Abstract:
A single-use scalpel blade remover ( 1 ) removes a blade ( 33 ) from a tang ( 32 ) of a scalpel ( 30 ) and captures it, in a single-handed operation. The remover ( 1 ) comprises a housing ( 2 ) having a detent ( 16 ), and an actuator ( 3 ) which is operatively juxtaposed with the housing ( 2 ) and moveable alongside the housing in a forward direction from a proximal position (whereat an opening is formed between the proximal ends of the actuator and the housing) to a distal position (whereat the detent ( 16 ) engages the proximal end of the actuator). The blade remover ( 1 ) also includes a cam-operated mechanism ( 14, 23, 20 ) for automatically separating the heel of the blade ( 33 ) from the tang ( 32 ) as the actuator ( 3 ) is moved to the distal position. In use, the blade ( 33 ) on the tang ( 32 ) is inserted in the opening and the actuator is pushed forward by the tang to its distal position, whereupon the detent ( 16 ) engages the proximal end of the actuator ( 3 ) and retains it in its distal position and prevents rearward movement of the blade ( 33 ). As the heel has been separated from the tang ( 32 ), upon withdrawal of the tang from the scalpel blade remover ( 1 ), the blade ( 33 ) is stripped from the tang and retained captively between the actuator ( 3 ) and the housing ( 2 ).

Description:
[0001]     The present invention relates to a scalpel blade remover. In particular, the present invention relates to a scalpel blade remover that enables a blade to be removed from a scalpel and retained in the remover.  
       BACKGROUND ART  
       [0002]     A conventional surgical scalpel typically comprises a reusable, sterilisable elongate handle or haft onto which a replaceable slotted blade is mounted. At the distal end of the handle is a tang that normally includes opposed grooves or channels to receive the blade. Generally the tang is a narrow extension of the handle. The blade has a slot extending longitudinally, which slot has a portion of sufficient width to be received over the tang and a narrower portion at its distal end whereby the edges of the slot are closely received in the opposed grooves. The blade may have a heel that is received in a recess in the handle. The term “heel” is intended to refer to the proximal portion of the blade, i.e. the end portion nearer the user&#39;s hand.  
         [0003]     The handle is intended to be used repeatedly, but the blade is normally discarded after single use, or if the blade becomes dull or contaminated, or if a different style of blade is required. In many operations several blades are required and are typically used successively on the same handle. In order to remove the blade from the handle, the heel portion of the slotted blade must be bent out of its plane (i.e. separated or lifted off the handle), and then the blade may be moved axially along the tang so that the heel portion rides over the tang thereby releasing the tang from the slot.  
         [0004]     Manual removal of the blade can be hazardous. During the manipulation of the blade the operator is put at risk of being cut on the sharp blade. With the ever-increasing spread of blood transmitted diseases such as AIDS and hepatitis, any accidental injury from the blade can result in infection or contamination.  
         [0005]     Many forms of mechanical scalpel blade removers are known. Most of these require two-handed operation, or bending or twisting of the scalpel, rendering them dangerous and/or awkward to use.  
         [0006]     U.S. Pat. No. 5,699,908 describes a cam-operated device for removing the blade from the handle of a scalpel. Our earlier invention is described in U.S. Pat. No. 5,875,533. The devices described in both U.S. Pat. No. 5,699,908 and U.S. Pat. No. 5,875,533 are advantageous as they permit a blade to be removed from the scalpel by moving the scalpel in and out of the device in a substantially linear path, in a single-handed operation. Each such scalpel blade remover allows successive scalpel blades to be removed and stored within a sharps container associated it. The devices described in U.S. Pat. No. 5,699,908 and U.S. Pat. No. 5,875,533 are specifically designed for repeated use, and the withdrawal of the scalpel handle resets the device for further use.  
