|Publication number||US3397692 A|
|Publication date||20 Aug 1968|
|Filing date||24 Feb 1966|
|Priority date||24 Feb 1966|
|Also published as||DE6605056U|
|Publication number||US 3397692 A, US 3397692A, US-A-3397692, US3397692 A, US3397692A|
|Inventors||Blanford William F, Creager Jr Paul, Harrower Harold W|
|Original Assignee||Parke Davis & Co|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (4), Referenced by (134), Classifications (5)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Aug. 20, 1968 P. CREAGER, JR.. ET 3,397,692
PROTECTOR FOR INCISED WOUNDS Filed Feb. 24. 1966 R J MR E NG A v u WC QR M w m 1 MR L BH F MD M m Mm q WH 6 United States Patent 3,397,692 PROTECTOR FOR INCISED WOUNDS,
Paul Creager, Jr., and William F. Blanford, Dayton, Ohio, and Harold W. Harrower, Greenville, R.I., assignors, by direct and mesne assignments, to Parke, Davis & Company, Detroit, Mich., a corporation of Michigan Filed Feb. 24, 1966, Ser. No. 529,763 5 Claims. (Cl. 128132) The present invention relates to devices useful in surgery to protect the edges of incised wound from contamination.
It has been proposed to avoid contamination in surgical procedures by covering the body with a sterile plastic drape or other coating, and making the incision through such coating as described in Patent 3,146,884 issued to Pereny et al. However, such devices do not protect the edge of the incised wound from possible contamination from sources within the body cavity or externally thereof.
Frequently, the incision in an abdominal operation is relatively small, and sometimes the incision must be enlarged as the operation proceeds. It is necessary that a wound edge protector in such use be easily applied and removed, should not injure the tissue, and should be usable for a variety of sizes of incisions. Further, the protector should not hinder spreading the wound or interfere with other operative procedures, and it should be readily removable.
According to the present invention, there is provided a wound edge protector comprising an anchor member, preferably in the form of a resilient, self sustaining rod or rods of any desired cross section shape, to the running edge of which is suitably attached a thin plastic membrane serving as a drape. Preferably the membrane is a flat sheet with a centrally located aperture therein serving as a hand hole that corresponds generally to the size of the anchor member, and the member is attached adjacent the edge of such aperture to the anchor member. In use the anchor member is threaded through the incision into the body cavity, where it underlies the peritoneum and spreads and anchors the protective membrane secured thereto. The protective membrane extends from the anchor member and protrudes externally through the incision and the protruding portion can be spread out or draped over the body of the patient. Thus, the edge of the incision is kept covered and protected by the membrane.
The anchor member may be in the form of an annulus and should be sufficiently resilient and self-sustaining so that after being collapsed for threading through the incision it will expand substantially to circular shape when released. However, it should not be so stiff as to prevent its ready collapse by squeezing it by hand. For example, an anchor ring which can be flattened to a narrow ellipse by not substantially more than about two pounds pressure is satisfactory. An alternative form of anchor member comprises two or more rods attached to the edge of the aperture of the membrane and longer than the incision. When inserted in the incision they underlie the peritoneum, and the spreader used in conventional procedure keeps the membrane against the wound edge. Or the fiat rods may be joined at their ends to form an oval or triangle or other polygon shape.
The anchor member may be a preformed ring, or it may be made from a straight rod bent into a circle and 3,397,692 Patented Aug. 20, 1968 having its ends releasably or permanently held together. For example, the anchor member is conveniently made from plastic tubing with the ends united by a dowel which is secured against removal in only one end of the tube, or in both ends as desired. The dowel may also be a tube, as in general, tubing is commercially available. If only one end of the dowel is secured, the ring can be opened by sliding the loose or receiving end of the tube off of the dowel.
