A needle holder, also called needle driver or needle forceps, is a

surgical instrument A surgical instrument is a tool or device for performing specific actions or carrying out desired effects during a surgery or operation, such as modifying biological tissue, or to provide access for viewing it. Over time, many different kinds of ...

similar to a

hemostat A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initia ...

, used by

doctors Doctor or The Doctor may refer to: Personal titles * Doctor (title), the holder of an accredited academic degree * A medical practitioner, including: ** Physician ** Surgeon ** Dentist ** Veterinary physician ** Optometrist *Other roles ** ...

and

surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...

s to hold and push a suturing needle when performing

wound closure A wound is a rapid onset of injury that involves lacerated or punctured skin (an ''open'' wound), or a contusion (a ''closed'' wound) from blunt force trauma or compression. In pathology, a ''wound'' is an acute injury that damages the epiderm ...

ligation Ligation may refer to: * Ligation (molecular biology), the covalent linking of two ends of DNA or RNA molecules * In medicine, the making of a ligature (tie) * Chemical ligation, the production of peptides from amino acids * Tubal ligation, a meth ...

and other

surgical procedure Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...

s that require re-anastomosis. Being specialized

forceps Forceps (plural forceps or considered a plural noun without a singular, often a pair of forceps; the Latin plural ''forcipes'' is no longer recorded in most dictionaries) are a handheld, hinged instrument used for grasping and holding objects. Fo ...

, the components of a typical needle holder are the ''jaws'' (often reinforced with

tungsten carbide Tungsten carbide (chemical formula: WC) is a chemical compound (specifically, a carbide) containing equal parts of tungsten and carbon atoms. In its most basic form, tungsten carbide is a fine gray powder, but it can be pressed and formed into ...

inserts), the hinged ''joint'' and the ''handles'' (typically with finger rings at the end). Most needle holders also have a

ratchet Ratchet may refer to: Devices * Ratchet (device), a mechanical device that allows movement in only one direction * Ratchet, metonomic name for a socket wrench incorporating a ratcheting device * Ratchet (instrument), a music instrument and a ...

mechanism that locks the handles together and clamps the needle firmly between the jaws, allowing the user to maneuver the needle through various tissues without having to keep squeezing the grip. To maintain a firm grip on the needle, the jaws are often

texture Texture may refer to: Science and technology * Surface texture, the texture means smoothness, roughness, or bumpiness of the surface of an object * Texture (roads), road surface characteristics with waves shorter than road roughness * Texture (c ...

d and short compared to the handles (increasing the

mechanical advantage Mechanical advantage is a measure of the force amplification achieved by using a tool, mechanical device or machine system. The device trades off input forces against movement to obtain a desired amplification in the output force. The model for t ...

using the principle of a

lever A lever is a simple machine consisting of a beam or rigid rod pivoted at a fixed hinge, or ''fulcrum''. A lever is a rigid body capable of rotating on a point on itself. On the basis of the locations of fulcrum, load and effort, the lever is div ...

). Most needle holders are designed to be gripped with the fingers and palm like

scissors Scissors are hand-operated shearing tools. A pair of scissors consists of a pair of metal blades pivoted so that the sharpened edges slide against each other when the handles (bows) opposite to the pivot are closed. Scissors are used for cutti ...

. However, some are designed for a

tweezers Tweezers are small hand tools used for grasping objects too small to be easily handled with the human fingers. Tweezers are thumb-driven forceps most likely derived from tongs used to grab or hold hot objects since the dawn of recorded history. ...

-like grip to allow finer, more precise movements around delicate structures or narrow spaces. An example of such is the ''Castroviejo needle holder'' (named after

Spanish American Spanish Americans ( es, españoles estadounidenses, ''hispanoestadounidenses'', or ''hispanonorteamericanos'') are Americans whose ancestry originates wholly or partly from Spain. They are the longest-established European American group in th ...

eye surgeon

Ramón Castroviejo Ramón Castroviejo Briones (1904–1987) was a Spanish and American eye surgeon remembered for his achievements in corneal transplantation. Biography Born in Logroño, Spain he received his medical education at the University of Madrid. He grad ...

), which is commonly used in

eye surgery Eye surgery, also known as ophthalmic or ocular surgery, is surgery performed on the eye or its adnexa, by an ophthalmologist or sometimes, an optometrist. Eye surgery is synonymous with ophthalmology. The eye is a very fragile organ, and requ ...

microsurgery Microsurgery is a general term for surgery requiring an operating microscope. The most obvious developments have been procedures developed to allow anastomosis of successively smaller blood vessels and nerves (typically 1 mm in diameter) which ...

and

dental surgery Dental surgery is any of a number of medical procedures that involve artificially modifying dentition; in other words, surgery of the teeth, gums and jaw bones. Types Some of the more common are: * Endodontic (surgery involving the pulp or root ...

References

* Medical clamps Surgical instruments Holders {{medical-equipment-stub