         [0007]     As mentioned above, many blades may be used in a surgical procedure and theatre protocol requires that all items used during a surgical procedure be accounted for. As the devices of U.S. Pat. No. 5,699,908 and U.S. Pat. No. 5,875,533 are designed for repeated use, and since they store multiple blades within a single container, they render it difficult to account accurately for all blades used during a surgical procedure. Furthermore an operating theatre is a sterile environment and prior to such a scalpel blade remover being introduced to a theatre, it must be sterilised. This is not readily possible with multiple blades being stored within a sharps container unless the container is emptied prior to each sterilisation.  
         [0008]     It is an object of the present invention to provide a scalpel blade remover that overcomes or ameliorates one or more of the disadvantages described above, or which at least provides the consumer with a useful choice.  
       SUMMARY OF THE INVENTION  
       [0009]     In one form, the present invention provides a scalpel blade remover for removing a blade having a heel from a tang of a scalpel, the remover comprising:  
         [0010]     a housing;  
         [0011]     an actuator having a proximal end, the actuator being operatively juxtaposed with the housing and moveable relative to the housing  
         [0012]     from a proximal position whereat an opening is formed between the actuator and  
         [0013]     the housing for receiving therebetween the blade on the tang of the scalpel,  
         [0014]     to a distal position;  
         [0015]     a blade deflecting mechanism for automatically separating the heel of the blade from the tang of the scalpel as the actuator is moved to the distal position; and  
         [0016]     a retention mechanism for engaging the actuator and retaining it in the distal position;  
         [0017]     wherein in use, when the blade on the tang is inserted in the opening and the actuator is pushed forward by the tang to its distal position,  
         [0018]     the blade deflecting mechanism automatically separates the heel of the blade from the tang of the scalpel,  
         [0019]     the retention mechanism engages the actuator and retains it in its distal position and limits rearward movement of the blade, and  
         [0020]     upon withdrawal of the tang from the scalpel blade remover, the blade is stripped from the tang and retained between the actuator and the housing.  
         [0021]     The scalpel blade remover of this invention has the advantages of those described in U.S. Pat. No. 5,699,908 and U.S. Pat. No. 5,875,533, namely the blade can be removed safely and automatically by moving the scalpel handle single-handedly in a simple in-out movement along a linear path. However, unlike the prior art scalpel blade removers, the scalpel blade remover of this invention is single use only, and the removed blade is encapsulated between the housing and actuator. The scalpel blade remover of this invention can therefore be used in sterile environments, and facilitates the counting of used blades.  
         [0022]     In one embodiment, the retention mechanism engages the proximal end of the actuator and remains engaged with that end to thereby retain the actuator in its distal position and limit rearward movement of the blade.  
         [0023]     Preferably, the housing has a resiliently flexible arm which is deflected as the actuator is pushed towards its distal position by the tang of the scalpel. The retention mechanism can be a detent formation on that arm. When the actuator reaches its distal position, the arm springs back and the detent formation engages the proximal end of the actuator with an audible “click”. This click indicates to the user that the detent formation has engaged the actuator, and the scalpel handle can be withdrawn to strip the blade from the tang.  
         [0024]     The detent formation prevents the movement of either the actuator or the blade in the reverse direction. With the actuator retained in the distal position, the scalpel blade remover cannot subsequently be used to remove other blades. In such condition, the scalpel blade remover may be used to readily account for blades used in a surgical procedure. The removed blade is retained within the scalpel blade remover where it is not a sharps risk.  
         [0025]     The detent formation may suitably comprise two spaced sawtooth detents on either side of the opening. The blade of the scalpel may be operatively inserted through the opening between the actuator and the housing in a linear path. On further insertion of the blade, the handle of the scalpel engages the actuator and pushes it towards the distal position. Typically the actuator is engaged by a shoulder adjacent the tang, although the tang itself or other portions of the handle may be brought into engagement with the actuator. As the actuator is pushed in a longitudinal direction towards the distal end of the housing, the blade deflecting mechanism automatically separates the heel of the blade from the tang of the scalpel.  
