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    Us11633180b2 - 24 - 09 - 2021 - Clip-On Joint Clamp

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    Us11633180b2 - 24 - 09 - 2021 - Clip-On Joint Clamp

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    miss.shinings12
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    US11633180B2_24_09_2021_CLIP-ON JOINT CLAMP

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    6 views25 pages

    Us11633180b2 - 24 - 09 - 2021 - Clip-On Joint Clamp

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    miss.shinings12

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    © All Rights Reserved
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    «2 United States Patent Nowak (US011633180B2 ao) Patent Noz US 11,633,180 B2 os) SURGICAL RETRACTOR SYSTEM AND CLIP-ON JOINT CLAMP om Applicant: Thompson Surgical Instruments, Inc, Traverse City, MI (US) laventor: i) Steve Nowak, Traverse City, Ml (US) (73) Assignee: Thompson Surgical Instruments, Ine, Teaverse City, MI (US) (#) Notice: Subject to any disclaimer, the term ofthis, patent is extended or adjusted under 35, USC. 154(b) by 27 days. (21) Appl. No 174484,020 (2) Fite: Sep. 24, 2021 6) Prior Publication Data Us 202310098108 AL Ma 30, 2023 (51) Int. C1 AGIB 1702 A61B 90/57 us.cl. cee (2006.01) 201601) (2) AGIB 1700206 (2013.01): ABIB 9057 (2016.02) (58) Field of Classification Search CPC... AGIB 17/0206; A61B 90/57; AGIB 171645: AGIB 17/6458; AGIB 17/6466; A6IB 17/6416; Y1OT 403/7105; YI0T 4403/7182; YIOT 403/788; Y1OT 03/7194; F16B 7/04; FL6B 7io44: FL6B 7/0493; PIOB 2/18; F16B 2/185 spc 403/385 See application file for complete search history. (56) References Cited US. PATENT DOCUMENTS 2993378 A 5200783 & 71959. Cooper 1211965 Thompson et a 4s) Date of Patent: Apr. 25, 2023 3965390 A 61976 Gautier Gorios A 121K Caen ea a'saast A "GioRs Nala’ Sern9t6 A 101986 LeVahn Seco A 31989 Gretaer “brat A L1930 Fay Soa0198 A ‘6901 Levan 525780 A 1901 Fay Soaseab A 71993 Great et a Sis A $1996 Lino $000.68 A 31907 Nakamura S84ei92 A 12998 Texto Ssorost A ‘A909 Faney shes A E2000 Fare ta 25452 AL 72001 Prolite G85 BL 162001 Lees etal Sarda a2 112002 Feng eSuiazs m2 1200 Faey 8410009 8282000 Peron T2830 BD 102006 ager (Continued) Primary Examiner — Jan Christopher L. Merene Anna V, Little McAndrews, Held & Assistant Examiner (74) Attorney, Agent, or Firm Malloy, Lid on ABSTRACT A joint clamp for a surgical reactor system includes clamps, a cam bolt, and a cam lever. The eam bolt passes through the clamps. A cam lever comprising a cam head pivotally attached an upper portion the cam bolt to permit rolation between a locked position and an unlocked posi tions. The joint clamp may inclide springs which provide a scissors clamp ofthe clamps with a clip-on feature in which the scissors clamp may lipped-on and clippad-oll an objet such asa fame member, tble pest, or retractor handle, The springs may further prevent or reduce arising movement of the clamps when the eam lever roates from an unlocked state to 2 locked state, 20 Claims, 15 Drawing Sheets US 11,633,180 B2 Page 2 (56) References Cited US. PATENT DOCUMENTS: 12007 Bjork ea 12008 Bjork eta 3.2008. Mula {62009 Philip ta. 72009 Elite al 7/2009 Oninger F168 70493 002M 1119168 BE 72010 Mulac eta. 77788502 B2 72010 Philips eta 8057467 BE LLDDIL Faller eal S728 B2* S202 Mumer ea... AGIB 1716466, 403384 8.696562 BE 42014 Mule etl 92089299 B2 T2015 Nowak et 9.536785 BD S2017 Traver ea 20020177754 Al* 1172002 Philips AGIB 1702 60024 20080229278 AL 1272003. Mulae 61590 50 02m 2006178566 AL $2006 Fete 20070213897 Al* 92007 Wooster AGIB 170206 602M 200BODITSIS AL 102008 Oesch ea 20080312500 1% 122008 Jaeabson sions? 