|Publication number||US3877433 A|
|Publication date||Apr 15, 1975|
|Filing date||Nov 5, 1973|
|Priority date||Nov 5, 1973|
|Publication number||US 3877433 A, US 3877433A, US-A-3877433, US3877433 A, US3877433A|
|Original Assignee||Raymond Lee Organization Inc|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (2), Referenced by (59), Classifications (10)|
|External Links: USPTO, USPTO Assignment, Espacenet|
O United States Patent 1 [111 3,877,433
Librach Apr. 15, 1975  UTERINE ELEVATOR AND MANIPULATOR 183,832 10/1876 Barnett 128/127  Inventor: Samuel Librach, Toronto, Ontario,
Canada Primary Exammer-R1chard A. Gaudet Assistant Examiner-Henry J. Recla  Assignee: The Raymond Lee Organization,
ilgtcehsltew York, NY. a part ABSTRACT A medical instrument employs an elongated hollow  Filed 1973 sleeve open at both ends and an elongated bar slidable  Appl. No.: 412,595 in the sleeve with opposite ends disposed outside the sleeve. A cup is secured to the midpoint of a first linkage and is disposed at right angles thereto. One end of [2%] the first linkage is Secured pivotally to one end of the DIG 26 bar. The other end of the first linkage has a probe I 1 1e 23; 264 2702 f thereat. A second linkage is pivotally secured at one i end to the cup and linkage and is pivotally secured at its other end to the end of the sleeve adjacent the one References Cited end of the bar. The other end of the bar is secured to a handle. UNITED STATES PATENTS 27,491 3/1860 Wells 128/128 4 3 Draw PATENTEDAFRI 191 3,817. 433
2 54 0 FIG. 3
UTERINE ELEVATOR AND MANIPULATOR SUMMARY OF THE INVENTION This invention is a medical instrument which can be used by gynocologists and other medical specialists for uterine manipulation during laperoscopy, tubal ligation and the like.
To this end, the instrument, which is formed from suitable non corrosive material such as stainless steel, employs an elongated hollow sleeve open at both ends. An elongated bar is slidable in the sleeve and has opposite ends disposed outside the sleeve.
A first linkage has a probe at one end and is pivotally secured at its other end to one end of the bar. A second linkage is pivotally secured at one end to the first linkage at a point intermediate its ends. The other end of the second linkage is secured pivotally to the end of the sleeve adjacent the first linkage.
A handle is secured to the other end of the bar. The handle can have an elongated slot, aligned with the bar and extending in the same direction, which is adapted to detachably engage the post of a stabilizing platform.
BRIEF DESCRIPTION OF THE DRAWINGS In the drawings:
FIG. I shows the instrument in storage position;
FIG. 2 shows the instrument ready for use; and
FIG. 3 shows a stabilization platform for use with the instrument.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS Referring now to FIGS. l-3, the instrument, which is formed entirely from stainless steel or other material conventionally used in surgical instruments, includes an elongated hollow sleeve having opposite open ends 12 and 14.
An elongated bar 16 extends slidably in the sleeve with opposite ends 18 and 20 disposed outside the sleeve. An elongated handle 22 with a transverse protective strip 24 is secured by rivets 26 or the like to end 20. The handle contains an elongated slot 28 aligned with the bar and extending in the same direction.
End 14 of sleeve 10 carries a thumb rest 30 with a transverse finger support strip 32. A thumb screw 34 for locking the bar in position in the sleeve is secured to the sleeve adjacent rest 30.
A linkage 36 has a probe 38 at one end and is pivotally secured at its other end, as shown at 40, to end 18 of bar 16.
' A circular cup 42 has a central opening through which linkage 36 extends, prong 38 and the linkage being generally at right angles to the cup.
Another linkage 44 is pivotally secured at one end to the base of the cup as shown at 46 and is pivotally secured at its other end to tab 48 at end 12 of the sleeve.
In use, the bar is slid in the sleeve to pivot the probe to a position at right angles to bar and sleeve (FIG. 2) and then the bar is locked in position in the sleeve. For storage, the bar is released and the probe returned to the position in FIG. 1.
A stabilizing platform can have a horizontal base 50 with a vertical post 52 having vertically spaced holes 54.
While I have described my invention with particular reference to the drawings, such is not to be considered as limiting its actual scope.
