U.S. patent number 3,731,673 [Application Number 05/128,954] was granted by the patent office on 1973-05-08 for self-retaining muscle retractor.
Invention is credited to William X. Halloran.
United States Patent |
3,731,673 |
Halloran |
May 8, 1973 |
SELF-RETAINING MUSCLE RETRACTOR
Abstract
A self-retaining muscle retractor including a pair of elongated
members formed on their respective one extremities with
bone-engaging portions and on their respective opposite extremities
with lever arms. One of the lever arms has one end of a rigid brace
pivotally connected thereto and the free end of such brace is
engageable with a latching element included on the other lever arm
whereby the bone-engaging portions may be inserted in an incision
and engaged on opposite sides of a bone, the lever arms spread
apart to retract the muscles away from such bone and the free end
of the brace engaged with the latching element to maintain the
incision open for convenient access to the bone.
Inventors: |
Halloran; William X. (Costa
Messa, CA) |
Appl.
No.: |
05/128,954 |
Filed: |
March 29, 1971 |
Current International
Class: |
A61b 017/02 ();
A61m 029/00 () |
Field of
Search: |
;128/3,20,345 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Other References
Girard, P. M. "A Self-Retaining Retractor Useful In Open Operations
On Bone," In Jour. Bone and Joint Surg. 1934, p. 612..
|
Primary Examiner: Pace; Channing L
Parent Case Text
CROSS REFERENCE TO RELATED APPLICATION
This application is a continuation-in-part of U.S. Ser. No. 773,750
filed Nov. 6, 1968 and now abandoned.
Claims
I CLAIM:
1. A self-retaining muscle retractor comprising:
a first rigid, elongated member formed on one extremity with a
bone-engaging portion, its other extremity being a first lever arm,
said first lever arm including first brace-engaging means and a
latch element;
a second rigid, elongated member formed on its one extremity with a
bone-engaging portion, its other extremity being a second lever arm
including a second brace-engaging means and a second latch
element;
a first brace comprising a rigid link pivotally engaged on one end
with said first brace-engaging means and engageable on its opposite
end with said second latch element;
a second brace comprising a rigid link pivotally engaged on one end
with said second brace-engaging means and engageable on its
opposite end with said first latch element whereby said respective
bone-engaging portions of said first and second members may be
inserted into an incision to engage opposite sides of an exposed
bone and said other ends of said arms spread apart and said
opposite ends of said first and second braces selectively engaged
with said respective second and first latch elements to maintain
said lever arms spread apart.
2. A self-retaining muscle retractor as set forth in claim 1
wherein:
said first and second arms are each formed with an enlarged pad
portion adjacent said bone-engaging portion.
3. A self-retaining muscle retractor as set forth in claim 1 that
includes:
a coupling for receiving said opposite ends of said first and
second braces to maintain them butted together and said members
angled apart at a selected angle.
4. A self-retaining muscle retractor as set forth in claim 1
wherein:
said second brace is longer than said first brace.
5. A self-retaining muscle retractor comprising:
a first rigid, elongated member formed on one extremity with a
bone-engaging portion, its other extremity being a first lever arm,
said first lever arm including brace-engaging means;
a second rigid, elongated member separate from said first member
and formed on one extremity with a bone-engaging portion, its other
extremity being a second lever arm;
rigid elongated brace means interposed between said lever arms and
engageable on one end with said brace-engaging means and on its
opposite end with said second lever arm; and
a latch element for engagement between said opposite end of said
brace means and said second lever arm whereby said respective
bone-engaging portions of said first and second members may be
inserted into an incision to engage opposite sides of an exposed
bone and, said other ends of said lever arms spread apart, said
brace means interposed between said lever arms with said one
extremity thereof engaged with said brace-engaging means and said
latch element engaging said opposite end with said second lever arm
to maintain said lever arms spread apart.
6. A self-retaining muscle retractor as set forth in claim 5 that
includes:
a plurality of latching elements spaced along said second lever arm
for being selectively engaged by said opposite end of said brace
means whereby said brace means may hold said members braced apart
at different angles.
7. A self-retaining muscle retractor as set forth in claim 5
wherein:
said first and second members include clamp-receiving apertures
therein adjacent said one extremities.
8. A self-retaining muscle retractor as set forth in claim 5 that
includes:
means for securing said opposite end of said brace means in
engagement with said latching element.
9. A self-retaining muscle retractor as set forth in claim 5
wherein:
said brace engaging means is in the form of pivot means connecting
said one extremity of said brace to said first lever arm; and
said latch element is in the form of notch means formed on the free
extremity of said brace means.
