EP1727475A1 - Retracteur de plaie - Google Patents

Retracteur de plaie

Info

Publication number
EP1727475A1
EP1727475A1 EP05718817A EP05718817A EP1727475A1 EP 1727475 A1 EP1727475 A1 EP 1727475A1 EP 05718817 A EP05718817 A EP 05718817A EP 05718817 A EP05718817 A EP 05718817A EP 1727475 A1 EP1727475 A1 EP 1727475A1
Authority
EP
European Patent Office
Prior art keywords
wound
engagement
proximal
ring member
opening
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.)
Withdrawn
Application number
EP05718817A
Other languages
German (de)
English (en)
Inventor
Frank Bonadio
Trevor Vaugh
John Butler
Catherine Deegan
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 Ltd
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 Ltd filed Critical Atropos Ltd
Publication of EP1727475A1 publication Critical patent/EP1727475A1/fr
Withdrawn legal-status Critical Current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
    • 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
    • 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

Definitions

  • This invention relates to a wound retractor device, and to a method for retracting a wound opening.
  • a wound retractor device comprising: a distal member for insertion into a wound opening; a proximal member for location externally of the wound opening; a connecting member extending between the distal member and the proximal member to retract laterally the sides of the wound opening; and an engagable member for facilitating engagement of the wound retractor device and manipulation of the wound retractor device into a desired location and/or orientation.
  • the proximal member comprises the engagable member.
  • the engagable member comprises a separate engagement member for location externally of a wound opening.
  • the engagement member may be mountable to the proximal member.
  • the engagement member is mountable to the proximal member in a snap-fit manner.
  • the engagement member may comprise a female recess, into which the proximal member is receivable to mount the engagement member to the proximal member.
  • the female recess is substantially "C"-shaped in cross-section. An opening of the female recess may face radially inwardly. An opening of the female recess may face radially outwardly. An opening of the female recess may face distally.
  • the engagement member comprises a lip for engagement with the proximal member to mount the engagement member to the proximal member.
  • the lip may protrude radially outwardly.
  • the engagement member may be substantially "L"-shaped in cross-section.
  • the proximal member comprises a ring. In another embodiment the engagement member comprises a ring.
  • the engagement member may comprise a grippable element for facilitating gripping of the engagement member.
  • the grippable element is selectively movable relative to a main body portion of the engagement member.
  • the grippable element may be slidable relative to the main body portion.
  • the grippable element may be mountable to the main body portion.
  • the grippable element is mountable to the main body portion in a snap-fit manner.
  • the grippable element comprises a female recess, into which the main body portion is receivable to mount the grippable element to the main body portion.
  • the female recess may be substantially "C"-shaped in cross-section.
  • the main body portion comprises a channel and the grippable element is movably received in the channel.
  • the channel may comprise a slot in the main body portion.
  • the channel may extend around part of the circumference of the main body portion.
  • the grippable element comprises at least one hook formation.
  • the grippable element may comprise a handle.
  • the handle extends radially outwardly from the engagement member.
  • the device may comprise a support to support the engagable member in a manipulated location and/or orientation. In one case at least part of the support is configured for positioning substantially above a wound opening to support the engagable member from above.
  • the support may comprise a tensioner to exert a tensile force on the engagable member. In one case the magnitude and/or direction of the tensile force is adjustable.
  • the tensioner may comprise one or more wires.
  • the support comprises one or more arm members for extending from one or more first locations spaced a substantial distance from a wound opening to one or more second locations adjacent the wound opening.
  • the location and/or orientation of the arm member may be adjustable.
  • the support may comprise one or more leg members for supporting the one or more arm members in desired locations and/or orientations.
  • the support comprises a base member for supporting the one or more leg members.
  • the base member may be configured for location resting on a treatment bed.
  • the base member is configured to at least partially extend beneath the body of a patient being treated.