         [0026]     Other suitable mechanisms may be used to lock the actuator in the distal position, such as a ratchet mechanism, a key mechanism, a catch mechanism, or the like. The retention mechanism may engage the actuator at a location thereon other than its proximal end  
         [0027]     Typically, the blade deflecting mechanism is cam operated. In a preferred embodiment, the blade deflecting mechanism comprises a cam surface on the housing; and a cam follower on the actuator adjacent its proximal end. In use, the cam follower engages with the cam surface as the actuator is moved to the distal position to cause the proximal end of the actuator to disengage the heel of the blade from the tang.  
         [0028]     The housing and the actuator may be two separate pieces. Advantageously however, the housing and the actuator are integrally formed, and a bi-fold portion is connected between the distal end of the actuator and the distal end of the housing. The scalpel blade remover may be manufactured of thermoplastics material by injection moulding. For example, the scalpel blade remover may be conveniently injection moulded from a thermopolymer such as polypropylene or polyethylene.  
         [0029]     The housing is typically of channel section with opposed sidewalls and a web or base portion. The actuator is operatively located within the housing in a snap fit and can be retained therein by tabs on the sidewalls. These tabs also serve to guide the movement of the actuator within the housing. The resiliently flexible arm may be a cantilevered portion of the base.  
         [0030]     The base of the housing may cooperate with the actuator to clasp the distal end of the blade. The distal end of the actuator may be deflected towards the base as it moves to its distal position. The resistance of the resiliently flexible arm to deflection by the actuator clasps the blade therebetween. The resiliently flexible arm may be stiffened with longitudinal reinforcing ribs.  
         [0031]     The opposed longitudinal sidewalls may each be formed with a cam surface projecting from the inner face of the sidewalls. Alternatively the cam surface may be provided as a groove or channel in or extending through the sidewalls. In a preferred configuration the sidewalls may each be formed with a thickened section wherein the ridge of the thickened section acts as the cam surface. Preferably the cam surface is an arcuate or inclined surface that urges the cam follower to be deflected transversely in response to longitudinal movement relative to the housing.  
         [0032]     The proximal end of the actuator may suitably be bifurcated, with a longitudinal slot for receiving the tang, and a pair of legs having guide surfaces for engagement with the blade on opposite sides of the tang. A cam follower is preferably disposed on each of the legs of the bifurcated proximal portion of the actuator, for engagement with a cam surface on a respective sidewall.  
         [0033]     A stop may be provided at the distal end of each cam surface to prevent the actuator from moving beyond the distal position. The stop may preferably be in the form of a step in the cam surface.  
         [0034]     The housing may also include an end wall. The end wall may serve to protect the operator from forcing the blade of the scalpel too far into the scalpel blade remover whereby it unintentionally extends beyond the housing resulting in increased risk of a sharps injury. The end wall may also serve to brace the sidewalls in the desired position.  
         [0035]     The scalpel blade remover can be formed from a translucent or transparent material to allow convenient visibility of the captured blade for positive accounting and confirmation that the device contains a removed blade. It is further preferred that the actuator and the housing be visually distinguishable from each other, such as by the use of materials having differing colours and/or textures, or by application of a paint to at least one of them. This will assist the user in correctly inserting the blade into the device. The blade is then simply inserted between the two distinct components for correct functioning of the blade remover. The scalpel blade remover of the present invention may also include means for instructing a user as to the correct blade orientation to prevent upside down insertion of the scalpel into the scalpel blade remover. The scalpel blade remover preferably allows a user to remove and re-orientate a scalpel in the event of an upside down insertion.  
         [0036]     It is also preferred that actuator and housing be substantially spaced apart in their ready state to provide a visually distinct entry for the blade, and to reduce the precision required in positioning the blade for insertion.  
         [0037]     The scalpel blade remover of the present invention may readily be sterilised by gamma-radiation or other convenient means. A preferred form of sterilisation is to permeate a sealed package containing a scalpel blade remover with ethylene oxide.  
