OPERATING ROOM INSTRUMENTS
Four Basic Categories
1. Retracting and exposing
2. Cutting and dissecting
3. Clamping and Occluding
4. Grasping and Holding
Miscellaneous instruments
Retracting And Exposing
Army Navy Retractor
Manual rector used to retract shallow incision
Retracting And Exposing
Richardson retractor
Manual rector used to retract deep incisions
Retracting And Exposing
Deaver retractor
Manual rector used to retract deep incision
Retracting And Exposing
Balfour retractor
Self retaining retractor used to retract large
incision
Retracting And Exposing
Malleable or Ribbon retractor
Self retaining/moldable rectractor used to retract
deep incisions
Retracting And Exposing
Weitlaner Retractor
Self retaining retractor used to retract skin, fascia,
or shallow incisions
Cutting and Dissecting
Knife Handles and Blades
Cutting and Dissecting
The scalpel is held with
thumb, middle and ring
finger while index finger is
placed on the upper edge
to guide the scalpel
Long gentle cutting strokes
are less traumatic vs, short
strokes
The scalpel should never
be used in a stabbing
motion
Cutting and Dissecting
Curve Mayo Scissor (MAYO)
Used to cut HEAVY tissue (fascia, muscle, breast)
Cutting and Dissecting
Metzenbaum Scissor (METZ)
For MORE DELICATE tissues,;have a longer
handle
Cutting and Dissecting
Straight Mayo Scissor (MAYO)
Used to cut sutures and medical supplies
(micropore, OS)
Cutting and Dissecting
Bandage scissors
for cutting of bandages and dressing
Holding Scissors
Thumb and ring finger
inserted into the rings,
while index and middle
finger are used to
guide the instrument.
Instrument should
remain at the tips of
the finger for
maximum control
Grasping and Holding
Tissue forceps with teeth (TOOTHED
FORCEPS)
For holding tissue without slipping; for holding
hard tissue
Grasping and Holding
Tissue forceps without teeth (THUMB
FORCEPS)
For grasping delicate or soft tissue
Grasping and Holding
Debakey forceps
For grasping delicate or soft tissue in deep
incisions; long forceps
Grasping and Holding
Adson forcep
With small serrated teeth
For light delicated handling of tissue
Holding Forceps
Hold forceps like a
pencil
They are NOT tweezers
Grasping and Holding
Allis forcep
Short teeth for grasping and holding bowel or
tissue
Slightly traumatic, used to hold intesting, fascia
and/or skin.
LOCKING
Grasping and Holding
Babcock forcep
More delicate vs Allis, less traumatic
Broad ends with SMOOTH tips
For atraumatic grasping of viscera (eg. bowel,
bladder)
Grasping and Holding
Mixter forcep
For more delicate structures (blood vessels, small
ducts)
Fine tip, with serrated grip
Used to dissect soft tissue and isolate delicate
structures
Grasping and Holding
Towel forcep
Used to clamp towels and linens; also to secure
cautery wire and suction tubes
Clamping and Occluding
Mosquito forceps
To clamp or occlude small blood vessels
Clamping and Occluding
Curve Kelly forcep
Used to ligate tube-like structures (eg. large
vessels, ducts)
Clamping and Occluding
Straight Kelly forcep
Used to clamp shallow incision (appose fascia,
peritoneum)
Clamping and Occluding
Needle Holder
Suturing Set
Knife Handle
Needle Holder
Mayo
Toothed Pick-Up
Mosquito Clamp
Straight Kelly