  • the invention provides a method for retracting a wound opening, the method comprising the steps of: providing a wound retractor device comprising a distal member, a proximal member and a connecting member extending between the distal member and the proximal member; inserting the distal member into the wound opening, and locating the proximal member externally of the wound opening, with the connecting member extending between the distal member and the proximal member to retract laterally the sides of the wound opening; and engaging the wound retractor device, and manipulating the wound retractor device into a desired location and/or orientation.
  • the proximal member is engaged to manipulate the wound retractor device into a desired location and/or orientation.
  • the wound retractor device comprises a separate engagement member located externally of the wound opening, and the engagement member is engaged to manipulate the wound retractor device into a desired location and/or orientation.
  • the method comprises the step of mounting the engagement member to the proximal member.
  • the method may comprise the step of gripping the engagement member at a first region of the engagement member.
  • the method comprises the step of moving the region of gripping of the engagement member from the first region to a second region of the engagement member.
  • the method may comprise the step of sliding the region of gripping from the first region to the second region.
  • the method comprises the step of supporting the wound retractor device in a manipulated position and/or orientation.
  • Fig. 1 is a cross-sectional, side view of a wound retractor device according to the invention
  • Fig. 2 is a cross-sectional, side view of the device of Fig. 1, in use;
  • Figs. 3 to 8 are partially cut-away, perspective views of the device of Fig. 1, in use;
  • Fig. 9 is a perspective view of a part of another wound retractor device according to the invention.
  • Fig. 10 is a cut-away, perspective view of the part of Fig. 9;
  • Figs. 11 and 12 are cross-sectional, side views of the device of Fig. 9, in use;
  • Fig. 13 is a perspective view of a part of another wound retractor device according to the invention.
  • Fig. 14 is a cut-away, perspective view of the part of Fig. 13;
  • Fig. 15 is a cross-sectional, side view of the device of Fig. 13, in use;
  • Fig. 16 is a perspective view of a part of another wound retractor device according to the invention.
  • Fig. 17 is a cross-sectional, side view of the device if Fig. 16, in use;
  • Figs. 18 and 19 are cross-sectional, side views of a further wound retractor device according to the invention, in use;
  • Fig. 20 is a cut-away, perspective view of the device of Figs. 18 and 19, in use;
  • Figs. 21 and 22 are plan views of another wound retractor device according to the invention.
  • Fig. 23 is a cut-away, perspective view of the device of Figs. 21 and 22, in use;
  • Figs. 24 and 25 are cross-sectional, side views of the device of Figs. 21 and 22, in use;
  • Figs. 26 and 27 are cross-sectional, side views of another wound retractor device according to the invention, in use;
  • Figs. 27(a) and 27(b) are cross-sectional, side views of another wound retractor device according to the invention, in use;
  • Figs. 27(c) and 27(d) are cross sectional, side views of a further wound retractor device according to the invention, in use;
  • Figs. 28 and 29 are plan views of another wound retractor device according to the invention, in use.
  • Fig. 30 is an end view of the device of Figs. 28 and 29, in use;
  • Fig. 31 is a side view of the device of Figs. 28 and 29, in use;
  • Fig. 32 is another plan view of the device of Figs. 28 and 29, in use;
  • Fig. 33 is another side view of the device of Figs. 28 and 29, in use;
  • Fig. 34 is a plan view of another wound retractor device according to the invention, in use.
  • Fig. 35 is an end view of the device of Fig. 34, in use;
  • Fig. 36 is a side view of another wound retractor device according to the invention, in use;
  • Fig. 37 is a side view of a further wound retractor device according to the invention, in use.
  • Fig. 38 is a plan view of another wound retractor device according to the invention, in use.
  • Fig. 39 is a side view of the device of Fig. 38, in use;
  • Figs. 40 and 41 are end views of the device of Fig. 38, in use;
  • Fig. 42 is a side view of another wound retractor device according to the invention, in use.
  • Fig. 43 is a plan view of the device of Fig. 42, in use;
  • Fig. 44 is an end view of the device of Fig. 42, in use;
  • Figs. 45 and 46 are plan views of a further wound retractor device according to the invention, in use.
  • Fig. 47 is a side view of the device of Figs. 45 and 46, in use.
  • the device 1 comprises a distal ring member 4 for insertion into a wound opening 3, a proximal ring member 2 for location externally of the wound opening 3, and a connecting member.
  • the connecting member is provided in the form of a cylindrical connecting sleeve 5, which extends between the distal ring member 4 and the proximal ring member 2, to retract laterally the sides of a wound opening 3, as illustrated in Fig. 2.
  • a first end of the sleeve 5 is fixedly attached to the proximal ring member 2, and the sleeve 5 extends distally from the proximal ring member 2 in a first layer to the distal ring member 4.
