WO2001026559A1 - A retractor - Google Patents
A retractor Download PDFInfo
- Publication number
- WO2001026559A1 WO2001026559A1 PCT/IE2000/000127 IE0000127W WO0126559A1 WO 2001026559 A1 WO2001026559 A1 WO 2001026559A1 IE 0000127 W IE0000127 W IE 0000127W WO 0126559 A1 WO0126559 A1 WO 0126559A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- connecting member
- wound
- retractor
- retracting
- rettactor
- 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
- 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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
-
- 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
- A61B17/0206—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors with antagonistic arms as supports for 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
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- 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
-
- 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
- A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
-
- 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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
- A61B2017/0225—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery flexible, e.g. fabrics, meshes, or membranes
-
- 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
-
- 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
- A61B2017/3429—Access ports, e.g. toroid shape introducers for instruments or hands having a unitary compressible body, e.g. made of silicone or foam
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
- A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
- A61B2017/3488—Fixation to inner organ or inner body tissue
-
- 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
- A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
- A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
Definitions
- the invention relates to a surgical wound retractor.
- the invention relates to a retractor for retracting the margins of an incision to provide maximum exposure of an organ or body structures for access for surgical procedures.
- This invention is directed towards providing an improved wound retractor which will overcome at least some of these problems.
- a surgical wound retractor comprising:
- an inner anchoring ring for insertion into a wound opening to be retained inside the wound opening
- connecting member extending between the anchoring ring and the retracting means, the connecting member having an inner wound engaging portion and an outer portion, at least the inner wound engaging portion having an insertion configuration with a reduced radial dimension and a retracting configuration
- the outer retracting means comprises a ring having a larger diameter than that of the inner anchoring ring.
- the outer retracting means is biased to urge the connecting member into the retracting configuration.
- the retracting means is of a semi-rigid material.
- the retracting means may also be at least partially of a shape memory material such as nitinol.
- the retracting means comprises a ring.
- At least the wound engaging portion of the connecting member is of generally cylindrical shape.
- At least the wound engaging portion of the connecting member is of generally conical shape.
- the retracting means includes an inflatable chamber.
- the inflatable chamber is preferably provided on at least portion of the connecting member.
- the inflatable chamber is provided on the outer portion of the connection member.
- the inflatable chamber is provided on the inner and outer portions of the connecting member.
- the retractor includes retaining means for retaining the outer portion of the connecting member substantially flat in the region surrounding the wound opening.
- the retaining means may comprise a release adhesive or the retaining means comprises a clamp.
- the connecting member is of pliable material.
- the connecting member is of a plastics material.
- the connecting member is of an elastic material.
- the anchoring ring is preferably of flexible material.
- the invention provides a method for retracting a surgical wound using a surgical retractor comprising an inner anchoring ring, an outer retracting means and a connecting member extending between the inner anchoring ring and the outer retracting means, the connecting member having an insertion configuration with a reduced radial dimension and a retracting configuration, the connecting member further having an inflatable chamber thereon, the method comprising the steps of:-
- Fig. 1 is a perspective view from below of a wound retractor according to the invention
- Fig. 2 is a side cross sectional view of the retractor of Fig. 1;
- Figs. 3(a) to 3(c) are perspective views of the retractor of Fig. 1 in use;
- Fig. 4 is a side cross sectional view of the retractor of Fig. 1 in the position of Fig. 3(c);
- Fig. 5 is a perspective view from below of another wound retractor according to the invention.
- Fig. 6 is a side cross sectional view of the retractor of Fig. 5;
- Fig. 7 is a perspective view from below of another wound retractor according to the invention.
- Fig. 8 is a side cross sectional view of the retractor of Fig. 7;
- Fig. 9 is a perspective view from above of another wound retractor according to the invention.
- Fig. 10 is a plan view of the retractor of Fig. 9;
- Fig. 11 is a cross sectional view along the line A-A in Fig. 10;
- Figs. 12 to 14 are side cross sectional views of the retractor of Figs. 9 to 11 in use;
- Fig. 15(a) is a perspective view from above of another wound retractor according to the invention in an uninflated configuration
- Fig. 15(b) is a perspective view from above of the retractor of Fig. 15(a) inflated;
- Fig. 15(c) is a partially cut away perspective view of the retractor of Figs. 15(a) and 15(b) in use.
- a surgical wound retractor 1 which is used to retract the margins of an incision such as an abdominal wound opening 2, as illustrated in Figs. 3(a) to 3(c).
