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Thread: Hemostat modification

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  1. #1
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    Hemostat modification

    Hemostats come in various sizes. I discovered today at the supplier I prefer for such medical implements (Ax Man Surplus) that larger hemostats have larger finger holes while little hemostats have little finger holes. WTF, over? Does that mean that only larger surgeons use larger hemostats and the smaller ones are used only by people with small hands and fingers? What if an old farmer with gnarly hands shaped by a lifetime of hard work (and maybe some arthritis) happens to need a small hemostat to do a small task with his big, competent hands? Hmmmm?

    That, in fact, happens to be a situation I have. A good neighbor and friend at the lake, a farmer in his 80s, needs a small hemostat. He isn’t castrating chickens, hamsters or honey bees; he likes to go fishing so he needs it to tie knots in monofilament fishing line. He didn’t know that until I ‘splained to him how a small hemostat can be a big help when tying knots in nearly invisible fishing line with hands not designed for making fine stitches in lace doilies. He’s been a farmer all his life and has the hands of a man who is no stranger to hard work.

    He told me recently that he doesn’t change lures as often as he probably should when fishing because it takes him about forever to tie a knot. I discovered that he uses the palomar knot, an excellent fishing knot that is among the easiest knots to tie, but no knot is easy for an older guy with older vision and big fingers. It’s like tying your shoes in the dark while wearing boxing gloves. Knot that I’d know personally, but that’s what I’ve read in the literature. I have half a dozen hemostats in my boat in case I should ever get old or anything like that, doncha know. Vicki also uses them for grabbing leeches from the bait bucket and disgorging hooks swallowed by panfish.

    So I went to Ax Man Surplus today and picked up a 4” hemostat for my friend. It had tiny finger holes. I couldn’t even get my thumb and bird finger thru those little teeny holes. Imagine trying to use a lilliputian’s bowling ball the size of an orange, right?

    I have a shop and some skills. As such, it is my higher calling and duty to rectify social injustices like hemostatic finger size discrimination when possible. So I did.

    I made new finger holes of a size better suited to experienced manly digits. I made them out of 1/8” stainless steel welding rod. I silver-brazed the butt joints that made them rings, and then I silver-brazed the rings to the stumps on the hemostat from which I’d amputated the original, absurdly small, wimpy little finger holes. I’ll give the modified hemostat to my friend when we return to the lake.

    Hemostat modification-hemostat.jpg

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  3. #2
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    Do your friend a favor and introduce him to needle drivers,e.g....

    https://www.amazon.com/Needle-Cuttin...s%2C168&sr=8-1

    This is the surgeons goto tool for general suturing. Basically, it's a pair of forceps with a scissor built into the jaws behind the gripping jaws. Combining the scissors with the forceps means you don't have to lay down one tool and pick up another when tying knots.
    ---
    Regards, Marv

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    desbromilow (Jul 17, 2023), drivermark (Jul 22, 2023), Inflight (Jul 25, 2023), Jon (Jul 20, 2023), Moby Duck (Jun 21, 2025), Saltfever (Jul 17, 2023)

  5. #3
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    Good tip, Marv. I didn't know about needle drivers so thanx for that. OTOH, the hemostats at Ax Man Surplus are MUCH cheaper than Amazon's $19.99 and it's just a coupla miles from my house in Fridley, MN. And besides, real men just bite off the tag ends once their palomar knots are drawn up tight ... :<)

  6. #4
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    Try these guys Don, only $5.95 https://www.shopmedvet.com/category/...needle-holders
    Bony

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    Looks like some or many of the excellent alternatives found on Amazon and elsewhere might also have small finger holes that might not accomodate gnarly old farmer fingers. The friend I made these for is a big old (80+) Minnesota farmer, not a svelte young surgeon. My focus here was intended to be the home made larger finger holes made of stainless steel rod and silver-brazed on to an available but unusable-to-my-friend tool to give him a home made tool usable by and useful to him. It may be the only such homemade tool on the planet, custom made for him.

    My focus was on what he needs rather than what's available to buy on the internet that may or may not work for him, and on how we can (and should) use our skills and tools to help others if and when we see opportunities. Maybe my good friend and neighbor at the lake will catch more walleyes if able to more readily change lures.

