8 instruments
Cutting & Dissecting 2Clamping & Occluding 2Grasping & Holding 2
Hysterectomy clamps and long instruments opened with the major laparotomy tray for abdominal hysterectomy and other open pelvic cases.
2 instruments
Retracting & Exposing 2
The tray for hemorrhoid, fistula, fissure and other anal cases done in jackknife or lithotomy: rectal specula and retractors, crypt hook and probes with a short general set.
25 instruments
Grasping & Holding 6Clamping & Occluding 6Cutting & Dissecting 5
The small general tray for superficial work such as biopsies, lesion excisions, hernia repair and other short soft-tissue cases. Short, fine instruments; no deep abdominal retractors.
8 instruments
Cutting & Dissecting 3Grasping & Holding 3Retracting & Exposing 1
The basic ophthalmic microsurgery tray: eye specula and lid retractors, fine toothed and tying forceps, Westcott and iris scissors and Castroviejo needle holders, opened for most eye cases with procedure trays added.
29 instruments
Cutting & Dissecting 11Retracting & Exposing 7Grasping & Holding 5
The general bone tray opened for most open orthopedic cases: soft-tissue instruments plus bone retractors, elevators, curettes, osteotomes, bone cutters, mallet and pliers. Implant sets and power are added for the specific case.
36 instruments
Cutting & Dissecting 13Retracting & Exposing 7Grasping & Holding 6
A fine-instrument soft-tissue tray for plastic, facial and other delicate superficial work: skin hooks, fine forceps and scissors, small hemostats and fine needle holders.
3 instruments
Cutting & Dissecting 1Clamping & Occluding 1Grasping & Holding 1
An add-on to the major tray for open gallbladder and common bile duct work: stone forceps, scoops, duct dilators and a gallbladder trocar.
2 instruments
Grasping & Holding 1Cutting & Dissecting 1
Added to the basic eye microscope tray for phacoemulsification cataract surgery and lens implant: capsulotomy forceps, iris and lens hooks, lens manipulators and holding forceps, hydrodissection cannula and the phaco handpieces.
19 instruments
Clamping & Occluding 6Cutting & Dissecting 5Grasping & Holding 4
The open abdominal tray for cesarean delivery: a general set with a bladder blade (DeLee), Richardson and Goelet retractors and bandage scissors; delivery forceps and cord supplies are kept with it.
30 instruments
Cutting & Dissecting 11Retracting & Exposing 8Grasping & Holding 6
The basic neurosurgical tray for opening the skull: scalp clamps or clips, brain retractors and spatulas, dural hooks and separators, rongeurs, Penfield dissectors, bipolar forceps and the instruments for burr holes and a bone flap.
8 instruments
Specialty 7Clamping & Occluding 1
Rigid cystoscopy set for looking into the urethra and bladder and passing catheters, biopsy forceps and electrodes; resectoscope and urethrotome are added for TUR and stricture work.
9 instruments
Grasping & Holding 6Specialty 2Cutting & Dissecting 1
The vaginal tray for dilating the cervix and scraping the uterine lining: speculum, tenaculum, sound, graduated dilators and curettes. Often also used as the base for other short vaginal procedures.
6 instruments
Clamping & Occluding 4Cutting & Dissecting 1Grasping & Holding 1
An add-on to the major tray for bowel and stomach resections: long clamps for deep work plus noncrushing intestinal clamps; staplers are usually disposable.
22 instruments
Retracting & Exposing 12Cutting & Dissecting 5Grasping & Holding 2
The posterior spine tray: deep self-retaining and nerve-root retractors, Kerrison and disc (pituitary) rongeurs, Cushing and bayonet forceps, elevators and curettes for laminectomy and discectomy.
7 instruments
Grasping & Holding 3Cutting & Dissecting 2Clamping & Occluding 1
The laparoscopic tray set up for gallbladder removal: trocars, scope, graspers and dissectors plus a clip applier, hook electrode and suction-irrigator.
14 instruments
Grasping & Holding 5Specialty 4Cutting & Dissecting 3
The basic laparoscopic set: access needle and trocars, telescope with light and camera, and 5/10-mm graspers, scissors, dissectors and suction-irrigation. A laparotomy tray stays in the room in case the case is converted.
