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What Are The Different Types Of Forceps Used In Endoscopy?
 Dec 17, 2024|View:370

An endoscope is a widely-used tool supported by medical professionals to visualize the internal parts of the organism in a minimally invasive manner. During endoscopic procedures, special instruments are used, especially forceps. These instruments allow physicians to move, grasp and biopsy tissues. The present article discusses several types of forceps and their specific purposes, as well as their designs based on the objectives of endoscopy.

Biopsy Forceps

Disposable biopsy forceps(Uncoated,without spike,Oval)

Purpose:

Tissue samples are often obtained from lesions, tumors, or suspicious areas using biopsy forceps. They enable a targeted and controlled approach to acquiring tissue for histopathological assessment.

Design:

Biopsy forceps have jaws that must be sharp enough to cut and grasp tissue. To prevent accidental activation, some models have a spring operating mechanism, and these can also be either disposable or reusable. The jaws/features will vary in size and shape based upon specific applications, and can be straight or angled to help get to hard-to-reach areas.

Grasping Forceps

Endoscopic Grasping Forceps(basket shape)

Purpose:

Grasping forceps are used to grasp and manipulate tissues during different operations and diagnostics. They provide tissue stability, allowing the physician to work with less effort to perform interventional procedures.

Design:

These forceps typically have serrated or ribbed jaws that facilitate a better grip on soft tissues. It is designed to accommodate different types of tissue, allowing for varied opening widths. E.g. the grasping forceps can be different in length and thus are suitable for superficial or deep anatomical structures.

Alligator Forceps

Disposable biopsy forceps(Uncoated,with spike,Alligator)

Purpose:

It allows grasping and removal of foreign bodies, or manipulation of tissue within a narrow field. They are frequently utilized for gastrointestinal and respiratory endoscopy.

Design:

With a long, narrow jaw resembling an alligator’s mouth, these forceps reach into confined spaces easily. The design also enables more control and manipulation, which is ideal for delicate work, like retrieving small objects or small morsels of tissue.

Cold Biopsy Forceps

Disposable biopsy forceps(Coated,without spike,Oval)

Purpose:

Cold biopsy forceps are designed to obtain tissue samples without causing any thermal effects in the surrounding tissues. It is crucial when the tissue has to be preserved for the subsequent analysis.

Design:

These forceps are smaller and more delicate than conventional biopsy forceps so for super precision of sampling. The jaws are generally sharp and capable of grasping tissue while minimizing trauma to adjacent structures.

Polypectomy Forceps

Purpose:

There exist various types of polypectomy forceps especially designed for the extraction of polyps from within the gastrointestinal tract. They are key to lowering the risk of colorectal cancer by making it possible to cut out precancerous growths.

Design:

These forceps usually incorporate a snare or loop that can be deployed and tightened around a polyp for removal. Certain models may also include electrocautery, which facilitates coagulation of tissue during excisions.

Needle Forceps

Purpose:

Needle forceps, also known as needle holders, are designed to grasp and manipulate needles during suturing or tissue approximation. They are critical for operations where sutures need to be placed with precision.

Design:

These fine tip forceps allow excellent control and stability when handling needles. They are commonly designed to lock the needle in place just as it will when you are suturing.

Suction Forceps

Purpose:

The physician uses suction forceps to suction out fluids or debris from the examination area for a clearer view. They are especially important in bleeding or heavy secretions procedures.

Design:

These forceps usually contain a hollow shaft so that suctioning can occur while tissue is gripped. The integrated suction of some models make it possible to suction and manipulate at once.

Spiral Forceps

Purpose:

Spiral forceps as well from gripping type; as spiral shape creates soft tissue gripping during any endoscopy procedure.

Design:

Because of its spiral design, it holds tightly enough to manipulate delicate tissue without traumatizing it. These are especially useful in procedures where sensitive structures must be manipulated delicately.

Bipolar Forceps

Purpose:

Bipolar forceps are widely used in surgical procedures for the coagulation of living tissues using the current of electricity, making them invaluable in surgery where hemostasis is important.

Design:

For hemostasis, bipolar forceps, armed with electrodes to apply energy to tissue while holding the tissue, are used. The design enables controlled coagulation, reducing tissue damage around the affected area.

Conclusion

In conclusion, the following forceps are important tools of endoscopic procedures, each of which has its own destination. As such, there is a wide array of different shapes and sizes of forceps specifically designed for different functions, ranging from biopsy and grasping to polypectomy and suctioning. Familiarity with the different types of forceps and their applications aids healthcare professionals in selecting the appropriate instruments for different procedures, improving patient outcomes overall. As technology progresses, we can anticipate the development of endoscopic forceps with new features that improve their functionality and accuracy for various medical purposes.


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