Having thus described this invention, what is asserted as new is:
l. A medical instrument comprising:
an elongated hollow sleeve open at both ends;
an elongated bar disposed slidably in the sleeve with opposite ends disposed outside the sleeve;
a handle secured to one end of the bar;
a first linkage having a probe at one end and pivotally secured at its other end to the other end of the bar;
a second linkage pivotally secured at one end to the end of the sleeve adjacent the other end of the bar and at the other end to a point on the first linkage intermediate probe and sleeve; and
a cup disposed at right angles to the first linkage, said cup being secured to said first linkage at said point.
2. The instrument of claim 1 further including a locking screw on the sleeve adjacent the handle for locking the bar in desired position in the sleeve.
3. The instrument of claim 2 further including a thumb rest on the sleeve disposed intermediate the screw and the handle.
4. The instrument of claim 3 wherein the handle has an elongated slot aligned with the bar and extending in the longitudinal direction, said slot being adapted to engage the post of a stabilizing platform.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US27491 *||Mar 13, 1860||Pessary|
|US183832 *||Sep 2, 1876||Oct 31, 1876||Improvement in pessaries|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US4000743 *||Jul 9, 1975||Jan 4, 1977||Kenneth Weaver||Uterine anteverter|
|US4022208 *||Nov 7, 1975||May 10, 1977||Valtchev Konstantin L||Gynecologic instrument|
|US4085756 *||Sep 30, 1976||Apr 25, 1978||Kenneth Weaver||Method and apparatus for performing an electrosurgical procedure|
|US4305394 *||Dec 22, 1980||Dec 15, 1981||Bertuch Jr Charles J||Acetabular cup positioning instrument|
|US4475549 *||Jan 18, 1982||Oct 9, 1984||Indong Oh||Acetabular cup positioner and method|
|US4633869 *||Dec 23, 1985||Jan 6, 1987||Arthrex Arthroscopy Instruments, Inc.||Tension retaining device for surgical procedures|
|US5209754 *||Apr 2, 1992||May 11, 1993||Ahluwalia Prabhat K||Vaginal cervical retractor elevator|
|US5217466 *||Apr 19, 1991||Jun 8, 1993||Hasson Harrith M||Guide for facilitating the performance of internal surgery|
|US5237985 *||Jun 22, 1992||Aug 24, 1993||Crystal Wind, Inc.||Uterine retractor|
|US5271385 *||Feb 28, 1992||Dec 21, 1993||United States Surgical Corporation||Abdominal cavity organ retractor|
|US5368598 *||Jun 7, 1993||Nov 29, 1994||Hasson; Harrith M.||Method of manipulating an uterus using a bendable manipulator|
|US5382252 *||Mar 24, 1994||Jan 17, 1995||Ethicon Endo-Surgery||Transvaginal uterine manipulator|
|US5391180 *||Apr 21, 1993||Feb 21, 1995||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US5409496 *||Aug 16, 1993||Apr 25, 1995||Blairden Precision Instruments||Uterine manipulator with locking mechanism|
|US5431662 *||Oct 6, 1993||Jul 11, 1995||United States Surgical Corporation||Manipulator apparatus|
|US5464409 *||Dec 9, 1993||Nov 7, 1995||Mohajer; Reza S.||Uterine manipulator and protector|
|US5487377 *||Nov 5, 1993||Jan 30, 1996||Clinical Innovation Associates, Inc.||Uterine manipulator and manipulator tip assembly|
|US5490819 *||Sep 2, 1994||Feb 13, 1996||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US5514157 *||Mar 31, 1995||May 7, 1996||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US5520698 *||Oct 19, 1994||May 28, 1996||Blairden Precision Instruments, Inc.||Simplified total laparoscopic hysterectomy method employing colpotomy incisions|
|US5540700 *||May 3, 1994||Jul 30, 1996||The Cooper Companies||Uterine manipulator|
|US5562679 *||Jul 6, 1994||Oct 8, 1996||Valtchev; Konstantin L.||Collar system for uterine mobilizer|
|US5571115 *||Sep 23, 1994||Nov 5, 1996||United States Surgical Corporation||Manipulator apparatus|
|US5578048 *||Jan 4, 1995||Nov 26, 1996||United States Surgical Corporation||Manipulator apparatus|
|US5643285 *||Oct 18, 1994||Jul 1, 1997||Blairden Precision Instruments, Inc.||Vaginal extender for colpotomy surgery|
