Finochietto Rib Spreader

Finochietto Rib Spreader

This surgical instrument for cardiology may lead to certain side effects in rare cases. These include:

  • Rib Fracture: Improper placement or excessive force during rib spreading can result in rib fractures. This is more likely to occur in cases where the ribs are already weakened, such as in patients with osteoporosis or compromised bone density.
  • Nerve Injury: The insertion and spreading of the rib spreader carry a risk of nerve damage. Nerves running along the ribs or in the surrounding tissues can be compressed, stretched, or injured during the procedure, leading to temporary or permanent nerve dysfunction.
  • Vascular Injury: In rare cases, blood vessels near the ribs can be damaged during rib spreading, resulting in bleeding or injury to major vessels. This can lead to complications such as hematoma formation or vascular compromise.
  • Pain and Discomfort: The use of a rib spreader can cause postoperative pain and discomfort. This can be managed with appropriate pain medications, but it may take time for the ribs and surrounding tissues to heal and for the discomfort to subside.
  • Infection: Just like in any surgical procedure, there remains a chance of infection at the surgical site. Strict adherence to sterile techniques and proper wound care can help minimize the risk of infection.

The Finochietto Rib Spreader is a surgical instrument used to separate and hold open the rib cage during thoracic surgery. It is named after its inventor, Dr. Enrique Finochietto. This instrument consists of a series of blades or prongs that are inserted between the ribs and gradually expanded to create a wide opening, allowing access to the organs within the thoracic cavity.


This instrument is commonly used in thoracic surgeries such as open-heart procedures, lung surgeries, and certain chest wall reconstructions. It provides a clear surgical field, allowing the surgeon to access and operate on the organs or structures within the thoracic cavity, such as the heart, lungs, or major blood vessels.


The Finochietto Rib Spreader features a double-prong design with a ratchet mechanism that allows the surgeon to control the degree of rib separation. The prongs are gently inserted between the desired ribs and then gradually expanded to achieve the desired thoracic exposure. Once the ribs are adequately spread, the rib spreader is locked in place to maintain the opening throughout the surgical procedure.