Hospital Solutions

Richards Medical source the highest quality medical and surgical instruments from respected suppliers and manufacturers world wide.

Surgical instruments are designed to perform the functions of holding, clamping, retracting, cutting, suturing and dissecting. There are even different types of surgical instruments specific to different surgeries. Most of the surgical instruments that are available from Richards Medical, are made of stainless steel or other metals that are easily cleaned, sterilised and maintained.

As surgical technology continues to advance, so does the type and complexity of surgical instrumentation. Surgical instruments are a major investment in the hospital setting and require special care and handling to maintain proper function and longevity. This is dependent solely on how an instrument is used and cared for.

 
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The operating room staff, as well as the CSSD technicians are required to use, assemble, and recognise thousands of different types of surgical instruments and devices.

Richards Medical are able to supply and source a very broad range of these medical and surgical instruments from our many manufacturers worldwide.

Please contact us at Richards Medical for more information on any of the surgical instruments range that we have available.


Instrument Manufacturers

Liberty Surgical Instruments

Liberty surgical instruments are made from the finest French and Japanese stainless steel using German machinery and technology. This gives Liberty the finish that professional people are looking for with the added benefit of low cost.

Liberty Instruments are made in Pakistan to German specifications, giving you a quality instrument at a lower price.

All Liberty products are unconditionally guaranteed against manufacturing defects. Over 50 years of experience by our manufacturer makes Liberty a quality brand.

LAWTON

If performance counts, look no further than Lawton Instruments, with a global reputation for great quality, Lawton now introduce a range of Duracut Ceramic Scissors. Combined with a wonderful sense of touch; achieved by design & fine engineering, Ceramic scissors cut costs by increasing the lifetime of the instrument and reducing repair downtime. Ask about Lawton’s complete catalogue for all specialties.

 

 

Nopa Instruments

It is Nopa's aim to always be a competent and reliable partner for their associates both at home and abroad.

For decades they have been concentrating on surgical instruments and a complete range for human medicine. Nopa believes they have a sense of duty, not only towards tradition, but also to technical progress and a watchful eye is kept on future developments with new operating techniques and the need for updating surgical instruments.

Chifa Surgical Instruments

Chifa is a manufacturer of over 3,000 models of surgical instruments meeting the world quality parameters, dedicated for use in general surgery, bone surgery, microsurgery, dentistry and veterinary.

The highest quality is guaranteeed thanks to over 50-years experience in the production of surgical instruments. New production technologies and careful quality control match the standards of both ISO 9001 and EN 46001 with the CE mark placed on each product it manufactures.


Richards Medical Instrument Care

All Instruments should be cleaned properly before first use to avoid loss of warranty. A new instrument must undergo a full cleaning process prior to use to remove any potential debris from the manufacturing process.

  • A new instrument is the most vulnerable to poor conditions, as its passivity layer is at its thinnest; this layer builds up with exposure to water and air with repeat usage. If problems are identified with a new instrument – investigate and improve circumstances that your instruments are exposed to; it may not be a manufacturing issue.
  • Clean instruments are achieved through a combination of chemical (detergents) and mechanical (scrubbing or machine washing) means, both are required to achieve a clean instrument.
  • Please note that instruments should never be left to soak in any fluids.
  • Whenever possible - do not expose instruments to salts, iodine, harsh acid or alkaline solutions or other chemicals.
  • All new instruments must be ultrasonic cleaned before normal cleaning. Ultrasonic cleaners assist in microscopic cleaning of instruments – their use does not replace the normal cleaning process. Any item placed in an Ultrasonic is considered contaminated (water is dirty) and must undergo a full cleaning process following.
  • Use appropriate chemicals (active non-protein-fixing cleaners) for cleaning instruments; ensure they are measured in dilutions according to manufacturer’s instructions
  • Ultrasonic cleaners remove all lubricants from the instruments – any instruments with moving parts must be lubricated with appropriate instrument lubrication following, to reduce damage to the instruments.
 

