|Publication number||US569839 A|
|Publication date||20 Oct 1896|
|Filing date||11 Dec 1895|
|Publication number||US 569839 A, US 569839A, US-A-569839, US569839 A, US569839A|
|Inventors||John T. R. Roeloffs|
|Export Citation||BiBTeX, EndNote, RefMan|
|Referenced by (83), Classifications (1)|
|External Links: USPTO, USPTO Assignment, Espacenet|
J. T. R. ROELOPFS.
No. 569,839,- Patented Oct. 20, 1896.
JOHN T. R. ROELOFFS,
PATENT OF NEW YORK, N. Y.
SPECIFICATION forming part of Letters Patent N 0. 569,839, dated October 20, 1896.
Application filed December 11, 1895. Serial No. 571,738. (No model.)
To ttZZ whom it may concern:
Be it known that I, JoHN '1. R. ROELOFFS, a citizen of the Empire of Germany, residing in the city, county, and State of New York, have invented certain new and useful Improvements in Retractors, of which the following is a specification.
This invention has reference to an improved retractor or instrument which is used by surgeons for dilating the borders of a wound that has to be treated, the tension of the instrument being capable of adjustment so that the wound is held automatically in open position for operating without requiring an assistant for this purpose; and the invention consists of a surgical instrument or retractor composed of a V-shaped spring-holder, a screw for ad justing the tension of said holder, sockets at the ends of the legs of the holder, and dilators which are arranged at right angles to the legs and connected with the sockets in such a manner as to turn freely therein, so as to adapt themselves to the direction of the borders of the wound and be readily detached and inserted into said sockets.
In the accompanying drawings, Figure 1 represents a perspective View of niyimproved retractor. Figs. 2, 3, and d are side views, Fig. 4c partly in section, of different shapes of dilators and of various connections of the same with the sockets of the spring-holder; and Fig. 5 is a vertical transverse section on line 5 5, Fig. 1, drawn on a larger scale.
Similar letters of reference indicate corresponding parts.
Referring to the drawings, A represents a V-shaped holder,whicl1 is made of good springsteel and the legs a of which are connected by a rounded-off portion a. To one leg of the sprin g-holder A is riveted a recessed lug b, to which is detachably pivoted the inner end of a curved screw B, that passes through a slotted opening b in the other leg of the springholder A and carries a screw-nut B, by which the distance between the legs of the springholder is adjusted. The sides of the curved screw B are preferably flattened, so as to pass freely through the opening I), while the outer end of the screw is provided with a small head 12*, that is riveted or otherwise fastened thereto, so as to prevent the playing off and detaching of the adjusting screw-nut B.
The pivot b of the curved screw B is threaded at one end and provided with a nicked head at the other end, so that the screw B can be readily disconnected from the spring-holder for cleaning and sterilizing purposes.
The legs a of the spring-holder A are provided at their outer ends with sockets d d, which are preferably bent up integrally from the legs, said sockets serving for receiving the shanks (Z' of detachable and interchangeable dilators D D, which are secured to said sockets by means of a suitable bayonet-joint, in which case the shank is provided with a stud (P, that passes through a straight offset slot d in the socket until it arrives above the socket, so that the dilating-hook can freely turn in either direction in the socket and adapt itself automatically to the direction of the borders of the wound. In place of the connection shown a screw (Z may be used, which engages an annular groove (1 in the shank of the hook, or any other construction may be employed by which the connection of the detachable dilators with the sockets and the axial rotation of the same in the sockets is obtained.
-The dilators D may either be made in the form of forks having two or more tines, as shown in Figs. 1 and 2, or in the shape of blunt-edged blades, as shown, respectively, in Figs. 3 and 4, either one of which can be readily used in connection with the springholder A, according to the character of the wound and the tissues to be dilated. Each instrument is preferably furnished with four pairs of dilators, namely, two pairs of forked dilators of diflt'erent sizes and two pairs of blade or scoop-shaped dilators, also of difierent sizes, but also other attachments may be used with the instrument, such as speculum branches, d c.
