Surgical instruments
Blade handles:
NameLengthDescription
No 35”Narrow nose.10, 11, 12, 15
No 45½”Wide nose.20, 21 ,22
No 54½”Narrow nose10, 11, 12, 15


Scissors:
NameDescriptionUsage
DressingOne sharp blade, the other blunt. 5½” Cutting sutures etc
ListerRounded point to fit between skin and bandage Dressings, bandages
MayoHeavy curved or straight blades: 5½” and 6¾” Blunt dissection
MetzenbaumLight and slender; various lengthsDissection


Dissecting forceps:
NameDescriptionUsage
AdsonsLightweight; broad thumb grip. Grasping delicate tissues, such as nerves.
Non-toothedVarious weights and lengths. Extension of surgeon's fingers; dilatation of blood vessels.
ToothedVarious combinations of small teeth at end of the jaws. Grasping heavier tissues.


Artery forceps:
NameDescriptionUsage
CrileStraight or curved; serrated jaws; 5½” and 6½”. Also straight Criles with 1 into 2 teeth distally. General purpose.
KellyStraight or curved; 5½”. Similar to Criles, but serrations only extend halfway down jaws. General purpose.
Kocher'sFully serrated jaws; strong ratchet; 1 into 2 teeth. For thicker and heavier tissues.
MosquitoStraight or curved, delicate, serrated jaws, fine points: 5”. For fine work, such as neurology and plastics.
Spencer WellsStraight or curved; stronger than Crile and Kelly, with shorter jaws.General purpose.


Tissue forceps:
NameDescriptionUsage
AllisInterlocking teeth. For holding delicate tissue.
BabcockJaws with fenestrated square tips. Grasping delicate tissue: appendix or anastomosis.


Hand held retractors:
NameDescriptionUsage
CzernyAngular ends, 1 bladed and 1 fenestrated. General purpose.
DeaversCurved handle and large curved blade. Retracting soft tissue, such as the liver.
HookSingle or double (fenestrated), sharp or blunt hooks. For small wound retraction eg, tracheostomy.
VolkmannClaw rake with 2, 4, or 6 prongs - blunt or sharp. To open wounds in shallow surface incisions.
Walton'sMalleable strip of 12” stainless steel. Deep retraction in pelvic cavity.


Self retaining retractors:
NameDescriptionUsage
Balfour2 blades on arms fixed to a cross-bar, and another blade attached to the centre of the cross-bar. Retraction in 3 planes in major abdominal surgery.
Weislander4 teeth on one jaw, interlocking with 3 teeth on the other jaw: 6½”. Retraction in shallow wounds.


Specula:
NameDescriptionUsage
AuralOval or round cone like shape, with large proximal opening, and smaller distal opening. Allows direct operation onto Tympanic membrane.
KillianScissor like hand grips - spring controlled. Blades allow gentle retration of nasal cartilage.
RectalHollow specula, with handle at right angles. A blunt obturator makes the opening, then removed, leaving the specula in place.
VaginalDuck-bull like concave blades, pivot distally. Retraction of vagina gives view of cervix.