WO2001045568A1 - Adjustable surgical wound protector and retractor - Google Patents
Adjustable surgical wound protector and retractor Download PDFInfo
- Publication number
- WO2001045568A1 WO2001045568A1 PCT/US2000/034578 US0034578W WO0145568A1 WO 2001045568 A1 WO2001045568 A1 WO 2001045568A1 US 0034578 W US0034578 W US 0034578W WO 0145568 A1 WO0145568 A1 WO 0145568A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- retractor
- sleeve
- incision
- ring
- surgical wound
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0293—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with ring member to support retractor elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00544—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00535—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
- A61B2017/00557—Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated inflatable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3419—Sealing means between cannula and body
Definitions
- the present invention relates generally to improvements in surgical wound protectors and retractors, and more particularly to a surgical wound protector and retractor which can be precisely adjusted to accommodate different thicknesses of incision walls.
- Minimal laparoscopic surgery has become a method of surgery preferred both by patients and surgeons because there is less trauma associated with large incisions and the healing time is significantly shorter.
- Laparoscopic instruments are inserted through puncture wounds into the body cavity and externally manipulated while viewing images within the cavity on a TV monitor.
- a modified form of laparoscopy referred to as hand-assisted minimal invasive surgery, allows one hand to be inserted within the cavity through an additional small muscle-splitting incision.
- the advantages to this are that it affords a bio-physical feedbac through the hand as the instruments are manipulated, and enables the surgeon to palpate internal organs during the operation.
- the size of the incision is just sufficient to allow the surgeon's hand to pass into the cavity.
- An incrementally adjustable wound protector such as disclosed in U.S. Patent 5,524,644 to Berwyn M. Crook is installed in the incision and acts as a barrier against bacteria or harmful contaminants from the surgeon's hand, instruments or foreign matter during surgery which may otherwise contact the incision wall.
- the wound retractor comprises a pliable sleeve of thin material impervious to such contaminants.
- the sleeve is secured at opposite ends around inner and outer pre-formed resilient O- rings.
- the O-rings are sized to engage the inner and outer edges of the incision and the sleeve length must exceed the thickness of the incision wall.
- the inner ring is inserted through the incision and spreads into contact with the inner edge of the incision.
- the outer ring is then turned outwardly about its circular axis onto the outer end of the sleeve until the sleeve is contiguous with the incision. Each complete turn of the outer O-ring takes up an increment of the sleeve length.
- an object of the present invention to provide a novel and improved adjustable wound protector and retractor which is capable of being precisely adjusted to fit incisions of different wall thicknesses.
- Another object of the invention is to provide an adjustable wound protector and retractor which is suitable for use with an extracorporeal enclosure under conditions of insufflation of the body cavity.
- Still another object of the invention is to provide an adjustable wound protector and retractor which is of relatively simple design, inexpensive to manufacture, and easy to use.
- an adjustable wound retractor having outer and inner resilient rings connected together by a flexible sleeve.
- the outer ring may be rolled down onto the sleeve for coarse adjustment of the sleeve length suitable for initial installation in an incision.
- a lifter interposed between the outer surface around the incision and the outer ring provides a fine adjustment.
- the lifter may be actuated pneumatically or mechanically.
- FIG. 1 is an isometric view in cross-section of one embodiment of an adjustable wound protector and retractor pneumatically operated according to the invention
- FIG. 2 is a view like FIG. 1 of another embodiment of an adjustable wound protector and retractor mechanically operated according to the invention
- FIG. 3 is a more detailed view in cross-section of a portion of the protector and retractor of FIG. 2;
- FIG. 4 is a view like FIG. 3 of an alternate design of a portion of the protector and retractor of FIG. 2.
- FIG. 1 shows an adjustable wound protector and retractor indicated generally by the numeral 10 according to the invention.
- a retractor 12 is installed in a small muscle-splitting incision in a patient's anterior abdominal wall W to permit a surgeon's hand to be extended into the abdominal cavity.
- Retractor 12 includes a pair of resilient inner and outer O-rings 14 and 16 connected to opposite ends of an impermeable pliable sleeve 18.