The membrane can be of rectangular shape or of any other suitable shape at its outer periphery, and its size may vary from about sixteen radial inches upward. If desired, the membrane may be in the form of a planar frustoconical development so that when rolled into the form of a wide angle (nearly flat) cone there is a suitable size opening at the small end to receive the anchor member. Where the membrane attached at its opening to the anchor ring is continuous, it is preferable to make the anchor in permanent ring form. However, in some instances it is advantageous to cut the protective membrane generally radially from the opening to its outer periphery; in such case it is preferred to employ an anchor ring which is capable of being opened. An example of a ring capable of being opened is one made of tubing with its ends connected by a dowel that is secured in only one end of tubing as above described. The opening of the ring may be substantially in alignment with the cut of the membrane. Using such a device, the anchor ring can be reduced in periphery by cutting away part of the receiving end of the tube as desired. Preferably the ring only and not the sheet is cut in this way so when the ends of the anchor ring are reunited by the dowel there is an overlap of the cut edges of the sheet. It is preferred however, to place the receiving end of the anchor out of, alignment With the corresponding cut edge of the sheet so that normally, when the anchor ring is closed the edges of the membrane overlap. In such modification, by cutting away part of the receiving end of the anchor member it forms a ring of reduced diameter and the overlap of the edges of the membrane is increased. Such modifications therefore can be adjusted, if desired, to smaller incisions by cutting away the anchor ring as above described.
It will be understood that the device of this invention will be sterile at the time of use. The device can be sterilized just prior to use or can be sterilized and packed in a sterile sealed package which keeps the device sterile until the package is opened. The material used for making the anchor member and membrane accordingly will be chosen to serve the purpose herein described and so that it can be sterilized by the desired sterilizing treatment. Examples of suitable membrane material includes polyvinyl chloride, polyvinylidene chloride, polyethylene, poly propylene, polyethylene terephthalate, or copolymers, such as to percent by weight vinyl chloride with 20 to 10 percent by weight of another material such as vinyl acetate or vinylidene chloride. Transparency of the diaphragm material is preferred but is not essential. The diaphragm material need not have great strength but should not be so fragile as to tear in use.
When the device includes a flat membrane, the membrane is wrinkled and folded to some extent where it passes over the cut faces or edges of the incision. This is not a material disadvantage as the membrane preferably is thin enough and pliable enough to wrinkle and fold in this manner without creating undesired bulkiness. Or a membrane may be employed that is easily stretched so that it will conform to the incision edge with less wrinkling. The wrinkling can be reduced by the use of a membrane of wide angle frusto-conical shape attached to the anchor member at the smaller diameter portion of the cone. In using such membrane it should form a very wide angle cone so that the part overlying the patients body is practically flat, and if desired, it may be made from flat sheet as a cone development.
An important advantage in this construction of wound protector is that it adequately covers and protects all surfaces of the wound adjacent the body cavity, including the terminal corners of the wound, yet the anchor is beyond the periphery of the incision and cannot interfere with the operating procedure. The portion of the membrane overlying the body on the outside may be large enough to serve as a drape, and in any event, its periphery is far enough removed from the wound edge so that it cannot get in the way during the operating procedure and cannot become accidentally entangled with or caught by an operating instrument as it is being passed over the body. The membrane can be rectangular, square, circular or any other desired shaped. If desired, a molded or formed membrane may be employed, but this may increase substantially the cost of manufacture.
It is preferred to construct the anchor member of standard diameter polyvinylchloride tubing and construct the membrane of polyvinylchloride sheeting. Such materials can be sterilized by heating and have properties which are desirable for this invention. The desired pliability is obtained by using sheeting for example, about two mils thick, and tubing for example, of about 7 inch diameter. The membrane is conveniently attached at its opening to the anchor member by heat welding or by cement, and the like. Or, if desired, the opening in the membrane may be hemmed to provide a casing into which the anchor rod is loosely inserted.
The invention is described in greater detail in connection with the accompanying drawings wherein are illustrated preferred embodiments of the invention by way of example, and wherein:
FIGURE 1 shows an embodiment of the invention spread out flat,
FIGURE 2 is a top perspective view showing the invention in operative position in a patient for operative procedure the peripheral part of the membrane being broken away,
FIGURE 3 is an enlarged cross sectional view taken on line IIIIII of FIGURE 1 with parts broken away, and
FIGURE 4 shows a plan view of a modification similar to FIGURE 1.
