|Publication number||US3347227 A|
|Publication date||Oct 17, 1967|
|Filing date||Dec 11, 1964|
|Priority date||Dec 11, 1964|
|Publication number||US 3347227 A, US 3347227A, US-A-3347227, US3347227 A, US3347227A|
|Inventors||Harold W Harrower|
|Original Assignee||Harold W Harrower|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (5), Referenced by (152), Classifications (10)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Oct. 17, 1967 H. w. HARROWER 3,347,227
WOUND EDGE PROTECTOR Filed Dec. 11, 1964 VEN TOR. HAROLD HARROWER ATTORNEY United States Patent Oflice 3,347,2217 Patented Oct. 17, 1967 3,347,227 WOUND EDGE PROTECTOR Harold W. Harrower, 35 Maple Crest Drive, Smithfield, R.I. Filed Dec. 11, 1964, Ser. No. 417,560 9 Claims. (Cl. 128132) The present invention relates to improvements in surgical wound protection.
An object of the present invention is to provide an improved wound protector wherein an entire surgical wound surface is protectively covered.
Another object of the present invention is to provide an improved wound protector wherein it can be inserted easily into asurgical wound cavity so as to cover the entire peripheral surface as well as adjacent inner and outer surface portions thereof.
I Still another object of the present invention is to provide an improved wound protector according to the previous object wherein the space occupied thereby is minimal and the protector is transparent so that the surgeon can see and work as though no protector were in use.
A further object of the present invention is to provide an improved wound protector in accordance with foregoing objects where in the protector is self-retaining so as to obviate the need for any sutures or other holding devices.
A still further object of the present invention is to provide an improved wound protector which is:
(a) Impervious to moisture, body fluids, bacteria and cancer cells.
(b) Non-irritating to wound surfaces.
(c) Strong but pliable to conform to Wound contour and to allow for purposeful distortion of the wound by retractors.
(d) Readily sterilized or is disposable.
(e) Capable of being inverted upon itself so as to cover the organs within the wound to facilitate closure of the wound.
Various other objects and advantages will become apparentfrom the detailed description to follow.
In the drawings:
FIGURE'l is a plan view of a wound edge protector according to the present invention;
FIGURE 2 is a side elevational view thereof;
FIGURE 3 is a side elevational view thereof in a compressed form;
FIGURE 4 is an end elevational view of the protector shown in FIGURE 1;
FIGURE 5 is a detail sectional view taken substantially along the plane of line 5-5 in FIGURE 4;
FIGURE 6 is a perspective view showing the protector in place in use, with part in section;
FIGURE 7 shows the protector in a folded over form.
Referring more particularly to the drawings wherein like numerals apply to like parts throughout, it will be seen that I have provided an improved Wound edge protector 10 which can be manufactured in a number of siz s for use in incisions of similar variations in size.
The protector 10 is comprised of a pair of flexible rings 12, 14 joined by a thin sheet 16 of flexible material formed to tubular shape. The rings can be preformed to endless shape or formed by lengths of stock arcuated and joined at their ends, as by clips, not shown. In any event the stock should have sufllcient preforming to give a generally oval shape, as viewed in FIGURE 1, yet be resilient and flexible so as to be easily flexed for insertion through a wound opening as will presently be described. There are a number of suitable plastics from which the rings can be made among which I have found nylon and Teflon, by way of example, as being highly suited to the purpose.
The thin sheet is preferably made of a plastic which has certain physical and chemical characteristics. The plastic must be impermeable to fluids and bacteria, physiologically inert, unafliected by autoclaving or sterilization i ethylene oxide, free of electrostatic hazard, resistant to melting, non-flammable if touched by cautery, and somewhat elastic. Also, the material must be formable in thin, transparent, and flexible sheets. Polyvinyls are highly suitable plastics for this purpose and have been found in actual tests to fill the requirements set forth.
The tubular form of the sheet 16 can be effected by preforming stock to that shape or, preferably, by forming a flat sheet of predetermined width to cylindrical form and sealingly overlapping the ends as at 18, in FIGURE 2. The longitudinal side edges then, respectively, can be folded about the rings and sealed as at 20, in FIGURE 5, to thus provide a unitary structure ready for sterilization and packaging.
