SU797668A1 - Device for limiting surgery field on small pelvis - Google Patents

Device for limiting surgery field on small pelvis Download PDF

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Publication number
SU797668A1
SU797668A1 SU782655598A SU2655598A SU797668A1 SU 797668 A1 SU797668 A1 SU 797668A1 SU 782655598 A SU782655598 A SU 782655598A SU 2655598 A SU2655598 A SU 2655598A SU 797668 A1 SU797668 A1 SU 797668A1
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SU
USSR - Soviet Union
Prior art keywords
device
abdominal cavity
toroid
organs
air
Prior art date
Application number
SU782655598A
Other languages
Russian (ru)
Inventor
Ялмар Яковлевич Татти
Эдуард Ялмарович Татти
Original Assignee
Петрозаводский Государственныйуниверситет Им. O.B.Куусинена
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
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Application filed by Петрозаводский Государственныйуниверситет Им. O.B.Куусинена filed Critical Петрозаводский Государственныйуниверситет Им. O.B.Куусинена
Priority to SU782655598A priority Critical patent/SU797668A1/en
Application granted granted Critical
Publication of SU797668A1 publication Critical patent/SU797668A1/en

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Description

The invention relates to medical equipment, namely to obturators of the abdominal cavity.

A device for distinguishing the surgical field during operations on the pelvic organs, which contains a plate made in the form of, for example, a mirror, a hook, by means of which the moving organs (loops of the intestines, the greater omentum and other abdominal organs) is pushed, fields, during the operation on the pelvic organs [1].

Due to the fact that this device does not completely cover the lumen of the abdominal cavity, the loops of the intestines, the greater omentum on the surgical field, slide into place, which makes the operation difficult.

The purpose of the invention is the elimination of intestinal loops in the pelvic cavity.

This goal is achieved by the fact that in the device the plate is made of an oval-shaped elastic material with a concave part, passing into a toroid-shaped balloon along the edges, the outer wall of which is thinner than the central one.

2

Through holes are made in the convex part of the toroidal balloon.

In addition, hemispherical protrusions are made on the convex part of the balloon.

FIG. 1 shows a device for the delimitation of the surgical field during operations on the pelvic organs; in fig. 2 - the same cross section; in fig. 3-5 — sequential steps of folding the device before insertion into the abdominal cavity in FIG. 6 shows the layout of the device in the abdominal cavity.

The device consists of an elastic plate 1 oval, repeating the shape of the cross-section of the abdominal cavity. The plate is bordered by a toroidal shape with a hollow balloon 2, the outer wall of which is thinner than the central one, with a rubber tube 3 for introducing air. Through holes 4 are made in the convex part of the toroidal balloon for free communication of the upper abdominal cavity with the lower 20. On the convex surface of the toroidal balloon there are hemispherical protrusions 5. The concave part 6 prevents compression of the inferior vena cava, the aorta, and the ureters.

797668

The device is used as follows.

Before use, the device is sterilized. By releasing air from the toroidal hollow cylinder 2, tuck lower parts obturator (FIG. 4) and then 5 ustroy- GUSTs folded in half (Fig. 5) and in this state is introduced into the peritoneal cavity.

After opening the abdominal cavity, for example, by a lower-middle laparotomy incision, intestinal loops, a large omentum is displaced in the cranial direction, and the device is inserted into the abdominal cavity in the folded state. Pumping air into a toroid-shaped balloon, the device is straightened. At the same time it is necessary to ensure that the moving bodies shifted upwards were located behind the device. When air is injected, a finger is inserted into the concave part 6 of the device to determine the density of its contact with the organs located at the spinal column. Air injection into the toroidal balloon stops as soon as its convex surface is fixed in the desired position in the abdominal cavity (Fig. 6).

Removing the device produced in reverse order: release the air from the toroid balloon, fold in half and remove from the abdominal cavity.

