Surgical retractor

• US 5,656,012 A
• Filed: 10/06/1994
• Issued: 08/12/1997
• Est. Priority Date: 10/06/1994
• Status: Expired due to Term

• Current Assignee: United States Surgical Corporation (Medtronic Plc)
• Original Assignee: United States Surgical Corporation (Medtronic Plc)
• Inventors: Sienkiewicz, Henry R.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): FLANAGAN, BEVERLY MEINDL
• Application Number:
  US08/319,172
• Time in Patent Office: 1,041 Days
• Field of Search: 600/201, 600/203, 600/206, 600/208, 600/209-210, 600/215, 600/37, 600/234, 600/204, 606/110, 606/198, 606/205, 606/206, 606/207, 604/105
• US Class Current: 600/204
• CPC Class Codes: A61B 17/0218 for minimally invasive surgery A61B17/0281, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence

Abstract

A surgical retractor is disclosed having a handle portion, an elongated body portion extending distally from the handle portion and including an outer tube, a fixed stabilizing member extending from a distal end of the outer tube and a pair of resilient bands pivotably connected to a distal end portion of the stabilizing member. An actuation mechanism is provided which is associated with the handle portion and proximal end portions of the bands for moving the bands between open and closed position. The surgical retractor further includes a sheath dimensioned to receive at least a portion of the stabilizing member and the bands.

Claims

1. A surgical retractor comprising:

a handle portion;

an elongated body portion extending distally from the handle portion, the body portion including an outer tube;

a stabilizing member extending from a distal end of the outer tube, the stabilizing member having a recess;

a pair of resilient bands having distal end portions pivotably connected to a distal end portion of the stabilizing member and having proximal end portions, the bands movable between a first position and a second position;

an actuation mechanism at least partially disposed in the handle portion and operatively associated with the proximal end portions of the bands for moving the bands relative to the stabilizing member between the first position and the second position;

a linkage operatively associated with the proximal end portion of the bands and the actuation mechanism in order to facilitate displacement of the bands to the open position, the linkage being located substantially within the stabilizing member recess in the first position and being located substantially entirely outside of the recess in the second position; and

a sheath dimensioned to receive at least a portion of the stabilizing member and the bands.

2. The surgical retractor as recited in claim 1, wherein the body portion further includes an inner rod member slidably disposed within the outer tube, the proximal end portions of the bands being attached to and movable with the inner rod member in response to the actuation mechanism.

3. The surgical retractor as recited in claim 2, wherein the actuation mechanism includes a rotatable knob disposed on the handle member, the knob being operatively connected to a drive screw member disposed in the handle member, wherein rotation of the knob causes longitudinal movement of the inner rod member.

4. The surgical retractor as recited in claim 1, wherein the bands at least partially define an arcuate configuration in the open position.

5. The surgical retractor as recited in claim 1, wherein the bands include supporting ribs.

6. The surgical retractor as recited in claim 1, further comprising a cover tube slidably disposed on the body portion for receiving at least portions of the stabilizing member, the resilient bands and the sheath.

7. The surgical retractor as recited in claim 1, wherein a proximal portion of the sheath is fixedly connected to the distal end of the body portion.

8. The surgical retractor as recited in claim 1, wherein the sheath is formed of a woven material.

9. The surgical retractor according to claim 1, wherein the sheath is formed of an elastomeric material configured to expand when the bands are moved from the first position to the second position.

10. A surgical retractor comprising:

a handle portion having an actuator at least partially disposed therein;

an elongated body portion extending from the handle portion, the body portion including an inner rod member slidable within an outer tubular member in response to the actuator;

a center member extending from a distal end portion of the outer tubular member;

a pair of bands having distal end portions pivotably connected to a distal end portion of the center member, the pair of bands movable relative to the center member in response to movement of the actuator between a retracted position in which the bands are substantially aligned with the center member and an expanded position in which the bands are spaced from the center member, each band having an elongated stabilizing rib extending along at least a portion of the length of the band, the stabilizing rib substantially preventing flexure of the portion of the length of the band during movement between the retracted and expanded positions; and

a sheath receiving at least portion of the center member and bands.

