Abstract: This application describes surgical instruments and implants for building a posterior fixation construct across one or more segments of the spinal column during a medialized posterior lumbar interbody fusion (PLIF) procedure.

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 surgical retractor assembly is provided having a frame that releasably couples two retractor blades. The retractor blades are coupled to the frame via a pair of mobile carriages that engage a track on the frame. A third retractor blade is configured to be independent of the frame with the first two retractor blades. The independent blade may be fixably positionable in the patient by a direct coupling to a rigid table mount. The retractor assembly may be utilized for creating anterior access to spinal target site while the patient is oriented in the lateral decubitus position.

Abstract: A joint clamp for a surgical retractor system includes clamps, a cam bolt, and a cam lever. The cam bolt passes through the clamps. A cam lever comprising a cam head pivotally attached an upper portion the cam bolt to permit rotation between a locked position and an unlocked positions. The joint clamp may include springs which provide a scissors clamp of the clamps with a clip-on feature in which the scissors clamp may clipped-on and clipped-off an object such as a frame member, table post, or retractor handle. The springs may further prevent or reduce a rising movement of the clamps when the cam lever rotates from an unlocked state to a locked state.

Abstract: A thoracic structure access system for retracting biological tissue and providing access to internal biological structures; particularly, intrathoracic structures, e.g., the heart and internal mammary arteries, to facilitate entry through the biological tissue with surgical instruments and interaction of the surgical instruments with the intrathoracic structures during a thoracic surgical procedure; particularly, minimally invasive CAGB and OPCAB procedures. The system facilitates coronary artery bypass graft (CAGB and OPCAB) procedures via a simple incision at a transxiphoid incision site and, hence, without fully transecting the sternum, i.e., performing a full sternotomy, or performing a thoracotomy. The system includes modular retractor and retention arm assemblies in communication with a ratchet assembly.

Abstract: Described herein are improved multi-purpose television mounting systems, methods, and apparatuses. Embodiments can include a clamp having a clamp rail and a clam base that can be arranged in different ways so that a TV mounting system using the clamp can mount a TV to many different types of objects for use indoors or outdoors.

Abstract: A retractor system includes a retractor arm and a retractor blade attached to the retractor arm via a swivel gear of a retractor blade connector. The retractor blade includes an attachment post extending through a port of the swivel gear. The retractor blade connector further includes a swivel gear detent and a plunger. The swivel gear detent is positioned to selectively engage the swivel gear and prevent the swivel gear and attached retractor blade from rotating about the rotational axis. The plunger is movable among at least a locked position and an unlocked position. In the locked position, the plunger urges the swivel gear detent into engagement with the swivel gear and prevents rotation of the swivel gear and attached retractor blade about the rotational axis. In the unlocked position, the plunger permits the swivel gear and attached retractor blade to rotate past the swivel gear detent.

Abstract: A thoracic structure access system for retracting biological tissue and providing access to internal biological structures; particularly, intrathoracic structures, e.g., the heart and internal mammary arteries, to facilitate entry through the biological tissue with surgical instruments and interaction of the surgical instruments with the intrathoracic structures during a thoracic surgical procedure; particularly, minimally invasive CAGB and OPCAB procedures. The system facilitates coronary artery bypass graft (CAGB and OPCAB) procedures via a simple incision at a transxiphoid incision site and, hence, without fully transecting the sternum, i.e., performing a full sternotomy, or performing a thoracotomy. The system includes modular retractor and retention arm assemblies in communication with a ratchet assembly.

Abstract: A reusable flexible arm stabilizes tissues during surgical procedures. The stabilizer arm switches between a flexible state for conforming to a desired curvature and a rigid state for maintain a desired positioning. A suspension length provided by the stabilizer arm is also adjustable. The arm has an articulating portion with successive articulating links each having a central passage. A length adjustable portion has successive length-adjustable links each having a central passage. A tension cable extends through the central passages between a proximal one of the length-adjustable links and a distal one of the articulating links. A base member captures the length-adjustable links at a position corresponding to a desired extension length of the arm. A control mechanism is movable between a retracted position and an extended position to selectably separate the captured length-adjustable links, thereby adjusting a tension in the tension cable and a rigidity of the stabilizer arm.

