Hippiatrika: Surgical instruments
Jaws, Joint, Shank, Rathet, Jaw Insert, Ring
Label the anatomy of the articulating surgical instrument?
Crushing Tissue Forceps:
Babcock tissue forceps, Allis tissue forceps
Non-Crushing Tissue Forceps:
Doyen intestinal forceps
Hemostatic Forceps:
Rochester Carmalt forceps (straight and curved), Kelly
hemostatic forceps (straight and curved), Halsted mosquito
forceps (straight and curved)
What are the different types of tissue forceps?
• Tissue should never be clamped within a non-serrated portion
of the jaws
• When using CURVED forceps, tips should always point out of
the body cavity or away from the patient (TIPS UP)
• Tissue forceps should not be used as a substitute for a tissue
retractor
,Rules of tissue forceps placement?
Allis Tissue Forceps;
Intermeshing teeth at tip are used to grasp tissue
Should only be used on tissues to be discarded (no
histopathology) due to crushing effect of tips
Frequently used for positioning of suction tubing and
electrocautery wire on patient drape
What forceps are these?
Babcock Tissue Forceps;
Smooth flat tips are used to grasp tissue
Tips can crush but are less traumatic than Allis tissue forceps
Used for helping to grasp and retract robust soft tissues
(stomach, bladder)
What forceps are these?
Straight Doyen Intestinal Tissue Forceps;
Thin, slightly bowed jaws
Fine, longitudinally oriented grooves
, Used for intestinal lumen occlusion (enterotomies, resection and
anastomosis)
What forceps?
Straight Rochester-Carmalt Hemostatic Forceps;
Designed for jaw clamping (vs. tip clamping)
Used for clamping pedicles/tissue
Longitudinally oriented serrations with cross-hatched tips
Jaws can be straight or curved
What forceps?
Straight and Curved Kelly Hemostatic Forceps
Transversely oriented serrations- Serrations do not extend the
entire length of the jaw (unlike with Mosquito or Crile
hemostatic forceps)
Designed for tip clamping of small to medium vessels
Smaller than Rochester-Carmalt, bigger than Halstead-Mosquito
What forceps?
Jaws, Joint, Shank, Rathet, Jaw Insert, Ring
Label the anatomy of the articulating surgical instrument?
Crushing Tissue Forceps:
Babcock tissue forceps, Allis tissue forceps
Non-Crushing Tissue Forceps:
Doyen intestinal forceps
Hemostatic Forceps:
Rochester Carmalt forceps (straight and curved), Kelly
hemostatic forceps (straight and curved), Halsted mosquito
forceps (straight and curved)
What are the different types of tissue forceps?
• Tissue should never be clamped within a non-serrated portion
of the jaws
• When using CURVED forceps, tips should always point out of
the body cavity or away from the patient (TIPS UP)
• Tissue forceps should not be used as a substitute for a tissue
retractor
,Rules of tissue forceps placement?
Allis Tissue Forceps;
Intermeshing teeth at tip are used to grasp tissue
Should only be used on tissues to be discarded (no
histopathology) due to crushing effect of tips
Frequently used for positioning of suction tubing and
electrocautery wire on patient drape
What forceps are these?
Babcock Tissue Forceps;
Smooth flat tips are used to grasp tissue
Tips can crush but are less traumatic than Allis tissue forceps
Used for helping to grasp and retract robust soft tissues
(stomach, bladder)
What forceps are these?
Straight Doyen Intestinal Tissue Forceps;
Thin, slightly bowed jaws
Fine, longitudinally oriented grooves
, Used for intestinal lumen occlusion (enterotomies, resection and
anastomosis)
What forceps?
Straight Rochester-Carmalt Hemostatic Forceps;
Designed for jaw clamping (vs. tip clamping)
Used for clamping pedicles/tissue
Longitudinally oriented serrations with cross-hatched tips
Jaws can be straight or curved
What forceps?
Straight and Curved Kelly Hemostatic Forceps
Transversely oriented serrations- Serrations do not extend the
entire length of the jaw (unlike with Mosquito or Crile
hemostatic forceps)
Designed for tip clamping of small to medium vessels
Smaller than Rochester-Carmalt, bigger than Halstead-Mosquito
What forceps?
