High-Performance Thoracic Retractor for Maximal Sternal and Rib Spreading in Complex Cardiac and Thoraco-Abdominal Procedures
The CORYLLOS RETRACTOR 108 mm x 43 mm / 24.0 cm is a Class I medical device manufactured according to ISO 13485:2016. This exceptionally large and deep variant of the Coryllos retractor is designed for the most demanding thoracic and sternal approaches, where maximal, stable, and gentle exposure of the mediastinum, great vessels, or thoracolumbar junction region is required. Its monumental design offers unparalleled stability for mega-procedures.
Product Highlights:
✔ Manufactured in accordance with ISO 13485:2016
✔ CE Marked – Class I (Regulation (EU) 2017/745 – MDR)
✔ Monumental Coryllos blade (108 mm long, 43 mm deep/wide) for ultimate contact area and stability
✔ Perfect lever length of 24.0 cm for optimal force transmission and control
✔ High-quality, solid high-performance steel – engineered for extreme forces during lengthy procedures
✔ Deep, anatomically shaped blade profile for optimal seating on multiple ribs or the entire sternum
✔ Reinforced, rounded blade edges with a prominent "lip" to prevent slipping and ensure even pressure distribution
✔ Extra-robust, large-volume double-handle or single-handle construction for powerful application
✔ Deep-matte, reflection-free surface
✔ Special heat treatment for maximum shape stability and fatigue resistance
✔ Sterilizable and designed for continuous use in high-performance surgery
Benefits of the Coryllos Mega Retractor:
• Maximal and Stable Thoracic Exposure: Enables the widest and most stable spreading for complex procedures such as heart transplants, aortic arch replacement, extracorporeal membrane oxygenation (ECMO) candidacy procedures, or extensive tumor resections in the mediastinum.
• Optimal Force Distribution: The extremely deep and wide blade distributes the spreading force over a maximum bone contact area, drastically reducing the risk of rib fractures, sternal dehiscence, or cartilage damage.
• Ideal for Re-Operations and Difficult Anatomy: Particularly valuable in re-sternotomies, where adhesions and increased tissue fragility are present, or in patients with large thoracic volume.
• Reduced Instrument Changes: Due to its size, it can often replace two smaller retractors, speeding up workflow and optimizing assistant requirements.
• Protection of Mediastinal Structures: The special shape and large contact area minimize the risk of slipping and consequent injury to the heart, great vessels, or lungs.
Technical Specifications:
• Type: Coryllos Mega Retractor / High-Performance Thoracic Retractor
• Blade Dimensions: 108 mm (Length) x 43 mm (Depth/Width)
• Overall Length: 24.0 cm
• Blade Shape: Extremely deep, wide, and strongly concave, with anatomical contouring and a pronounced, rounded lip
• Material: Solid high-performance surgical stainless steel (e.g., 1.4441 or comparable alloy)
• Surface Finish: Deep matte (Super-Satin Finish)
• Handle: Extra-robust single-handle design with broad bearing surface or double-handle (depending on variant)
• Sterilization: Autoclavable up to 138°C (Steam Sterilization)
• Packaging: Individually packed in a robust, sterilizable protective sleeve with form support
• Risk Class: I according to Regulation (EU) 2017/745 (MDR)
Areas of Application (for Maximal Procedures):
• Complex cardiac surgical procedures (heart transplantation, mechanical circulatory support systems, complex aortic surgery)
• Thoracic surgical mega-procedures (extrapleural pneumonectomy, resection of large mediastinal tumors)
• Combined thoraco-abdominal vascular procedures
• Extensive ventral spinal approaches for deformities or tumors
• Revision and re-operation procedures in the thoracic region
Critical Safety and Handling Information (ESSENTIAL):
• FOR USE BY HIGHLY EXPERIENCED CARDIAC, THORACIC, OR VASCULAR SURGEONS IN SPECIALIZED CENTERS ONLY.
• Teamwork and Gradual Spreading: Use requires coordinated teamwork. Spreading must be performed slowly, gradually, and under constant visual control. Stop immediately and check positioning if resistance increases.
• Precise Anatomical Placement: Requires exact knowledge of thoracic anatomy. Misplacement can lead to catastrophic injuries of the great vessels, heart, or multiple serial rib fractures.
• Absolute Control of Forces: Even with this robust instrument, force must be applied in a dosed and conscious manner. It is a retractor, not a levering or spreading tool for other purposes.
• Rigorous Material Inspection: Before EACH use, a meticulous inspection for micro-cracks, deformations, or signs of material fatigue, especially at the highly stressed transition points, is MANDATORY.
• Specialized Reprocessing: Due to its size and weight, manual pre-cleaning and gentle, separated automated reprocessing in large mesh trays are required to avoid collision damage.
• Sterilization Logistics: Requires priority handling and special, large-format sterilization containers.
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