Abstract: The present invention encompasses tools and a tool-holding retractor assembly. The retractor assembly spreads an incision and holds the incision open. At least one extension device, having a tool holder on one end, attaches to the assembly. The holder includes a selectively locking multi-axis adjustable mounting element adapted to grip a tool shaft. The mounting element acts as a universal mounting providing rotational and sliding movement of the tool shaft. The extension device adjusts to position the tool holder peripherally of the surgical field. Once the retractor is placed, the extension device provides full access to regions below the incision. The extension device allows the surgeon to chose the insertion point and insertion angle of the tool shaft.

Abstract: A stabilizer for retractors employed in tonsillectomies includes a first longitudinal member secured to an operating table in an adjustable, substantially upright position; a second elongated member secured to the first elongated member adjacent an end thereof remote from the operating table at an adjustable angle relative to the first longitudinal member, the second longitudinal member having a plurality of notches spaced therealong to enable selection of one of the plurality of notches to receive an end of a retractor remote from a patient lying on the operating table; and an arrangement associated with both the first and second elongated members to enable adjustment of the adjustable angle to thereby enable the surgeon to manipulate the retractor and the head of the patient to place the head of the patient in a desired position to enable removal of the tonsils.

Abstract: A central platform allows a hydra or other surgical device to be attached to a horizontal bar suspended over a patient during surgery. The platform is made of stainless steel and has integrally formed clamping and attaching portions. The clamping portion has a cylindrical bore for receiving the bar and a slot extending from the cylindrical bore. At least one thin portion adjacent the cylindrical bore allows the clamping portion to have enough flexibility for clamping. A key passes through a threaded bore and is tightened to clamp the clamping portion onto the bar. The attaching portion has a post for attaching the hydra or other device. The post has positioning projections to hold the hydra in a desired position. The post also has a threaded portion, so that the hydra can be held on with a wing nut.

Abstract: A clamping device (10) for clampingly interconnecting a first elongate element (17) and a second elongate element (15). The clamping device (10) comprises a shaft (19), and a first clamping member (21) mounted on the shaft. The first clamping member (21) has first and second clamping sections (31, 32) between which the first elongate element (17) can be slidingly received and clampingly engaged. An aperture (73) is provided in the shaft (19) adjacent the second section (32) of the first clamping member (21) to slidingly receive the second elongate member (15). A second clamping member (22) is mounted on the shaft (19) and is displaceable therealong for clamping the second elongate element (15) between the first clamping member (21) and the second clamping member (22). A cam locking mechanism (23) is operably connected to the shaft (19) for selectively moving the clamping device between clamping and non-clamping conditions.

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 ball and socket interconnection capable of use in surgical retractor systems comprising a ball member and a socket member, the socket member defining an entry and being adapted to releasably receive the ball member such that when the ball member is received in the socket member it is capable of pivotal and rotational movement within the socket, the ball member having two spherical end surfaces between which is located an intermediate section, the spherical end surfaces having a radius of curvature greater than the radius of curvature of the entry and the intermediate section having a radius of curvature less than the radius of curvature of the entry, whereby the intermediate section renders the ball member releasably receivable in the socket member.

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 clamping device (10) for clampingly interconnecting a first elongate element (17) and a second elongate element (15). The clamping device (10) comprises a shaft (19), and a first clamping member (21) mounted on the shaft. The first clamping member (21) has first and second clamping sections (31, 32) between which the first elongate element (17) can be slidingly received and clampingly engaged. An aperture (73) is provided in the shaft (19) adjacent the second section (32) of the first clamping member (21) to slidingly receive the second elongate member (15). A second clamping member (22) is mounted on the shaft (19) and is displaceable therealong for clamping the second elongate element (15) between the first clamping member (21) and the second clamping member (22). A cam locking mechanism (23) is operably connected to the shaft (19) for selectively moving the clamping device between clamping and non-clamping conditions.

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: This instrumentation comprises valves (2) for shifting aside tissues and vessels, pins for fixing each valve (2) to the spine, each valve (2) comprising for this purpose sleeves (6) in which the pin (5) is slidable; the instrumentation further comprises, for each valve (2), an articulated device (7) comprising a clamp (12) for clamping a rod (13) fixed to the valve (2); the clamp (12) may be articulated to a ball and oriented in all directions in space while the rod (13) and the valve (2) are adjustable in translation in the clamp (12); the articulated devices (7) are adjustably slidably mounted on a support frame (8). The instrumentation further comprises a push member which is capable of bearing against the valves (2) and preventing them from slipping on the surface of the spine while they are being placed in position. This device permits conveniently orienting the valves (2) in all directions and in translation.

