The disclosure relates to the illumination of surgical spaces and tissues and more specifically, to minimally invasive surgeries.
Adequate illumination of a surgical field is important for a surgeon. Illumination for most surgeries is achieved with an overhead mounted light; however, this illumination method presents limitations. The surgeon's head can block the illumination as he or she moves to obtain a better view of the surgical area. The overhead illumination may also fail to provide light of a sufficient strength to illuminate deeper surgical fields located inside body cavities. This problem becomes more pronounced as surgeons shift towards providing minimally invasive surgeries that utilize smaller openings which do not allow as much light to pass through from the surrounding area. Surgeon head lamps address some of these problems, but they also have limitations. The lamps may be tethered to an energy source, limiting the surgeon's mobility in the operating suite. The lamps are also quite heavy, limiting the amount of time a surgeon can wear it before experiencing neck and shoulder fatigue. Furthermore, the source of light in many overhead lamps and head lamps is from fiber optic light sources which provide an inefficient amount of light and lose light energy over the course of the fiber. As the length of the fiber increases, the amount of light available at the end can decrease. In some cases, this can result in inadequate lighting at the surgical site.
Another source of illumination is provided by internal lighting systems which allow for a light source to be inserted into the surgical incision and thereby illuminate the surgical site internally. These lighting systems limit the workable space in the surgical incision and require the surgeon to manually manipulate and position the light and any other surgical tools he or she may be using, which is cumbersome and inefficient. An assistant may also be required to hold and position the light; however, this alternative places more hands at the surgical site, limiting visibility of the area.
Another illumination source stems from surgical retractors with lighting incorporated into their design. While these retractors address some of the limitations mentioned above, the single blade design of the retractor can result in tissue folding around the retractor blade, reducing or obstructing any light from the retractor blade. Additionally, these retractors may be difficult to hold at the optimal angle for illumination of the desired surgical area.
Consequently, there exists in the field a need for an illumination source that can be placed through a surgical incision to directly illuminate the surgical site. The device described below addresses this need.
The description provided in the background section should not be assumed to be prior art merely because it is mentioned in or associated with the background section. The background section may include information that describes one or more aspects of the subject technology.
The following is a brief summary, not intended to identify specific elements or to delineate the scope thereof. Its sole purpose is to present some concepts in a simplified form as a prelude to the more detailed description.
One aspect of the subject technology is to provide an apparatus that illuminates a surgical field while retracting tissue away from the surgical site. The apparatus includes two or more retractor blades that are connected to a handle, allowing the retractor blades to rotate, and a light-emitting source attached to the same end of the handle as the retractor blades.
In another aspect, the apparatus has a handle, two or more retractor blades connected to the handle, allowing the retractor blades to rotate, and a light-emitting source attached to each retractor blade. Each retractor blade may have a single light source, or a plurality of light sources distributed along the length of the retractor blade.
In another aspect, the apparatus has a bendable handle or angled handle, two or more retractor blades that are connected to the handle, allowing the retractor blades to rotate, and a light-emitting source. The bendable handle may be manipulated to allow for comfortable holding of the illuminated retractor. Alternatively, the handle may be angled and/or cast in a predetermined optimal angle.
In another aspect, the apparatus has a handle designed to conform to the hand of the user, two or more retractor blades connected to the handle, allowing the retractor blades to rotate, and a light-emitting source.
In yet another aspect, the apparatus has a handle, two or more retractor blades that are connected to the handle in such a manner as to allow the retractor blades to rotate, and a removable light-emitting source. The light-emitting source may be removed for various reasons, such as sterilization.
In an additional aspect, the apparatus has a handle, two or more angled retractor blades connected to the handle allowing the retractor blades to rotate, and a light-emitting source. The retractor blades are angled in a manner that reflects the light off the surface of the retractor blade and creates a dispersed illumination of the surgical field.
In accordance with various aspects of the subject technology, a surgical retractor is provided that includes a handle with a distal end and a proximal end, two or more blades movably attached to the distal end of the handle, and a light source connected to the distal end of the handle.
In accordance with other aspects of the subject technology, a surgical retractor is provided that includes a handle with a distal end and a proximal end, and at least two blades movably attached to the distal end of the handle. Each of the at least two blades have a first surface for abutting a margin of a surgical cavity and a second surface. The surgical retractor also includes a light source removably connected to the second surface of at least one of the blades.
