Needle Holder

            A medical needle holder is a hand-held instrument used by a surgeon when suturing wounds closed. This piece of surgical equipment is used to pass the suture needle through the tissue of the wound being stitched. It is a reusable surgical instrument that can be sterilized many times prior to being used on a new patient.

Many needle holders have a handle that is similar to a scissor or forceps handle. Two loops form the top of the instrument. The thumb is inserted into one side, and the forefinger is inserted into the other side. A clamp opens when the fingers spread apart, and closes as the fingers move closer together.

Some needle holders have a groove etched into the jaws of the clamp. This ensures the needle is correctly oriented at all times. The unusual handle on this particular needle holder is held in the palm of the hand, and gripping the handle tighter causes the jaws to clamp down on the needle.

Another version of the needle holder features a spring within the device that adds tension to the jaws of the clamp. The spring enables many different size needles to be used with a single holder. This type of needle holder may be used to maneuver suture thread as well as the suture needle.

The surgical needle holder may have serrated or smooth jaws on the grasping portion of the instrument. Most have a locking device attached to the jaws to create a firm hold on the needle during the procedure. The jaws are able to hold curved and straight needles depending on the wound being stitched closed. Some versions are available with interchangeable clamps for a variety of suture needle sizes.

To use the needle holder, the surgeon will grasp the handle and maneuver the needle into the jaws. A locking mechanism may be engaged to firmly hold the needle within the jaws of the clamp. The surgeon will maintain a consistent pressure on the handle of the needle holder as he inserts the needle into the tissue being sutured.

After the needle has been inserted into the flesh, the lock is released to allow the surgeon to adjust the position of the needle holder. As the needle is grasped a second time, the surgeon may lock the clamp closed to allow for a secure grip on the needle as it is pulled through the flesh. This process is repeated until the wound is closed.