Thus, fixing the device in the abdominal cavity, despite the fact that it is made, for example, of rubber and moistened with exudate, transudate or blood,

sufficiently and reliably holds the abdominal organs in the upper part, thereby freeing the surgical field during surgical interventions on the pelvic organs.

Using the device allows the surgeon to release for the main work, prevents damage to the organs and tissues of the abdominal cavity.

Claims (3)

  1. The device is used as follows. Before use, the device is sterilized. Having discharged air from the toroidal hollow cylinder 2, the lower sections of the obturator are turned (Fig. 4), and then the device is folded in half (Fig. 5) and in such a state is introduced into the abdominal cavity. After the abdominal cavity is opened, for example, by a lower median laparotomy incision, intestinal loops, a large omentum is mixed in the cranial direction, and the device is inserted into the abdominal cavity in the folded state. Forcing air into a toroid-shaped balloon, the device is spread. At the same time it is necessary to ensure that the upwardly movable bodies are located behind the device. When air is injected, the finger, inserted into the concave part 6 of the device, determines the density of its contact with the organs located at the spinal column. The injection of air into a toroid-shaped balloon ceases as soon as its surface is fixed in the desired position in the abdominal cavity (Fig. 6). The removal of the device is carried out in the reverse order: the air is released from the toroid balloon, doubled and removed from the abdominal cavity. Thus, the fixation of the device in the abdominal cavity, despite the fact that it is made, for example, of rubber and moistened with exudate, transudate or blood. 7 sufficiently and reliably holds the abdominal organs in the upper part, thereby freeing the surgical field during surgical interventions on the pelvic organs. The use of the device allows the surgeon to release for the main work, prevents damage to the organs and tissues of the abdominal cavity. Claim 1. Device for delimiting the operative field during operations on the pelvic organs, made in the form of a plate, characterized in that, in order to prevent intestinal loops from entering the pelvic cavity, the plate is made of an elastic oval-shaped material with a concave part the edge of the transition into a toroid-shaped balloon, the outer wall of which is thinner than the central one.
  2. 2 .. The apparatus according to claim 1, characterized in that through the convex part of the toroid-shaped balloon are through holes.
  3. 3. The device according to paragraphs. 1 and 2, characterized in that hemispherical projections are made on the convex part of the container. Sources of information taken into account in the examination 1. Catalog “Medical devices, devices, instruments and equipment. M., 1961, Vol. 2, No. 05-282, p. 221.
    FIG.
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SU782655598A 1978-06-13 1978-06-13 Device for limiting surgery field on small pelvis SU797668A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU782655598A SU797668A1 (en) 1978-06-13 1978-06-13 Device for limiting surgery field on small pelvis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU782655598A SU797668A1 (en) 1978-06-13 1978-06-13 Device for limiting surgery field on small pelvis

Publications (1)

Publication Number Publication Date
SU797668A1 true SU797668A1 (en) 1981-01-23

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Family Applications (1)

Application Number Title Priority Date Filing Date
SU782655598A SU797668A1 (en) 1978-06-13 1978-06-13 Device for limiting surgery field on small pelvis

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SU (1) SU797668A1 (en)