- Inner O-ring 14 engages the inner edge of the incision wall with a portion of sleeve 18 extending above the surface of the abdomen wall for rolling down on itself around outer O-ring 16 for a coarse adjustment.
- a suitable retractor for this purpose is disclosed in U.S. Patent 5,524,544 supra.
- a lifter assembly 20 comprises a cylindrical section 20a and a flat ring section 20b extending from the lower end which engages the bottom side of outer O-ring 16 and any sleeve wound thereon.
- the inner perimeter of ring 20b terminates in a continuous raised lip 20c.
- O-ring 16 and lip 20c are sized to form an interference fit requiring outer O-ring 16 to be snapped over the lip 20c onto shelf section 20b where it is maintained in slight tension.
- Lifter 20 further includes a toroidal balloon 22 affixed around the underside of shelf section 20b and preferably sealingly attached by an adhesive 24 to the exposed surface of the abdominal wall W.
- An air pump (not shown) inflates balloon 22 in infinite increments to lift O-ring 16 until O-ring 14 is snug against the inner edge of the incision and sleeve 18 is contiguous with the incision wall W.
- the upper end of cylinder section 20a may be formed to sealingly attach to an extracorporeal enclosure when the surgical procedure requires insufflating the body cavity.
- a suitable enclosure for this purpose is disclosed in U.S. Patent 5,853,395 to Berwyn M. Crook, et al.
- lifter 20 is affixed by adhesive 24 to the exposed surface around the incision.
- Retractor 12 is then inserted by squeezing inner O-ring 20 into an oblong shape and reinserting it lengthwise through the incision and letting it expand around the inner edge.
- the outer O-ring 16 is gripped by the thumb and fingers and turned outwardly to roll sleeve 18 incrementally onto O-ring 16 until the sleeve 18 is drawn into close contact with the sides of the incision.
- O-ring 16 and the sleeve portion of 18 wound thereon are snapped over lip 20c onto shelf section 20b where they are retained under slight tension.
- balloon 22 is manually inflated from an air pump (not shown).
- a sealed enclosure may be attached around the upper end of lifter 20 if the cavity is to be sufflated.
- FIG. 2 represents a mechanical embodiment of an adjustable wound protector and retractor 10a according to the invention having wound retractor 12 installed in an incision in the manner shown in FIG. 1.
- a lifter assembly 30 includes a base 32 surrounding retractor 12 and defines a cylindrical section 32a extending upward from a flat ring section 32b which is sealingly secured around the incision by adhesive 24.
- Lifter assembly 30 further includes retractor support 34 defined by a cylindrical section 34a extending upward from a shelf section 34b.
- Cylindrical section 32a is axially slidable in section 32a of base 32.
- the facing surfaces of cylinders 32a and 34a have annular rows of facing sawteeth 38 which permit support
- FIG. 4 is an alternate configuration of the interface between base 32 and retractor support 34.
- An O-ring 40 secured around the circumference of cylindrical section 34a selectively engages one of a plurality of circumferential grooves 42 on the inner surface of cylindrical section 32a as support 34 is raised from base 32. It should be noted that the spacing of the sawteeth and the grooves may be made close in order to obtain maximum fine adjustment, whereas the balloon lifter has virtually infinite number of positions.
- an adjustable surgical wound protector and retractor which can be used for a large range of incision wall thicknesses, the sleeve length of the wound retractor can be later adjusted for a precise fitting, and it may be used in conjunction with an extracorporeal enclosure.
- the protector and retractor can also be easily installed.