Abstract: The present disclosure relates generally to a retractor device for allowing visible access to the surgical site. According to particular embodiments, the present retractor may include two portions: an integral arm portion at one end and a textured surface potion at the opposite end. In some embodiments, the integral arm portion may be positioned inside the body cavity of the patient to restrain and/or occlude targeted organs during surgery to allow for increased visibility of other organs and/or portions of a patient during surgical procedures.

Abstract: A surgical retraction system includes a frame and a universal joint coupled to the frame. A handle adaptor secures a surgical retractor to the frame via the universal joint. The handle adaptor includes an extension arm, a hinge, and a clamp. The extension arm comprises an elongated member having a proximal end and a distal end. The elongated member is secured to the frame via the universal joint. The hinge is attached to the distal end of the extension arm. The clamp is attached to the hinge and is configured to receive and retain a handle of a surgical retractor.

Abstract: Implant connectors and related methods are disclosed herein. In some embodiments, a connector can include a low-profile portion to facilitate use of the connector in surgical applications where space is limited. In some embodiments, a connector can include a biased rod-pusher to allow the connector to “snap” onto a rod and/or to “drag” against the rod, e.g., for provisional positioning of the connector prior to locking.

Abstract: A surgical device includes a plurality of cameras integrated therein. The view of each of the plurality of cameras can be integrated together to provide a composite image. A surgical tool that includes an integrated camera may be used in conjunction with the surgical device. The image produced by the camera integrated with the surgical tool may be associated with the composite image generated by the plurality of cameras integrated in the surgical device. The position and orientation of the cameras and/or the surgical tool can be tracked, and the surgical tool can be rendered as transparent on the composite image. A surgical device may be powered by a hydraulic system, thereby reducing electromagnetic interference with tracking devices.

Abstract: An instrument for spinal rotation that aligns and holds direct vertebral rotation (DVR) lever arms relative to each other to achieve an initial axial alignment of a segment of vertebrae and allows the final DVR rotation by rotating the instrument and lever arms together. A method of direct vertebral rotation that allows rotating the vertebrae to be aligned relative to each other, and collectively rotating the vertebrae to be aligned relative to adjacent spinal segments by rotating the direct vertebral rotation instrument. A system for direct vertebral rotation having at least two pedicle screws. The system also includes at least two levers attachable to the pedicle screws and a clamping instrument configured to clamp the levers.

Abstract: An instrument for distracting and/or compressing adjacent vertebrae is described. The instrument includes a yoke, a first blade movably mounted to the yoke, a second blade mounted to the yoke and an adjustment system. The yoke, the first blade and the second blade form a working channel for the instrument. The adjustment system of the instrument is configured to adjust a spacing between the first blade and the second blade by selectively moving the first blade relative to the second blade to distract and/or compress adjacent vertebrae when the first blade and the second blade have been secured to the adjacent vertebrae. The instrument may include a depth stop system that limits an insertion depth of an associated tool inserted into the working channel of the instrument. The adjustable depth stop system includes a releasable catch for securing a stop element of the associated tool.

Abstract: A new self-service surgical retractor with the characteristics comprising: main post (1), lock sleeve (7), lock operating lever (11), take-up device lock sleeve (15), take-up device (17) and hook plate (22). The lock sleeve (7) is covered on the lower part of the main post (1) to form a dovetail groove; the lock operating lever (11) is spun on the main post (1) through the thread; the take-up device lock sleeve (15) is spun on the upper part of the main post (1) and locks and fixes the inserted link (18) of the take-up device (17) on the upper end of the main post (1); the take-up device (17) is connected with the hook plate (22) through the retraction tape or rope (21). With simple structure and low cost, the present invention is easy to manufacture and use.

