US2305289A - Surgical appliance - Google Patents

Surgical appliance Download PDF

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Publication number
US2305289A
US2305289A US329360A US32936040A US2305289A US 2305289 A US2305289 A US 2305289A US 329360 A US329360 A US 329360A US 32936040 A US32936040 A US 32936040A US 2305289 A US2305289 A US 2305289A
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base
appliance
tube
suction
body
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Expired - Lifetime
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US329360A
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Coburg Hermann
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Coburg Hermann
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/40Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment

Description

Dec. 15; 1942. H. COBURG 2,305,289

SURGICAL APPLIANCE I Filed April 12, 1940 2 Sheets-Sheet l Dec. 15, 1942. H. QOBURG 2,305,289

SURGICDJAL APPLIANCE Filed April 12, 1940 2 Sheets-Sheet 2 Patented Dec. 15, 1942 SURGICAL APPLIANCE Hermann Coburg, Del-menhorst, Germany; vested in the Alien Property Custodian Application. April 12, 1940, Serial No. 329,360 In Germany June 17, 1939.

2 Claims.

My invention relates to improvements in surgical appliances, and more particularly in appliances comprising an annular sheet oi flexible material such as rubber adapted to be placed. on a portionof. the human. body around an operative field to insulate the same from the surrounding portions of the body, the object being to prevent portions of the body which may be contaminated from getting into contact with the field of operation, and also to prevent the contents of an opened cavity of the body from contaminating other portions of the body. The object of the improvements is to provide an appliance of this type which may be safely and tightly attached to the body so that it is not displaced in the course of the operation, and that it safely prevents the access of liquid to the surrounding parts of the body. With this object in view my invention consists in providing the said annular sheet around its inner margin with a portion which is adapted to adhere closely to the body. In the preferred embodiment of the invention this adhesive portion consists of a suction base disposed all around the inner margin of the sheet in position for being placed on the body around the operative field, means being provided for producing a vacuum between the said suction base and the body by which the suction base tightly engages the body.

For the purpose of explaining the invention an example embodying the same has been shown in the accompanying drawings in which the same letters of reference have been used in all the views to indicate corresponding parts. In the said drawings Fig. 1 is a fragmentary top plan view of the appliance with the flexible sheet partly broken away,

Fig. 2 is a similar bottom view of the appliance,

Fig. 3 is a sectional elevation on an enlarged scale taken on the line 33 of Fig. 1,

Fig. 4 is a sectional elevation taken on the line 4-4 of Fig. 1, and

Fig. 5 is a fragmentary top plan view showing a modification.

The appliance may be used for making various operations such as echinococcus cysts, ovarian cysts, well exposed abscesses in the peritoneal cavity, and various operations on intestines and stomach. But in the form shown in the figures r the appliance is particularly suitable for Caesarian sections, and I shall describe the method of using the appliance in connection with this operation.

Referring now to the drawings, the appliance .7.

comprises a flexible tube amade from soft rubber and bent intoannular. or oblong. shape, the ends I) and. c of the said tube being. adaptedto. be connected to a. suction apparatus, or one to. a suction. apparatus and the; other toa supply of a suitable medicinal preparation. Atits bottom side the said tube is made integral with an annular suction base d consisting of two annular flaps extending respectively inwardly and outwardly and downwardly from the tube a, the said flaps being gradually reduced in thickness from the tube outwardly, and, preferably, ending in a thin margin which readily adapts itself to the shape of the portion of the body to be operated upon. At its bottom side the said suction base is concave, and it is formed at its middle with a groove or channel f extending all around the suction base and the tube, and the said groove or channel communicates with the inner part of the tube a. through suitably spaced holes g. At its bottom face the suction base is provided with transverse recesses e extending from the groove or channel outwardly and towards the inner and outer margins of the base.

To the outer side wall of the suction base or pipe 11 a sheet h of flexible material such as soft rubber is tightly secured.