Referring to the drawing, the wound edge protector includes an anchor member in the form of an annulus 1 and a membrane 2 having a central aperture therein. The edge 3 (FIG. 3) of the membrane at the aperture is suitably attached to the anchor member, as by cement. In the preferred construction the anchor member comprises a hollow cylindrical rod bent into an annulus and held in such form by a dowel 4 which fits into the hollow of the rod and overlaps the ends 5, 5' of the rod. Preferably the dowel is the same length as the rod so as to completely fill the hollow core. This construction simplifies the manufacture and assembly of the anchor member.
The use of the protector is illustrated in FIGURE 2 in connection with an abdominal incision. Before making the incision the patient may be covered by a drape as described in the Pereny et al. Patent 3,146,884, and the incision made through the drape, and accordingly, the cut edges of the abdominal wall are not covered or protected by the drape. To apply the Wound protector the annulus 1 is held in generally horizontal position so as to allow the membrane to drape naturally downwardly, and one hand is inserted beneath the draping membrane to grasp the anchor ring and compress it to a narrow oval shape. The ring is now inverted while still being compressed, and is threaded through the incision into the abdominal cavity. In the cavity the anchor expands by its inherent resilience so asto underlie the cut edge of the peritoneum, and thus anchors the membrane. The part of the membrane protruding outward from the incision is draped or spread out fiat over the patient. The membrane wrinkles as required to pass through the incision, and thus completely covers and protects the cut edge or faces of the incision within the abdominal cavity as well as at the skin surface. The membrane does not interfere with the use of retractors, which now can be applied to the incision, or with the operative procedure. Because the membrane lies substantially flat and its edges are remote from the wound, there is little likelihood that the membrane can become tangled with the instruments used, or interfere with the operative procedure.
When the operative procedure is finished the surgeon can reach into the cavity, grasp and compress the annulus into oval shape, and thread it through the incision to remove it. The wound edges then can be reunited in the usual manner, as by sewing.
The embodiment described can be used unchanged for a variety of sizes of incisions because the anchor ring expands in the abdominal cavity away from the edges of the incision. The size of the membrane is large enough to allow for the gathering in the abdominal cavity and to adequately cover the area adjacent the incision on the exterior of the patient. For example, the annulus may be made in three standard sizes of five, nine and eleven inches in diameter, and the membrane may be about 36 inches by 36 inches.
The embodiment shown in FIGURE 4 is useful in some situations. In this embodiment the membrane is severed generally radially at 6 from the anchor to the outer edge of the membrane. The cut 6 preferably is made adjacent the juncture of the rod ends 5, 5'. This allows the dowel 4 to be withdrawn from one end of the rod. A portion of the end of the rod and the dowel therein can be cut off and the dowell projecting from the other end is inserted to make a smaller annulus that allows the edges at out 6 to overlap. The cut edges also in some cases make it easier to smoothly drape the membrane over the patient.
If desired the protector can be used without reuniting the ends of the rod, but allowing the rod to expand to a generally C-shaped or a spiral form within the abdominal cavity, in which case provision is made to prevent excessive spreading thereof, or damage to the viscera from the ends.
In a further modification the membrane may be in the form of a wide angle cone frustum with the annulus at the smaller edge of the cone.
The invention can be sterilized and packaged within a suitable sterile sealed envelope or other external covering, from which it can be removed at the time it is to be used. Sterilization can be effected by treatment with steam, ethylene oxide, or by treatment with any other suitable medium or by any other suitable method.
Various modifications of the invention may be made without departing of the spirit thereof.
1. A wound edge protector for use in surgical procedures comprising: a thin drape membrane of pliable material for covering a patients body, and having a generally central hand opening therein, and anchor means attached adjacent the membrane edge of the opening said anchor means comprising a resilient rod formed into an annulus, the anchor means being generally capable of being compressed under restraint and expandable when released so that when inserted through an incision the anchor means underlies the incision edges and anchors the drape internally around the incision to cover the Wound surface.