For the purpose of packaging, the protector can be compressed with one ring 12 against the other ring 14 as shown in FIGURE 3.
In use, the wound protector 10 is especially useful in abdominal incisions. FIGURE 6 shows a portion of a patients abdomen at A with an incision having been made. The layers through which the incision is made include the skin 22, subcutaneous tissue 24, anterior fascia 26, muscle 28 and peritoneum 30. At the incision these layers and the adjacent interior and exterior surfaces 32,
.34, respectively, constitute the wound edge. The wound edge is subject to contamination by the hands, retractors or other instruments'which must be introduced through the wound opening. The wound edge can be soiledwhenever the biliary, intestinal, or genitourinary tracts are opened or a cyst or abcess drained.
In the past, a surgeon has customarily wrapped a laparotomy pad over each side of the Wound but this has proved unsatisfactory because the pads become moist, slip out of position and are bulky. Prior alternatives of rubber dam or plastic sheeting have proved unsatisfactory unless sewed to the peritoneum, which takes time. t
The protector of the present invention has been found idea ly suited to the needs of Wounds such as here described.
The wound protector, after the incision is made, is squeezed together so that one of the rings 14 has its longitudinal side portion 36, 38 pressed together. The ring 14 can thus be inserted through the wound opening and allowed to expand to its normal form within the wound. The ring 14 will thus be positioned on the inside of the peritoneum 30 over the surface portion 32 as seen best in FIGURE 6. The outer ring 12 will naturally similarly overlap the skin edge surface at 34 and the sheet 16 will contact the entire wound surface and protectively cover the same and seal it from contamination and infection. Obviously, the protector utilizes substantially no space and aids in holding the wound open.
After the surgeon has completed his Work in the Wound, the wound protector serves an additional important function. The intestines at 40 must be held in when the surgeon closes the wound. To do this, the ring side portion 42 is folded over beneath the other ring side portion 44 to adjacent the ring side edge portion 38 and the portion 44 is folded back over to adjacent the ring side portion 36. Thus the upper or outer ring is inverted and positioned within the wound and the plastic sheet is stretched acrOS the center of the wound. FIGURE 7 shows the protector when so folded. The surgeon can then close the wound except for a small end opening through which the protector is extracted and then closing is completed.
By way of information, the thickness of the abdominal wall may vary from one to three inches. Thus the width of the sheet 16 between the rings must be related to this dimension and the ability to be folded over as here de- 3 scribed. A width of about four (4) inches has proved satisfactory.
In view of the foregoing it is believed that I have provided a wound edge protector which fulfills the objects hereinbefore enumerated.
As this invention may be embodied in several forms without departing from the spirit or essential characteristics thereof, the present embodiment is therefore illustrative and not restrictive, since the scope of the invention is defined by the appended claims rather than by the description preceding them, and all changes that fall within the metes and bounds of the claims or that form their functional as well as conjointly cooperative equivalents, are therefore intended to be embraced by these claims.
1. A wound cavity and edge'protector comprising a pair of flexible and resilient rings preshaped to arcuate form, a sheet, of flexible material impervious to body liquids and solids and having a thinness such that it will conform closely to the wound surface and being of openended sleeve-like shape having a size such that its end edges can be joined respectively with said rings each end edge of said sheet being joined with a respective one of said rings to provide an endless wall therebetween, one of said rings being compressible and initially insertable into a wound cavity of slightly smaller size than the ring and allowed to expand substantially to its normal form at the base of the cavity, the other of said rings retainable exteriorly of and in a self-retaining manner to overlap the skin edge surface ofthe wound, with the flexible wall protectively covering the entire wound surface.
2. A wound edge protectoras defined in claim 1 With said sheet having a width selected so as to provide a predetermined area between said rings.
3. A wound edge protector as defined in claim 1 wherein the sheet material consists of a transparent, polyvinyl material with each edge of said sheet being folded back upon the sheet and about a respective one of said rings and bonded to the sheet so as to form a unitary structure with the rings.
4. A wound edge protector as defined in claim 1 wherein the thin sheet is a pliable polyvinyl material with each edge of said sheet being folded about a respective one of said rings and bonded to the sheet portion adjacent the respective ring, said tubular form being of pre-selected length and with the sheet having a width selected so as to provide a predetermined area between said rings to facilitate fabrication in a predetermined range of sizes.
