GB2571609A - Device for surgical assistance - Google Patents

Abstract

A device for surgical assistance is disclosed. The device comprises one or more rails 102a, and a plurality of side posts 104. Each rail is configured to attach to a hand table 106 via one or more clamp mechanisms 108. Each side post comprises an upper part and a lower part, wherein the lower part of the side post is engaged to the rail via an engagement member 200 which may include a spring lock mechanism 206. The upper part of each side post is configured to hold surgical equipment. Each side post is also preferably height adjustable. The device further comprises a rail extension system, figures 7a and 7b, which is attached to an end portion of rails lying close to a trunk portion of the patient.

Description

DEVICE FOR SURGICAL ASSISTANCE

CROSS REFERENCE TO APPLICATION [0001] This patent application claims the benefit of Indian Provisional patent application 201741047217 filed on December 29, 2017. The above application is incorporated by reference herein in its entirety.

BACKGROUND OF THE INVENTION

A. Technical field [0002] The invention disclosed herein generally relates to a medical equipment or device. More particularly, the invention disclosed herein relates to a device to provide surgical assistance for performing medical treatment.

B. Description of related art [0003] Many emergency room and other surgical operations require a surgeon to operate on a patient's limb or extremity. Upper limb surgeries include orthopedic and plastic surgery procedures. This include fracture fixation (carpal bones/ radius/ ulna/ humerus) and soft tissue procedures (wound management, flap coverage, tendon transfer, tumor excision, carpel tunnel release, etc.). Upper limb surgeries are performed on a hand table, which is an attachment to a standard operating table. A smooth and an effective surgical procedure is performed by fulfilling the following steps: (i) attain haemostasis using electrocautery; (ii) suction of body fluids and smoke produced on using electrocautery; (iii) tissue retraction; (iv) exposure of bone with adequate protection to surrounding soft tissue; and (v) bone holding and fracture reduction [steps (iv) & (v) for orthopedic procedures like fracture fixation]. The surgeon has to take a good care, while performing the upper limb surgeries. This is because tendons, nerves, and blood vessels are to be meticulously rejoined to assure proper alignment of any lacerated tissues. Further, the use of microsurgical techniques may also be required especially for the hand surgeries.

[0004] In the present practice, smooth conduct of the upper limb surgery is encountered with various hurdles. The major problem faced to conduct the upper limb surgery is the requirement of the skilled assistants during each step of the surgery. The surgeon should also be equipped with all the equipment and instruments necessary for the surgery. The arrangement of these surgical instruments and equipment are performed manually with or without a checklist. Moreover, there is no system or arrangement that innately is decorous to ensure the availability of all the necessary surgical equipment for the upper limb surgery. To perform the upper limb surgery, the hand of the patient is positioned on the hand table, in such a manner that the surgeon performing the operation or treatment has an easy access to an intended surgical site. However, maintaining the patients’ hand in a desired position is a difficult task, when qualified assistants are not readily available. Control of the position of the patient’s hand and fingers during surgery plays a major role in accomplishing a successful surgery.

[0005] During orthopedic surgeries for fracture fixation, adequate reduction of the fractured bone fragments is necessary. The fractured bone fragments are displaced in all the three planes due to the pull of the muscles attached to a bone. These deforming forces are to be negotiated and the misalignment of the bone fragments must be corrected before performing the fracture fixation with various fixation methods. This is possible for the surgeon by having a firm hold on the bone fragments with the help of bone clamps. Once the fracture is reduced, and aligned by the surgeon, a stainless steel or titanium plate should be placed on the bone across the fracture site, which will be fixed with screws. The bone clamps need to be loosened or adjusted by the surgeon to facilitate the placement of the plate across the fracture. However, while doing so there is always a chance for the fracture to be displaced again. The reoccurrence of the displacement increases the work burden on the surgeon, as the surgeon needs to realign the fracture again and manually maintain it until the surgeon could negotiate the plate across the reduced fracture. The surgeon also has to make sure that the fracture reduction is maintained while inserting the screws through the plate and fixing the bone. The aforementioned steps are performed manually and needs assistance by skilled and experienced work force. The aforementioned steps are performed manually and needs assistance by the skilled and experienced work force.

[0006] An existing prior art US 5578032A has a provision of maintaining fracture reduction. However, it does not have a provision to permit independent movement of each bone clamp separately, which is essential for correcting misalignment in various planes. It also does not provide the provision for a plate positioning or plate holding mechanism.

