CA2351643A1 - A surgical device for retracting and/or sealing an incision - Google Patents

A surgical device for retracting and/or sealing an incision Download PDF

Info

Publication number
CA2351643A1
CA2351643A1 CA002351643A CA2351643A CA2351643A1 CA 2351643 A1 CA2351643 A1 CA 2351643A1 CA 002351643 A CA002351643 A CA 002351643A CA 2351643 A CA2351643 A CA 2351643A CA 2351643 A1 CA2351643 A1 CA 2351643A1
Authority
CA
Canada
Prior art keywords
mounting means
outer mounting
sleeve
wound
connecting means
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002351643A
Other languages
French (fr)
Other versions
CA2351643C (en
Inventor
Frank Bonadio
Shane Joseph Mcnally
Ronan Bernard Mcmanus
Derek William Young
Alan Reid
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Atropos Ltd
Original Assignee
Atropos Limited
Frank Bonadio
Shane Joseph Mcnally
Ronan Bernard Mcmanus
Derek William Young
Alan Reid
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Atropos Limited, Frank Bonadio, Shane Joseph Mcnally, Ronan Bernard Mcmanus, Derek William Young, Alan Reid filed Critical Atropos Limited
Publication of CA2351643A1 publication Critical patent/CA2351643A1/en
Application granted granted Critical
Publication of CA2351643C publication Critical patent/CA2351643C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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
    • A61B17/34—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
    • 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
    • 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
    • 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

Abstract

A wound protector retractor (1) comprises an inner O-ring (10) for insertion through a wound opening and a connecting sleeve (11) extending between the O - ring and outer mounting means (20, 21). The outer means (20, 21) are provide d by rings (20, 21) between which the sleeve is led. The rings (20, 21) are rotated relative to each other and the inner ring (10) to form a centralised lumen (12) of reduced cross section and to shorten the axial extent of the sleeve. A wound is both retracted and protected.

Claims (37)

