Asr-Instruments

Front 1

Adson Forceps

Back 1

• Have three teeth
  
• Useful for gripping tissue

Front 2

Adson-Brown Forceps

Back 2

• Used for gripping tissue
  
• Less traumatic to tissue than non-toothed forceps
  
• Requires less crushing pressure to maintain a grip than non-toothed forceps which leads to less vascular damage
  
• teeth run longitudinal down the side not across the tip

Front 3

Mayo (Russian) Forceps

Back 3

Useful for gripping delicate tissue

Front 4

Thumb Forceps

Back 4

• General purpose tissue gripping forceps
  
• Should not be used for “slippery” tissues since excessive gripping pressure will cause vascular damage
  
• have spring handles no box locks or ring handles

Front 5

Tuttle Thoracic Tissue Forceps

Back 5

• Used for gripping delicate and “slippery” tissues
• Ring tip distributes the pressure on the tissue
• Lack of teeth prevents punctures into vessels or lung tissue
  

Front 6

Singley Tissue Forceps

Back 6

• Used similarly to Tuttle thoracic tissue forceps in the abdomen
  
• Prevents punctures into the GI tract
  

Front 7

Debakey Thoracic Forceps

Back 7

Large number of teeth distributes the pressure to help avoid punctures

Front 8

Cushing Neuro Tissue Forceps

Back 8

• Delicate tipped forceps for gripping AROUND nerves
• Not used for gripping the actual nerve

Front 9

Jewelers Forceps

Back 9

• Used for delicate gripping
  
• Does not grip tightly
  

Front 10

Babcock Tissue Forceps

Back 10

• Used for atraumatic tissue holding of tissues that cannot be perforated, such as the intestines
  
• more delicate than Alice forceps, broad, flared ends with smooth tips
  

Front 11

Allis Tissue Forceps

Back 11

• Teeth tightly grip soft tissue such as bowel or intestine
  
• slightly traumatic
  
• (short teeth at end)
  

Front 12

Chester & Ballenger Sponge Forceps

Back 12

Hold gauze sponges for applications in body cavities

Front 13

Crille Hemostatic Forceps

Back 13

• Have grooves running from tip to hinge
  
• This allows less slippage when tension is applied perpendicularly to the jaws
  

Front 14

Kelly Hemostatic Forceps

Back 14

• Have grooves running side to side of the jaws (transverse serrated)
• This allows less slippage when tension is applied parallel to the jaws
  
• Grooves only run half the length of the jaws

Front 15

Mosquito Hemostatic Forceps

Back 15

• Similar to but with smaller jaws than Kelly forceps
  
• Useful for gripping small bleeding vessels
  
• (transverse serrated)
• Grooves run the full length from tip to jaw
  

Front 16

Hartman Mosquito Hemostatic Forveps

Back 16

Smaller versions of Mosquito forceps

Front 17

Mixter Thoracic Forceps

Back 17

• Kelly-style forceps with a sharp angle towards the tip of the jaws
  
• Useful for gripping bleeding vessels at an angle
• Useful for positioning ligatures around vessels
  

Front 18

Collin Gallbladder Forceps

Back 18

Relatively atraumatic forceps used for retraction and gripping of the gall bladder

Front 19

Backhaus Towel Forceps

Back 19

• Usedfor clamping sterile drapes or towels together when creating a sterile field
  
• May also be used to clamp sterile drapes directly to the skin
• Pincher like tips

Front 20

Roeder Towel Forceps

Back 20

Pincher like tips but have ball-stops to prevent towel slippage up the pins

Front 21

Edna Towel Forceps

Back 21

• Grip towels without puncturing them due to flat pins
  
• Must not be used on skin due to crush damage
  
• wider and flatter tips not pincher like

Front 22

Jones Cross-Action Towel Forceps

Back 22

A variation on Backhaus towel forceps

( pincher tips on forceps not on handles)

Front 23

Mayo dissecting scissors

Back 23

• used for cutting heavy fascia and sutures
• Used for dissection of tissue
  
• Often used for cutting sutures and sterile paper drapes
  

Front 24

Operating Scissors

Back 24

Used for cutting suture and sterile paper drapes

Front 25

Metzenbaum Dissecting Scissors

Back 25

• The primary scissors used for tissue dissection
  
• more delicate
• Also useful for cutting tissue
• have longer handle to blade ratio

Front 26

Strabimus ("baby metzenbaums")

Back 26

Used for fine dissection of tissue

Front 27

Stevens Tenotomy Scissors

Back 27

Designed for cutting or dissection of a tendons and often used for fine dissection in other tissues

Front 28

Iris Scissors

Back 28

• Designed for fine dissection in the eye
  
• Often used for very fine dissection and creation of phlebotomies and arteriotomies
  

Front 29

Wire Scissors

Back 29

Used for cutting orthopedic and approximation wire

Front 30

Lister Bandage Scissors

Back 30

• Used for cutting bandage material
  
• Flared tip prevents catching tissue
  

Front 31

Weck Spencer Suture Scissors

Back 31

Have a cut out semicircle in the lower blade tip to allow it to slip under a tight suture

Front 32

Mayo Hegar Needle Holders

Back 32

Holds a suture needle for wound closure

Front 33

Olsen Hegar Needle Holder

Back 33

Contains scissor blades to allow easy suture cutting

Front 34

Finochietto & Debakey Thoracic Needle Holders

Back 34

Have specialized tips and/or mechanisms to allow easier deep tissue suturing

(like a mayo needle holder only handle is longer)