In accordance with other aspects of the subject technology, a surgical retractor is provided that includes a handle with a distal end and a proximal end, and two or more blades, each blade having a first end and a second end. The first ends of the blades are connected to the distal end of the handle in a manner that allows the second ends of the blades to fan out from each other. The surgical retractor also includes at least one light source connected to each blade.
Still other aspects of the subject technology will become readily apparent to those skilled in the art from the following description wherein further embodiments of the subject technology are shown and described. As it will be realized, the subject technology is capable of other different embodiments, and its several details are capable of modifications in various aspects, all without departing from the scope of the subject technology. Accordingly, the drawings and descriptions are illustrative in nature and not restrictive.
Various exemplary embodiments of the subject technology will be described in detail, wherein like reference numerals refer to identical or similar components, with reference to the following figures.
The claimed subject matter is now described with reference to the drawings. In the following description, for purposes of explanation, numerous specific details are set forth in order to provide a thorough understanding of the claimed subject matter. It may be evident, however, that the claimed subject matter may be practiced with or without any combination of these specific details, without departing from the spirit and scope of this subject technology and the claims.
In accordance with various aspects of the disclosure, a surgical retractor is disclosed. The surgical retractor includes a light source that is sometimes referred to herein as a light-emitting source. Similarly, the surgical retractor is sometimes referred to herein as an illuminated surgical retractor. However, it should be appreciated that the light source may be powered on or powered off so that the surgical retractor may or may not currently be emitting light, even if referred to as an illuminated retractor or illuminated surgical retractor with a light-emitting source. The blades may be used for any purpose needed during surgery, and are described herein by way of example as retractor blades.
In the example of
Handle 10 may be straight, as illustrated in
Handle 10 may include a grip 401 at the proximal end of the handle (e.g., the proximal end of shaft 403). In the example of
Retractor blades 30 may be made of stainless steel, plastic, PVC, alloys or any other bio-compatible material rigid enough to hold back tissue. Surgical retractor 100 contains at least two retractor blades 30 but may contain more retractor blades (e.g., five retractor blades 30 as in the examples of
As shown in
The retractor blades 30 may be connected to the handle 10 as illustrated in
In the example of
In the example of
The light-emitting sources 20 may each be positioned to emit light at the ends of the retractor blades 30, in the middle of the retractor blades (as in the example of
In the example of
As described above in connection with, for example,
Retractor blades 30 may be flat or planar blades, as illustrated in the example of
As illustrated in
As described above in connection with, for example,
In various examples described above in connection with
For example,
In another implementation, the light-emitting source 20 may run along the same side of the handle 10 as the side that engages with the tissue to be retracted, and then pass through the handle to the other side, as illustrated in
In any of the various configurations described herein the light-emitting source 20 may be a fiber optic, halogen lamp, light-emitting diode, or any other light source which is biocompatible and provides adequate illumination of the surgical site. The light-emitting source 20 may be permanently secured (e.g., to handle 10 and/or one or more blades 30) or the light source may be removable. In one suitable example that is sometimes described herein, the removable light-emitting source 20 is secured to the distal portion of the handle 10 with retainer clips 50. However, it will be appreciated by those skilled in the art that other methods of permanently or removably securing the light-emitting source 20 to the apparatus would be within the scope and spirit of the subject technology.
These embodiments and/or implementations described above are illustrative examples and are not intended to limit the scope of the subject technology described herein as it will be appreciated by those skilled in the art that other variations of the examples described herein would be within the spirit of the subject technology.
A reference to an element in the singular is not intended to mean one and only one unless specifically so stated, but rather one or more. For example, “a” module may refer to one or more modules. An element proceeded by “a,” “an,” “the,” or “said” does not, without further constraints, preclude the existence of additional same elements.
Headings and subheadings, if any, are used for convenience only and do not limit the invention. The word exemplary is used to mean serving as an example or illustration. To the extent that the term include, have, or the like is used, such term is intended to be inclusive in a manner similar to the term comprise as comprise is interpreted when employed as a transitional word in a claim. Relational terms such as first and second and the like may be used to distinguish one entity or action from another without necessarily requiring or implying any actual such relationship or order between such entities or actions.
