Three dimensional tilt rachet with self retaining mechanism

1. A ratchet assembly for multi-dimensional movement and placement of a retractor blade comprising:

a retractor blade holder shaped and dimensioned to receive a stem of a retractor blade, the retractor blade holder comprising a locking mechanism that enables selective lateral adjustment of the retractor blade relative to the retractor blade holder;

a housing member to which the retractor blade holder is mated, wherein the retractor blade holder is vertically pivotable with respect to the housing member to enable selective vertical pivoting adjustment of the retractor blade relative to the housing member;

a rotating indexer mated to the housing member, wherein the housing member is rotatable with respect to the rotating indexer so that the retractor blade holder, the housing member and the retractor blade are able to selectively rotate about the longitudinal axis of the rotating indexer, and wherein the rotating indexer is shaped and dimensioned to mount onto a rim of a surgical support; and

a self-retaining locking mechanism that simultaneously locks or unlocks the position of the housing member relative to the rotating indexer and the position of the rotating indexer and the entire ratchet assembly onto the rim of the surgical support; and

wherein the self retaining locking mechanism comprises a spring loaded lever, a spring loaded key and a spring loaded retention clip and wherein the spring loaded key interfaces with and engages a circumferential slot formed on the rotating indexer to lock the position of the housing member relative to the rotating indexer, and to lock the position of the rotating indexer and the entire ratchet assembly onto the rim of the surgical support with the spring loaded retention clip.

2. The ratchet assembly of claim 1 , wherein depressing of the spring loaded lever disengages the spring loaded key from the circumferential slot and propels the rotating indexer forward and thereby simultaneously unlocks the position of the housing member relative to the rotating indexer, and unlocks the rotating indexer and the entire ratchet assembly from the rim of the surgical support by opening the spring loaded retention clip.

3. The ratchet assembly of claim 2 , wherein the spring loaded retention clip comprises a hook-shaped clip that is shaped and dimensioned to lock the position of the rotating index and the entire ratchet assembly onto the rim of the surgical support and is connected to a front lower portion of the rotating indexer via a spring loaded hinge.

4. The ratchet assembly of claim 3 , wherein the spring loaded hinge comprises a pin configured to be inserted within an opening formed in the front lower portion of the rotating indexer, and a spring.

5. The ratchet assembly of claim 2 , wherein the self retaining locking mechanism further comprises a set of at least two springs and wherein the set of the at least two springs is activated when the spring loaded key disengages from the circumferential slot and the at least two springs propel the rotating indexer forward.

6. The ratchet assembly of claim 1 , wherein the rotating indexer further comprises a slot shaped and dimensioned to enable the ratchet assembly to be attached to the rim of the surgical support, and a plurality of indents extending circumferentially about the rotating indexer and being shaped and dimension to set and maintain the angular position of the housing member relative to the rotating indexer.

7. The ratchet assembly of claim 6 , wherein a locking pin extends from the housing member and engages one of the plurality of indents of the rotating indexer for maintaining the angular position of the housing member relative to the rotating indexer.

8. The ratchet assembly of claim 6 , wherein the indents are arranged at increments of 10 to 30 degrees.