Abstract: An adjustable retractor blade and retractor system are disclosed. The retractor blade includes a fixed portion, extendible portion, and means for adjusting the length of the retractor blade. The means for adjusting may include a threaded rod engaging the fixed portion with the extendible portion. In one aspect, the extendible portion includes a plurality of stackable members, with the length of the adjustable blade adjusted by attaching stackable members. In one aspect, the fixed portion includes a plurality of holes, and the extendible portion includes at least one post, the plurality of holes configured to receive the at least one post, with the length of the adjustable blade adjusted by slidably displacing the extendible portion until the at least one post engages with at least one of the plurality of holes. Methods are provided for adjusting the length of a retractor blade.

Abstract: An eye treatment apparatus for opening and holding eyelids of a patient open is described. The apparatus includes a supporting platform having a Y-type shape and including an upper beam configured for extending between a nose bridge and a forehead of the patient and for positioning on the forehead, a left leg and a right leg coupled to the upper beam, and configured for straddling a nose bridge of the patient and for positioning on patient's left and right cheeks, and a cross-arm mounted on the upper beam of the supporting platform. The apparatus also includes an opening assembly mounted on the cross-arm and configured for pulling an upper eyelid up for exposing an eye and retaining the eye of the patient in the open position. The also includes an adjustable annular band for placement around a head of the patient to secure the apparatus thereon.

Abstract: A surgical access system including a tissue distraction assembly and a tissue refraction assembly, both of which may be equipped with one or more electrodes for use in detecting the existence of (and optionally the distance and/or direction to) neural structures before, during, and after the establishment of an operative corridor to a surgical target site.

Abstract: Retractor systems and methods for retracting body tissue during surgery. The retractor system includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: A method for retracting body tissue providing a retractor system that includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: Retractor systems and methods for retracting body tissue during surgery. The retractor system includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: A wound opener is provided. An operative field can be created through head/neck soft tissues for introducing the endoscopes and robotic surgical tools. An incision size can be properly adjusted. Thus, endoscopes, robotic arms or other devices can be smoothly introduced into the operative field to evaluate and treat lesions of head and neck soft tissues. Hence, the present invention facilitates surgical procedure, reduces wound size and effectively conceals wound to make it become invisible.

Abstract: A stabilization system includes one or more leverage members configured to be mounted to a vertebra. The one or more leverage members are further configured to allow a user to manipulate the vertebra to a desired position. The stabilization system also includes a mounting bracket configured to mount to the one or more leverage members such that the one or more leverage members are immobilized. The mounting bracket is mounted to a support.

Abstract: A retractor system includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: A retractor device for spearing the body tissue apart is provided. The retractor includes a housing configured to include a plurality of sections, wherein each section is configured to accommodate placement of at least one blade, a blade holding mechanism configured to secure the at least one blade within the housing, a translation mechanism configured to provide translation movement of at least one of the sections, and a rotation mechanism configured to provide rotation movement of at least one blade.

Abstract: A method for retracting body tissue providing a retractor system that includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: A method for retracting body tissue providing a retractor system that includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: Various exemplary embodiments relate to a method of performing an anterior approach hip replacement using a retractor assembly. The method may include: providing a retractor assembly including a first vertical post, a plurality of accessory arms mounted to the first post, a second vertical post, and a femur distractor mounted to the second post; exposing a surgical site including the femoral neck and acetabulum using a plurality of retractors secured to the accessory arms; cutting the femoral neck to remove the femoral head; preparing the acetabulum for insertion of an acetabular cup; preparing the femur for insertion of a femoral implant by lifting the femur using a femur hook and the femur distractor; and closing the surgical site. In various alternative embodiments, the retractors may include a lesser trochanteric retractor coming from a direct medial approach and a greater trochanteric retractor coming from a lateral, posterior, proximal approach.

Abstract: A retractor clamp is provided for a low profile retractor system including a spreader including first and second arms joined by a cross-bar. The first and second arms define an arm level. The refractor clamp includes a gripping assembly, a main body, an extension arm, a retractor blade arm, and a securement assembly. The refractor clamp is movably and securably joined along the at least one of the first arm, second arm, and cross-bar at substantially the arm level. The refractor blade arm is joined to the main body by the extension arm, and is positioned at a refractor blade arm level above the arm level. The refractor blade arm accepts a blade clamp. The securement assembly includes an adjustment member accessible by an operator substantially at the arm level. The securement assembly is operatively connected to the gripping assembly.