[0007] An existing prior art, US20060272979 Al assigned to Lubbers Lawrence and et al. describes about a tray used for operations on a patient's limb or extremity attached to an operation table with a help of any locking mechanism. The surgical tray comprises a heightadjustable post member used to attach the retention & retraction devices such as surgical stays and provisions for attaching other surgical instruments such as scissors, syringe, irrigator, etc.

[0008] Henceforth, there is a need for a device that helps in reducing the workload encountered by the surgeons, when attempting to operate on the patient's limb or extremity. Further, there is the need for a device that addresses the aforementioned problems, and provides a precise surgical assistance without the need of skilled work force for assistance.

SUMMARY OF THE INVENTION [0009] This summary is provided to introduce a selection of concepts in a simplified form that are further disclosed in the detailed description of the invention. This summary is not intended to identify key or essential inventive concepts of the claimed subject matter, nor is it intended for determining the scope of the claimed subject matter.

[0010] In an embodiment, a device for surgical assistance is disclosed. The device is configured to engage to a hand table, wherein the device helps well-organized and userfriendly fracture reduction procedure in orthopedic and plastic surgeries. The device comprises a rail system, and a plurality of side posts. The rail system is rigidly fixed to the hand table, once attached to the hand table. The rail system of the device comprises one or more rails. Each of the rails are affixed to the hand table via one or more engagement members. The engagement members disclosed in the present invention is, for example a clamp system. However, other engagement members could also be used, which serves the objective of the present invention and is not limited to the clamp system.

[0011] In an embodiment, each of the side posts comprises an upper part and a lower part. The lower part of the side post is affixed to the rails via a clamp mechanism. The clamp mechanism comprises a spring lock clamp or relative spring lock clamp mechanism. A slot on the rail is configured to accommodate the spring lock clamp. The spring lock clamp allows a longitudinal movement of the side post over the rail. The longitudinal movement of the side post is controlled via a slide lock system. The clamp mechanism has a ball bearing surface, which interface with the rail for friction reduction. The ball bearing surface interface permits free gliding of the side post over the rail. The side-posts are attached to the rail with ease and the rotation locks engages automatically. The rail system and the side post could be independently fixed to any existing hand table.

[0012] In an embodiment, the upper part of each of the side post has a provision for attachment of various surgical equipment or medical equipment. Each of the side posts is configured to hold the various surgical equipment or medical equipment required for performing a surgery or treatment. The surgical equipment hold by the side posts are for example but not limited to, a tissue retraction system, a self-retaining bone lever assembly, an electrocautery tip, and a vacuum suction tip. Further, each of the side posts is height adjustable. In an embodiment, the upper part of the side post comprises a first slot, and a second slot. A concave surface on the first slot is configured to receive a steel beaded wire. A handle of a tissue retractor system is received or hold by the second slot, wherein the second slot has an auto lock mechanism. In alternate embodiments, the upper part of the side post comprises a multi axial clamp or poly axial clamp. In some embodiments, the upper part of the side post comprises a socket, and a recoil mechanism. The upper part of the side post is modified to facilitate the holding of the surgical equipment of various sizes and design.

[0013] In an embodiment, the side post is configured to hold the tissue retraction system. The tissue retractor system comprises the retractor handle, and a retractor blade. A proximal end of the retractor handle is inserted into the second slot provided on the side post having the auto lock mechanism. A distal end of the retractor handle includes a blade socket. The blade socket facilitates in interchanging the retractor blade of different sizes. The retractor blade is pushed into the blade socket with an auto-lock system to retain the retractor blade. A lock release bottom provided in the auto lock system enables the release of the retractor blade from the blade socket.

[0014] In another embodiment, the side post is configured to hold the self-retaining bone lever assembly. The self-retaining bone lever assembly comprises a bone lever holder, and the steel beaded wire. The beaded steel wire engaged to the bone lever holder is locked to the side-post at the first slot, and the amount of traction force applied on the bone lever is thereby controlled.

[0015] In yet another embodiment, the upper part of the side post comprises the multi axial clamp or poly axial clamp. The poly axial clamp on the side post is configured to hold the selfretaining bone clamp assembly. The bone clamp assembly comprises at least a pair of bone clamps, a locking mechanism and plate positioning mechanism. The pair of bone clamps are hold together via a locking mechanism The locking mechanism is for example a screw locking mechanism, which facilitates the extension of the pair of bone clamps accordingly, based on the size of the bone to be treated. The screw locking mechanism helps in maintaining a firm hold on the bone to be treated. The bone clamps are provided with a provision of the plate positioning mechanism, which holds the plate flush to the bone once engaged. The present configuration of the self-retaining bone clamp assembly provides a surgical field with the fracture well reduced, and plate positioned suitably for fracture fixation, without the need for any assistance. Therefore, a surgeon could comfortably proceed with the fracture fixation procedure without the need for any assistance.

