Surgical Technology: Laparoscopic Instruments

Laparoscopic Scissors

Laparoscopic Scissors

  • Straight or Curved

Laparoscopic Metzenbaum Scissors

  • Straight or Curved

Hook Blade Scissors

  • Hooked Blades
  • One Blade Fixed, One Blade Articulates

Laparoscopic Scissors

Laparoscopic Metzenbaum

Hook Blade Scissors

Laparoscopic Dissectors

Plain Dissecting Forceps

  • Serrated
  • Straight
  • More Pointed Tip than the Blunt Grasping Forceps

Mixter (Right-Angle) Dissecting Forceps

  • Serrated
  • 90-Degree Angle

Maryland Forceps

  • Serrated
  • Laterally Curved

Bullet Nose Forceps

  • Serrated
  • Straight & Rounded, End Forms More of a Tip

Dolphin Nose Dissecting Forceps

  • Serrated
  • Straight & Rounded, End Forms a Tip Similar to a Bottle-Nosed Dolphin

Plain Dissecting Forceps

Right-Angle Forceps

Maryland Forceps

Bullet Nose Forceps

Dolphin Nose Forceps

Laparoscopic Graspers

Blunt Grasping Forceps

  • Serrated
  • Straight & Rounded

Laparoscopic DeBakey Forceps

  • Jaws Similar to a DeBakey Forceps
  • Two Sets of Parallel Serrations on One Jaw & One Line of Serrations in the Middle of the Other Jaw

Duckbill (Fundus) Grasping Forceps

  • Serrated
  • Straight & Flat

Blunt Graspers

Laparoscopic DeBakeys

Duckbill Forceps

Bowel Grasper

  • Long Jaws
  • Serrated & Fenestrated

Alligator/Crocodile (Croc) Forceps

  • Large Serrations
  • Straight & Rounded

Babcock Forceps

  • Curved Triangular Tips in Which the Bases Meet & Pinch Tissue
  • Jaws Similar to Babcock Forceps

Bowel Graspers

Alligator/Crocodile

Babcock Forceps

Allis Forceps

  • Multiple Interlocking Fine Teeth at the End
  • Jaws Similar to Allis Forceps

Claw Forceps

  • Not Serrated
  • Teeth at the Tip

Rat-Tooth Forceps

  • Serrated
  • Teeth at the Tip

Allis Forceps

Claw Forceps

Rat-Tooth Forceps

Tinaculum Forceps

  • Sharp Pointed Ends

Gallbladder-Grasping Forceps

  • Similar to a Babcock with 3-4 Serrated Rows at the Tip
  • Designed Specifically for Grabbing the Gallbladder

Appendix-Grasping Forceps

  • Cupped with Serrations
  • Fenestrated
  • Designed Specifically for Grabbing the Appendix

Tinaculum Forceps

Gallbladder-Graspers

Appendix-Graspers

Adjuncts & Handles

Fenestrated Graspers

  • “Window” Within the Jaws
  • Many Other Graspers are Available as Fenestrated
  • Enhance the Grip on Tissue by Decreasing Contact Area
  • Risk for Increased Tissue Damage – Higher Local Pressures

Ratcheting Lock

  • Ratcheting Mechanism Used to Lock Jaws

Slide Lock

  • Sliding Mechanism Used to Lock Jaws

Fenestrated Graspers

Ratcheting Lock

Slide Lock

Pistol-Grip (Shank) Handle

  • Grip Handle Using Arms that are Perpendicular to the Shaft Similar to a Pistol
  • Variation:
    • Ring-Handle – Back Arm Has a Ring for the Thumb
    • Shank-Handle – Back Arm is Straight & Rests in the Palm with No Ring

Axial (In-Line) Handle

  • Grip Handle Using Arms that Parallel the Shaft
  • Similar Overall Muscular Stress Compared to a Pistol-Grip Handle
  • Decreased Flexor Compartment Contraction, Compared to the Pistol-Grip, when Grasped at a Full 90 Degrees to the Surgeon

Pistol-Grip Handle

Axial Handles