10. A self-retaining muscle retractor as set forth in claim 9
wherein:
said notch means includes a plurality of notches spaced along said
free extremity.
11. A self-retaining muscle retractor as set forth in claim 9
wherein:
said first lever arm is formed with an upwardly opening slot for
receipt of said one end of said brace means; and
said pivot means is in the form of a pivot pin projecting across
said slot and through said brace means.
12. A self-retaining muscle retractor as set forth in claim 9 that
includes:
means for securing said opposite end of said brace means in
engagement with said latching element.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to muscle retractors for
maintaining an incision open for convenient access to a bone.
2. Description of the Prior Art
Muscle retractors have been proposed which include a pair of arms
having interconnecting ends whereby the arms may be inserted in an
incision, extended along opposite sides of a bone, then spread
apart and interconnected underneath the bone to hold such arms
spaced apart and the incision open. A retractor of this type is
disclosed in U.S. Pat. No. 2,695,607. Muscle retractors of this
type suffer the disadvantage of necessitating stripping flesh from
the underside of the bone for receipt of the interconnecting arms
thus increasing the amount of surgical work required and prolonging
the operating time.
SUMMARY OF THE INVENTION
The present invention is characterized by a pair of elongated
retractor members formed on their lower ends with bone-engaging
portions and having their upper extremities defining lever arms. A
brace is pivotally connected on one end to the upper extremity of
one of the lever arms and has its free end engageable with latching
elements on the other lever arm whereby the bone-engaging portions
may be inserted in an incision, engaged on opposite sides of a
bone, the lever arms spaced apart and the free end of the brace
engaged with a latching element to maintain the incision open for
convenient access to the bone.
An object of the present invention is to provide a self-retaining
muscle retractor which eliminates the necessity of stripping the
bone around its entire periphery thus enabling use in the hip area
and other areas where the underside of the bone cannot be readily
stripped.
Other objects and advantages of the present invention will be made
apparent from the consideration of the following description when
taken in conjunction with the accompanying drawing.
DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of one arm member included in a
self-retaining muscle retractor embodying the present
invention;
FIG. 2 is a transverse sectional view of a patient's thigh having a
self-retaining muscle retractor embodying the present invention
being utilized to hold an incision open;
FIG. 3 is a top view, in reduced scale, of the self-retaining
muscle retractor shown in FIG. 2;
FIG. 4 is a partial perspective view of a second embodiment of the
self-retaining muscle retractor of present invention;
FIG. 5 is a partial perspective view of a modification of the
self-retaining muscle retractor shown in FIG. 2;
FIG. 6 is a perspective view of a second embodiment of the
self-retaining muscle retractor of present invention;
FIG. 7 is a vertical sectional view taken along the line 7--7 of
FIG. 6 and partially broken away;
FIG. 8 is a detailed view, in enlarged scale, of a portion of the
muscle retractor shown in FIG. 6; and
FIG. 9 is a detailed view, in enlarged scale, of another portion of
the muscle retractor shown in FIG. 6.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The self-retaining muscle retractor shown in FIGS. 1, 2 and 3
includes arm members A and B formed with bone-engaging tabs 11 and
13 on their lower ends and having their upper extremities in the
form of respective lever arms 15 and 17. Connected to the upper end
of the lever arm 15 is a rigid bail type brace, generally
designated 21 which has its free end 23 engageable with serrations
25 included in the lever arm 17. Thus, the retractor may be
utilized by inserting the bone-engaging portions 11 and 13 into an
incision 29 and on opposite sides of a bone 31, the arms 15 and 17
then spread apart to retract the muscles away from such bone and to
enable the free end 23 of the brace 21 to be engaged with a
selected one of the serrations 25 to maintain such arms A and B
spaced apart and the incision 29 open for convenient access to the
bone 31.
The tabs 11 and 13 are curved downwardly and inwardly for
complemental engagement with the arcuate-in-cross section bone 31.
Included above the tabs 11 and 13 are respective enlarged pad
portions 35 and 37 which serve to hold the flesh and skin back from
the incision 29. The pad portions 35 and 37 include apertures 39
spaced along their peripheries for receipt of towel clamps 44 (FIG.
3). The lever arms 15 and 17 bend outwardly as they extend upwardly
above the respective pad portions 35 and 37 so they will be spaced
apart when installed as shown in FIG. 2, to provide sufficient
maneuvering room for the surgeon operating on the bone 31.