2. A Wound edge protector as specified in claim 1 wherein the ends of the rod are united by a dowel.
3. A wound edge protector as specified in claim 1 wherein the drape membrane is divided substantially radially from the anchor means to the outer edge.
4. A wound edge protector as specified in claim 1 wherein the ends of said annulus are removably united by a dowel.
S. A wound edge protector as specified in claim 1 wherein the drape membrane is in the form of a cone of relatively wide angle.
6 References Cited UNITED STATES PATENTS 2,591,783 4/1952 Craddock 128-132 3,030,957 4/1962 Melges 128-292 3,182,656 5/1965 Pyne 128-432 3,236,370 2/1966 Pereny et a1 206-632 ADELE M. EAGER, Primary Examiner.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2591783 *||3 Apr 1951||8 Apr 1952||Craddock Douglas L||Protecting shield|
|US3030957 *||6 Mar 1959||24 Apr 1962||Melges Frederick J||Disposable obstetrical and/or surgical cover means|
|US3182656 *||24 Apr 1962||11 May 1965||Jessie L Pyne||Surgical sheet|
|US3236370 *||22 Dec 1961||22 Feb 1966||Protective Treat S Inc||Sterile surgical drape|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US3565067 *||23 Sep 1968||23 Feb 1971||Mars Mfg Co Inc||Laparotomy sheet with plastic reinforcement|
|US4043328 *||1 Jun 1976||23 Aug 1977||American Hospital Supply Corporation||Urological drape|
|US4192312 *||1 Sep 1978||11 Mar 1980||Wilson Donald L||Surgical incision guide means|
|US4334529 *||14 Apr 1981||15 Jun 1982||Caroline G. Wirth||Wirth's sterile, disposable surgical drape|
|US4598458 *||27 Apr 1983||8 Jul 1986||The Kendall Company||Surgical drape with fluid collection bag|
|US5107859 *||6 Aug 1990||28 Apr 1992||Struckmeyer Corporation||Fluid collection bags with foam support inserts|
|US5213114 *||25 Oct 1990||25 May 1993||Bailey Jr Paul F||Ophthalmologic drape and method|
|US5273055 *||11 Dec 1992||28 Dec 1993||Erkan Ereren||Protective shield for intrathoracic/intra-abdominal laparoscopic medical procedures|
|US5341821 *||30 Dec 1991||30 Aug 1994||Boundary Healthcare Products Corporation||Surgical drape and method of making a surgical drape|
|US5524644 *||9 Jun 1995||11 Jun 1996||Medical Creative Technologies, Inc.||Incrementally adjustable incision liner and retractor|
|US5632284 *||22 May 1996||27 May 1997||Graether; John M.||Barrier eye drape and method of using same|
|US5640977 *||2 Sep 1994||24 Jun 1997||Medical Creative Technologies, Inc.||Apparatus and method for use in surgery|
|US5649550 *||26 Feb 1996||22 Jul 1997||Medical Creative Technologies, Inc.||Surgical retractor liner and integral drape assembly|
|US5810721 *||4 Mar 1996||22 Sep 1998||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US5813409 *||29 Mar 1995||29 Sep 1998||Medical Creative Technologies, Inc.||Surgical apparatus|
|US6048309 *||19 Sep 1997||11 Apr 2000||Heartport, Inc.||Soft tissue retractor and delivery device therefor|
|US6142935 *||24 Mar 1998||7 Nov 2000||Heartport, Inc.||Illuminating soft tissue retractor|
|US6382211||21 Jul 1997||7 May 2002||Medical Creative Technologies, Inc.||Surgical retractor liner appliance|
|US6578577||13 Mar 2001||17 Jun 2003||Atropos Limited||Laparoscopic sealed access device|
|US6582364||7 May 2001||24 Jun 2003||Atropos Limited||Retractor and method for use|
|US6623426||13 Mar 2001||23 Sep 2003||Atropos Limited||Laparoscopic sealed access device|
|US6723044||14 Mar 2002||20 Apr 2004||Apple Medical Corporation||Abdominal retractor|
|US6814078||20 Dec 2001||9 Nov 2004||Medical Creative Technologies, Inc.||Surgical retractor and liner|
