Access platform for internal mammary dissection

Surgery – Instruments – Internal pressure applicator

Reexamination Certificate

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Details

C600S232000

Reexamination Certificate

active

07909846

ABSTRACT:
An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is preferably pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

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Ancalmo, N. And J. L. Ochsner: “A Modified Sternal Retractor,” Ann. Thorac, Surg. 21 (1976) 174.
Angelini, G.D., M.D. et al., “Fiber-Optic Retractor for Harvesting the Internal Mammary Artery,” Ann. Thorac. Surg. (1990; 50:314-5).
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Chaux, A. and C. Blanche, “A New Concept in Sternal Retraction: Applications for Internal Mammary Artery Dissection and Valve Replacement Surgery,” Ann. Thorac. Surg. 42, pp. 473-474, Oct. 1986.
Campalani et al., “A New Self-Retaining Internal mammary Artery Retractor.” J. Cardiovas. Surg., vol. 28. (1987) Pittman, John, M.D., et al., Improved Visualization of the Internal Mammary Artery with a New Retractor System, Ann. Thorac. Thorac. Surg. (1989;48:869-70).
Delacroix-Chevalier Surgical Instruments, IMA Saving Packages Brochure.
Itoh, Toshiaki, M.D., et al., “New Modification of a Mammary Artery Retractor,” Ann. Thorac. Surg. 9, 1994; 57:1670-1.
McKeown, P.P. et al., “A Modified Sternal Retractor for Exposure of the Internal Mammary Artery,” Ann. Thorac. Surg. 32 (1981) 619.
Pilling Surgical Instruments, A Rusch International Company Brochure.
Pittman, J. et al., “Improved Visualization of the Intelyil Mammary Artery With a New Retractor System” Ann, Thorac. Surgery (1989; 48:869-70).
Phillips, Steven J., M.D. et al., “A Versatile Retractor for Use in Harvesting the Internal Mammary Artery and Performing Standard Cardiac Operations,” J. Thorac. Cardiovasc. Surg. (1989; 97:633-5).
Roux, D., M.D. et al., “Internal Mammary Artery Dissection: A Three Dimensional Sternal Retractor,” J. Cardiovasc. Surg., 1989; 30:996-7.
USSC Cardiovascular Thora-Lift J, United States Surgical Corporation, Norwalk, Connecticut, Product Brochure.
Vincent, J.G., “A Compact Single Post Internal Mammary Artery Dissection Retractor,” Eur. J. Cardio-Thor. Surg. 3 (1989) 276-277.
Pilling Surgical Instruments, A Rusch International Company, Brochure.
Delacroix-Chevalier Surgical Instruments, IMA Savings Packages Brochure.
Ancalmo, N., and J.L. Ochsner: A Modified Sternal Retractor, Ann. Thorac. Surg. 21 (1976) 174.
Beg, R.A., H. Naraghipour, E.B. Kay, and P. Rullo: Internal Mammary Retractor, Ann. Thorac. Surg. 39 (1985) 286-287.
Chaux, A., and C. Blanche: A New Concept in Sternal Retraction: Applications for Internal Mammary Artery Dissection and Valve Replacement, Ann. Thorac. Surg. 42 (1986) 473-474.
McKeown, P.P., J. Crew, E.S. Hanna, and R. Jones: A Modified Sternal Retractor for Exposure of the Internal Mammary Artery, Ann. Thorac. Surg. 32 (1981) 619.
Vincent, J.G.: A Compact Single Post Internal Mammary Artery Dissection Retractor, Eur. J. Cardio-Thor. Surg. 3 (1989) 276-277.
Campalani, G., M.D., et al., A new self-retaining internal mammary artery retractor, J. Cardiovas. Surg. 28, 1987 Pittman, John, M.D., et al., Improved Visualization of the Internal Mammary Artery With a New Retractor System, Ann. Thorac. Surg. (1989;48:869-70).
Angelini, G. D., M.D., et al., A Fiber-Optic Retractor for Harvesting the Internal Mammary Artery, Ann. Thorac. Surg. (1990;50:314-5).
Phillips, Steven J., M.D., et al., A versatile retractor for use in harvesting the internal mammary artery and performing standard cardiac operations, J. Thorac. Cardiovasc. Surg. (1989;97:633-5).
Itoh, Toshiaki, M.D., et al., New Modification of a Mammary Artery Retractor, Ann. Thorac. Surg. (1994;57:1670-1).
Roux, D., M.D. et al., Internal mammary artery dissection: A three dimensional sternal retractor, J. Cardiovasc. Surg. (1989;30:996-7).
USSC Cardiovascular Thora-Lift™, United States Surgical Corporation, Norwalk, Connecticut, Product Brochure.

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