US3850172A - Gas-tight enclosures for surgical operations - Google Patents

Gas-tight enclosures for surgical operations Download PDF

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Publication number
US3850172A
US3850172A US00367118A US36711873A US3850172A US 3850172 A US3850172 A US 3850172A US 00367118 A US00367118 A US 00367118A US 36711873 A US36711873 A US 36711873A US 3850172 A US3850172 A US 3850172A
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Prior art keywords
appendage
gas
tight
enclosure
operative
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US00367118A
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English (en)
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J Cazalis
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G10/00Treatment rooms or enclosures for medical purposes
    • A61G10/005Isolators, i.e. enclosures generally comprising flexible walls for maintaining a germ-free environment
    • 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
    • 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
    • A61B2090/401Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment using air flow

Definitions

  • the present invention relates to an improvement to gas-tight enclosures used for treating sick persons or operating on patients.
  • the patient is usually lying on a bed located within the treatment enclosure.
  • flexible enclosures have already been manufactured, said enclosures being filled with an usually inert gas at a pressure slightly higher than atmospheric pressure and being adapted to be tightly applied against an operative field provided e.g. with two adhesive faces, one of which is intended to be applied against the patients body part to be operated on, and the other against the enclosure wall.
  • the surgeon who has access within the enclosure through the medium of gas-tight gloves, or else through a piece of clothing not unlike a portion of a diving-suit attached to the enclosure wall, is thus in a position to simultaneously cut the enclosure wall, the operative field and the patients body part to be operated on, in such a manner that the wound thus opened be in contact solely with the gas filling the enclosure.
  • the present invention relates to an improvement to gas-tight enclosures of the above mentioned type, which is free of such drawbacks and permits to carry out operations in a confined, and possibly, inert atmosphere on certain parts of a patients body (in particular, a limb or an area containing one or several joints) without compelling that the whole body be introduced into the enclosure, it being possible to carry out several operations with the same enclosure, which simply requires changing only a removable restricted portion of the wall thereof and sterilizing it after each operation.
  • the invention is also concerned with the novel arrangement, within the enclosure, of means allowing to apply an operative field on the limb or any bodys part to be operated on, while preventing any contamination of that limb and of the operative field by maintaining the enclosure perfectly gas-tight.
  • the present invention relates to an improvement to a gas tight enclosure, the wall of which is flexible and/or extensible under the influence of a gas at a pressure slightly above atmospheric pressure, and containing means integral with the wall thereof, such as gloves or pieces of clothing of the divers suit-type, giving a surgeon access to said enclosure while maintaining it gas-tight, said enclosure being characterized in that it comprises at least one appendage attached to the wall thereof and the size of which is such that it can receive a limb or any given part of a patients body.
  • Said appendage being provided, outside of said wall, with an annular wab which carries a garter-like member adapted to clasp the patients limb from the outside, an inlet orifice for introducing into the space defined by said limb, said appendage and said web a gas, preferably inert, adapted to inflate said appendage against the gas pressure within said enclosure, and an operative field integral with said appendage or, having one of its sides stuck to that of said appendage surfaces which faces said limb while its other side is covered with a removable self-adhesive coating, so that, once said coating has been removed, said operative field can be applied against said limb to be operated on.
  • the present invention has the following various minor features which should preferably be taken jointly but, in some cases, might be considered separately:
  • the appendage comprises at least one glove leaving access to the space defined by said appendage and by said annular web, while maintaining said space gastight;
  • the enclosure wall may be provided with at least one opening for tightly mounting a ring adapted to support said appendage, said ring being provided with an embossment which protrudes outwardly and cooperates with an annular flange, or bead, located at the end of said appendage;
