US1947649A - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
US1947649A
US1947649A US579272A US57927231A US1947649A US 1947649 A US1947649 A US 1947649A US 579272 A US579272 A US 579272A US 57927231 A US57927231 A US 57927231A US 1947649 A US1947649 A US 1947649A
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United States
Prior art keywords
arms
instrument
blades
invention
pivotally connected
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US579272A
Inventor
Godfrey J Kadavy
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Godfrey J Kadavy
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Publication date
Application filed by Godfrey J Kadavy filed Critical Godfrey J Kadavy
Priority to US579272A priority Critical patent/US1947649A/en
Application granted granted Critical
Publication of US1947649A publication Critical patent/US1947649A/en
Anticipated expiration legal-status Critical
Application status is Expired - Lifetime legal-status Critical

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0293Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/2833Locking means
    • A61B2017/2837Locking means with a locking ratchet

Description

Feb. 20, 1934. (5, K VY 1,947,649

SURGICAL INSTRUMENT Filed Dec. 5, 193].

Patented Feb. 20, 1934 UNITED STATES PATENT oFFicE.

3 Claims.

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

US579272A 1931-12-05 1931-12-05 Surgical instrument Expired - Lifetime US1947649A (en)

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US579272A US1947649A (en) 1931-12-05 1931-12-05 Surgical instrument

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Application Number Priority Date Filing Date Title
US579272A US1947649A (en) 1931-12-05 1931-12-05 Surgical instrument

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US1947649A true US1947649A (en) 1934-02-20

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US579272A Expired - Lifetime US1947649A (en) 1931-12-05 1931-12-05 Surgical instrument

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Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3863639A (en) * 1974-04-04 1975-02-04 Richard N Kleaveland Disposable visceral retainer
US4190042A (en) * 1978-03-16 1980-02-26 Manfred Sinnreich Surgical retractor for endoscopes
WO1987001027A1 (en) * 1985-08-22 1987-02-26 Clinimed Ltd. A wound closure device
US4813414A (en) * 1985-02-21 1989-03-21 Walton Medical Device for garroting the breast
WO1989004145A1 (en) * 1987-11-09 1989-05-18 Minnesota Scientific, Inc. Flexible retractor
EP0464463A1 (en) * 1990-07-03 1992-01-08 Richard Wolf GmbH Organ manipulator
WO1992016151A1 (en) * 1991-03-20 1992-10-01 Jettman, Per A surgical retractor
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US5402772A (en) * 1991-05-29 1995-04-04 Origin Medsystems, Inc. Endoscopic expandable retraction device
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5450843A (en) * 1991-05-29 1995-09-19 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
JPH0833629A (en) * 1994-07-21 1996-02-06 Nisshin Kikai Kk Abdominal cavity expansion kit used in operation using abdominal mirror
US5501653A (en) * 1991-05-29 1996-03-26 Origin Medsystems, Inc. Abdominal wall lifting retractor with hinged cross-member
US5527264A (en) * 1991-05-29 1996-06-18 Origin Medsystem, Inc. Methods of using endoscopic inflatable retraction devices
US5562603A (en) * 1991-05-29 1996-10-08 Origin Medsystems, Inc. Endoscopic inflatable retraction device with fluid-tight elastomeric window
US5582577A (en) * 1995-02-13 1996-12-10 Vance Products Incorporated Surgical retractor including central elastic member
US5632761A (en) * 1991-05-29 1997-05-27 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US5656012A (en) * 1994-10-06 1997-08-12 United States Surgical Corporation Surgical retractor
US5676636A (en) * 1994-07-22 1997-10-14 Origin Medsystems, Inc. Method for creating a mediastinal working space
US5704372A (en) * 1991-05-29 1998-01-06 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using
US5716327A (en) * 1991-05-29 1998-02-10 Origin Medsystems, Inc. Body wall retraction system for wide cavity retraction
US5728119A (en) * 1991-05-29 1998-03-17 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5779728A (en) * 1991-05-29 1998-07-14 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5803902A (en) * 1994-10-06 1998-09-08 United States Surgical Corporation Surgical retractor
US5803901A (en) * 1991-05-29 1998-09-08 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue and methods of using
US5865728A (en) * 1991-05-29 1999-02-02 Origin Medsystems, Inc. Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space
US6361543B1 (en) 1991-05-29 2002-03-26 Sherwood Services Ag Inflatable devices for separating layers of tissue, and methods of using
US20030187472A1 (en) * 1999-10-08 2003-10-02 Peartree Kenneth A. Balloon dissection apparatus
US20030236544A1 (en) * 1991-05-29 2003-12-25 Lunsford John P. Method and inflatable chamber apparatus for separating layers of tissue
US20060052669A1 (en) * 2003-01-24 2006-03-09 Hart Charles C Internal tissue retractor
WO2006107504A1 (en) * 2005-04-01 2006-10-12 Kyphon Inc. Apparatus having at least one actuatable planar surface and method using the same for a spinal procedure
US20070083086A1 (en) * 2005-10-11 2007-04-12 Levahn Intellectual Property Holding Company, Llc Shaped retractor blade
US20100249933A1 (en) * 2002-11-21 2010-09-30 Warsaw Orthopedic, Inc. Systems and techniques for intravertebral spinal stabilization with expandable devices
US20110021879A1 (en) * 2009-07-21 2011-01-27 Applied Medical Resources Corporation Surgical access device comprising internal retractor
US20130184535A1 (en) * 2012-01-10 2013-07-18 The Board Of Trustees Of The Leland Stanford Junior University Expandable tissue retraction devices
US20140194698A1 (en) * 2013-01-09 2014-07-10 Cook Medical Technologies Llc Abdominal retractor
WO2018068152A1 (en) * 2016-10-14 2018-04-19 University Of Saskatchewan Surgical retractor device to protect underlying tissue