5. A surgical wound edge protector as defined in claim 1, wherein the flexible rings, are of endless resilient form,
and the flexible sheet is a transparent polyvinyl material, each edge of said sheet being folded about a respective one of said rings and bonded to the sheet portion adjacent the respective ring, said sheet having a width selected so as to provide a predetermined area between said rings, said sheet Width and material being such that either ring can be inverted in relation to the other ring.
6. A wound edge protector as defined in claim 1 wherein therings are preshaped to a generally oval configuration.
7. A surgical method comprising:
(a) making an incision wound of predetermined size in the body of a patient to produce a surgical cavity,
(b) utilizing an aseptic surgical wound edge protector which embodies a pairof spaced apart, resilient endless ring members interconnecting a flexible walled body having an open tubular form and fabricated of transparent pliable sheet material impervious to body fluids and solids, and of a size slightly larger in circumference than the open incision,
(c) compressing one resilient endless ring member to conform to the general longitudinal dimension of the cavity, (d) inserting the said endless ring member into the base of the cavity, (e) allowing the said ring member to expand substantially to its normal form within the base of the cavity, (f) initially retaining the other endless ring member exteriorly of the surgical cavity, with the flexible open tubular wall portion protectively covering the entire peripheral wound surface in a self-sustaining manner and aiding to hold the cavity open during surgery. 8. A surgical method as defined in claim 7 subsequently including inverting the exteriorly disposed ring member in relation to the first-mentioned ring member while simultaneously compressing and inserting it into the base of the cavity adjacent to the first-mentioned ring member whereby the walls of the protector are disposed contiguously over and serve to hold down the body organs within the cavity thereby facilitating more expeditious suturing of the wound after surgery.
9. A surgical method as defined in claim 8, further including extracting the wound protector from the wound just prior to final suturing.
References Cited 1 UNITED STATES, PATENTS 2,170,060 8/1939 Meyer 229-35 2,335,293 11/ 1943 Meyer 206-4534 2,778,362 1/1957 Pallock et a1 128-283 3,076,458 2/ 1963 Mason 1284-283 3,111,943 11/1963 Orndorlf 128132 ADELE M. EAGER, Primary Examiner.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2170060 *||Feb 3, 1938||Aug 22, 1939||Hygienol Co Inc||Receptacle or box|
|US2335293 *||Feb 21, 1939||Nov 30, 1943||Duranol Products Inc||Reinforcement of plastic containers|
|US2778362 *||Mar 21, 1955||Jan 22, 1957||Louise Baker Marie||Surgical garment|
|US3076458 *||Dec 22, 1960||Feb 5, 1963||Mason James H||Surgical appliance|
|US3111943 *||Aug 2, 1961||Nov 26, 1963||John R Orndorff||Aseptic surgical wound protector|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3416520 *||Nov 22, 1966||Dec 17, 1968||Parke Davis & Co||Surgical drape|
|US5273055 *||Dec 11, 1992||Dec 28, 1993||Erkan Ereren||Protective shield for intrathoracic/intra-abdominal laparoscopic medical procedures|
|US5524644 *||Jun 9, 1995||Jun 11, 1996||Medical Creative Technologies, Inc.||Incrementally adjustable incision liner and retractor|
|US5640977 *||Sep 2, 1994||Jun 24, 1997||Medical Creative Technologies, Inc.||Apparatus and method for use in surgery|
|US5649550 *||Feb 26, 1996||Jul 22, 1997||Medical Creative Technologies, Inc.||Surgical retractor liner and integral drape assembly|