11. The surgical retractor as recited in claim 10, wherein the bands are more flexible than the center member.

12. The surgical retractor as recited in claim 10, wherein the sheath defines a substantially arcuate configuration in the expanded position and a substantially straightened position in the retracted position.

13. The surgical retractor as recited in claim 10, wherein the bands include supporting ribs on at least a medial portion thereof.

14. The surgical retractor as recited in claim 10, wherein the sheath is fixedly secured at a distal end of the body portion.

15. The surgical retractor as recited in claim 14, further comprising a cover tube slidably disposed on the body portion for receiving proximal portions of the center member, the bands and the sheath.

16. A surgical retractor comprising:

a handle portion;

an elongated body portion extending distally from the handle portion;

a stabilizing member disposed at a distal end portion of the body portion;

a pair of resilient bands having distal end portions pivotably connected to a distal end portion of the stabilizing member, the bands movable between a closed position, at least one intermediate position, and an open position, the bands being configured to form a predetermined geometric shape defining a first surface area when in the intermediate position, and forming a substantially similar predetermined geometric shape defining a second surface area when in the open position, the second surface area being greater than the first surface area, each band having a strengthening rib extending along a portion of its length, the strengthening rib being perpendicularly oriented with respect to the band;

an actuation mechanism associated with the handle portion for moving the bands relative to the stabilizing member between the closed position, the intermediate position, and the open position; and

a sheath dimensioned to receive at least a distal portion of the stabilizing member and the bands.

17. The surgical retractor according to claim 16, wherein the body portion includes an outer tube member and an inner rod member slidably disposed therein, a proximal portion of the pair of bands being movable with the inner rod member in response to the actuation mechanism.

18. The surgical retractor comprising:

(a) a handle portion;

(b) an elongated body portion extending distally from the handle portion;

(c) a stabilizing member disposed adjacent a distal end portion of the body portion;

(d) a pair of resilient bands having distal portions pivotably connected to a distal end portion of the stabilizing member and having proximal end portions, the bands each having a stabilizing rib and being movable between a first position in which the pair of bands are in substantial alignment with the stabilizing member and a second position in which the bands are symmetrical about the stabilizing member and together have a substantially rectangular configuration, the stabilizing ribs each extending along a respective sidewall of the rectangular configuration and;

(e) an actuation mechanism associated with the handle portion for moving the bands relative to the stabilizing member between the first position and the second position.

19. A surgical retractor as recited in claim 18, wherein the actuation mechanism is an axial drive screw member.

20. A surgical retractor as recited in claim 18, wherein the body portion encloses at least the proximal end portion of the bands.

21. A surgical retractor as recited in claim 18, wherein a proximal portion of the sheath is fixedly connected to the distal end of the body portion.

22. A surgical retractor as recited in claim 18, further comprising a cover tube slidably disposed on the body portion for receiving at least portions of the stabilizing member, the resilient bands and the sheath.

23. A surgical retractor comprising:

(a) a handle portion;

(b) an elongated body portion extending distally from the handle portion;

(c) a stabilizing member disposed adjacent a distal end portion of the body portion;

(d) a pair of resilient bands having distal portions pivotably connected to a distal end portion of the stabilizing member and having proximal end portions, the bands movable between a first position and a second position, each band having a longitudinally extending stabilizing rib;

(e) an actuation mechanism associated with the handle portion configured to move at least one of the stabilizing member and the bands for moving the bands relative to the stabilizing member between the first position and the second position;

(f) a sheath dimensioned to receive at least a portion of the stabilizing member and the bands.

24. A surgical retractor as recited in claim 23, wherein the actuation mechanism is an axial drive screw member.

25. A surgical retractor as recited in claim 23, wherein the body portion encloses at least the proximal end portion of the bands.

26. A surgical retractor as recited in claim 23, wherein a proximal portion of the sheath is fixedly connected to the distal end portion of the body portion.

27. A surgical retractor as recited in claim 23, further comprising a cover tube slidably disposed on the body portion for receiving at least portions of the stabilizing member, the resilient bands and the sheath.