1. A surgical device comprising:
an inner mounting means for insertion through a wound opening;
a first outer mounting means for mounting external of a wound opening; and connecting means extending between the inner and outer mounting means;
the connecting means being movable to shorten the axial extent of the connecting means.
2. A surgical device as claimed in claim 1 wherein the outer mounting means is movable relative to the inner mounting means to twist the connecting means to form a lumen of reduced cross section and to shorten the axial extent of the connecting means.
3. A device as claimed in claim 2 wherein the outer mounting means is rotatable relative to the inner mounting. means to twist the connecting means.
4. A device as claimed in any preceding claim wherein the connecting means is a sleeve of pliable material extending between the inner and outer mounting means.
5. A device as claimed in any preceding claim including a second outer mounting means, the connecting means .extending between the first outer mounting means, the inner mounting means, and the second outer mounting means.
6. A device as claimed in claim 5 wherein the first and second outer mounting means are rotatable relative to one another to twist the connecting means and to draw the inner mounting means towards the outer mounting means.
7. A device as claimed in claim 5 or 6 wherein the inner mounting means is an O-ring.
8. A device as claimed in claim 7 wherein the connecting means is, a sleeve which is led from the first outer mounting means to the O-ring and from the O-ring to the second outer mounting means.
9. A device as claimed in any of claims 5 to 8 including locking means for locking the first outer mounting means relative to the second outer mounting means.
10. A device as claimed in any of claims 5 to 9 wherein one of the outer mounting means is located or locatable within the other outer mounting means.
11. A device as claimed in any of claims 4 to 10 wherein the inner diameter of the sleeve is greater than or equal to the axial length of the sleeve.
12. A device as claimed in claim 11 wherein the inner diameter of the sleeve is heater than the axial length of the sleeve by an amount which is less than the thickness of an average abdominal wall.
13. A device as claimed in any of claims 5 to 12 wherein a substantially gas tight seal is formed between the outer mounting means on shortening of the length of the sleeve.
14. A device as claimed in claim 13 wherein the sleeve extending between the first and second outer mounting means defines. an inflatable space.
15. A device as claimed in claim 14 wherein the device includes a port for connection to an inflation means.
16. A device as claimed in any preceding claim comprising:-an inner mounting means for insertion through a wound opening;
a first outer mounting means;
a second outer mounting means; and a sleeve of pliable material extending from the second outer mounting means to the inner mounting means and from the inner mounting means to the first outer mounting means.
17. A device as claimed in claim 16 wherein one or both of the first and second outer mounting means are movable relative to one another to adjust the diameter of the lumen defined by a twist in the sleeve extending therebetween.
18. A device as claimed in claim 17 wherein the first and second outer mounting means are rotatable relative to one another.
19. A device as claimed in any of claims 16 to 18 wherein the sleeve is releasably mounted to the second outer mounting means for adjustment of the length of the sleeve.
20. A device as claimed in claim 19 wherein the second mounting means comprises a receiver and the sleeve is mounted or mountable to a ring which is releasably mounted to the receiver.
21. A device as claimed in any of claims 16 to 20 wherein the inner mounting means is configured to reduce the size thereof for ease of insertion into a wound opening.
22. A device as claimed in claim 21 wherein the inner mounting means comprises a ring which includes a hinge means for reducing the size of the ring.
23. A device as claimed in claim 1 wherein the connecting means is translated to shorten the axial extent of the connecting means.
24. A device as claimed in claim 23 wherein the connecting means comprises a sleeve which is translated by a drawstring mechanism.
25. A device as claimed in claim 24 wherein the connecting means comprises a plurality of straps attached to the inner mounting means, the straps being pulled upwardly to shorten the axial extend of the connecting means.
26. A device as claimed in claim 25 including an iris diaphragm connected to the straps.
27. A device as claimed in any preceding claim wherein the outer mounting means includes a holder for holding a surgical instrument.
28. A surgical device substantially as hereinbefore described with reference to the accompanying drawings.
29. A surgical device as claimed in any preceding claim forming a wound retractor.
30. A surgical device as claimed in any of claims 1 to 28 forming a wound protector.
31. A surgical device as claimed in any preceding claim forming a wound protector retractor.
32. A wound protector substantially as hereinbefore described with reference to the accompanying drawings
33. A wound retractor substantially as hereinbefore described with reference to the accompanying drawings.
34. A wound protector retractor substantially as hereinbefore described with reference to the accompanying drawings.
35. A device as claimed in any preceding claim including an attachment means for attaching the device to another device.
36. A device as claimed in claim 35 wherein the other device is another surgical device.
37. A device as claimed in claim 36 wherein the other device is a wound protector, wound retractor, wound protector retractor or a forearm seal.
CA002351643A 1998-12-01 1999-12-01 A surgical device for retracting and/or sealing an incision Expired - Fee Related CA2351643C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
IE980997 1998-12-01
IE980997 1998-12-01
IE990111 1999-02-15
IE990111 1999-02-15
PCT/IE1999/000122 WO2000032116A1 (en) 1998-12-01 1999-12-01 A surgical device for retracting and/or sealing an incision

Publications (2)

Publication Number Publication Date
CA2351643A1 true CA2351643A1 (en) 2000-06-08
CA2351643C CA2351643C (en) 2010-02-02

Family

ID=26320227

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002351643A Expired - Fee Related CA2351643C (en) 1998-12-01 1999-12-01 A surgical device for retracting and/or sealing an incision

Country Status (13)

Country Link
US (6) US20010037053A1 (en)
EP (3) EP1146826B1 (en)
JP (1) JP4181306B2 (en)
CN (1) CN100512766C (en)
AT (2) ATE308277T1 (en)
AU (1) AU773994B2 (en)
BR (1) BR9915848A (en)
CA (1) CA2351643C (en)
DE (2) DE69928128T2 (en)
ES (2) ES2305967T3 (en)
IE (1) IE991009A1 (en)
IL (1) IL143179A0 (en)
WO (1) WO2000032116A1 (en)

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US6846287B2 (en) 2005-01-25
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US20050090716A1 (en) 2005-04-28

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