Major OR Tray: Essential Surgical Instruments and Equipment Checklist

A well-stocked major general surgery tray ensures readiness for diverse procedures. Core instruments:

Cutting & Dissecting

• Scalpel handles (#3, #4, #7) with assorted blades (#10, #11, #15, #20)
• Metzenbaum scissors (curved, delicate)
• Mayo scissors (straight/curved, heavy)
• Potts-Smith scissors (vascular)

Grasping & Clamping

• Kelly, Crile, Mosquito hemostats (straight/curved)
• Kocher, Allis, Babcock clamps
• Right-angle (Mixter) clamps
• Satinsky, DeBakey vascular clamps

Retraction & Exposure

• Army-Navy, Richardson, Deaver, Balfour retractors
• Self-retaining: Bookwalter, Thompson, Omni-Tract
• Rake, Senn, Hohmann

Suturing & Stapling

• Needle drivers: Mayo-Hegar, Crile-Wood, Castroviejo, DeBakey
• Suture assortment: absorbable (Vicryl, PDS, Monocryl), non-absorbable (Prolene, Nylon, Silk)
• Staplers: linear, circular, skin (with reloads)

Specialized & Accessory

• Rongeurs, osteotomes, curettes (bone work)
• Suction: Yankauer, Frazier, Poole
• Electrocautery: monopolar/bipolar pencils, tips
• Irrigation syringe, bulb syringe
• Laparoscopic instruments (if MIS capable)

Critical Equipment (Not on Tray)

• OR table, lights, anesthesia machine, monitors, ventilator
• Cell saver, C-arm, microscope, navigation, robot
• Emergency drugs, defibrillator, rapid infuser, warming devices

Tray contents customized by service (vascular, colorectal, trauma) and surgeon preference.