In the construction shown in Figs. 1 to 4 the intake ends b and c of the tube a are alike in cross-sectional area. But in some cases I prefer to make the said intake ends different in crosssectional area, the intake end of small crosssectional area being adapted to be connected to a supply of a suitable medicinal preparation, such for example as an anaesthetic for locally anaesthetizing the operative field. The fragmentary plan View shown in Fig. 5 illustrates this modification.

As is best shown in Fig. 4, the suction base is formed with a channel 2' of comparatively small cross-sectional area which opens downwardly through a series of small holes is disposed at suitable distances apart all around the base. The channel 2 has a supply of a suitable medicinal preparation through a thin hose m.

Preferably means are provided for preventing collapsing of the tube a, and as shown such means consist of a coiled wire n embedded in the wall of the tube.

The appliance is used as follows:

If it is desired for example, to exudate a cavity of the body. the suction base is placed on the field of operation, and a suction apparatus connected to the tube a is operated for drawing the air from between the suction base and the field of operation and through the tube a. Now the suction base tightly engages the operative field around the incision to-be made, and the sheet of rubber It covers the operative field around the said cavity. If now liquid flows from the cavity, which liquid may be contaminated, it flows over the suction base at, the tube a and the sheet it without infecting the adjacent sterilized portions of the body.

In the Caesarian section the appliance is used as follows: After the abdominal cavity has been opened by a midline incision the appliance is passed in a folded condition into the abdomen. Now the suction device is started so that a vacuum is produced below the suction base by which the appliance is made tightly to engage the uterus. If now the uterus is opened the amniotic fiuid, which may be contaminated, flows ofi over the tube a and the sheet h without infecting a sterile operative field.

Through one of the intake ends of the tube a an anaesthetic may be introduced for locally anaesthetizing the operative field, for which purpose the intake end of smaller cross-sectional area is connected to the supply of the anaesthetic, while the intake end of larger cross-sectional area is connected to the suction device.

In the construction shown in Fig. 4 the anaesthetic may be supplied through the channel 1'.

I claim:

1. In a surgical appliance, a flexible sheet having an opening adapted to bound a field of operation, a suction base around the inner margin of said opening, said base having a concave face and an opening adapted for connection with a suction apparatus, said base being formed at said face with a groove disposed longitudinally all around said base, and with transverse recesses extending from said groove outwardly and inwardly to points near the margins of said base.

2. In a surgical appliance, a flexible sheet having an opening adapted to bound a field of operation, a suction base around the inner margin of said opening, said base having a concave face and an opening adapted for connection with a suction apparatus, said base being formed at said face with a groove disposed longitudinally all around said base, and with transverse recesses of gradually reduced depth extending from said groove outwardly and inwardly to points near the margins of said base.

HERM'ANN COBURG.

US329360A 1939-06-17 1940-04-12 Surgical appliance Expired - Lifetime US2305289A (en)

