Scalpels Blades

• Fitment Fine.
• 2 Piece handle.
• Fits Blades SM61, SM62, SM63, SM64, SM65, SM65A, SM67, SM68, SM69, SP90, SP91 and Myringotomy blade.

The SM67 can be used in a number of specialist disciplines including Plastic & Reconstructive Surgery, Ophthalmology, Cardio-Vascular Surgery and Dental Periodontics. Fitment Fine. Fits Handles SF1, SF2, SF3, SF4, SF13 and SF23.

The SM65 can be used in a number of specialist disciplines including Plastic & Reconstructive Surgery, Orthopaedics, Cardio-Vascular Surgery and Dental Periodontics. Fits Fine Handles SF1, SF2, SF3, SF4, SF13 and SF23.

The SM65A can be used in a number of specialist disciplines including Cardio-Vascular Surgery, Arthroscopy and Endoscopy. Fits Fine Handles SF1, SF2, SF3, SF4, SF13 and SF23.

The SM64 can be used in a number of specialist disciplines including Plastic & Reconstructive Surgery, Hip and Knee Arthroscopy, Tenotomy and minimal invasive foot and ankle procedures. Fits Handles SF1, SF2, SF3, SF4, SF13 and SF23.

Fitment Fine. 3 Piece handle Fits Blades SM61, SM62, SM63, SM64, SM65, SM65A, SM67, SM68, SM69, SP90, SP91 and Myringotomy blade.

The Silvers stainless steel "miniature" skin graft handle in a distinctive blue was originally developed by H.L. Silver in Toronto, Canada.

Combined with our surgical stainless double edged razor blades it is ideal for harvesting small intricate grafts from areas which would not be accessible with the larger standard knives such as the ear, dorsa of the hands or scalp.

Although used mainly within Plastic, Reconstructive and Oral surgery the Silver's can also be used for the debridement of wounds.

Instructions for Use *:

1) Under aseptic / sterile operating conditions the blade is inserted into the handle being careful not to damage the cutting edge of the blade by striking it to metal. Also be careful not to injure yourself as the blade is very sharp.
2) The blade retaining plate is then fitted. Note that it is asymmetrical, the shorter section is applied over the free blade edge. Incorrect fitting of the blade retaining plate so that the retaining plate overlies the free edge of the blade means it can strike the handle body near the lateral free edges of the blade.
3) Insert and tighten the fixing nut to firmly hold the blade in the handle. 
4) The thickness of the graft to be harvested is determined by adjusting the two thumb screws on each upper side of the handle.The thumb screws move the harvesting guide either closer to, or further from the blade and change the thickness of the harvested graft accordingly. Turn thumb screws equally to maintain the blade parallel to the harvesting guide.
5) Split thickness grafts vary in thickness from thin (0.008 of an inch) to medium (0.010 of an inch) to thick (0.012 of an inch).
6) A Swann-Morton No.15 scalpel blade can be passed between the blade and guard to check selected thickness prior to harvesting a graft. The thickness of the disposable 15 blade is 0.394mm or 0.0155 inch. If the number 15 blade passes freely between the skin graft disposable blade and the harvesting guide this will provide a thick split thickness skin graft. This is useful if harvesting from the anterior or lateral upper thigh.
7) If the forearm or arm is chosen select a thin to medium thickness split thickness skin graft. The number 15 disposable blade will only pass part way to the bevel. The recipient site will determine how thick a graft you wish to harvest.
8) After appropriate anaesthesia and application of lubrication such as liquid paraffin to the donor site and skin graft knife, the graft is harvested by steadily moving the blade back and forth at the same time stretching the skin to hold it firm.

A chisel shaped blade used for nail treatments in Podiatry and Chiropody. A single bevel version ground on one side only is also available under product code 5911. Fitment Fine. Fits Handles SF1, SF2, SF3, SF4, SF13 and SF23.

