Basic Surgical Instruments

An introduction to the most common surgical instruments.

[bsk]

0:41 Bovie/Electro surgical unit:

Provides jolt of electricity to tissue. Electricity vaporises tissue and cause heat to cut tissue. Or causes to coagulates. Heat causes protein to melt and coagulate which seals of blood vessels. Electrodes or tip

2:44 Harmonic scalpel :

Electricity is used to create very high frequency ultrasonic vibration. Cuts or coagulates tissue. Vibration - Friction - Heat - Cut or Coagulates

3:33 Clamp : Mosquito/Hallstead clamp (curved - tissue / straight - dressing or suture) Small hemostat

4:29 Crile (curved / straight) Hemostat. Bigger than mosquito. Serration goes all the way down to the box lock

5:08 Kelly clamp : Bigger than crile clamp. Serration only goes halfway down to the box lock

5:37 Pean clamp : Bigger than Kelly. Serration goes all the way down to the box lock

6:09 Rochester pean clamp : Larger version of pean

6:29 Schnidt : Very long handled crile. Used for tonsils. Has gentle curve

6:57 Mixter clamp : Sharper curve. Right angled clamp

7:08 Mayo scissors : (straight- suture, dressing/curved- tissue) Curved scissors helps the surgeon to see the thing we are cutting

8:23 Metzenbaum scissors : Delicate and curved. Cutting

8:31 Lister / Bandaid scissors : For cutting bandages

9:08 Wire cutter scissor : Cuts wire

9:40 Scalpel : cuts tissues 3, 3 long, 7, 4 (larger trio that needs larger blade)
Blade - 10, 20, 12, 11, 15
3-10, 4 - 20

12:05 Beaver blade and beaver handle : for plastic surgery

12:32 Forcep
(plain handle - straight handle / Adson handle - shorter and wider. Used for delicate areas)
Adson dressing forcep has plain tip. Has some serration
Adson tissue forcep has rat tooth used for picking up tissue
Adson brown forcep has series of teeth that grabs tougher tissue
Plain Dressing forcep has couple of serration
Plain tooth forcep has rat tooth

14:44 Debakey forcep Thin narrow forcep with long handle for clamping blood vessel

15:03 Singley forcep : Rounded tip with small serration. Atraumatic forcep

15:20 Ferris Smith (heavy duty adson) - for tough heavy tissue
Bonnie straight forcep

15:42 Russian forcep has a ring of teeth in it. Has a cup in it

16:03 Towel clamps
16:22 Backhaus - pointy tip. Sharp and curved. Penetrating
16:54 Roeder towel clamp - has balls in it
17:10 Non penetrating towel clamp - atraumatic

17:24 Grasping forcep
17:33 Foerster sponge stick Has rings on ends. Wraps around a sponge
18:04 Babcock and Aliss forcep - Babcock has curve and straight point. This is atraumatic
All is has teeth on it. Traumatic. Holds bone

19:23 Kocher Ochsner clamp -
Straight plus rat tooth
Rochester Kocher clamp - larger

20:14 Retractor - Retracts tissue or skin

Handheld retractors - hand is used to hold the wound open
20:44 Army navy retractor - Long tip plus short tip plus hold in the middle
21:05 Goelet retract - Curve on both ends
Parker retractor - curve on both ends. Simple. Looks like park bench
21:57 Sen retractor - Has claw on one end other end has a bend. Sharp claw and blunt claw (95%)
23:15 Joseph skin hook - sharp tip retractor. Fine sharp tip. Holds skin

23:45 Self retaining retractor Weitlaner

24:22 Malleable (ribbon) retractor. You can shape it to however you want

25:14 Frazier suction tip - Sucks up fluid
26:04 Yankhaur suction tip - plastic plus metal version. Has rounded tips
27:00 Poole suction tip. Has lots of holes. Used for abdomen

28:00 Needle holders hold suture needles
28:10 Crile wood needle holder - fine tip
28:17 Mayo Hegar needle holder - holds larger suture needle
28:30 Ryder needle holder - narrow tip
28:45 Webster needle holder - smallest. Holds small needles

[SudheeraWS]

3:39 Mosquito clamp
7:08 Mayo scissor
9:39 Scalpels
14:18 Tissue forcep, dressing forcep
16:07 Towel clamps
18:45 Allis
20:42 Army navy retractor
21:56 Senn retractor
23:47 Weitlaner retractor
27:57 Needle holders

[BadAthisOMG]

Am I 15? Yes. Do I have mountains of unfinished work I should be doing? Also Yes. But am I still gonna watch all 30 minutes of this? Absolutely.

[jrsommano]

Mr. Sowers, thank you for every single lecture you have posted for ST's. Today, with your help, on my 1st attempt, I passed my exam. I've graduated as a CST. Thank you so much! I couldn't have done it without your lectures and detailed illustrations. Thank you!

[Sporkyspork]

I'm a new CP tech, and got tossed into the deep end, just baskets and baskets of mystery surgical instruments with the item numbers worn away with time. This video has helped a ton, thank you.

[SpoileralertGMA]

This is great! Thank you for putting this out for everyone I love how you zoom in on the instruments so we can really see the differences!!

[jaylee]

For surgical instrument learning starts from here. The best lecture available on YouTube for beginners with mindful PowerPoint for the students. Thank you so much, sir.

[wholeNwon]

I recall having watched a great surgery professor who was astoundingly skillful. He employed his own instrument tech. She was so familiar with even very complex operations that he only held out his hand to have exactly the right instrument passed from one of the several open trays. He knew that talking at the table increases the risk of pt. infection, as does anything other than delicate tissue manipulation.

[Haneen-xrdp]

0:36 Bovie (Electrosurigcal unit)
2:40 Harmonic Scalpel

3:33 Halstead (Mosquito) Clamps, curved + straight
4:28 Crile Clamp, curved + straight *full serration*
5:07 Kelly Clamp *partial serration*
5:34 Pean Clamp
6:06 Rochester Pean clamp
6:26 (tonsil) Schnidt clamp
6:55 Mixter (Right Angle) Clamp

[notslackiin]

Thank you very much!! I was wishing to find something like this!!! so clear and calm and professionally explained and to the point- edited to the max! I have a “test “ at work tomorrow and this was the info I really needed!!!!

[vollyman]

Thank you very much for making this Instruments video. excellent just like the others. I have the exam on March 29

[GUAPOGANDA]

Hiii
So today I passed my NCCT exam here in California. Omg it was so hard.
Just wanted to say thank you for all the content you put out & actually taking the time to respond to questions and such it really helped a lot!

[glindabustamante]

You're an excellent teacher! Thank you so much!!! This is exactly what I needed!

[aiona_sy]

Your channel needs more recognition Sir! This will help me a lot!

[sherlcaj]

Oh my goodness! THIS VIDEO IS AMAZING! You were very detailed and explained it PERFECTLY! THANK YOU SO MUCH!

[sarahisaak]

This is THE most helpful video for memorizing these tools. Thank you for your time & expertise!

[Nicole]

I’m a new CVOR RN circulator. Your video has been SO extremely helpful.

[hubby_medical]

This is great for medical students too! great work Sir.

[melindaflowers]

starting school come April and wanted to start getting myself familiar with the instruments, thank you so much for taking the time to do this video as it was very helpful, I will be using this video throughout my time in school.

[abbydiaz]

Can you please do a laparoscopic set up and how to hand them ready for the surgeon?