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DE2305289X 1939-06-17

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Cited By (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2835253A (en) * 1956-08-14 1958-05-20 Florence W Borgeson Surgical appliance
US3111943A (en) * 1961-08-02 1963-11-26 John R Orndorff Aseptic surgical wound protector
US3692024A (en) * 1970-10-16 1972-09-19 Robert E Von Otto Surgical appliance
US3927667A (en) * 1974-05-16 1975-12-23 Canadian Patents Dev Diffuser drape
US4250882A (en) * 1979-01-26 1981-02-17 Medical Dynamics, Inc. Wound drainage device
US4779297A (en) * 1986-07-07 1988-10-25 Doris Sturges Cushion support article
US4921492A (en) * 1988-05-31 1990-05-01 Laser Technologies Group, Inc. End effector for surgical plume evacuator
US4947868A (en) * 1988-08-08 1990-08-14 Schoolman Scientific Corporation Protective cuff apparatus for surgery
US5052411A (en) * 1988-08-26 1991-10-01 Arnold Schoolman Vacuum barrier attachment for medical equipment
US5437651A (en) * 1993-09-01 1995-08-01 Research Medical, Inc. Medical suction apparatus
US5524644A (en) * 1995-06-09 1996-06-11 Medical Creative Technologies, Inc. Incrementally adjustable incision liner and retractor
US5640977A (en) * 1994-04-08 1997-06-24 Medical Creative Technologies, Inc. Apparatus and method for use in surgery
US5649550A (en) * 1996-02-26 1997-07-22 Medical Creative Technologies, Inc. Surgical retractor liner and integral drape assembly
US5651762A (en) * 1993-07-09 1997-07-29 Bridges; Doye R. Apparatus for holding intestines out of an operative field
EP0845960A1 (en) * 1995-09-27 1998-06-10 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
US5795290A (en) * 1993-07-09 1998-08-18 Bioplexus Corporation Apparatus for holding intestines out of an operative field
US5810721A (en) * 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US5813409A (en) * 1994-09-02 1998-09-29 Medical Creative Technologies, Inc. Surgical apparatus
US5879290A (en) * 1997-10-20 1999-03-09 Bioplexus Corporation Apparatus for holding intestines out of an operative field
US6048309A (en) * 1996-03-04 2000-04-11 Heartport, Inc. Soft tissue retractor and delivery device therefor
US6063025A (en) * 1993-07-09 2000-05-16 Bioenterics Corporation Apparatus for holding intestines out of an operative field
US20020038077A1 (en) * 1994-10-07 2002-03-28 General Surgical Innovations, Inc., California Corporation Laparoscopic access port for surgical instruments or the hand
US6450983B1 (en) * 2001-10-03 2002-09-17 Robert D. Rambo O-ring for incrementally adjustable incision liner and retractor
US20030078478A1 (en) * 1998-12-01 2003-04-24 Atropos Limited Surgical device for retracting and/or sealing an incision
US20030192553A1 (en) * 2001-10-03 2003-10-16 Robert Rambo O-ring for incrementally adjustable incision liner and retractor
US20030232635A1 (en) * 2002-06-12 2003-12-18 Fujitsu Limited Crossword puzzle playing apparatus and crossword puzzle playing program storage medium
US6723044B2 (en) 2002-03-14 2004-04-20 Apple Medical Corporation Abdominal retractor
