Abstract: The present invention relates to a surgical retractor. The surgical retractor may include a handle having a longitudinal axis and proximal and distal ends, a first coupling mechanism adjacent the proximal end of the handle, and a blade member having a proximal end and a distal end. The blade member may have a coupling element, and the coupling element may be configured and dimensioned to connect with the first coupling mechanism. The present invention also relates to methods for treating bone. It is emphasized that this abstract is provided to comply with the rules requiring an abstract which will allow a searcher or other reader to quickly ascertain the subject matter of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or to limit the scope or meaning of the claims. 37 C.F.R. § 1.72(b).

Abstract: A surgical retractor includes a side loading socket configured to receive a connector head. A linearly moveable slide retains the connector head within the socket cavity. The slide has a convex face outwardly from the socket cavity which assists in “snapping” in a connector head. A convex inner face assists in retaining an inserted connector head. A notch in the tip of the slide assists in preventing rotation of a connector head having opposing locking pins when one of the pins is received in a recess at the back of the socket cavity. A grip is connected to the slide which may move the slide from a locked to a released position within a slot in the socket body.

Abstract: The present invention relates to a retraction plate for displacing soft tissue. The plate includes a window located in between first and second end parts. Each of the end parts has connecting elements for removably securing an elongate element. Coupling of elongate elements to the connecting elements allows lifting of the plate to retract soft tissue, thereby creating a cavity between the soft-tissue mantle and bone to perform a surgical procedure. The retraction plate provides access to a fracture and allows fracture fixation using a minimally invasive surgical technique.

Abstract: A surgical instrument includes a frame structure defining proximal and distal portions. The proximal portion has an articulating arm for repositionably mounting to a base and the distal portion supporting a stabilizing member. An attachment mounts on the stabilizing member, the attachment being configured and dimensioned such that upon contact with the heart the engaged heart tissue bulges outward. A method of surgery using the attachment includes providing a frame structure defining proximal and distal portions, the proximal portion being repositionably mountable to a base, supporting an attachment on the stabilizing member and engaging heart tissue with the attachment such that the tissue bulges outward to better present the tissue for surgery.

Abstract: A surgical retractor comprises a pair of arms having a common pivotal connection and a pair of retractor blades, each blade detachably connected to an arm by a rotating knee joint which allows the retractor blade to rotate about an axis parallel to the arm and also about an axis perpendicular to the arm. A detent locking mechanism allows any selected pair of a plurality of pairs of retractor blades to be detachably attached to the arms. The knee joint comprises an open sleeve for easy sanitizing. The arms are opened and closed using handles having a locking ratchet mechanism and pawl allowing the arms to be locked in any open position.

Abstract: The present invention provides an improved surgical retractor system useful for holding tissue away from a surgical site during a medical or dental procedure. In one embodiment, the surgical retractor system is comprised of a tubular member, such as a cannula, and a retractor member. In an embodiment, the retractor member may be ring shaped. The retractor member preferably may have an opening therethrough for receiving the cannula. An engaging member associated with the retractor member may be provided for rotatably engaging the cannula. In one embodiment, the cannula may have external threads that are releaseably engaged with the engaging member and allows the degree or amount of tissue retraction to be adjusted. The cannula may be configured to be used with and secured to a handle to facilitate using the retractor system. A method of using the retractor system is also disclosed.

Abstract: The present invention relates to a stabilizer that immobilizes tissue at a surgical site. A preferred embodiment of this device is used during cardiac bypass surgery and includes a preferably rectangular, oblong or similar shaped device having a width dimension that is greater than the lengthwise dimension such that an aperture area is formed along three sides of the surgical site so that a graft or anastomosis that is formed in the aperture area allows the stabilizer to be removed without disturbing the graft and the device may be used in combination with flexible tapes or threads to apply an upwardly directed force to the tissue adjacent to the surgical site.

Abstract: A method for manipulating a tissue structure within a thoracic cavity of a patient includes the step of providing a tissue positioning tool having a shaft, a tool support apparatus and a tissue supporting member releasably connectable to the shaft. The tool support apparatus includes a clamp assembly configured to secure the shaft to the tool support apparatus. The tool support apparatus is positioned on an outer surface of a patient's chest and at least a portion of the shaft and the tissue supporting member are introduced into the patient's thoracic cavity. The tissue supporting member is attached to the portion of the shaft that is disposed within the patient so as to contact a tissue structure. A force is applied to the shaft to displace the tissue structure and the shaft is locked to the tool support apparatus with the clamp assembly.