* Stainless Steel
* Individual Foil Packs
* Pack of 25

With three models to choose from, namely the Braithwaite, Cobbett and Watson, these Stainless Steel Handles are used in conjunction with the sterile 158mm Skin Graft Blades for harvesting "Macro" or "Major" Skin Grafts. The handles have an in-built adjustable guard which can limit the maximal thickness of the graft harvested depending on the properties of the skin at the donor site. This can vary in thickness due to multiple factors including the age of the patient.

The exact thickness of the graft can also depend upon:

1) The contact angle between the blade and skin whilst harvesting;
2) The pressure applied by the operator onto the handle whilst harvesting.

These are important aspects of skin grafting technique that need to be mastered to enable reproducibly consistent harvesting of high quality split thickness skin grafts.

The Watson Handle (1960 John Watson) addresses some of these issues as it has a fixed, polished, stainless steel guard and a simpler, more rigid thickness adjustment. The rod has no independent movement, either sliding or rotation, while the graft is being taken. At its end-bearings, it passes eccentrically through the bushes, hence the depth of cut can be set by rotation of the rod with the single knurled control knob, the rod remaining parallel to the blade settings. The bearings therefore have a precision fit and there is no "play" in use. While taking the graft, spontaneous rotation of the rod is slight, but the locking lever is provided to avoid accidental alteration of the setting once it has been made. The fixed guard reduces skin rolling however introduced a considerable degree of "drag" since it cannot slide to and fro with the skin surface. As a result the edges of both the graft and donor site can be ragged an effect that can only partially be avoided by lubricating with liquid paraffin.

Set includes: Watson Handle With 2 Boxes of 10 Sterile 158mm Stainless Steel Skin Graft Blades

With three models to choose from, namely the Braithwaite, Cobbett and Watson, these Stainless Steel Handles are used in conjunction with the sterile 158mm Skin Graft Blades for harvesting "Macro" or "Major" Skin Grafts. The handles have an in-built adjustable guard which can limit the maximal thickness of the graft harvested depending on the properties of the skin at the donor site. This can vary in thickness due to multiple factors including the age of the patient.

The exact thickness of the graft can also depend upon:

1) The contact angle between the blade and skin whilst harvesting;
2) The pressure applied by the operator onto the handle whilst harvesting.

These are important aspects of skin grafting technique that need to be mastered to enable reproducibly consistent harvesting of high quality split thickness skin grafts.

The Watson Handle (1960 John Watson) addresses some of these issues as it has a fixed, polished, stainless steel guard and a simpler, more rigid thickness adjustment. The rod has no independent movement, either sliding or rotation, while the graft is being taken. At its end-bearings, it passes eccentrically through the bushes, hence the depth of cut can be set by rotation of the rod with the single knurled control knob, the rod remaining parallel to the blade settings. The bearings therefore have a precision fit and there is no "play" in use. While taking the graft, spontaneous rotation of the rod is slight, but the locking lever is provided to avoid accidental alteration of the setting once it has been made. The fixed guard reduces skin rolling however introduced a considerable degree of "drag" since it cannot slide to and fro with the skin surface. As a result the edges of both the graft and donor site can be ragged an effect that can only partially be avoided by lubricating with liquid paraffin.

The "new" custom designed surgical stainless steel Silver's blade has a 11/2 inch (4 cm) postage stamp size cutting edge to be used with the Silvers miniature Skin Graft Knife handles.

The steel thickness now mirrors that of other skin graft blades such as the 9940 - 158 mm providing more stability for the user and preventing the occurance of skin tear or roll up during harvesting.

They are ideal for harvesting small intricate grafts from areas which would not be accessible with the larger standard handles such as the ear, dorsa of the hands or scalp.

Although used mainly within Plastic, Reconstructive and Oral surgery the Silvers can also be used for the debridement of wounds.