Abstract: This invention relates to an anoscope (1) that comprises a back piece (3) to stand on; a handle (6) with a longitudinal axis that faces the front piece (2) of the anoscope (1), particularly the sliding lid (5) and the window (11) when the lid (5) is opened; a broadly piece (7) that is located at the junction of the handle (6) and the front piece (2) and that sits on the front piece (2); a socket (8) on the surface of the atrium (23) of the broadly piece (7); a cylindrical extension (17) inside the broadly piece (7); a sliding lid (5) located on the front piece (2) that can either be separated totally from the front piece (2) or can form a window (11) that opens to the desired extent; a protrusion (12) located at the inner surface of the sliding lid (5) that facilitates the lid (5) being handled and pulled; a tongue (9) distal to the front piece (2) that sits on the socket (8) and manages locking and unlocking processes of the front piece (2) and the back piece (3); and a pillar (21) and a console (22) located

Abstract: The surgical instrumentation system is adapted to provide an operative approach to the spinal column and maintain distraction of adjacent vertebrae. The system includes at least one retractor and a pair of opposite distractor mechanisms mounted to a frame. The distractor mechanisms each include an adjustment mechanism permitting the distractor mechanism to be pivoted relative to the vertebra and secured to the frame after being repositioned.

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: A slide and snap clamp provides a first clamping member with first and second clamping sections. The first clamping section is located adjacent the hinge while the second clamping section and the hinge on opposite sides of the first clamping section. An actuator is used to transition the first clamping member from an unlocked or locked configuration with a rail in one of the first and second clamping sections. The first and second clamping sections are configured to receive the rail A at a predetermined cross sectional perimeter in either of the first and second clamping sections. The operator selects which of the two clamping sections be utilized the actuator can be transitioned and locked position thereby securing the rail to the first clamping member.

Abstract: A universal joint apparatus comprises clamps, a locking mechanism, and a rod connecting the clamps and the locking mechanism. At least one clamp is a scissors clamp, i.e. a clamp comprising two segments fastened by a pivot. The scissors clamp generates extra compressive force on the object being held, providing a stable and rigid universal joint. Clamps are able to rotate with respect to each other, allowing for greater flexibility in usage. The universal joint apparatus is capable of being added to a support frame between other components. In one embodiment of the invention, the universal joint includes a dedicated retractor blade handle to ensure that the locked position of the cam handle is oriented substantially away from the operative site.

Abstract: An apparatus for holding a surgical instrument relative to a base is provided having a mounting portion configured and dimensioned to engage a portion of a base, a jaw assembly including first and second jaw members which define a retaining area therebetween configured and dimensioned to retain the shaft of a surgical instrument therein and thereby fix the length of the instrument shaft relative to the base and an operative site, and an instrument position adjustment mechanism which includes an adjustment member rotatably disposed in relative to the mounting portion to facilitate selective position adjustment of the jaw assembly with respect to the mounting portion.

Abstract: A retractor for use in surgery, has arms (2, 4) pivotal into a V-shaped configuration. Blades (16) are carried by the arms via mounting portions (16a) which can slide along the arms to provide adjustment in position with the blades being locked in that position simply by skewing the mounting portions on the arms.

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 clamping mechanism is provided for supporting a plurality of tools for use in a folder gluer machine. The clamping mechanism includes first and second clamps. Each clamp defines a corresponding clamping cavity for receiving a tool therein. Each clamp is movable between a release position wherein the clamping cavity has a first configuration and a clamping position wherein the clamping cavity has a second configuration. A clamping structure is operatively connected to the first and second clamps. The clamping structure sequentially moves the first and second clamps to their clamping positions.

Abstract: A slide and snap clamp provides a first clamping member with first and second clamping sections. The first clamping section is located adjacent the hinge while the second clamping section and the hinge on opposite sides of the first clamping section. An actuator is used to transition the first clamping member from an unlocked or locked configuration with a rail in one of the first and second clamping sections. The first and second clamping sections are configured to receive the rail A at a predetermined cross sectional perimeter in either of the first and second clamping sections. The operator selects which of the two clamping sections be utilized the actuator can be transitioned and locked position thereby securing the rail to the first clamping member.

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: A surgical retractor positioning device is provided to create a surgical working field in a minimally invasive and flexible manner. In one embodiment, the device can include a frame and an arm connected to the frame. The arm can include a proximal end, a distal end having a distal end axis, and a major axis, wherein the distal end axis is movable relative to the proximal end, whereby the distal end axis can intersect the major axis at an angle. The device can include at least one blade connected to the distal end of the arm, wherein the blade is fixably rotatable about the major axis. The device can include at least two arms.