[0016] In yet another embodiment, the upper part of the side post comprises the socket and the recoil mechanism. The electrocautery tip or the vacuum suction tip rest or seat on the socket located on the upper part of the side post. The socket incorporates the recoil mechanism, wherein the recoil mechanism comprises a recoil console, and an elastic recoil attachment. The elastic recoil attachment is configured to attach to the vacuum suction tip or the electrocautery tip. The recoil mechanism ensures a smooth and an automatic return of the vacuum suction tip or the electrocautery tip after use.

[0017] In an embodiment, the device further comprises a rail extensions system. The rail extensions system is attached to the rails on either side of the hand table. The rail extension system is attached to an end portion of rails lying close to a trunk portion of the patient. The rail extension system is attached in such an angle that it does not touch the trunk of the patient. A firm platform is attached between the rail extensions system. The platform is made of high quality fabric or a light and sturdy material like carbon fiber. The limb of the patient is positioned on to the platform surface, facilitating surgical exposure on the medial border.

Finger straps or Chinese finger traps could be used to position the limb. In an embodiment, the attachments of the device could be attached to the rail extension system for carrying out an assistant free surgery.

[0018] Other objects, features and advantages of the present invention will become apparent from the following detailed description. It should be understood, however, that the detailed description and the specific examples, while indicating specific embodiments of the invention, are given by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description.

BRIEF DESCRIPTION OF THE DRAWINGS [0019] The foregoing summary, as well as the following detailed description of the invention, is better understood when read in conjunction with the appended drawings. For illustrating the invention, exemplary constructions of the invention are shown in the drawings. However, the invention is not limited to the specific methods and structures disclosed herein. The description of a method step or a structure referenced by a numeral in a drawing is applicable to the description of that method step or structure shown by that same numeral in any subsequent drawing herein.

[0020] FIG. 1A exemplarily illustrates a top view of a device, according to an embodiment of the present invention;

[0021] FIG. IB exemplarily illustrates an engagement of a rail system to a hand table, according to an embodiment of the present invention;

[0022] FIG. 2 is a cross sectional view illustrating an engagement of a side post to a rail according to an embodiment of the present invention;

[0023] FIG. 3A exemplary illustrates a first slot and a second slot provided on an upper part of the side posts, according to an embodiment of the present invention;

[0024] FIG. 3B exemplary illustrates the side post holding a tissue retraction system, according to an embodiment of the present invention;

[0025] FIG. 3C exemplary illustrates a mechanism of interchanging a retractor blade of the tissue retractor system, according to an embodiment of the present invention;

[0026] FIG. 3D is a front view illustrating implementation of the device on the hand table to perform surgery, according to an embodiment of the present invention;

[0027] FIG. 4 exemplary illustrates the side post holding a self-retaining bone lever assembly having a plate positioning mechanism, according to an embodiment, of the present invention;

[0028] FIG. 5 exemplary illustrates the side post holding a self-retaining bone clamp assembly having a plate positioning mechanism, according to an embodiment of the present invention;

[0029] FIG. 6A exemplary illustrates a recoil mechanism according to an embodiment of the present invention;

[0030] FIG. 6B exemplary illustrates the side post holding a vacuum suction tip, according to an embodiment of the present invention;

[0031] FIG. 6C exemplary illustrates the side post holding an electrocautery tip, according to an embodiment of the present invention;

[0032] FIG. 7A exemplary illustrates a top view of a rail extension system, according to an embodiment of the present invention; and [0033] FIG. 7B exemplary illustrates a view of the rail extension system from a head end of a patient, according to an embodiment of the present invention.

DETAILED DESCRIPTION OF EMBODIMENTS [0034] A description of embodiments of the present invention will now be given with reference to the Figures. It is expected that the present invention may be embodied in other specific forms without departing from its spirit or essential characteristics. The described embodiments are to be considered in all respects only as illustrative and not restrictive.