Abstract: A controller is provided for maneuvering an interrogation plane relative to a reference surface. The interrogation plane intersects the reference surface and is associated with a pole about which the interrogation plane is rotatable. The pole has an adjustable angle of inclination relative to the reference surface. The controller has a base, a handle, and an arm extending from a connection with the base to a connection with the handle. The arm has hingable joints which hinge to allow the handle to be translated relative to the base in arbitrary directions across a user surface. The controller further has position sensors which measure the translation of the handle relative to the base on the user surface. The translation provides a corresponding translation of the interrogation plane relative to the reference surface. The handle is rotatable about a rotation axis and is tillable about a tilt axis to allow the handle to be angularly moved relative to the user surface.

Abstract: A surgical access system includes an access device having a tubular shape and a channel extending through the device that is sized to receive a surgical instrument. The outer surface of the device defines a support section and access section having an aperture extending through the wall of the device. The aperture has a wider distal portion and a narrower proximal portion and the surgical instrument may be inserted through the aperture. The access device simultaneously retracts soft tissue and distracts bone when inserted into the surgical site while allowing a surgeon access to the surgical site.

Abstract: A retractor having a pair of blades is disclosed. A ring having an opening is attached to one end of the blades. The blades define a channel therebetween. The blades may be pivotally coupled to the ring. The retractor may have at least two conditions. In a first condition, the retractor is insertable through an incision in a patient's skin to an operative site. In a second condition, the retractor may be manipulated for retracting tissue surrounding the operative site. Instruments, prostheses, or tissue may be inserted or removed through the channel of the retractor.

Abstract: A surgical support system including a primary telescoping support; and a secondary telescoping support that is telescopically mounted to the primary support and is configured for telescopically mounting a surgical tool thereto, such that such that telescoping of the secondary support with respect to the primary support repositions the secondary telescoping support. The secondary support is mounted to the primary support telescopably along a first telescoping axis and is configured for mounting the surgical tool telescopably along a second telescoping axis that is oriented at a non-parallel angle to the first telescoping axis. The secondary support includes a first mounting portion; a second mounting portion configured for telescopically mounting the surgical tool; and an articulable joint disposed for adjusting the angle between the first and second telescoping axes. The articulable joint is releasably lockable for locking the angle.

Abstract: A retractor assembly for surgery in a patient includes at least one retractor member removably engageable to a support member. The retractor assembly includes a housing assembly engaged to the support member and to an arm that extends from a retraction portion of the retractor member. A drive mechanism in the housing assembly is coupled to the retractor member and is operable to rotate the retraction portion of the retractor member relative to the support member to a desired angular orientation.

Abstract: A surgical access assembly is disclosed that is configured and dimensioned for positioning within an opening in tissue providing access to and internal body cavity to facilitate the passage of a surgical instrument into an internal work site. The surgical access assembly includes first and second arms and third and fourth arms. The first and second arms and the third and fourth arms are configured and dimensioned for relative movement such that the surgical access assembly is reconfigurable between a first configuration, wherein a first transverse dimension is defined, and a second configuration wherein a second transverse dimension is defined. The first transverse dimension is smaller than the second transverse dimension.

Abstract: A method for retracting body tissue providing a retractor system that includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: The present invention provides a retraction device for retraction of an organ within the abdominal cavity, comprising: a. at least one first anchoring means reversibly attached to a first anchoring point within said abdominal cavity; b. at least one second anchoring means reversibly attached to a second anchoring point within said abdominal cavity; and, c. at least one supporting member, defining a predetermined geometrical structure, interconnecting said first anchoring means and said second anchoring means, at least partially support said organ; wherein said at least one supporting member is characterized by a substantially rigid structure, such that said at least one supporting member is substantially not deformed in any direction outside the plane defining said supporting member when a mechanical force is applied, by said organ, on said rigid structure of said supporting member when said organ is retracted via said retraction device.

