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Forceps (plural forceps or considered a plural noun without a singular, often a pair of forceps; the Latin plural ''forcipes'' is no longer recorded in most dictionaries) are a handheld, hinged instrument used for grasping and holding objects. Forceps are used when fingers are too large to grasp small objects or when many objects needed to be held at one time while the hands are used to perform a task. The term "forceps" is used almost exclusively in the fields of biology and medicine. Outside biology and medicine, people usually refer to forceps as tweezers, tongs, pliers, clips or clamps. Mechanically, forceps employ the principle of the lever to grasp and apply pressure. Depending on their function, basic surgical forceps can be categorized into the following groups: # Non-disposable forceps. They should withstand various kinds of physical and chemical effects of body fluids, secretions, cleaning agents, and sterilization methods. # Disposable forceps. They are usually made of lower-quality materials or plastics which are disposed after use. Surgical forceps are commonly made of high-grade
carbon steel Carbon steel is a steel with carbon content from about 0.05 up to 2.1 percent by weight. The definition of carbon steel from the American Iron and Steel Institute (AISI) states: * no minimum content is specified or required for chromium, cobalt ...
, which ensures they can withstand repeated sterilization in high-temperature autoclaves. Some are made of other high-quality
stainless steel Stainless steel is an alloy of iron that is resistant to rusting and corrosion. It contains at least 11% chromium and may contain elements such as carbon, other nonmetals and metals to obtain other desired properties. Stainless steel's corros ...
,
chromium Chromium is a chemical element with the symbol Cr and atomic number 24. It is the first element in group 6. It is a steely-grey, lustrous, hard, and brittle transition metal. Chromium metal is valued for its high corrosion resistance and hardne ...
and
vanadium Vanadium is a chemical element with the symbol V and atomic number 23. It is a hard, silvery-grey, malleable transition metal. The elemental metal is rarely found in nature, but once isolated artificially, the formation of an oxide layer ( pas ...
alloys to ensure durability of edges and freedom from rust. Lower-quality steel is used in forceps made for other uses. Some disposable forceps are made of plastic. The invention of surgical forceps is attributed to Stephen Hales.Scientific American inventions and discoveries By Rodney P. Carlisle. There are two basic types of forceps: non-locking (often called "thumb forceps" or "pick-ups") and locking, though these two types come in dozens of specialized forms for various uses. Non-locking forceps also come in two basic forms: hinged at one end, away from the grasping end (colloquially such forceps are called tweezers) and hinged in the middle, rather like
scissors Scissors are hand-operated shearing tools. A pair of scissors consists of a pair of metal blades pivoted so that the sharpened edges slide against each other when the handles (bows) opposite to the pivot are closed. Scissors are used for cutti ...
. Locking forceps are almost always hinged in the middle, though some forms place the hinge very close to the grasping end. Locking forceps use various means to lock the grasping surfaces in a closed position to facilitate manipulation or to independently clamp, grasp or hold an object.


Thumb forceps

Thumb forceps, known simply as ''forceps'' in
surgical specialties Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
, are commonly held in a pen grip between the
thumb The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position (where the palm is facing to the front), the thumb is the outermost digit. The Medical Latin English noun for thumb ...
and index finger (sometimes also the middle finger), with the top end resting on the first dorsal interosseous muscle at the webspace between the thumb and index finger. Spring tension at the top end holds the grasping ends apart until pressure is applied. This provides an extended pinch and allows the user to easily grasp, manipulate and quickly release small objects or delicate tissue with readily variable pressure. Thumb forceps are used to hold tissue still when applying sutures, to gently move tissues out of the way during exploratory surgery and to access confined cavities that are hard to reach with hands and fingers. Thumb forceps can have smooth tips, cross-hatched tips or serrated tips (often called "mouse's teeth"). Common arrangements of teeth are 1×2 (two teeth on one side meshing with a single tooth on the other), 7×7 and 9×9. Serrated forceps are used on tissue; counter-intuitively, teeth will damage tissue less than a smooth surface because one can grasp with less overall pressure. Smooth or cross-hatched forceps are used to move dressings, remove sutures and similar tasks.