12 instruments
Clamping & Occluding 5Grasping & Holding 4Cutting & Dissecting 2
An add-on of extra-long clamps, forceps, scissors and needle holders opened with the major tray for deep pelvic, abdominal or bariatric work.
42 instruments
Retracting & Exposing 11Grasping & Holding 11Clamping & Occluding 9
The main open-abdomen tray: everything needed to open, explore and close the abdomen, used as the base for most major general, gynecologic, urologic and vascular abdominal cases. Specialty add-on trays are opened with it.
6 instruments
Clamping & Occluding 4Cutting & Dissecting 1Grasping & Holding 1
Large vascular clamps opened with the major (and long) trays for aortic and other big-vessel surgery in the abdomen or chest: DeBakey, Satinsky, Glover and Cooley clamps with fine vascular forceps and Potts scissors.
7 instruments
Cutting & Dissecting 2Grasping & Holding 2Retracting & Exposing 1
A small tray for looking into the mediastinum through a neck incision and taking lymph node biopsies: mediastinoscope with light cord, biopsy (cup) forceps, aspirating needles and a few soft-tissue instruments.
35 instruments
Cutting & Dissecting 9Grasping & Holding 7Retracting & Exposing 6
A fine soft-tissue and small-bone tray for hand, wrist, foot and other small-bone cases: delicate forceps and scissors, small rongeurs and bone cutters, small osteotomes and tendon passers.
5 instruments
Grasping & Holding 2Cutting & Dissecting 1Specialty 1
A small ear tray for incising the eardrum and placing ventilation (PE) tubes under the microscope: aural specula, myringotomy knife, alligator forceps, fine suctions and ear curettes.
20 instruments
Cutting & Dissecting 9Retracting & Exposing 5Grasping & Holding 4
The nose tray for septoplasty, turbinate, polyp and other intranasal work: nasal specula, septal knives and elevators, bayonet and nasal cutting forceps, rasps, saws, chisels and osteotomes.
41 instruments
Clamping & Occluding 14Cutting & Dissecting 11Grasping & Holding 9
The basic cardiac tray for sternotomy and most open-heart operations (bypass, valves): sternal retractor and sternal tools, many fine hemostats, vascular clamps (Satinsky, DeBakey, Crawford), tubing clamps, bulldogs and vascular needle holders. Coronary and valve add-ons are opened as needed.
24 instruments
Clamping & Occluding 7Grasping & Holding 6Retracting & Exposing 5
The vascular tray for arteries and veins of the neck and limbs (carotid, femoral, bypass, embolectomy): fine forceps and Potts scissors, bulldog and DeBakey vascular clamps, Ryder and Castroviejo needle holders and small retractors.
4 instruments
Specialty 2Grasping & Holding 1Cutting & Dissecting 1
The plate-and-screw set for fixing fractures of small bones (forearm, ankle, clavicle and similar): one tray of instruments and one of plates and screws.
11 instruments
Cutting & Dissecting 6Clamping & Occluding 2Grasping & Holding 2
Chest-opening instruments added to the major (and long) tray: rib spreader, rib elevators and raspatories, rib shears and approximator, lung-grasping clamps and long dissecting instruments.
8 instruments
Retracting & Exposing 3Clamping & Occluding 3Grasping & Holding 2
Fine neck-dissection instruments for thyroid and parathyroid surgery: small retractors (Lahey, Green, Senn), fine hemostats and right angles, thyroid tenacula and fine forceps.
15 instruments
Cutting & Dissecting 6Retracting & Exposing 5Grasping & Holding 3
The tray for removing tonsils and adenoids through the mouth: mouth gags with tongue blades, tonsil clamps and seizing forceps, pillar dissector, tonsil snare and knife, adenoid curettes, punch and adenotomes.
14 instruments
Cutting & Dissecting 4Clamping & Occluding 3Retracting & Exposing 2
A short soft-tissue tray with tracheal hooks, a tracheal dilator and tracheostomy tubes for opening the trachea through the front of the neck.
17 instruments
Grasping & Holding 6Cutting & Dissecting 4Clamping & Occluding 4
The long, heavy vaginal set for vaginal hysterectomy and repairs: weighted speculum and vaginal retractors, Heaney hysterectomy clamps, tenacula and long needle holders.