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Publication numberUS3877433 A
Publication typeGrant
Publication dateApr 15, 1975
Filing dateNov 5, 1973
Priority dateNov 5, 1973
Publication numberUS 3877433 A, US 3877433A, US-A-3877433, US3877433 A, US3877433A
InventorsLibrach Samuel
Original AssigneeRaymond Lee Organization Inc
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Uterine elevator and manipulator
US 3877433 A
Abstract
A medical instrument employs an elongated hollow sleeve open at both ends and an elongated bar slidable 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 the first linkage is secured pivotally to one end of the bar. The other end of the first linkage has a probe thereat. A second linkage is pivotally secured at one end to the cup and linkage and is pivotally secured at its other end to the end of the sleeve adjacent the one end of the bar. The other end of the bar is secured to a handle.
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Description  (OCR text may contain errors)

O United States Patent 1 [111 3,877,433

Librach Apr. 15, 1975 [54] UTERINE ELEVATOR AND MANIPULATOR 183,832 10/1876 Barnett 128/127 [75] Inventor: Samuel Librach, Toronto, Ontario,

Canada Primary Exammer-R1chard A. Gaudet Assistant Examiner-Henry J. Recla [73] Assignee: The Raymond Lee Organization,

ilgtcehsltew York, NY. a part ABSTRACT A medical instrument employs an elongated hollow [22] Filed 1973 sleeve open at both ends and an elongated bar slidable [21] 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.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US27491 *Mar 13, 1860 Pessary
US183832 *Sep 2, 1876Oct 31, 1876 Improvement in pessaries
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US4000743 *Jul 9, 1975Jan 4, 1977Kenneth WeaverUterine anteverter
US4022208 *Nov 7, 1975May 10, 1977Valtchev Konstantin LGynecologic instrument
US4085756 *Sep 30, 1976Apr 25, 1978Kenneth WeaverMethod and apparatus for performing an electrosurgical procedure
US4305394 *Dec 22, 1980Dec 15, 1981Bertuch Jr Charles JAcetabular cup positioning instrument
US4475549 *Jan 18, 1982Oct 9, 1984Indong OhAcetabular cup positioner and method
US4633869 *Dec 23, 1985Jan 6, 1987Arthrex Arthroscopy Instruments, Inc.Tension retaining device for surgical procedures
US5209754 *Apr 2, 1992May 11, 1993Ahluwalia Prabhat KVaginal cervical retractor elevator
US5217466 *Apr 19, 1991Jun 8, 1993Hasson Harrith MGuide for facilitating the performance of internal surgery
US5237985 *Jun 22, 1992Aug 24, 1993Crystal Wind, Inc.Uterine retractor
US5271385 *Feb 28, 1992Dec 21, 1993United States Surgical CorporationAbdominal cavity organ retractor
US5368598 *Jun 7, 1993Nov 29, 1994Hasson; Harrith M.Method of manipulating an uterus using a bendable manipulator
US5382252 *Mar 24, 1994Jan 17, 1995Ethicon Endo-SurgeryTransvaginal uterine manipulator
US5391180 *Apr 21, 1993Feb 21, 1995United States Surgical CorporationArticulating endoscopic surgical apparatus
US5409496 *Aug 16, 1993Apr 25, 1995Blairden Precision InstrumentsUterine manipulator with locking mechanism
US5431662 *Oct 6, 1993Jul 11, 1995United States Surgical CorporationManipulator apparatus
US5464409 *Dec 9, 1993Nov 7, 1995Mohajer; Reza S.Uterine manipulator and protector
US5487377 *Nov 5, 1993Jan 30, 1996Clinical Innovation Associates, Inc.Uterine manipulator and manipulator tip assembly
US5490819 *Sep 2, 1994Feb 13, 1996United States Surgical CorporationArticulating endoscopic surgical apparatus
US5514157 *Mar 31, 1995May 7, 1996United States Surgical CorporationArticulating endoscopic surgical apparatus
US5520698 *Oct 19, 1994May 28, 1996Blairden Precision Instruments, Inc.Simplified total laparoscopic hysterectomy method employing colpotomy incisions
US5540700 *May 3, 1994Jul 30, 1996The Cooper CompaniesUterine manipulator
US5562679 *Jul 6, 1994Oct 8, 1996Valtchev; Konstantin L.Collar system for uterine mobilizer
US5571115 *Sep 23, 1994Nov 5, 1996United States Surgical CorporationSurgical apparatus for manipulating body tissue
US5578048 *Jan 4, 1995Nov 26, 1996United States Surgical CorporationSurgical apparatus for manipulating body tissue
US5643285 *Oct 18, 1994Jul 1, 1997Blairden Precision Instruments, Inc.Vaginal extender for colpotomy surgery
US5643311 *Sep 22, 1995Jul 1, 1997Clinical Innovation Associates, Inc.Uterine manipulator and manipulator tip assembly
US5645561 *Jul 29, 1994Jul 8, 1997Utah Medical Products, Inc.Hand-held gynecologic instrument
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US5797959 *Aug 13, 1997Aug 25, 1998United States Surgical CorporationSurgical apparatus with articulating jaw structure
US6174317 *Sep 16, 1997Jan 16, 2001Endolink AbTool for use at laparoscopic surgery at uterus
US7087071Nov 9, 2001Aug 8, 2006United States Surgical CorporationArticulating endoscopic surgical apparatus
US8292901Apr 27, 2010Oct 23, 2012Coopersurgical, Inc.Uterine manipulators and related components and methods
US8323278Sep 26, 2011Dec 4, 2012Soulor Surgical, Inc.Apparatus for treating a portion of a reproductive system and related methods of use
US8439850Nov 1, 2010May 14, 2013Coopersurgical, Inc.Cervical sizing devices and related kits and methods
US8495809 *Jan 21, 2010Jul 30, 2013Konstantin Lazarov ValtchevVaginal delineating device
US8545513Sep 23, 2009Oct 1, 2013Coopersurgical, Inc.Uterine manipulator assemblies and related components and methods
US8603105 *Jun 21, 2011Dec 10, 2013Lsi Solutions, Inc.Ergonomic, lighted uterine manipulator with cautery
US8608738Aug 22, 2011Dec 17, 2013Soulor Surgical, Inc.Apparatus for treating a portion of a reproductive system and related methods of use
US8740916Aug 29, 2013Jun 3, 2014Coopersurgical, Inc.Uterine manipulator assemblies and related components and methods
US20070162072 *Mar 8, 2007Jul 12, 2007United States Surgical CorporationArticulating endoscopic surgical apparatus
US20100160928 *Dec 22, 2009Jun 24, 2010Navas Jose Guillermo RodriguezApparatus for use in gynaecologic surgeries
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Classifications
U.S. Classification606/119
International ClassificationA61B1/303, A61B17/42, A61M29/00
Cooperative ClassificationA61B1/303, A61B17/4241, A61M29/00
European ClassificationA61B1/303, A61B17/42M, A61M29/00