Then the instrument is to be used, the legs are adjusted by the screw B and screw-nut B to about the width to which the wound or other body is to be dilated. The required size of dilating-hooks are then placed in the sockets of the legs in such a position that they extend in opposite directions to each other. The legs of the instrument are then compressed and the dilators inserted into the wound or other object, after which the legs are slowly released until the tissues are dilated and held in position so that the wound can be readily treated or operated on without requiring a special assistant to hold the same in distended position.
My improved retractor forms a useful instrument in surgical operations and in the treatment of wounds, and has the advantage that it can be readily carried along in a suitable case, quickly applied for use, and easily cleaned and sterilized, as the different component parts can be readily taken apart for this purpose.
Theinstrument is finished in suitable manner, care being taken that the adjustingscrew is unscrewed, so that the spring-holder can expand fully when replaced in its case, so that its proper spring-tension is retained.
Having thus described my invention, 1 claim as new and. desire to secure by Letters Patent- A retractor or surgical instrument for dilating a Wound or other object, which consists of a spring-holder having legs provided at their outer ends with sockets, arranged at approximate right angles to said legs, means for adjusting the distance between the legs of the spring-holder, detachable dilators provided with shanks, and means for retaining the shanks of said dilators in said sockets, where by the dilators are arranged at approximate right angles to the legs and may turn freely in the sockets, substantially as set forth.
In testimony that I claim the foregoing as my invention 1 have signed my name in presence of two subscribing witnesses.
JOHN T. R. ROELOFFS.
PAUL GOEPEL, GEO. W. JAEKEL.
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3750652 *||5 Mar 1971||7 Aug 1973||Sherwin J||Knee retractor|
|US3766910 *||9 Oct 1970||23 Oct 1973||Lake P||Disposable delicate tissue retractor|
|US3840014 *||22 Sep 1972||8 Oct 1974||Nat Res Dev||Retractor for hip joint surgery|
|US4753237 *||6 May 1986||28 Jun 1988||Puchy David P||Bow spring retractor device|
|US4754746 *||25 Sep 1986||5 Jul 1988||Cox Kenneth L||Self-retaining metatarsal spreader|
|US5618260 *||28 Apr 1995||8 Apr 1997||Aesculap Ag||Surgical instrument|
|US5882298 *||5 Aug 1998||16 Mar 1999||Minnesota Scientific, Inc.||Retractor assembly with connecting pin and method for removably assembling|
|US5931777 *||11 Mar 1998||3 Aug 1999||Sava; Gerard A.||Tissue retractor and method for use|
|US5993385 *||18 Aug 1997||30 Nov 1999||Johnston; Terry||Self-aligning side-loading surgical retractor|
|US6042540 *||18 Aug 1997||28 Mar 2000||Pacific Surgical Innovations, Inc.||Side-loading surgical retractor|
|US6074344 *||14 Jul 1999||13 Jun 2000||Paschall, Jr.; Jack||Grasping retractor|
|US6196969||21 May 1999||6 Mar 2001||Lab Engineering & Manufacturing, Inc.||Tissue retractor adapted for the attachment of an auxiliary element|
|US6254535 *||31 Jan 1997||3 Jul 2001||Genzyme Corporation||Ball and socket coronary stabilizer|
|US6663562 *||14 Sep 2001||16 Dec 2003||David Chang||Surgical retractor|
|US6860850 *||4 Oct 2002||1 Mar 2005||Boss Instruments Ltd.||Retractor blade connector head|