Abstract: An apparatus for holding a surgical instrument relative to a base is provided having a mounting portion configured and dimensioned to engage a portion of a base, a jaw assembly including first and second jaw members which define a retaining area therebetween configured and dimensioned to retain the shaft of a surgical instrument therein and thereby fix the length of the instrument shaft relative to the base and an operative site, and an instrument position adjustment mechanism which includes an adjustment member rotatably disposed in relative to the mounting portion to facilitate selective position adjustment of the jaw assembly with respect to the mounting portion.

Abstract: An apparatus for holding a surgical instrument relative to a base is provided having a mounting portion configured and dimensioned to engage a portion of a base, a jaw assembly including first and second jaw members which define a retaining area therebetween configured and dimensioned to retain the shaft of a surgical instrument therein and thereby fix the length of the instrument shaft relative to the base and an operative site, and an instrument position adjustment mechanism which includes an adjustment member rotatably disposed in relative to the mounting portion to facilitate selective position adjustment of the jaw assembly with respect to the mounting portion.

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: A surgical retractor system comprises a support frame and an instrument mounting assembly. The instrument mounting assembly includes a fastening member for securing the mounting assembly to the support frame, a loading member for attaching to the mounting assembly, and a lockable rotational member providing for rotational or angular motion of the instruments about the support frame.

Abstract: An assembly for exchanging retractor support arms within a retractor support clamp. The assembly includes a main body having a surface defining a cavity extending into the main body from a first end. A support arm having an end portion with a substantially complimentary configuration to the surface defining the cavity is positionable within the cavity. A retaining mechanism is disposed about the main body and in communication with the end portion where the retaining mechanism retains the end portion within the main body.

Abstract: An articulation member for use in a surgical apparatus provides articulation between a surgical tool and a surgical arm configured with a spherical ball. The articulation member includes a pair of opposed clamping members each having a socket portion for receiving the ball end of the surgical arm, and each having a clamp surface for receiving an insertable portion of the surgical tool. The articulation member also includes a locking member moveable between a loosened and a tightened configuration. In the loosened configuration, the orientation of the ball relative to the socket portions is modifiable so as to permit relative pivotal movement between the surgical arm and the surgical tool. In the tightened configuration, the locking member simultaneously urges the socket portions toward the ball, and the clamp surfaces toward the insertable tool portion, thereby frictionally locking the orientation of the surgical tool relative to the surgical arm.

Abstract: The invention disclosed herein relates to a multipositional ratchet device for use in conjunction with a surgical retractor assembly. The ratchet device of the invention permits both independent and simultaneous adjustment of the longitudinal axial positioning of a retractor blade stem relative to the device as well as the vertical tilt position of the retractor blade. Furthermore, the device is structured with the adjustment tabs positioned to permit the aforementioned adjustments using continuously maintained finger contact on the tabs using a single hand. The device affords the user improved ergonomics and accuracy of use by virtue of its structural and functional features.

Abstract: A support arm for a heart stabilizer that can be used to stabilize a heart during a beating heart coronary artery bypass graft procedure. The support arm may have an arm that is coupled to a table mount and an end effector. The table mount is adapted to be mounted to the rail of a surgical table. The end effector is adapted to hold the heart stabilizer. The arm may be adjustable to allow an end user to adjust the position of the end effector.

Abstract: Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.

Abstract: A clamping device, preferably for use on a retractor support, has an upper clamp and a lower clamp. The clamps include a movable jaw and a fixed jaw pivotal between a locked configuration and an unlocked configuration which both locks the clamps in a shut configuration and fixes the angular position of the clamps relative to one another. A drawbar and cam act together to compress the upper and lower clamps into a clamping or locking position.

Abstract: Surgical devices for stabilizing the heart which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position. Stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart are provided.

Abstract: A universal joint apparatus comprises clamps, a locking mechanism, and a rod connecting the clamps and the locking mechanism. At least one clamp is a scissors clamp, i.e. a clamp comprising two segments fastened by a pivot. The scissors clamp generates extra compressive force on the object being held, providing a stable and rigid universal joint. Clamps are able to rotate with respect to each other, allowing for greater flexibility in usage.