Abstract
Description
Claims
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU24420/01A AU2442001A (en) | 1999-12-20 | 2000-12-19 | Adjustable surgical wound protector and retractor |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US17273599P | 1999-12-20 | 1999-12-20 | |
US60/172,735 | 1999-12-20 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001045568A1 true WO2001045568A1 (en) | 2001-06-28 |
Family
ID=22628990
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2000/034578 WO2001045568A1 (en) | 1999-12-20 | 2000-12-19 | Adjustable surgical wound protector and retractor |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU2442001A (en) |
WO (1) | WO2001045568A1 (en) |
Cited By (39)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP1500374A1 (en) * | 2003-07-15 | 2005-01-26 | Cordis Corporation | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
EP1834596A3 (en) * | 2003-07-15 | 2007-09-26 | Respira, Inc. | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
WO2008076798A1 (en) * | 2006-12-15 | 2008-06-26 | Ethicon Endo-Surgery, Inc | Resiliently supported seal cap for hand assisted laparoscopic surgical procedures |
US7686013B2 (en) | 2006-01-17 | 2010-03-30 | Portaero, Inc. | Variable resistance pulmonary ventilation bypass valve |
US7753052B2 (en) | 2003-06-05 | 2010-07-13 | Portaero, Inc. | Intra-thoracic collateral ventilation bypass system |
US7789083B2 (en) | 2003-05-20 | 2010-09-07 | Portaero, Inc. | Intra/extra thoracic system for ameliorating a symptom of chronic obstructive pulmonary disease |
US7811274B2 (en) | 2003-05-07 | 2010-10-12 | Portaero, Inc. | Method for treating chronic obstructive pulmonary disease |
US7824366B2 (en) | 2004-12-10 | 2010-11-02 | Portaero, Inc. | Collateral ventilation device with chest tube/evacuation features and method |
EP2272436A1 (en) * | 2001-10-20 | 2011-01-12 | Applied Medical Resources Corporation | Wound retraction apparatus |
US7896008B2 (en) | 2003-06-03 | 2011-03-01 | Portaero, Inc. | Lung reduction system |
US7909803B2 (en) | 2008-02-19 | 2011-03-22 | Portaero, Inc. | Enhanced pneumostoma management device and methods for treatment of chronic obstructive pulmonary disease |
US7931641B2 (en) | 2007-05-11 | 2011-04-26 | Portaero, Inc. | Visceral pleura ring connector |
US8062315B2 (en) | 2007-05-17 | 2011-11-22 | Portaero, Inc. | Variable parietal/visceral pleural coupling |
US8104474B2 (en) | 2005-08-23 | 2012-01-31 | Portaero, Inc. | Collateral ventilation bypass system with retention features |
US8163034B2 (en) | 2007-05-11 | 2012-04-24 | Portaero, Inc. | Methods and devices to create a chemically and/or mechanically localized pleurodesis |
US8220460B2 (en) | 2004-11-19 | 2012-07-17 | Portaero, Inc. | Evacuation device and method for creating a localized pleurodesis |
US8336540B2 (en) | 2008-02-19 | 2012-12-25 | Portaero, Inc. | Pneumostoma management device and method for treatment of chronic obstructive pulmonary disease |
US8347881B2 (en) | 2009-01-08 | 2013-01-08 | Portaero, Inc. | Pneumostoma management device with integrated patency sensor and method |
US8475389B2 (en) | 2008-02-19 | 2013-07-02 | Portaero, Inc. | Methods and devices for assessment of pneumostoma function |
US8518053B2 (en) | 2009-02-11 | 2013-08-27 | Portaero, Inc. | Surgical instruments for creating a pneumostoma and treating chronic obstructive pulmonary disease |
US8870904B2 (en) | 2001-08-14 | 2014-10-28 | Applied Medical Resources Corporation | Access sealing apparatus and method |
US8894571B2 (en) | 2008-10-13 | 2014-11-25 | Applied Medical Resources Corporation | Single port access system |
US8911366B2 (en) | 2000-10-19 | 2014-12-16 | Applied Medical Resources Corporation | Surgical access apparatus and method |
US8932214B2 (en) | 2003-02-25 | 2015-01-13 | Applied Medical Resources Corporation | Surgical access system |