         [0038]     The housing may further include a support or brace between the front ends of the sidewalls, to assist in retaining the sidewalls in position. The support or brace may also serve to guide the scalpel into the opening between the housing and the actuator.  
         [0039]     Advantageously, the scalpel blade remover of the present invention permits a variety of blade types and shapes to be removed from a large number of handle sizes and makes. In a preferred configuration, the scalpel blade remover of the present invention resists the partial removal of a scalpel blade and subsequent jamming. Thus, the scalpel blade remover is less likely to be rendered inoperable as a result of a jammed blade. The scalpel blade remover of the present invention retains the scalpel blade in the housing whereby its subsequent use is prevented. Thus, the number of blades may be readily accounted for by simply counting the number of used scalpel blade removers having a blade therein. As described above, the scalpel blade removers may allow the scalpel blade to be seen through the materials of construction of the housing.  
         [0040]     A plurality of scalpel blade removers of the present invention may be retained within recesses in a holder or sharps container. The holder or sharps container may be adapted to be hand-held for left or right handed use, or may include means for securely mounting the container to a support surface. Advantageously, a large number of scalpel blade devices may be stacked to form a block in the holder that may be considered as a sharps container where each blade is retained in a separate housing. A holder having a stack of scalpel blade removers may be configured such that the removers are retained in the stack or may be removed from the stack once each scalpel blade remover has been used.  
         [0041]     In another form, the invention provides a method of removing a blade from a tang of a scalpel using a scalpel blade remover having a first member, a second member juxtaposed with the first member, the first and second members defining a narrow space therebetween for receiving the blade on the tang, said second member being moveable relative to the first member from the first position to a second position, a blade deflector for separating the heel of the blade from the tang of the scalpel as the second member is moved to the second position, and a mechanism for retaining the second member in the second position; the method comprising the steps of:  
         [0042]     inserting the blade between the first and second members with the blade mounted on the tang of the scalpel;  
         [0043]     engaging the second member with the scalpel;  
         [0044]     applying a force on the scalpel sufficient to move the second member relative to the first member from the first position to the second position, and to cause the blade deflector to separate a heel of the blade from the tang;  
         [0045]     causing the mechanism to retain the second member in the second position; and  
         [0046]     withdrawing the scalpel to strip the blade from the tang and leave it retained between the first and second members.  
         [0047]     Preferably, the step of applying a force includes causing a cam follower on the second member to move along a camming surface of the first member as the second member is moved to the second position. The blade deflector is urged by the cam follower into engagement with the heel of the blade to separate the heel from the tang as the second member moves to its second position, and holds the heel off the tang when the second member is retained at the second position.  
         [0048]     Typically, the step of causing the mechanism to retain the second member in the second position includes engaging the second member with a detent.  
         [0049]     In order that the invention may be more fully understood and put into practice, preferred embodiments thereof will now be described by way of example only, with reference to the accompanying drawings. 
     
    
     BRIEF DESCRIPTION OF THE DRAWINGS  
       [0050]      FIG. 1  is a perspective view of a scalpel blade remover according to one embodiment of the present invention, ready for use.  
         [0051]      FIG. 2  is a perspective view from above of the scalpel blade remover of  FIG. 1 , shown open.  
         [0052]      FIG. 3  is a perspective view from below of the scalpel blade remover of  FIG. 1 , shown open.  
         [0053]      FIG. 4  is a perspective view from the side of the scalpel blade remover of  FIG. 1 , shown open.  
         [0054]      FIG. 5  is a perspective view from the side of the scalpel blade remover of  FIG. 1 , shown partially closed.  
         [0055]      FIGS. 6A  to  6 G are sectional side views of the scalpel blade remover of  FIG. 1  illustrating its operation.  
         [0056]      FIG. 7  is an exploded perspective view of a scalpel blade remover according to another embodiment of the present invention.  
         [0057]      FIG. 8  is a perspective view of a scalpel blade remover of the present invention mounted in a handheld holder for right hand operation.  
