gauge of wire they can cut through.

Commonly used to stabilize bones during repair. They may also be used to remove bone fragments from a surgical site.

Heavy-duty, stainless steel, double-action surgical instruments specifically designed for cutting and removing small pieces of bone during surgery with their sharp, scoop-shaped cutting “bite”.

"Steinmann Pin is a thin metal rod commonly used in orthopedic procedures for holding large bone fractures together. These pins function similarly to K-Wire, but are larger in diameter. They are made from round stainless steel rods, double or single armed."

"Two-sided bevelled instruments similar to a chisel used in orthopedic procedures to cut, mark or deform the bone. They take advantage of the fact that bone is visco-elastic and can be compressed and manipulated.

A double ended retractor that is used to retract small and shallow incisions. Also used to retract skin, fat, and muscle.

Used for clamping blood vessels and tissues before cauterization.

Self-retaining retractors commonly used for muscle retraction in orthopedic surgeries. Each tip has a sharp prong that is used to retract the tissue and has a locking mechanism that keeps the tissue expanded

Surgical scissors for cutting delicate tissue, such as fat or thin muscle, and can be used for soft tissue dissection. These scissors should not be used to cut sutures because this will dull the edges and lose effectiveness.

A sturdy handheld tool that has a wide straight or slightly curved flat blade with a beveled cutting edge is use to sculpt bone, to aid in cutting bone graft, or chip out bone.

An handheld drill, stainless steel instrument used to bore holes in bone for the attachment of surgical pins, plates, or screws

Used for clamping tissue bundles and large vessels to control bleeding. The interdigitating teeth at the tips aid in grasping tissues also a great identifying mark. These forceps are most commonly used in orthopedic or large animal surgery and are available in curved or straight as well as in multiple lengths.

Held on non dominant hand, have a broad curved (and serrated) surface with spoon-shaped tips good for needle handling, but are traumatic when used to hold tissues.

For use in retraction of tissue during surgery to allow more direct access to the surgical field. This retractor has a slim, flat handle.

A surgical instrument with a curved tip used to retrieve a horn of the uterus when performing ovariohysterectomy in dogs and cats.

A wire saw used for smooth bone cutting during amputations.

They are commonly used for sizing dressings and removing circumferential bandages. They may also be used to cut tougher material such as plaster, fabric, and occasionally umbilical cord.

A thin piece of metal that can be easily bent into a desired shape to manually retract tissue and provide increased visibility of the surgery site.

Firm plastic tip with a large opening that is surrounded by a bulbous head that allows for effective suction which doesn't damage the surrounding tissues.

The Olsen-Hegar needle holder is a combination instrument constructed as both a needle holder & suture scissor blade. The blades, which are located nearest to the box lock, are shaped like a regular scissor blade. They are used for driving the needle, then cutting the suture material without changing instruments. They are straight with delicate, cross-serrated tips. They also feature a self-locking ratchet near the finger rings.

Both serrated or non serrated teeth with either straight or curved jaws & an approximate 5-inch working length, the narrow-pointed (or curved) Halsted Mosquito forceps have a ratcheted finger ring handle which provides a secure, locking grip designed to provide hemostasis by crushing tissue and small vessels. They are not appropriate for use with large vessels or arteries.

a non-ratcheted, finger ring scissors used for cutting wire sutures in preparation for removal in plastic, orthopedic surgery or other materials for use surgical procedures.

Instrument used in orthopedic surgery for gouging out bone, opening a window in a bone, and exposing areas of operation. It can also be also used in oral maxillofacial surgery and in hand surgery to cut traumatic amputated bone to allow skin to be closed over the defect.

Instrument used in orthopedic surgery in fractures. It is a steinmann nail with holes were screws can be inserted and fixed to bone.
Markings: holes on the proximal and distal ends.

Holds and twists all gauges of orthopedic wire, Cuts wire up to 18 gauge/twisted double, Ratchet locks jaws onto wire, Small hole in jaws treadwire for secure grip.

Use: fixation of metaphyseal fractures; Partially threaded: lag screws available. ID: more deeply cut and more widely spaced threads compared to cortical screw; self-tapping; can be partially threaded; each screw is either partially or fully threaded using a cancellous thread form

Used in keyhole surgery to access and drain collections of fluid. They are utilized as a means of introduction for cameras and hand instruments, such as scissors, graspers, and other instruments to perform surgery.

Classified as a type of surgical scissors. These are used to cut and aid in the removal of suture removal, especially pertaining to skin sutures.
Identifying marks: One blade is hook-shaped and helps lift up and get under the suture material.

Available on autoclavable spools or free rolled as shown above. Used in orthopedic procedures to secure bone. It is used with multiple orthopedic tools such as wire cutters, guides, and twisters.
Identifying Marks: Easier to identify on spools. Free rolled wire usually prepared in surgical packs.

A type of hemostatic forcep that is large and commonly used for clamping vessels as well as crushing.
The longitudinal grooves down the blade and crosshatch grooves towards the tips provide more traction and aid in clamping tissue containing vessels. This also helps during ovariohysterectomies when crushing ovarian structures and uterine body. Available in straight and curved tip.

Handle to attach a smaller scalpel blade tip, smaller in scale compared to Bard-Parker No. 4 scalpel handle. grooved handle and identification number what handle it is

Handle to attach a larger scalpel blade tip, slightly larger in scale compared to Bard-Parker No. 3 scalpel handle. grooved handle and identification number what handle it is

Used to cut or remove bones. Can be curved or straight tipped.

Used in thoracic procedures to allow clear access to the surgical field. Also known as a retractor. Has two bladed arms with fenestrated blades. Is available in different sizes with various spreads: large, medium, small, and infant.

use: to scrape off fibrous tissue and other debris from the bone. It can also remove small parts of the bone itself. Comes in various sizes and curvatures.
Identifying markings: big handle to fit well in palm. Little spoon/ ice cream scooper tip.

use: keep the eye lids opened wide during an opthalmic procedure. They come in various sizes.
Identifying markings: looks like its made from wire. A small wire speculum that ends in either a metal or sterile plastic basket/curved shape meant to hold the eyelids as they are spread open.