US20040254426A1 (en) * 2003-04-25 2004-12-16 Thomas Wenchell Surgical hand access apparatus
US20040267096A1 (en) * 1999-07-30 2004-12-30 Martin Caldwell Hand access port device
US20050043592A1 (en) * 1996-03-04 2005-02-24 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US20050059865A1 (en) * 2003-09-17 2005-03-17 Applied Medical Resources Corporation Surgical instrument access device
US7008377B2 (en) 1997-04-30 2006-03-07 Richard Beane Surgical access port
US20070142757A1 (en) * 2005-12-15 2007-06-21 Adel Aali Wound shield and warming apparatus and method
US7238154B2 (en) 2001-10-20 2007-07-03 Applied Medical Resources Corporation Wound retraction apparatus and method
US20070161937A1 (en) * 2005-12-15 2007-07-12 Adel Aali Wound shield for exudate management
US7393322B2 (en) 2004-04-05 2008-07-01 Tyco Healthcare Group Lp Surgical hand access apparatus
US7445597B2 (en) 1999-10-14 2008-11-04 Atropos Limited Retractor
US20080300467A1 (en) * 2007-05-29 2008-12-04 Schaefer Robert W Surgical wound retractor with reusable rings
US7473221B2 (en) 2000-10-19 2009-01-06 Applied Medical Resources Corporation Surgical access apparatus and method
US7537564B2 (en) 1998-12-01 2009-05-26 Atropos Limited Wound retractor device
US7540839B2 (en) 1999-10-14 2009-06-02 Atropos Limited Wound retractor
US7559893B2 (en) 1998-12-01 2009-07-14 Atropos Limited Wound retractor device
US7650887B2 (en) 2002-06-05 2010-01-26 Applied Medical Resources Corporation Wound retractor
US7704207B2 (en) 2005-10-14 2010-04-27 Applied Medical Resources Corporation Circular surgical retractor
US20100106118A1 (en) * 2006-02-06 2010-04-29 Keith Patrick Heaton Systems and methods for improved connection to wound dressings in conjunction with reduced pressure wound treatment systems
US7717847B2 (en) 2004-04-05 2010-05-18 Tyco Healthcare Group Lp Surgical hand access apparatus
US20100143745A1 (en) * 2006-11-24 2010-06-10 Werner Stamm NiCoCrl layer for forming dense and solid oxide layers and metallic layer system
US7745683B2 (en) 2005-04-16 2010-06-29 Aalnex, Inc. Deformable and conformable wound protecting apparatus and its method of application
US7766824B2 (en) 2005-03-31 2010-08-03 Tyco Healthcare Group Lp Surgical hand access apparatus
US7794438B2 (en) 1998-08-07 2010-09-14 Alan Wayne Henley Wound treatment apparatus
US20100256545A1 (en) * 2009-04-01 2010-10-07 Adel Aali Systems And Methods For Wound Protection And Exudate Management
US7816577B2 (en) 2006-02-13 2010-10-19 Aalnex, Inc. Wound shield
US7863495B2 (en) 2006-01-12 2011-01-04 Aalnex, Inc. Dressing substrate
US7867164B2 (en) 1999-10-14 2011-01-11 Atropos Limited Wound retractor system
US7867206B2 (en) 2000-11-29 2011-01-11 Kci Licensing, Inc. Vacuum therapy and cleansing dressing for wounds
US7886746B2 (en) 1997-09-12 2011-02-15 Kci Licensing, Inc. Surgical drape and suction head for wound treatment
US7896856B2 (en) 2002-08-21 2011-03-01 Robert Petrosenko Wound packing for preventing wound closure
US7896864B2 (en) 2001-12-26 2011-03-01 Lockwood Jeffrey S Vented vacuum bandage with irrigation for wound healing and method
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