    If he does, he surezhell won't tell me where he caught 'em or on whut, but we do enjoy amazing produce from his bounty. Ya can't buy food that good in the cities. Nobody eats better than farmers.
    Last edited by Don42; Jul 20, 2023 at 12:59 AM.

  8. #6
    Supporting Member mklotz's Avatar
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    Quote Originally Posted by Don42 View Post
    Good tip, Marv. I didn't know about needle drivers so thanx for that. OTOH, the hemostats at Ax Man Surplus are MUCH cheaper than Amazon's $19.99 and it's just a coupla miles from my house in Fridley, MN. And besides, real men just bite off the tag ends once their palomar knots are drawn up tight ... :<)
    I guess you didn't notice the "e.g." in the OP. I like to use Amazon pictures as examples because they're clear and often offer good detailed close-up views. Since it's an example only, it's up to you to find a cheaper alternative if you don't want to buy the example.
    ---
    Regards, Marv

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    Marv, to your earlier comment: I guess you didn't notice why I posted this as a homemade tool in the OP. Price is irrelevant if the finger holes are too small for the user.
    Last edited by Don42; Jul 20, 2023 at 12:55 AM.

  10. #8
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    It just occurred to me upon review of this that introducing my friend to needle drivers would do him a disservice rather than a favor, because the needle driver you suggested as an improvement has exactly the same problem as the hemostat I modifed for him: the finger holes are clearly too small for his big, gnarly fingers. He's a big old farmer, not a surgeon.

    If a tool is to be useful it must fit both the job and the user. It's no kind of gift to the recipient if it doesn't work for him.

    My friend is an old farmer and fisherman, not a surgeon doing sutures. My objective was to enable him to tie knots attaching fishing lures to 8 lb test (0.25mm) monofilament line (not sutures) with fingers that flat don't fit thru small loops and can barely feel the monofilament line. We were both pleased to see that the modified hemostats work nicely for him. He uses them. Even if needle drivers with big finger holes could be found, they wouldn't work better for him.

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  12. #9
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    Thanks Marv, a really neat tool and a great idea. My father was a surgeon and I only wish he were still around to advise me about all these wonderful instruments. I'm now looking for a supplier in Australia as his professional tools have gone long ago.

  13. #10
    Supporting Member mklotz's Avatar
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    Quote Originally Posted by Bony View Post
    Thanks Marv, a really neat tool and a great idea. My father was a surgeon and I only wish he were still around to advise me about all these wonderful instruments. I'm now looking for a supplier in Australia as his professional tools have gone long ago.
    Here are some other surgical tools I've found really useful in the home shop...

    Suture removal scissors...

    https://www.amazon.com/gp/product/B0...?ie=UTF8&psc=1

    have a hook on one jaw that is used to raise the suture from the wound area and support it while the other jaw comes down and nips it off. Ship modelers swear by these when rigging tiny models.

    Bandage removal scissors...

    https://www.amazon.com/gp/product/B0...?ie=UTF8&psc=1

    are similar. The lower jaw had a rounded dull tip that can slip under the bandage without accidentally sticking the patient; then the upper jaw comes down and severs the bandage.

    Alligator forceps...

    https://www.amazon.com/gp/product/B0...?ie=UTF8&psc=1

    are fantastic for retreiving small parts dropped into inaccessible places. Also the goto tool if you build ships in a bottle.

    Sponge forceps...

    https://www.amazon.com/gp/product/B0...?ie=UTF8&psc=1

    have serrated big tips (like overgrown pearl tweezers) and are great for working with soft materials, e.g. mopping the interior of a deep bore with a cloth.

    12" forceps...

    https://www.amazon.com/OdontoMed2011...l%2C151&sr=1-3

    are great for extending your reach. I have back problems that prevent me from bending over to pick up something from the floor. As a result, I have a bunch of these scattered about to extend my reach. They're very useful; with them I can pick up a dime from a tile floor.

    It's also worth learning to use surgical tools to tie knots...

    https://www.animatedknots.com/surgic...ment-technique

    This technique, executed with the aforementioned needle-driver is a common way to close a laceration with single stiches.
    ---
    Regards, Marv

    Smart phones are to people what laser pointers are to cats
    Homo sapiens is a goal, not a definition

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