         [0058]      FIG. 9  is a perspective view of a scalpel blade remover of the present invention mounted in a handheld holder for left hand operation.  
         [0059]      FIG. 10  is a schematic view of a free standing holder for scalpel blade removers of the present invention.  
         [0060]      FIG. 11  is a perspective view of a wall mounted holder for scalpel blade removers of the present invention. 
     
    
     DESCRIPTION OF PREFERRED EMBODIMENTS  
       [0061]      FIG. 1  shows a scalpel blade remover  1  comprising two main parts, namely a housing  2  and an actuator  3 . In use, the actuator  3  is disposed within the housing  2 . The scalpel blade remover  1  will be described with reference to its horizontal orientation as shown in the drawings. However, the blade remover can be used vertically or in any other suitable orientation, and the interpretation of the terms such as “upper”, “lower”, “above” and “below” as used herein is to be varied accordingly.  
         [0062]     The housing  2  has two opposed sidewalls  4 , an end wall  5  at one end (hereafter referred to as the “distal end”), a base  6  spanning between the side walls for part of their length from the end wall, and a bridge or brace  7  which is co-planar with the base and extends between the sidewalls  4  at the other end (hereafter referred to as the “proximal end”). The base  6  has a cantilevered portion which extends towards the brace  7  and forms a leaf spring  8 .  
         [0063]     Inwardly extending retaining lugs  9  are provided on the sidewalls  4  intermediate their ends. Corresponding cut-outs or slots  10  are provided in the longitudinal edges of the actuator  3  to permit the actuator to pass between the lugs  9  and nest within the sidewalls  4 .  
         [0064]     A first pair of pawl-like retaining lugs  11  are provided near the upper edge of respective opposite sidewalls  4  in the proximal region of the housing. A second pair of pawl-like retaining lugs  12  are provided at about mid-height on respective opposite sidewalls  4  near the distal end. The inwardly-extending lugs  11 ,  12  have tapered inside faces and form ratchet-like sawtooth detents. The housing  2  and actuator  3  are made of stiff, but resiliently flexible plastics material. The flexibility of the sidewalls  4  permits the actuator  3  to be press fit between the opposed pairs of retaining lugs  11 ,  12 , whereupon the lugs  11 ,  12  retain the actuator  3  within the housing  2 .  
         [0065]     Flanges  13  extend inwardly from the upper edges of the sidewalls  4  adjacent their junction with the end wall  5 . Each flange  13  serves as a retaining lug and has a downwardly tapering cam surface under it.  
         [0066]     The sidewalls  4  each have a downwardly facing cam surface  14  thereon, each cam surface  14  terminating in a stop  15 .  
         [0067]     The leaf spring has a detent formation in the form of a pair of catches or detents  16  in the region of its free end. These detents are of sawtooth longitudinal section, with abrupt faces on their distal side and slopes on their proximal sides. The detents  16  also have a scalloped portion  17  between them, and the brace  7  is provided with a chamfered or scalloped landing pad  18 , to guide a scalpel into the slot formed between the housing  2  and the actuator  3  as described below.  
         [0068]     The proximal end of the actuator  3  is bifurcated into two legs  20  on opposite sides of a slot  21  dimensioned to receive the tang of a scalpel handle. Each leg  20  has an inner guide portion with a tapered edge at its proximal end, and an outer guide rail  22  thereon. The actuator  3  is provided with a pair of cam followers  23 , each positioned on the outside of a respective leg  20  of the actuator  3  at the proximal end thereof. The actuator also has a transverse bridge  24  at the distal ends of the legs  20 . The bridge  24  has a tunnel  25  therein dimensioned to receive the tang of the scalpel handle.  
