摘要:
A tissue retention belt for retracting and retaining tissue in a position that permits access to a body portion of a patient for a medical procedure includes a flexible elongate body, a gripping portion affixed to the elongate body at the intermediate portion, and at least one attachment surface disposed at a proximal portion and/or a distal portion of the elongate body. The elongate body may include a first material having a first coefficient of friction, and the gripping portion may include a non-adhesive second material having a second coefficient of friction greater than the first coefficient of friction and defining a slip resistant exterior gripping portion. The tissue retention belt can be positioned or wrapped around a patient's body (e.g., pannus, thigh) such that the gripping surface contacts and grips the patient's skin to retract and retain the skin at the position to provide access for a medical procedure.
摘要:
Described are means for the direct and continuous connection of a catheter to the lumen of any tubular anatomical structure, or ductus, without medically significant leakage. A port implanted at the body surface with piping to a periductal collar allows drug or radionuclide delivery that bypasses the upstream lumen. The port allows injection, infusion, aspiration, or attachment of an automatic ambulatory pump. A superparamagnetic nanoparticle carrier-bound drug, for example, can be introduced into the lumen to pass downstream until the particles, with or without the drug still bound, are drawn into the lumen wall by a magnetized jacket surrounding the ductus. Such constitutes a method of drug targeting whereby a segment of a vessel or the territory supplied by a branch of that segment can be circumscribed for exposure to the drug. A jacket with side-entry connector positioned in surrounding relation to a lesion requiring treatment can itself be magnetized.
摘要:
Method of using a shape-formable apparatus. A shape-formable apparatus can include an envelope defining a chamber, a port positioned to fluidly couple the chamber with ambience, and at least two locking sheets positioned in the chamber in an at least partially overlapping configuration. Each locking sheet can include a major surface, and at least a portion of each locking sheet can be patterned to include solid regions and open regions, the solid regions being movable with respect to one another within the major surface. The method can include providing the shape-formable apparatus in a first state; forming the apparatus into a desired shape; and reducing the pressure in the chamber to change the apparatus from the first state to a second state in which the apparatus is substantially less formable than in the first state.
摘要:
A wound protector and retractor device 1 comprises a sleeve 2, a distal member provided by a distal ring 3 of resilient material and a proximal member provided by a proximal ring 4. The sleeve 2 is led around the ring 3 and is free to move axially relative to the distal ring 3 somewhat in the manner of a pulley. The proximal ring 4 is fixed to the sleeve 2, in this case at the proximal inner end thereof. The sleeve 2 terminates in a handle or gripping portion which is reinforced by a gripping ring 15. The sleeve extends from the proximal ring 4 and the distal ring 3 is contained between inner and outer layers 2a, 2b of the sleeve 2. The resilient distal ring 3 is scrunched up and inserted through the incision 6. The sleeve 2 is then pulled upwardly. On pulling of the sleeve 2 upwardly the outer layer 2b is pulled up while the inner layer 2a is drawn around the proximal ring 3. This results in shortening the axial extent between the proximal ring 4 and the distal ring 3, tensioning the sleeve and applying a retraction force to the margins of the incision 6. As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.
摘要:
A method of treating a patient's joint having opposing joint surfaces includes providing an elongate member having a proximal end, a distal end and an expandable member near the distal end. The expandable member is positioned in the joint between the joint surfaces and expanded so as to separate the joint surfaces away from one another into a distracted position. The joint is manipulated while in the distracted position so that the joint is distracted and in flexion. A diagnostic or therapeutic procedure is then performed on the joint while maintaining the joint in the flexed and distracted position.
摘要:
A boot assembly apparatus, system and method for elevating the patient's limb when using a manual distractor unit is mounted upon a support frame attached to an operating table side rail. A foot strap is attached to the boot assembly apparatus and to the patient's ankle with a patient's knee support pad, extending from the distractor unit, is positioned under the patient's knee to provide traction to the patient's ankle, which is secured to the support frame. The boot assembly apparatus may be formed with a plurality of attachment points for the foot strap so as to provide improved access to the ankle area with advantages of allowing additional types of procedures a surgeon could perform on the patient and/or the ability of the surgeon to access the ankle area and lower leg.
摘要:
A device, system, and method that may help reduce complications associated with placing an intrauterine balloon in the uterine cavity of a patient is provided. In one aspect, the system includes an inflatable balloon, an inflation line having a distal end in communication with the balloon; an inner member comprising an elongate tubular body having a distal and proximal end; a slot extending from the distal to proximal end of the inner member, and an outer sheath in which the inner member is removably insertable. The outer sheath is configured to receive the balloon in a furled state therein such that the balloon may be introduced into the uterine cavity by transvaginally inserting the outer sheath through an endocervical canal of the patient and then introducing the balloon into the uterine cavity by moving the inner member through the outer sheath in the direction of uterine cavity.
摘要:
A tissue protector has a body structure having a longitudinal extending thin web. The body structure has an unconstrained first shape configured to form a nerve shield and is configured to shrink about a longitudinal axis to a smaller constrained second shape sized to fit into a lumen of a cannula. Preferably, the second constrained shape is oval or round having a maximum diameter equal or less than an inside diameter of the lumen. The body structure is configured to return to the first shape when the cannula is withdrawn or returned to this shape as the implant advances.
摘要:
An inflatable assistive surgical instrument for transanal minimal invasive surgery, having a sheath that expands after inflation, is disclosed. The inflated sheath is cylindrical-shaped, and a notch is formed on the wall of the cylindrical sheath to expose the tissue of the colon wall for surgical operation. The inflatable sheath has an inflation nozzle for connecting with an inflating tube. The inflatable sheath disclosed in the present invention can fully achieve the expected effects and requirements and shows an extraordinary efficiency of the surgical operation, in comparison with the prior arts where the present invention is not adopted. The present invention also improves the quality and the success rate of surgical operation, and is highly appraised by the colorectal surgeons reduces the cost for single use.
摘要:
A tissue retention system to assist in maintaining adipose tissue on a patient in a displaced position during a medical procedure to provide access to a body region of the patient includes a flexible anchor pad having a pad length and a pad width. The anchor pad may include a pad body with an adhesive surface thereon, the adhesive being configured to selectively adhere to a patient's skin. The anchor pad also may include an opposing first attachment surface facing away from the adhesive surface. The tissue retention system also may include a flexible tension member having a second attachment surface.