[0035] FIG. 1A exemplarily illustrates a top view of the device 100 according to an embodiment of the present invention. The device 100 is a surgical assistance device configured to engage to a hand table 106, wherein the device 100 helps in well-organized and user-friendly fracture reduction procedure in orthopedic and plastic surgeries. The device 100 is an integrated hand-table extension device. The device 100 comprises a rail system 102, and a plurality of side posts 104. FIG. IB exemplarily illustrates engagement of the rail system 102 to the hand table 106, according to an embodiment of the present invention. In an embodiment, the rail system 102 of the device 100 comprises one or more rails 102a. In another embodiment, the rail system comprises at least three railsl02a. The rail system 102 is rigidly fixed to the hand table 106, wherein the hand table 106 is adapted to support a portion of a patient's body. The rail system 102 is attached to the hand table 106 in a manner that it provides a pathway for the patient for placing a limb or extremity on the hand table 106. The rails 102a are fixed to the hand table 106 via one or more engagement members 108. The engagement members 108 disclosed in the present invention is, for example one or more clamps, a clamp system, etc. However, other engagement members could also be used, which serves the objective of the present invention and is not limited to the clamp system. The device 100 although explicitly disclosed to be attach to the hand table 106, the use of the device 100 is not limited to attachment to hand table 106. The device 100 could be attached to any surgical table adapted to receive the portion of the patient’s body not limited to the limb. The rail system 102 is removably secured to the hand table 106.

[0036] Referring to FIG. 2, a cross sectional view of an engagement of the side post 104 to the rail 102a, is illustrated, according to an embodiment of the present invention. In an embodiment, each of the side posts 104 comprises an upper part and a lower part. The lower part of the side post 104 is affixed to the rails 102a via a clamp mechanism 200. The clamp mechanism 200 comprises a spring lock clamp or relative spring lock clamp mechanism 202. A slot 204 on the rail 102a is configured to accommodate the spring lock clamp 202. The spring lock clamp 202 allows a longitudinal movement of the side post 104 over the rail 102a. The release of spring lock clamp 202 enables a slidable longitudinal movement for positioning the side post 104 over the rail 102a as required by the user. The longitudinal movement of the side post 104 is controlled via a slide lock system 206. The clamp mechanism or clamp 202 has a ball bearing surface 208, which interface with the rail 102a for reducing friction, and permits a free gliding of the side post 104 over the rail 102a. The side-posts 104 are attached to the rail 102a with ease, and the rotation locks engages automatically. The rails 102a and the side post 104 could be independently fixed to any existing hand table.

[0037] In an embodiment, the upper part of each of the side post 104 has a provision for various attachment such as but not limited to surgical equipment or medical equipment. Each of the side posts 104 is configured to hold various surgical equipment or instruments required for performing a surgery. The surgical equipment held by the side posts 104 are for example but not limited to, a tissue retraction system 300, a self-retaining bone lever assembly 400, electrocautery tip 600, and vacuum suction tip 602 among others. Further, each of the side posts 104 is height adjustable. Referring to FIG. 3A, a first slot 302 and a second slot 304 provided on the upper part of the side posts 104, is illustrated, according to an embodiment of the present invention. In an embodiment, the upper part of the side post 104 comprises the first slot 302, and the second slot 304. A concave surface 306 on the first slot 302 is configured to receive a beaded wire 404 (shown in FIG. 4). A handle 308 of a tissue retractor system 300 is received or hold by the second slot 304, wherein the second slot 304 has an auto lock mechanism. In alternate embodiments, the upper part of the side post 104 comprises a multi axial clamp or poly axial clamp 504 (shown in FIG. 5). In some embodiments, the upper part of the side post comprises a socket 604, and a recoil console 604 (shown in FIG. 6B and FIG. 6C). The upper part of the side posts 104 is modified such that the surgical equipment of various sizes, dimensions, and design are hold by the side posts 104 of the device 100.

[0038] Referring to FIG. 3B, the side post 104 holding the tissue retraction system 300, is illustrated, according to an embodiment of the present invention. The tissue retractor system 300 comprises the retractor handle 308, and a retractor blade 310. A proximal end of the retractor handle 308 is inserted into the second slot 304 having the auto lock mechanism. The amount of retraction force is controlled at the retractor handle 308, and the side post 104 interface joint. The retraction handle 308 has a hinge joint 316 configured to regulate an angle of retraction. Further, the height of the tissue retraction system 300 is adjusted at the side post 104. In an embodiment, the retractor blade 310 used in the tissue retraction system 300 is of different sizes. Referring to FIG. 3C, a mechanism of interchanging the retractor blade 310 of the tissue retractor system 300, is illustrated, according to an embodiment of the present invention. A distal end of the retractor handle 308 includes a blade socket. The blade socket facilitates in interchanging the retractor blade 310 of different sizes. The retractor blade 310 is pushed into the blade socket with an auto-lock system 312 to retain the retractor blade 310. A lock release bottom 314 provided in the auto lock system 312 enables the release of the retractor blade 310 from the blade socket. Referring to FIG. 3D, a front view of the device 100 implemented on the hand table 106 to perform surgery, is illustrated, according to an embodiment of the present invention. The hand table 106 is adapted to support the portion of the patient’s limb to be operated. FIG. 3D illustrates the tissue retraction system 300 hold by the side post 104 of the device 100, wherein the tissue retraction system 300 is in use to retract the tissues of the portion of the patient’s limb to be operated.

