Retractor device and method
View Patent ↗The present disclosure generally relates to a retractor device for retracting soft tissue to provide access to a surgical site. The retractor device includes a plurality of blades movable from a first, substantially closed position to a second, substantially open position. Related methods of using the retractor device are also described.
1. A retractor device, comprising:
a frame having an inner ring coupled to an outer ring, the inner ring including a plurality of teeth and pegs, the outer ring including a plurality of mounting posts;
a plurality of arm members, each arm member having a mounting portion that pivotally couples to one mounting post of the outer ring of the frame and a blade portion extending from the mounting portion, wherein each arm member is removably attached to the frame; and
an actuator that actuates the inner ring such that the inner ring moves relative to the outer ring to thereby pivot the plurality of arm members from a first position to a second position, the actuator including a gear that engages the teeth of the inner ring, and an axis of rotation of the gear being parallel with an axis of rotation of the inner ring, wherein
the mounting portion of each arm member includes a hole and an elongated slot respectively defined therethrough,
the mounting post is disposed in the hole,
the peg is disposed in the elongated slot,
the gear is disposed about a shaft of the actuator, and
the shaft is coupled to the gear such that rotation of the shaft causes the gear to rotate about the axis of rotation that is parallel with the axis of rotation of the inner ring.
2. A retractor device according to claim 1 , wherein the plurality of mounting posts each include a shaft portion and a head portion, and further wherein the head portion has a greater diameter than the shaft.
3. A retractor device according to claim 2 , wherein the mounting post is disposed through the hole to thereby retain the mounting portion to the outer ring.
4. A retractor device according to claim 3 , wherein the shaft portion bears against the mounting portion and the head portion is disposed over the mounting portion.
5. A retractor device according to claim 1 , wherein the pegs extend from the inner ring.
6. A retractor device according to claim 5 , wherein the peg is disposed through the elongated slot and adapted to translate along the elongated slot.
7. A retractor device according to claim 1 , wherein the mounting portion comprises a spring-loaded latch member and a pair of detents extending from the latch member.
8. A retractor device according to claim 1 , wherein the gear is disposed about a shaft of the actuator, the driving gear adapted to engage the teeth defined along an outer circumferential surface of the inner ring.
9. A retractor device according to claim 1 , further comprising a mounting ring disposed about the inner and outer rings, the mounting ring including a handle coupled thereto.
10. A retractor device according to claim 1 , wherein each arm member has a mounting portion and a blade portion, the blade portions extending substantially orthogonally to the mounting portions.
11. A retractor device according to claim 1 , further comprising a ratchet mechanism that permits the inner ring to move in a first direction and preventing the inner ring from moving in a direction opposing the first direction.
12. A retractor device according to claim 1 , wherein the teeth of the inner ring are formed on a radially inward side of the inner ring.
13. A retractor device according to claim 12 , wherein the gear of the actuator is disposed on a radially inward side of the inner ring.
14. A retractor device according to claim 1 , wherein a knob is disposed on the shaft.
15. A retractor device, comprising:
a frame having an inner ring coupled to an outer ring, the inner ring including a plurality of teeth and a plurality of pegs, the outer ring including a plurality of mounting posts;
a plurality of arm members, each arm member having a mounting portion and a blade portion, wherein each mounting portion pivotally couples to one peg of the inner ring and one mounting post of the outer ring of the frame, and wherein each arm member is removably attached to the frame; and
an actuator that actuates one of the inner and outer rings such that the plurality of arm members pivot from a first position to a second position, the actuator including a gear that engages the teeth of the inner ring, and an axis of rotation of the gear being parallel with an axis of rotation of the inner ring, wherein
the mounting portion of each arm member includes a hole and an elongated slot respectively defined therethrough,
the mounting post is disposed in the hole,
the peg is disposed in the elongated slot,
the gear is disposed about a shaft of the actuator, and
the shaft is coupled to the gear such that rotation of the shaft causes the gear to rotate about the axis of rotation that is parallel with the axis of rotation of the inner ring.
16. A retractor device according to claim 15 , wherein each of the plurality of arm members includes a mounting portion and a blade portion, the mounting portions being fixedly coupled to the outer ring at substantially equidistant radial spacing.
17. A retractor device according to claim 16 , wherein the mounting portions are further movably coupled to the inner ring at substantially equidistant radial spacing.
18. A retractor device according to claim 17 , wherein the pegs extending from the inner ring and the mounting posts extend from the outer ring, the pegs and mounting posts being disposed through the mounting portions to thereby couple the plurality of arm members to the inner and outer rings.
19. A method for using a retractor device, comprising:
providing a retractor device having a frame comprising an inner ring coupled to an outer ring, the inner ring including a plurality of teeth and a plurality of pegs, the outer ring including a plurality of mounting posts, the retractor device further comprising a plurality of arm members pivotally coupled to the plurality of mounting posts of the outer ring of the frame, each arm member including a blade portion extending in a direction substantially orthogonal to the frame, wherein the mounting portion of each arm member includes a hole and an elongated slot respectively defined therethrough, the mounting post is disposed in the hole, the peg is disposed in the elongated slot, each arm member is removably attached to the frame, and the gear is disposed about a shaft of the actuator;
actuating, using a gear that engages the teeth of the inner ring, an actuator to impart relative movement between the inner ring and outer ring to thereby pivot the plurality of arm members from a first position to a second position, an axis of rotation of the gear being parallel with an axis of rotation of the inner ring by rotating the shaft of the actuator thereby causing rotation of the gear.
20. A method according to claim 19 , wherein the mounting portions are respectively coupled to the inner ring via the pegs extending from the inner ring, and wherein the method further comprises actuating the frame to cause translation of the pegs along the elongated slot.
21. A method according to claim 19 , wherein the step of actuating comprises rotating the actuator to impart rotation to the inner ring.
22. A method according to claim 19 , wherein the blade portions define an opening therethrough, and wherein the step of actuating comprises increasing the size of the opening.
23. A method according to claim 22 , further comprising engaging a release button to decrease the size of the opening.