600230 200910013807 AL 12009 Scot Fis 210 24/302 20120004689 AI* 12012 Miler A610 1760 as 201410180017 AL 62014 Mula a aon101v62ss AL 72021. ale a ° cited by examiner US 11,633,180 B2 Sheet 1 of 15 Apr. 25, 2023 USS. Patent Old US. Patent Apr. 25,2023 Sheet 2 of 15, US 11,633,180 B2 FIG. 2 Sheet 3 of 15, US 11,633,180 B2 Apr. 25, 2023 USS. Patent o 9 i . e 4 i. ce FT 8 ° aor, US. Patent Apr. 25,2023 Sheet 4 of 15 US 11,633,180 B2 US. Patent Apr. 25,2023 Sheet 5 of 15 US 11,633,180 B2 mS 0 290 | 6380 4-z- gg * ~, 288 gh 22 c= FIG. 5 US. Patent Apr. 25,2023 Sheet 6 of 15 US 11,633,180 B2 FIG. 8 US. Patent Apr. 25,2023 Sheet 7 of 15, US 11,633,180 B2 610, 616, 618 FIG. 9 US. Patent Apr. 25,2023 Sheet 8 of 15 US 11,633,180 B2 FIG. 10 US. Patent Apr. 25,2023 Sheet 9 of 15 US 11,633,180 B2 250 vo 260 aly 255 257 252 FIG. 11 US. Patent Apr. 25,2023 Sheet 10 of 15 US 11,633,180 B2 US. Patent Apr. 25,2023 Sheet 11 of 15 US 11,633,180 B2 251 wo FIG. 14 US. Patent Apr. 25,2023 Sheet 12 of 15 US 11,633,180 B2 US. Patent Apr. 25,2023 Sheet 13 of 15 US 11,633,180 B2 282 700 \ ae FIG. 16 804 102 292 >¢p 700 pf 6 5 70 FIG. 17 US. Patent Apr. 25,2023 Sheet 14 of 15 US 11,633,180 B2 e700 nm 702 poe O oS Se im 704 704 FIG. 18 12 os 14 en U 710 ye wv 67 m4 US. Patent Apr. 25,2023 Sheet 15 of 15 US 11,633,180 B2 ff 505 re 30 LL) ( me Tt aw FIG. 20 506 S10 FIG. 21 US 11,633,180 B2 1 SURGICAL RETRACTOR SYSTEM AND CLIP-ON JOINT CLAMP BACKGROUND OF THE INVENTION ‘The present invention rolates to retractor systems used during surgical procedures. ‘During surgical procedures, a surgeon typically makes an incision in a patient to access a site of interest for the particular surgical procedure. To maintain clear access to the site of interest, a surgical retractor system is typically utilized. A surgical reactor system typically inchndes a rail lamp, frame connected tothe ral clamp by joint clamp, and retractor blades that are connected to the frame by ‘ditional joint clamps. The rail clamp is commonly secured to. operating table and provides fixed and study support forthe frame and the retractor blades. Each of the compo- nents in atypical surgical retractor system is conventionally ‘mal of stainless stel. Other materials soch as aluminum ang titanium have also been wsed Limitations and disadvantages of conventional and tradi- tional approaches should become apparent to one of skill in the art, through comparison of such systoms with aspects of the embodiments st forth inthe remainder of the present disclosure BRIEF SUMMARY OF THE INVENTION Surgical retractor systems and joint clamps far such surgical retractor systems are shown in andlor described in at least one figure of the present disclosure. Such surgical Feiracor systems, joint clamps, andor other aspects of the present disclosure are set forth more completely in the claims. Advantages, aspects, novel features, as well 23, desails of illustrated embodiments will be more fully under: stood fom the following description and figuees. BRIEF DESCRIPTION OF SEVERAL VIEWS OF ‘THE DRAWINGS FIG. 1 isa perspective view ofa surgical reactor system. ‘having joint clamps per one or more embodiments described herein. FIG. 2is an elevated view of the rail clamp, joint clamps, and cross bar ofthe surgical retractor system shown in FIG. 1 FIG. 3 is a side view of a fist embodiment of a joint clamp for the retractor system shovsn in FIG. 1 FIG. 4 is a exploded view of the joint lamp shown in FIG. 3 IG. 8 is crosssoctional view of the joint clamp shown in FIG. 3 with its eam lever in a locked positon. FIG. 6s cross-soctional view ofthe joint clamp shown in FIG. 3 with its eam lever in an unlocked position, FIG. 7 depicts auiiple views of a sleeve of the joint clamp shown in FIG. 3 FIG. 8 depits multiple views of a set serew of the joint clamp shown in FIG. 3. FIG. 9 depicts multiple views of a cam bolt of the joint clamp shown in FIG. 3, FIG. 10 depicts multiple views ofa fist scissors portion ‘of the joint clamp shown in FIG. 3 FIG. 11 depicts multiple views of @ second scissors portion of the joint lamp shown in FIG. 3 FIG. 12 isa cross-sectional view ofa second embodiment ‘of joint clamp with its cam lever in a locked position. x0 ” 0 “ 2 FIG. 13 is a eross-sectional view of the second embol- ‘ment of joint clamp with its cam lever in an unlocked position FIG. 14 depicts multiple views of « second scissors portion of the joint clamp shown in FIGS. 12 and 13, FIG, 18 is exploded view of a third embodiment of the joint clamp. FIG. 16 is cross-sectional view of the joint clamp shown in FIG. 15 with its cam lever in a locked position, FIG. 17 isa cross-sectional view of the joint clamp shown in FIG, 15 with its cam lever in an unlocked position. FIG. 18 depicts multiple views ofa spring container of the joint clamp shown in FIG. 18. FIG. 19 depicts multiple views ofa cam bolt ofthe joint clamp shown in FIG. 15. FIG. 20s 2 cross-sectional view ofa fourth embodiment of the joint clamp with