Surgical Accesories

Description

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   Cutting and dissecting instruments:
   • Scalpels, scissors, and saws are the most traditional
   • 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 predominately
   • 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
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 (sutures, staples, glue etc)

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
Joseph elevator		cutting
Molt periosteal elevator		cutting
Obweg periosteal elevator		cutting
Septum elevator		cutting
Tessier periosteal elevator		cutting
Probe
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 tubeand 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