US7927318B2 (en) 2001-10-11 2011-04-19 Risk Jr James Robert Waste container for negative pressure therapy
US7951076B2 (en) 2003-02-25 2011-05-31 Applied Medical Resources Corporation Surgical access system
US7988680B2 (en) 2000-11-29 2011-08-02 Kci Medical Resources Vacuum therapy and cleansing dressing for wounds
US7998068B2 (en) 1998-12-01 2011-08-16 Atropos Limited Instrument access device
US8021296B2 (en) 1999-12-01 2011-09-20 Atropos Limited Wound retractor
US8021348B2 (en) 1999-11-29 2011-09-20 Kci Medical Resources Wound treatment apparatus
US8057447B2 (en) 2007-05-10 2011-11-15 Kci Licensing Inc. Reduced pressure wound dressing having a wound contact surface with columnar protrusions
US8109873B2 (en) 2007-05-11 2012-02-07 Applied Medical Resources Corporation Surgical retractor with gel pad
US8157835B2 (en) 2001-08-14 2012-04-17 Applied Medical Resouces Corporation Access sealing apparatus and method
US8168848B2 (en) 2002-04-10 2012-05-01 KCI Medical Resources, Inc. Access openings in vacuum bandage
US8187178B2 (en) 2007-06-05 2012-05-29 Atropos Limited Instrument access device
US8226552B2 (en) 2007-05-11 2012-07-24 Applied Medical Resources Corporation Surgical retractor
US8252971B2 (en) 2009-07-16 2012-08-28 Aalnex, Inc. Systems and methods for protecting incisions
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US8350116B2 (en) 2001-12-26 2013-01-08 Kci Medical Resources Vacuum bandage packing
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US8586818B2 (en) 2005-12-15 2013-11-19 Aalnex, Inc. Wound shield
US8657740B2 (en) 2007-06-05 2014-02-25 Atropos Limited Instrument access device
US8703034B2 (en) 2001-08-14 2014-04-22 Applied Medical Resources Corporation Method of making a tack-free gel
US8708985B2 (en) 2011-04-21 2014-04-29 Nascent Surgical, Llc Systems and methods for evacuating materials at a surgical site
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US8893721B2 (en) * 2013-03-15 2014-11-25 Futrell Medical Corporation Surgical drape with vapor evacuation
US9084594B2 (en) 2012-01-10 2015-07-21 The Board Of Trustees Of The Lealand Stanford Junior University Methods for the prevention of surgical site infections
US9271753B2 (en) 2002-08-08 2016-03-01 Atropos Limited Surgical device
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US9351759B2 (en) 2007-06-05 2016-05-31 Atropos Limited Instrument access device
US20160338686A1 (en) * 2010-06-16 2016-11-24 Covidien Lp Seal port with blood collector
US9642608B2 (en) 2014-07-18 2017-05-09 Applied Medical Resources Corporation Gels having permanent tack free coatings and method of manufacture
US9717522B2 (en) 2009-08-31 2017-08-01 Applied Medical Resources Corporation Multi-functional surgical access system
US9808231B2 (en) 2013-07-09 2017-11-07 Edwards Lifesciences Corporation Tissue retractor
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US9974564B2 (en) 2013-03-14 2018-05-22 Prescient Surgical, Inc. Methods and devices for the prevention of incisional surgical site infections
US10172641B2 (en) 2014-08-15 2019-01-08 Applied Medical Resources Corporation Natural orifice surgery system