Abstract: An illuminated deep pelvic surgical retractor for illuminating a surgical site and retracting tissue adjacent thereto, the illuminated surgical retractor having a handle member interconnected at an obtuse angle to a first elongate section and a second elongate section that is releasably connected to the first elongate section and a portion of the second elongate section defining an illumination input end portion which is optically coupled to a light source so that the second elongate section is substantially illuminated, and, a shield member is positioned adjacent to the distal end portion of the first elongate section to aid in directing light selectively from the second elongate section to the desired tissue or organ.

Abstract: An apparatus for stabilizing a predetermined area on a heart or other organ of a patient to enable a surgical procedure, the apparatus comprising a bifurcated member having two elongated prongs and an elongated handle segment pivotably attached to the bifurcated member. The handle segment can be movably attached to a rib retractor or other surgical device so that a person is not required to hold the handle segment. The apparatus may further comprise an attachment or inlay to prevent lateral movement thereof when being used in the surgical procedure.

Abstract: The present invention provides an improved handle which may be used to releaseably hold various types of surgical instruments employed in medical or dental procedures. The handle is comprised of a grasping portion and a lock assembly that contains a retractable slider pin designed to engage one or more indentations provided with instruments intended for use with the handle. The lock assembly may be provided with at least one biasing member which holds the pin in an extended position thereby locking the surgical instrument to the handle. The instrument may be removed from the handle or rotated by the user retracting the pin to release the instrument from the handle. A system and a method of interchangeably using surgical instruments in the handle is also disclosed.

Abstract: The present invention relates to a surgical retractor that immobilizes tissue at a surgical site. A preferred embodiment of the retractor is used during minimally invasive direct coronary bypass procedures to arrest movement of the grafting site while the heart continues pumping. Tape or thread can be used to connect the artery to the retractor with a holder.

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 secur

Abstract: A illuminated surgical retractor for illuminating a subcutaneous surgical field in the space between a vessel, such as the saphenous vein, and the subcutaneous tissue when the illuminated retractor is used to retract the subcutaneous tissue away from the superior surface of the vessel, the illuminated surgical retractor having a handle connected at an acute angle to a distal end of a first blade section, a second blade section that is connected, and substantially co-planer, to the first blade section, a distal end of the second blade section defining an illumination input end, a connector coupled to the illumination input end so that a source of illumination can be optically coupled, via the connector, to the illumination input end so that the second blade section is substantially illuminated, and, alternatively, a bent tip extending from the proximal end of the first blade section to aid in the required dissection of the intervening tissue.

Abstract: The present invention relates to a stabilizer that immobilizes tissue at a surgical site wherein the device includes a stabilizer having a base portion with elongate extending members that surround the sides of an aperture area and an end portion which is removable from the base portion and which surrounds the remaining side of the aperture area and wherein the stabilizer is preferably used in combination with a pair of flexible connectors that are threaded through the tissue adjacent to the aperture area to draw the tissue into contact with the aperture area of stabilizer and into contact with a pair of tab members extending from the bottom surface of the stabilizer such that the flow of blood through a blood vessel is occluded by tab members when the flexible connectors are releasably attached to the stabilizer.

Abstract: A illuminated surgical retractor for illuminating a subcutaneous surgical field in the space between a vessel, such as the saphenous vein, and the subcutaneous tissue when the illuminated retractor is used to retract the subcutaneous tissue away from the superior surface of the vessel, the illuminated surgical retractor having a handle connected at an acute angle to a distal end of a first blade section, a second blade section that is connected, and substantially co-planer, to the first blade section, a distal end of the second blade section defining an illumination input end, a connector coupled to the illumination input end so that a source of illumination can be optically coupled, via the connector, to the illumination input end so that the second blade section is substantially illuminated, and, alternatively, a bent tip extending from the proximal end of the first blade section to aid in the required dissection of the intervening tissue.

Abstract: The present invention relates to a surgical retractor that immobilizes tissue at a surgical site. A preferred embodiment of the retractor is used during minimally invasive direct coronary bypass procedures to arrest movement of the grafting site while the heart continues pumping. Tape or thread can be used to connect the artery to the retractor with a holder.