  • the enclosure wall can be bonded to said appendage by tightly welding the end of the latter, or by any suitable connecting means;
  • the appendage can comprise a pouch accessible through the glove (or gloves), for storing disinfectants or the like;
  • the operative field is provided with an attachment permitting to exert a stripping stress on the selfadhesive coating within the space defined by the appendage and the annular web.
  • That attachment is, for instance, a cardboard member with a handle at the edge of the coating, or else a rod mounted transversaly on the operative-field for winding up the coating as the latter is being removed.
  • the appendage may be provided, along either edge of the operative field, with tubular members adapted to receive stiff rods for tightening the appendage wall and, thus, making it easier to remove the operative-field coating and to apply the field on the limb to be operated on.
  • Such tubular members can be two or four in number, and, in the latter case, be mounted on the appendage so as to form the edges of a parallelepiped the cross section, or base, of which is a trapezium.
  • FIG. 3 is a view similar to FIG. 1, but in which the operative field is shown applied on a patients limb to be operated on;
  • FIGS. 4a and 4b are cross-sections through the appendage, showing the means for positioning the operative field; and FIGS. and 6 are cross-sections through the appendage, showing other embodiments of the means for positioning the operative field.
  • reference numeral 1 designates the wall of a gas-tight enclosure, contingently of a known type, which in fact is outside the scope of the present invention.
  • Wall 1 which is usually of a flexible and extensible material, such as PVC, defines an internal space 2 made absolutely gas-tight with respect to the atmosphere and, therefore, capable of being filled with a gas, preferably inert, at a pressure slight above atmospheric pressure.
  • a gas preferably inert
  • FIG. 1 shows, by way of example, a transfer casing 4' containing the various instruments required for a surgical operation. In that casing is made an annular groove 5 adapted to be engaged by a mating flange-3 of wall 1. Again, in FIG. 2, is shown an opening made in wall 1 for mounting a member 6 of the divers suit-type.
  • the latter which may be of the type disclosed in French Patent Application EN 71.13250 of Apr. 15, 1971 in the Applicants name, comprises a piece of clothing 7 intended to cover the upper part of the surgeons body and provided with a transparent mask 8 at the upper portion thereof and with gloves 9 tightly fitted at the end of sleeves 10.
  • Wall 1 also comprises other gloves such as 11 (FIG. 2 giving direct access to the enclosure.
  • the whole enclosure rests on a table 12.
  • wall 1 of the gas-tight enclosure is associated with an appendage 13, also of a flexible and extensible material, which may be made provisionally integral with wall 1 while being removable.
  • one of the openings in the enclosure wall defined by an annular flange 3 bears a supporting ring 14, the inner end of which (viz. its end located in spec 2) is provided with an outwardly protruding boss 15 in abutment with a flange 16 provided atthe end of appendage 13 which, thus, is in the form of a tight bag with a closed end.
  • Garter-like member 20, web 19 and the internal side of appendage 13 thus define a space 21 which can be filled with an appropriate pressurized inert gas through an inlet conduit 22 connected to web 19.
  • a pouch or bulge 25 adapted to receive various items (not shown) previously introduced into the enclosure, e.g. a flask containing a disinfectant by means of which the already inert atmosphere of space 21 can be additionally asepticized, which is beneficial to the part of limb 18 which is to be operated on.
  • the physician or surgeon can have access to space 21 through space 2, by engaging the gloves 9 or suit 6 or gloves 11 into gloves 23 or 24 of appendage 13, as shown in FIG. 2.
  • the surgeon Before carrying out the surgical operation proper, the surgeon has first to place in position an operative field 26 on the part of limb 18 to be operated on.
  • This operative field which has previously been rendered aseptic according to a known method, has one of its sides stuck to that of the appendage surfaces which faces limb 18, with its other side 27, which is to be applied against limb 18, is covered a self-adhesive coating 28 which must be removed in a contamination free atmosphere, viz. in the inert atmosphere of space 21.
  • coating 28 may be provided, at one of its ends, with a member 29, e.g. of cardboard, to which is fixed a handle adapted to be grasped, through one of gloves 23 and 24, by one of gloves 9 and 11; by pulling member 29, it is thus possible to remove coating 28 from the operative field. Then the coating is crumpled and stored in pouch 25 in the lower portion of appendage 13.
