Foldable surgical retractor

• US 8,758,235 B2
• Filed: 07/11/2012
• Issued: 06/24/2014
• Est. Priority Date: 07/13/2011
• Status: Active Grant

• Current Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Original Assignee: Cook Medical Incorporated (Cook Group Incorporated)
• Inventors: Jaworek, Jacqueline A.
• Primary Examiner(s): Hoffman, Mary
• Assistant Examiner(s): Negrellirodrigue, Christina
• Application Number:
  US13/546,123
• Publication Number:
  US 20130018229A1
• Time in Patent Office: 713 Days
• Field of Search: 600184-246
• US Class Current: 600/206
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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: A61B 2017/0212 Cushions or pads, without holding arms, as tissue retainers, e.g. for retracting viscera
• CPC Class Codes: A61B 2017/0225 flexible, e.g. fabrics, meshes, or membranes

Abstract

A foldable retractor is provided. The retractor includes an arcuate deformable frame that is defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm that defines a remaining portion of the outer circumference. The first and second arms each include opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together. The first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane.

Claims

1. A foldable retractor, comprising:

an arcuate deformable frame defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm defining a remaining portion of the outer circumference;

the first and second arms each including opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together; and

wherein the first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane,

further comprising a deformable membrane secured around at least a portion of the arcuate frame to form a continuous restraining structure across a central opening of the frame,

wherein the first and second arms may be manipulated to a second configuration wherein the first and second arms substantially overlap each other, wherein when the frame is in the second configuration, the first and second end portions of each of the first and second arms may be pulled away from each other to transfer the frame to a third configuration wherein the first and second arms are substantially elongate and the retractor is capable of extending within a substantially straight lumen, and wherein the first and second arms are biased to return to the second configuration as the retractor is withdrawn from the lumen.

2. The foldable retractor of claim 1, wherein the membrane is configured to urge the first and second arms of the frame into the first configuration.

3. The foldable retractor of claim 1, wherein the first and second arms each comprise a superelastic material that extends substantially along a length of each portion.

4. The foldable retractor of claim 3, wherein the first and second arms each comprise an elastomeric material formed substantially along an entire length of the first and second arms, wherein the elastomeric material is mated with the superelastic material.

5. The foldable retractor of claim 1, wherein one or both of the first and second end portions are foldably attached together with a hinge, wherein each hinge is disposed upon the respective first end portions or second end portions of each arm, wherein one or both of the hinges are fixed to a locally convex edge of one or both of the first and second arms when the frame is in the first configuration.

16. The foldable retractor of claim 1, wherein the first and second arms of the frame are configured such that when in the frame is oriented in the first configuration and one or more radially inward forces act upon the frame, the orientation of the frame deforms radially inward but the first and second arms remain substantially within the same plane.

6. A foldable retractor, comprising:

an arcuate deformable frame defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm defining a remaining portion of the outer circumference;

the first and second arms each including opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together; and

wherein the first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane, wherein each of the respective first and second end portions are foldably attached together with a hinge, wherein each hinge is disposed upon the respective first end portions or second end portions of each arm, wherein each hinge is fixed to a locally concave edge of each of the first and second arms when the frame is in the first configuration.

7. The foldable retractor of claim 6, wherein the first and second arms of the frame are configured such that when in the frame is oriented in the first configuration and one or more radially inward forces act upon the frame, the orientation of the frame deforms radially inward but the first and second arms remain substantially within the same plane.

8. A foldable retractor, comprising:

a relatively flexible arcuate frame comprising a first arm defining a first portion of a circumference of the frame, and a second arm defining a remaining portion of the circumference of the frame, each of the first and second arms comprising first and second end portions disposed upon opposite ends of the respective first and second arm,

wherein each of the first end portions are hingedly connected together and each of the second end portions are hingedly connected together such that the frame is biased to a first relatively planar configuration, and the first and second arms may be folded with respect to each other to a second configuration wherein the first and second arms are disposed in substantially the same orientation;

further comprising a deformable membrane secured around at least a portion of the arcuate frame to form a continuous restraining structure across a central opening of the frame, wherein the membrane urges the first and second arms into the first orientation,

wherein one or both of the hinged connections between each of the first end portions and each of the second end portions includes a lock that maintains the first and second arms in the first configuration.

9. The foldable retractor of claim 8, wherein the first and second arms of the frame each comprise an elongate superelastic material that urges the first and second arms into the first configuration.

10. The foldable retractor of claim 9, wherein the first and second arms of the frame each comprise an elastomeric material disposed upon a length thereof.

11. The foldable retractor of claim 8, wherein the frame and membrane are configured to be positionable entirely within a human or a mammal patient and proximate a surgical field within the patient.

12. The foldable retractor of claim 8, wherein when the frame is in the second configuration the first and second end portions of each of the first and second arms may be pulled in tension away from each other to place the frame in a third configuration substantially elongate for threading the retractor within a lumen.

13. The foldable retractor of claim 12, wherein the retractor is configured to be threaded through a laparoscopic port when in the third configuration.

14. The foldable retractor of claim 8, wherein when the frame is in the second configuration the retractor may be threaded through a lumen, which urges the frame to a third relatively elongate configuration.

15. A foldable retractor, comprising:

an arcuate deformable frame defined from a first arm extending through a first portion of an outer circumference of the frame, and a second arm defining a remaining portion of the outer circumference;

the first and second arms each including opposite first and second end portions, wherein the respective first end portions and the respective second end portions are hingedly connected together; and

wherein the first and second arms of the frame are biased toward a first configuration wherein the combined first and second arms are aligned substantially continuously through the combined first and second end portions and the frame extends through substantially a single plane,

further comprising a deformable membrane secured around at least a portion of the arcuate frame to form a continuous restraining structure across a central opening of the frame, wherein each of the respective first and second end portions are foldably attached together with a hinge, wherein each hinge is disposed upon the respective first end portions or second end portions of each arm, wherein one of the first and second hinges is fixed to a locally concave edge of each of the first and second arms when the frame is in the first configuration.