Abstract: A trocar system for assisting in the generation of endosurgical ports is disclosed in which a trocar facilitator is used to place the peritoneum in counter-traction to facilitate the penetration of the trocar. Peritoneal counter-traction results in increased surface tension which reduces the force and downward momentum necessary to achieve trocar penetration, thereby eliminating the risk of excess penetration and injury to internal organs. The facilitator is of a corkscrew-like design, with an attached support ring and a removable guide piece having a hollow, cylindrical passageway which aids in the insertion and support of the trocar, cannula, and other endoscopic surgical instruments. In another embodiment, the facilitator is configured to aid in the introduction of carbon dioxide gas into the abdominal cavity of the patient. An improved curved tip of the blade of the trocar facilitator is also disclosed.

Abstract: An abdominal wall elevator device including a pair of retractable tabs rotatable to 90.degree. with respect to the vertical axis of the device, and selected of a dimension to enter the port of a Trocar in allowing low pressure pneumoperitoneum laparoscopic surgery. In a preferred embodiment of the invention, a removable push-rod incorporates a flat tip to operate on the tenons of a pair of hinges to swing the retractor tabs to the desired angle, to be locked in place.

Abstract: A surgical retractor and method for use thereof. The retractor is comprised of an elongate shaft having at one end a screw made of coiled, round wire which terminates at a sharp point for attachment to an organ and a connector at the other end of the shaft. Preferably, the connector comprises an enlarged portion having a polygonal cross section for engagement by a wrench. The retractor is inserted into the peritoneal cavity of a patient through a laparoscopic port and the screw is threaded into the wall of the organ to be retracted, for example, the gallbladder. The organ is resected and thereafter drawn out of the cavity using the retractor.

Abstract: A mandibular retractor which is inserted intraorally has a retractor blade shaped to retract the cutaneous region laterally away from the mandible. The retracting blade also has an aperture which allows surgical instruments to be inserted through an incision in the cutaneous region, through the aperture, and to the mandible. The retractor allows a surgeon to retract with one hand and view the surgical site by looking down in to the mouth. The surgeon's other hand is free to operate surgical instruments such as a drill or screwdriver.

Abstract: The surgical instrument of the invention consists of a pair of arms hinged together at an intermediate point for relative pivoting movement. The arms are provided with obliquely oriented handles at one end thereof. The opposite ends of the arms support removable posts having means for removably securing a plurality of different retractor or compressor heads thereto. The posts are pivotably connected to the arms to allow the posts to achieve a variety of orientations relative to the arms. A variety of retractor and compressor heads and different shaped posts are provided to allow the instrument to be used in a wide variety of surgical procedures. Separate serrated locking mechanisms are provided to lock the arms in either a retraction or compression position. In one embodiment the posts are secured to one another such that they undergo parallel retraction/compression.

Abstract: A self-retaining retractor which can be assembled and used without assistance, retracting a surgical incision, retaining the incision open, and providing for retraction of internal organs and tissues inside the patient's body through the open incision. Flexible, resilient incision retractor paddles are placed into the incision, a rigid frame consisting of two interlocking halves is laid longitudinally over the incision. The incision retractor paddles in the incision are manually clipped to each frame half then the frame halves are opened to the desired extent. Incision retractor paddles and frame provide the apparatus stability for retraction of internal organs and tissues through the open incision by the addition of mounting jigs containing attachment posts onto mounting means which radiate outward from the frame. Internal organ and tissue retraction means are affixed to the attachment posts.

Abstract: A retractor blade having a generally "S" shaped configuration in cross section. The blade is pivotally attached to a rod which may be connected to a table fixed ring retractor. The central portion of the blade moves tissue away from the operative site when the distal end of the blade is placed against a bone and the rod is moved away from the operative site.

Abstract: A fan retractor has a pair of angle-shaped elements moveable relative to one another. The angle-shaped elements include first legs disposed in a generally parallel relationship, and second legs that extend laterally from the first legs, and are adapted for engaging with the abdominal wall. The second legs fan out upon rotation of the first legs relative to one another and have an effective thickness, measured in the direction defined by the first legs, that decreases distally from the first legs. The retractor also includes a lifting device that applies a lifting force to the angle-shaped elements.In variations, the second legs have a stiffness that decreases distally from the first legs; the first legs are linked so as to contrarotate relative to one another; the retractor includes a lifting force indicator; and the lifting device unidirectionally applies the lifting force to the angle-shaped elements.

Abstract: A retractor for use in invasive surgery. The retractor includes a superelastic or shape memory alloy shaft having proximal and distal ends. A handle is attached to the proximal end, while the distal end has a shape trained into it adapted to grasp animal tissue. The distal end is designed to release at an amount of force lower than that which would cause tissue damage. Thus, should excessive force inadvertently be applied, the retractor will safely release before tissue damage occurs. A further advantage of the retractor is its ability to safely maintain retraction from a more remote location.

Abstract: Surgical retraction apparatus having a retractor blade with a curved blade and a quick release mechanism. The blade has a complex curved shape and notches on the sides to reduce tissue damage during retraction. Blades can be removed from a rack and pinion mechanism by sliding the bushing of the blade over the rack arm.

Abstract: A speculum for dilating a body cavity includes a base and a number of arms pivotably attached to the base. There is an actuator movably attached to the base for causing each of the arms to move relative to each other from a closed position to an opened position so that a body cavity can be smoothly opened after the arms have been inserted into the body cavity.

Abstract: A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for progressively manipulating the articulating section of the instrument relative to the longitudinal axis of the endoscopic portion within an angular sector of rotation.

Abstract: A first inflatable retraction device has a first inflatable chamber and a non-pressurized chamber inside the main chamber. The non-pressurized chamber is expanded by inflating a second inflatable chamber. The non-pressurized chamber enables the main chamber to remain inflated when an aperture is cut in the envelope of the main chamber, through which treatment is carried out. A second inflatable retraction device has an inflatable retractor and a maintainer. The inflatable retractor retracts the organ and the maintainer maintains the organ in its retracted condition after the inflatable retractor is deflated. The maintainer can be inflatable, and can be inside or outside the inflatable retractor. A self-retracting endoscope has an optical assembly with an expandable retractor fitted to its distal end. The distal end of the endoscope is inserted into the body with the retractor in a collapsed condition.