its cam lever in a locked position, FIG.21 isa eross-Setional view of the joint clamp shown, in FIG, 20 with its cam lever in an unlocked position. DETAILED DESCRIPTION OF THE INVENTION. ‘Various aspects ofthe present disclosure are presented by ‘way of example. Such examples are non-iiting, and thus the scope of various aspeets ofthe present disclosure are not necessarily limited by any particular characteristics ofthe provided examples. In the following, the phrases “for example," “eg,” and “exemplary are non-limiting and are generally syaonymous with "by way of example and not limitation," “for example and not limitation,” and the like. As utilized herein, *andlos” means any one oF more of the items inthe list joined by “andoe™ As an example, “x andlor "means any element of the three-element st (8), (9) (8 9). In other words, “x andor y" means “one or both of x and y." As another example, “sy, andor 2” means any clement of the seven-lement st {() 9). (2) (YO 2, (6.2) (8,¥, 2). In oer words, “x,y andlor 2" means “one or more of x.y, and 2” The temninology use herein is for the purpose of dserb- ing panicular examples only and is not intended 10 be limiting ofthe disclosure, As sed herein, the singulae forms ar intended to include the plural forms as well, unless the context clay indicates otherwise twill be further undee- Stoo thatthe terms “comprises,” “inches,” “comprising.” “including.” “has,” “have,” “having.” andthe ike speci tho presence of stated features, integers, steps, operations, cements, andor components, but do not peeclide the pres ence or kit of one oF more other features, integers, steps, operations, elements, components, andlor groups thereat: "Ahouah the tems ft, second, ete. may be used herein to describe various elements, these elements should not be limite by these terms. These tems are only used to dsin- suis one element from another element. Thus, for example, fit element, a fist component, ora first setion could he ‘tem second element, second component, o second section without dearting from the teachings of the present disclosure Similarly, various spatial terms, such s “upper “ower” “side,” and the like, maybe used in distinguishing one element from another element in a relative manner. However, components may be orienta in differen manners without departing from the teachings of the present dselo- sue, For example, a component may be tuned sideways 50 that its “op” surface foes horizontally adits “side” surface faces vertically US 11,633,180 B2 ES In the drawings, various dimensions (e, thicknesses, widths, longths, ote.) may be exaggerated for iustrative clarity. Additionally, ike reference numbers are utilized to refer o like elements through the discussions of various ‘examples Referring now to FIG. 1, a surgical retractor system 10, ‘may include a frame assembly 1. The frame assembly 11 ‘may secure retractor blades 34, 36 toa surgical table 16 eliminate or reduce movement the reactor Blades 34, 36 relative to and the surgical table 16 and a patient on the surgical table 16, To this end, the frame assembly 11 may include adjustable rail clamps 12, posts 17, cross bars 18, extension arms 19,20, and mult-directional joint clamps 21, 22, 24, 26, 28 (herealter “joint clamp or joint clamps”). A fist adjustable rail clamp 12 may be socured to one side of the surgical table 16. A second adjustable ral clamp (aot shown) may be secured to an opposite side ofthe surgical lable 16 for increased stability. A post 17 may extend vertically from the nil clamp 12 to provide suppor for a 2 ‘ross bar 18 which in tum provides support for a pair of extension arms 19, 20. The cross bar 18 may be secured to the post 17 by a joint clamp 21. The extension ams 19, 20, may'be respectively secured tothe cross bar 18 by a pair of joint clamps 22, arms 19, 20 may be secured directly tothe post 17 by a joint clamp, thus eliminating the emss bar 18 in cersin circum stances Additional joint clamps 26, 28 may be disposed along the extension aris 19, 20, The joint claims 26, 28 may secure retracior blades 34, 36 10 the extension arms 19, 20. Each retractor blade 34, 36 may include a blade portion 42 and a retractor arm 44, The blade portion 42 may extend down- ‘wardly into the incision 46 made by the surgeon and may ‘retract anatomical features to improve the surgeon's access Via the