|US5810721 *||Mar 4, 1996||Sep 22, 1998||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US5813409 *||Mar 29, 1995||Sep 29, 1998||Medical Creative Technologies, Inc.||Surgical apparatus|
|US6048309 *||Sep 19, 1997||Apr 11, 2000||Heartport, Inc.||Soft tissue retractor and delivery device therefor|
|US6142935 *||Mar 24, 1998||Nov 7, 2000||Heartport, Inc.||Illuminating soft tissue retractor|
|US6382211||Jul 21, 1997||May 7, 2002||Medical Creative Technologies, Inc.||Surgical retractor liner appliance|
|US6450983 *||Oct 3, 2001||Sep 17, 2002||Robert D. Rambo||O-ring for incrementally adjustable incision liner and retractor|
|US6578577||Mar 13, 2001||Jun 17, 2003||Atropos Limited||Laparoscopic sealed access device|
|US6582364||May 7, 2001||Jun 24, 2003||Atropos Limited||Retractor and method for use|
|US6613952||Jul 16, 2002||Sep 2, 2003||Robert D. Rambo||O-ring for incrementally adjustable incision liner and retractor|
|US6623426||Mar 13, 2001||Sep 23, 2003||Atropos Limited||Laparoscopic sealed access device|
|US6723044||Mar 14, 2002||Apr 20, 2004||Apple Medical Corporation||Abdominal retractor|
|US6814078||Dec 20, 2001||Nov 9, 2004||Medical Creative Technologies, Inc.||Surgical retractor and liner|
|US6814700 *||Mar 16, 2000||Nov 9, 2004||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US6846287||Apr 29, 2002||Jan 25, 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US6945932||Mar 20, 2000||Sep 20, 2005||Gaya Limited||Surgical access device|
|US6972026||Mar 20, 2000||Dec 6, 2005||Gaya Limited||Surgical access device|
|US7008377||Jul 1, 2002||Mar 7, 2006||Richard Beane||Surgical access port|
|US7033319||Apr 20, 2004||Apr 25, 2006||Apple Medical Corporation||Abdominal retractor|
|US7081089||Jul 1, 2005||Jul 25, 2006||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US7163510||Sep 17, 2003||Jan 16, 2007||Applied Medical Resources Corporation||Surgical instrument access device|
|US7195590||Aug 7, 2003||Mar 27, 2007||Atropos Limited||Surgical device|
|US7214185||Mar 20, 2000||May 8, 2007||Maclachlan & Donaldson||Surgical access device|
|US7238154||Sep 1, 2005||Jul 3, 2007||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US7300399||Nov 24, 2004||Nov 27, 2007||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US7377898||May 30, 2007||May 27, 2008||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US7445597||Feb 27, 2003||Nov 4, 2008||Atropos Limited||Retractor|
|US7473221||Sep 21, 2001||Jan 6, 2009||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US7481765||Oct 5, 2005||Jan 27, 2009||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US7537564||Mar 23, 2005||May 26, 2009||Atropos Limited||Wound retractor device|
|US7540839||Aug 6, 2003||Jun 2, 2009||Atropos Limited||Wound retractor|
|US7559893||Oct 6, 2003||Jul 14, 2009||Atropos Limited||Wound retractor device|
|US7650887 *||Jun 3, 2003||Jan 26, 2010||Applied Medical Resources Corporation||Wound retractor|
|US7704207||Oct 12, 2006||Apr 27, 2010||Applied Medical Resources Corporation||Circular surgical retractor|
|US7727146||Oct 12, 2006||Jun 1, 2010||Applied Medical Resources||Wound retractor with gel cap|
|US7736306||Oct 12, 2006||Jun 15, 2010||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US7749415||Oct 12, 2006||Jul 6, 2010||Applied Medical Resources Corporation||Method of making a hand access laparoscopic device|
|US7758500 *||Sep 16, 2004||Jul 20, 2010||Edwards Lifesciences Llc||Soft tissue retractor and method for providing surgical access|
|US7815567||Oct 12, 2006||Oct 19, 2010||Applied Medical Resources, Corporation||Split hoop wound retractor|
|US7819800||Dec 15, 2006||Oct 26, 2010||Ethicon Endo-Surgery, Inc.||Fully automated iris seal for hand assisted laparoscopic surgical procedures|
|US7867164||Sep 22, 2003||Jan 11, 2011||Atropos Limited||Wound retractor system|