Pivotally attached to the upper end of the lever arm 17 is a bail
type brace 41 similar to, but longer than, the brace 21 and having
its free end 43 engageable with serrations 45 included in the upper
extremity of the lever arm 15. Thus, the brace 41 may be utilized
as shown in broken lines in FIG. 2 to hold the arms 11 and 13
spaced farther apart than would the brace 21 to thereby maintain
the incision 29 farther open.
Referring to FIG. 5, a coupling 47 is formed from sheet material
and defines a through passage 49 which receives the free ends 23
and 43 of the respective braces 21 and 41 whereby the arms A and B
may be spread apart and such free ends of the braces received in
the coupling 47 and butted together to maintain the upper ends of
the lever arms 15 and 17 spaced apart even farther than the brace
41.
The arm 51 shown in FIG. 4 is similar to the arm shown in FIG. 1
except that a brace 53 is received within a cutout 55 and is
pivotally connected on its upper end to the arm 51 by means of a
transverse pivot pin 57.
In operation, the subject retractor may be utilized on a hip or
femur and the incision 29 for gaining access to the bone 31 is made
and the top portion of the bone 31 stripped, such stripping
extending downwardly along the sides 61 and 63 (FIG. 2) as shown in
FIG. 2 for receipt of the bone-engaging tabs 11 and 13. The arms A
and B are then inserted, the tabs 11 and 13 positioned at the sides
61 and 63 of the bone 31, and the lever arms 15 and 17 grasped to
pull the muscles and flesh 67 and 69, on opposite sides of the
incision 29, apart. A selected one of the braces 21 or 41 may then
be pivoted into locking position with the serrations 25 or 45 in
the opposed arm to maintain the incision 29 open to the desired
degree. The surgeon can then perform his operation on the bone 31
without the necessity of an assistant holding the arms A and B
apart.
Also, the towel clamps 44 may be inserted through the skin and
through the apertures 39 to maintain the arms A and B
stationary.
The muscle retractor shown in FIGS. 6-9 is similar to that shown in
FIG. 1 except that the lever arm 15 is formed in its upper
extremity with an upwardly opening slot 75 which receives one end
of a rigid brace, generally designated 77, such brace being
pivotable supported therein by means of a transverse pivot pin 79
(FIG. 8). The upper extremity of the lever arm 17 is also formed
with an upwardly opening slot 81 for receipt of the free end of
such brace 77, such free end of the brace 77 being formed with a
series of downwardly opening slots 85 for receipt over the lever
arm 17 and cooperating to form downwardly projecting teeth 87.
Referring to FIG. 9, a U-shaped locking clasp 91 is formed at its
open end with inwardly turned confronting pivot legs 93 which are
received in opposite ends of a bore formed in the lever arm 17 to
provide for free pivoting of such clasp. The free extremity of the
clasp 91 is formed on its opposite sides with transverse inwardly
projecting bearing elements 95 which are selectively received in a
latching groove 97 formed on the side of the lever arm 17 opposite
that to which the clasp 91 is connected.
In operation, the self-retaining muscle retractor shown in FIGS.
6-9 is utilized by inserting the bone-engaging tabs 11 and 13 in an
elongated incision 101 to be engaged on opposite sides of the
injured bone 103 to separate the muscles therefrom. The upper ends
of the lever arms 15 and 17 may then be spread apart the desired
distance to spread the muscles away from the injured bone 103 and
the free extremity of the brace 77 swung downwardly into the
upwardly opening slot 81 to engage the appropriate notch 85 with
the lever arm 17 to maintain the arms 15 and 17 in the desired
spaced apart relationship. If desirable, the locking clasp 91 may
be swung over to the position shown in FIGS. 6 and 7 to lock the
brace 77 in its retaining position.
From the foregoing it will be apparent that the self-retaining
muscle retractor of present invention provides a convenient means
for holding an incision open to gain access to a bone without the
necessity of having an assistant present. This is of frequent
advantage in outlying areas where assistants and interns are not
readily available. Also, the bone need only be stripped on the top
side. This decreases the operating time and makes it feasible, if
desirable, to shift the retractor longitudinally along the bone
during the operation. Further, there are no holding members, such
as chains, which must be extended around under the member in which
the incision is made thus eliminating the likelihood of infection
and decreasing the amount of body area that must be prepared for
surgery.
Various modifications and changes may be made with regard to the
foregoing detailed description without departing from the spirit of
the invention.
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