US8961410B2 (en) | 2007-05-11 | 2015-02-24 | Applied Medical Resources Corporation | Surgical retractor with gel pad |
US8973583B2 (en) | 2002-06-05 | 2015-03-10 | Applied Medical Resources Corporation | Wound retractor |
US9017254B2 (en) | 2005-10-14 | 2015-04-28 | Applied Medical Resources Corporation | Hand access laparoscopic device |
US9192366B2 (en) | 2011-05-10 | 2015-11-24 | Applied Medical Resources Corporation | Wound retractor |
US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9289200B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9521996B2 (en) | 2011-07-13 | 2016-12-20 | Cook Medical Technologies Llc | Surgical retractor device |
US9642608B2 (en) | 2014-07-18 | 2017-05-09 | Applied Medical Resources Corporation | Gels having permanent tack free coatings and method of manufacture |
US9669153B2 (en) | 2001-08-14 | 2017-06-06 | Applied Medical Resources Corporation | Method of manufacturing a tack-free gel for a surgical device |
US9949730B2 (en) | 2014-11-25 | 2018-04-24 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
US10172641B2 (en) | 2014-08-15 | 2019-01-08 | Applied Medical Resources Corporation | Natural orifice surgery system |
US10368908B2 (en) | 2015-09-15 | 2019-08-06 | Applied Medical Resources Corporation | Surgical robotic access system |
US10575840B2 (en) | 2015-10-07 | 2020-03-03 | Applied Medical Resources Corporation | Wound retractor with multi-segment outer ring |
US10674896B2 (en) | 2016-09-12 | 2020-06-09 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
US11471142B2 (en) | 2013-03-15 | 2022-10-18 | Applied Medical Resources Corporation | Mechanical gel surgical access device |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5159921A (en) * | 1990-11-27 | 1992-11-03 | Hoover Rocklin L | Surgical retractor |
US5906577A (en) * | 1997-04-30 | 1999-05-25 | University Of Massachusetts | Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision |
US6033426A (en) * | 1997-07-29 | 2000-03-07 | Olympus Optical Co., Ltd. | Access device for surgical treatment |
-
2000
- 2000-12-19 AU AU24420/01A patent/AU2442001A/en not_active Abandoned
- 2000-12-19 WO PCT/US2000/034578 patent/WO2001045568A1/en active Application Filing
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5159921A (en) * | 1990-11-27 | 1992-11-03 | Hoover Rocklin L | Surgical retractor |
US5906577A (en) * | 1997-04-30 | 1999-05-25 | University Of Massachusetts | Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision |
US6033426A (en) * | 1997-07-29 | 2000-03-07 | Olympus Optical Co., Ltd. | Access device for surgical treatment |
Cited By (80)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8911366B2 (en) | 2000-10-19 | 2014-12-16 | Applied Medical Resources Corporation | Surgical access apparatus and method |
US9669153B2 (en) | 2001-08-14 | 2017-06-06 | Applied Medical Resources Corporation | Method of manufacturing a tack-free gel for a surgical device |
US8870904B2 (en) | 2001-08-14 | 2014-10-28 | Applied Medical Resources Corporation | Access sealing apparatus and method |
US9878140B2 (en) | 2001-08-14 | 2018-01-30 | Applied Medical Resources Corporation | Access sealing apparatus and method |
EP2272436A1 (en) * | 2001-10-20 | 2011-01-12 | Applied Medical Resources Corporation | Wound retraction apparatus |
EP2301445A1 (en) * | 2001-10-20 | 2011-03-30 | Applied Medical Resources Corporation | Wound retraction apparatus |
EP2301455A1 (en) * | 2001-10-20 | 2011-03-30 | Applied Medical Resources Corporation | Wound retraction apparatus |
EP2275040A1 (en) * | 2001-10-20 | 2011-01-19 | Applied Medical Resources Corporation | Wound retraction apparatus |
US8973583B2 (en) | 2002-06-05 | 2015-03-10 | Applied Medical Resources Corporation | Wound retractor |