- the retractor 1 comprises an inner anchoring ring in the form of an inner O-ring
- the outer ring 7 is of a larger diameter than, and of a material which is rigid relative to, the inner O-ring 6, for positioning outside the wound opening 2.
- a connecting member in the form of a sheet 9 of pliable plastics material extends between the inner ring 6 and the outer ring 7 to retract and protect the wound opening 2.
- the sheet 9 has an inner wound engaging portion, in this case provided by a distal substantially cylindrical sleeve portion 10 attached to and extending from the inner O-ring through the wound opening 2, and an outer portion, in this case provided by a proximal conical sleeve portion 11 extending from the distal sleeve portion 10 out of the wound opening 2 to the outer ring 7, to which the sleeve portion 11 is attached.
- the distal sleeve portion 10 has an insertion configuration with a reduced radial dimension and a retracting configuration.
- the inner O-ring 6 and the distal sleeve portion 10 are scrunched up to form the insertion configuration and the inner O-ring 6 is inserted into the wound opening 2, as illustrated in Figs. 3(a) and 3(b).
- the O-ring 6 overlaps the inner edge of the wound opening 2 to provide a secure anchoring of the retractor 1 in the wound, and the outer O-ring 7 is biased into a distorted non-planar shape due to the compressive forces exerted on the sheet 9 by the margins of the wound.
- the proximal sleeve portion 11 is then pulled laterally by flattening out the outer O-ring 7 into its normal O-shape around the wound opening 2.
- the distal sleeve portion 10 is pulled into the retracting configuration which retracts the wound opening 2 laterally, as illustrated in Figs. 3(c) and 4.
- any suitable retaining means such as a clamp may be used.
- a releasable adhesive may be used to bond the sleeve portion 11 to a fixture and/or to the skin around the wound opening 2.
- the distal sleeve portion 10 lines the side of the wound opening 2 thereby protecting the exposed tissue of the wound margins, as illustrated in Figs. 3(c) and 4.
- the invention provides a surgical wound retractor of simple construction which is easy to use and can be manufactured inexpensively to provide a disposable unit.
- the wound retractor according to the invention may be used to maintain a wound in a retracted configuration indefinitely without requiring intervention by a clinician to prevent closure of the wound opening.
- a portion of the connecting member extends proximally out of the wound opening in use.
- the retractor is suitable for use with a range of incision sizes and patient anatomies.
- FIGs. 5 and 6 there is illustrated another wound retractor 20 according to the invention which is similar to the retractor 1 of Figs. 1 to 4 and like parts are assigned the same reference numerals in Figs. 5 and 6.
- the inner wound engaging portion is provided by a distal cylindrical sleeve portion 21 which is relatively short, and the outer portion is provided by a proximal disc-shaped sleeve portion 22.
- the retractor 20 operates in a manner similar to the retractor 1 of Figs. 1 to 4.
- a further wound retractor 30 which is similar to the retractors 1, 20 of Figs. 1 to 6 and like parts are assigned the same reference numerals in Figs. 7 and 8.
- the sleeve 9 comprises a single disc-shaped portion 31 of elastic material.
- the inner O-ring 6 is inserted into the wound opening 2 and pulled so that part of the sleeve 9 extends through the wound opening 2 to form the inner wound engaging portion and part extends out of the wound opening 2 to form the outer portion by virtue of the elasticity of the sleeve.
- the outer portion is pulled laterally to retract the wound opening 2 as described previously with reference to Figs. 1 to 4.
- FIGs. 9 to 14 there is illustrated another wound retractor 40 according to the invention which is similar to the retractor 1 described with reference to Figs. 1 to 4 and like parts are assigned the same reference numerals in Figs. 9 to 14.
- the inner wound engaging portion is provided by a distal conical sleeve portion 41 of pliable material attached to and extending from the inner O- ring 6 through the wound opening 2.
- the outer portion is provided by a proximal inner sheet 42 of pliable material and a proximal outer sheet 43 of pliable material sealed between the distal sleeve portion 41 and the outer O-ring
- the outer portion has a generally conical shape.
- the inner O-ring 6 is inserted into the wound opening 2, as illustrated in
- the proximal sheets 41, 42 are pulled laterally by flattening out the outer O-ring 7 into its normal O-shape around the wound opening 2 to cause a primary partial retraction of the wound opening 2, as illustrated in Fig. 13.
- the distal sleeve portion 41 remains in partial compression after this primary retraction.