|US7878974||Jun 15, 2010||Feb 1, 2011||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US7883461||Jun 1, 2010||Feb 8, 2011||Applied Medical Resources||Wound retractor with gel cap|
|US7892172||Apr 27, 2010||Feb 22, 2011||Applied Medical Resources Corporation||Circular surgical retractor|
|US7909760||Oct 12, 2006||Mar 22, 2011||Applied Medical Resources Corporation||Split hoop wound retractor with gel pad|
|US7913697||Jan 25, 2010||Mar 29, 2011||Applied Medical Resources Corporation||Wound retractor|
|US7951076||Oct 7, 2005||May 31, 2011||Applied Medical Resources Corporation||Surgical access system|
|US7967748||Dec 15, 2006||Jun 28, 2011||Ethicon Endo-Surgery, Inc.||Resiliently supported seal cap for hand assisted laparoscopic surgical procedures|
|US7998068||Oct 11, 2005||Aug 16, 2011||Atropos Limited||Instrument access device|
|US8016755||Dec 3, 2010||Sep 13, 2011||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8021296||Jul 14, 2006||Sep 20, 2011||Atropos Limited||Wound retractor|
|US8070676||Dec 3, 2010||Dec 6, 2011||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8105234||Jan 27, 2009||Jan 31, 2012||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8109873||May 12, 2008||Feb 7, 2012||Applied Medical Resources Corporation||Surgical retractor with gel pad|
|US8157835||Jun 1, 2010||Apr 17, 2012||Applied Medical Resouces Corporation||Access sealing apparatus and method|
|US8187177||Nov 29, 2006||May 29, 2012||Applied Medical Resources Corporation||Surgical instrument access device|
|US8187178||Jun 5, 2008||May 29, 2012||Atropos Limited||Instrument access device|
|US8197404||Dec 15, 2006||Jun 12, 2012||Ethicon Endo-Surgery, Inc.||Handoscopy interwoven layered seal laparoscopic disk|
|US8226552||May 12, 2008||Jul 24, 2012||Applied Medical Resources Corporation||Surgical retractor|
|US8231527||Jul 18, 2006||Jul 31, 2012||Ethicon Endo-Surgery, Inc.||Roll-up wound protector with asymmetric ring|
|US8235054||Feb 22, 2011||Aug 7, 2012||Applied Medical Resources Corporation||Wound retractor|
|US8262568||Oct 13, 2009||Sep 11, 2012||Applied Medical Resources Corporation||Single port access system|
|US8267858||Jan 18, 2011||Sep 18, 2012||Applied Medical Resources Corporation||Wound retractor with gel cap|
|US8308639||Mar 17, 2011||Nov 13, 2012||Applied Medical Resources Corporation||Split hoop wound retractor with gel pad|
|US8313431||Oct 15, 2010||Nov 20, 2012||Applied Medical Resources Corporation||Split hoop wound retractor|
|US8317691||Apr 20, 2009||Nov 27, 2012||Atropos Limited||Wound retractor device|
|US8343047||Jan 22, 2009||Jan 1, 2013||Applied Medical Resources Corporation||Surgical instrument access device|
|US8357086 *||May 3, 2012||Jan 22, 2013||Applied Medical Resources Corporation||Surgical instrument access device|
|US8375955||Feb 5, 2010||Feb 19, 2013||Atropos Limited||Surgical procedure|
|US8388526||Apr 23, 2008||Mar 5, 2013||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US8414487||Feb 8, 2011||Apr 9, 2013||Applied Medical Resources Corporation||Circular surgical retractor|
|US8480575||Aug 28, 2012||Jul 9, 2013||Applied Medical Resources Corporation||Single port access system|
|US8496581||Mar 15, 2012||Jul 30, 2013||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8647265||Jan 14, 2011||Feb 11, 2014||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US8657740||Jan 27, 2010||Feb 25, 2014||Atropos Limited||Instrument access device|
|US8657741||Aug 15, 2011||Feb 25, 2014||Atropos Limited||Wound retractor|
|US8672839||Sep 13, 2011||Mar 18, 2014||Applied Medical Resource Corporation||Surgical access apparatus and method|
|US8703034||Aug 23, 2011||Apr 22, 2014||Applied Medical Resources Corporation||Method of making a tack-free gel|