US10507017B2 (en) | 2002-06-05 | 2019-12-17 | Applied Medical Resources Corporation | Wound retractor |
US9561024B2 (en) | 2002-06-05 | 2017-02-07 | Applied Medical Resources Corporation | Wound retractor |
US8932214B2 (en) | 2003-02-25 | 2015-01-13 | Applied Medical Resources Corporation | Surgical access system |
US9295459B2 (en) | 2003-02-25 | 2016-03-29 | Applied Medical Resources Corporation | Surgical access system |
US8029492B2 (en) | 2003-05-07 | 2011-10-04 | Portaero, Inc. | Method for treating chronic obstructive pulmonary disease |
US7828789B2 (en) | 2003-05-07 | 2010-11-09 | Portaero, Inc. | Device and method for creating a localized pleurodesis and treating a lung through the localized pleurodesis |
US7811274B2 (en) | 2003-05-07 | 2010-10-12 | Portaero, Inc. | Method for treating chronic obstructive pulmonary disease |
US7789083B2 (en) | 2003-05-20 | 2010-09-07 | Portaero, Inc. | Intra/extra thoracic system for ameliorating a symptom of chronic obstructive pulmonary disease |
US7896008B2 (en) | 2003-06-03 | 2011-03-01 | Portaero, Inc. | Lung reduction system |
US7753052B2 (en) | 2003-06-05 | 2010-07-13 | Portaero, Inc. | Intra-thoracic collateral ventilation bypass system |
US7682332B2 (en) | 2003-07-15 | 2010-03-23 | Portaero, Inc. | Methods to accelerate wound healing in thoracic anastomosis applications |
EP1834596A3 (en) * | 2003-07-15 | 2007-09-26 | Respira, Inc. | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
EP1500374A1 (en) * | 2003-07-15 | 2005-01-26 | Cordis Corporation | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
US8551035B2 (en) | 2003-07-15 | 2013-10-08 | Portaero, Inc. | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
US8323230B2 (en) | 2003-07-15 | 2012-12-04 | Portaero, Inc. | Methods and devices to accelerate wound healing in thoracic anastomosis applications |
US8220460B2 (en) | 2004-11-19 | 2012-07-17 | Portaero, Inc. | Evacuation device and method for creating a localized pleurodesis |
US7824366B2 (en) | 2004-12-10 | 2010-11-02 | Portaero, Inc. | Collateral ventilation device with chest tube/evacuation features and method |
US8104474B2 (en) | 2005-08-23 | 2012-01-31 | Portaero, Inc. | Collateral ventilation bypass system with retention features |
US9649102B2 (en) | 2005-10-14 | 2017-05-16 | Applied Medical Resources Corporation | Wound retractor with split hoops |
US9474519B2 (en) | 2005-10-14 | 2016-10-25 | Applied Medical Resources Corporation | Hand access laparoscopic device |
US9101354B2 (en) | 2005-10-14 | 2015-08-11 | Applied Medical Resources Corporation | Wound retractor with gel cap |
US9017254B2 (en) | 2005-10-14 | 2015-04-28 | Applied Medical Resources Corporation | Hand access laparoscopic device |
US7726305B2 (en) | 2006-01-17 | 2010-06-01 | Portaero, Inc. | Variable resistance pulmonary ventilation bypass valve |
US7686013B2 (en) | 2006-01-17 | 2010-03-30 | Portaero, Inc. | Variable resistance pulmonary ventilation bypass valve |
WO2008076798A1 (en) * | 2006-12-15 | 2008-06-26 | Ethicon Endo-Surgery, Inc | Resiliently supported seal cap for hand assisted laparoscopic surgical procedures |
US8163034B2 (en) | 2007-05-11 | 2012-04-24 | Portaero, Inc. | Methods and devices to create a chemically and/or mechanically localized pleurodesis |
US7931641B2 (en) | 2007-05-11 | 2011-04-26 | Portaero, Inc. | Visceral pleura ring connector |
US8961410B2 (en) | 2007-05-11 | 2015-02-24 | Applied Medical Resources Corporation | Surgical retractor with gel pad |
US8062315B2 (en) | 2007-05-17 | 2011-11-22 | Portaero, Inc. | Variable parietal/visceral pleural coupling |
US8252003B2 (en) | 2008-02-19 | 2012-08-28 | Portaero, Inc. | Surgical instruments for creating a pneumostoma and treating chronic obstructive pulmonary disease |