- the chamber 44 is then inflated to pull the distal sleeve portion 41 laterally and thereby urge the distal sleeve portion 41 into the retracted configuration, as illustrated in Fig. 14.
- the inflation of the chamber 44 will maintain the wound opening 2 retracted without requiring additional retaining means.
- An additional advantage of this embodiment is that by altering the pressure in the inflation chamber the retraction force exerted on the margins of the wound may be easily and accurately controlled to suit a particular incision size, a patient anatomy or a surgical procedure to be performed.
- part of the outer portion of the sleeve may extend through the wound opening 2 after insertion of the inner O-ring 6.
- the conical shape of the outer portion ensures that in the inserted, uninflated configuration of fig. 13, the proximal sheets 41, 42 are wrinkled. Inflation of the chamber 44 is possible without stretching the material of the proximal sheets 41, 42 and thus there is no resistance to the distal sleeve portion 41 moving laterally to cause retraction of the wound opening 2.
- FIGs. 15(a) to 15(c) there is illustrated another wound retractor 50 which is similar to those described above.
- an inner sheet 52 and an outer sheet 53 are sealed between the rings 6, 7 in spaced apart relation to define an inflatable chamber 51 therebetween, as illustrated in Fig. 15(c).
- An inflation port 54 is provided in the inner sheet 52 for inflation of the chamber 51.
- a distal portion of the inflatable chamber 51 extends through the wound opening 2 to form the wound engaging portion and a proximal portion extends laterally around the wound opening 2 to form the outer portion, and inflation of the chamber 51 causes retraction of the wound opening 2, as illustrated in Fig. 15(c).
- inflation may be used as at least portion of the retraction means for achieving lateral retraction of the wound opening in any of the devices of the invention.
- the wound retractor may be constructed in any annular shape.
- the inner and outer rings may be oval, elliptical or circular.
Abstract
Description
Claims
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU78132/00A AU7813200A (en) | 1999-10-14 | 2000-10-16 | A retractor |
EP00968185A EP1392178A1 (en) | 1999-10-14 | 2000-10-16 | A retractor |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
IE990861 | 1999-10-14 | ||
IE990861 | 1999-10-14 | ||
IE991053 | 1999-12-16 | ||
IE991053 | 1999-12-16 | ||
EP00650010A EP1125552A1 (en) | 2000-02-18 | 2000-02-18 | Surgical retractor |
EP00650010.2 | 2000-02-18 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2001026559A1 true WO2001026559A1 (en) | 2001-04-19 |
Family
ID=27223666
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IE2000/000126 WO2001026558A1 (en) | 1999-10-14 | 2000-10-16 | A wound retractor |
PCT/IE2000/000127 WO2001026559A1 (en) | 1999-10-14 | 2000-10-16 | A retractor |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/IE2000/000126 WO2001026558A1 (en) | 1999-10-14 | 2000-10-16 | A wound retractor |
Country Status (15)
Country | Link |
---|---|
US (7) | US6254534B1 (en) |
EP (2) | EP1392178A1 (en) |
JP (1) | JP4385112B2 (en) |
CN (2) | CN1331441C (en) |
AT (1) | ATE415867T1 (en) |
AU (2) | AU7813100A (en) |
BR (1) | BR0014683A (en) |
CA (1) | CA2385835C (en) |
DE (1) | DE60041009D1 (en) |
ES (1) | ES2316389T3 (en) |
HK (1) | HK1050831A1 (en) |
IE (2) | IE20000833A1 (en) |
IL (1) | IL148776A0 (en) |
MX (1) | MXPA02003651A (en) |
WO (2) | WO2001026558A1 (en) |
Cited By (27)
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EP1441648A1 (en) * | 2001-10-20 | 2004-08-04 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
US6945932B1 (en) | 1999-03-18 | 2005-09-20 | Gaya Limited | Surgical access device |
US6972026B1 (en) | 1999-03-18 | 2005-12-06 | Gaya Limited | Surgical access device |
US7214185B1 (en) | 1999-03-18 | 2007-05-08 | Maclachlan & Donaldson | Surgical access device |
EP2026692A2 (en) * | 2006-05-19 | 2009-02-25 | Acorn Cardiovascular, Inc. | Pericardium management tool and method |
WO2012044959A1 (en) * | 2010-10-01 | 2012-04-05 | Applied Medical Resources Corporation | Natural orifice surgery system |
US8790308B2 (en) | 2012-01-31 | 2014-07-29 | Applied Medical Resources Corporation | Adaptable obturator for various sized trocars |