|US6929606||13 May 2003||16 Aug 2005||Depuy Spine, Inc.||Retractor and method for spinal pedicle screw placement|
|US6966910||4 Apr 2003||22 Nov 2005||Stephen Ritland||Dynamic fixation device and method of use|
|US7008431||30 Oct 2001||7 Mar 2006||Depuy Spine, Inc.||Configured and sized cannula|
|US7018332 *||18 Sep 2002||28 Mar 2006||Si-1, Inc.||Circumferential retractor apparatus|
|US7097647||25 Jan 2003||29 Aug 2006||Christopher Paige Segler||Tarsal joint space distractor|
|US7166073||28 Mar 2005||23 Jan 2007||Stephen Ritland||Method and device for microsurgical intermuscular spinal surgery|
|US7207992||30 Sep 2002||24 Apr 2007||Stephen Ritland||Connection rod for screw or hook polyaxial system and method of use|
|US7214186||22 Dec 2003||8 May 2007||Stephen Ritland||Method and device for retractor for microsurgical intermuscular lumbar arthrodesis|
|US7389710||5 Dec 2006||24 Jun 2008||Boss Instruments, Ltd., Inc.||Swivel retractor blade assembly|
|US7455639||16 Sep 2005||25 Nov 2008||Stephen Ritland||Opposing parallel bladed retractor and method of use|
|US7655025||1 Mar 2005||2 Feb 2010||Stephen Ritland||Adjustable rod and connector device and method of use|
|US7682375||8 May 2003||23 Mar 2010||Stephen Ritland||Dynamic fixation device and method of use|
|US7695498||30 Jan 2007||13 Apr 2010||Stephen Ritland||Connection rod for screw or hook polyaxial system and method of use|
|US7753939||10 Feb 2004||13 Jul 2010||Stephen Ritland||Polyaxial connection device and method|
|US7763047||20 Feb 2003||27 Jul 2010||Stephen Ritland||Pedicle screw connector apparatus and method|
|US7824410||10 Aug 2004||2 Nov 2010||Depuy Spine, Inc.||Instruments and methods for minimally invasive spine surgery|
|US7909843||30 Jun 2004||22 Mar 2011||Thompson Surgical Instruments, Inc.||Elongateable surgical port and dilator|
|US7959564||9 Jul 2007||14 Jun 2011||Stephen Ritland||Pedicle seeker and retractor, and methods of use|
|US7985245||18 Nov 2005||26 Jul 2011||Stephen Ritland||Connection rod for screw or hook polyaxial system and method of use|
|US8007435||10 Jan 2008||30 Aug 2011||Massachusetts Eye & Ear Infirmary||Tissue retraction device|
|US8021399||19 Jul 2006||20 Sep 2011||Stephen Ritland||Rod extension for extending fusion construct|
|US8192437||5 Jun 2012||Depuy Spine, Inc.||Configured and sized cannula|
|US8211012||30 Sep 2008||3 Jul 2012||Aesculap Implant Systems, Llc||Tissue retractor system|
|US8221459||26 Jul 2010||17 Jul 2012||Stephen Ritland||Pedicle screw connector apparatus and method|
|US8235999||10 May 2010||7 Aug 2012||Depuy Spine, Inc.||Configured and sized cannula|
|US8262571||24 May 2004||11 Sep 2012||Stephen Ritland||Intermuscular guide for retractor insertion and method of use|
|US8361151||14 Jun 2012||29 Jan 2013||Depuy Spine, Inc.||Configured and sized cannula|
|US8409091 *||18 Jan 2012||2 Apr 2013||Spinal Elements, Inc.||Method of using a surgical tissue retractor|
|US8444678||21 Oct 2010||21 May 2013||Depuy Spine, Inc.||Instruments and methods for minimally invasive spine surgery|
|US8486111||22 Jun 2006||16 Jul 2013||Stephen Ritland||Dynamic fixation device and method of use|
|US8556905||27 Dec 2012||15 Oct 2013||Depuy Spine, Inc.||Configured and sized cannula|
|US8585739||23 Mar 2010||19 Nov 2013||Stephen Ritland||Dynamic fixation device and method of use|
|US8685062||23 Mar 2010||1 Apr 2014||Stephen Ritland||Dynamic fixation device and method of use|