  • the sleeve 5 is looped around the distal ring member 4 and extends proximally to the proximal ring member 2 in a second layer. As illustrated in Fig. 2, the second layer is located radially outwardly of the first layer.
  • a second end of the sleeve 5 remains detached from the proximal ring member 2.
  • the device 1 further comprises an engagable member for facilitating engagement of the device 1, and manipulation of the device 1 into a desired location and/or orientation.
  • the engagable member is provided by a rigid engagement ring member 11, suitable for location, in use, externally of the wound opening 3.
  • the engagement ring member 11 is substantially "C"-shaped in cross-section, and comprises a female recess 12 into which the proximal ring member 2 is receivable to mount the engagement ring member 11, in a snap-fit manner to the proximal ring member 2.
  • the opening 13 of the female recess 12 faces radially inwardly.
  • the distal ring member 4 is inserted into the wound opening 3, and the proximal ring member 2 is located externally of the wound opening 3, with the connecting sleeve 5 extending between the proximal member 2 and the distal ring member 4.
  • the connecting sleeve 5 is then pulled proximally to retract laterally the sides of the wound opening 3 (Fig. 3).
  • the method of retracting the sides of the wound opening 3 is described in further detail in International patent application No. PCT/IE2003/000141, the relevant contents of which are incorporated herein by reference.
  • the engagement ring member 11 may then be engaged, for example by means of a surgeon gripping the engagement ring member 11, and the device 1 manipulated into a desired location and/or orientation.
  • both sides of the engagement ring member 11 may be pulled vertically upwards, as illustrated in Fig. 4, to create additional working space 8 between the peritoneum 6 and the internal organs 7.
  • the additional working space 8 in the manipulated position enables a surgeon to carry out a surgical procedure through the wound opening 3 without being hindered by the presence of the surrounding internal organs 7. In this manner, the lifting of the peritoneum 6 provides the surgeon with enhanced access to the wound interior.
  • Alternatively only one side of the engagement ring member 11 may be pulled vertically upwards, as illustrated in Fig. 6, to create an alternative angle of vision through the wound opening 3, and also to create additional working space 8 between the peritoneum 6 and the internal organs 7.
  • the surgeon may easily view the portion of the internal organs 7 which are visible along the longitudinal axis A-A of the device 1 when the device 1 is retracting the wound opening 3 in the at- rest position (Fig. 5), and also the portion of the internal organs 7 which are visible along the longitudinal axis A-A of the device 1 when the device 1 is retracting the wound opening 3 in the manipulated position (Fig. 6).
  • additional artificial vision means such as a scope, are not required.
  • lifting the peritoneum 6 provides the surgeon with enhanced vision of the wound interior.
  • both sides of the engagement ring member 11 may be pulled horizontally across, as illustrated in Fig. 8, to create an alternative angle of vision through the wound opening 3.
  • the surgeon may easily view the portion of the internal organs 7 which are visible along the longitudinal axis A-A of the device 1 when the device 1 is retracting the wound opening 3 in the at-rest position (Fig. 7), and also the portion of the internal organs 7 which are visible along the longitudinal axis A-A of the device 1 when the device 1 is retracting the wound opening 3 in the manipulated position (Fig. 8).
  • additional artificial vision means such as a scope, are not required.
  • Manipulating the device 1 thus provides the surgeon with access to or vision of a portion of the internal organs 7 at a variety of locations within the wound interior.
  • the device 1 may be manipulated into a variety of different locations and/or orientations, in addition to or as alternatives to the manipulations described previously with reference to Figs. 3 to 8.
  • the engagable member may alternatively be provided directly by the proximal ring member 2.
  • FIG. 9 to 12 there is illustrated another wound retractor device 10 according to the invention.
  • the engagement ring member 11 comprises a hook formation 14 which provides a means of gripping the engagement ring member 11.
  • a wire or cable 15 may be looped through the hook formation 14 to enable the engagement ring member 11 to be gripped, and thus to enable the device 10 to be manipulated into a desired position and/or orientation, as illustrated in Fig. 12.
  • the hook formation 14 is fixedly attached to the engagement ring member 11.
  • opening 13 of the female recess 12 could alternatively face radially outwardly.
  • the distal ring member 4 is inserted into the wound opening 3, and the proximal ring member 2 is located externally of the wound opening 3, with the connecting sleeve 5 extending between the distal ring member 4 and the proximal ring member 2 to retract laterally the sides of the wound opening 3.
