A retractor for performing surgery, for instance cardiac surgery on the coronary organs of a patient, which has a driving member to which the surgeon input is applied in the form of a mechanical force or torque, a thoracic structure engaging member which interfaces and retracts the patient's thoracic structure when surgeon input is applied to the movable driving member, and a surgeon input load-reducing and load-normalizing mechanism provided in at least one mechanical interface between retractor components where relative motion therebetween occurs. The load-reducing and load-normalizing mechanisms are preferably non-lubricated, thereby tending to ensure an inert and sterile environment during surgery. The retractor is comprised of a locking arrangement allowing a retractor spreader arm to be secured at any longitudinal position along the rack bar, independently of the pinion's position. The thoracic retractor according to this invention tends to improve the efficiency and safety of surgery by reducing the surgeon input required to achieve retraction, and by allowing said input to be applied more uniformly and in a controlled manner free from sudden movements through the normalization of retractor variables.

A surgical assisting instrument and device having an elongated rectangular u-shaped body with fasteners extending outward therefrom. These fasteners can be of any number and mounted on the top or sides of the body. The body is affixed vertically on the long handle of a tenaculum or other similar elongated handles of surgical clasping instruments. This permits such surgical clasping devices to be anchored or braced onto a fixed surgical device to provide the surgeon with auxiliary clasping and holding assistance.

Systems and methods for creating space within the chest cavity to more easily perform minimally invasive cardiac procedures.

A cannulation system for cardiac support uses an inner cannula disposed within an outer cannula. The outer cannula includes a fluid inlet for placement within the right atrium of a heart. The inner cannula includes a fluid inlet extending through the fluid inlet of the outer cannula and the atrial septum for placement within at least one of the left atrium and left ventricle of the heart. The cannulation system also employs a pumping assembly coupled to the inner and outer cannulas to withdraw blood from the right atrium for delivery to the pulmonary artery to provide right heart support, or to withdraw blood from at least one of the left atrium and left ventricle for delivery into the aorta to provide left heart support, or both.

A cannula assembly (120) provides access to an interior body region (22). The cannula assembly defines a lumen (24) having a distal region (30). The lumen includes a bend in the distal region to guide deployment in the body region. A closure assembly (44, 46, 48) can be provided to open, and close the cannula assembly to fluid flow.