  • the surgeon carries out the application of the asepticized side 27 of operative field 26 on limb 18 with the utmost care: while exerting a controlled pressure on the wall of appendage 13 from space 2, he gradually depressurizes space 21 through port 22.
  • the operative field 26 is suitably positioned, and, through the pressure exerted by space 2, even those portions of the limb not submitted to the surgical operation, are more or less tightly wrapped by the appendage.
  • the surgeon wearing suit 6 is able to make the requested cuts 31 in operative field 26 by means of, e.g., a lancet, through the medium of glove 9, by simultaneously cutting the appendage wall and the operative field and making in limb 18 a wound that gives him access to the limbs portion to be operated on.
  • the surgical operation can then proceed without contamination, since the open portion of the wound thus made can be in contact only of the gas filling space 2, which as a matter of fact is absolutely inert.
  • appendage 13 is closely fitted on limb 18, it is possible to impart to said limb perfectly free rotation or bending and twisting movements, clue to the inherent flexibility of the appendage wall.
  • the surgeon seals the wound 31 and closes the operative field 26 from inside the enclosure.
  • appendage 13 is easily dismounted from support ring 14 by snapping its flange 16 out of boss 15.
  • tubular members such as 32 and 33 can be provided on the outer surface of appendage 13, for receiving, from space 2 defined by the enclosure, stiff rods (not shown) adapted to exert a tensile stress on the operative field and to maintain said field perfectly flat while selfadhesive coating 28 is being removed.
  • Arrows 37 and 38 diagrammatically designate the directions of the stresses exerted on the stiff rods engaged in the four tubular members, with a view to applying operative field 26 gradually and without folding it on the portion of limb 18 to be operated on.
  • appendage 13 in addition to the two tubular members 32 and 33 comprises a plurality of pouches 39, on its side faces, said pouches defining pockets adapted to receive semi-rigid rods 40 for preventing said sides faces, in view of the pressure decrease from adhering to limb 18 before operative field has been placed in position; these rods are withdrawn one by one as the operative field is being stuck to limb 18, by displacing tubular members 32 and 33 in the direction of arrows 41.
  • a surgical operation can therefore be carried out in a permanently gas-tight enclosure and without any risk of contaminating the part of the patients body being .operated on.
  • the appendage instead of being removably attached to the enclosure wall, might just as well be welded to the latter or be made integral therewith in any-manner.
  • a gas-tight enclosure for surgical operations comprising a wall flexible and extensible under the influence of a gas at a pressure slightly above atmospheric pressure, means integral with said wall including gloves and pieces of clothing of the divers suit-type giving a surgeon access to said enclosure while maintaining it gas-tight,
  • At least one hollow appendage extending inwardly of said enclosure forming a gas-tight sterile enclosure having an open proximal end portion attached to said wall to receive a given part of a patients body and a closed distal end portion, an annular web secured to said appendage at the proximal end thereof, a garter-like member secured to said web adapted to clasp about the part of the patients body from the outside to close said appendage,
  • an operative-field integral with said appendage having a removable self-adhesive coating on the inside surface of said appendage, whereby, once said coating has been removed, said operative field can be applied against the part of the patients body.
  • a gas-tight enclosure according to claim 1 includa stripping stress on said self-adhesive coating within the space defined by said appendage and said annular web.
  • a gas-tight enclosure according to claim 7, said attachment being a cardboard member and a handle for said member at the edge of said coating.
  • a gas-tight enclosure according to claim 7, said attachment being a rod mounted transversely on said operative-field for winding up said coating as said coating is removed.
  • a gas-tight enclosure according to claim 1 including tubular members along either edge of said operative field, stiff rods in said tubular members for tightening the appendage wall whereby it is easier to remove said operative-field coating and to apply said field on the part of the patients body.
  • tubular members are four in number and mounted on said appendage to form the edges of a parallelepiped the cross-section of which is a trapezium.
US00367118A 1972-06-05 1973-06-05 Gas-tight enclosures for surgical operations Expired - Lifetime US3850172A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR7220173A FR2188437A5 (ja) 1972-06-05 1972-06-05