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 |
US9421034B2 (en) | 2013-03-15 | 2016-08-23 | Applied Medical Resources Corporation | Trocar surgical seal |
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 |
US9717522B2 (en) | 2009-08-31 | 2017-08-01 | Applied Medical Resources Corporation | Multi-functional surgical access system |
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 |
EP2197358B1 (en) * | 2007-09-24 | 2019-01-09 | Ethicon LLC | Elliptical retractor |
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 |
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US6814700B1 (en) * | 1996-03-04 | 2004-11-09 | Heartport, Inc. | Soft tissue retractor and method for providing surgical access |
US6485467B1 (en) * | 1997-10-08 | 2002-11-26 | Medical Creative Technologies, Inc. | Extracorporeal pneumoperitoneum enclosure and method of use |
US7344547B2 (en) | 1998-09-15 | 2008-03-18 | Phavel Systems, Inc. | Laparoscopic instruments and trocar systems and related surgical method |
US20040154624A1 (en) * | 2002-12-16 | 2004-08-12 | Frank Bonadio | Surgical device |
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US20070004968A1 (en) * | 1998-12-01 | 2007-01-04 | Frank Bonadio | Seal for a cannula |
US7559893B2 (en) | 1998-12-01 | 2009-07-14 | Atropos Limited | Wound retractor device |
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US7537564B2 (en) * | 1998-12-01 | 2009-05-26 | Atropos Limited | Wound retractor device |
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IE990795A1 (en) * | 1999-07-30 | 2001-03-07 | Gaya Ltd | Hand Access Port Device |
AU7813100A (en) | 1999-10-14 | 2001-04-23 | Atropos Limited | A wound retractor |
US20050203346A1 (en) * | 1999-10-14 | 2005-09-15 | Frank Bonadio | Wound retractor device |
US7540839B2 (en) * | 1999-10-14 | 2009-06-02 | Atropos Limited | Wound retractor |
US6450983B1 (en) * | 2001-10-03 | 2002-09-17 | Robert D. Rambo | O-ring for incrementally adjustable incision liner and retractor |
WO2004103161A2 (en) * | 2001-10-03 | 2004-12-02 | Robert Rambo | Improved o-ring for incrementally adjustable incision liner and retractor |
US20030192553A1 (en) * | 2001-10-03 | 2003-10-16 | Robert Rambo | O-ring for incrementally adjustable incision liner and retractor |
US7052454B2 (en) * | 2001-10-20 | 2006-05-30 | Applied Medical Resources Corporation | Sealed surgical access device |
US6958037B2 (en) * | 2001-10-20 | 2005-10-25 | Applied Medical Resources Corporation | Wound retraction apparatus and method |
JP4460293B2 (en) * | 2001-10-20 | 2010-05-12 | アプライド メディカル リソーシーズ コーポレイション | Hermetic surgical access device |
JP4623067B2 (en) * | 2001-11-02 | 2011-02-02 | 住友ベークライト株式会社 | Medical treatment tool |
CH695235A8 (en) * | 2001-12-17 | 2006-03-31 | Domonkos Dr Horvath | Lip and cheek expander. |
AUPS112202A0 (en) * | 2002-03-14 | 2002-04-18 | Commonwealth Scientific And Industrial Research Organisation | Semiconductor manufacture |
US6723044B2 (en) * | 2002-03-14 | 2004-04-20 | Apple Medical Corporation | Abdominal retractor |
US6960490B2 (en) * | 2002-03-14 | 2005-11-01 | Epitactix Pty Ltd. | Method and resulting structure for manufacturing semiconductor substrates |
US9271753B2 (en) * | 2002-08-08 | 2016-03-01 | Atropos Limited | Surgical device |
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- 2000-10-16 EP EP00968185A patent/EP1392178A1/en not_active Withdrawn
- 2000-10-16 IE IE20000833A patent/IE20000833A1/en not_active Application Discontinuation
- 2000-10-16 AT AT00968184T patent/ATE415867T1/en not_active IP Right Cessation
- 2000-10-16 ES ES00968184T patent/ES2316389T3/en not_active Expired - Lifetime
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- 2000-10-16 IL IL14877600A patent/IL148776A0/en unknown
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- 2000-10-16 MX MXPA02003651A patent/MXPA02003651A/en active IP Right Grant
- 2000-10-16 EP EP00968184A patent/EP1392177B1/en not_active Expired - Lifetime
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- 2000-10-16 CA CA002385835A patent/CA2385835C/en not_active Expired - Lifetime
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2001
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2011
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