|US6814700 *||16 Mar 2000||9 Nov 2004||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US6846287||29 Apr 2002||25 Jan 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US7033319||20 Apr 2004||25 Apr 2006||Apple Medical Corporation||Abdominal retractor|
|US7081089||1 Jul 2005||25 Jul 2006||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US7163510||17 Sep 2003||16 Jan 2007||Applied Medical Resources Corporation||Surgical instrument access device|
|US7195590||7 Aug 2003||27 Mar 2007||Atropos Limited||Surgical device|
|US7238154||1 Sep 2005||3 Jul 2007||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US7300399||24 Nov 2004||27 Nov 2007||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US7377898||30 May 2007||27 May 2008||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US7445597||27 Feb 2003||4 Nov 2008||Atropos Limited||Retractor|
|US7473221||21 Sep 2001||6 Jan 2009||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US7481765||5 Oct 2005||27 Jan 2009||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US7537564||23 Mar 2005||26 May 2009||Atropos Limited||Wound retractor device|
|US7540839||6 Aug 2003||2 Jun 2009||Atropos Limited||Wound retractor|
|US7559893||6 Oct 2003||14 Jul 2009||Atropos Limited||Wound retractor device|
|US7650887||3 Jun 2003||26 Jan 2010||Applied Medical Resources Corporation||Wound retractor|
|US7704207||12 Oct 2006||27 Apr 2010||Applied Medical Resources Corporation||Circular surgical retractor|
|US7727146||12 Oct 2006||1 Jun 2010||Applied Medical Resources||Wound retractor with gel cap|
|US7736306||12 Oct 2006||15 Jun 2010||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US7749415||6 Jul 2010||Applied Medical Resources Corporation||Method of making a hand access laparoscopic device|
|US7758500 *||20 Jul 2010||Edwards Lifesciences Llc||Soft tissue retractor and method for providing surgical access|
|US7815567||12 Oct 2006||19 Oct 2010||Applied Medical Resources, Corporation||Split hoop wound retractor|
|US7819800||26 Oct 2010||Ethicon Endo-Surgery, Inc.||Fully automated iris seal for hand assisted laparoscopic surgical procedures|
|US7867164||11 Jan 2011||Atropos Limited||Wound retractor system|
|US7878974||1 Feb 2011||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US7883461||8 Feb 2011||Applied Medical Resources||Wound retractor with gel cap|
|US7892172||27 Apr 2010||22 Feb 2011||Applied Medical Resources Corporation||Circular surgical retractor|
|US7909760||12 Oct 2006||22 Mar 2011||Applied Medical Resources Corporation||Split hoop wound retractor with gel pad|
|US7913697||29 Mar 2011||Applied Medical Resources Corporation||Wound retractor|
|US7951076||7 Oct 2005||31 May 2011||Applied Medical Resources Corporation||Surgical access system|
|US7967748||28 Jun 2011||Ethicon Endo-Surgery, Inc.||Resiliently supported seal cap for hand assisted laparoscopic surgical procedures|
|US7998068||16 Aug 2011||Atropos Limited||Instrument access device|
|US8016755||3 Dec 2010||13 Sep 2011||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8021296||20 Sep 2011||Atropos Limited||Wound retractor|
|US8070676||6 Dec 2011||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8105234||31 Jan 2012||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8109873||12 May 2008||7 Feb 2012||Applied Medical Resources Corporation||Surgical retractor with gel pad|
|US8157835||1 Jun 2010||17 Apr 2012||Applied Medical Resouces Corporation||Access sealing apparatus and method|
|US8187177||29 Nov 2006||29 May 2012||Applied Medical Resources Corporation||Surgical instrument access device|
