66 terms

Surgical Supplies

A list of surgical supplies found in Kinn's The Medical Assistant Ninth Edition. Includes functions/characteristics.
Bandage scissors
Probe tip is blunt
Easily inserted under bandages with relative safety
Used to remove bandages and dressings
Metzenbaum ("Metz") scissors
Most frequently used length is 5 and 1/4 inches
Used to cut and dissect tissue
Mayo scissors
Have curved or straight blade tips
used to cut and dissect fascia and muscle
Can be used as suture scissors
Iris scissors
Usual length is 4 inches
Have curved or straight blade tips
Straight tips usually used for suture removal
Littauer Stitch or Suture Scissors
Blade has beak or hook to slide under sutures
Used to remove sutures
Scalpel Handle
No. 3 is the standard handle
No. 3L and No. 7 are used in deeper cavities
Scalpel Blades
No. 15 is commonly used and fits Nos. 3 and 7 handles.
Nos. 10, 11, and 12 are used for specialty incisions and fit Nos. 3 and 7 handles
Hemostat Forceps
Jaws may be fully or partially serrated, without teeth
May be curved or straight
Used to clamp small vessels or hold tissue
Mosquito forceps (4 inches) are smaller and used for very small vessels
Crile forceps (5 inches) are medium sized
Kelly forceps (6 to 7 inches) are larger
Needle Holders
Jaws are shorter and stronger than hemostat jaws
Jaws may be serrated or may have a groove in the center
Are 4 to 7 inches in size
Used to grasp a suture needle firmly
Splinter Forceps
Design and construction vary
Fine tip for foreign object retrieval
Smooth Adson Forceps
Same use as the Adson thumb forceps
Plain Thumb (Dressing) Forceps
Manufactured in lengths from 4 to 12 inches
Have varying types of serrated jaws but no teeth
Used to insert packing into or remove objects from deep cavities
Towel Forceps (Towel Clamp)
May have sharp or atraumatic tips
Are various lengths from 3 to 6 and 1/2 inches
Used to hold drapes in place during surgery
Allis Tissue Forceps
Available in different lengths and jaw widths
Used to grasp tissue, muscle, or skin surrounding a wound
Foerster Sponge Forceps
Used to hold gauze squares to sponge the surgical site.
Transfer Forceps
Many sizes and lengths are available
Sterile transfer forceps may be used to arrange items on sterile tray
Adson Thumb Forceps
Usually in 4-inch lengths
Manufactured with or without teeth
Used to grasp tissue and in suturing
Bayonet Forceps
Manufactured in different lengths
Smooth tipped
Used to insert packing into or remove objects from nose and ear
Plain-Tip Tissue Forceps
Manufactured in different lengths
Pincher grip
Used to grasp tissue, muscle, or skin surrounding a wound
Toothed Tissue Forceps
Manufactured in 4- to 18-inch lengths
Pincher grip
Used to grasp tissue, muscle, or skin surrounding a wound
Army-Navy Retractor
Used to retract small incisions
Four-Prong Rake Retractor
Pronged end may be sharp or dull
Manufacture in different lengths
Senn Retractor and Skin Hook
Used to retract small incisions or to secure a skin edge or suturing
Flat end is a blunt retractor
Three-prong end may be sharp or dull
Weitlaner Retractor
Used to retract incisions
Available with sharp or blunt teeth
Available in different lengths
Crile Malleable (Ribbon) Retractor
Used to hold back margins of large wounds and connective tissue or organs from the surgeon's viewing field
Length ranges from 4 to 12 inches; available with or without bulbous tip
May be smooth or have a grooved director
Used to find foreign bodies embedded in dermal tissue or muscle or to trace a wound tract
Trocars and Obturators
Consist of a sharply pointed stylus (obturator) contained in a cannula (outer tube)
Available in various sizes
Used to withdraw fluids from cavities or for draining and irrigating with a catheter
Most common dilator used
Valves are spread apart, dilating the opening
Used to open or distend a body orifice or cavity
Nasal Specula
Valves can be spread to facilitate viewing
An applicator or snare can be introduced through the valves
Used to spread the nostrils for examination
Foerster Sponge Forceps
Used in the same way as the dressing forceps
Tips are round and serrated
Placenta Forceps
Used to remove tissue from the uterus
Bozeman Uterine Dressings Forceps
Used to swab the area or apply medication