  • the engagement ring member 11 is then snap-fit mounted to the proximal ring member 2.
  • the engagement ring member 11 may be gripped, and the device 10 manipulated into a desired location and/or orientation.
  • the engagement ring member 11 may be gripped by means of the hook formation 14, for example by looping the wire 15 through the hook formation 14 and exerting a tensile force on the wire 15.
  • the engagement ring member 11 may be gripped directly by the surgeon's hand.
  • the rigid engagement ring member 11 is particularly suitable for use with a floppy proximal ring member 2.
  • a floppy proximal ring member 2 it may be easier to insert the distal ring member 4 in to the wound opening 3. For example if scrunching up of the distal ring member 4 is necessary, this may be easier to achieve when the proximal ring member 2 is floppy.
  • sleeve 5 extends between the distal ring member 4 and the proximal ring member 2 in a single layer.
  • the engagable member aspect of the invention is suitable for use with a variety of different configurations for the distal ring / proximal ring / connecting member.
  • Figs. 13 and 15 there is illustrated a further wound retractor device 20 according to the invention, which is similar to the device 10 of Figs. 9 to 12, and similar elements in Figs. 13 to 15 are assigned the same references numerals.
  • the opening 13 of the female recess 12 faces distally, downwardly towards the peritoneum 6.
  • Figs. 16 and 17 illustrate another wound retractor device 25 according to the invention, which is similar to the device 10 of Figs. 9 to 12, and similar elements in Figs. 16 and 17 are assigned the same reference numerals.
  • the rigid engagement ring member 11 is substantially "L" shaped in cross-section, and comprises a radially outwardly protruding lip 26 for engagement with the proximal ring member 2 to mount the engagement ring member 11 to the proximal ring member 2 (Fig. 17).
  • the L-shaped engagement ring member 11 of Figs. 16 and 17 is particularly suitable for use with a floppy proximal ring member 2.
  • FIGs. 18 to 20 there is illustrated another wound retractor device 30 according to the invention, which is similar to the device 1 of Figs. 1 to 8, and similar elements in Figs. 18 to 20 are assigned the same reference numerals.
  • the hook formation 14 is substantially "C"-shaped in cross-section, and comprises a female recess 31 into which the engagement ring member 11 is receivable to mount the hook formation 14 to the engagement ring member 11 in a snap-fit manner.
  • the hook formation 14 is thus selectively slidably movable relative to the engagement ring member 11. In this manner, the region of the engagement ring member 11 which is being gripped may be easily slidably moved to achieve manipulation of the device 30 into a desired location and/or orientation. The portion of the engagement ring member 11 where the hook formation 14 is located will be pulled upwardly when the wire 15 is pulled upwardly.
  • a further wound retractor device 35 according to the invention, which is similar to the device 30 of Figs. 18 to 20, and similar elements in Figs. 21 to 25 are assigned the same reference numerals.
  • the engagement ring member 11 comprises a slot 36 extending around part of the circumference of the engagement ring member 11, as illustrated in Fig. 21 and 22.
  • the hook formation 14 is movably received in the slot 36 to enable the hook formation 14 to be slidably moved along the slot 36.
  • Figs. 26 and 27 illustrate another wound retractor device 40 according to the invention, which is similar to the device 30 of Figs. 18 to 20, and similar elements in Figs. 26 and 27 are assigned the same reference numerals.
  • the engagement ring member 11 comprises a handle 41 which provides a means of gripping the engagement ring member 11.
  • the handle 41 extends radially outwardly from the engagement ring member 11 to provide enhanced leverage when manipulating the device 40 into a desired location and/or orientation.
  • the handle 41 comprises a "C"-shaped female recess 31 into which the engagement ring member 11 is receivable to mount the handle 41 to the engagement ring member 11 in a snap-fit manner.
  • a further wound retractor device 70 according to the invention, which is similar to the device 40 of Figs. 26 and 27, and similar elements in Figs. 27(a) and 27(b) are assigned the same reference numerals.
  • the wire 15 is attached to the handle 41. Pulling on the wire 15 moves the handle 41, and this manipulates the device 70 into a desired location and/or orientation.
  • Figs. 27(c) and 27(d) illustrate another wound retractor device 80 according to the invention, which is similar to the device 40 of Figs. 26 and 27, and similar elements in Figs. 27(c) and 27(d) are assigned the same reference numerals.
  • the connecting sleeve 5 extends in a single layer from the floppy proximal ring member 2 to the distal ring member 4.
  • the connecting sleeve 5 is fixedly attached to both the proximal ring member 2 and the distal ring member 4.