|US8187178||29 May 2012||Atropos Limited||Instrument access device|
|US8197404||15 Dec 2006||12 Jun 2012||Ethicon Endo-Surgery, Inc.||Handoscopy interwoven layered seal laparoscopic disk|
|US8226552||12 May 2008||24 Jul 2012||Applied Medical Resources Corporation||Surgical retractor|
|US8231527||31 Jul 2012||Ethicon Endo-Surgery, Inc.||Roll-up wound protector with asymmetric ring|
|US8235054||22 Feb 2011||7 Aug 2012||Applied Medical Resources Corporation||Wound retractor|
|US8262568||13 Oct 2009||11 Sep 2012||Applied Medical Resources Corporation||Single port access system|
|US8267858||18 Sep 2012||Applied Medical Resources Corporation||Wound retractor with gel cap|
|US8308639||17 Mar 2011||13 Nov 2012||Applied Medical Resources Corporation||Split hoop wound retractor with gel pad|
|US8313431||15 Oct 2010||20 Nov 2012||Applied Medical Resources Corporation||Split hoop wound retractor|
|US8317691||20 Apr 2009||27 Nov 2012||Atropos Limited||Wound retractor device|
|US8343047||22 Jan 2009||1 Jan 2013||Applied Medical Resources Corporation||Surgical instrument access device|
|US8357086||22 Jan 2013||Applied Medical Resources Corporation||Surgical instrument access device|
|US8375955||19 Feb 2013||Atropos Limited||Surgical procedure|
|US8388526||5 Mar 2013||Applied Medical Resources Corporation||Wound retraction apparatus and method|
|US8414487||9 Apr 2013||Applied Medical Resources Corporation||Circular surgical retractor|
|US8480575||28 Aug 2012||9 Jul 2013||Applied Medical Resources Corporation||Single port access system|
|US8496581||15 Mar 2012||30 Jul 2013||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8647265||14 Jan 2011||11 Feb 2014||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US8657740||27 Jan 2010||25 Feb 2014||Atropos Limited||Instrument access device|
|US8657741||15 Aug 2011||25 Feb 2014||Atropos Limited||Wound retractor|
|US8672839||13 Sep 2011||18 Mar 2014||Applied Medical Resource Corporation||Surgical access apparatus and method|
|US8703034||23 Aug 2011||22 Apr 2014||Applied Medical Resources Corporation||Method of making a tack-free gel|
|US8721537||27 Jun 2013||13 May 2014||Applied Medical Resources Corporation||Single port access system|
|US8734336||23 Apr 2009||27 May 2014||Atropos Limited||Wound retractor device|
|US8740785||19 Oct 2010||3 Jun 2014||Atropos Limited||Wound retractor system|
|US8752553||20 Jun 2003||17 Jun 2014||Atropos Limited||Apparatus for use in surgery and a valve|
|US8758236||9 May 2012||24 Jun 2014||Applied Medical Resources Corporation||Wound retractor|
|US8857440 *||22 Jun 2004||14 Oct 2014||DePuy Synthes Products, LLC||Devices and methods for protecting tissue at a surgical site|
|US8870904||12 Mar 2012||28 Oct 2014||Applied Medical Resources Corporation||Access sealing apparatus and method|
|US8888693||1 Jul 2011||18 Nov 2014||Atropos Limited||Instrument access device|
|US8894571||1 Apr 2014||25 Nov 2014||Applied Medical Resources Corporation||Single port access system|
|US8911366||11 Jan 2012||16 Dec 2014||Applied Medical Resources Corporation||Surgical access apparatus and method|
|US8932214||11 May 2011||13 Jan 2015||Applied Medical Resources Corporation||Surgical access system|
|US8961410||6 Jan 2012||24 Feb 2015||Applied Medical Resources Corporation||Surgical retractor with gel pad|
|US8973583||26 Jun 2012||10 Mar 2015||Applied Medical Resources Corporation||Wound retractor|
|US8986202||8 Aug 2011||24 Mar 2015||Atropos Limited||Retractor|
|US9017254||7 Jan 2014||28 Apr 2015||Applied Medical Resources Corporation||Hand access laparoscopic device|
