Instruments used in general surgery

Surgical instruments can vary widely by the field of surgery that they are used in. In general instruments can be divided into five classes by function:

  1. Cutting and dissecting instruments:
    • Scalpels, scissors, and saws are the most traditional
    • Elevators can be both cutting and lifting/retracting
    • Although the term dissection is broad energy devices such as diathermy/cautery are often used as more modern alternatives.
  2. Grasping or holding instruments:
    • Classically this included forceps and clamps predominantly
    • Roughly forceps can be divided in traumatic (tissue crushing) and atraumatic (tissue preserving, such as Debakey's)
    • Numerous examples are available for different purposes by field
  3. Hemostatic instruments:
    • This includes instruments utilized for the cessation of bleeding
    • Artery forceps are a classic example in which bleeding is halted by direct clamping of a vessel
    • Sutures are often used, aided by a needle holder
    • Cautery and related instruments are used with increasing frequency in high resource countries
  4. Retractors:
    • Surgery is often considered to be largely about exposure
    • A multitude of retractors exist to aid in exposing the bodies cavities accessed during surgery
    • These can broadly be hand held (often by a junior assistant) or self retaining
    • Elevators can be both cutting and lifting/retracting
  5. Tissue unifying instruments and materials:
    • This would include instruments that aid in tissue unification (such as needle holders or staple applicators)
    • And the materials themselves

Instruments used in surgery are:[1][2][3][4][5][6][7][8][9][10][11]

Instrument class Image Uses Specific instruments
Articulator Galotti articulator
Bone chisel Cutting instrument
Pin cutter To cut the pins after they are used to place bone in correct place
Bone distractor Clamps and distractors
llizarov apparatus Accessories and implants
Intramedullary kinetic bone distractor Clamps and distractors
Bone drill To drill inside the bone
Elevator Accessories and implants
Bone mallet Accessories
Bone rasp Cutting instruments
Bone saw Cutting instruments
Bone skid
Bone splint
Bone button
Caliper To measure Castroviejo caliper
Cannula Accessories and implants Spackmann Cannula
Cautery To cauterize and seal vessels and bone, using electricity
Curette for scraping or debriding biological tissue or debris in a biopsy, excision, or cleaning procedure Cutting instrument
Depressor
Dilator Accessories and implants
Dissecting knife cutting instrument
surgical Pinzette Grasping/holding
Dermatome To take off a top layer of skin to implant over another area.
Forceps, Dissecting Grasping/holding. Usually used in skin closure or small wounds Adson
Forceps, Tissue Grasping/holding tissue Allis
Penatrating towel clamp Used to secure towels or reduce bone fragments Backhaus penetating towel clamp
Acanthulus or Acanthabolos Thorn removal
Bone forceps Grasping/holding
Carmalt forceps haemostatic forceps kalabasa
Cushing forceps grasping/holding Non-toothed dissecting forceps
Dandy forceps haemostatic forceps
DeBakey forceps grasping/holding Non-toothed dissecting forceps designed for use on blood vessels, organs, or deilcate tissue
Doyen intestinal clamp clamps and distractors Non-crushing clamp designed for use on the intestines
Epilation forceps
Tiberio forceps haemostatic forceps
Kelly forceps hemostatic forceps
Kocher forceps hemostatic forceps
Mosquito forceps hemostatic forceps
Hook retractor
Nerve hook retractor
Obstetrical hook retractor
Skin hook retractor
Lancet (scalpel) cutting
Lythotome
Lythotript
Mallet
Partsch mallet
Mammotome
Needle holder grasping/holding Castroviejo Crilewood Mayo-Hegar Olsen-Hegar
Occluder
Osteotome cutting
Epker osteotome cutting
Periosteal elevator cutting and lifting
Joseph elevator cutting
Molt periosteal elevator cutting
Obweg periosteal elevator cutting
Septum elevator cutting
Tessier periosteal elevator cutting
Periodontal probe
Probe Dental explorer
Retractor retractor
Deaver retractor Deep wound retraction
Gelpi retractor self-retaining retractor. Used for superficial wound exposure
Weitlaner retractor self-retaining retractor. Used for superficial wound exposure
USA-Army/Navy retractor retractor
O'Connor-O'Sullivan retractor
Mathieu Retractor retractor
Jackson Tracheal Hook retractor
Crile Retractor retractor
Meyerding Finger Retractor retractor
Little Retractor retractor
Love Nerve Retractor retractor
Green Retractor retractor
Goelet Retractor retractor
Cushing Vein Retractor retractor
Langenbeck Retractor retractor
Richardson Retractor retractor
Richardson-Eastmann Retractor retractor
Kelly Retractor retractor
Parker Retractor retractor
Parker-Mott Retractor retractor
Roux Retractor retractor
Mayo-Collins Retractor retractor
Ribbon Retractor retractor
Alm Retractor retractor
Self Retaining Retractors West, Travers and Norfolk & Norwich
Weitlaner Retractor
Beckman-Weitlaner Retractor
Beckman-Eaton Retractor
Beckman Retractor
Adson Retractor
Rib spreader
Rongeur cutting instrument
Ultrasonic scalpel cutting
Laser scalpel cutting
Scissors cutting
Iris scissors cutting
Kiene scissors cutting
Metzenbaum scissors To dissect delicate tissue cutting
Mayo scissors To cut suture, bandages, or dressings cutting
Tenotomy scissors cutting
Spatula
Speculum To retract the walls of the vagina Graves vaginal speculum
Mouth speculum retractor
Rectal speculum retractor
Sim's vaginal speculum To retract the walls of the vagina
Cusco's vaginal speculum retractor
Sponge bowl accessories and implants
Sterilization tray accessories and implants
Sternal saw cutting
Suction tube and Yankeur suction tip accessories and implants
Surgical elevator
Surgical hook retractor
Surgical blade #15 Used to cut vessels or make small incisions
Surgical mesh accessories and implants
Surgical needle accessories and implants
Surgical snare
Surgical sponge
Curettes
GIA stapler Used to make a gastrointestinal anastamosis Linear stapler
Surgical tray
Suture
Tongue depressor
Tonsillotome
Towel clamp clamp
Towel forceps clamp
Backhaus towel forceps
Lorna towel clamp Non-penatrating towel clamp
Tracheotome
Tissue expander accessories and implant
Subcutaneous inflatable balloon expander accessories and implants
Trephine cutting instrument
Trocar
Disposable trocar family
Access instrument. Used to create an opening into a space without opening the abdominal cavity. A camera then inserted through one to view the inside of the space while instruments are inserted through the others to manipulate the organs.
Ultrasonic energy device Surgical device using electrical energy that's converted to mechanical ultrasound energy typically used to dissect tissue but also seals small vessels and tissue bundles.
Vessel Sealing Device
Vessel sealing device
Vessel sealing device used to weld vessels together prior to cutting. These devices used bipolar radio frequency energy to create heat that welds the tissue. Advanced Bipolar Energy

