Which needle holders have a ratchet and contain built-in scissors?

• A. Crile-Wood
• B. Mayo-Hegar
• C. Kaufmann
• D. Olsen-Hegar

Answer: (D)

The key idea is recognizing an instrument that combines a needle holder with built-in scissors, plus a ratchet to lock the instrument closed. The Olsen-Hegar is designed with both features: it grips and drives the needle like a standard needle holder, and it also has integrated scissors for cutting sutures, all while the ratchet mechanism keeps the grip secure during tying. This combination eliminates the need to switch to separate scissors mid-suturing, which can save time and reduce contamination risk in the field. The other options are needle holders used for grasping and driving sutures but do not include built-in scissors, so they don’t meet the criterion of having integrated cutting blades.