Abstract: An surgical instrument for use during procedures to harvest saphenous veins simultaneously retracts tissue and exposes sections of the vein. Removable spacer limbs are selectively attached to the instrument to aid in retracting tissue and to make the instrument self-retaining.

Abstract: A retractor device for use in surgical procedures is disclosed. The retractor has a handle element that is held by a surgeon. The handle element has a first end and a second end. At least a portion of the handle element between the first end and the second end is fabricated from a malleable material. The malleable material enables the relative position between the first end of the handle element and the second end of the handle element to be selectively adjusted by hand. A rigid retractor blade extends from the first end of the handle element. By altering the shape of the handle element, the orientation of the rigid retractor blade can be selectively altered. As such, a surgeon can selectively change the shape of the retractor without sacrificing the strength of the contact blade portion of the retractor.

Abstract: The present invention relates to a stabilizer that immobilizes tissue at a surgical site. A preferred embodiment of this device is used during cardiac bypass surgery and includes a preferably rectangular, oblong or similar shaped device having a width dimension that is greater than the lengthwise dimension such that an aperture area is formed along three sides of the surgical site so that a graft or anastomosis that is formed in the aperture area allows the stabilizer to be removed without disturbing the graft and the device may be used in combination with flexible tapes or threads to apply an upwardly directed force to the tissue adjacent to the surgical site.

Abstract: The present invention provides an improved handle which may be used to releaseably hold various types of surgical instruments employed in medical or dental procedures. The handle is comprised of a grasping portion and a lock assembly that contains a retractable slider pin designed to engage one or more indentations provided with instruments intended for use with the handle. The lock assembly may be provided with at least one biasing member which holds the pin in an extended position thereby locking the surgical instrument to the handle. The instrument may be removed from the handle or rotated by the user retracting the pin to release the instrument from the handle. A system and a method of interchangeably using surgical instruments in the handle is also disclosed.

Abstract: An apparatus for stabilizing a predetermined area on a heart or other organ of a patient to enable a surgical procedures the apparatus comprising a bifurcated member having two elongated prongs and an elongated handle segment pivotally and rotatably attached to the bifurcated member. The handle segment can be movably attached to a rib retractor or other surgical device so that a person is not required to hold the handle segment. The preferred embodiment of the apparatus of the present invention further comprises a device to lock or fictionally hold the bifurcated member in a desired position both on the organ and relative to the handle segment during the surgical procedure.

Abstract: A mounting assembly for mounting a surgical instrument to a base, which facilitates positioning a surgical instrument relative to the surgical site so that only the minimum portion of the instrument is positioned in the free space available around the surgical site. A surgical instrument is also provided which includes a handle, a tool member, and a segmented flexible articulating arm which operatively connects the handle and the tool member. Also provided is an instrumentation kit having a surgical instrument which includes an end effector connecting assembly disposed at the distal end portion of an articulating arm to facilitate the removal or attachment of and end effector from the distal end of the articulating arm. The surgical instrumentation kit also includes a number of interchangeable surgical tool end effectors each having a uniform connector portion for interchangeable engagement with the end effector connecting assembly of the surgical instrument.

Abstract: A illuminated surgical retractor for illuminating a subcutaneous surgical field in the space between a vessel, such as the saphenous vein, and the subcutaneous tissue when the illuminated retractor is used to retract the subcutaneous tissue away from the superior surface of the vessel, the illuminated surgical retractor having a handle connected at an acute angle to a distal end of a first blade section, a second blade section that is connected, and substantially co-planer, to the first blade section, a distal end of the second blade section defining an illumination input end, a connector coupled to the illumination input end so that a source of illumination can be optically coupled, via the connector, to the illumination input end so that the second blade section is substantially illuminated, and, alternatively, a bent tip extending from the proximal end of the first blade section to aid in the required dissection of the intervening tissue.

Abstract: The invention provides an apparatus for performing surgery on a heart of a patient comprising a first arm, a second arm and an actuator, the actuator moving the first arm relative to the second arm. The apparatus further includes a first blade on the first arm and a second blade on the second arm, the first and second blades having first and second surfaces facing away from each other, the first and second surfaces being adapted to atraumatically engage tissue or bone for the retraction thereof. The apparatus also includes a stabilizer adapted to be mounted to one of the first and second arms and having a foot, the foot being configured to atraumatically engage the surface of the heart. In a various embodiments, the apparatus includes removable blades mounted to the arms, suture stays removably mounted to the arms, and multiple rails for mounting the stabilizer in various positions.

