Surgical retractor assembly having tissue viability sensor embedded therein

• US 4,945,896 A
• Filed: 01/24/1989
• Issued: 08/07/1990
• Est. Priority Date: 01/24/1989
• Status: Expired due to Fees

• Current Assignee: George F. Gade
• Original Assignee: George F. Gade
• Inventors: Gade, George F.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): Graham, Mark S.
• Application Number:
  US07/301,614
• Time in Patent Office: 560 Days
• Field of Search: 128/20, 128/691, 128/664, 128/666
• US Class Current: 600/202
• CPC Class Codes: A61B 17/02 for holding wounds open; Tractors specula A61B1/32 ; drainage appliances for wounds A61M27/00
• CPC Class Codes: A61B 5/0071 by measuring fluorescence emission
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/0261 using optical means, e.g. infrared light
• CPC Class Codes: A61B 5/14553 specially adapted for cerebral tissue
• CPC Class Codes: A61B 5/4064 Evaluating the brain A61B5/031, A61B5/369, A61B5/14553 take precedence

Abstract

A surgical retractor is disclosed having a generally flat malleable blade with a miniature metabolic parameter sensor embedded or removably inset into the blade. The sensor detects physiologic and metabolic parameters to monitor tissue viability of the tissue underlying the retractor.

Claims

1. A retractor assembly for retracting and holding soft body tissue in a stationary retracted position and monitoring the viability of said soft body tissue underlying said retractor, said assembly comprising:

a generally flat, elongated blade insertable within a surgical cavity, said blade having an underside, an upper side, a distal end portion and a proximal end portion, said underside of said distal end portion contacting said soft body tissue when said blade is positioned in said cavity to retract said tissue, said blade having a first slot through its upper side and a second slot through its under side;

sensor means embedded in said distal end portion of said blade for detecting physiologic and metabolic status of said underlying tissue and for producing a signal representative of said status, said sensor means removably inset in said second slot; and

conduit means for passing said signal from said sensor means along said blade and from said distal end to said proximal end whereby the signal can be connected to a signal processor for remotely processing and displaying the detected status in the underlying tissue, said conduit means being mounted to the upper side of said blade and passing through said first and second slots to said sensor means.

2. The retractor assembly according to claim 1 wherein said sensor means is an oxygen tension sensor responsive to the surface oxygen concentration in said tissue.

3. The retractor assembly according to claim 1 wherein said blade is coated with a polymeric material to prevent adherence of said blade to said soft tissue.

4. The retractor assembly according to claim 1 wherein said sensor means is a fiber optic window for conducting light through a fiber optic bundle lead in said conduit means to and from said underlying soft body tissue.

5. The retractor assembly according to claim 1 wherein said blade is formed of a piece of flat sheet metal folded lengthwise.

6. The retractor assembly according to claim 1 wherein said blade is formed of a flattened tube of malleable metal.

7. The retractor assembly according to claim 1 wherein said sensor means is covered with a transparent membrane to protect said sensor and allow light passage through said membrane.

8. The retractor according to claim 2 wherein said blade includes a cover of a polymeric material and an oxygen permeable membrane covers said oxygen sensor.

9. The retractor according to claim 1 wherein each of said slots has an open end and a closed end, said slots being aligned and superimposed so that said sensor means is installed through said open ends, said slots slidably receiving and holding a portion of said sensor means substantially flush with the underside of said blade.

10. The retractor assembly of claim 1 including a tissue viability monitoring system comprising:

a signal processing means connected to the sensor means by the conduit means for converting the signal from the sensor means to an electrical signal and amplifying said signal; and

display means coupled to said signal processing means for displaying said signal.

11. The system according to claim 10 wherein said display means comprises a multi-channel strip chart recorder and an audible speaker, said speaker producing an audio tone having a pitch representative of said activity in said underlying body tissue.