Surgery – Truss – Perineal
Patent
1989-09-08
1992-12-01
Brown, Theatrice
Surgery
Truss
Perineal
74422, A61B 1702
Patent
active
051672235
ABSTRACT:
A generally U-shaped surgical instrument for prying apart and keeping open the rib cage in open heart surgery. There is a stationary arm with a toothed cross bar attached to it. A movable arm similar in configuration to the stationary arm has a housing at one end which slides on the bar and can be cranked open to force the sternum apart. The housing holds the crank mechanism and a pair of circular bearing inserts. The cranking mechanism is self-locking. One of the inserts is a safety feature, because it can be quickly popped out, should the movable arm become jammed on the bar during the cranking sequence, to provide clearance to unbind the arm on the bar. Both inserts are replaceable and take the wear and tear during the cranking process. New inserts can be inserted to refurbish the instrument. There is a V-clamp that slides on the arms and holds a support rod. There is a castellated clamp that slides on the support rod and it has an articulated extension rod. There is a self-centering universal clamp that slides on the extension rod and it holds a sternum spreader blade in position. All three clamps are used to adjust and hold a blade in position. There is also a boot clip that can be mounted on the arms for holding the web of sutures while the surgeon is sewing in an artificial heart valve.
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Koros Gabriel
Koros Tibor
Brown Theatrice
Graham M.
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