Surgical retractors and method of use

• US 5,275,610 A
• Filed: 02/12/1993
• Issued: 01/04/1994
• Est. Priority Date: 05/13/1991
• Status: Expired due to Fees

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Incorporated (Cook Group Incorporated)
• Inventors: Eberbach, Mark A.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Lewis, William W.
• Application Number:
  US08/018,333
• Time in Patent Office: 326 Days
• Field of Search: 604/104-107, 606/127, 606/128, 606/191, 606/198
• US Class Current: 606/198
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• CPC Class Codes: A61M 29/02 Dilators made of swellable material balloon catheters for angioplasty A61M25/104

Abstract

An improved laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity. The retractor comprises an interior rod having a distal end and a proximal end and an exterior tube positioned to receive the central rod, the exterior tube having a distal end and a proximal end. A plurality of straps having their distal ends are coupled to the distal end of the interior rod and have their proximal ends coupled to the distal end of the exterior tube. The straps are flexible whereby movement of the distal end of the exterior tube distally toward the distal end of the interior rod will cause the straps to assume a generally spherical configuration, the total diameter of the retracted device being less than 1.5 centimeters. Coupling means secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located.

Claims

1. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps having recessed pivot points adjacent to their middles and ends, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume a generally spherical configuration, the total diameter of the retracted device being less than 1.5 centimeters; and

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located.

2. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume a generally planar configuration, the straps being two in number and further including fabric coupling the straps for forming an essentially planar retractor when the straps are expanded, the total diameter of the retracted device being less than 1.5 centimeters; and

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located.

3. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps being formed with an interior component and exterior component bonded along their lengths, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume a generally spherical configuration, the total diameter of the retracted device being less than 1.5 centimeters; and

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located.

4. The apparatus as set forth in claim 3 wherein the exterior component of each strap is more rigid than the interior component.

5. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of elongated members having their distal ends coupled adjacent to the distal end of the interior rod and having their proximal ends coupled adjacent to the distal end of the exterior tube, each elongated member having a plurality of hinge points to facilitate lateral movement whereby axial movement of the distal end of the interior rod axially with respect to the distal end of the exterior tube will cause the elongated members to assume an expanded planar configuration, with all of the elongated members located in a common plane with the axes of the interior rod and external tube, the total diameter of the retracted unexpanded device being less than 1.5 centimeters; and

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor laterally to enlarge or maintain a surgical cavity in which it is located.

6. The retractor as set forth in claim 5 and further including a supplemental tube receiving the retractor.

7. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of elongated members having their distal ends coupled adjacent to the distal end of the interior rod and having their proximal ends coupled adjacent to the distal end of the exterior tube, each elongated member having a plurality of hinge points to facilitate lateral movement whereby axial movement of the distal end of the interior rod axially with respect to the distal end of the exterior tube will cause the elongated members to assume an expanded planar configuration, with all of the elongated members located in a common plane with the axes of the interior rod and external tube, the total diameter of the retracted unexpanded device being less than 1.5 centimeters;

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor laterally to enlarge or maintain a surgical cavity in which it is located; and

material covering the elongated members.

8. A laparoscopic medical device comprising in combination:

a cylindrical linear support means having a distal end and a proximal end;

a plurality of elongated members having distal ends and having proximal ends coupled adjacent to the distal end of the support means, each elongated member having a plurality of hinge points to facilitate lateral movement whereby relative axial movement between the support means and elongated members will cause the elongated members to move between a contracted configuration and an expanded planar configuration, with all of the elongated members located in a common plane with the axis of the support means, the total diameter of the contracted elongated members and support means being less than 1.5 centimeters; and

a member of material with an interior opening receiving the elongated members for moving between a contracted and expanded configuration with the elongated means.

9. The device as set forth in claim 8 and further including a supplemental tube receiving the support means, elongated members and member of material.

10. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps having pivot points adjacent to their ends, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume an operative configuration, the total diameter of the retracted device being less than 1.5 centimeters;

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located; and

material means covering the straps.

11. A laparoscopic medical retractor for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps being formed with an interior component and exterior component bonded along their lengths, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume an operative configuration, the total diameter of the retracted device being less than 1.5 centimeters;

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located; and

material covering the plurality of straps.

12. A laparoscopic medical retractor positionable in a supporting tube for separating body parts during a surgical procedure to thereby create or maintain a surgical cavity comprising:

an interior rod having a distal end and a proximal end;

an exterior tube positioned to receive the interior rod, the exterior tube having a distal end and a proximal end;

a plurality of straps having their distal ends coupled to the distal end of the interior rod and having their proximal ends coupled in association with the distal end of the exterior tube, the straps being formed with an interior component and exterior component bonded along their lengths, the straps being flexible whereby movement of the distal end of the interior rod proximally toward the distal end of the exterior tube will cause the straps to assume an expanded configuration with the total diameter of the retracted device being less than 1.5 centimeters; and

coupling means to secure the interior rod and exterior tube against relative axial movement with respect to each other so that a surgeon may move the expanded retractor to enlarge a surgical cavity in which it is located.

13. The retractor asset forth in claim 12 and further including material means over the plurality of straps.