What the kleinert kutz skin hook is
The kleinert kutz skin hook is a single pronged retractor built for hand and microsurgery, where the whole operative field may be the width of a finger and the structures being exposed are a digital nerve and the vessels lying beside it.
Two things make the pattern. The tip is very fine and tightly curved, so it takes a small bite on skin that has very little to spare, and the shaft is narrow, so the instrument fits inside an opening that a wider hook would fill on its own. In a finger that second point is not a refinement, it is the difference between seeing the structure and not seeing it.
Three tip widths are made, 3 mm, 5 mm and 7 mm, and the choice is decided by how much skin there is to lift.
Key design features of the kleinert kutz skin hook
Four features, and all of them follow from working inside a small opening.
- One fine sharp prong. A single point of purchase, taken on skin that will not tolerate a broad bite.
- Tight curve. The tissue sits in the bend close to the tip, so the hook does not have to be driven deep to hold.
- Narrow shaft. Fits inside confined fields on fingers and toes, and leaves room to see past it.
- Three tip widths. 3 mm, 5 mm and 7 mm, so the bite is matched to the thickness of the skin.
Kleinert Kutz skin hook sizes
Three sizes ship from this page, and the size is chosen at the point of order.
| Size | Tip width | What it suits | Item code |
|---|---|---|---|
| Small | 3 mm | Digital skin, the tightest fields on a finger | AP-11.03 |
| Medium | 5 mm | The everyday hand surgery choice | AP-11.03 |
| Large | 7 mm | Palmar skin and a longer edge to lift | AP-11.03 |
Our own record carries the three tip widths and not an overall length, so no length is stated here. Google AI Mode lists the same three widths for this pattern, 3 mm small, 5 mm medium and 7 mm large, which is independent confirmation of the sizes above and not the source of them.
Kleinert Kutz skin hook uses by specialty
One field dominates this pattern, and the table says where else it earns a place.
| Specialty | What the kleinert kutz skin hook is used for |
|---|---|
| Hand surgery | Exposing a digital skin flap, which is the work the pattern was built around |
| Microsurgery | Holding skin back while vessels and nerves are worked on under magnification |
| Peripheral nerve surgery | Opening a neurovascular bundle site and holding the skin clear of it |
| Reconstructive surgery | Lifting a small flap where the opening will not take a wider instrument |
| Plastic surgery | Fine skin handling on the face and the extremities |
| Orthopedic upper extremity | Retracting skin over the dorsum of the hand and wrist |
| Podiatric surgery | The same narrow field problem on toes as the pattern solves on fingers |
What the prong holds, and what it does not
Working beside nerves makes the limits of a sharp instrument worth stating plainly.
| Structure | How the prong takes it |
|---|---|
| Hand and finger skin | The pattern this hook exists for. A small opening, and a shaft that does not fill it |
| Digital skin flaps | Lifted on one fine point, which is all the width there is to work with |
| Palmar skin | Taken on the 7 mm tip, where there is thickness to hold |
| Tendon sheath | Held to one side while the tendon beneath is inspected |
| Soft tissue around nerves and vessels | Moved clear for exposure. The hook holds the skin, never the nerve |
| Digital nerves and vessels | NOT on this instrument. A sharp prong near a nerve is a hazard. Use a nerve hook |
| Bone and tendon | NOT this instrument. A skin hook holds skin |
How the kleinert kutz skin hook compares with other skin hooks surgical instruments
Three of the rows below are our own hooks, and the rest are the skin hooks surgical instruments buyers weigh it against.
| Pattern | How it differs | When you reach for it instead |
|---|---|---|
| McCoy micro dermal single hook | A single prong at a smaller working scale again | Micro flaps and the thinnest dermal margins |
| Gillies skin hook | A general purpose single prong on a round handle in 12 cm and 18 cm | A thicker flap or a deeper field in general plastics |
| Guthrie skin hook | Two prongs, sharp or blunt, for even tension on fragile skin | Eyelid margins and skin too thin for a single point |
| Nerve hook | A blunt hook made to lift a nerve rather than skin | Anything that involves picking up the nerve itself |
| Fine tissue forceps | Grips between two blades and marks a line | Tissue being removed |
| Self retaining retractor | Holds itself open and frees a hand | A long exposure with no assistant to hold |
Kleinert Kutz skin hook materials and finish
Made from high quality medical grade stainless steel, satin finished so the operating light does not reflect off the shaft into the eye, which matters more under magnification than it does in an open field. The steel itself is made to a German specification. The prong is hardened at the tip, because on a 3 mm hook the tip is almost the whole instrument.
Skin hook retractor uses, care and sterilization
Buyers searching skin hook retractor uses usually want two answers: what it does in the wound, which is above, and how it is looked after, which is this. Clean with a soft brush under running water, paying attention to the inside of the curve where tissue collects, then rinse in deionized water and dry fully before autoclaving. Store so nothing rests on the tip. A fine prong is easily bent and a bent prong tears skin rather than lifting it, so check the point before the instrument goes back into the set.
Ordering, skin hook price and wholesale
Adas Instruments makes this pattern to order in 3 mm, 5 mm and 7 mm, and supplies hospitals, surgical centers and distributors across the United States, Latin America, Europe and Asia. Skin hook price depends on the size ordered and on the quantity, bulk and wholesale pricing is available, and instruments held on backorder ship in 10 to 12 working days. Every instrument carries a three year replacement warranty against manufacturing defects. Certifications: CE. Production is controlled under an ISO 13485 quality management system.
Frequently asked questions
What is a kleinert kutz skin hook used for?
Retracting skin in hand and microsurgery. The fine tip and the narrow shaft let it work inside a finger or a toe, where it holds a digital skin flap back while a nerve, a vessel or a tendon sheath beneath it is exposed.
What is a skin retractor used for?
Holding a skin edge or a flap out of the surgeon line of work. The skin hook is the handheld version of that idea: one or two points of purchase, held by an assistant, and taken out the moment the exposure is no longer needed.
What is a hook retractor used for?
The same job, done on a point rather than on a blade. A hook retractor engages the tissue on a prong and holds it by the bend of the hook, which spreads almost no pressure across the tissue and therefore leaves no crush mark on skin that is being kept.
What skin hook size should I order?
Match it to the skin. 3 mm for digital work and the tightest fields, 5 mm for everyday hand surgery, and 7 mm where there is palmar thickness to lift. A hand set usually carries a 3 mm and a 5 mm rather than one of each size.
Is this a skin hook retractor or a nerve hook?
A skin hook retractor. It has a sharp prong and it is made to hold skin. A nerve hook is blunt and is made to lift a nerve, and the two are not interchangeable in either direction: a sharp prong near a nerve is a hazard, and a blunt hook will not take a skin edge.
Related products and categories
Buyers who order the kleinert kutz skin hook usually order alongside it the mccoy micro dermal single hook, the gillies skin hook and the guthrie skin hook. The whole family sits in hooks and retractors, and this pattern is also listed under micro surgery instruments.





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