Abstract: An instrument and method for exposing a selected area of the anterior lumbar region for a surgical procedure on the spine comprising making an incision on a human or animal body that exposes the anterior rectus sheath of the left rectus muscle, cutting the anterior rectus sheath to expose the body of the rectus muscle, and mobilizing the rectus muscle along its length by at least 3 cm in both directions from the site of the sheath incision. The rectus is then retracted medially, and the posterior rectus sheath is incised to expose the peritoneum. The peritoneum is pushed aside and tissues between the surgeon and the psoas muscle are dissected away. The ureter and the left iliac vessels are mobilized so that they are retractable from the dissected field, then the rectus muscle is moved laterally and a retractor is inserted into the dissected field.

Abstract: An illuminated surgical retractor for illuminating a subcutaneous surgical field in the space between a vessel, such as the saphenous vein, and the subcutaneous tissue when the illuminated retractor is used to retract the subcutaneous tissue away from the superior surface of the vessel, the illuminated surgical retractor having a handle member pivotally connected at an acute angle to a first elongate section and a second elongate section that is releasably connected to the first elongate section and a portion of the second elongate section defining an illumination input end portion which is optically coupled to a light source so that the second elongate section is substantially illuminated, and, a shroud member is positioned on the proximal end portion of the first elongate section to aid in the dissection of the intervening tissue.

Abstract: An adjustable surgical retractor and its use for improving a surgeon's ability to perform closed-chest video-assisted exploratory, diagnostic or surgical procedures on a patient. The surgical retractor is designed to have opposable blades which can be inserted into a surgical incision in a patient undergoing a surgical procedure then spread apart to form an elongated access opening through which a instrument may be inserted to perform exploratory, diagnostic or surgical procedures. The blades used in the surgical retractor may be flexible or rigid and are attachable to the retractor. The blades are of a width, depth and thickness to provide an access to an internal cavity or subcutaneous region to allow greater degrees of freedom to the surgeon in inserting instruments into the access opening. The use of the surgical retractor forms a substantially ovoid channel, through which a medical instrument can be inserted to aid a doctor in performing surgical or other operations.

Abstract: A surgical instrument includes a frame structure defining proximal and distal portions. The proximal portion has an articulating arm for repositionably mounting to a base and the distal portion supporting a stabilizing member. An attachment mounts on the stabilizing member, the attachment being configured and dimensioned such that upon contact with the heart the engaged heart tissue bulges outward. A method of surgery using the attachment includes providing a frame structure defining proximal and distal portions, the proximal portion being repositionably mountable to a base, supporting an attachment on the stabilizng member and engaging heart tissue with the attachment such that the tissue bulges outward to better present the tissue for surgery.

Abstract: An apparatus for stabilizing a predetermined area on a heart or other organ of a patient to enable a surgical procedure, the apparatus comprising a bifurcated member having two elongated prongs and an elongated handle segment pivotally and rotatably attached to the bifurcated member. The handle segment can be movably attached to a rib retractor or other surgical device so that a person is not required to hold the handle segment. The preferred embodiment of the apparatus of the present invention further comprises a device to lock or frictionally hold the bifurcated member in a desired position both on the organ and relative to the handle segment during the surgical procedure.

Abstract: A illuminated surgical retractor for illuminating a subcutaneous surgical field in the space between a vessel, such as the saphenous vein, and the subcutaneous tissue when the illuminated retractor is used to retract the subcutaneous tissue away from the superior surface of the vessel, the illuminated surgical retractor having a handle connected at an acute angle to a distal end of a first blade section, a second blade section that is connected, and substantially co-planer, to the first blade section, a distal end of the second blade section defining an illumination input end, a connector coupled to the illumination input end so that a source of illumination can be optically coupled, via the connector, to the illumination input end so that the second blade section is substantially illuminated, and, alternatively, a bent tip extending from the proximal end of the first blade section to aid in the required dissection of the intervening tissue.

Abstract: A surgical retractor comprising a base adapted to lie on the patient's skin, a handle slidably mounted with respect to the base, a tissue retracting blade extending from the handle, and a locking member movable from at least a first position to a second position to retain the tissue retracting blade in a selected position. A light guide illuminates the surgical site during use. An angle adapter can be mounted to the base to increase the angle of the tissue retracting blade with respect to the tissue. A method for accessing the saphenous vein to facilitate harvesting the vein is also disclosed comprising the steps of making a small incision in the leg of a patient, positioning a retractor on a patient's leg such that a retractor blade extends into the incision and a base lies on the surface of the patient's leg and pulling the retractor blade away from the patient to lift the tissue away from the underlying saphenous vein.

