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Modular Retractor for Hip Replacement Surgery Hassan Atassi (BME), Azni Nabela Wahid (ME), Mohamed Osman (BME), Noor Naziha Mohd Lazim (BME/EE), Mohammad Zulfadhli Zolkaffly (EE) Department of Biomedical Engineering, Department of Electrical Engineering, Department of Mechanical Engineering, Vanderbilt University Sponsor: Dave Martinez, Dr. Michael Christie Problem Statement Design a Modular Retractor to remove inefficiencies in the current retractor instrument in order to decrease the number of instruments needed in in hip replacement surgery as well as to make hip surgery more efficient and safer. Background Purpose Device Design STANDARD HIBBS Create a proof of concept modular retractor (Hibbs) that incorporates: • Alterable handle length & blade depth • Interchangeable handle types and tips • Ergonomic handle • Adipose tissue accessory Model Handle Length Blade Depth Blade Width Standard 8” 3” 1.5” Medium 9.75” 4.5” 1.5” Extra Large 13” 6.5” 1.5” MODULAR RETRACTOR Modular Retractor Handle Length Blade Depth Blade Width 7.68” 4.67” 1.53” 8.49” 5.26” 9.3” 5.85” 10.11” 6.44” 10.92” HIP REPLACEMENT SURGERY Every year approximately 300,000 hip replacement surgeries occur in the United States. This number is expected to grow to 600,000 by 2015. 11.73” SURGICAL RETRACTOR • Used to Actively separates the edges of a surgical incision or wound to create a larger working area for the surgeon and limit incision size. • Available in variety of sizes and shapes: Choice depends surgeons training/ patient Safety & Costs Safety Concerns • Protruding plunger could damage tissue • Small potential for components to unintentionally dislodge Cost PROBLEMS • Multiple versions of the same retractor needed to do the same job because of varying patient size. Plunger Locking Mechanism (JW Winco) Adipose Accessory Attachment Mechanism • Limited Size Permutations: never exact fit to patient size. • Decreased surgeon field of view (too large) • Ineffective & causes injury (too small) Labor: 𝟔 𝒎𝒐𝒏𝒕𝒉𝒔 × Prototype = $860 (Quick Parts) Plunger= $29.76 (JW Winco) Total Cost: 11,689.76 × 𝟓 𝒆𝒏𝒈𝒊𝒏𝒆𝒆𝒓𝒔 = $𝟏𝟎, 𝟖𝟎𝟎 Acknowledgement • Adipose tissue wraps around retractor making it inefficient. • Handle is uncomfortable to grasp during long surgery. • Average user changes hand position every 71 seconds 𝒘𝒌𝒔 𝟔𝒉𝒓𝒔 $𝟏𝟓 𝟒 × × 𝒎𝒐 𝒘𝒌 𝒉𝒓 Detachable Adipose Accessory TOP: Longest , BOTTOM: Shortest We would like to thank Dave Martinez, Dr. Michael Christie, Dr. Paul King, Dr. Joel Barnett, & St. Thomas Hospital for their support in the completion of this project.