US8453638B2 (en) | 2008-02-19 | 2013-06-04 | Portaero, Inc. | One-piece pneumostoma management system and methods for treatment of chronic obstructive pulmonary disease |
US8231581B2 (en) | 2008-02-19 | 2012-07-31 | Portaero, Inc. | Enhanced pneumostoma management device and methods for treatment of chronic obstructive pulmonary disease |
US8475389B2 (en) | 2008-02-19 | 2013-07-02 | Portaero, Inc. | Methods and devices for assessment of pneumostoma function |
US8474449B2 (en) | 2008-02-19 | 2013-07-02 | Portaero, Inc. | Variable length pneumostoma management system for treatment of chronic obstructive pulmonary disease |
US7909803B2 (en) | 2008-02-19 | 2011-03-22 | Portaero, Inc. | Enhanced pneumostoma management device and methods for treatment of chronic obstructive pulmonary disease |
US8464708B2 (en) | 2008-02-19 | 2013-06-18 | Portaero, Inc. | Pneumostoma management system having a cosmetic and/or protective cover |
US7927324B2 (en) | 2008-02-19 | 2011-04-19 | Portaero, Inc. | Aspirator and method for pneumostoma management |
US8453637B2 (en) | 2008-02-19 | 2013-06-04 | Portaero, Inc. | Pneumostoma management system for treatment of chronic obstructive pulmonary disease |
US8430094B2 (en) | 2008-02-19 | 2013-04-30 | Portaero, Inc. | Flexible pneumostoma management system and methods for treatment of chronic obstructive pulmonary disease |
US8348906B2 (en) | 2008-02-19 | 2013-01-08 | Portaero, Inc. | Aspirator for pneumostoma management |
US8347880B2 (en) | 2008-02-19 | 2013-01-08 | Potaero, Inc. | Pneumostoma management system with secretion management features for treatment of chronic obstructive pulmonary disease |
US8491602B2 (en) | 2008-02-19 | 2013-07-23 | Portaero, Inc. | Single-phase surgical procedure for creating a pneumostoma to treat chronic obstructive pulmonary disease |
US8021320B2 (en) | 2008-02-19 | 2011-09-20 | Portaero, Inc. | Self-sealing device and method for delivery of a therapeutic agent through a pneumostoma |
US8506577B2 (en) | 2008-02-19 | 2013-08-13 | Portaero, Inc. | Two-phase surgical procedure for creating a pneumostoma to treat chronic obstructive pulmonary disease |
US8336540B2 (en) | 2008-02-19 | 2012-12-25 | Portaero, Inc. | Pneumostoma management device and method for treatment of chronic obstructive pulmonary disease |
US8894571B2 (en) | 2008-10-13 | 2014-11-25 | Applied Medical Resources Corporation | Single port access system |
US8347881B2 (en) | 2009-01-08 | 2013-01-08 | Portaero, Inc. | Pneumostoma management device with integrated patency sensor and method |
US8518053B2 (en) | 2009-02-11 | 2013-08-27 | Portaero, Inc. | Surgical instruments for creating a pneumostoma and treating chronic obstructive pulmonary disease |
US11123102B2 (en) | 2010-10-01 | 2021-09-21 | Applied Medical Resources Corporation | Natural orifice surgery system |
US10271875B2 (en) | 2010-10-01 | 2019-04-30 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9289200B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9289115B2 (en) | 2010-10-01 | 2016-03-22 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9872702B2 (en) | 2010-10-01 | 2018-01-23 | Applied Medical Resources Corporation | Natural orifice surgery system |
US10376282B2 (en) | 2010-10-01 | 2019-08-13 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9192366B2 (en) | 2011-05-10 | 2015-11-24 | Applied Medical Resources Corporation | Wound retractor |
US9241697B2 (en) | 2011-05-10 | 2016-01-26 | Applied Medical Resources Corporation | Wound retractor |
US9307975B2 (en) | 2011-05-10 | 2016-04-12 | Applied Medical Resources Corporation | Wound retractor |
US9521996B2 (en) | 2011-07-13 | 2016-12-20 | Cook Medical Technologies Llc | Surgical retractor device |
US11471142B2 (en) | 2013-03-15 | 2022-10-18 | Applied Medical Resources Corporation | Mechanical gel surgical access device |