Cited By (76)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3863639A (en) * 1974-04-04 1975-02-04 Richard N Kleaveland Disposable visceral retainer
US4190042A (en) * 1978-03-16 1980-02-26 Manfred Sinnreich Surgical retractor for endoscopes
US4813414A (en) * 1985-02-21 1989-03-21 Walton Medical Device for garroting the breast
GB2200556B (en) * 1985-08-22 1989-07-26 Clinical Product Dev Ltd A wound closure device
WO1987001027A1 (en) * 1985-08-22 1987-02-26 Clinimed Ltd. A wound closure device
GB2200556A (en) * 1985-08-22 1988-08-10 Clinical Product Dev Ltd A wound closure device
WO1989004145A1 (en) * 1987-11-09 1989-05-18 Minnesota Scientific, Inc. Flexible retractor
US5080088A (en) * 1987-11-09 1992-01-14 Minnesota Scientific, Inc. Flexible retractor
EP0464463A1 (en) * 1990-07-03 1992-01-08 Richard Wolf GmbH Organ manipulator
US5429121A (en) * 1991-03-20 1995-07-04 Per Jettman Surgical retractor
WO1992016151A1 (en) * 1991-03-20 1992-10-01 Jettman, Per A surgical retractor
US5632761A (en) * 1991-05-29 1997-05-27 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US20070162067A1 (en) * 1991-05-29 2007-07-12 Lunsford John P Method and inflatable chamber apparatus for separating layers of tissue
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5450843A (en) * 1991-05-29 1995-09-19 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5454367A (en) * 1991-05-29 1995-10-03 Origin Medsystems, Inc. Method of using endoscopic inflatable retraction device with fluid tight elastomeric window
US5465711A (en) * 1991-05-29 1995-11-14 Origin Medsystems, Inc. Surgical procedures using endoscopic inflatable retraction devices
US20040097792A1 (en) * 1991-05-29 2004-05-20 Moll Frederic H. Endoscopic inflatable retraction device, method of using, and method of making
US5501653A (en) * 1991-05-29 1996-03-26 Origin Medsystems, Inc. Abdominal wall lifting retractor with hinged cross-member
US5520609A (en) * 1991-05-29 1996-05-28 Origin Medsystems, Inc. Apparatus and method for peritoneal retraction
US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5527264A (en) * 1991-05-29 1996-06-18 Origin Medsystem, Inc. Methods of using endoscopic inflatable retraction devices
US5531856A (en) * 1991-05-29 1996-07-02 Origin Medsystems, Inc. Endoscopic inflatable retraction devices
US5562603A (en) * 1991-05-29 1996-10-08 Origin Medsystems, Inc. Endoscopic inflatable retraction device with fluid-tight elastomeric window
US7744617B2 (en) 1991-05-29 2010-06-29 Covidien Ag Method and inflatable chamber apparatus for separating layers of tissue
US5402772A (en) * 1991-05-29 1995-04-04 Origin Medsystems, Inc. Endoscopic expandable retraction device
US5634883A (en) * 1991-05-29 1997-06-03 Origin Medsystems, Inc. Apparatus for peritoneal retraction
US5643178A (en) * 1991-05-29 1997-07-01 Origin Medsystems, Inc. Method for peritoneal retration
US20030236544A1 (en) * 1991-05-29 2003-12-25 Lunsford John P. Method and inflatable chamber apparatus for separating layers of tissue
US7766823B2 (en) 1991-05-29 2010-08-03 Covidien Ag Endoscopic inflatable retraction device, method of using, and method of making
US5704372A (en) * 1991-05-29 1998-01-06 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using
US5716327A (en) * 1991-05-29 1998-02-10 Origin Medsystems, Inc. Body wall retraction system for wide cavity retraction
US5722986A (en) * 1991-05-29 1998-03-03 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US5728119A (en) * 1991-05-29 1998-03-17 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5738629A (en) * 1991-05-29 1998-04-14 Origin Medsystems, Inc. Self-retracting endoscope
US5743850A (en) * 1991-05-29 1998-04-28 Origin Medsystems, Inc. Endoscopic inflatable retraction device with additional inflatable chamber
US5743851A (en) * 1991-05-29 1998-04-28 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5779728A (en) * 1991-05-29 1998-07-14 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US20100174149A1 (en) * 1991-05-29 2010-07-08 Covidien Ag Endoscopic inflatable retraction device, method of using, and method of making
US5803901A (en) * 1991-05-29 1998-09-08 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue and methods of using