  • the rigid engagement ring member 11 provides support to the floppy proximal ring member 2.
  • FIGs. 28 to 33 there is illustrated another wound retractor device 45 according to the invention, which is similar to the device 10 of Figs. 9 to 12, and similar elements in Figs. 28 to 33 are assigned the same reference numerals.
  • the device 45 comprises a support to support the engagement ring member 11 in a manipulated location and/or orientation.
  • the support is provided, in this case, by four wires 14, an arm member 46, and a leg member 47.
  • the leg member 47 is releasably attached to a side of a treatment bed 48 a substantial distance from the wound opening 3, extending vertically upwards from the treatment bed 48.
  • the arm member 46 which is supported by the leg member 47, extends from the leg member 47 towards the wound opening 3 with one end 49 positioned adjacent to and substantially above the wound opening 3 to support the engagement ring member 11 from above (Fig. 30).
  • the location and/or orientation of the arm member 46 may be adjusted. For example, by pivoting the arm member 46 relative to the leg member 47 (Fig. 32), or by adjusting the height of the leg member 47 (Fig. 33).
  • Each wire 15 is looped through a corresponding hook formation 14 on the engagement ring member 11, and is attached to the end 49 of the arm member 46 which is adjacent to the wound opening 3.
  • the wires 15 enable a tensile force to be exerted on the engagement ring member 11 to support the engagement ring member 11 in a manipulated location and/or orientation.
  • the magnitude and/or direction of the tensile force in the wires 15 may be adjusted to further manipulate the location and/or orientation of the engagement ring member 11.
  • the tensile force exerted may be increased to manipulate the location and/or orientation from a first location and/or orientation to a second location and/or orientation (Fig. 29).
  • FIGs. 34 and 35 there is illustrated another wound retractor device 50 according to the invention, which is similar to the device 45 of Figs. 28 to 33, and similar elements in Figs. 34 and 35 are assigned the same reference numerals.
  • leg member 47 is releasably attached to the treatment bed 48 extending vertically upwards at a position between the legs of a patient being treated.
  • the device 50 comprises three wires 15 looped through three co ⁇ esponding hook formations 14 on the proximal ring member 11.
  • leg member 47 may be releasably attached to any suitable structure, such as the floor 51 (Fig. 36) or the ceiling 52 (Fig. 37).
  • a rail structure 53 may be provided to facilitate movement of the arm member 46 in both directions of the horizontal plane of the ceiling 52, as illustrated in Fig. 37.
  • Figs. 42 to 44 illustrate a further wound retractor device 55 according to the invention, which is similar to the device 45 of Figs. 28 to 33, and similar elements in Figs. 42 to 44 are assigned the same reference numerals.
  • the device 55 comprises a base member 56 configured for location resting on the treatment bed 48 partially beneath the body of the patient being treated (Fig. 44).
  • Two leg members 47 which are supported by the base member 56, extend vertically upwards from the base member 56.
  • Each leg member 47 supports an arm member 46, with the two arm members 46 meeting at a curved end 49 adjacent the wound opening 3.
  • the wire 15 is looped through the hook formation 14, and is attached to the curved end 49.
  • the device 55 is located partially beneath the patient being treated, this ensures that the device 55 is compact and user-friendly. In particular, the space occupied by the device 55 around the patient being treated is minimised.
  • this arrangement uses the weight of the patient's body to hold the base member 56 securely in position.
  • a suitable material for the leg members 47, the arm members 46 and the base member 56 is steel.
  • Fig. 38 to 41 there is illustrated a further wound retractor device 60 according to the invention, which is similar to the device 55 of Figs. 42 to 44, and similar elements in Figs. 38 to 41 are assigned the same reference numerals.
  • the device 60 comprises one leg member 47 extending vertically upwardly from the base member 56, and one arm member 46 supported by the leg member 47.
  • the arm member 46 is directly attached to the engagement ring member 11 at the end 49.
  • the location and/or orientation of the arm member 46 is adjustable, as illustrated in Fig. 41, to ensure that the engagement ring member 11 is supported in a desired manipulated location and/or orientation.
  • FIGs. 45 to 47 there is illustrated a further wound retractor device 65 according to the invention, which is similar to the device 55 of Figs. 42 to 44, and similar elements in Figs. 45 to 47 are assigned the same reference numerals.
  • the two arm members 46 meet at the curved end 49, and the engagement ring member 11 is directly attached to the curved end 49.
  • attachment means may be connected to the engagement ring member 11 in any suitable manner in addition to or as an alternative to looping through the hook formation 14.
  • a clip could be used.