         [0069]     Preferably, the scalpel blade remover  1  is integrally formed as a single piece by injection moulding, with the actuator  3  and housing  2  joined by an articulated connection, such as a bi-fold join. The bi-fold join is formed by a flap  27  hingedly connected to the end wall, and a neck portion  28  hingedly connected to the actuator  3 , the flap  27  and neck portion  28  being connected but pivotable relative to each other about a transverse axis at their connection. The neck portion  28  is of reduced width and dimensioned to fit between the flanges  13 .  
         [0070]     When manufactured as a single piece by injection moulding, the scalpel blade remover is normally in an open configuration as shown in  FIG. 4 . It is configured for use by first folding the actuator  3  until the flap  27  rests on the flanges  13  as shown in  FIG. 5 . The neck portion  28  is then folded at the fold lines at its ends to pass between the flanges  13 , and the actuator is pressed into the housing  2 . The slots  10  are aligned with the lugs  9  to permit the actuator to be received within the housing. The actuator  3  is snap fitted past the retaining lugs  11 ,  12  which then retain the actuator within the housing, ready for use, as shown in  FIG. 1 . It is to be noted that on assembly, the actuator is in a proximal position, i.e. nearer to the brace  7 . Due to the bi-fold connection of the neck portion  28 , the actuator is able to move longitudinally within the housing to a distal position, i.e. further from the brace.  
         [0071]     On assembly, the high points of the detents  16  on the leaf spring  8  abut the actuator  3  and bias it to its rest position against the lugs  11 . The detents  16  also space the leaf spring  8  from the actuator  3 , and create a visible opening or mouth for the insertion of a scalpel blade. The actuator may have a marking or other sign thereon showing the correct orientation of the scalpel handle for entry into the opening, as depicted in  FIG. 1 . This sign may be moulded into the actuator at manufacture.  
         [0072]     The operation of the scalpel blade remover  1  is illustrated in  FIGS. 6A  to  6 G.  FIG. 6A  is a top view of the scalpel blade remover  1  ready for use. A scalpel  30  is about to be inserted into the scalpel blade remover  1 . The scalpel  30  includes a handle  31  with a tang  32  at the distal end thereof. A scalpel blade  33  is shown attached to the tang  32 .  FIG. 6B  shows the scalpel blade remover  1  in cross section.  
         [0073]      FIG. 6C  is a plan view of the scalpel  30  engaging the scalpel blade remover  1 , and  FIG. 6D  is a cross section of  FIG. 6C . The scalpel is inserted into the scalpel blade remover  1  in a substantially linear path. The distal end of the scalpel (blade side down) is passed over the brace  7  and received in the “mouth” formed by the opening between the housing  2  and the actuator  3 . The tang  33  is received in the slot  21  between the legs  20 , while the blade passes under the guide portions of the legs  20 .  
         [0074]     As the scalpel  30  is pushed into the scalpel blade remover  1 , the tang passes into the tunnel  25  below the bridge  24  (as shown in  FIG. 6E ), and begins to deflect the leaf spring  8  downwardly. The blade is slightly arched as the leading portion of the blade is deflected downwardly by the actuator (held down by the lugs  12 ). When the heel of the blade clears the brace  7 , the guide portions of the actuator legs  20  begin to deflect the heel  34  of the blade  33  downwardly off the tang.  
         [0075]     As the scalpel is pushed further into the scalpel blade remover, the handle abuts against the bridge  24  and pushes the actuator longitudinally along the housing  2  towards a distal position, shown in  FIG. 6F . This causes the cam followers  23  on the actuator legs  20  to follow the respective cam surfaces  14 , deflecting the legs  20  downwardly and positively lifting the heel of the blade  33  off the tang  32 . As it moves forward, the actuator rides over the detents  16 , bending the leaf spring  8 .  
         [0076]     The forward longitudinal motion of the actuator  3  is limited by its cam followers  23  reaching the cam stops  15 . However, shortly before this limit is reached, the free ends of the actuator legs  20  clear the detents  16  on the flexed leaf spring  8 , permitting the leaf spring and detents to snap back behind the blade and the actuator legs  20  with an audible “click” sound. The detents  16  engage and hold the actuator  3  in its distal position. The blade is sandwiched between the actuator  3  and the housing  2 , with the heel of the blade separated from the scalpel tang. The click sound serves as a signal to the user that the blade has been captured and the handle can be withdrawn form the scalpel blade remover.  
