Surgical Instruments
Dr.Amar Birajdar
PG Resident
Department of General Surgery
CHEATLE’S FORCEP
• To pick Sterilised articles
like Drape, Instruments,
Gauze, Pad
• Dipped in Antiseptic
Solution
SPONGE HOLDING FORCEP
• Fenestrated, Serrated Flat
Distal End with Lock
• To mop while draping
• To Swab the Cavities
• To Hold the Gall Bladder
TOWEL CLIP
• To fix the drape in OT
• To Fix the suction tube
• To fix the diathermy Wire
ARTERY FORCEP (HEMOSTAT)
• Based on Size:
Small/Mosquito Forcep
• Medium & Large
• Straight/Curved
• To catch bleeding points
• To Open the Facial Planes
• To pass ligature material
• To hold suture
• To drain an abscess
KOCHERS FORCEP
• Serrations at the distal
blade & Tooth at the tip
• To hold pedicle, Tough
Structure, Cut end of the
muscle
• To hold resected bowel
• To hold gauze for blunt
dissection
ALLI’S TISSUE HOLDING FORCEP
• Distal blade are not
opposing each other
• Tip has teeth which
opposes each other
• To hold skin flap
• To hold fascia,
apponeurosis, bladder wall
BABCOCK’S FORCEP
• Distal part of blades are
curved with triangular
fenestra
• Has lock in proximal part
• To hold any part of bowel,
Fallopian tube
• To hold Appendix, Ureter,
Cord
LANGENBECK’S RETRACTOR
• Long Handle with small
Blade at the end
• To retract skin in hernia
surgery
• To retract fascia, skin &
aponeurosis
CZERNY’S RETRACTOR (HERNIA RETRACTOR)
• One side thick & small
blade at one end &
biflanged hook on other
side
• To retract skin & Fascia
like Hernia Surgery
• Laparotomy especially
during closure of
Abdominal wall.
MORRIS RETRACTOR
• Single straight blade
• To retract abdominal wall
DEAVER’S RETRACTOR
• Retractor with broad,
gently curved blade
• Used retract Liver, Spleen
& Other abdominal viscera
• Atraumatic & give
adequate exposure of
surgical field
DOYEN’S RETRACTOR
• Sinle blade with curve
• Used in Pelvic surgery
PROCTOSCOPE
• Rectal Examination for
Hemorrhoids & Fissure,
Fistula
• Stellate & Hollow Spatula
with Holder
TOOTHED FORCEP
• Used to Hold Skin & Tough
structure
NON-TOOTHED FORCEP
• Used to Hold Skin & Tough
structure
NEEDLE HOLDER
• Smaller distla blades with
serrations with grrove
• Straight or curved
• Holding Needle while
stitching
• Junction Proximal 2/3rd &
Distal 1/3rd.
DESJARDIN’S FORCEP
• Long distal blade with
smooth serrations &
fenestra at the tip
• No lock
• Used in
Choledocholithotomy
procedure (Removal of
CBD stone)
RIGHT ANGLE FORCEP
• Used to dissect pedicle
• To pass ligature
• Used in Open
Cholecystectomy & Open
Appendisectomy
Procedure
STRAIGHT SCISSOR
• Straight long with both the
edges are sharp
• To cut Suture Material
• To cut Skin Tissue tendon
& Soft tissue
CURVED SCISSOR
• Curved long with both the
edges are sharp
• To cut Suture Material
• To cut Skin Tissue tendon
& Soft tissue
STITCH CUTTING SCISSOR
• No Lock
• With Curved Sharp edges
• Used to cut the Stitch
RYLES TUBE
• Green or Orange Plastic
Tube easily pass through
Nasal cavity Oesophagus
Stomach
• Has Marking like 40, 50 60
cm
• Has radiopaque line for
demarcation Lead shots
• Used for feeding in
cpomatose
• Prevent Aspiration.
FOLEYS CATHETER
• Double lumen Rubber tube
• French indicate outer
diameter of Catheter
• Has Bulb
• Two way at one end for
Ballon inflation & One for
Urinary drainage
CORRUGATOR RUBBER DRAIN
• Rubber drain used in
Hydrocele Surgery
• Open Type of Drain
INFANT FEEDING TUBE
• With marking but No lead
shots
• Used for feeding purpose
in infants with
fasciomaxillary injury
KEHR’S T TUBE
• Made by Latex or red
rubber
• Placed in CBD for
Drainage of Bile
• Has Radio-opaque line
• Used in CBD Exploration
Surgery
ROMOVAC SUCTION DRAIN
• Closed Suction tube
drainage system
• Has Mechanically suction
has been created by suction
corrugation
• Has sharp metallic
introducer to puncture the
skin
• Used in Abdominal Surgery
• Thyrodectomy, Mastectomy
UNIPOLAR CAUTERY
• Resmeble a Pen
• Used for cutting &
coagulating tissue
• Yellow Cutting & Blue
Coagulation
• No Need of Cautery Pad
• Cant be used in patinets
with cardiac pacemakers
BIPOLAR CAUTERY
• Resemble like a prong
• Two Arms
• Only Coagulation
• No need of cautery pad
• Safe to close vitals
structure & end arteries in
patient with pace makers
SURGICAL BLADE
• No 11- Pointed used for
Incison & Drainage
• No 12 for Suture Removal
• No 15 for Small Incion
Surgeries
• No 20 to 24 used in Large
Incision Surgeries (Stab
Incision)
BP Handle (Bard Parker)
• Scalpel (With Blade)
• Blade Holder
• Blade is being Loaded at
one End
• Has grip for holding
• Always be kept in Kidney
Tray
SUTURE MATERIAL
DIATHERMY MACHINE PLATE FOOT SWITCH
DIATHERMY MACHINE PLATE FOOT SWITCH
• Diathermy act as Energy
Source
• Plate act as Positive
Electrode kept below skin
• Paddle has Two Keys
• Blue & Yellow to coagulate
& Cut
Ileostomy Bag
I/V CANNULA
• Wider the Bore Longer the
Lenth
• Colour Coding
• As bore increses flow of
the fluid increases
• Volume of fluid to be
transfuse ml/hour
Colostomy Bag
• Used in Exploratory
Laparotomy with Bowel
stoma
Thank you!
Hope you Remeber this....!
