DCR Lacrimal Surgical Instrument Set, 47 Pieces

A Complete, Procedure-Matched Set for Lacrimal Duct Surgery

The Lacrimal (Dacryocystorhinostomy) Surgery Set brings together the coordinated instrumentation ophthalmic and ENT surgeons need to perform dacryocystorhinostomy (DCR), the standard surgical treatment for nasolacrimal duct obstruction and chronic epiphora. Rather than assembling loose pieces from separate trays, this 15-piece set is built around the actual sequence of an external or endonasal DCR procedure: exposing the lacrimal sac, creating the bony osteotomy into the nasal cavity, and forming a patent, unobstructed drainage pathway. Every instrument earns its place for the specific step it performs, so the tray moves at the pace of the surgery instead of slowing it down.

Bone Work: Osteotomy Formation and Enlargement

Creating the bony window into the nasal cavity is the most technique-sensitive part of DCR, and this set equips it accordingly. The Freer Periosteal Elevator, double-ended and 18cm long, reflects the periosteum cleanly off the lacrimal bone and frontal process of the maxilla, while the West Lacrimal Sac Chisel scores and thins the bone for controlled removal. A Kerrison Rongeur, size 0 with a 3mm bite and 14cm length, then enlarges the osteotomy with a punch action that avoids the shattering risk of a mallet-only approach, and the Lempert Bone Rongeur with the Cottle Bone Mallet round out bone removal for surgeons who prefer a combined punch-and-strike technique on denser lacrimal bone.

Lacrimal Sac and Duct Instrumentation

Once the osteotomy is open, the set's lacrimal-specific instruments take over. The Stevenson Lacrimal Sac Retractor, with curved 3x3 teeth on an 8.5cm blade, holds the sac wall open for suturing to the nasal mucosal flaps. A double-ended Castroviejo Lacrimal Dilator (sizes 1 and 2, 10cm) and a set of four Bowman Lacrimal Probes confirm canalicular patency and tent the sac wall before incision, matching the exact probing sequence surgeons already use to diagnose the obstruction preoperatively.

Visualization, Suction, and Tissue Handling

A DCR field is small, narrow, and easy to lose visibility in, so the set includes a Martin Nasal Speculum with extra-long 8.5cm blades for holding the nostril open during the endonasal portion of the procedure, alongside Frazier and Baron suction tubes for continuous field clearing. A Frazier Dural Hook retracts mucosal flaps without tearing them, Gruenwald-Lucae Ear/Nasal Forceps place and remove nasal packing, and Graefe and Farrell dressing forceps manage suture and soft tissue throughout closure.

Surgical-Grade Stainless Steel, Built for Repeated Sterilization

Every instrument in the set is manufactured from premium surgical-grade stainless steel, precision-milled and hand-finished to hold tolerance at the small scale DCR surgery demands. The satin finish resists glare under operating microscope and headlight illumination alike, and the full set is rated for repeated autoclave sterilization without loss of edge sharpness, ratchet tension, or jaw alignment, so the tray performs the same on its five-hundredth cycle as it did out of the box.

Manufactured to Gulmaher Surgico Quality Standards

Gulmaher Surgico manufactures the Lacrimal (Dacryocystorhinostomy) Surgery Set to strict dimensional and mechanical quality control, so every instrument that reaches your operating room matches the specification ophthalmic and ENT surgeons rely on for consistent outcomes. Whether you're outfitting a new oculoplastics tray, standardizing DCR sets across multiple sites, or replacing individual worn instruments, this set is ready for immediate clinical use. OEM manufacturing and private label branding are available, and the set ships complete and ready for sterilization. Order individually or inquire about bulk pricing for practices and surgical centers needing multiple units.