         [0077]      FIG. 6G  shows the handle  31  of the scalpel  30  being withdrawn from the scalpel blade remover  1 . Since rearward motion of the blade is prevented by the detents  16 , and the heel of the blade is separated from the tang, the blade is stripped from the tang as the handle is withdrawn, leaving the blade securely held between the engaged actuator  3  and housing  2 .  
         [0078]     The detents  16  prevent the actuator returning to its start position, and hence prevent the device being re-used. The illustrated scalpel blade remover is a single use device which retains a single blade, enabling such blades to be easily accounted for. Moreover, the scalpel blade remover can be provided in a sterile envelope or packet for use in theatre. The scalpel blade remover also has the advantages of safe operation, economy of manufacture and ease of use.  
         [0079]     In another embodiment of the invention, shown in  FIG. 7 , the housing  2  and actuator  3  are formed as two separate parts. This embodiment is generally similar to that of  FIGS. 1-4 , but with the omission of the bifold hinge. The same reference numerals have been used in  FIG. 7  for corresponding parts of the embodiments of  FIGS. 1-4  and  FIG. 7 . The scalpel blade remover of  FIG. 7  can be used in the same manner as the scalpel blade remover of  FIGS. 1-4 .  
         [0080]     The scalpel blade remover of this invention may be mounted in a handheld holder  40  as shown in  FIG. 8 . The holder  40  is made from a suitable material, such as folded lightweight sheet metal, or rigid plastics material. The holder includes a handle  41  for the operator to grip. The handle  41  maintains the user&#39;s hand at a safe distance from the scalpel, and is bent downwardly so that the hand is shielded. The holder  40  has a channel portion with splayed walls  42 . Each wall  42  has a vertical slot  43 . The scalpel blade remover  1  is provided with a pair of mounting lugs  29  on opposite ends of the brace  7 . The scalpel blade remover  1  is mounted in the holder  40  by sliding the mounting lugs  29  down into respective slots  43 , to sit in the bottom of the channel. The scalpel blade remover  1  is thereby retained securely and safely in the holder. After use, the scalpel blade remover can simply be removed from the holder by lifting the mounting lugs  29  out of the slots  43 .  
         [0081]     The scalpel blade remover is reversibly mountable in the holder  40 , allowing it to be used for left and right handed operations as shown in  FIGS. 8 and 9 .  
         [0082]      FIG. 10  shows a freestanding base  50  into which scalpel blade removers  1  may be inserted for vertical use. The freestanding base  50  includes slots  51  in which scalpel blade removers  1  are retained. The scalpel blade removers  1  retained in the freestanding base  50  may be used in situ, i.e. with the scalpel  30  inserted whilst the scalpel blade remover  1  is retained in the freestanding base  50 . Once the scalpel  30  is inserted such that actuator  3  is in the distal position, the scalpel blade remover  1  and the scalpel  30  may be removed from the freestanding base prior to the scalpel being withdrawn from the scalpel blade remover. The used scalpel blade remover  1  may be disposed of in a kidney dish  52  or any other convenient means.  
         [0083]      FIG. 11  shows a fixed wall-mounted base  60  for horizontal use having a number of slots  61  for retaining scalpel blade removers  1 . The mounted base  60  may be used in much the same manner as the freestanding base  50  shown in  FIG. 10 .  
         [0084]     Those skilled in the art will appreciate that the invention is not limited to the exact constructions and operation shown and described above, but includes all suitable modifications and equivalents within the scope of the claims which are to be regarded as including such equivalent constructions insofar as they do not depart from the spirit and concept of the invention. The terms “comprising” and “comprises” as used herein, are to be interpreted in the inclusive sense where the context permits.