Or & DR Instruments

 

Operating Room Instruments Type of Scissors

Mayo Curve

Used to cut the ligatures or other suture material during operation by the assistant surgeon or scrub nurse, it is also used to cut the tissues and internal organs so that adjacent tissues are protected while using it. Can also used to do the episiotomy in second stage of labor without causing damage to the surrounding tissues in the perineum.

Mayo Straight

Used for cutting the ligatures and sutures. It is also used for removing sutures of incisions. 1

 

Metzenbaum

Used to to cut delicate tissues

Umbilical scissors

Used to cut umbilical cord  

Scissors 2

 

 

Stitch Scissors

Iris Scissors

Operating Scissors

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Kelly Curve

Is used to clamp larger vessels and jaws tissue. It can also be or used in clamping the baby’s umbilical cord. The may be curved straight, it is design for general used, the locking grip permits clamping with a variety of   pressures.

Kelly Straight

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Scalpel or Blade Holder

A metal instruments used to attached different types of blades at the distal ends.

Needle Holder

used to hold the needle while suturing

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Allis Forceps

Used to hold thin, but tough structures to give traction on these structure, to hold the skin and facia.

Pennington

It holds the edges and act as a haemostat to decrease the  bleeding from the incision.

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Bob Cock   

More delicate than Alli Allis, s, less directly traumatic. Broad flared ends with smooth tips.

Mixter

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Kocker / Ochsner ( Curve & Straight )

Kocker ( Ochsner ) Curve  

used to catch tthe he edges of the incision while suturing tthe he aft after er the operation. It is also used to hold the ribs in ribs resection. Can used to grasps heavy tissue. The jaws may be curved or straight. 8

 

Towel clip

 

is a metal instrument , light but strong, in different lengths. It has a catch lock near by the proximal end tto o fix the grip of drapes. T The he distal end are curved to two sharp points as teeth to catch tthe he drapes firmly w with ith the pointed tips. Shafts are short and its handle are curved.

1.

Uses To fix fix tthe he dr drap apes es in an any ym man anne nerr tto o exp expos osed ed only only th thee req requi uire red d

area. 2. To fix fix tthe he tu tubi bing ng like like suct suctio ion n ttub ubee to to the the dr drap apes es pr prev even enti ting ng displacement. 3.

To ho hold ld or elev elevat atee th thee ribs ribs in ch ches estt inj njur urie ies. s. Can be used as a tongue holding forceps, but the disadvantage that it perforate the ttongue. ongue.  4.

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Retractors

Self Retaining retractors

It is a special inst instrument rument with special ffittings ittings for retaini retaining ng in the space. A rectangle metal pieces are connected together and to small retracting  blades are attached to both ends of the rectangle pieces by the metal rods. The rods are slightly curved to give space in between. It is used to retract organ in abdominal surgery for prolong ttime. ime.

Bladder retractor 10

 

used to retract tough structures li like ke faci facia, a, pelvic pelvic and abdominal operation

Balfour Set

Richardson Retractors

used to retract deep abdominal incisions 11

 

Harrington Retractor

Goulet Retractor

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Deaver  

used in retracting abdominal organs like spleen, liver etc. Can also be used to retract deep abdominal o orr chest incisions

Crile / Ribbon /Malleable

it is used to retract deep wound iincisions. ncisions. May be bent in various shapes. 13

 

Army navy

It is used to retract swallow or superficial incisions

Muscle Retractor

It is used to retract swallow or superficial incisions

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Light handle

Used to cover the light during an operation. It can be manipulated  by the scrub nurse to prevent contamination

 

ADSON THUMB /TOOTHLESS FORCEPS  It used to hold the skin for suturing soft tissues thus preventing damage

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Adson tissue /toothtedforceps

It has a delicate serrated tips design for li light ght , careful handl handling ing of the tissues .

Thumb forceps / toothless forceps

used to hold the skin for suturing or to hold the soft tissues thus  preventing the damage 16

 

Tissue / toothed forceps

used to hold tough structure like the skin , facia , rectal sheath while suturing It also used to lift the knots of sutures . .

Delivery Room Instruments

Tennaculum 17

 

used in holding anterior and posterior lip of the cervix in vaginal operation like D & C for better visualization visualization..

Ovum Forceps  Used for removing products of conception from the uterus incase of 

incomplete or inevitable abortion. Used to remove any retain placental or membrane pieces from the uterus after delivery .Used to removed any foreign body from the uterine cavity.

Uterine Forceps

used to introduce introduce dressing for vaginal packing to control bleeding from laceration in the birth canal due to traumatic conditi condition. on. It is also used to 18

 

 pack the uterus in bleeding when ot other her control measures fails aafter fter D & C

Uterine Sounds or Hysterometer

Is a long slender instruments indicat indicated ed by cent centimeters imeters and inches. It is used to ascertain the length or depth of tthe he cervix & uterus befo before re any operations of the uterus through vagina. It iiss used as a fi first rst dilator before int introducing roducing the uterine dilators .It is also used to ascertain the size and directions of the uterus

Hegar Cervical Dilators used to dilate the cervix when required through the the cervix in pathological condition of theapproached uterus. It isisalso used for dilating 19

 

cervix for curetting the uterine content ffor or evacuation of the products of conception.

Amniotom Hook 

used for snipping Bag of water( BOW)

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Fetal forceps / Simpson forceps

used for extracting the baby in the second stage of labor used in forceps delivery. when the cervix is fully dilated. Diff. types of forceps are used to extract the fetal head depending upon the descend of fetal head .

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Vaginal retractor

used in an operation of of the cervix and vagina to retract the posterior  vaginal wall. It is used to exposed the neck of the cervix.

. Vaginal speculum  

is used in operation of the cervix . It has 2 blades which can be open laterally and adjusted adjusted at various angle by adjusting the screw afte after  r  introducing it into the vagina. Every part of the vagina can be visualized by retracting the tissue with the same instruments and it gives good exposure of the cervix.. 21

 

 

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