|Publication number||US1947649 A|
|Publication date||Feb 20, 1934|
|Filing date||Dec 5, 1931|
|Priority date||Dec 5, 1931|
|Publication number||US 1947649 A, US 1947649A, US-A-1947649, US1947649 A, US1947649A|
|Inventors||Kadavy Godfrey J|
|Original Assignee||Kadavy Godfrey J|
|Export Citation||BiBTeX, EndNote, RefMan|
|Referenced by (69), Classifications (8)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Feb. 20, 1934. (5, K VY 1,947,649
SURGICAL INSTRUMENT Filed Dec. 5, 193].
Patented Feb. 20, 1934 UNITED STATES PATENT oFFicE.
This invention relates to surgical instruments, and aims to provide an instrument to be used for retaining the abdominal viscera away from the wound in suturing the peritoneum.
The primary object of the invention is to provide a device of this character which may be adjusted for use in suturing the peritoneum, of wounds of various sizes.
Another object of the invention is the provision of an instrument which will be completely enclosed in a removable covering, thereby insuring the sanitation of the instrument, and at the same time eliminating any possibility of the pivoted sections of the instrument pinching the intestines.
A still further object of the invention is to provide a surgical instrument which may be readily adjusted after it has been introduced within the wound inside of the parietal wall thereby insuring the efficiency of the instrument.
With the foregoing and other objects in view, which will appear as the description proceeds, the invention resides in the combination and arrangement of parts and in the details of con struction hereinafter described and claimed, it being understood that changes in the precise embodiment of the invention herein disclosed, may be made within the scope of what is claimed, without departing from the spirit of the invention.
Referring to the drawing:
Figure l is a plan view of an instrument constructed in accordance with the invention, the rubber covering being shown in section.
Figure 2 is a side elevational view of the instrument, the rubber covering being shown in section.
Figure 3 is a fragmental sectional view through the body portion of the instrument.
Referring to the drawing in detail, the instrument comprises arms 5 and 6 respectively, which arms have finger holds '1 arranged at their free ends, so that the instrument may be conveniently operated.
The arms 6 are formed with right angled portions 8 which terminate in blades 9, that extend at oblique angles with respect to the arms 5 and 6.
The reference character 10 designates a bearing block which is formed with openings to accommodate the right angled portions 8 of the arms 5 and 6, so that the arms 5 and 5 may be moved towards and away from each other to accomplish the purpose of the invention.
Pivotally connected with the blades 9, at 11',
i are arms 11, which arms are pivotally connected wall of the opening being formed into a tooth at 12, so that as the finger holds 7 are moved towards each other, the arms 11 will be spread to a position as shown by Figure 1 of the drawing.
It is of course obvious that when the finger holds are moved away from each other, the arms 11 will swing inwardly in parallel relation with each other, and in parallel relation with the blade 9.
Positioned over the arms 11 and blades 9 of the instrument, is a rubber covering 13, which 66 may be slid onto the arms 11 and blades 9 when the instrument is in its closed position, so that when the instrument is opened and the arms 11 move to their extended positions, the covering 13 be stretched over the instrument and 70 provide yieldable upper and lower walls, to prevent the intestines from projecting into the wound during the suturing of the peritoneum.
It will also be seen that this covering encases the pivotal connections between the arms 11 and 76 the blades 9, eliminating any possibility of the collection of blood at these points to render the instrument inoperative.
An opening 14 is formed in the arm 6, one
80 15 to engage the toothed bar 16 which is pivotally connected with the arm 5.
After the instrument has been adjusted, the tooth 15 is moved into engagement with the toothed bar 16, whereupon the cover 13 will act to exert a pressure on the instrument to move the arms 5 and 6 away from each other and cause a binding of the tooth 15 and teeth of the bar 16, holding the instrument in its position of adjustment.
Having thus described the invention, what is claimed is:
1. A surgical instrument comprising a pair of pivotally connected members having outwardly extended blades, finger pieces on the free ends of the pivoted members, a pair of pivotally connected arms connected with the free ends of the blades, said arms and blades forming a quadrangle which expands when the finger pieces are moved together, an elastic member stretched over the arms and blades, covering the arms and blades. said elastic member adapted to normally urge the arms and blades to their closed positions and means for securing the arms and blades in their positions of adjustment.
2. A visceral retainer comprising pivotally connected sections, each section having a blade portion, and a handle portion, pivotally connected arms, the arms being pivotally connected to the blade portions, and a cover for the blades and arms, said cover being constructed of contractable material to move with the blades and arms, to their inactive positions.