[0039] Referring to FIG. 4, the side post 104 holding the self-retaining bone lever assembly 400, is illustrated, according to an embodiment, of the present invention. The self-retaining bone lever assembly 400 comprises a bone lever holder 402, and the beaded wire 404. The beaded wire 404 in the present invention is, but not limited to a steel beaded wire. The bone lever holder 402 is configured to hold a bone lever 406. The bone lever holder 402 is engaged to the steel beaded wire 404, which is further engaged to the side post 104. The steel beaded wire 404 is locked to the side-post 104 at the first slot 302, and the amount of traction force applied on the bone lever 406 is thereby controlled. The bone lever 406 hold by the bone lever holder 402 is used to treat an exposed bone 408. In another embodiment, the bone lever 406 is also hold by the bone lever assembly 400 provided to the different side-posts 104, for better stability of the bone lever 406, if required.

[0040] Referring to FIG. 5, the side post 104 holding a self-retaining bone clamp assembly 500 having a plate positioning mechanism 508, is illustrated, according to an embodiment of the present invention. In an embodiment, the upper part of the side post 104 comprises the multi axial clamp or poly axial clamp 502. The poly axial clamp 502 on the side post 104 is configured to hold the self-retaining bone clamp assembly 500. The bone clamp assembly 500 comprises at least a pair of bone clamps 504, a locking mechanism 506 and the plate positioning mechanism 508. The pair of bone clamps 504 are hold together via a locking mechanism 506. The locking mechanism 506 is for example a screw locking mechanism, which facilitates the extension of the pair of bone clamps 504 accordingly, based on the size of the bone to be treated. The screw locking mechanism 506 helps in maintaining a firm hold on the bone to be treated. The distance between the pair of bone clamps 504 could be adjusted, even when the bone clamp assembly 500 is engaged to the side post 104 via the multi axial clamp 502. The multi axial clamp 502 upon receiving the bone clamp assembly 500 is locked at the side posts 104. The locking of the bone clamp assembly 500 to the side post 104 permits a surgeon to slide a plate across the fracture via a plate positioning mechanism 508, without disassembling or loosening the bone clamps 504. The clamps 504 are provided with a provision of the plate positioning mechanism 508, which holds the plate flush to the bone once engaged. The present configuration of the self-retaining bone clamp assembly 500 provides a surgical field with the fracture well reduced, and plate positioned suitably for fracture fixation, without the need for any assistance. Therefore, the surgeon could comfortably proceed with the fracture fixation procedure without the need for any assistance.

[0041] Referring to FIG. 6A, the recoil mechanism is illustrated, according to an embodiment of the present invention. The upper part of the side post 104 comprises a socket 606 and a recoil console 604. The electrocautery tip 600 or the vacuum suction tip 602 rest or seat on the socket 606 located on the upper part of the side post 104. Referring to FIG. 6B, the side post 104 holding the vacuum suction tip 602 is illustrated, according to an embodiment of the present invention. The socket 606 incorporates the recoil console 604. The recoil mechanism comprises the recoil console 604, and an elastic recoil attachment 608. The elastic recoil attachment 608 is configured to attach to the vacuum suction tip 602. The recoil mechanism ensures a smooth and an automatic return of the vacuum suction tip 602 after use. Optionally, the recoil function is suspended with the help of a lock system at the recoil console 604. Referring to FIG. 6C, the side post 104 holding the electrocautery tip 600 is illustrated, according to an embodiment of the present invention. The recoiling mechanism disclosed above for the vacuum suction tip 602 is also applicable for the electrocautery tip 600.