Front 35

Castroviejo Micro Needle Holder

Back 35

Used for delicate suturing and holding very small suture needles

Front 36

Gelphi Retractors

Back 36

Used for holding open incisions for better visibility (outward points)

Front 37

Weitlaner Retractors

Back 37

• Used for tissue retraction with a more distributed opening of that tissue than with Gelpi retractors
• (inward fingers 2 on one side and 3 on the other. rake tips, ratchet to hold tissue apart)
  

Front 38

Senn retractor

Back 38

Used for manual tissue retraction (has 2 ends each opposite directions from each other)

Front 39

Bernay Finger Rake Retractors

Back 39

Used for manual retraction of tissue (small rake)

Front 40

Volkmann Rake Retractors

Back 40

Similar to Bernay retractors with a larger handle for improved handling (rake with Anhk looking handle)

Front 41

Oschsner Ribbon Retractor (malleable)

Back 41

• Highly bendable strip of metal that allows bending into whatever configuration will allow the best retraction
  
• Primarily used for abdominal retraction
  

Front 42

Parker Retractors

Back 42

• Nonflexible retractors
• Commonly used for abdominal retraction
• solid middle section

Front 43

Deaver Retractors

Back 43

Used for abdominal retraction

(C shaped at end and smaller end curves in opposite directions)

Front 44

Mayo Abdominal Retractor

Back 44

Used for abdominal retraction

(saddle with substantial handle)

Front 45

O’Sullivan, O’Connor and Wexler abdominal ring retractors

Back 45

Used for holding multiple abdominal retraction paddles for hands free retraction (ring)

Front 46

Love Nerve Retractor

Back 46

Used for holding individual nerves or fibers (long thin with small curved end)

Front 47

Balfour Retractors

Back 47

• Used for thoracic retraction
  
• 3 point retraction
  
• (has 3 retraction pieces, saddle looking in middle and normal blades on the outer 2 edges)
  

Front 48

Finochietto Rib Spreader

Back 48

• Used for spreading ribs for thoracic access often when the sterum has been split
  
• more heavy duty than others
  
• (has windows in the blades)
  

Front 49

Bailey Rib Approximator

Back 49

Used for bringing ribs together for closure following a thoracic procedure

Front 50

Cooley Cardiovascular Clamps

Back 50

• Used for isolating sections of major vessels
  
• Partial clamping will isolate sections while allowing blood flow around the clamped section
• Renal clamps

Front 51

Renal clamps

Back 51

Used for clamping renal vessels

(weird angled clamp)

Front 52

Serrefines (bulldog) Vascular Clamp

Back 52

Used for clamping superficial vessels

Front 53

Yankauer Suction Tube

Back 53

Used for suctioning fluids out of the surgical field (more blunt on the tip)

Front 54

Debakey Suction Tube

Back 54

Another style of suction tip (has small slits on side of tip)

Front 55

Periosteal elevators

Back 55

Used for retraction of the periosteum

Front 56

Lebsche sternum knife, mallet, Stille-Liston bone cutting forceps

Back 56

Used for cutting or splitting bone during orthopedic procedure

Front 57

Pilling-Ruskin, Beyer, and Jansen-Zaufel rongeurs

Back 57

Used for “chipping” off small pieces of bone

Front 58

Bruns bone and Spratt mastoid curettes

Back 58

Used for scraping and carving bone

(small ice cream scoop)

Front 59

Emesis basin

Back 59

• Designed for collecting vomit
  
• Often used for holding damp sterile sponges
  

Front 60

Sponge Bowl

Back 60

Used for holding sponges and sterile fluids

Front 61

Silverman Style Biopsy Needle

Back 61

Used for collecting tissue samples

Front 62

Sponges

Back 62

Used for absorption of fluids in a surgical field

Front 63

Satinsky Vascular Clamp

Back 63

• horizontal serrations across the length of their jaws
  
• Curved at ends, flat at the bottom of the curve
  

Front 64

Cooley Vascular Clamp

Back 64

Similar to the other vascular clamps only these have calibration marks on the outside of the jaw

Front 65

Debakey Vascular Clamp

Back 65

• Vascular clamp designed specifically to grasp vascular tissue with minimal damage to the vessel
  
• Just angled on the end and have smooth longitudinal grooves
  

Front 66

Duval Forceps

Back 66

• used for grasping lung tissue in an atraumatic manner
  
• tips spread the pressure of traction out
  
• (ends look like triangles sort of)
  

Front 67

Vulsellum Forceps

Back 67

• Used for grasping tissue such as the uterus
  
• scissor type forceps with long, this sideways curved blades that are inward facing, double-pointed claws
  

Front 68

Wilson Rib Spreaders

Back 68

• Fixed retractor using wench type configuration
  
• have blunt wide blades
  
• used in cardiac approaches between the ribs
  

Front 69

Army-Navy Retractor

Back 69

• blunt smooth blades for pulling up
  
• (has hold in handle or middle part)
  

Front 70

Ragnell Scissors

Back 70

• made for fine blunt dissections
  
• flattened blade tips allow for more control within the tissue planes
  

Front 71

Doyen Scissors

Back 71

Bandage scissor with serrated blades

Front 72

Rochester-Carmalts Hemostats

Back 72

• used for clamping ovarian pedicals
  
• serrations run longitudinal
  
• Halt blood flow due to serrations

Front 73

Rochester-Peans Hemostats

Back 73

• Heavier than the other clamps
  
• striations or serrations run horizontal like Kelly's