|US8721537||Jun 27, 2013||May 13, 2014||Applied Medical Resources Corporation||Single port access system|
|US8734336||Apr 23, 2009||May 27, 2014||Atropos Limited||Wound retractor device|
|US8740785||Oct 19, 2010||Jun 3, 2014||Atropos Limited||Wound retractor system|
|US8752553||Jun 20, 2003||Jun 17, 2014||Atropos Limited||Apparatus for use in surgery and a valve|
|US8758236||May 9, 2012||Jun 24, 2014||Applied Medical Resources Corporation||Wound retractor|
|US8821390 *||Feb 18, 2011||Sep 2, 2014||Covidien Lp||Surgical access method and assembly including sleeve and port|
|US8870904||Mar 12, 2012||Oct 28, 2014||Applied Medical Resources Corporation||Access sealing apparatus and method|
|US8888693||Jul 1, 2011||Nov 18, 2014||Atropos Limited||Instrument access device|
|US8894571||Apr 1, 2014||Nov 25, 2014||Applied Medical Resources Corporation||Single port access system|
|US8911366||Jan 11, 2012||Dec 16, 2014||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8932214||May 11, 2011||Jan 13, 2015||Applied Medical Resources Corporation||Surgical access system|
|US8961410||Jan 6, 2012||Feb 24, 2015||Applied Medical Resources Corporation||Surgical retractor with gel pad|
|US8973583||Jun 26, 2012||Mar 10, 2015||Applied Medical Resources Corporation||Wound retractor|
|US8986202||Aug 8, 2011||Mar 24, 2015||Atropos Limited||Retractor|
|US9017254||Jan 7, 2014||Apr 28, 2015||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US9022927||Apr 4, 2014||May 5, 2015||Covidien Lp||Surgical access method and assembly including sleeve and port|
|US9084594||Jan 8, 2013||Jul 21, 2015||The Board Of Trustees Of The Lealand Stanford Junior University||Methods for the prevention of surgical site infections|
|US9095300||Oct 18, 2012||Aug 4, 2015||Atropos Limited||Wound retractor device|
|US9101354||Aug 29, 2012||Aug 11, 2015||Applied Medical Resources Corporation||Wound retractor with gel cap|
|US9192366||May 23, 2014||Nov 24, 2015||Applied Medical Resources Corporation||Wound retractor|
|US9241697||Jun 19, 2014||Jan 26, 2016||Applied Medical Resources Corporation||Wound retractor|
|US9271753||Aug 7, 2003||Mar 1, 2016||Atropos Limited||Surgical device|
|US9277908||Feb 27, 2015||Mar 8, 2016||Atropos Limited||Retractor|
|US9289115||Apr 18, 2013||Mar 22, 2016||Applied Medical Resources Corporation||Natural orifice surgery system|
|US9289200||Sep 30, 2011||Mar 22, 2016||Applied Medical Resources Corporation||Natural orifice surgery system|
|US9295459||Dec 18, 2014||Mar 29, 2016||Applied Medical Resources Corporation||Surgical access system|
|US9307975||Jun 19, 2014||Apr 12, 2016||Applied Medical Resources Corporation||Wound retractor|
|US9307976||Jan 27, 2014||Apr 12, 2016||Atropos Limited||Wound retractor|
|US9351759||Apr 12, 2012||May 31, 2016||Atropos Limited||Instrument access device|
|US9393005||Jan 8, 2013||Jul 19, 2016||The Board Of Trustees Of The Leland Stanford Junior University||Systems for the prevention of surgical site infections|
|US9408597||Oct 7, 2013||Aug 9, 2016||Atropos Limited||Instrument access device|
|US9474519||Apr 8, 2015||Oct 25, 2016||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US9526520||Apr 6, 2015||Dec 27, 2016||Covidien Lp||Surgical access method and assembly including sleeve and port|
|US9561024||Feb 4, 2015||Feb 7, 2017||Applied Medical Resources Corporation||Wound retractor|
|US9642608||Jul 16, 2015||May 9, 2017||Applied Medical Resources Corporation||Gels having permanent tack free coatings and method of manufacture|
|US9649102||Jul 8, 2015||May 16, 2017||Applied Medical Resources Corporation||Wound retractor with split hoops|
|US9669153||Mar 12, 2014||Jun 6, 2017||Applied Medical Resources Corporation||Method of manufacturing a tack-free gel for a surgical device|