Instructions for Use *:

1) Under aseptic /sterile operating conditions the blade is inserted into the handle being careful not to damage the cutting edge of the blade by striking it to metal. Also be careful not to injure yourself as the blade is very sharp.
2) The blade retaining plate is then fitted. Note that it is asymmetrical, the shorter section is applied over the free blade edge. Incorrect fitting of the blade retaining plate so that the retaining plate overlies the free edge of the blade means it can strike the handle body near the lateral free edges of the blade.
3) Insert and tighten the fixing nut to firmly hold the blade in the handle. 
4) The thickness of the graft to be harvested is determined by adjusting the two thumb screws on each upper side of the handle. The thumb screws move the harvesting guide either closer to, or further from the blade and change the thickness of the harvested graft accordingly. Turn thumb screws equally to maintain the blade parallel to the harvesting guide.
5) Split thickness grafts vary in thickness from thin (0.008 of an inch) to medium (0.010 of an inch) to thick (0.012 of an inch).
6) A Swann-Morton No.15 scalpel blade can be passed between the blade and guard to check selected thickness prior to harvesting a graft. The thickness of the disposable 15 blade is 0.394mm or 0.0155 inch. If the number 15 blade passes freely between the skin graft disposable blade and the harvesting guide this will provide a thick split thickness skin graft.This is useful if harvesting from the anterior or lateral upper thigh.
7) If the forearm or arm is chosen select a thin to medium thickness split thickness skin graft. The number 15 disposable blade will only pass part way to the bevel. The recipient site will determine how thick a graft you wish to harvest.
8) After appropriate anaesthesia and application of lubrication such as liquid paraffin to the donor site and skin graft handle, the graft is harvested by steadily moving the blade back and forth at the same time stretching the skin to hold it firm. 

(* Instructions for use kindly supplied by Dr William J Ryman M.B.B.S., F.A.C.D., Dermatologist and Mohs surgeon Royal North Shore Hospital, Sydney, N.S.W. Australia.)

Silvers Skin Graft Blade For Use With Silvers Handle (9911 & 9912) x 10

The distinctive hooked shaped SM68 can be used in a number of specialist disciplines including cosmetic procedures such as a "suction lipectomy", E.N.T. Surgery for "Tonsillectomy" and also in Dental Periodontics. Fits Fine Handles SF1, SF2, SF3, SF4, SF13 and SF23.

Fitment Fine. 3 piece handle. Fits Blades SM61, SM62, SM63, SM64, SM65, SM65A, SM67, SM68, SM69, SP90, SP91 and Myringotomy blade.

Precisely ground on four sides like an arrow head, the SM63 can be used in a number of specialist disciplines including Plastic & Reconstructive Surgery for procedures such as Otoplasty, Rhytidectomy and Rhinoplasty. Fits Fine Handles SF1, SF2, SF3, SF4, SF13 and SF23.

Precisely ground on four sides like an arrow head, the SM69 can be used in a number of specialist disciplines including Plastic & Reconstructive Surgery, Cardiology, Ophthalmology, Endoscopy, Laparoscopy, Pyloromyotomy for infantile pyloric stenosis and Dental Implantology techniques. Fits Fine Handles SF1, SF2, SF3, SF4, SF13 and SF23.

Ergonomically designed, the Stainless steel B3 also referred to as the "Barron" handle, (J.N.Barron, Salisbury), with it's smooth tapered octagonal body, offers precise fingertip control required for Hand surgery such as a Fasciectomy  (removal of scar like tissue ), peripheral nerve repair and surgery of the tendons and joints.Can also be utilised for excision biopsies of lesions from the face,head, neck and vessels , Hypospadias repair, genital reconstruction work and tumour dissection . Beneficial for making delicate dissections and cutting along curved lines it is also popular within the disciplines of Maxillo-facial surgery , Plastic and Reconstructive surgery and Periodontal surgery. Fitment No.3. Fits Blades - No.6, 9, 10, 10A, 11, 11P, E/11, 12, 12D, 13, 14, 15, 15A, 15C, D/15, 15T, 16, 40 and SG3.