Designed to hold sponges or dressings
Capable of reaching the cervix through the vagina
Endocervical Curette
Smaller than the uterine curette
Used the same as the uterine curette
Sims Uterine Curette
Used to remove polyps, secretions, and bits of placental tissue
Manufactured in several sizes
Hollow and spoon shaped, used for scraping
Schroeder Uterine Vulsellum Forceps
Used to hold tissue (such as cervix) while obtaining a tissue specimen or to lift the cervix to view the fornix
Long Allis Forceps
Same as Allis forceps
Used in deeper body cavities
Schroeder Uterine Tenaculum Forceps
Used in the same way as the vulsellum forceps
Have very sharp, pointed tips
Hegar Uterine Dilators
Used to dilate the cervix for dilatation and curettage
Available in sets
Double or single ended
Sims Uterine Sounds
Used to check the patency of the cervical os or the urethral meatus
Krause Nasal Snare
Has a wire loop at the tip that can be tightened
Used to remove polyps from the nares
Metal Tongue Depressor
Used to depress the tongue for oral examinations
Hartmann "Alligator" Ear Forceps
Has a 3 and 1/2 inch shaft and is made in a variety of styles
Action of the jaw similar to that of an alligator's jaw
Used to remove foreign bodies or polyps
Laryngeal Mirror
Made in various sizes
May have a nonfogging surface
Used for examination of the larynx and postnasal area
Ivan Laryngeal Metal Applicator
Holds cotton in place with its roughened end. Used to swab or sponge throat or postnasal tissue
Six to 9 inches long with curved end for use in throat or postnasal areas
Used to remove foreign bodies imbedded in the pharynx
"Buck" Ear Curette
Made with sharp or blunt scraper ends
Manufactured in various sizes
Used to remove foreign matter from the ear canals
Sharp Ear Dissector
Used to remove debris from the ear canal
Cervical Biopsy Forceps
Available with or without teeth
Used to obtain cervical specimens for diagnostic examination
Rectal Biopsy Punch
Manufactured with interchangeable stems
Available in different lengths and styles
Used through a proctoscope or sigmoidoscope
Silverman Biopsy Needle
Manufactured with a split cannula
Stylus is removed, and cannula is inserted to retrieve specimen
Needle biopsy can eliminate the need for surgical incision
Catheter Guide
Metal guide
Used with extreme caution
Used by the physician when it is impossible to insert a catheter by normal means
Foley Catheter With Inflated Balloon
Manufactured in sizes 8 to 32 French with a double rubber lining toward the tip
After insertion, sterile solution injected into the inner lining (inflating the balloon) to hold it in the bladder
Used as an indwelling catheter
Red Robinson Catheter
Soft rubber urethral catheter in sizes 8 to 32 French (each French unit is equal to 1.3 mm)
The higher the number, the larger the lumen
Inserted temporarily into the bladder for drainage or to obtain a specimen
12-ml Luer-Lok Syringe
Used for injecting amounts greater than 5 ml
Used to internally view the anus, rectum, and sigmoid colon
Used with a fiberoptic light source; may use photography or video setup
Localized collection of pus that may be under the skin or deep within the body that causes tissue destruction.
Rigid tube that surrounds a blunt trocar or a sharp, pointed trocar inserted into the body; when withdrawn, fluid may escape from the body through the tube, depending on where it is inserted
Act of scraping a body cavity with a surgical instrument, such as a curette
Opening or widening the circumference of a body orifice with a dilating instrument
To cut or separate tissue with a cutting instrument or scissors.
Sheet or band of fibrous tissue located deep in the skin that covers muscles and body organs
Abnormal, tube-like passage between internal organs or from an internal organ to the body surface
Open space, such as within a blood vessel, the intestine, the inside of a needle, or an examining instrument
Metal rod with a smooth, rounded tip that is placed into hollow instruments to decrease injury to body tissues during insertion
Open condition of a body cavity or canal
Tumors with stems, frequently found on mucous membranes
Metal probe that is inserted into or passed through a catheter, needle, or tube used for clearing purposes or to facilitate passage into a body orifice