|US9084594||8 Jan 2013||21 Jul 2015||The Board Of Trustees Of The Lealand Stanford Junior University||Methods for the prevention of surgical site infections|
|US9095300||18 Oct 2012||4 Aug 2015||Atropos Limited||Wound retractor device|
|US9101354||29 Aug 2012||11 Aug 2015||Applied Medical Resources Corporation||Wound retractor with gel cap|
|US9192366||23 May 2014||24 Nov 2015||Applied Medical Resources Corporation||Wound retractor|
|US9241697||19 Jun 2014||26 Jan 2016||Applied Medical Resources Corporation||Wound retractor|
|US9271753||7 Aug 2003||1 Mar 2016||Atropos Limited||Surgical device|
|US9277908||27 Feb 2015||8 Mar 2016||Atropos Limited||Retractor|
|US9289115||18 Apr 2013||22 Mar 2016||Applied Medical Resources Corporation||Natural orifice surgery system|
|US9289200||30 Sep 2011||22 Mar 2016||Applied Medical Resources Corporation||Natural orifice surgery system|
|US9295459||18 Dec 2014||29 Mar 2016||Applied Medical Resources Corporation||Surgical access system|
|US9307975||19 Jun 2014||12 Apr 2016||Applied Medical Resources Corporation||Wound retractor|
|US9307976||27 Jan 2014||12 Apr 2016||Atropos Limited||Wound retractor|
|US20030232635 *||9 Jan 2003||18 Dec 2003||Fujitsu Limited||Crossword puzzle playing apparatus and crossword puzzle playing program storage medium|
|US20040049100 *||27 Feb 2003||11 Mar 2004||Atropos Limited||Retractor|
|US20040097793 *||7 Aug 2003||20 May 2004||John Butler||Device|
|US20040215063 *||20 Jun 2003||28 Oct 2004||Atropos Ltd.||Apparatus for use in surgery and a valve|
|US20040267096 *||29 Jul 2004||30 Dec 2004||Martin Caldwell||Hand access port device|
|US20050043592 *||16 Sep 2004||24 Feb 2005||Heartport, Inc.||Soft tissue retractor and method for providing surgical access|
|US20050059865 *||17 Sep 2003||17 Mar 2005||Applied Medical Resources Corporation||Surgical instrument access device|
|US20050090716 *||24 Nov 2004||28 Apr 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US20050155611 *||5 Nov 2004||21 Jul 2005||Trevor Vaugh||Surgical sealing device|
|US20050197537 *||23 Mar 2005||8 Sep 2005||Frank Bonadio||Wound retractor device|
|US20050203346 *||23 Mar 2005||15 Sep 2005||Frank Bonadio||Wound retractor device|
|US20050240082 *||1 Jul 2005||27 Oct 2005||Atropos Limited||Surgical device for retracting and/or sealing an incision|
|US20050283050 *||22 Jun 2004||22 Dec 2005||Ramarao Gundlapalli||Devices and methods for protecting tissue at a surgical site|
|US20060247498 *||11 Oct 2005||2 Nov 2006||Frank Bonadio||Instrument access device|
|US20070004968 *||1 Dec 2005||4 Jan 2007||Frank Bonadio||Seal for a cannula|
|US20070118175 *||7 Aug 2003||24 May 2007||John Butler||Device|
|US20080021359 *||18 Jul 2006||24 Jan 2008||Beckman Andrew T||Roll-up wound protector with asymmetic ring|
|US20080146882 *||15 Dec 2006||19 Jun 2008||Cropper Michael S||Handoscopy Interwoven Layered Seal Laparoscopic Disk|
|US20080146883 *||15 Dec 2006||19 Jun 2008||Kistler Paul H||Resiliently Supported Seal Cap for Hand Assisted Laparoscopic Surgical Procedures|
|US20080146884 *||15 Dec 2006||19 Jun 2008||Beckman Andrew T||Fully Automated Iris Seal for Hand Assisted Laparoscopic Surgical Procedures|
|US20080300467 *||29 May 2007||4 Dec 2008||Schaefer Robert W||Surgical wound retractor with reusable rings|
|WO1999003416A1||21 Jul 1997||28 Jan 1999||Medical Creative Technologies, Inc.||Surgical retractor liner appliance|
|WO2000032116A1||1 Dec 1999||8 Jun 2000||Atropos Limited||A surgical device for retracting and/or sealing an incision|
|International Classification||A61B19/00, A61B19/08|