Rib spreader
A rib spreader, also known as Finochietto retractor, is a type of retractor specifically designed to separate ribs in thoracic surgery. Rack-and-pinion-type stainless steel rib spreaders were an innovation introduced by French surgeon Theodore Truffier in 1914. This was modified in 1936 by Argentinian surgeon Enrique Finochietto to have blades and a hand-cranked lever to both separate the arms in a staged fashion and lock them in place at each stop. The Burford–Finochietto rib spreader has replaceable blades. The Truffier and especially the Burford–Finochietto are ubiquitous in open thoracic surgery. Recently, a new intelligent, automated rib spreader in development demonstrated results superior to the Finochietto-style retractors.