Abstract: A retractor assembly has a first clamp adapted to be mounted to a table, a first vertically oriented post supported by the clamp, a first main arm mounted for at least one of angular and lateral movement relative to the first post, and lockable in a selected position, and a tree assembly configured at one end of the second post. The tree assembly has at least two accessory arms, with each accessory arm having a first ball joint on a first end, and a pivot lock knob at an immediate portion, and each accessory arm having a second end configured to accept the mounting of a retractor to the accessory arm. The retractor assembly may also include a J-shaped hook mounted to a ratcheting linearly movable distractor assembly and trochanteric retractors mounted to the accessory arms for femoral elevation and exposure.

Abstract: An airway positioning device facilitates the maintenance of a patent airway by correctly positioning a patient's head during anesthesia. A flat base supports a supine patient's head. A pair of rails slope downward from a first end of the base to a second end of the base. A track mounts with at least one of the rails. At least one adjustable support arm movably mounts with the track via a locking coupling device at an end of the arm distal to the patient's head. A patient engaging member mounted with an end of the arm proximal to the patient's head supports the patient's head in a desired position during an operation or procedure.

Abstract: A retractor assembly for surgery in a patient includes at least one retractor member removably engageable to a support member. The retractor assembly includes a housing assembly engaged to the support member and to an arm that extends from a retraction portion of the retractor member. A drive mechanism in the housing assembly is coupled to the retractor member and is operable to rotate the retraction portion of the retractor member relative to the support member to a desired angular orientation.

Abstract: An auto-locking surgical retractor assembly has a retractor frame with a number of adjustable arms. Each adjustable arm has a U-shaped recess for removably engaging the post of a retractor blade. A spring-loaded locking pin protrudes slightly from the arm into the U-shaped recess to hold the post of retractor blade in place. The locking pin is temporarily retracted by insertion of the retractor blade post into the U-shaped recess, but subsequently extends to lock the retractor blade post in place. The user must exert sufficient force on the retractor blade to temporarily depress the spring-loaded locking pin in order to remove the retractor blade post from the U-shaped recess.

Abstract: A retractor assembly for percutaneous surgery in a patient includes first and second retractor portions positionable opposite one another in an incision of the patient. A working channel extends between the first and second retractor portions and provides access to a location within the patient adjacent to distal ends of the first and second retractor portions. The first and second retractor portions are movable relative to one another to adjust the size of the working channel. In addition, the first and second retractor portions are further configured to longitudinally overlap with one another such that the working channel is peripherally surrounded or enclosed by the first and second retractor portions as the working channel is adjusted across a plurality of different sizes. In another form, a method is directed to retracting tissue for percutaneous access to a surgical site. However, other embodiments, forms and applications are also envisioned.

Abstract: A retractor includes a first arm, a second arm, and a translating member. The first arm comprises a proximal portion configured to retain a first retractor member and a distal portion configured to rotate relative to the proximal portion about a first axis. The second arm is configured to retain a second retractor member, such that rotation of the distal portion about the first axis causes the first retractor member to pivot toward or away from the second retractor member when the first retractor member and the second retractor member are coupled to the first arm and the second arm, respectively. The translating member is coupled between the proximal portion and the distal portion, and is configured to receive a drive force that causes the translating member to bias the distal portion to pivot relative to the proximal portion about the first axis.

Abstract: A medical assembly includes a platform which is securely mountable to an operating room fixture, and a plurality of arms or arm modules coupled to the platform and each with a grasper for holding a surgical instrument or port. The medical assembly is particularly applicable for laparoscopic surgery although it is not limited thereto.

Abstract: A retractor system includes a rail having two opposed widened rail portions separated by a narrowed portion, each widened portion engageable by a separate clamp. The clamps are configured to support the rail to a fixed surface, or to support a surgical device. Each clamp may independently be positioned or slid along the rail to a desired location without interference with a clamp on an opposing widened rail portion. A device clamp is formed of spherical mating portions which enable alignment of a surgical device along six degrees of freedom, and tightenable by securing a single fastener. A retractor blade mount enables an angular and tilting disposition of a retractor blade, as well as remote manipulation of the retractor blade.

