Large-Format, Symmetrical Rake Retractor for Powerful Deep Tissue Retraction in Extensive Surgical Fields
The ALM RETRACTOR 10.0 CM is a medical device of CE Class I according to ISO 13485:2016. This large-scale variant of the classic Alm retractor combines the proven symmetrical 4x4 prong design with a significant length of 10.0 cm. It is designed for extremely powerful and stable retraction of dense muscle, fascial, and soft tissue in deep and extensive surgical approaches.
Product Highlights:
✔ Certified according to ISO 13485:2016
✔ CE marking Class I (Directive 93/42/EEC)
✔ Large, symmetrical 4x4 prong design for maximum holding power
✔ Robust, sharp prongs for deep purchase in dense deep tissue
✔ Significant length: 10.0 cm for superior leverage and reach
✔ High-quality Stainless Steel 1.4301 – rust-proof and biocompatible
✔ Verified biocompatibility according to ISO 10993
✔ High-strength, reinforced spring mechanism for extreme load
✔ Sterilizable and reusable (autoclavable)
Advantages of the Alm 10.0 cm Retractor:
• Superior Depth Penetration and Leverage: The 10.0 cm length allows for reaching and powerfully retracting tissue in the deepest surgical layers where shorter instruments fail. The leverage significantly reduces the surgeon's physical effort.
• Symmetrical, Broad Force Distribution: The 4x4 prong design ensures absolutely even pressure over a large tissue area. This minimizes point overloads and enables stable control of large tissue masses (e.g., entire abdominal wall musculature).
• Indispensable for Large Approaches: The standard instrument for extensive laparotomies, major trauma reconstructions (pelvis, spine), and orthopedic revision surgeries where conventional retractors are insufficient.
• Maximum Stability: The reinforced construction is designed for the high forces required when retracting muscle groups or bridging large wound gaps.
• Efficient Exposure: Often eliminates the need for an additional assistant to hold retractors in depth.
Technical Specifications:
• Model: ALM Retractor, sharp, large
• Type: Large-format, symmetrical spring retractor for deep tissue
• Total Length: 10.0 cm
• Prongs: Symmetrical, sharp; 4 prongs on each side (4x4)
• Material: Stainless Steel 1.4301 (high-gloss polished)
• Mechanism: High-strength, industrially reinforced spring for long-term use
• Special Feature: Instrument for maximum retraction force in Visceral, Trauma, and Orthopedic Revision Surgery
• Risk Class: I according to Directive 93/42/EEC
• Reprocessing: Fully autoclavable; requires intensive cleaning of the long spaces between prongs
Areas of Application:
• Extensive median or paramedian laparotomies
• Large approaches in trauma surgery (e.g., management of complex pelvic and acetabular fractures)
• Orthopedic revision and tumor surgery with large soft tissue excisions
• Thoracotomies for retraction of intercostal muscles
• Major urological or gynecological oncological procedures with pelvic/abdominal approaches
Important Safety Notes:
• FOR USE BY HIGHLY EXPERIENCED SURGEONS IN LARGE AND DEEP SURGICAL FIELDS ONLY.
• CRITICAL PRE-USE INSPECTION: Due to its length and the high forces involved, a thorough inspection for bending, micro-cracks (especially at the spring and hinges), and sharp prong tips is mandatory before each use.
• EXTREME CAUTION: The instrument generates enormous holding power. Imprecise placement or excessive tension can cause massive tissue crushing, muscle tears, nerve compression, or vascular injury.
• Due to the long lever, never apply lateral bending forces to avoid permanent deformation or breakage.
• Retraction force must be applied with utmost awareness and control. Prolonged ischemia of the grasped tissue must be strictly avoided – periodic release is mandatory.
• Reprocessing presents a particular challenge due to the size and tight spaces between prongs, requiring a strict protocol.
• Discard immediately at the slightest sign of material fatigue, deformation, or functional failure.
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