Abstract: A universal joint apparatus comprises clamps, a locking mechanism, and a rod connecting the clamps and the locking mechanism. At least one clamp is a scissors clamp, i.e. a clamp comprising two segments fastened by a pivot. The scissors clamp generates extra compressive force on the object being held, providing a stable and rigid universal joint. Clamps are able to rotate with respect to each other, allowing for greater flexibility in usage. The universal joint apparatus is capable of being added to a support frame between other components. In one embodiment of the invention, the universal joint includes a dedicated retractor blade handle to ensure that the locked position of the cam handle is oriented substantially away from the operative site.

Abstract: An articulation member for use in a surgical apparatus is provided. The articulation member includes a fitting for mounting to a support structure, a socket for receiving an arm of a surgical tool and a clamp moveable between a loosened position and a tightened position. In the loosened position the clamp permits movement between the fitting and the support structure, and permits rotation of the socket. In the tightened position, the clamp secures the fitting and the arm relative to the support structure.

Abstract: A clamp assembly for an external fixation system includes a first clamp member receiving a first elongated and a second clamp member receiving a second elongated member. The first clamp member includes a first fastener rotatably in a first direction to lock the first elongated member relative to the first clamp member. A second fastener connects the first and second clamp members. The second fastener is rotatable in the first direction to independently lock the second elongated member relative to the second clamp member. The first fastener is hollow and the second fastener passes through the first fastener.

Abstract: An apparatus for holding a surgical instrument relative to a base is provided having a mounting portion configured and dimensioned to engage a portion of a base, a jaw assembly including first and second jaw members which define a retaining area therebetween configured and dimensioned to retain the shaft of a surgical instrument therein and thereby fix the length of the instrument shaft relative to the base and an operative site, and an instrument position adjustment mechanism which includes an adjustment member rotatably disposed in relative to the mounting portion to facilitate selective position adjustment of the jaw assembly with respect to the mounting portion.

Abstract: A device for securing a retractor to a support arm, the retractor including a handle and a blade, the device includes a spheroidal member having a through bore adapted to engage the handle of the retractor where the spheroidal member is rotatably captivated within a spheroidal member retaining portion of a main member of a housing of the device. The housing also includes a retaining member operably attached to the main member where the main member and the retaining member cooperate to engage the support arm. A tightening mechanism is operably attached to the main member and is in communication with the retaining member.

Abstract: A clamping device, preferably for use on a retractor support, has an upper clamp and a lower clamp. The clamps include a movable jaw and a fixed jaw pivotal between a locked configuration and an unlocked configuration which both locks the clamps in a shut configuration and fixes the angular position of the clamps relative to one another. A drawbar and cam act together to compress the upper and lower clamps into a clamping or locking position.

Abstract: A device for securing a retractor to a support arm, the retractor including a handle and a blade, the device includes a spheroidal member having a through bore adapted to engage the handle of the retractor where the spheroidal member is rotatably captivated within a spheroidal member retaining portion of a main member of a housing of the device. The housing also includes a retaining member operably attached to the main member where the main member and the retaining member cooperate to engage the support arm. A tightening mechanism is operably attached to the main member and is in communication with the retaining member.

Abstract: A ratchet mechanism for a surgical retractor blade having a dual ratchet holder. A pivot ratchet is mounted on the dual ratchet holder. A pawl key mounted on the dual ratchet holder. The pawl key is used to engage the teeth on the pivot ratchet. The mechanism also has a pivot thumb piece that is pivotally attached to the pawl key. The thumb piece is used to release the pawl key when it is activated. A rocker thumb piece is mounted on the dual ratchet holder. It is used to engage and disengage a tooth on the stem of a surgical retractor blade.

Abstract: A bone leveler or apparatus including a first blade member having a forward end suitable for contacting the bone and a rearward end, a second blade member having a forward end suitable for contacting the bone and a rearward end, and an elastic member having one end received by the first blade member and an opposite end received by a second blade member. Each of the blade members has an identical configuration. Each of the blade members has a hole formed between the forward end and rearward end. The elastic member has one end received by the hole of the first blade member and an opposite end received by the hole of the second blade member. Each of the blade members has a slot formed at the rearward end so as to extend inwardly therefrom. The respective ends of the elastic members are fixed into the slots of the respective blade members. The elastic member is a length of surgical tubing.

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.