Abstract: A quick-action tensioning clip of a wound retractor, with at least one braceable seat for at least one holding arm and/or for a joint ball of a holding arm, is made available which can be operated safely, easily and quickly and which requires only low operating forces and at the same time safely and permanently generates high clamping forces, this being achieved by the fact that, in order to generate the tensioning force, it is equipped with a toggle catch composed of two joint levers which are connected to each other via a connecting joint and which, at their free ends, are articulated via attachment joints on component parts of the quick-action tensioning clip that can be mechanically moved away from or towards one another.

Abstract: A surgical support system including a primary telescoping support; and a secondary telescoping support that is telescopically mounted to the primary support, the secondary support being configured for telescopically mounting a surgical tool thereto, such that such that telescoping of the secondary support with respect to the primary support repositions the secondary telescoping support. The secondary support is mounted to the primary support telescopably along a first telescoping axis; and the secondary telescoping support is configured for mounting the surgical tool telescopably along a second telescoping axis that is oriented at a non-parallel angle to the first telescoping axis. The secondary support includes a first mounting portion; a second mounting portion configured for telescopically mounting the surgical tool; and an articulable joint disposed between and associating the first mounting portion and the second mounting portion for adjusting the angle between the first and second telescoping axes.

Abstract: In a master-slave manipulator system, manipulation device can be manipulated intuitively even when clutch manipulation is performed.

Abstract: A surgical access assembly is disclosed that is configured and dimensioned for positioning within an opening in tissue providing access to and internal body cavity to facilitate the passage of a surgical instrument into an internal work site. The surgical access assembly includes first and second arms and third and fourth arms. The first and second arms and the third and fourth arms are configured and dimensioned for relative movement such that the surgical access assembly is reconfigurable between a first configuration, wherein a first transverse dimension is defined, and a second configuration wherein a second transverse dimension is defined. The first transverse dimension is smaller than the second transverse dimension.

Abstract: A retractor includes a retractor support and an elongated retractor blade. The retractor blade has a first, closed position in which ends of the blade are positioned proximal to the support and a second, open position in which ends of the blade are positioned distal to the support. The retractor support has structure for engaging the retractor blade. A handle extends from the retractor support. A method of retracting tissue is also disclosed.

Abstract: A lordotic guard and method for guiding a bone removal device to form an implantation space in the human spine and, if desired, for inserting a spinal implant into the implantation space.

Abstract: The present invention discloses a safe surgical mouth gag (MG) having a substantially planar frame larger than the maximal mouth aperture which is defined by at least two cross members, i.e., a longitudinal maxillary cross member and a mandibular cross member and by at least one rod connecting said maxillary and said mandibular cross members; and modules maneuverably interconnected to the same. The modules are selected from a tongue blade approximately perpendicular to the frames' plane, which is vertically displaceable with respect to said mandibular cross member; a retaining member within which said tongue blade shaft is slidably displaceable; retraction elements for urging the cheeks away from the oral cavity; abutment members for contacting the upper teeth or upper maxilla; and at least one light auxiliary located adjacent to oral cavity, adapted to illuminate the same effectively.

Abstract: Embodiments of the invention include instruments and methods for providing surgical access to a surgical site. Some embodiments include a flexible arm that adjustably holds a retractor blade to enable access to the surgical site.

Abstract: A surgical tool holder that includes a base portion, an incremental retraction portion, and an attachment portion. The base portion is configured for releasably mounting to a first surgical tool support in a fixed association. The incremental retraction portion includes a drawing mechanism configured for operably engaging and incrementally drawing a surgical retractor under tension to a selected position and holding the surgical retractor in the selected position, and a crank member configured to operate the drawing mechanism. The attachment portion includes a post configured for rotatably mounting a yoke of a second surgical tool support, and a securing member operably associated with the post for releasably fixing the second surgical tool support thereto.

Abstract: An organ manipulator including at least one suction member or adhesive disc mounted to a joint providing freedom of movement of the at least one suction member or adhesive disk relative to its support. A method for retracting and suspending an organ in a retracted position using suction (or adhesive force) so that the organ is free to move normally (e.g., to beat or undergo other limited-amplitude motion) in at least the vertical direction during both steps.