|US5643311 *||Sep 22, 1995||Jul 1, 1997||Clinical Innovation Associates, Inc.||Uterine manipulator and manipulator tip assembly|
|US5645561 *||Jul 29, 1994||Jul 8, 1997||Utah Medical Products, Inc.||Uterine manipulator|
|US5782859 *||Dec 30, 1996||Jul 21, 1998||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US5797959 *||Aug 13, 1997||Aug 25, 1998||United States Surgical Corporation||Surgical apparatus with articulating jaw structure|
|US6174317 *||Sep 16, 1997||Jan 16, 2001||Endolink Ab||Tool for use at laparoscopic surgery at uterus|
|US7087071||Nov 9, 2001||Aug 8, 2006||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US8292901||Apr 27, 2010||Oct 23, 2012||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US8323278||Sep 26, 2011||Dec 4, 2012||Soulor Surgical, Inc.||Apparatus for treating a portion of a reproductive system and related methods of use|
|US8439850||Nov 1, 2010||May 14, 2013||Coopersurgical, Inc.||Cervical sizing devices and related kits and methods|
|US8495809 *||Jan 21, 2010||Jul 30, 2013||Konstantin Lazarov Valtchev||Vaginal delineating device|
|US8545513||Sep 23, 2009||Oct 1, 2013||Coopersurgical, Inc.||Uterine manipulator assemblies and related components and methods|
|US8603105 *||Jun 21, 2011||Dec 10, 2013||Lsi Solutions, Inc.||Ergonomic, lighted uterine manipulator with cautery|
|US8608738||Aug 22, 2011||Dec 17, 2013||Soulor Surgical, Inc.||Apparatus for treating a portion of a reproductive system and related methods of use|
|US8740916||Aug 29, 2013||Jun 3, 2014||Coopersurgical, Inc.||Uterine manipulator assemblies and related components and methods|
|US8876736||Apr 10, 2013||Nov 4, 2014||Coopersurgical, Inc.||Cervical sizing devices and related kits and methods|
|US8939988||Nov 1, 2010||Jan 27, 2015||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US9089365||May 15, 2012||Jul 28, 2015||Imds Llc||Tissue fixation device|
|US9610099||Apr 26, 2013||Apr 4, 2017||Imds Llc||Tissue fixation device to grasp, retain and release tissue|
|US9636144||Oct 9, 2014||May 2, 2017||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US9649130||Oct 9, 2014||May 16, 2017||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US9743956||Mar 22, 2017||Aug 29, 2017||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US9788859||Apr 6, 2017||Oct 17, 2017||Coopersurgical, Inc.||Uterine manipulators and related components and methods|
|US20020177874 *||Nov 9, 2001||Nov 28, 2002||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US20050107818 *||Nov 17, 2003||May 19, 2005||Valtchev Konstantin L.||Vaginal delineation and occlusion device|
|US20070162072 *||Mar 8, 2007||Jul 12, 2007||United States Surgical Corporation||Articulating endoscopic surgical apparatus|
|US20100106163 *||Sep 23, 2009||Apr 29, 2010||Coopersurgical, Inc.||Uterine Manipulator Assemblies and Related Components and Methods|
|US20100160928 *||Dec 22, 2009||Jun 24, 2010||Navas Jose Guillermo Rodriguez||Apparatus for use in gynaecologic surgeries|
|US20100180422 *||Jan 21, 2010||Jul 22, 2010||Konstantin Lazarov Valtchev||Vaginal delineating device|
|US20100305578 *||Apr 27, 2010||Dec 2, 2010||Coopersurgical, Inc.||Uterine Manipulators and Related Components and Methods|
|WO1982002145A1 *||Apr 14, 1981||Jul 8, 1982||Wessendorf Walter F Jr||An acetabular cup positioning instrument|
|WO1993018713A1 *||Mar 14, 1992||Sep 30, 1993||Hodgson James F||Uterine retractor|
|WO1993019801A1 *||Apr 2, 1993||Oct 14, 1993||Prabhat Kumar Ahluwalia||Vaginal cervical retractor elevator|
|WO1994000061A1 *||Jun 23, 1993||Jan 6, 1994||K.U. Leuven Research & Development||Instrument set for laparoscopic hysterectomy|
|WO1995012346A1 *||Nov 4, 1994||May 11, 1995||Clinical Innovation Associates, Inc.||Uterine manipulator and manipulator tip assembly|
|International Classification||A61B1/303, A61B17/42, A61M29/00|
|Cooperative Classification||A61B1/303, A61B17/4241, A61M29/00|
|European Classification||A61B1/303, A61B17/42M, A61M29/00|