Abstract: The present invention provides a retractor for providing surgical access through a passage in a patient's body, together with a delivery device for positioning the retractor in the patient's body. The retractor comprises an anchoring frame having an upper surface, a lower surface, and an opening therethrough which defines an axial axis. A flexible tensioning member is attached to the frame, and is extendable from the frame out of the body through the passage when the frame is positioned through the passage and into a body cavity. The retractor is held by the delivery device in a collapsed orientation for placement in the patient's body. The delivery device is released from the retractor to allow the retractor to assume an expanded orientation in the patient's body. This tensioning member is selectively tensionable to spread the tissue radially outwardly from the axial axis.

Abstract: This invention is methods and devices for stabilizing the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site.

Abstract: A surgical retractor system is provided with an insulating capacity between the retractor blades and surgical table. In particular, the surgical retractor system may include may include a joint clamp with an insulating sleeve within the opening of one of the clamping members. Alternatively, other components of the surgical retractor system may provide the insulating characteristic.

Abstract: The invention is directed to an orthopaedic retractor frame assembly (10) for use during orthopaedic surgery at an incision site associated with a limb of a patient. The retractor frame assembly (10) includes a retractor frame (16) for placement adjacent the incision site. A limb attachment device (22) is connected to the retractor frame (16) and is configured for connection with a limb of the patient, whereby the retractor frame (16) is held at a desired orientation relative to the incision site. In addition, the retractor frame assembly (10) provides for retractor instruments (18) to be adjustably positioned relative to the retractor frame (16).

Abstract: A cam-operated universal latch joint apparatus is provided. In an embodiment, the joint apparatus includes a cam locking mechanism, as well as a first clamping member and a second clamping member independently positionable with respect to each other. The second clamping member has an upper portion and a lower portion arranged adjacent to each other. A latch is pivotably mounted the upper portion of the second clamping member so that the latch selectively engages the lower portion of the second clamping member. Also, a through rod connecting the cam locking mechanism, the first clamping member and the second clamping member is provided. A bushing is also arranged between the upper portion of the second clamping member and the first clamping member. In an embodiment, the cam locking mechanism includes a handle and a cam connected to the handle and pivotably connected to the through rod so that the cam engages the first clamping member when selectively positioned by the user using the handle.

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 surgical support structure joint includes a shaft having an axis, a first support member rotatably supported about the axis of the shaft and a camming member coupled to the first support member. The camming member is movable between a first clamped position and a second unclamped position. In the first clamped position, the camming member applies greater force to the first support member than in the second unclamped position to prevent rotation of the first support member in the first clamped position and to permit rotation of the first support member in the second unclamped position.

Abstract: A sternal retractor for applying an opening force evenly along the respective edges of a patient's sternum during heart surgery comprises a curved rack having a length, a width, and a thickness, wherein the rack is curved in the thickness direction, hinged arms mounted to the rack, a cog mechanism for forcing one of the arms to move along the rack, and retractor blades pivotally mounted to the arms. An atrial retractor which are used to retract the left and right atrium connects to an arm of the sternal retractor by an H-shaped mounting rod assembly. The assembly comprises two elongated rods mounted in spaced parallel relationship by a clamp proximate the center of the rods. A ball clamp associated with the sternal retractor and atrial retractor comprises locking discoid blocks for releasably interconnecting a plurality of rods together.

Abstract: A halo style surgical retractor having fixed and movable curvilinear members each of which has an outwardly directed retractor channel extending over the full length of the member. A support arm is attached to the fixed member to hold the fixed member in a desired fixed, but adjustable position. The ends of fixed and movable members are coupled together so that, first, when the members are brought into a generally coplanar relationship, there is an uninterrupted and continuous retractor holder path around the combined length of the fixed and movable members. Second, the couplings permit the movable member to pivot to a position directly above and overlaying with the fixed retractor member, that is, a position in which the movable retractor member is in a plane directly above and generally parallel to the plane of the fixed retractor member.

Abstract: A surgical retractor is provided for manipulating body tissue during endoscopic and laparoscopic surgical procedures which includes a handle assembly, an elongated body extending from the handle assembly, and a retractor assembly operatively associated with the body and defining a curvilinear tissue manipulation surface having an area which is selectively variable. In operation the retractor assembly is movable between a first position wherein the area of the tissue manipulation surface is minimized and a second position wherein the area of the tissue manipulation surface is maximized. The retractor can be designed for one handed operation.