|US8690922||1 Mar 2010||8 Apr 2014||Stephen Ritland||Dynamic fixation device and method of use|
|US8740786||5 Mar 2013||3 Jun 2014||Spinal Elements, Inc.||Method of using a surgical tissue retractor|
|US8845694||19 Sep 2011||30 Sep 2014||Warsaw Orthopedic, Inc.||Rod extension for extending fusion construct|
|US8852244||13 Sep 2013||7 Oct 2014||DePuy Synthes Products, LLC||Configured and sized cannula|
|US8932334||9 Sep 2005||13 Jan 2015||Stephen Ritland||Dynamic fixation device and method of use|
|US8979857||6 Oct 2004||17 Mar 2015||DePuy Synthes Products, LLC||Modular medical tool and connector|
|US9028551||2 Sep 2014||12 May 2015||DePuy Synthes Products, Inc.||Configured and sized cannula|
|US9226782||8 May 2013||5 Jan 2016||DePuy Synthes Products, Inc.||Instruments and methods for minimally invasive spine surgery|
|US9232967||7 Apr 2014||12 Jan 2016||Stephen Ritland||Dynamic fixation device and method of use|
|US20020123668 *||29 Jan 2002||5 Sep 2002||Stephen Ritland||Retractor and method for spinal pedicle screw placement|
|US20030069478 *||4 Oct 2002||10 Apr 2003||Burns Phillips||Retractor blade connector head|
|US20030083689 *||30 Oct 2001||1 May 2003||Simonson Robert E.||Non cannulated dilators|
|US20040147935 *||25 Jan 2003||29 Jul 2004||Christopher Segler||Tarsal Joint Space Distractor|
|US20050096508 *||8 Nov 2004||5 May 2005||Valerio Valentini||Adjustable surgical retractor|
|US20050216002 *||6 Jan 2005||29 Sep 2005||Depuy Spine, Inc.||Configured and sized cannula|
|US20060074432 *||6 Oct 2004||6 Apr 2006||Depuy Spine, Inc.||Modular medical tool and connector|
|US20060079899 *||18 Nov 2005||13 Apr 2006||Stephen Ritland||Connection rod for screw or hook polyaxial system and method of use|
|US20070142712 *||5 Dec 2006||21 Jun 2007||Phillips Burns P||Swivel retractor blade assembly|
|US20070299315 *||21 Jun 2006||27 Dec 2007||Geller Peter L||Novel retractor for hernia surgery|
|US20080161817 *||28 Sep 2006||3 Jul 2008||Depuy Spine, Inc.||Intervertebral distraction device|
|US20090182203 *||16 Jul 2009||Hartnick Christopher J||Tissue retraction device|
|US20100081885 *||30 Sep 2008||1 Apr 2010||Aesculap Implant Systems, Inc.||Tissue retractor system|
|US20100137914 *||1 Feb 2010||3 Jun 2010||Stephen Ritland||Adjustable rod and connector device|
|US20100160969 *||1 Mar 2010||24 Jun 2010||Stephen Ritland||Dynamic Fixation Device and Method of Use|
|US20100174318 *||23 Mar 2010||8 Jul 2010||Stephen Ritland||Dynamic Fixation Device and Method of Use|
|US20100179596 *||23 Mar 2010||15 Jul 2010||Stephen Ritland||Dynamic Fixation Device and Method of Use|
|US20100222824 *||2 Sep 2010||Depuy Spine, Inc.||Configured and sized cannula|
|US20100298840 *||22 May 2009||25 Nov 2010||Schwartz Lyman D||Phimosis Treatment Device and Method|
|US20110022094 *||27 Jan 2011||Stephen Ritland||Pedicle Screw Connector Apparatus and Method|
|US20120149991 *||14 Jun 2012||Spinal Elements, Inc.||Method of using a surgical tissue retractor|
|USRE42525||10 Jun 2002||5 Jul 2011||Depuy Spine, Inc.||Cannula and sizing insertion method|
|USRE45571||17 Dec 2010||23 Jun 2015||DePuy Synthes Products, Inc.||Cannula and sizing insertion method|
|EP1495723A1 *||9 Jul 2003||12 Jan 2005||Waldemar Link GmbH & Co. KG||Surgical tissue retractor|
|WO2007149122A2 *||15 Dec 2006||27 Dec 2007||Geller Peter L||Novel retractor for hernia surgery|
|WO2008042155A2 *||25 Sep 2007||10 Apr 2008||Comagoj Coric||Intervertebral distraction instrument|