CHAPTER
5
Suture Devices/Needle
Holders
Suture devices are surgical instruments used to hold and pass suture needles through tissue. They are also used
to close wounds.
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Clip Applier/Ligating
USE • To apply vessel ligating clips
VARIETIES • Small, medium, large, or extra large clips; curved or right-angled jaws; long or
short handles; handles sometimes color-coded to match ligating clip cartridges
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Suture Devices/Needle
Holders
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Clip Applier/Raney
USE • To apply a hemostatic clip (disposable) to scalp incision edges during craniotomy,
craniofacial surgery, or plastic surgery (e.g., brow lift)
VARIETIES • One size
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Suture Devices/Needle
Holders
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Needle Holder/Baumgartner
USE • To hold heavy plastic surgery needles
VARIETIES • One standard size (5 inches); recommended for suture sizes 2-0 and larger
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Suture Devices/Needle
Holders
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Needle Holder/Brown
USE • To apply sutures in superficial tissue (e.g., plastic surgery)
VARIETIES • 5 to 6 3 4 inches long
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Suture Devices/Needle
Holders
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Needle Holder/Heaney
USE • To hold suture needles during procedures in which an angled tip facilitates proper
needle placement (e.g., vaginal hysterectomy)
VARIETIES • Angled jaw; 8 14 inches long
5
Suture Devices/Needle
Holders
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Needle Holder/Mayo-Hegar
USE • To apply heavy sutures (e.g., during cardiothoracic surgery); also widely used in
general surgery
VARIETIES • 6 14 to 12 inches long; recommended for suture sizes 2-0 and larger
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Suture Devices/Needle
Holders
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Needle Holder/Microvascular
USE • To hold fine, microvascular needles
VARIETIES • With or without catch; straight or curved; serrated or smooth jaws; 5 3 4 to
7 inches long; used with fine sutures, sizes 8-0 through 11-0
ALSO KNOWN AS • Castroviejo needle holder
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Suture Devices/Needle
Holders
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Needle Holder/Sarot
USE • To hold fine, delicate needles (e.g., cardiovascular needles)
VARIETIES • 7 or 10 12 inches long; recommended for suture sizes 4-0 to 2
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Suture Devices/Needle
Holders
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Needle Holder/Vascular
USE • To hold fine, delicate needles (e.g., cardiovascular needles)
VARIETIES • Smooth jaw inserts; 6, 6 3 4 , or 8 inches long
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Suture Devices/Needle
Holders
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CHAPTER
6
Suction Tips
Suction tips are used to remove blood and other fluids from a surgical or operative field to provide better
visualization.
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Suction Tip/Abdominal
USE • To evacuate a fluid-filled cavity or to prevent accumulation of fluid (e.g.,
in the abdominal cavity)
VARIETIES • Long or short tip; stainless steel or disposable plastic
ALSO KNOWN AS • Ferguson abdominal suction tip
6
Suction Tips
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Suction Tip/Frazier
USE • To evacuate small quantities of accumulated fluid (e.g., during plastic or
peripheral vascular surgery)
VARIETIES • Angled or straight; short or long tip (for deeper suctioning); metal or
disposable; 6 to 16 French diameter
ALSO KNOWN AS • Ferguson-Frazier suction tip
6
Suction Tips
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