|US9700296||Jun 29, 2015||Jul 11, 2017||Atropos Limited||Wound retractor device|
|US9717522||Aug 31, 2010||Aug 1, 2017||Applied Medical Resources Corporation||Multi-functional surgical access system|
|US9737335||Jan 12, 2016||Aug 22, 2017||Atropos Limited||Device|
|US9743954||Jul 8, 2015||Aug 29, 2017||Applied Medical Resources Corporation||Multifunctional surgical access system|
|US9757110||Aug 28, 2014||Sep 12, 2017||Atropos Limited||Instrument access device|
|US9788823||Jun 15, 2015||Oct 17, 2017||The Board Of Trustees Of The Leland Stanford Junior University||Methods for the prevention of surgical site infections|
|US9808231||Jul 9, 2014||Nov 7, 2017||Edwards Lifesciences Corporation||Tissue retractor|
|US20030187376 *||Mar 25, 2003||Oct 2, 2003||Rambo Robert D.||O-ring for incrementally adjustable incision liner and retractor|
|US20030192553 *||May 19, 2003||Oct 16, 2003||Robert Rambo||O-ring for incrementally adjustable incision liner and retractor|
|US20030232635 *||Jan 9, 2003||Dec 18, 2003||Fujitsu Limited||Crossword puzzle playing apparatus and crossword puzzle playing program storage medium|
|US20040097793 *||Aug 7, 2003||May 20, 2004||John Butler||Device|
|US20040215063 *||Jun 20, 2003||Oct 28, 2004||Atropos Ltd.||Apparatus for use in surgery and a valve|
|US20040267096 *||Jul 29, 2004||Dec 30, 2004||Martin Caldwell||Hand access port device|
|US20050043592 *||Sep 16, 2004||Feb 24, 2005||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US20050059865 *||Sep 17, 2003||Mar 17, 2005||Applied Medical Resources Corporation||Surgical instrument access device|
|US20050090716 *||Nov 24, 2004||Apr 28, 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US20050090717 *||Oct 6, 2003||Apr 28, 2005||Frank Bonadio||Wound retractor device|
|US20050155611 *||Nov 5, 2004||Jul 21, 2005||Trevor Vaugh||Surgical sealing device|
|US20050197537 *||Mar 23, 2005||Sep 8, 2005||Frank Bonadio||Wound retractor device|
|US20050203346 *||Mar 23, 2005||Sep 15, 2005||Frank Bonadio||Wound retractor device|
|US20050228447 *||Jun 1, 2005||Oct 13, 2005||Rambo Robert D||O-ring for incrementally adjustable incision liner and retractor|
|US20050240082 *||Jul 1, 2005||Oct 27, 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US20050261720 *||Jul 26, 2005||Nov 24, 2005||Gaya Limited||Surgical access device|
|US20060161049 *||Dec 12, 2005||Jul 20, 2006||Richard Beane||Surgical access port|
|US20080021359 *||Jul 18, 2006||Jan 24, 2008||Beckman Andrew T||Roll-up wound protector with asymmetic ring|
|US20080146882 *||Dec 15, 2006||Jun 19, 2008||Cropper Michael S||Handoscopy Interwoven Layered Seal Laparoscopic Disk|
|US20080146883 *||Dec 15, 2006||Jun 19, 2008||Kistler Paul H||Resiliently Supported Seal Cap for Hand Assisted Laparoscopic Surgical Procedures|
|US20080146884 *||Dec 15, 2006||Jun 19, 2008||Beckman Andrew T||Fully Automated Iris Seal for Hand Assisted Laparoscopic Surgical Procedures|
|US20110251464 *||Feb 18, 2011||Oct 13, 2011||Tyco Healthcare Group Lp||Surgical access method and assembly including sleeve and port|
|US20120215070 *||May 3, 2012||Aug 23, 2012||Applied Medical Resources Corporation||Surgical instrument access device|
|US20130184535 *||Jan 8, 2013||Jul 18, 2013||The Board Of Trustees Of The Leland Stanford Junior University||Expandable tissue retraction devices|
|CN100464712C||Feb 27, 2003||Mar 4, 2009||苹果医药公司||An abdominal retractor|
|WO2011044448A2||Oct 8, 2010||Apr 14, 2011||Surgiquest, Incorporated||Low-profile surgical access devices with anchoring|
|International Classification||A61B19/08, A61B19/00, A61B17/34, A61B17/02|
|Cooperative Classification||A61B17/0293, A61B19/38, A61B19/08, A61B17/3431|