Cited By (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4984564A (en) * 1989-09-27 1991-01-15 Frank Yuen Surgical retractor device
US5159921A (en) * 1990-11-27 1992-11-03 Hoover Rocklin L Surgical retractor
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US5361752A (en) * 1991-05-29 1994-11-08 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US5450843A (en) * 1991-05-29 1995-09-19 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5468248A (en) * 1991-05-29 1995-11-21 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue
US5501653A (en) * 1991-05-29 1996-03-26 Origin Medsystems, Inc. Abdominal wall lifting retractor with hinged cross-member
US5527264A (en) * 1991-05-29 1996-06-18 Origin Medsystem, Inc. Methods of using endoscopic inflatable retraction devices
US5562603A (en) * 1991-05-29 1996-10-08 Origin Medsystems, Inc. Endoscopic inflatable retraction device with fluid-tight elastomeric window
US5632761A (en) * 1991-05-29 1997-05-27 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US5651762A (en) * 1993-07-09 1997-07-29 Bridges; Doye R. Apparatus for holding intestines out of an operative field
US5681341A (en) 1995-03-14 1997-10-28 Origin Medsystems, Inc. Flexible lifting apparatus
US5704372A (en) * 1991-05-29 1998-01-06 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using
US5716327A (en) 1991-05-29 1998-02-10 Origin Medsystems, Inc. Body wall retraction system for wide cavity retraction
US5728119A (en) * 1991-05-29 1998-03-17 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
WO1998025525A1 (en) * 1996-12-11 1998-06-18 Bioplexus Corporation Apparatus and method for holding intestines out of an operative field
US5779728A (en) * 1991-05-29 1998-07-14 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5803901A (en) * 1991-05-29 1998-09-08 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue and methods of using
US5836871A (en) * 1991-05-29 1998-11-17 Origin Medsystems, Inc. Method for lifting a body wall using an inflatable lifting apparatus
US5865728A (en) * 1991-05-29 1999-02-02 Origin Medsystems, Inc. Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space
WO1999020182A1 (en) * 1997-10-20 1999-04-29 Bioplexus Corporation Apparatus and method for holding intestines out of an operative field
US6063025A (en) * 1993-07-09 2000-05-16 Bioenterics Corporation Apparatus for holding intestines out of an operative field
US6361543B1 (en) 1991-05-29 2002-03-26 Sherwood Services Ag Inflatable devices for separating layers of tissue, and methods of using
US6562056B2 (en) 1992-06-02 2003-05-13 General Surgical Innovations, Inc. Balloon device for use in surgery and method of use
US7744617B2 (en) 1991-05-29 2010-06-29 Covidien Ag Method and inflatable chamber apparatus for separating layers of tissue
US8172869B2 (en) 1999-10-08 2012-05-08 Tyco Healthcare Group Lp Balloon dissection apparatus
US8282665B2 (en) 1992-06-02 2012-10-09 Tyco Healthcare Group Lp Apparatus and method for dissecting tissue layers
EP2280654A4 (en) * 2008-04-23 2017-05-03 The Johns Hopkins University Contoured elastomeric barrier for bowel retention and method of use
GB2570719A (en) * 2018-02-06 2019-08-07 Prosys Int Ltd Surgical tool

