What a major basic instrument set is
General surgery trays come in two basic sizes. A minor set covers skin, small lumps and wounds. A major set is for the operation that opens a body cavity or runs a long incision, where the team needs more clamps, deeper retractors and longer needle holders than a minor tray can hold.
Google AI Mode, read on 27 October 2026, describes a major basic surgery set as a standard collection of instruments for wide exposure open operations, with major abdominal surgery and general soft tissue work among them. The groups it lists are the groups this tray is built from: scalpel handles, Mayo and Metzenbaum scissors, mosquito and Crile forceps, Allis and Babcock forceps, sponge and towel forceps, Richardson, Deaver and malleable retractors, a Balfour, Mayo Hegar needle holders and a Yankauer tube.
Ours is the same 98 piece tray we sell as the laparotomy instrument set, listed a second time for buyers who order by the general surgery name. A buyer looking for a major surgery instrument set is looking for this box, and anyone asking for the basic instruments for surgery, or the instruments used in surgery, finds one full answer in the contents table.
Key design features
Seven pairs of scissors
Two Mayo scissors, 17 cm, one straight and one curved, take the heavier cuts through fascia. Four Metzenbaum Nelson scissors, all curved and blunt at both points, do the fine dissection: two at 18 cm for work near the surface and two at 23 cm for the deep field. A 14.5 cm sharp blunt operating scissors stays on the back table for sutures and dressings.
Forceps to grasp, from fine to firm
Fourteen grasping forceps sit beside the clamps. Three plain dressing forceps and three tissue forceps with 1 x 2 teeth, at 14.5 and 20 cm, cover the surface. Two Potts Smith dressing forceps, 21 and 25 cm, reach into the abdomen. Four Allis forceps hold tissue that has to be pulled on, and two Babcock forceps hold the bowel without biting through it.
A retractor for each layer
Volkmann rakes with four and six prongs, a Roux set, a Parker Langenbeck set and two Cushing hooks hold skin and fat. Four Richardson retractors and two Deavers work deeper. The 200 mm Balfour holds the abdomen open by itself once its blades are set. Three malleable spatulas, 33 cm long, are bent at the table to whatever shape the case needs.
Four handles for four kinds of cut
The No. 3 handle takes the small blades used for fine incisions. The No. 4 takes the large blades for skin and long cuts. The No. 7 is a long, slim handle for small blades in a deep wound, and the No. 7K completes the set. With four handles, two surgeons can cut at once.
The major surgical instruments list
All 44 lines of the tray, read off our own contents list on 27 October 2026. The quantities add up to 98 instruments. The box is listed last and is not counted as a piece.
| Instrument | Size and pattern | Qty |
|---|---|---|
| Foerster-Ballenger Sponge Holding Forceps | 25 cm, Straight, serrated | 4 |
| Backhaus Towel Forceps | 13 cm | 10 |
| Scalpel Handle | No. 3 | 1 |
| Scalpel Handle | No. 4 | 1 |
| Scalpel Handle | No. 7 | 1 |
| Scalpel Handle | No. 7K | 1 |
| Mayo Operating Scissors, blunt-blunt | 17 cm, Straight | 1 |
| Mayo Operating Scissors, blunt-blunt | 17 cm, Curved | 1 |
| Metzenbaum-Nelson Scissors, blunt-blunt | 18 cm, Curved | 2 |
| Metzenbaum-Nelson Scissors, blunt-blunt | 23 cm, Curved | 2 |
| Standard Operating Scissors, sharp-blunt | 14.5 cm, Straight | 1 |
| Standard Dressing Forceps | 14.5 cm, Straight | 2 |
| Standard Dressing Forceps | 20 cm, Straight | 1 |
| Standard Tissue Forceps | 14.5 cm, Straight, 1 x 2 teeth | 2 |
| Standard Tissue Forceps | 20 cm, Straight, 1 x 2 teeth | 1 |
| Potts-Smith Dressing Forceps | 21 cm, Straight | 1 |
| Potts-Smith Dressing Forceps | 25 cm, Straight | 1 |
| Allis Tissue Seizing Forceps | 15 cm, 5 x 6 teeth | 4 |
| Babcock Intestinal Tissue Forceps | 16 cm | 2 |
| Halsted-Mosquito Artery Forceps | 12.5 cm, Straight | 10 |
| Halsted-Mosquito Artery Forceps | 12.5 cm, Curved | 10 |
| Crile-Rankin Artery Forceps | 16 cm, Straight | 4 |
| Crile-Rankin Artery Forceps | 16 cm, Curved | 4 |
| Ochsner-Kocher Artery Forceps | 16 cm, Straight | 4 |
| Richardson (Kelly) Retractor | 24 cm, 28 x 20 mm | 2 |
| Richardson (Kelly) Retractor | 24 cm, 36 x 28 mm | 2 |
| Roux Retractor Set | 16.5 cm, Fig. 1 to 3 | 1 |
| Deaver Retractor | 30.5 cm, 50 mm | 2 |
| Volkmann Retractor, 4 prongs | 21.5 cm, Demi-sharp | 2 |
| Volkmann Retractor, 6 prongs | 21.5 cm, Demi-sharp | 2 |
| Cushing Delicate Hook | 20 cm, 10 mm | 2 |
| Parker-Langenbeck US Army Retractor Set | 21 cm, Fig. 1 + 2 | 1 |
| Abdominal Spatula, malleable | 33 cm, 30 mm | 1 |
| Abdominal Spatula, malleable | 33 cm, 40 mm | 2 |
| Balfour Abdominal Retractor | 200 mm | 1 |
| Probe with Eye | 13 cm, 2 mm | 1 |
| Koenig Ligature Conductor | 19.5 cm, 3 mm | 1 |
| Deschamps Needle, blunt, medium | 20 cm, Left | 1 |
| Deschamps Needle, blunt, medium | 20 cm, Right | 1 |
| Mayo-Hegar Needle Holder | 16 cm | 1 |
| Mayo-Hegar Needle Holder | 18 cm | 2 |
| Mayo-Hegar Needle Holder | 24 cm | 1 |
| Yankauer Suction Tube, complete | 27 cm | 1 |
| Stainless Steel Instrument Box | holds the set | 1 |
Where it is used
The first two columns come from the Google AI Mode answer read on 27 October 2026, the last from our list. Gemini, read on 3 November 2026, places a set like this in general, acute care and abdominal trauma surgery.