3. A visceral retainer comprising pivotally con- 5 nected members having integral arms extending therefrom, arms pivotally connected to the first
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3863639 *||Apr 4, 1974||Feb 4, 1975||Richard N Kleaveland||Disposable visceral retainer|
|US4190042 *||Mar 16, 1978||Feb 26, 1980||Manfred Sinnreich||Surgical retractor for endoscopes|
|US4813414 *||Feb 5, 1986||Mar 21, 1989||Walton Medical||Device for garroting the breast|
|US5080088 *||Nov 9, 1987||Jan 14, 1992||Minnesota Scientific, Inc.||Flexible retractor|
|US5309896 *||Nov 19, 1991||May 10, 1994||Origin Medsystems, Inc.||Retraction methods using endoscopic inflatable retraction devices|
|US5402772 *||Aug 13, 1993||Apr 4, 1995||Origin Medsystems, Inc.||Endoscopic expandable retraction device|
|US5429121 *||Mar 17, 1992||Jul 4, 1995||Per Jettman||Surgical retractor|
|US5431173 *||May 29, 1992||Jul 11, 1995||Origin Medsystems, Inc.||Method and apparatus for body structure manipulation and dissection|
|US5450843 *||Mar 14, 1994||Sep 19, 1995||Origin Medsystems, Inc.||Retraction apparatus and methods for endoscopic surgery|
|US5454367 *||Aug 13, 1993||Oct 3, 1995||Origin Medsystems, Inc.||Method of using endoscopic inflatable retraction device with fluid tight elastomeric window|
|US5465711 *||Aug 13, 1993||Nov 14, 1995||Origin Medsystems, Inc.||Surgical procedures using endoscopic inflatable retraction devices|
|US5501653 *||Dec 6, 1993||Mar 26, 1996||Origin Medsystems, Inc.||Abdominal wall lifting retractor with hinged cross-member|
|US5520609 *||May 18, 1993||May 28, 1996||Origin Medsystems, Inc.||Apparatus and method for peritoneal retraction|
|US5522790 *||Mar 14, 1994||Jun 4, 1996||Origin Medsystems, Inc.||Retraction apparatus and methods for endoscopic surgery|
|US5527264 *||Feb 8, 1994||Jun 18, 1996||Origin Medsystem, Inc.||Methods of using endoscopic inflatable retraction devices|
|US5531856 *||Aug 13, 1993||Jul 2, 1996||Origin Medsystems, Inc.||Endoscopic inflatable retraction devices|
|US5562603 *||Jun 5, 1995||Oct 8, 1996||Origin Medsystems, Inc.||Endoscopic inflatable retraction device with fluid-tight elastomeric window|
|US5582577 *||Feb 13, 1995||Dec 10, 1996||Vance Products Incorporated||Surgical retractor including central elastic member|
|US5632761 *||Mar 16, 1995||May 27, 1997||Origin Medsystems, Inc.||Inflatable devices for separating layers of tissue, and methods of using|
|US5634883 *||May 26, 1995||Jun 3, 1997||Origin Medsystems, Inc.||Apparatus for peritoneal retraction|
|US5643178 *||May 26, 1995||Jul 1, 1997||Origin Medsystems, Inc.||Method for peritoneal retration|
|US5656012 *||Oct 6, 1994||Aug 12, 1997||United States Surgical Corporation||Surgical retractor|
|US5676636 *||Jun 24, 1996||Oct 14, 1997||Origin Medsystems, Inc.||Method for creating a mediastinal working space|
|US5704372 *||Jul 29, 1994||Jan 6, 1998||Origin Medsystems, Inc.||Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using|
|US5716327 *||Jun 25, 1996||Feb 10, 1998||Origin Medsystems, Inc.||Body wall retraction system for wide cavity retraction|
|US5722986 *||Jul 24, 1996||Mar 3, 1998||Origin Medsystems, Inc.||Inflatable devices for separating layers of tissue, and methods of using|
|US5728119 *||Oct 13, 1995||Mar 17, 1998||Origin Medsystems, Inc.||Method and inflatable chamber apparatus for separating layers of tissue|
|US5738629 *||Jun 5, 1995||Apr 14, 1998||Origin Medsystems, Inc.||Self-retracting endoscope|
|US5743850 *||Aug 24, 1994||Apr 28, 1998||Origin Medsystems, Inc.||Endoscopic inflatable retraction device with additional inflatable chamber|
|US5743851 *||Jun 4, 1996||Apr 28, 1998||Origin Medsystems, Inc.||Retraction apparatus and methods for endoscopic surgery|
|US5779728 *||Jan 5, 1996||Jul 14, 1998||Origin Medsystems, Inc.||Method and inflatable chamber apparatus for separating layers of tissue|
|US5803901 *||Mar 13, 1997||Sep 8, 1998||Origin Medsystems, Inc.||Inflatable devices for separating layers of tissue and methods of using|
|US5803902 *||Sep 20, 1996||Sep 8, 1998||United States Surgical Corporation||Surgical retractor|
|US5823945 *||Jun 5, 1997||Oct 20, 1998||Origin Medsystems, Inc.||Endoscopic inflatable retraction device with additional inflatable chamber|
|US5823946 *||Jun 5, 1997||Oct 20, 1998||Origin Medsystems, Inc.||Method for creating a mediastinal working space|