References

  1. "ilizarov.com (English)". Archived from the original on 2013-01-26. Retrieved 2008-06-04.
  2. Children with Tracheostomies Resource Guide, by Marilyn K. Kertoy, p. 15 (Google book search)
  3. Rob Toreki (1 December 2004). "Cannulas". The Glassware Gallery. Interactive Learning ←Paradigms Incorporated.
  4. "Practical approach to nephrostomy". Archived from the original on 2005-11-03. Retrieved 2008-06-04.
  5. See Mr R McElroy for details of various operations and the unintended effects of chemical cauterization
  6. Ring, Malvin (July 2001). "How a Dentist's Name Became a Synonym for a Life-saving Device: The Story of Dr. Charles Stent". Journal of the History of Dentistry. 49 (2): 77–80. PMID 11484317. Archived from the original on 2005-04-28. Retrieved 2008-04-01.
  7. How do they get the hole through a hypodermic needle?
  8. Bonfils-Roberts, E (May 1972). "The Rib Spreader: A Chapter in the History of Thoracic Surgery" (PDF). Chest. 61 (5): 469–474. doi:10.1378/chest.61.5.469. ISSN 0012-3692. PMID 4558402. Archived from the original (PDF) on 2008-12-17. Retrieved 2008-04-22.
  9. "General Instrument Sourcebook - KMedic" (PDF). Archived from the original (PDF) on 2011-07-18. Retrieved 2011-02-10.
  10. Bailey & Love’s SHORT PRACTICE OF SURGERY (23rd ed.). ISBN 0-340-75949-6.
  11. Gould, George M. (1934). Gould's Pocket Pronouncing Medical Dictionary (10th (rev) ed.). P. Blakiston's Son & Co., Inc.
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