Cited By (202)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2835253A (en) * 1956-08-14 1958-05-20 Florence W Borgeson Surgical appliance
US3111943A (en) * 1961-08-02 1963-11-26 John R Orndorff Aseptic surgical wound protector
US3692024A (en) * 1970-10-16 1972-09-19 Robert E Von Otto Surgical appliance
US3927667A (en) * 1974-05-16 1975-12-23 Canadian Patents Dev Diffuser drape
US4250882A (en) * 1979-01-26 1981-02-17 Medical Dynamics, Inc. Wound drainage device
US4779297A (en) * 1986-07-07 1988-10-25 Doris Sturges Cushion support article
US4921492A (en) * 1988-05-31 1990-05-01 Laser Technologies Group, Inc. End effector for surgical plume evacuator
US4947868A (en) * 1988-08-08 1990-08-14 Schoolman Scientific Corporation Protective cuff apparatus for surgery
US5052411A (en) * 1988-08-26 1991-10-01 Arnold Schoolman Vacuum barrier attachment for medical equipment
US5651762A (en) * 1993-07-09 1997-07-29 Bridges; Doye R. Apparatus for holding intestines out of an operative field
US5976078A (en) * 1993-07-09 1999-11-02 Bioenterics Corporation Apparatus and method 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
US6063025A (en) * 1993-07-09 2000-05-16 Bioenterics Corporation Apparatus for holding intestines out of an operative field
US5437651A (en) * 1993-09-01 1995-08-01 Research Medical, Inc. Medical suction apparatus
US8752553B2 (en) 1993-09-06 2014-06-17 Atropos Limited Apparatus for use in surgery and a valve
US5640977A (en) * 1994-04-08 1997-06-24 Medical Creative Technologies, Inc. Apparatus and method for use in surgery
US5813409A (en) * 1994-09-02 1998-09-29 Medical Creative Technologies, Inc. Surgical apparatus
US6840951B2 (en) 1994-10-07 2005-01-11 Etheicon Endo-Surgery, Inc. Laparoscopic access port for surgical instruments or the hand
US20020038077A1 (en) * 1994-10-07 2002-03-28 General Surgical Innovations, Inc., California Corporation Laparoscopic access port for surgical instruments or the hand
US5524644A (en) * 1995-06-09 1996-06-11 Medical Creative Technologies, Inc. Incrementally adjustable incision liner and retractor
EP1442710A1 (en) * 1995-09-27 2004-08-04 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
EP0845960A1 (en) * 1995-09-27 1998-06-10 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
EP0845960B1 (en) * 1995-09-27 2004-04-28 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
US5649550A (en) * 1996-02-26 1997-07-22 Medical Creative Technologies, Inc. Surgical retractor liner and integral drape assembly
US6142935A (en) * 1996-03-04 2000-11-07 Heartport, Inc. Illuminating soft tissue retractor
US6048309A (en) * 1996-03-04 2000-04-11 Heartport, Inc. Soft tissue retractor and delivery device therefor
US5810721A (en) * 1996-03-04 1998-09-22 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US7758500B2 (en) 1996-03-04 2010-07-20 Edwards Lifesciences Llc Soft tissue retractor and method for providing surgical access
US20050043592A1 (en) * 1996-03-04 2005-02-24 Heartport, Inc. Soft tissue retractor and method for providing surgical access
US20060161049A1 (en) * 1997-04-30 2006-07-20 Richard Beane Surgical access port
US7008377B2 (en) 1997-04-30 2006-03-07 Richard Beane Surgical access port
US7886746B2 (en) 1997-09-12 2011-02-15 Kci Licensing, Inc. Surgical drape and suction head for wound treatment
US5879290A (en) * 1997-10-20 1999-03-09 Bioplexus Corporation Apparatus 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
US8540687B2 (en) 1998-08-07 2013-09-24 Kci Licensing, Inc. Wound treatment apparatus
US7794438B2 (en) 1998-08-07 2010-09-14 Alan Wayne Henley Wound treatment apparatus
US8734336B2 (en) 1998-12-01 2014-05-27 Atropos Limited Wound retractor device
US6846287B2 (en) 1998-12-01 2005-01-25 Atropos Limited Surgical device for retracting and/or sealing an incision
US7300399B2 (en) 1998-12-01 2007-11-27 Atropos Limited Surgical device for retracting and/or sealing an incision
US20030078478A1 (en) * 1998-12-01 2003-04-24 Atropos Limited Surgical device for retracting and/or sealing an incision
US7559893B2 (en) 1998-12-01 2009-07-14 Atropos Limited Wound retractor device
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US7081089B2 (en) 1998-12-01 2006-07-25 Atropos Limited Surgical device for retracting and/or sealing an incision
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US7998068B2 (en) 1998-12-01 2011-08-16 Atropos Limited Instrument access device
US8888693B2 (en) 1998-12-01 2014-11-18 Atropos Limited Instrument access device
US9700296B2 (en) 1998-12-01 2017-07-11 Atropos Limited Wound retractor device
US20040267096A1 (en) * 1999-07-30 2004-12-30 Martin Caldwell Hand access port device
US8986202B2 (en) 1999-10-14 2015-03-24 Atropos Limited Retractor
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US9277908B2 (en) 1999-10-14 2016-03-08 Atropos Limited Retractor
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US7445597B2 (en) 1999-10-14 2008-11-04 Atropos Limited Retractor
US8021348B2 (en) 1999-11-29 2011-09-20 Kci Medical Resources Wound treatment apparatus
US8657741B2 (en) 1999-12-01 2014-02-25 Atropos Limited Wound retractor
US8021296B2 (en) 1999-12-01 2011-09-20 Atropos Limited Wound retractor
US8747887B2 (en) 2000-05-22 2014-06-10 Kci Medical Resources Combination SIS and vacuum bandage and method
US7910791B2 (en) 2000-05-22 2011-03-22 Coffey Arthur C Combination SIS and vacuum bandage and method
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