|US5865728 *||Nov 21, 1995||Feb 2, 1999||Origin Medsystems, Inc.||Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space|
|US5925058 *||Jun 18, 1997||Jul 20, 1999||Origin Medsystems, Inc.||Method and inflatable chamber apparatus for separating layers of tissue|
|US5941819 *||Jun 5, 1997||Aug 24, 1999||Origin Medsystems, Inc.||Apparatus for creating a mediastinal working space|
|US6361543||Mar 18, 1997||Mar 26, 2002||Sherwood Services Ag||Inflatable devices for separating layers of tissue, and methods of using|
|US6605037||Oct 26, 1998||Aug 12, 2003||Sherwood Services Ag||Endoscopic inflatable retraction device|
|US7695487||Apr 24, 2003||Apr 13, 2010||General Surgical Innovations, Inc.||Balloon dissection apparatus|
|US7744617||Mar 19, 2003||Jun 29, 2010||Covidien Ag||Method and inflatable chamber apparatus for separating layers of tissue|
|US7766823||Aug 11, 2003||Aug 3, 2010||Covidien Ag||Endoscopic inflatable retraction device, method of using, and method of making|
|US8172869||Apr 12, 2010||May 8, 2012||Tyco Healthcare Group Lp||Balloon dissection apparatus|
|US8308638||May 18, 2009||Nov 13, 2012||Applied Medical Resources Corporation||Internal tissue retractor|
|US8469883||Jul 21, 2010||Jun 25, 2013||Applied Medical Resources Corporation||Surgical access device comprising internal retractor|
|US9084594||Jan 8, 2013||Jul 21, 2015||The Board Of Trustees Of The Lealand Stanford Junior University||Methods for the prevention of surgical site infections|
|US9393005||Jan 8, 2013||Jul 19, 2016||The Board Of Trustees Of The Leland Stanford Junior University||Systems for the prevention of surgical site infections|
|US9486200 *||Jan 9, 2014||Nov 8, 2016||Cook Medical Technologies Llc||Abdominal retractor|
|US9492154 *||Jul 9, 2015||Nov 15, 2016||Cook Medical Technologies Llc||Abdominal retractor|
|US20030187472 *||Apr 24, 2003||Oct 2, 2003||Peartree Kenneth A.||Balloon dissection apparatus|
|US20030236544 *||Mar 19, 2003||Dec 25, 2003||Lunsford John P.||Method and inflatable chamber apparatus for separating layers of tissue|
|US20040097792 *||Aug 11, 2003||May 20, 2004||Moll Frederic H.||Endoscopic inflatable retraction device, method of using, and method of making|
|US20060052669 *||Jan 20, 2004||Mar 9, 2006||Hart Charles C||Internal tissue retractor|
|US20060235423 *||Apr 1, 2005||Oct 19, 2006||Cantu Alberto R||Apparatus having at least one actuatable planar surface and method using the same for a spinal procedure|
|US20070083086 *||Oct 11, 2005||Apr 12, 2007||Levahn Intellectual Property Holding Company, Llc||Shaped retractor blade|
|US20070162067 *||Mar 16, 2007||Jul 12, 2007||Lunsford John P||Method and inflatable chamber apparatus for separating layers of tissue|
|US20090227844 *||May 18, 2009||Sep 10, 2009||Applied Medical Resources Corporation||Internal tissue retractor|
|US20100174149 *||Mar 16, 2010||Jul 8, 2010||Covidien Ag||Endoscopic inflatable retraction device, method of using, and method of making|
|US20100249933 *||Jun 10, 2010||Sep 30, 2010||Warsaw Orthopedic, Inc.||Systems and techniques for intravertebral spinal stabilization with expandable devices|
|US20110021879 *||Jul 21, 2010||Jan 27, 2011||Applied Medical Resources Corporation||Surgical access device comprising internal retractor|
|US20130184535 *||Jan 8, 2013||Jul 18, 2013||The Board Of Trustees Of The Leland Stanford Junior University||Expandable tissue retraction devices|
|US20140194698 *||Jan 9, 2014||Jul 10, 2014||Cook Medical Technologies Llc||Abdominal retractor|
|US20150305734 *||Jul 9, 2015||Oct 29, 2015||Cook Medical Technologies Llc||Abdominal retractor|
|EP0464463A1 *||Jun 19, 1991||Jan 8, 1992||Richard Wolf GmbH||Organ manipulator|
|WO1987001027A1 *||Aug 22, 1986||Feb 26, 1987||Clinimed Ltd.||A wound closure device|
|WO1989004145A1 *||Sep 20, 1988||May 18, 1989||Minnesota Scientific, Inc.||Flexible retractor|
|WO1992016151A1 *||Mar 17, 1992||Oct 1, 1992||Jettman, Per||A surgical retractor|
|WO2006107504A1 *||Mar 9, 2006||Oct 12, 2006||Kyphon Inc.||Apparatus having at least one actuatable planar surface and method using the same for a spinal procedure|
|U.S. Classification||600/203, 600/206, 600/216|
|International Classification||A61B17/02, A61B17/28|
|Cooperative Classification||A61B17/0293, A61B2017/2837|