incision 46 to other anatomical features of the patient. FIG. 2 provides an another view ofthe rail clamp 12 and the eros bar 18 of FIG, 1. The el clamp 12 may include a lamp $0 tht may’be secured to the surgical table 16 of FIG. 1. The joint clamp 21 is shown at an upper distal end ofthe post 17. However, he joint clamp 21 may be positioned anywhere along the post 17 soas to positon the oss bar 18 fat an approprite height for a suical procedure, FIG, 2 firther shows the joint clamps 22, 24 at respective positions ‘along the cross bar 18. The joint clamps 22 and 24 may be identical to each other or may differ depending on the intended use of each ofthe clamps 22, 24. Additionally, the joint clamps 22, 24 may each be the same as or differ from ‘the joint clamp 21 on the post 17. Referring to FIGS. 3-11, a fist embodiment of a joint move closer together, the jaws 212, 252 move closer together. Conversely, asthe handles 220, 260 move away fiom each other, the jaws 212, 252 move away from each othe. AS shown, the handles 220, 260 ofthe sissors clamp 200 are separate by a gap 294. A compressive force applied t0 thehandles 20, 260 may move the handles 220, 260 toward ‘one another thus reducing the yap 294 between the handles 220,260, Suc reduction ia the gap 294 eases the scissors portions 210, 250 1 soate about pivor pin 216 this casing the jaws 212, 22 to move toward each other Such move- ‘ment reduces a diameter of the clamping passage 290 forme by the jaws 212, 252 and creates tighter grip on an object such as a frame member, a table post, a retractor handle, ete. passing through the clamping passage 290 Turning now to FIGS, 46, farther details ofthe circle lamp 300 are provided. In particular the crce clamp 300 ‘nay include an upper portion 320 and lower portion 340 conncced at a fulerum 360. The upper portion 320 may comprise an upper srface and 2 lower surface. The upper surfacemay include a frustoconical recess 326 configured to receivea fst washer 370,Furhemore, a cam blthole may extend vertically through th ecess 326 inthe upper sree. ‘The cam bolt hole may have a diameter greater than a diameter ofthe cam bolt 610 to permit passage ofthe cam bolt 610 through the upper portion 320. Moreover, a ongi= tudinal axis of the eam bot hole may be coailly-aligned With longitudinal axis of the frasioconica recess 326 ‘The lower portion 340 may comprise an upper suriae and «ower surface. The lower surface may include a frusio- ‘conical cess 346 configured frustoconical surlace of the bushing 149. Furthermore, a cam bolt bole may extend ‘ersclly through the recess 346 in the lower suriae. The cam bat ole may havea diameter areater than a diameter ofthe cam bolt 610 to pemit passage ofthe cam bolt 610 through the lower porion 340, Moreover, longitudinal axis of the cam bolt hole may be coaxially-alizned with a longitudinal axis ofthe fastoonical recess 346 andthe cam bolt ote ofthe upper porion 320. “The frst washer 370 may lave a generally eyliadsical sbape with «planar upper surface and a fasoconieal lower surface The Instoconieal lower surface may’be configured ” 4s 8 to closely mate withthe frustoconical recess 326 in the upper surface of the ciele clamp 300. As shown, the washer 370, ‘may further include a cam bolt hole tht extends through the planar upper surface and the frustoconical lower suriae, ‘The cam bolt hole may have a diameter greater than a diameter of the cam bolt 610 so as to permit passage ofthe ‘eam bolt 610 through the washer 370, A second washer 380 may be positioned between the first washer 37 and the cam head S10 ofthe cam lever $00, The second washer 380 may have a generally eylindrical-shape With a planar upper surface ad a planar lover surface. The planar lower surface may be configured to closely mate with, the planar upper surface ofthe fist washer 370. Similar to ‘washer 370, the washer 380 may include cam bolt hole that, extends through the planar upper surface and the planar lower surface, The cam bolt hole may have a diameter treater than a diameter of the cam bolt 610 so as to permit, passage of the cam bolt 610 through the washer 380. ‘The circle clamp 300 may further include @ circular clamping passage 390, The circular clamping passage 390, ‘may pass through lateral sides 321 of the upper portion 320 ‘and lateral sides 41 ofthe lower portion 340 at a location