See also: Tweezers
Thumb forceps, known simply as forceps in surgical specialties, are commonly held in a pen grip between the thumb and index finger (sometimes also the middle finger), with the top end resting on the first dorsal interosseous muscle at the webspace between the thumb and index finger. Spring tension at the top end holds the grasping ends apart until pressure is applied. This provides an extended pinch and allows the user to easily grasp, manipulate and quickly release small objects or delicate tissue with readily variable pressure. Thumb forceps are used to hold tissue still when applying sutures, to gently move tissues out of the way during exploratory surgery and to access confined cavities that are hard to reach with hands and fingers.
Thumb forceps can have smooth tips, cross-hatched tips or serrated tips (often called "mouse's teeth"). Common arrangements of teeth are 1×2 (two teeth on one side meshing with a single tooth on the other), 7×7 and 9×9. Serrated forceps are used on tissue; counter-intuitively, teeth will damage tissue less than a smooth surface because one can grasp with less overall pressure. Smooth or cross-hatched forceps are used to move dressings, remove sutures and similar tasks.
Locking forceps, sometimes called clamps, are used to grasp and firmly hold objects or body tissues, or to apply external compression onto tubular structures such as blood vessels or intestines. When they are specifically used to occlude an artery to forestall bleeding, they are called hemostats. Another form of locking forceps is the needle holder, used to guide a suturing needle through tissue. Many locking forceps use finger rings/loops to facilitate handling (see illustration, below, of Kelly forceps). The finger loops are usually grasped by the thumb and middle or (more often) ring finger, while the index finger is placed on the pivot to help stabilize and guide the instrument.
The most common locking mechanism is a handle ratchet, which consists of an asymmetrically serrated short protrusion near the finger loop of one of the handles, and a corresponding hook on the other. As the forceps are closed, the opposing teeth engage and interlock, keeping the handles adducted and the jaw surfaces clamped constantly. To unlock, a simple shearing push by the fingers is all that is needed to disengage the teeth and allow the grasping ends to move apart.
Kelly forceps are a type of hemostat usually made of stainless steel. They resemble a pair of scissors with the blade replaced by a blunted grip. They also feature a locking mechanism to allow them to act as clamps. Kelly forceps may be floor-grade (regular use) and as such not used for surgery. They may also be sterilized and used in operations, in both human and veterinary medicine. They may be either curved or straight. In surgery, they may be used for occluding blood vessels, manipulating tissues, or for assorted other purposes. They are named for Howard Atwood Kelly, M.D., first professor of obstetrics and gynecology at the Johns Hopkins School of Medicine. The "mosquito" variant of the tool is more delicate and has smaller, finer tips. Other varieties with similar, if more specialized, uses are Allis clamps, Babcocks, Kochers, Carmalts, and tonsils; all but the last bear the names of the surgeons who designed them.
Other types of forceps include:
"forceps". The American Heritage Dictionary of the English Language (5th ed.). HarperCollins. Retrieved 2018-08-30. https://www.ahdictionary.com/word/search.html?q=forceps ↩
"forceps". Merriam-Webster.com Dictionary. Merriam-Webster. Retrieved 2018-08-30. https://www.merriam-webster.com/dictionary/forceps ↩
"forceps". Cambridge English Dictionary. Retrieved 2018-08-30. https://dictionary.cambridge.org/dictionary/english/forceps?a=british. ↩
"forceps - Definition of forceps in English by Oxford Dictionaries". Oxford Dictionaries - English. Archived from the original on December 1, 2017. Retrieved 2018-08-30. https://web.archive.org/web/20171201043740/https://en.oxforddictionaries.com/definition/forceps ↩
Scientific American inventions and discoveries By Rodney P. Carlisle. ↩