Surgical Instruments
A searchable reference to the instruments found on a functional-urology and genitourinary-reconstruction tray. Common instruments get short entries; the instruments that define reconstructive practice — Turner-Warwick Ryder, Heaney driver, Haygrove sound, Lone Star retractor, perineal Bookwalter, Ravini lighted speculum, Raz-Pereyra trocar, the gorget — get expanded pages with design rationale, history, and specific use cases.
63 of 63 instruments
| Instrument | Category | Named After | Key Use |
|---|---|---|---|
| Turner-Warwick Ryder | Needle Holders | Richard Turner-Warwick | Deep posterior urethroplasty; VUA reconstruction; elongated shank modification of Ryder |
| Ryder | Needle Holders | — | Fine-needle anastomotic work; precision reconstructive suturing |
| Heaney Needle Driver | Needle Holders | Noble Sproat Heaney | Deep pelvic suture placement; perineal urethroplasty; VVF repair; apical prolapse |
| Castroviejo | Needle Holders | Ramón Castroviejo | Microsurgical vasovasostomy, vasoepididymostomy; 8-0 to 10-0 suture |
| Olsen-Hegar | Needle Holders | — | Combined needle holder + scissors; solo-surgeon running closure |
| Adson | Tissue Forceps | Alfred Washington Adson | Skin and subcutaneous handling; fine-toothed closure forceps |
| DeBakey | Tissue Forceps | Michael DeBakey | Atraumatic handling of bladder, bowel, and deep pelvic tissue |
| Bonney | Tissue Forceps | Victor Bonney | Heavy toothed forceps; fascia, vaginal cuff, dense pelvic tissue |
| Russian | Tissue Forceps | — | Star-burst tip; thick mobile tissue (muscle, fascia) |
| Singley | Tissue Forceps | — | Atraumatic bowel and ureter handling; urinary diversion trays |
| Wangensteen | Tissue Forceps | Owen Wangensteen | Long fine-tipped; precision deep-pelvic dissection |
| Allis | Clamps | Oscar Huntington Allis | Toothed tissue clamp; skin, fascia, tissue-edge grasp |
| Babcock | Clamps | William Wayne Babcock | Atraumatic fenestrated clamp; bowel, ureter, hollow viscera |
| Kocher | Clamps | Emil Theodor Kocher | Heavy fully-toothed clamp; fascia, discarded tissue |
| Electrosurgical Pencil | Cautery & Bipolar | — | Standard monopolar handpiece; fascial incision, hemostasis |
| Colorado Tip | Cautery & Bipolar | — | Ultra-fine needle-tip monopolar; precise cutting, minimal lateral spread |
| Gerald Bipolar Forceps | Cautery & Bipolar | — | Fine-tipped bipolar; precision hemostasis in delicate fields |
| Malis Mirror-Finish Bipolar | Cautery & Bipolar | Leonard Malis | Polished bipolar; prevents tissue sticking and char buildup |
| Adson-Beckman Retractor | Retractors | — | Self-retaining wound retractor; scrotal, inguinal, superficial perineal |
| Lone Star Retractor System | Retractors | — | Disposable elastic-stay ring; urethroplasty, perineal, vaginal, hypospadias |
| Perineal Bookwalter (Jordan) | Retractors | Gerald H. Jordan | Ring retractor with perineal blades; posterior urethroplasty exposure |
| Heaney Retractor | Retractors | Noble Sproat Heaney | Right-angled vaginal retractor; anterior/posterior vaginal wall |
| Breisky Retractor | Retractors | August Breisky | Long narrow right-angled vaginal retractor; deep apical exposure |
| Weighted Speculum | Retractors | — | Self-retaining posterior vaginal wall retractor; gravity-held |
| Mouth Retractors (BMG) | Retractors | — | Denhardt, Molt, Jennings, Minnesota, and cheek retractors for buccal mucosa graft harvest |
| Nasal Speculum | Retractors | — | Repurposed for deep narrow-field exposure in urethroplasty and dorsal-vein dissection |
| Otis Bougie-à-Boule | Sounds & Bougies | Fessenden Nott Otis | Ball-tip urethral sound for calibration and stricture localization |
| Van Buren Sound | Sounds & Bougies | William Holme Van Buren | Curved-tip tapered urethral sound; dilation and calibration |
| Guyon Sound | Sounds & Bougies | Jean Casimir Félix Guyon | Curved malleable urethral sound set; atraumatic dilation |
| Haygrove Sound | Sounds & Bougies | — | Semicircular sound for posterior urethroplasty; suprapubic to membranous path |
| Gelman Urethral Sound | Sounds & Bougies | — | Contemporary reconstructive urethral sound; graduated sizes |
| Gorget (Gourget) | Sounds & Bougies | — | Historical lithotomy instrument; today repurposed for narrow deep urethroplasty exposure (like nasal speculum) |
| Ravini Lighted Speculum | Urethral & Pelvic Specialty | — | Self-retaining lighted urethral speculum; female urethroplasty |
| Raz-Pereyra Trocar | Urethral & Pelvic Specialty | Shlomo Raz / Armand Pereyra | Ligature-carrying trocar for pubovaginal fascial sling placement |