Abstract: Variable length blades for use with a retractor or distractor include a fixed upper portion and an adjustable extension that allows adjustment to accommodate a wide range of patients. A variable length retractor blade has a fixed upper portion that can vary in length from 10 to 15 cm. having a telescoping extension that can be adjusted to vary the length of the blade from 12 to as much as 24 cm. The variable blades include conventional flanges with a header for securing the variable blades on the end of retractor/distractor arms. An additional option is the inclusion of tubular guides in the variable length blade extension for placement of plurality of fixation screws and a light pipe to provide intensive illumination for the surgical site. Three tubular guides are provided in the upper and lower ends of the telescoping extension on the variable length blade for use with a distractor.

Abstract: This invention relates to a device for stabilizing a particular area of the heart surface tissue for performing an anastomosis. In one embodiment the invention is comprised of a rectangular flat plate frame stabilizer having a bottom gripping surface for pressing against the surface tissue of the heart and minimizing motion during a heart bypass operation. Opposite closed sides or ends of the rectangular flat plate stabilizer substantially occlude the vessel while the surgery is being performed. A gap or opening in a side of the stabilizer allows for removal after the operation is completed. Various methods are described for locking the position of the stabilizer once it is pressed firmly in position against surface tissue of the heart. In one embodiment a knurled cylindrical rail is mounted on the stabilizer and engages a socket in a rigid shaft. A locking mechanism is provided by a pin and a handle for locking the rail in the socket in the rigid shaft.

Abstract: An illuminated retractor provides a handle and a blade, the blade having a forward portion composed of a light transmissive material. The forward portion blade of the extends from handle and is formed suitably for retraction of body tissue adjacent to a body cavity to be illuminated. The handle is manually grippable and houses an electrical power source which powers a lamp mounted in blade. The forward portion of the blade is formed of a light transmissive material in optical communication with the lamp and is formed for the emission of an unfocused and diffused light for general illumination of the cavity. A surface region of the blade body may be frosted or ground so as to widely diffuse light emitted from lamp, thereby illuminating a wide area of a body cavity. A plurality of interchangeable blades of diverse shapes includes a perio-ostial elevator tip and a dental cheek retractor. A blank blade is provided which can easily be customized into a variety of shapes.

Abstract: A surgical retractor with interchangeable retractor blades allows the retractor blades to be positioned in an incision before being side-loaded into the retractor body and locked in place. The surgical retractor uses a connector head with a circumferential groove that fits in a side-loading socket and is locked in place with a cam that fits in the circumferential groove. A release lever releases the cam and allows the retractor blades to be removed.

Abstract: The present invention relates to a surgical retractor that immobilizes tissue at a surgical site. A preferred embodiment, of the retractor is used during minimally invasive direct coronary bypass procedures to arrest movement of the grafting site while the heart continues pumping. Tape or thread can be used to connect the artery to the retractor with a holder.

Abstract: A surgical retractor with interchangeable retractor blades allows the retractor blades to be positioned in an incision before being side-loaded into the retractor body and locked in place. The surgical retractor uses a nipple connector with a conical base and a rounded head which fits into and self-aligns in a corresponding socket.

Abstract: A surgical retractor is provided including a handle, a blade, and a head member with a locking mechanism for locking the blade within the head member. The locking mechanism includes a plunger and spring combination that is actuable to receive and release the blade from the head member.

Abstract: A surgical instrument includes a frame structure defining proximal and distal portions. The proximal portion has an articulating arm for repositionably mounting to a base and the distal portion supporting a stabilizing member. An attachment mounts on the stabilizing member, the attachment being configured and dimensioned such that upon contact with the heart the engaged heart tissue bulges outward. A method of surgery using the attachment includes providing a frame structure defining proximal and distal portions, the proximal portion being repositionably mountable to a base, supporting an attachment on the stabilizing member and engaging heart tissue with the attachment such that the tissue bulges outward to better present the tissue for surgery.