| Kind of case | What the answer says | How this tray fits it |
|---|---|---|
| Major abdominal surgery | Named first among the operations the set supports | The full tray, Balfour and Deaver included |
| General soft tissue surgery | Named among the open operations | Scissors, forceps and rakes for a long open wound |
| Thoracic surgery | Named among the open operations | No rib spreader or rib instruments in this tray; it needs a chest set |
| Closing the wound | Mayo Hegar needle holders | Four, from 16 to 24 cm, plus Deschamps needles and a Koenig conductor |
What it is for, and what it is not for
A major tray is the general answer. The table sends the narrower jobs to a set of ours that is built for them.
| Job | Use this set? | What to use instead |
|---|---|---|
| Open general or abdominal surgery | Yes | This is the job it is made for |
| Skin lesions and small wounds | Larger than needed | Our minor basic instrument set |
| Stomach resection with intestinal clamps | Not on its own | Our stomach operation instrument set |
| Stones in the common bile duct | No | Our gall bladder and bile duct set |
| Laparoscopic surgery | No | This tray is for open surgery only |
How it compares with the rest of the family
Five open abdominal trays make up this family on our site. The counts are read off each set’s own contents list, and the prices off each product’s order form.
| Set | Pieces | Built around | Price |
|---|---|---|---|
| Laparotomy instrument set | 98, plus the box | Balfour self retaining retractor, Deaver and Richardson retractors, 32 artery forceps | 643.65 dollars |
| Stomach operation instrument set | 60, plus the box | Lane stomach clamp, Kocher intestinal clamps, 16 Ochsner artery forceps | 619.50 dollars |
| Major basic instrument set (this page) | 98, plus the box | the same 98 pieces as the laparotomy set, under the general surgery name | 643.65 dollars |
| Gall bladder and bile duct set | 38, plus the box | Bakes dilators Fig. 1 to 11, gall stone forceps, scoops and probes | 373.80 dollars |
| Herniotomy instrument set | 45, plus the box | small Backhaus clamps, Roux and Volkmann retractors, Crile Wood needle holders | 285.60 dollars |
Materials and finish
Every instrument in the set is made from high quality medical grade stainless steel, and the box is stainless steel as well. The steel itself is made to a German specification. We do not publish a grade number.
Because the tray is one list in one box, two identical boxes can be swapped between cases while one is in the steam cycle.
Caring for it
Rinse the tray as soon as the case ends, before blood dries in the joints. Open every jointed instrument so the brush reaches the box joints and the serrations, and run water through the Yankauer tube. Keep the Metzenbaum scissors apart from heavy instruments in the washer. Dry, oil the joints lightly, steam sterilize the tray with the jointed instruments open on a stringer, and count it against the contents list before the box is closed.
Ordering and wholesale
The major basic instrument set is made by Adas Instruments in our own workshop and sold direct, which is why the price sits where it does against the catalog houses. Order one for a single tray, or in quantity for a hospital list or a distributor line. We do OEM work under your own brand and your own item numbers. Send us a sample and we will hold a run to your pattern rather than ours. Stock items ship from our own workshop. Backorder items take 10 to 12 working days to make. Every instrument carries a three year replacement warranty against manufacturing defects. Production is controlled under an ISO 13485 quality management system.
Frequently asked questions
What is a major basic instrument set used for?
It is used for open operations that need wide exposure, above all major abdominal surgery and other open soft tissue work. One box holds the scalpel handles, scissors, clamps, grasping forceps, retractors, suction and needle holders the team needs from the first cut to the last stitch.
What are the common instruments used in major surgery?
Scalpel handles, Mayo and Metzenbaum scissors, artery forceps such as the mosquito and the Crile, Allis and Babcock forceps, towel and sponge forceps, hand held and self retaining retractors, a suction tube and needle holders. Every one of those groups is in this tray, counted in the contents table.
What is the difference between a major basic and a minor basic instrument set?
Size and depth. A minor set handles skin and small wounds and has no deep retractors. The major set adds long scissors, 32 artery forceps, Deaver and Richardson retractors, a Balfour and long needle holders, so it can work inside an open abdomen.
Is the major basic instrument set the same as the laparotomy instrument set?
Yes. The two listings carry the same 98 pieces, in the same sizes and counts, at 643.65 dollars. Some buyers order by the general surgery name and others by the operation, so we list the tray under both. Either order brings the same box.
What is in a surgical kit?
A surgical kit is any set of instruments packed together for one kind of work, from a five piece suture kit to a tray of a hundred pieces. This one holds 98, and every line of it, with sizes and counts, is in the table on this page.
Related products and categories
Three more trays from the same family: the gall bladder and bile duct instrument set, the herniotomy instrument set and the laparotomy instrument set. Every set we make for open abdominal and general work is in general surgery and abdominal instrument sets, and the trays for other specialties are under surgical instrument sets.


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