| Capio Suture Capturing Device | Urethral & Pelvic Specialty | — | Single-handed throw-catch-retrieve device for sacrospinous ligament fixation and apical POP suspension (Boston Scientific) |
| Anchorsure System | Urethral & Pelvic Specialty | — | PEEK anchor-based SSLF — embeds fixation in ligament substance rather than encircling (Neomedic / JUNE Medical) |
| Saffron Fixation System | Urethral & Pelvic Specialty | — | Contemporary anchor-based SSLF with two-piece reusable tool + single-use biocompatible anchors (Coloplast) |
| i-Stitch | Urethral & Pelvic Specialty | — | Reusable SSLF device with blunt ball-tipped suture — finger-guided, no sharp needle (A.M.I.) |
| Endostitch | Urethral & Pelvic Specialty | — | Laparoscopic automated suturing device (toggling jaws) — repurposed for transvaginal SSLF (Medtronic) |
| Miya Hook | Urethral & Pelvic Specialty | Fumio Miya | Classic curved suture-carrying needle for SSLF — largely supplanted by contemporary devices |
| Deschamps Ligature Carrier | Urethral & Pelvic Specialty | Joseph Deschamps | Classic right/left curved ligature-passing needle for deep pelvic pedicles and SSLF |
| JNW UrTrac Sheath | Urethral & Pelvic Specialty | — | Endoscopic access sheath for TUITMR endoscopic urethroplasty (LSI Solutions) |
| RD180 Suturing Device | Urethral & Pelvic Specialty | — | Endoscopic squeeze-release suturing device used through JNW UrTrac for TUITMR |
| Ti-Knot (TK) Fastener | Urethral & Pelvic Specialty | — | Titanium suture fastener for knot-free endoscopic securement during TUITMR |
| Yankauer Suction | Suction | Sidney Yankauer | Rigid oral / field suction; default for open-wound general suction |
| Poole (Pool) Suction | Suction | — | Multi-hole perforated abdominal suction; large-volume evacuation |
| Frazier Suction | Suction | Charles Frazier | Fine tapered suction with thumb-vent; delicate reconstructive fields |
| Dermatome — Overview | Graft Harvest | — | Class overview of calibrated skin-harvesting instruments for STSG |
| Zimmer Air Dermatome | Graft Harvest | — | Pneumatic powered dermatome — US workhorse for STSG harvest |
| Padgett Dermatome | Graft Harvest | Earl Padgett | Electric powered dermatome — wall-outlet alternative to Zimmer |
| Humby Dermatome | Graft Harvest | John Humby | Handheld manual dermatome — classic British design, low-resource workhorse |
| Goulian (Weck) Dermatome | Graft Harvest | — | Small handheld dermatome with integrated depth guard — narrow grafts |
| Drum Dermatome (Padgett-Hood) | Graft Harvest | Earl Padgett / George Hood | Historical rotating-drum design — origin of calibrated STSG harvest (1939) |
| Skin Mesher | Graft Harvest | — | Expands harvested STSG at fixed ratio (1.5:1 to 9:1) for larger coverage |
| Rongeur | Bone Instruments | — | Bone-biting forceps for partial pubectomy and bone debridement (Leksell, Stille, Kerrison) |
| Pituitary Rongeur | Bone Instruments | — | Small slender bone-biting forceps for precise debridement in narrow corridors |
| Periosteal Elevator | Bone Instruments | — | Periosteum stripping before bone removal (Key, Freer, Sayre, Cobb) |
| Air Drill | Bone Instruments | — | Pneumatic bone drill with interchangeable burrs (Midas Rex, Stryker, Anspach) |
| Osteotome and Mallet | Bone Instruments | — | Chisel + mallet for clean cortical bone cuts during partial pubectomy |
| GIA Stapler (tissue) | Staplers | — | Side-to-side functional end-to-end bowel reanastomosis; reservoir construction; 3.5–4.8 mm staple heights; absorbable cartridge option |
| Endo-GIA Vascular | Staplers | — | Renal hilum ligation (en-bloc or individual vessels) and radical-cystectomy pedicle control; 2.0–2.5 mm staple heights for vascular tissue |
| TA / Endo-TA Stapler | Staplers | — | Linear tissue closure without cutting — zero deaths / reoperations in MAUDE review; two-step safety for vascular control |
| Robotic Stapler | Staplers | — | Articulating wristed stapling (SureForm / Signia) for intracorporeal ileal-conduit and neobladder construction during RARC |
Historical Notes
Many of these instruments carry the names of defining figures in reconstructive urology and pelvic surgery — Richard Turner-Warwick, Noble Sproat Heaney, Gerald H. Jordan, Shlomo Raz, Armand Pereyra, Jean Casimir Félix Guyon, Fessenden Nott Otis, Oscar Huntington Allis, William Wayne Babcock, Emil Theodor Kocher, Owen Wangensteen, August Breisky, Michael DeBakey, Ramón Castroviejo, and Leonard Malis. Their contributions live on in the daily work of the reconstructive tray.
See also: Needles, Sutures, Surgical Ergonomics, Robotics.