There is one rule in this subject that has no exceptions: never put toothed forceps on bowel, on a blood vessel, or on a nerve. Everything after that is judgement. And the judgement is more counterintuitive than most training makes it sound, because the instrument with teeth is frequently the gentler of the two. What […]
Toothed vs Non-Toothed Tissue Forceps: How to Choose Read More »
Thudichum Killian Vienna Stays open by Bow spring, no handle Set screw lock on handle Leaf spring between handles Blade length ~20–35 mm ~50–90 mm ~27–33 mm Hands needed One finger grip, hand committed Locks, hand free One hand, constant grip Primary use Outpatient rhinoscopy Septal surgery, deep work Clinic exam, packing, ED Depth reached
Nasal Speculum Types: Killian vs Thudichum vs Vienna Read More »
The jar of methylated spirit on the dressing trolley, with a long pair of forceps standing in it handle-up, is one of the most recognisable objects in hospital practice. It is also the part of the practice that infection-control guidance has spent the last two decades walking away from. The instrument itself is sound. Cheatle
Cheatle Forceps: Sterile Transfer Forceps Uses and Storage Read More »
A scalp laceration arrives at 11pm. The disposable stapler in the trolley has three staples left in a cartridge rated for thirty-five, and the store room is locked until morning. In a lot of hospitals across South Asia, Africa and Eastern Europe, what comes out next is a small stainless jar of metal bands and
Michel Skin Clips: Application and Removal Forceps Guide Read More »
Ask a theatre team whether they use a pneumatic cuff or an Esmarch bandage and you will usually get an answer. Ask whether the two do the same job and the answer gets vague — because they do not, and the conflation is the root of most tourniquet-related confusion in orthopaedic theatres. There are two
Surgical Tourniquets: Pneumatic vs Esmarch Application Guide Read More »
Theodor Kocher was a Swiss surgeon in Bern who won the 1909 Nobel Prize for his work on the thyroid. Albert John Ochsner was an American surgeon in Chicago, a generation younger, best known for his approach to appendicitis. Neither man designed the toothed hemostatic forceps that carries his name in the form we buy
Kocher vs Ochsner Clamp: Are They the Same Instrument Read More »
Expert guides, procurement advice, and clinical insights from Fizza Surgical
Is flash sterilization still allowed? It is the question every new theatre manager asks, and the honest answer is: the word is gone, the practice is not, and…
A scrub nurse setting up for a laparotomy pours warm saline into a deep steel bowl on a ring stand beside the back table. Twenty minutes later the…
A primary total knee arthroplasty usually goes through somewhere between five and ten trays, depending on the implant system and how the hospital packs it. It surprises procurement…
A night nurse wheels a patient to the bathroom, one hand on the patient's elbow and the other on the drip stand. The stand carries two litre bags…
InstrumentTypical lengthMain job in a routine appointment Heavy-duty toenail nipper (concave or straight jaw)14–16 cmReducing thickened, dystrophic or fungal nails Fine-point nail nipper11–13 cmCorners, sulci, small and brittle…
A cow with a retained magnet problem, a ewe flock due for a mineral bolus, a calf that will not suck. Three different jobs, one family of tools:…
Many of the staining complaints that reach an instrument maker are not steel problems at all. They are water problems. A tray comes back from a hospital with…
A three-centimetre ventral midline incision on a six-month-old bitch. Linea alba opened, and the uterine horns are nowhere in view. This is the moment the spay hook earns…
InstrumentMain jobTypical form Teat cannula (milk tube)Drain milk past an obstruction or injured canalBlunt, round-tipped tube, 50–80 mm, side ports Teat dilatorGradually open a narrowed streak canalTapered probe…
The CBCT shows 6 mm of bone under the planned first-molar site. The sinus floor is flat, the membrane looks thin but healthy, and the patient does not…
Every other pathogen your sterile services department handles has a membrane, a nucleic acid, or a protein coat that steam at 134 °C will wreck. A prion has…
A porcelain-fused-to-metal crown on a vital second premolar, cemented eight years ago with zinc phosphate, needs to come off intact because the patient wants it re-used as a…