Abstract: Surgical port to maintain a working channel through bodily tissue includes a tubular body having a proximal portion and a distal portion, the tubular body having a working channel defined therethrough. Additionally, the surgical port includes a collar disposed at the proximal portion of the tubular body, the collar including a connection extending therefrom, and a radiopaque marker disposed at the distal portion of the tubular body. Dilatation system includes the surgical port as previously described, in combination with at least one tissue dilator.

Abstract: Certain embodiments of the present invention provide a retractor clamp for a low profile retractor system including a spreader including first and second arms joined by a cross-bar, wherein the first and second arms define an arm level. The retractor clamp includes a gripping assembly, a main body, an extension arm, a retractor blade arm, and a securement assembly. The gripping assembly is sized and adapted to engage at least one of the first arm, second arm, and cross-bar, wherein the retractor clamp is movably and securably joined along the at least one of the first arm, second arm, and cross-bar at substantially the arm level. The retractor blade arm is joined to the main body by the extension arm, and is positioned at a retractor blade arm level above the arm level. The retractor blade arm is sized and adapted to accept a blade clamp for securing a retractor blade thereto.

Abstract: An apparatus for holding a surgical retractor comprises a support handle and a surgical retractor holding element pivotally attached to the support handle. A rod engages the retractor holder element at a position spaced from the pivotal attachment to the support handle with the rod being movable thereby pivoting the holding element to move the position of the retractor blade of the surgical retractor.

Abstract: A surgical retractor having laterally extending rack with a first arm connected to the rack spaced from the second arm. A retractor clamp has a slot which engages one of the arms. Extending from the clamp is a leg with a mount which receives a connector head of a retractor blade. One or more retractor clamps may be advantageously positioned on either of the arms at a desired location. In the preferred embodiment, the mount is rotatable relative to a member housing the slot such that a retractor blade connected to the mount may be pivoted into and out of an incision. Furthermore the housing member is configured so that a hand held gripper may be connected to the connector head of a retractor blade as it extends through the mount.

Abstract: A connector for a surgical retractor is shown. The connector includes a body member having an opening for receiving a nipple of a retractor blade. The connector also includes a retainer pivotally attached to the body member between an open position and a closed position. A lock mechanism locks the retainer in the closed position so that the nipple of the retractor blade is locked in the connector. A safety latch constrains the lock mechanism when the retainer is in the closed position.

Abstract: A surgical retractor includes a retractor body and a retractor arm. The retractor arm includes a first portion and a second portion. The first portion is attached to the retractor body and the second portion is rotatably attached to the first portion. The second portion is configured to retain a retractor blade and to rotate about an axis parallel to a line drawn along a length of the retractor arm.

Abstract: An adjustable retractor blade may include a vertical blade portion integrated with an adjustable attachment portion, which is used to attach the blade to a support arm or frame. The adjustable portion is compatible with existing retractor support arms or frames and allows the vertical blade's position within the body to be easily adjusted without the need for an assistant.

Abstract: An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration.

Abstract: A surgical retractor includes a pair of small grips that are disposed at the ends of arms that can be moved toward or away from each other. The grips engage and separate the sides of an incision that has been made in a patient. A lifting mechanism that can be attached to one of the arms enables one side of the incision to be raised relative to the other side of the incision. The lifting mechanism includes a clamp that can be connected to the retractor and a foot that is connected to the clamp and which is movable relative thereto. The foot is engageable with the patient such that extension of the foot causes a selected grip to be raised. Retraction of the foot permits the selected grip to be lowered. In the preferred embodiment, the foot is disposed at one end of a notched rack; a rotatable pinion is in contact with the notches to extend and contract the rack; and a pivotally movable pawl permits movement of the rack in one direction and prevents movement of the rack in the other direction.

Abstract: Devices, systems and methods related to endoscopic surgery, particularly related to robotic surgical operations, provide a tissue stabilizer for endoscopically stabilizing a target tissue within a patient's body. For stabilizing a beating heart during a closed-chest coronary artery bypass grafting procedure, a stabilizer is inserted through an endoscopic cannula and provides sufficient surface area to contact the heart and effectively stabilize the target tissue area. The stabilizer can straddle a blood vessel, such as a coronary artery, which is targeted for an anastomosis. Vessel occlusion fasteners may occlude the target blood vessel prior to the anastomosis procedure.