A method of facilitating access to a neonate through a caesarean incision in the woman's abdomen by opening the incision, includes providing a supporting ring dimensioned to allow delivery of a neonate through the ring and comprising a non-adjustable pelvic-region retractor and handle fixed to the supporting ring and articulating the supporting ring to insert the non-adjustable pelvic-region retractor into the incision to cover and hold back the woman's bladder with the supporting ring disposed over the woman's abdomen. A first adjustable saddle-shaped retractor is then inserted into the incision to cup a first section of abdominal tissue on an abdominal side of the incision, before attaching the first adjustable saddle-shaped retractor to the supporting ring while it is cupping the first section of abdominal tissue at a first position spaced apart from the non-adjustable pelvic-region retractor to anchor the supporting ring to the woman and partially open the incision.

Apparatus for placement in an incision of a natural body opening comprises a retractor having a sleeve (655, 656, 657) and a guard device comprising overlapping petals (662) depending from a mounting ring (661). The guard device is movable by the retractor from an insertion configuration to a deployed configuration as the retractor sleeve is moved to the retracting configuration.

A retractor in accordance with embodiments of the invention comprises a retractor element and a retractor arm releasably connectable to the retractor element. A first connector structure on the retractor arm includes a first end portion having a first edge, a first pin slot extending into the first end portion from the first edge, and a first lock well in the first pin slot. A second connector structure on the element includes an end portion having an aperture, the end portion configured to receive the first connector structure at a connected position with the aperture aligned with the first lock well of the first connector structure. The lock includes a first cam and is rotatable between a release position and a lock position. The cam is configured such that (1) when the lock is in the release position the end portion of the second connector structure can be moved to the connected position with respect to the first connector structure with the first cam passing through the first pin slot and into the first lock well of the first connector structure, and (2) when the lock is in the lock position the first cam engages the first end portion of the first connector structure to resist withdrawal of the first end portion of the first connector structure from the second connector structure.

A device for creating an intercostal transcutaneous access to an, in particular endoscopic, operating field including a base body, which closely surrounds an incision all-side frame-shaped and with at least two webs mounted on the base body, which can be introduced into an intercostal space, by which two ribs arranged next to each other can be moved apart. To create a device for creating an intercostal transcutaneous access to an, in particular endoscopic, operating field which allows individual pressing apart of the ribs, it is proposed according to the invention that the at least two webs are mounted adjustable relative to each other on the base body.

A tubular retractor securement frame is disclosed including a mounting bracket, two flexor arms, and a device emplacement oriented to receive and hold in-place a surgical tool. The mounting bracket includes an elastically deformable plate, rails extending about orthogonal from the elastically deformable plate and about parallel to one another, and receptacles facing one another in the rails which are arranged to receive a retractor arm extending from a tubular retractor at a fixed angle. The flexor arms extend from the mounting bracket adjacent to the rails. The flexor arms are positioned so as not to occlude visualization through the tubular retractor and such that applying pressure to flex the flexor arms toward one another shifts the rails to accept or remove the retractor arm into or from the receptacles, and releasing the pressure reverts the rails so as to inhibit the retractor arm from being inserted or removed.

A multi-functional soft tissue wound protective sleeve includes: a waste collection bag including a bottom patch and a surface patch connected to form a cavity; a bottom ring to be inserted into a human body, to push away human tissues surrounding the bottom ring to form a surgery space; a flip ring located above the waste collection bag and having an adjustable distance with the bottom ring, to prevent waste from touching a surgical surface; a medical inner membrane connecting the bottom ring to the flip ring and defining a surgery channel to the surgery space; a positioning ring sealed with a hole edge of the surgery through-hole on the bottom patch; and a medical outer membrane connecting the positioning ring to the flip ring so as to guide waste escaping the surgery channel over the flip ring to flow into the waste collection bag.

A channel retractor with one or more gate tracks to receive one or more slide gates to hold one or more extended retractors away from the surgical access channel running through the extended retractor. The distal ends of the one or more extended retractors held by the one or more slide gates holding tissue distal to the end of the channel retractor to maintain an extended access channel beyond the distal end of the channel retractor. The channel retractor assembly may be used to hold open an extended access channel through the psoas muscle to allow access to the spine or through other tissue in other surgical access techniques.

A surgical access system includes a connector including an arm having first and second end portions, a coupling element having a body portion defining a cavity therein, and a gear assembly. The gear assembly includes a first gear disposed within the cavity of the coupling element and a second gear non-rotatably disposed at the first end portion of the arm. The first and second gears are meshingly engaged with each other such that rotation of the first gear results in rotation of the second gear which, in turn, causes the arm to pivot with respect to the coupling element.

A surgical retractor has a shaft with an integral blade. The shaft and the blade are joined at an angle. The blade has an upper surface. A plurality of LED lights are embedded within the blade and are exposed at the upper surface. The blade surrounding the LED lights is opaque. The retractor may further include a camera mounted on the blade. Also disclosed is a surgical retractor kit including a mounting ring, at least one of the aforementioned surgical retractors, and a coupler for releaseably mounting the retractor to the ring.

Several methods to reduce surgical site infections include inserting a surgical access device into an incision, retracting tissue, and introducing fluid into the surgical access device such that the fluid exits the surgical access device and irrigates a surgical site. Other methods do not include introducing fluid into a surgical access device but include suctioning a fluid into the surgical access device and removing the fluid from the body.