[0042] Referring to FIG. 7A, a top view of a rail extension system 700, is illustrated, according to an embodiment of the present invention. The rail extensions system 700 are attached to the rail 102a on either side of the hand table 106. The rail extension system 700 is attached to an end portion of rails 102a lying close to a trunk portion of the patient. The rail extension system 700 is attached in such an angle, that it does not touch the trunk of the patient. Referring to FIG. 7B, a perspective view of the rail extension system 700 from a head end of the patient is illustrated, according to an embodiment of the present invention. A firm platform 702 is attached between the rail extensions system 700. The platform 702 is made of high quality fabric or a light and sturdy material like carbon fiber. The platform 702 could be made of any material that serves the object of the present invention. The limb of the patient is positioned on to the platform surface, facilitating surgical exposure on the medial border. Finger straps or Chinese finger traps could be used to position the limb. In an embodiment, the attachments of the device 100 could be attached to the rail extension system 700 for carrying out an assistant free surgery.

[0043] In an embodiment, the device 100 delivers a precise surgical assistance at each step of surgery. The device 100 enables an assistant free surgery without compromising surgical precision. The use of the device 100 eliminates the need for skilled work force for the smooth conduct of surgeries permitting the surgeon to perform surgery even in centers with limited resources. This device 100 improves the health care system, especially in rural areas or in corporate hospital setup enabling a better distribution and utilization of work force. The cost of the surgery imposed on the patient is reduced due to the less utilization of skilled work force in the surgery, resulting in cost effective surgery. The device 100 provides an easy approach to fracture reduction and fixation with the help of the self-retaining bone clamp assembly 500, resulting in a more convenient procedure for the fracture reduction and fixation consuming less time. The bone clamp assembly 500 permits the insertion of the plate into the fracture site without removing/loosening the bone clamps 504, and without losing the fracture reduction. The device 100 could be used in any existing hand table, and is not limited to a specific hand table. The device 100 is user friendly as the construction of the device 100 is very simple and is cost effective.

[0044] The foregoing examples have been provided merely for the purpose of explanation and are in no way to be construed as limiting of the system, disclosed herein. While the system has been described with reference to various embodiments, it is understood that the words, which have been used herein, are words of description and illustration, rather than words of limitation. Further, although the system has been described herein with reference to particular means, materials, and embodiments, the system is not intended to be limited to the particulars disclosed herein; rather, the bee system extends to all functionally equivalent structures, methods and uses, such as are within the scope of the invention. Although there has been shown and described the preferred embodiment of the present invention, it will be readily apparent to those skilled in the art that modifications may be made thereto.

Claims (15)

1. A device for surgical assistance, the device comprising a rail system comprising one or more rails, said rails are removably attached to a hand table via one or more clamps, wherein the hand table is adapted to support a portion of a user’s body; and a plurality of side posts, each side post comprising an upper part and a lower part, wherein the lower part of the side post is engaged to the rails via one or more engagement members, and the upper part of the said side posts are configured to hold one or more surgical equipment required for performing a surgery.

2. The device of claim 1, wherein the engagement member is a spring lock clamp.

3. The device of claim 2, wherein the spring lock clamp comprises a ball bearing surface, wherein the ball bearing surface is interfaced with the rail for reducing friction and permits free gliding of the side posts over the rail.

4. The device of claim 2, wherein the rail comprises a slot to accommodate the spring lock clamp, said spring lock clamp further enables a longitudinal movement of the side posts over the rail.

5. The device of claim 1, wherein the longitudinal movement of the side posts over the rail is controlled via a slide lock system.

6. The device of claim 1, wherein the side posts are configured to hold any one or more surgical equipment including a tissue retraction system, a self-retaining bone lever assembly, an electrocautery tip and a vacuum suction tip.

7. The device of claim 1, wherein the side posts are height adjustable.

8. The device of claim 1, wherein the rail system and side posts are retrofittable to any existing hand table.

9. The device of claim 1, wherein the upper part of the side post comprises a first slot and a second slot.

10. The device of claim 9, wherein the first slot comprises a concave surface, configured to receive a beaded wire, wherein the beaded wire is engaged to a bone lever holder of the self-retaining bone lever assembly.

11. The device of claim 9, wherein the second slot comprises an auto-lock mechanism, configured to hold a retractor handle of the tissue retraction system.

12. The device of claim 1, wherein the upper part of the side post comprises a multi axial clamp or poly axial clamp, for the self-retaining bone lever assembly.

13. The device of claim 1, wherein the upper part of the side post comprises a socket and a recoil console, for the electrocautery tip or the vacuum suction tip.

14. The device of claim 1, wherein the upper part of the side post is modifiable such that various surgical equipment could be held by the side posts.

15. The device of claim 1, further comprises a rail extension system, attached to the rail on either side of the hand table.