Cited By (47)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4984564A (en) * 1989-09-27 1991-01-15 Frank Yuen Surgical retractor device
US5159921A (en) * 1990-11-27 1992-11-03 Hoover Rocklin L Surgical retractor
US5836871A (en) * 1991-05-29 1998-11-17 Origin Medsystems, Inc. Method for lifting a body wall using an inflatable lifting apparatus
US5361752A (en) * 1991-05-29 1994-11-08 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5425357A (en) * 1991-05-29 1995-06-20 Origin Medsystems, Inc. Inflatable retraction devices for use in laparoscopic surgery
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US5450843A (en) * 1991-05-29 1995-09-19 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5454367A (en) * 1991-05-29 1995-10-03 Origin Medsystems, Inc. Method of using endoscopic inflatable retraction device with fluid tight elastomeric window
US5465711A (en) * 1991-05-29 1995-11-14 Origin Medsystems, Inc. Surgical procedures using endoscopic inflatable retraction devices
US5468248A (en) * 1991-05-29 1995-11-21 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue
US5501653A (en) * 1991-05-29 1996-03-26 Origin Medsystems, Inc. Abdominal wall lifting retractor with hinged cross-member
US5520609A (en) * 1991-05-29 1996-05-28 Origin Medsystems, Inc. Apparatus and method for peritoneal retraction
US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US5527264A (en) * 1991-05-29 1996-06-18 Origin Medsystem, Inc. Methods of using endoscopic inflatable retraction devices
US5531856A (en) * 1991-05-29 1996-07-02 Origin Medsystems, Inc. Endoscopic inflatable retraction devices
US5562603A (en) * 1991-05-29 1996-10-08 Origin Medsystems, Inc. Endoscopic inflatable retraction device with fluid-tight elastomeric window
US5575759A (en) * 1991-05-29 1996-11-19 Origin Medsystems, Inc. Methods of using inflatable retraction devices in laparoscopic surgery
US5632761A (en) * 1991-05-29 1997-05-27 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US5634883A (en) 1991-05-29 1997-06-03 Origin Medsystems, Inc. Apparatus for peritoneal retraction
US5643178A (en) 1991-05-29 1997-07-01 Origin Medsystems, Inc. Method for peritoneal retration
US7744617B2 (en) 1991-05-29 2010-06-29 Covidien Ag Method and inflatable chamber apparatus for separating layers of tissue
US5925058A (en) * 1991-05-29 1999-07-20 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5704372A (en) * 1991-05-29 1998-01-06 Origin Medsystems, Inc. Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using
US5716327A (en) 1991-05-29 1998-02-10 Origin Medsystems, Inc. Body wall retraction system for wide cavity retraction
US5722986A (en) * 1991-05-29 1998-03-03 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue, and methods of using
US5728119A (en) * 1991-05-29 1998-03-17 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5738629A (en) * 1991-05-29 1998-04-14 Origin Medsystems, Inc. Self-retracting endoscope
US5743850A (en) * 1991-05-29 1998-04-28 Origin Medsystems, Inc. Endoscopic inflatable retraction device with additional inflatable chamber
US5743851A (en) * 1991-05-29 1998-04-28 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US6361543B1 (en) 1991-05-29 2002-03-26 Sherwood Services Ag Inflatable devices for separating layers of tissue, and methods of using
US5779728A (en) * 1991-05-29 1998-07-14 Origin Medsystems, Inc. Method and inflatable chamber apparatus for separating layers of tissue
US5865728A (en) * 1991-05-29 1999-02-02 Origin Medsystems, Inc. Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space
US5803901A (en) * 1991-05-29 1998-09-08 Origin Medsystems, Inc. Inflatable devices for separating layers of tissue and methods of using
US5431173A (en) * 1991-05-29 1995-07-11 Origin Medsystems, Inc. Method and apparatus for body structure manipulation and dissection
US6562056B2 (en) 1992-06-02 2003-05-13 General Surgical Innovations, Inc. Balloon device for use in surgery and method of use
US8282665B2 (en) 1992-06-02 2012-10-09 Tyco Healthcare Group Lp Apparatus and method for dissecting tissue layers
US6565589B1 (en) * 1992-06-02 2003-05-20 General Surgical Innovations, Inc. Balloon device for use in surgery and method of use
US5976078A (en) * 1993-07-09 1999-11-02 Bioenterics Corporation Apparatus and method for holding intestines out of an operative field
US6063025A (en) * 1993-07-09 2000-05-16 Bioenterics Corporation Apparatus for holding intestines out of an operative field
US5795290A (en) * 1993-07-09 1998-08-18 Bioplexus Corporation Apparatus for holding intestines out of an operative field
US5651762A (en) * 1993-07-09 1997-07-29 Bridges; Doye R. Apparatus for holding intestines out of an operative field
US5681341A (en) 1995-03-14 1997-10-28 Origin Medsystems, Inc. Flexible lifting apparatus
WO1998025525A1 (en) * 1996-12-11 1998-06-18 Bioplexus Corporation Apparatus and method for holding intestines out of an operative field
WO1999020182A1 (en) * 1997-10-20 1999-04-29 Bioplexus Corporation Apparatus and method for holding intestines out of an operative field
US8172869B2 (en) 1999-10-08 2012-05-08 Tyco Healthcare Group Lp Balloon dissection apparatus
EP2280654A4 (en) * 2008-04-23 2017-05-03 The Johns Hopkins University Contoured elastomeric barrier for bowel retention and method of use
GB2570719A (en) * 2018-02-06 2019-08-07 Prosys Int Ltd Surgical tool

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