00:05
In this video I'm going to
demonstrate tissue forceps.
00:07
These are Adson tissue forceps.
00:09
And you'll notice that
these have a Kocher tip.
00:11
And a Kocher tip is
basically, we call rat teeth.
00:14
Those little teeth are designed
to give you integration
so that they will
hold on to the tissue
because we know it's
better to poke tissue
than it is to crush tissue.
00:22
So inside here, you'll also
notice a tungsten carbide insert
that not all of these will have.
00:27
But these have the use of that you
can get a hold of the other side
of the needle once you're
driving the needle.
00:33
And the other hand with a needle
driver through the tissue,
you can reach through and grab it
and pull it the rest of the way out.
00:38
Okay, so that's what those
are therefore,
to give you an extra grip.
00:40
Sometimes you'll have
those sometimes you won't.
00:42
But realize that this is called a
Adson tissue forcep
with Kocher teeth
It is a two by one or a one
by two Kocher tip Adson.
00:51
The most common technique
you'll see these used for
with little teeth is
for, it can be both for,
maintaining the tissue
back as retractor.
01:00
Or you can use this also
for retrieving the needle.
01:02
So there's multiple ways
you can use use for.
01:04
Now some people will say
that as a purist that the
tissue forcep is for holding tissue.
01:08
Needle drivers are for
driving the needles
and you're not supposed to
do either with the other one.
01:13
But that said,
it's very common to use this
to retrieve your needle
and pull it forward
and then regrab with
your instrument.
01:19
So keep these in your
nondominant hand
and your instrument
for your actual needle
and your dominant hand.
01:25
So typically, if you're a lefty,
you're going to have
these switched around.
01:29
So you'd have your
needle driver over here
and you're going to have your
tissue forcep in the right hand
or if you're righty it's
going to be vice versa.
01:36
So you'll have your tissue
forcep in your left hand
and you'll have
your needle driver
or needle holder
in your dominant hand. Okay.