proximal the fulerum 360. longitudinal axis of the clamp: ing passage 390 may be perpendicular to the longitudinal axes of the cam bolt holes through the cirele clamp 300, However, in oer embodiments, the circle clamp 300 may orient the longitudinal axis of the clamping passage 390 ifereatly with regard to the longitudinal axes of the cam, bolt oles through the czcle clamp. The clamping passage 390 may permit an object such as a frame member, a table pos, a retractor handle ee. to pass laterally through the circle clamp 300, For example, the clamping passage 390 may be sized to accommodate the cross bar 18 of FIG, 2. As show, the ciele clamp 300 may’ include a gap 380 between the lower surface of the upper portion 320 and the upper surface ofthe lower portion 340, ‘The gap 380 may permit » clamping force to squeeze the circle clamp 300 and tighten a grip oa the object passing through the clamping passage 390. In particular, the clamp ing force may move the upper portion 320 and the lower portion 340 toward one another, thus reducing a circumfer- fence or diameter ofthe clamping passage 390 and constrct- ing the area within clamping passage 390, ‘A third washer 382 may be positioned in the gap 350, between the loser surface of the upper portion 320 and the ‘upper surface of the lower portion 340, The washer 352 may have a generally cylindrical-shape with @ planar upper surface and a planar lower surface, Similar to washer 370, the washer 382 may include a cam bolt hole that extends through the planar upper surfice and the planar lower surface. The cam bolt hole may havea diameter greater than ‘adiameter of the cam bolt 610 to permit passage through the ‘washer 32. The washer 352 may prevent the clamping force from reducing the gap 380 beyond the thickness of the ‘washer 352. In this manner, the washer 382 may operate as ‘8 governor so to prevent an application of an excessive ripping force that could potentislly damage the object passing through the elamping passage 390 andlor cirele clamp 300. As shovin in FIGS. 446, the joint clamp 100 may further include a bushing 400 betwoen the scissors clamp 200 and the citele clamp 300. In particular, the bushing 400 may include a frustoconical upper surface 410, a frustoconical lower surface 420, and a cam bolt hole 480. The upper surface 410 may be configured to engage the ress 346 in the lower potion 340 ofthe circle clamp 300. Similarly, the lower surface 420 may be configured to engage a recess of US 11,633,180 B2 9 the scissors clamp 200, The cam belt hole 430 may pass ‘vray though the bushing 400 and may have a diameter sreterthan diameter ofthe cam bot 610 to permit passage ‘ofthe cam bolt 610 through the bushing 400. longitadinal ‘axis ofthe bushing 400 may bo coaial wih the loogitinal axis ofthe cam bolt 610 andthe longitudinal axis of the ear bolt hole 430. The cam lever $00 may include a cam head $10 and a hhandle $30 connect to the cam head $10. The cam head 10 may be couples an upper end 612 ofthe eam Bolt 610 ‘ia pivot pia 08 tat passes trough pvr holes S12 the «am head 510 and a pivot hole 614 in an upper end 612 of the cam bolt 610. In panicular, the cam head S10 may include two side members $16, 818 that for an interposed chanel cootigured to receive the upper end 612 ofthe cam bolt 610. Each side member 816, 818 may include a pivot hoe S12 thats coaialy aligned with the corresponding pivot hole 812 ofthe other side member $16, §18. The cam pin $08 may passes trough pivot holes $12 in the side ‘member $16, $18 and a pivot hole 614 in an upper end 612 ‘ofthe eam bolt 610, hus coupling the cam bolt assembly G0 to the cam lever 600, ‘As show in FIG. 3, an outer edge ofthe eam head $10 may be eccentic or multzcurved, such thatthe distance between the pivot in 805 and the uppee surface of the washer 380 ineease as the cam lever 00s moved rom its unlocked position of FIG. 6 towards its locked positon of FIG. 8. Hence, movement of the cam lever 500 foals locked position dams the cam bolt 610 upwvaedly through «am bolt hoes inthe elamps 200, 300 and compresses the lamps 200,300 between the outer edge ofthe cam head S10 sand base 620 of the cam bot assembly 600. Compression ofthe resilient claps 200, 300 coostits the aes circum scribed by cylingvical clamping passages 290,390 to seuee

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