MEDICAL STUDENTS' INSTRUMENT DEMONSTRATION, SURGICAL EXAMS FOR UNDERGRADUATE MEDICAL STUDENTS.

1. INSTRUMENT/DEVICES
Bashir Bn Yunus
Medical student tutorials

2. Parts of an instrument
• Finger bows
• Shaft
• Ratchet
• Joint
• Blades

3. Sponge holding forceps
(Rampley’s)
Used to clean operative field
To swab cavities
To hold gall bladder, cervix or stomach
during surgeries
Ques tions
1. How many times would you
clean
2. What agents
3. How would you clean

4. TOWEL CLIP
Use to fix drape in operative field
Use to fix suction tubes and diathemy
wire
Use to fix rib in flial chest

5. ARTERY FOCEPS
(HEMOSTAT)
Small(mosquito), medium or large
Straigth or curve
Has transverse serration
Has lock
Uses ;
To catch bleeding points
To open facial planes in different
surgeries
To pass and ligature
To crush base of appendix
To hold prepuce in circumcision
QUESTION
Classify hemorrhage
What are the steps to secure
hemostasis

6. Artery forceps

7. KOCHERS FORCEPS
It has apposing tooth in the tip
It use for holding tough tissues

8. ALLIS Forceps
The tip got teeth on each blade
apposing
The blades don’t appose
For holding flap of skin, facial, fibrous
tissue aponeurosis and other tough
tissues

9. Babcock’s forcep
Blades have triangular fenestrations
which allow tissues to bulge out.
Tip is non-traumatic
Use to hold bowel, appendex, urinary
bladder, ureter, lymph node

10. DISSECTING FORCEPS
Non- toothed is for holding soft
friable tissue like peritoneum ,
bowels, nerves and vessels
Toothed is for holding tough structures
like fascia or aponeurosis
They are use to steady needle during
suturing.

11. Identify the instrument

12. IDENTIFY

13. IDENTIFY

14. NEEDLE HOLDER

15. BARD PARKER HANDLE
(scapel handle)

16. SURGICAL BLADE

18. SCISSORS
Surgeon’s scissors
• Mayo’s dissecting scissors

20. Identify

22. RETRACTORS
Plain
Self- retaining
Use
To retract cut edges of tissues
To hold important structure s
To avoid inadvertent injury to tissue

23. LANGENBER RETRACTOR

24. MORRIS RETRACTOR

25. DEAVER’S RETRACTOR
Atraumatic for liver, spleen and other
abd visera

26. DOYENS RETRACTOR
Pelvic surgeries

27. BALFOUR’S

28. JOLL’S RETRACTOR
For thyroid and parathyroid surgeries

29. MILLIN’S RETRACTOR
Bladder retraction
Open prostatectomy

30. MASTOID RETRACTOR
Mastoid surgery, scalp surgery,
laminectomy. It is hemostatic

31. SUTURE
Define
Classify
Properties

32. URETHRAL SOUND
(bougie urethral dilator )
Urethral dilatation- partial stricture
Locate site of stricture
Complications;
Trauma
Infection
False passage

33. DRAIN
Define and classify drains
Properties of ideal drain
When do you remove a drain
Corrugated rubber drain (below)
Redivac drain (right)

34. TRACHEOSTOMY TUBE

35. ENDOTRACHEAL TUBE

36. OROPHARYNGEAL TUBE

37. URETHRAL CATHETER
Types
Indications
Complications

38. IV CANNULA

39. PROCTOSCOPE
INDICATION;
• Diagnostic
• Hemorrhoides, fissure in ano,
polyps, stricture, fistula in ano,
for biopsy of tumour.
• Therapeutic
• Injection therapy,cryotherapy,
polypectomy
• Types ; illuminating or non-
illuminating
• Parts ;proctoscope (outer sheet )
and obturator(inner part)

40. OSTEOTOME

41. MALLECT

42. FACE MASK

43. AMBU BAG

44. DIATHEMY

45. CHEST TUBE

46. SUCTION TIP
YANKAUER’S

47. SUCTION TIP
POOLE’S

48. QUESTIONS?