Tucker Forceps


Categories: INSTRUMENTARIUM
Sources: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Gabriel Tucker modified the regular side-curved

forceps by adding a lip (Fig. 21) to the left hand side of both upper

and lower jaws. This prevents the shaft of a tack, nail, or pin, from

springing out of the grasp of the jaws, and is so efficient that it

has brought certainty of grasp never before obtainable. With it the

solution of the safety-pin problem devised by the author many years

ago has a facility and certainty of execution that makes it the method

of choice in safety-pin extraction.



[FIG. 22.--The author's down-jaw esophageal forceps. The dropping jaw

is useful for reaching backward below the cricopharyngeal fold when

using the esophageal speculum in the removal of foreign bodies.

Posterior forceps-spaces are often scanty in cases of foreign bodies

lodged just below the cricopharyngeus.]



[FIG. 23.--Expansile forceps for the endoscopic removal of hollow

foreign bodies such as intubation tubes, tracheal cannulae, caps, and

cartridge shells.]



Screw forceps.--For the secure grasp of screws the jaws devised by

Dr. Tucker for tacks and pins are excellent (Fig. 21).



Expanding Forceps.--Hollow objects may require expanding

forceps as shown in Fig. 23. In using them it is necessary to be

certain that the jaws are inside the hollow body before expanding them

and making traction. Otherwise severe, even fatal, trauma may be

inflicted.



[FIG. 24.--The author's fenestrated peanut forceps. The delicate

construction with long, springy and fenestrated jaws give in gentle

hands a maximum security with a minimum of crushing tendency.]



[FIG. 25--The author's bronchial dilators, useful for dilating

strictures above foreign bodies. The smaller size, shown at the right

is also useful as an expanding forceps for removing intubation tubes,

and other hollow objects. The larger size will go over the shaft of a

tack.]



[FIG. 26.--The author's self-expanding bronchial dilator. The extent of

expansion can be limited by the sense of touch or by an adjustable

checking mechanism on the handle. The author frequently used smooth

forceps for this purpose, and found them so efficient that this

dilator was devised. The edges of forceps jaws are likely to scratch

the epithelium. Occasionally the instrument is useful in the

esophagus; but it is not very safe, unless used with the utmost

caution.]





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