Upper-lobe-bronchus Forceps

Sources: A Manual Of Peroral Endoscopy And Laryngeal Surgery

Foreign bodies rarely lodge in an

upper-lobe bronchus, yet with such a problem it is necessary to have

forceps that will reach around a corner. The upper-lobe-bronchus

forceps shown in Fig. 27 have curved jaws so made as to straighten out

while passing through the bronchoscope and to spring back into their

original shape on up from the lower jaw emerging from the distal end

of the bronchoscopic tube, the radius of curvature being regulated by

the extent of emergence permitted. They are made in extra-light

pattern, 40 cm. long, and the regular model 45 cm. long. The

full-curved model, giving 180 degrees and reaching up into the

ascending branches, is made in both light and heavy patterns. Forceps

with less curve, and without the spiral, are used when it is desired

to reach only a short distance around the corner anywhere in the

bronchi. These are also useful, as suggested by Willis F. Manges, in

dealing with safety pins in the esophagus or tracheobronchial tree.

[FIG. 21.--Tucker jaws for the author's forceps. The tiny lip

projecting down from the upper, and up from the lower jaw prevents

sidewise escape of the shaft of a pin, tack, nail or needle. The shaft

is automatically thrown parallel to the bronchoscopic axis. Drawing

about four times actual size.]