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US5908382A Expired / Lapsed US ⏱️ 0.0 years remaining

Minimally invasive retractor for internal mammary artery harvesting

Assignee: Individual
•
Filing: 1998-07-08
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Granted: 1999-06-01
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Expires: 2018-07-08
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Abstract

Abstract An intermammary harvesting retractor comprised of a retractor frame having a fixed or stationary arm on one end of a crossbar and a movable arm mounted on the crossbar by a crank mechanism. The crank mechanism allows the movable arm to be adjusted toward or away from the stationary arm. A support tower is mounted on the free end of the retractor crossbar to allow the angle of the retractor to be adjusted after placement in an incision. The angular adjustment allows the upper portion of a patient's ribcage to be lifted to provide improved access and visualization to the intermammary artery. Adjustable lifter blades are provided on the movable arm to also adjust the lift angle of the upper ribcage. One embodiment has an adjustable lifter blade that can be adjusted after placement in the incision and adjustment of the angle of the retractor crossarm. Another embodiment employs a self-adjusting blade that is pivotally mounted in hangers provided on a lifter blade receiver coupling fitting on the end of the movable arm. The construction and arrangement of the invention allows the placement of the retractor and adjustment of the angle of the retractor by the support tower to lift and retract a patient's upper ribcage to allow improved visualization of the intermammary artery to harvest the intermammary artery for use in heart bypass procedures.

Inventors

  • 👤 Tibor B. Koros
  • 👤 Gabriel J. Koros

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-11-09 08:06
CPC Classifications
A; A61; A61B; A61B17/00; A61B17/02; A61B17/0206; A61B17/00008; A61B2017/00969

Claims Analysis

Total Claims: 18
Claim 1
Independent Claim 72 words
An intermammary artery access retractor comprising; a frame having a crossbar, a fixed retractor arm and a movable retractor arm, said movable arm being movable toward or away from the fixed arm; a standard retractor blade mounted on said fixed arm; an adjustable lifter blade mounted on said movable retractor arm; tilting means for tilting said retractor to lift a portion of a ribcage to provide improved access to the intermammary artery.
Claim 2
Dependent Claim 72 words
An intermammary artery access retractor comprising; a frame having a crossbar, a fixed retractor arm and a movable retractor arm, said movable arm being movable toward or away from the fixed arm; a standard retractor blade mounted on said fixed arm; an adjustable lifter blade mounted on said movable retractor arm; tilting means for tilting said retractor to lift a portion of a ribcage to provide improved access to the intermammary artery.
Claim 3
Dependent Claim 61 words
The retractor according to claim 1 in which said adjustable lifter blade comprises; blade mounting means; an adjustable lifter blade hingedly attached to said blade mounting means; angle adjusting means for adjusting the angle of retraction of said adjustable lifter blade; whereby said blade lifts an upper portion of the ribcage to provide improved access and visibility of the intermammary artery.
Claim 4
Dependent Claim 48 words
The retractor according to claim 2 in which said angle adjusting means comprises; a flange on said blade mounting means; and a screw in said flange engaging a surface of said hingedly mounted blade; whereby rotation of said screw adjusts the angle of said blade on said retractor.
Claim 5
Dependent Claim 28 words
The retractor according to claim 3 in which said adjustable lifter blade has a curved portion and a tongue portion; said tongue portion being tapered toward a tip.
Claim 6
Dependent Claim 27 words
The retractor according to claim 4 in which said tongue on said adjustable lifter blade has an oblique edge constructed to be aligned with the intermammary artery.
Claim 7
Dependent Claim 54 words
The retractor according to claim 1 in which said retractor tilting means comprises an adjustable support tower attached to a free end of said crossbar on said retractor frame for raising or lowering the retractor frame to raise an upper portion of the ribcage to provide improved access and visibility of said intermammary artery.
Claim 8
Dependent Claim 48 words
The retractor according to claim 6 in which said adjustable support tower comprises a support bar mounted on a free end of said retractor crossbar; a support shaft; clamp means for clamping and adjustably positioning said support shaft on said support bar to raise or lower said retractor.
Claim 9
Dependent Claim 16 words
The retractor according to claim 7 including a footpad on an end of said support shaft.
Claim 10
Dependent Claim 54 words
The retractor according to claim 3 in which said retractor tilting means comprises an adjustable support tower attached to a free end of said crossbar on said retractor frame for raising or lowering the retractor frame to raise an upper portion of the ribcage to provide improved access and visibility of said intermammary artery.
Claim 11
Dependent Claim 48 words
The retractor according to claim 9 in which said adjustable support tower comprises a support bar mounted on a free end of said retractor crossbar; a support shaft; clamp means for clamping and adjustably positioning said support shaft on said support bar to raise or lower said retractor.
Claim 12
Dependent Claim 16 words
The retractor according to claim 10 including a footpad on an end of said support shaft.
Claim 13
Dependent Claim 20 words
The retractor according to claim 11 including means for pivotally mounting said adjustable lifter blade on said movable retractor arm.
Claim 14
Dependent Claim 40 words
The retractor according to claim 12 in which said pivotally mounting means comprises; a lifter blade receiver coupling; a pair of hangers on said lifter blade receiver coupling; a pair of pins on said self-adjusting lifter blade engaging said hangers.
Claim 15
Dependent Claim 14 words
The retractor according to claim 1 in which said adjustable lifter blade is self-adjusting.
Claim 16
Dependent Claim 27 words
The retractor according to claim 14 including mounting means mounting said self-adjusting lifter blade so that said self-adjusting lifter blade swings freely on said movable retractor arm.
Claim 17
Dependent Claim 37 words
The retractor according to claim 15 in which said mounting means comprises a pair of hangers mounted on said movable retractor arm and a pair of pins on said self-adjusting lifter blade engaging said pair of hangers.
Claim 18
Dependent Claim 27 words
The retractor according to claim 16 in which said retractor arms have inverted T-shaped tongues on their ends for frictionally engaging C-shaped sockets on a retractor blade.

References Cited (Backward Citations)

US2670732A Cited
US4254763A Cited
US4467791A Cited
US4726356A Cited
US4829985A Cited
US4852552A Cited
EP0356410A1 Cited
US5772583A Cited
US5616117A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2002-05-31 2002-11-30 2003-06-01 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2006-05-31 2006-11-30 2007-06-01 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2010-05-31 2010-11-30 2011-06-01 $7700.00 Window Closed / Lapsed

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