Surgical retractor having improved blades

• US 6,500,116 B1
• Filed: 09/06/2000
• Issued: 12/31/2002
• Est. Priority Date: 01/24/1999
• Status: Expired due to Fees

• Current Assignee: Technology Holding Company II (Teleflex Incorporated)
• Original Assignee: Genzyme Corporation (Sanofi )
• Inventors: Knapp, Tracey
• Primary Examiner(s): Smith, Jeffrey A.
• Application Number:
  US09/655,921
• Time in Patent Office: 846 Days
• Field of Search: 600/201, 600/213, 600/214, 600/217, 600/231, 600/232, 600/233, 600/235, 600/210, 600/215, 600/219
• US Class Current: 600/232
• CPC Class Codes: A61B 17/0206 with antagonistic arms as supports for retractor elements
• CPC Class Codes: A61B 17/0483 Hand-held instruments for holding sutures A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30
• CPC Class Codes: A61B 17/06061 Holders for needles or sutures, e.g. racks, stands hand-held holding instruments A61B17/0483; holders for articles A61B50/20; racks for syringes or for hypodermic or infusion needles A61M5/008
• CPC Class Codes: A61B 2017/00243 cardiac
• CPC Class Codes: A61B 2017/00252 for by-pass connections, i.e. connections from heart chamber to blood vessel or from blood vessel to blood vessel
• CPC Class Codes: A61B 2017/0243 for immobilizing local areas of the heart, e.g. while it beats
• CPC Class Codes: A61B 2017/1107 for blood vessels
• CPC Class Codes: A61B 90/50 Supports for surgical instruments, e.g. articulated arms

Abstract

The present invention relates to surgical retractors having improved blades for use, on the retractor and devices for stabilizing a predetermined area of the body during a surgical procedure, more particularly to surgical retractors and stabilizing devices used in connection with minimally invasive coronary artery bypass grafting surgical procedures, and more specifically to surgical retractors and stabilizing devices especially configured for use with each other for such surgical procedures wherein the retractor includes a plurality of grooves on the bottom surface thereof and a plurality of blades having a member that is releasably received in the grooves and which also allows for the pivotal movement of the blades relative to the arms of the retractor and further including nesting blades having a third section which is generally linear and second sections which are preferably curved about 180 degrees to allow for the simplified insertion of the blades into the chest incision and the providing for the secure and stable positioning of the retractor relative to the chest of the patient.

Claims

1. A system for use in a surgical procedure, comprising:

a retractor having a plurality of retractor arms thereon and a segment interconnecting said retractor arms wherein said retractor arms are movable with respect to each other and include top and bottom surfaces thereon wherein said bottom surface of each of said arms includes a plurality of elongate slots having a blade engaging surface on said bottom surface of said arms; and

a plurality of blades each having an upper surface with a raised surface thereon and said upper surface of said blades being sized to be slidably contacting with said blade engaging surface of said slot to allow horizontal movement therebetween and said blades further having at least one downwardly extending blade element thereon.

2. The system of claim 1 wherein each of said plurality of blades are slidable into one of said slots and said blades are spaced apart from said top surface of said arms.

3. The system of claim 1 wherein at least one of said blades include a third section thereon that is curved relative to first and section sections thereof.

4. The system of claim 3 wherein said first section of said at least one of said blades is oriented generally perpendicular to said third section of said blade element.

5. The system of claim 3 wherein said first section of said at least one of said blades is oriented generally parallel to said top surface of at least one of said retractor arms of said retractor.

6. The system of claim 3 wherein each of said retractor arms include inner surfaces and said third section of said at least one of said blades is generally aligned with the inner surface of the retractor arms.

7. The system of claim 6 wherein said second section of said at least one of said blades includes an inner and outer surface and said second section extends outwardly beyond the inner surface of at least one of the retractor arms.

8. The system of claim 3 wherein second section of said at least one of said blades has an angle of curvature of approximately 180 degrees.

9. A system for use in a surgical procedure, comprising:

a retractor having a plurality of retractor arms thereon and a segment interconnecting said retractor arms wherein said retractor arms are movable with respect to each other and include top and bottom surfaces thereon wherein said bottom surface includes a blade engaging surface on said bottom surface of said arms;

a plurality of blades each having an upper surface with a raised surface thereon and said upper surface of said blades being sized to be slidably contacting with said blade engaging surface to allow horizontal movement therebetween and said blades further having at least one downwardly extending blade element thereon; and

wherein said blade engaging surface on said bottom surface of said arms include a plurality of ridged slots and a plurality of further slots are located in said ridged slots and said blades further include a raised member thereon which is sized to be in slidable contact with said further slots.

10. The system of claim 9 wherein said raised member includes a ball member that extends upwardly with respect to said upper surface of each of said blades.

11. A blade member for use on surgical retractors, said blade member including:

a body section having an upper surface and said upper surface of said body section having a member thereon that is sized to slidably contact an arm of a surgical retractor and said member is depressible relative to said upper surface of said body section upon contact with an arm of a surgical retractor; and

a blade element extending from said body section and said blade element having a first section and a second section wherein the second section is curved relative to the first section and said second section extends downwardly therefrom.

12. The blade member of claim 11 wherein said member includes a ball member associated therewith.

13. The blade member of claim 11 wherein said body section includes a lip member extending along the periphery thereof.

14. The blade member of claim 11 wherein said body section generally includes an oblong member having a lip surface extending along the periphery thereof.

15. The blade member of claim 11 wherein said blade element further includes a third section extending generally downwardly from said second section and said third section is oriented generally perpendicular to said first section.

16.The blade member of claim 15 wherein said second section includes an angle of curvature of about 180 degrees.

16. The blade member of claim 11 wherein said body section includes at least two spaced apart blade elements extending downwardly therefrom and said blade elements are configured relative to each other to align with blade elements from an additional blade member.

17. The blade member of claim 11 wherein said first section is generally aligned with said body section and said second section curves downwardly relative to said first section.

18. A system for use in a surgical procedure, comprising:

a retractor having a plurality of retractor arms thereon and a segment interconnecting said retractor arms wherein said retractor arms are movable with respect to each other and top and bottom surfaces thereon wherein said bottom surface includes a plurality of ridged slots on said bottom surface of said arms; and

a plurality of blades at least one of which has an upper surface with a raised surface thereon and said upper surface of said at least one of said blades being sized to be in slidable contact with at least one of said ridged slots to allow horizontal movement therebetween and said at least one of said blades further having at least one downwardly extending blade element thereon;

a ball member that extends upwardly with respect to said raised member;

a blade element associated with said upper surface of said at least one of said blades and said blade element including a first section that is oriented generally parallel to at least one of the arms of the retractor;

a second section on said blade element wherein said second section includes a downward curve extending from said first section;

a third section on said blade element wherein said third section extends downwardly from said second section and is oriented generally perpendicularly to said first section; and

wherein each of said retractor arms include inner surfaces and said third section of said blade elements are generally aligned with the inner surface of at least one of the retractor arms and said second section extends beyond said inner surface of at least one of said retractor arms.