US6605037B1 (en) 1991-05-29 2003-08-12 Sherwood Services Ag Endoscopic inflatable retraction device
US5823945A (en) * 1991-05-29 1998-10-20 Origin Medsystems, Inc. Endoscopic inflatable retraction device with additional inflatable chamber
US5865728A (en) * 1991-05-29 1999-02-02 Origin Medsystems, Inc. Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space
US5925058A (en) * 1991-05-29 1999-07-20 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US6361543B1 (en) 1991-05-29 2002-03-26 Sherwood Services Ag Inflatable devices for separating layers of tissue, and methods of using
US5941819A (en) * 1991-05-29 1999-08-24 Origin Medsystems, Inc. Apparatus for creating a mediastinal working space
JPH0833629A (en) * 1994-07-21 1996-02-06 Nisshin Kikai Kk Abdominal cavity expansion kit used in operation using abdominal mirror
US5676636A (en) * 1994-07-22 1997-10-14 Origin Medsystems, Inc. Method for creating a mediastinal working space
US5823946A (en) * 1994-07-22 1998-10-20 Origin Medsystems, Inc. Method for creating a mediastinal working space
US5656012A (en) * 1994-10-06 1997-08-12 United States Surgical Corporation Surgical retractor
US5803902A (en) * 1994-10-06 1998-09-08 United States Surgical Corporation Surgical retractor
US5582577A (en) * 1995-02-13 1996-12-10 Vance Products Incorporated Surgical retractor including central elastic member
US8172869B2 (en) 1999-10-08 2012-05-08 Tyco Healthcare Group Lp Balloon dissection apparatus
US7695487B2 (en) 1999-10-08 2010-04-13 General Surgical Innovations, Inc. Balloon dissection apparatus
US20030187472A1 (en) * 1999-10-08 2003-10-02 Peartree Kenneth A. Balloon dissection apparatus
US20100249933A1 (en) * 2002-11-21 2010-09-30 Warsaw Orthopedic, Inc. Systems and techniques for intravertebral spinal stabilization with expandable devices
US8308638B2 (en) 2003-01-24 2012-11-13 Applied Medical Resources Corporation Internal tissue retractor
US20090227844A1 (en) * 2003-01-24 2009-09-10 Applied Medical Resources Corporation Internal tissue retractor
US20060052669A1 (en) * 2003-01-24 2006-03-09 Hart Charles C Internal tissue retractor
WO2006107504A1 (en) * 2005-04-01 2006-10-12 Kyphon Inc. Apparatus having at least one actuatable planar surface and method using the same for a spinal procedure
US20060235423A1 (en) * 2005-04-01 2006-10-19 Cantu Alberto R Apparatus having at least one actuatable planar surface and method using the same for a spinal procedure
US20070083086A1 (en) * 2005-10-11 2007-04-12 Levahn Intellectual Property Holding Company, Llc Shaped retractor blade
US9867604B2 (en) 2009-07-21 2018-01-16 Applied Medical Resources Corporation Surgical access device comprising internal retractor
US20110021879A1 (en) * 2009-07-21 2011-01-27 Applied Medical Resources Corporation Surgical access device comprising internal retractor
US8469883B2 (en) 2009-07-21 2013-06-25 Applied Medical Resources Corporation Surgical access device comprising internal retractor
US20130184535A1 (en) * 2012-01-10 2013-07-18 The Board Of Trustees Of The Leland Stanford Junior University Expandable tissue retraction devices
US9084594B2 (en) 2012-01-10 2015-07-21 The Board Of Trustees Of The Lealand Stanford Junior University Methods for the prevention of surgical site infections
US9393005B2 (en) 2012-01-10 2016-07-19 The Board Of Trustees Of The Leland Stanford Junior University Systems for the prevention of surgical site infections
US9788823B2 (en) 2012-01-10 2017-10-17 The Board Of Trustees Of The Leland Stanford Junior University Methods for the prevention of surgical site infections
US10085734B2 (en) 2012-01-10 2018-10-02 The Board Of Trustees Of The Leland Stanford Junior University Systems for the prevention of surgical site infections
US20150305734A1 (en) * 2013-01-09 2015-10-29 Cook Medical Technologies Llc Abdominal retractor
US9486200B2 (en) * 2013-01-09 2016-11-08 Cook Medical Technologies Llc Abdominal retractor
US9492154B2 (en) * 2013-01-09 2016-11-15 Cook Medical Technologies Llc Abdominal retractor
US20140194698A1 (en) * 2013-01-09 2014-07-10 Cook Medical Technologies Llc Abdominal retractor
WO2018068152A1 (en) * 2016-10-14 2018-04-19 University Of Saskatchewan Surgical retractor device to protect underlying tissue

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