Phrases such as an aspect, the aspect, another aspect, some aspects, one or more aspects, an implementation, the implementation, another implementation, some implementations, one or more implementations, an embodiment, the embodiment, another embodiment, some embodiments, one or more embodiments, a configuration, the configuration, another configuration, some configurations, one or more configurations, the subject technology, the disclosure, the present disclosure, other variations thereof and alike are for convenience and do not imply that a disclosure relating to such phrase(s) is essential to the subject technology or that such disclosure applies to all configurations of the subject technology. A disclosure relating to such phrase(s) may apply to all configurations, or one or more configurations. A disclosure relating to such phrase(s) may provide one or more examples. A phrase such as an aspect or some aspects may refer to one or more aspects and vice versa, and this applies similarly to the other foregoing phrases.
A phrase “at least one of” preceding a series of items, with the terms “and” or “or” to separate any of the items, modifies the list as a whole, rather than each member of the list. The phrase “at least one” of does not require selection of at least one item; rather, the phrase allows a meaning that includes at least one of any one of the items, and/or at least one of any combination of the items, and/or at least one of each of the items. By way of example, each of the phrases “at least one of A, B, and C” or “at least one of A, B, or C” refers to only A, only B, or only C; any combination of A, B, and C; and/or at least one of each of A, B, and C.
It is understood that the specific order or hierarchy of steps, operations, or processes disclosed is an illustration of exemplary approaches. Unless explicitly stated otherwise, it is understood that the specific order or hierarchy of steps, operations, or processes may be performed in different order. Some of the steps, operations, or processes may be performed simultaneously. The accompanying method claims, if any, present elements of the various steps, operations or processes in a sample order, and are not meant to be limited to the specific order or hierarchy presented. These may be performed in serial, linearly, in parallel or in different order. It should be understood that the described instructions, operations, and systems can generally be integrated together in a single software/hardware product or packaged into multiple software/hardware products.
In one aspect, a term coupled or the like may refer to being directly coupled. In another aspect, a term coupled or the like may refer to being indirectly coupled.
Terms such as top, bottom, front, rear, side, horizontal, vertical, distal, proximal, and the like refer to an arbitrary frame of reference, rather than to the ordinary gravitational frame of reference. Thus, such a term may extend upwardly, downwardly, diagonally, or horizontally in a gravitational frame of reference.
The disclosure is provided to enable any person skilled in the art to practice the various aspects described herein. In some instances, well-known structures and components are shown in block diagram form in order to avoid obscuring the concepts of the subject technology. The disclosure provides various examples of the subject technology, and the subject technology is not limited to these examples. Various modifications to these aspects will be readily apparent to those skilled in the art, and the principles described herein may be applied to other aspects.
All structural and functional equivalents to the elements of the various aspects described throughout the disclosure that are known or later come to be known to those of ordinary skill in the art are expressly incorporated herein by reference and are intended to be encompassed by the claims. Moreover, nothing disclosed herein is intended to be dedicated to the public regardless of whether such disclosure is explicitly recited in the claims. No claim element is to be construed under the provisions of 35 U.S.C. § 112, sixth paragraph, unless the element is expressly recited using the phrase “means for” or, in the case of a method claim, the element is recited using the phrase “step for”.
The title, background, brief description of the drawings, abstract, and drawings are hereby incorporated into the disclosure and are provided as illustrative examples of the disclosure, not as restrictive descriptions. They are submitted with the understanding that they will not be used to limit the scope or meaning of the claims. In addition, in the detailed description, it can be seen that the description provides illustrative examples and the various features are grouped together in various implementations for the purpose of streamlining the disclosure. The method of disclosure is not to be interpreted as reflecting an intention that the claimed subject matter requires more features than are expressly recited in each claim. Rather, as the claims reflect, inventive subject matter lies in less than all features of a single disclosed configuration or operation. The claims are hereby incorporated into the detailed description, with each claim standing on its own as a separately claimed subject matter.
The claims are not intended to be limited to the aspects described herein, but are to be accorded the full scope consistent with the language of the claims and to encompass all legal equivalents. Notwithstanding, none of the claims are intended to embrace subject matter that fails to satisfy the requirements of the applicable patent law, nor should they be interpreted in such a way.
Filing Document | Filing Date | Country | Kind |
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PCT/US2018/055612 | 10/12/2018 | WO | 00 |
Number | Date | Country | |
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62572364 | Oct 2017 | US |