Locking forceps

Locking forceps, sometimes called ''clamps'', are used to grasp and firmly hold objects or body tissues, or to apply external compression onto tubular structures such as blood vessels or guts. When they are specifically used to occlude an artery to forestall bleeding, they are called
hemostat A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initia ...
s. Another form of locking forceps is the needle holder, used to guide a
suturing needle A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread ...
through tissue. Many locking forceps use finger rings/loops to facilitate handling (see illustration, below, of Kelly forceps). The finger loops are usually grasped by the thumb and middle or ring fingers, while the index finger helps stabilize and guide the instrument. The most common locking mechanism is a handle
ratchet Ratchet may refer to: Devices * Ratchet (device), a mechanical device that allows movement in only one direction * Ratchet, metonomic name for a socket wrench incorporating a ratcheting device * Ratchet (instrument), a music instrument and a ...
, which consists of an asymmetrically serrated short protrusion near the finger loop of one of the handles, and a corresponding hook on the other. As the forceps are closed, the opposing teeth engage and interlock, keeping the handles adducted and the jaw surfaces clamped constantly. To unlock, a simple shearing push by the fingers is all that is needed to disengage the teeth and allow the grasping ends to move apart.


Kelly forceps

Kelly forceps are a type of
hemostat A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initia ...
usually made of stainless steel. They resemble a pair of scissors with the blade replaced by a blunted grip. They also feature a locking mechanism to allow them to act as clamps. Kelly forceps may be floor-grade (regular use) and as such not used for
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
. They may also be sterilized and used in operations, in both human and veterinary medicine. They may be either curved or straight. In surgery, they may be used for occluding blood vessels, manipulating tissues, or for assorted other purposes. They are named for Howard Atwood Kelly, M.D., first professor of obstetrics and gynecology at the Johns Hopkins School of Medicine. The "mosquito" variant of the tool is more delicate and has smaller, finer tips. Other varieties with similar, if more specialized, uses are Allis clamps, Babcocks, Kochers, Carmalts, and tonsils; all but the last bear the names of the surgeons who designed them.


Other medical forceps

Other types of forceps include: * Alligator forceps *Anesthesia forceps, often with smooth jaw surface for clamping tubes such as a
double-lumen tube Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently ...
*Artery forceps, also known as a
hemostat A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initia ...
*Atraumatic forceps, Debaker forceps *Biopsy forceps *Bone-cutting forceps *Bone-reduction forceps *Bone-holding forceps *
Bulldog forceps A bulldog forceps, clamp or serrefine is a type of forceps which is used in surgery. It has serrated jaws and a spring action so that it will grip and hold sutures, tissues or vessels. The spring may be weak or the jaws sheathed in a soft mate ...
*Catheter forceps *Cilia forceps *Curettes forceps *Debaker forceps *Dermal forceps & nippers *Dressing forceps *Ear forceps *Eye forceps *Gallbladder forceps *Gerald forceps *Harvey forceps * Hemostatic forceps *Hysterectomy forceps *Intestinal forceps *
Magill forceps Magill forceps are angled forceps used to guide a tracheal tube into the larynx or a nasogastric tube into the esophagus under direct vision.Needle holder * Obstetrical forceps *Postmortem forceps *Splinter forceps *Sponge forceps *Spreading forceps *Sterilizer forceps *Suture sundries forceps * Tenaculum forceps *Thoracic forceps *Thoracic surgical forceps *Thumb forceps' *Tissue forceps *Tongue forceps *Tooth extracting forceps *Tubing forceps *Uterine forceps *Vulsellum forceps - used to grasp cervical lips to visualize the cervix.


References

{{Surgical instruments Medical clamps