Abstract

L'invention concerne un rétracteur de plaie (1) comprenant un élément annulaire distal (4) à insérer dans une ouverture de plaie (3), un élément annulaire proximal (2) à situer à l'extérieur de l'ouverture de la plaie (3), et un manchon de connexion cylindrique (5), qui s'étend entre l'élément d'anneau distal (4), et l'élément annulaire proximal (2), afin de rétracter latéralement les côtés d'une ouverture de plaie (3). Ce rétracteur (1) comprend aussi un élément annulaire d'introduction rigide (11) afin de faciliter l'introduction du rétracteur (1), et la manipulation du rétracteur (1) dans un emplacement et/ou un sens désirés. Lors de son utilisation, l'élément annulaire distal (4) est inséré dans l'ouverture de la plaie (3), et l'élément annulaire proximal (2) se situe à l'extérieur de l'ouverture de la plaie (3), le manchon de connexion (5) s'étendant antre l'élément annulaire proximal (2) et l'élément annulaire distal (4). Le manchon de connexion (5) est ensuite tiré dans le sens proximal afin de rétracter latéralement les côtés de l'ouverture de la plaie (3). L'élément annulaire d'introduction (11) peut ensuite être introduit, par exemple par la saisie, par le chirurgien, de l'élément annulaire d'introduction (11), et le rétracteur (1) peut être manipulé dans un emplacement et/ou un sens désirés.
EP05718817A 2004-03-23 2005-03-23 Retracteur de plaie Withdrawn EP1727475A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US55540004P 2004-03-23 2004-03-23
PCT/IE2005/000027 WO2005089654A1 (fr) 2004-03-23 2005-03-23 Retracteur de plaie

Publications (1)

Publication Number Publication Date
EP1727475A1 true EP1727475A1 (fr) 2006-12-06

Family

ID=34961372

Family Applications (1)

Application Number Title Priority Date Filing Date
EP05718817A Withdrawn EP1727475A1 (fr) 2004-03-23 2005-03-23 Retracteur de plaie

Country Status (2)

Country Link
EP (1) EP1727475A1 (fr)
WO (1) WO2005089654A1 (fr)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102274001A (zh) * 2011-05-17 2011-12-14 东南大学 腹腔镜微创外科手术用柔性套管

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5820555A (en) * 1991-05-29 1998-10-13 Watkins, Iii; Frank T. Method for selectively creating and altering the shape of a body cavity
US5514133A (en) * 1994-08-26 1996-05-07 Golub; Robert Access device for endoscopic surgery
WO2000032116A1 (fr) * 1998-12-01 2000-06-08 Atropos Limited Dispositif chirurgical utilise pour effectuer la retraction et/ou la fermeture d'une incision
WO2003061480A1 (fr) * 2001-10-20 2003-07-31 Applied Medical Resources Corporation Appareil et procede d'ecartement de lesions

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO2005089654A1 *

Also Published As

Publication number Publication date
WO2005089654A1 (fr) 2005-09-29

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