 

  • Do not use metal brushes on surgical instruments as they will scratch the surface, use plastic or natural bristled brushes. Need both external and channel brushes to make sure all aspects of the instruments are clean.
  • Final rinsing of instruments should be done with demineralised and softened water, this reduces problems from salts and minerals during the sterilisation process.
  • Instruments must be dry prior to wrapping / packaging / sterisation. Compressed air drying is recommended. Non-linting cloths would be a secondary option.
  • Instruments must be taken apart whenever possible to maximise cleaning. Place all movable joint instruments in an open position to allow sterilisation of cutting surfaces such as clippers etc and to prevent stress cracking of the joints
  • Please note – you can not sterilise an instrument that is not CLEAN and DRY.

 

More Help On Instrument Care

Download the 'Did You Know' about Instrument Maintenance here. Following is the 'red book of instrument care called 'Proper Maintenance of Instruments v10-2012'

 

 


Something about surgical instruments

There are many different types of surgical instruments including scissors, forceps, tweezers, micro scissors, needle holders, hemostats, retractors, punches and bone cutters to name a few.

Definition

Surgical instruments are tools or devices that perform such functions as holding, clamping, retracting, cutting, suturing and dissecting. Most surgical instruments are made from stainless steel. Other metals, such as titanium and, chromium are also used.

Purpose

Surgical instruments facilitate a variety of procedures and operations. Specialised surgical packs contain the most common instruments needed for particular surgeries.

Around the world, surgical instruments are used in all hospitals, outpatient facilities and most professional medical and surgical offices. Instrument users include surgeons, dentists, physicians and many other health care providers. Millions of new and replacement instruments are sold each year.

Categories of Surgical Instruments

Basic categories of surgical instruments include specialised implements for the following functions:

  • cutting, grinding, and dissecting
  • clamping
  • grasping and holding
  • probing
  • dilating or enlarging
  • retracting
  • suctioning

 

Hand Held Surgical Instruments

  • Scissors are an example of cutting instruments. Scissors must be sharp and smooth, and must cut easily. Their edges must be inspected for chips, nicks or dents.
  • Dissecting instruments are used to cut or separate tissue. Dissectors may be sharp or blunt. One example of a sharp dissector is a scalpel. Examples of blunt dissectors include the back of a knife handle, curettes and elevators.
 
  • Clamps, tenacula and forceps are grasping and holding instruments.
  • Probing instruments are used to enter natural openings, such as the common bile duct, or fistulas.
  • Dilating instruments expand the size of an opening, such as the urethra or cervical os.
  • Retractors assist in the visualisation of the operative field while preventing trauma to other tissues.
  • Suction devices remove blood and other fluids from a surgical or dental operative field.

The misuse of surgical instruments frequently causes alignment problems. Instruments should always be inspected before, during, and after surgical procedures. Inspection is an ongoing process that must be carried out by all members of the surgical team.

After a procedure, staff members responsible for cleaning and disinfecting the instruments should also inspect them. The instruments should be inspected again after cleaning and during packaging. Any instrument that is not in good working order should be sent for repair. Depending on use, surgical instruments can last for up to 10 years given proper care.

Preparation of Instruments

Instruction in the use and care of surgical instruments may range from the medical training required by physicians and dentists to on-the-job training for orderlies and aides.

Surgical instruments are prepared for use according to strict institutional and professional protocols. Instruments are maintained and sterilised prior to use.

Instruments must be promptly rinsed and thoroughly cleaned and sterilised after a procedure. Ultrasonic cleaning and automatic washing often follow the manual cleaning of instruments. Instruments may also be placed in an autoclave after manual cleaning. The manufacturer's instructions must be followed for each type of machine. Staff members responsible for cleaning instruments should wear protective gloves, waterproof aprons, and face shields to protect themselves and maintain instrument sterility.

 

References: Encyclopedia of Surgery: Surgical Instruments