Abstract: A tissue retractor with particular use in spinal surgery comprises a pair of pivotally linked arms, each with a blade mounted thereto by a ball and socket joint to allow the blades free movement relative to the arms. The blades have anchoring end to anchor to bone, which preferably are sharp piercing tips. The balls and the sockets are preferably detachable from each other. The retractor is operable by placing the blades in a wound opening; securing the anchoring ends to a portion of bone at positions a distance apart from each other to define a desired surgical field; and operating the retractor to cause the blades to separate and to retract tissues surrounding said wound opening by outward pivoting of the blades relative to the position of the anchoring ends. A supplemental retractor blade or blades may be provided by a linking armature for additional retraction generally perpendicularly to a retraction action provided by the main retractor blades.

Abstract: Variable length blades for use with a retractor or distractor include a fixed upper portion and an adjustable extension that allows adjustment to accommodate a wide range of patients. A variable length retractor blade has a fixed upper portion that can vary in length from 10 to 15 cm. having a telescoping extension that can be adjusted to vary the length of the blade from 12 to as much as 24 cm. The variable blades include conventional flanges with a header for securing the variable blades on the end of retractor/distractor arms. An additional option is the inclusion of tubular guides in the variable length blade extension for placement of plurality of fixation screws and a light pipe to provide intensive illumination for the surgical site. Three tubular guides are provided in the upper and lower ends of the telescoping extension on the variable length blade for use with a distractor.

Abstract: A physical retractor apparatus and method for retracting anatomy during surgery wherein the apparatus includes a handle rod, a body portion, a retractor blade and a mechanism which allows the retractor blade to be angularly adjusted, and secured, to one of any number of angular positions. The handle rod may be attached to an extension arm of a surgery support frame via a standard joint clamp. Once secured, the retractor blade may be manually positioned to the desired angular position and secured in place. The adjustment mechanism includes a notched push bar which engages a brace member of the retractor blade thereby effecting movement of the retractor blade when the push bar is moved by the user. A releasable engagement member then engages one of several notches in the push rod to inhibit any further movement of the retractor blade.

Abstract: A surgical retractor assembly includes a handle and a retractor blade connected to the handle by a connecting pin. The connecting pin has a handle-connecting portion that extends through an aperture in the handle and a blade-connecting portion with spaced-apart flanges separated by a blade engaging portion that engages a slot in the retractor blade.

Abstract: A disposable plastic laryngoscope blade is detachably connectable to a hook-on-type conventional metallic laryngoscope handle in conformity with International Standard ISO-7376-1. The blade comprises a rigid plastic housing having a lower, tongue-engaging flange section extending along the length thereof, an upper, teeth-engaging flange section, and web sections interconnecting the upper and lower flanges to form a hollow cavity; an electric bulb having a rating of about 2 to about 2.5 Volts and about 0.35 to about 0.

Abstract: A hand-held retractor that is adapted for endoscopic use at a predetermined area of a patient. The retractor is comprised of a longitudinally-extending blade with a proximal end, a distal end, and a top surface. A handle is connected to the proximal end of the blade by a separating member, which is preferably arcuate. The separating member is configured to allow a surgeon direct access to and visualization of the area adjacent the top surface and distal end of the blade after positioning the distal end of the blade at the predetermined area. Also provided is a method of endoscopic retrosternal adhesiolysis which utilizes a retractor to provide access to and visualization of adhesions adjacent the cranial portion of a patient's sternum while retracting away and protecting underlying tissue.

Abstract: A combination of complementary surgical instruments including a pair of retractors positioned at right angles to and overlaying one another during surgery. Each retractor has a pair of hinged arms. A top retractor has a stepped tip at each end of one arm to avoid interference with the bottom retractor during surgery. Each retractor has a pair of vertical semicircular flared openings in an outer edge of a blade securement end of a respective arm for demountable attachment of a surgical blade. The combination is especially useful in cervical or neck surgery.

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: A handle for a surgical retractor comprises a central, elongated rod member and two gripping and leverage crossbars that intersect the rod member. The handle is useful with a variety of retractor blades for increasing comfort, decreasing fatigue, and improving leverage over a retractor blade.

Abstract: An instrument for manipulating organs in endoscopic procedures in the interior of the body includes two spreading members at the distal end of the instrument. The spreading members can be swiveled outwardly and actuated by means of a handle at the proximal end of the instrument. A control member displaceably guided in the instrument shaft connects the handle and spreading members. The distal end of the instrument is bent in such a way that the spreading members spread out in a curved plane so that organs can be reliably guided with the manipulator.