Posterior approach retractor ring and attachments system
The present invention provides an open looped (open-ended) retractor frame for use in surgical procedures. The open-ended retractor frame of the present invention is particularly useful in infracoccygeal sacropexy or posterior intravaginal slingplasty procedures. The present invention furthermore provides a variety of clip-on attachments to the open-ended retractor frame that provide different functionalities.
1 . An open-ended retractor frame for use in performing surgery comprising:
opened looped structure wherein the open looped structure further comprises:
an inner edge;
an outer edge;
a distal side;
a proximal side; and
at least one blade attachment point.
2 . The open-ended retractor frame of claim 1 wherein the outer edge includes at least one notch.
3 . The open-ended retractor frame of claim 2 wherein the at least one blade attachment point is an attachment channel.
4 . The open-ended retractor frame of claim 3 further comprising a blade attached to the open-ended retractor frame through the attachment channel with a screw.
5 . The open-ended retractor frame of claim 4 wherein the attachment channel is overlaid with a groove that allows the screw to be flush with the distal side of the open-ended retractor frame when the blade is attached.
6 . The open-ended retractor frame of claim 2 further comprising at least one drape attachment point.
7 . The open-ended retractor frame of claim 2 further comprising a clip-on attachment connected to the open-ended retractor frame selected from the group comprising: a suture stay clip-on, a securing post clip-on and a catheter stay clip-on.
8 . The open-ended retractor frame of claim 7 wherein the clip-on attachment further includes an inner clip arm, an outer clip arm, a securing arm and at least one notch mating structure.
9 . The open-ended retractor frame of claim 2 wherein the open-ended retractor frame comprises a shape selected from the group consisting of: an open circle, an open oval, an open ellipse, an open rectangle, an open triable and an open square.
10 . The open-ended retractor frame of claim 2 wherein the opening between the ends of the open-ended retractor frame ranges from 3 to 6 inches.
11 . The open-ended retractor frame of claim 2 wherein the opening between the ends of the open-ended retractor frame extends 60° to 120°.
12 . The open-ended retractor frame of claim 2 wherein the opening between the ends of the open-ended retractor frame extends 70° to 80°.
13 . The open-ended retractor frame of claim 2 wherein the inner diameter of the open-ended refractor frame ranges from 6 to 8 inches.
14 . The open-ended retractor frame of claim 2 further comprising a stabilizing cross-member connecting two points of the inner edge.
15 . An open-ended retractor frame system comprising:
an open-ended retractor frame having two ends, a base, an inner edge, an outer edge, a proximal surface and a distal surface;
wherein the outer edge further comprises a flanged portion that is thinner than but attached to the base and includes:
at least one notch; and
at least one blade attachment point.
16 . The open-ended retractor frame of claim 15 , wherein the at least one blade attachment point is an attachment channel.
17 . The open-ended retractor frame of claim 16 further comprising a blade attached to the open-ended retractor frame through the attachment channel with a screw.
18 . The open-ended retractor frame of claim 17 wherein the attachment channel is overlaid with a groove that allows the screw to be flush with the distal side of the open-ended retractor frame when the blade is attached.
19 . The open-ended retractor frame of claim 15 further comprising at least one drape attachment point on the flanged portion.
20 . The open-ended retractor frame of claim 15 further comprising a clip-on attachment connected to the open-ended retractor frame selected from the group comprising: a suture stay clip-on, a securing post clip-on and a catheter stay clip-on.
21 . The open-ended retractor frame of claim 20 wherein the clip-on attachment further includes an inner clip arm, an outer clip arm, a securing arm and at least one notch mating structure.
22 . The open-ended retractor frame of claim 15 wherein the open-ended retractor frame comprises a shape selected from the group consisting of: an open circle, an open oval, an open ellipse, an open rectangle and an open square.
23 . The open-ended retractor frame of claim 15 wherein the opening between the ends of the open-ended retractor frame ranges from 3 to 6 inches.
24 . The open-ended retractor frame of claim 15 wherein the opening between the ends of the open-ended retractor frame extends 60° to 120°.
25 . The open-ended retractor frame of claim 15 wherein the opening between the ends of the open-ended retractor frame extends 70° to 80°.
26 . The open-ended retractor frame of claim 15 wherein the inner diameter of the open-ended refractor frame ranges from 6 to 8 inches.
27 . The open-ended retractor frame of claim 15 wherein the proximal side of the base is on the same plane as the outer edge of the flanged portion.
28 . The open-ended retractor frame of claim 27 further comprising a blade connected to the blade attachment point, wherein the blade also makes contact with the proximal side of the base and the outer edge of the flanged portion.
29 . The open-ended retractor frame of claim 15 further comprising a stabilizing cross-member connecting two points of the inner edge.
30 . A clip-on attachment for a annular or semi-annular retractor ring comprising:
a base having an inner end, an outer end, a top and a bottom;
an inner clip arm connected the inner end of the base;
an outer clip arm connected to the outer end of the base;
a securing arm connected to the outer clip are and extending back underneath the bottom of the base; and
a notch mating structure connected to the outer clip arm.
31 . The clip-on attachment of claim 30 further comprising a compressible insert attached to the top of the base having at least one suture holding slot.
32 . A clip-on attachment for a annular or semi-annular retractor ring comprising:
a base having an inner end, an outer end, a top and a bottom;
an inner clip arm connected the inner end of the base;
an outer clip arm connected to the outer end of the base;
a securing arm connected to the outer clip arm and extending back underneath the bottom of the base; and
a notch mating structure connected to the bottom of the base near the outer end.
33 . The clip-on attachment of claim 32 further comprising a compressible insert attached to the top of the base having at least one suture holding slot.