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   » » Wiki: Hemostat
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A hemostat (also called a hemostatic clamp; arterial forceps; and pean, after Jules-Émile Péan) is a tool used to control bleeding during . Similar in design to both and , it is used to clamp exposed blood vessels shut.

Hemostats belong to a group of instruments that (similar to scissors, and including needle holders, tissue holders, and some other clamps) where the structure of the tip determines the tool's function.

A hemostat has handles that can be held in place by their locking mechanism, which usually is a series of interlocking teeth, a few on each handle, that allow the user to adjust the clamping force of the pliers. When the tips are locked together, the force between them is about 40 N (9 ).

Often in the first phases of surgery, the incision is lined with hemostats on blood vessels that are awaiting ligation.


History
The earliest known drawing of a pivoting surgical instrument dates from 1500 B.C. and is on a tomb at Thebes, . Later bronze and steel pivot-controlled instruments were found in . In the ninth century A.D., made illustrations of pivoting instruments for tooth extraction.Becker, Marshall Joseph; Turfa, Jean MacIntosh (2017). The Etruscans and the History of Dentistry: The Golden Smile Through the Ages. Taylor & Francis. p. 146.

The concept of clamping a bleeding vessel with an instrument before tying it off is generally attributed to , in the second century A.D. This method of was largely forgotten until it was rediscovered by a French barber-surgeon, Ambroise Paré, in the 16th century. He made the predecessor to the modern hemostat and called it the Bec de Corbin (crow's beak). With it he could clamp a bleeding vessel before securing it with a ligature.

Credit for the modern hemostat has been given to several persons, the foremost of whom is Jules-Émile Péan. Later surgeons, such as , made small changes to the design.


List of hemostats
  • Rankin forceps
  • Satinsky clamps
  • Kocher forceps
  • Crile forceps
  • Halsted Mosquito forceps
  • Mixter "right angle" forceps
  • Https://collection.sciencemuseumgroup.org.uk/objects/co170257/spencer-wells-artery-forceps-artery-forceps Science Museum Group, "Spencer Wells artery forceps"


See also


Further reading
  • John Kirkup, MD, FRCS, The Evolution of Surgical Instruments - historyofscience.com

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