US9642608B2 (en) | 2014-07-18 | 2017-05-09 | Applied Medical Resources Corporation | Gels having permanent tack free coatings and method of manufacture |
US10952768B2 (en) | 2014-08-15 | 2021-03-23 | Applied Medical Resources Corporation | Natural orifice surgery system |
US11583316B2 (en) | 2014-08-15 | 2023-02-21 | Applied Medical Resources Corporation | Natural orifice surgery system |
US10172641B2 (en) | 2014-08-15 | 2019-01-08 | Applied Medical Resources Corporation | Natural orifice surgery system |
US9949730B2 (en) | 2014-11-25 | 2018-04-24 | Applied Medical Resources Corporation | Circumferential wound retraction with support and guidance structures |
US11382658B2 (en) | 2015-09-15 | 2022-07-12 | Applied Medical Resources Corporation | Surgical robotic access system |
US11883068B2 (en) | 2015-09-15 | 2024-01-30 | Applied Medical Resources Corporation | Surgical robotic access system |
US10368908B2 (en) | 2015-09-15 | 2019-08-06 | Applied Medical Resources Corporation | Surgical robotic access system |
US10575840B2 (en) | 2015-10-07 | 2020-03-03 | Applied Medical Resources Corporation | Wound retractor with multi-segment outer ring |
US11602338B2 (en) | 2015-10-07 | 2023-03-14 | Applied Medical Resources Corporation | Wound retractor with multi-segment outer ring |
US10674896B2 (en) | 2016-09-12 | 2020-06-09 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
US11627867B2 (en) | 2016-09-12 | 2023-04-18 | Applied Medical Resources Corporation | Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments |
Also Published As
Publication number | Publication date |
---|---|
AU2442001A (en) | 2001-07-03 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
WO2001045568A1 (en) | Adjustable surgical wound protector and retractor | |
US6382211B1 (en) | Surgical retractor liner appliance | |
EP0999799B1 (en) | Surgical retractor liner appliance | |
EP1407715B1 (en) | Medical treating instrument | |
EP2275040B1 (en) | Wound retraction apparatus | |
US5073169A (en) | Trocar support | |
US20120157786A1 (en) | Surgical retractor having ring of variable durometer | |
US5741298A (en) | Method and devices for video-assisted surgical techniques | |
EP1146826B1 (en) | A surgical device for retracting and/or sealing an incision | |
EP1609429B1 (en) | Devices for protecting tissue at a surgical site | |
US5135506A (en) | Cannula holding device | |
US20080021360A1 (en) | Roll-up wound protector | |
US8231527B2 (en) | Roll-up wound protector with asymmetric ring | |
WO2008011356A1 (en) | Roll-up wound protector with tricuspidate ring | |
US5709646A (en) | Surgical retractor covers | |
JP2002325769A (en) | Tool for medical treatment | |
JP4623067B2 (en) | Medical treatment tool | |
JP2006142037A (en) | Medical treatment instrument | |
JP4082952B2 (en) | Medical treatment tool | |
JP2006272018A (en) | Medical treatment instrument | |
EP4186449A1 (en) | A trocar fixation assembly | |
US20230363752A1 (en) | Circumferential Retractor System | |
JP2006087957A (en) | Medical treatment tool |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): AE AG AL AM AT AU AZ BA BB BG BR BY BZ CA CH CN CR CU CZ DE DK DM DZ EE ES FI GB GD GE GH GM HR HU ID IL IN IS JP KE KG KP KR KZ LC LK LR LS LT LU LV MA MD MG MK MN MW MX MZ NO NZ PL PT RO RU SD SE SG SI SK SL TJ TM TR TT TZ UA UG US UZ VN YU ZA ZW |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): GH GM KE LS MW MZ SD SL SZ TZ UG ZW AM AZ BY KG KZ MD RU TJ TM AT BE CH CY DE DK ES FI FR GB GR IE IT LU MC NL PT SE TR BF BJ CF CG CI CM GA GN GW ML MR NE SN TD TG |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
REG | Reference to national code |
Ref country code: DE Ref legal event code: 8642 |
|
122 | Ep: pct application non-entry in european phase | ||
NENP | Non-entry into the national phase |
Ref country code: JP |