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US3850172A true US3850172A (en) 1974-11-26

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US (1) US3850172A (ja)
JP (1) JPS4961978A (ja)
CH (1) CH571340A5 (ja)
DE (1) DE2328307C3 (ja)
FR (1) FR2188437A5 (ja)
GB (1) GB1425887A (ja)

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US4339163A (en) * 1980-04-04 1982-07-13 Nuclear Power Outfitters Bag-like contaminant control work module
US4485806A (en) * 1983-10-24 1984-12-04 Calspan Corporation Method and apparatus for evacuating contaminated casualties
WO1986006272A1 (en) * 1985-04-23 1986-11-06 Lone Star Medical Products, Inc. Isolator for use in surgery
EP0286525A1 (en) * 1987-04-03 1988-10-12 Oddvin Lokken Sterile cassette
US4950222A (en) * 1985-04-23 1990-08-21 Lone Star Medical Products, Inc. Isolator for use in surgery or as a clean room and method of using the same
US4998538A (en) * 1989-08-25 1991-03-12 Charowsky Deborah A Medical drape for laser surgery
US5178162A (en) * 1992-04-14 1993-01-12 Bose William J Splash and spill resistant extremity irrigation and debridement surgical drape
US5316541A (en) * 1993-01-19 1994-05-31 Fischer William B Enclosure for surgical procedures
US5396904A (en) * 1993-09-21 1995-03-14 Hartigan, Jr.; William J. Apparatus for containing and collecting debris generated during medical procedures
US5437602A (en) * 1993-08-13 1995-08-01 Atm Wound Management, Inc. Isolator bag for therapeutic treatments of human limbs
US5609163A (en) * 1995-12-27 1997-03-11 Beard; David M. Surgical shield for orthopedic surgery
US5640977A (en) * 1994-04-08 1997-06-24 Medical Creative Technologies, Inc. Apparatus and method for use in surgery
US5728041A (en) * 1996-04-10 1998-03-17 Lone Star Medical Products, Inc. Isolator for use in surgery or as a clean room and method of using the same
US5758660A (en) * 1996-12-12 1998-06-02 Life Tech Systems Inc. Sterile environment enclosure
US5813409A (en) * 1994-09-02 1998-09-29 Medical Creative Technologies, Inc. Surgical apparatus
EP1008334A3 (en) * 1998-12-08 2001-04-11 Spineology, Inc. Apparatus for establishing and maintaining a positive atmosheric pressure surgical field
US6383162B1 (en) 1999-11-12 2002-05-07 Paul H. Sugarbaker Apparatus and method for abdomino-pelvic chemotherapy perfusion and lavage
US20030232635A1 (en) * 2002-06-12 2003-12-18 Fujitsu Limited Crossword puzzle playing apparatus and crossword puzzle playing program storage medium
US20040211431A1 (en) * 2002-09-27 2004-10-28 Emilio Musso Irrigation drape
US20040267096A1 (en) * 1999-07-30 2004-12-30 Martin Caldwell Hand access port device
US20050059865A1 (en) * 2003-09-17 2005-03-17 Applied Medical Resources Corporation Surgical instrument access device
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US20080219642A1 (en) * 2007-03-09 2008-09-11 Haitham Matloub Collapsible Fluid Containment Device With Semi-Rigid Support Members
US7473221B2 (en) 2000-10-19 2009-01-06 Applied Medical Resources Corporation Surgical access apparatus and method
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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
US7951076B2 (en) 2003-02-25 2011-05-31 Applied Medical Resources Corporation Surgical access system
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
US8226552B2 (en) 2007-05-11 2012-07-24 Applied Medical Resources Corporation Surgical retractor
US8262568B2 (en) 2008-10-13 2012-09-11 Applied Medical Resources Corporation Single port access system
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US8343047B2 (en) 2008-01-22 2013-01-01 Applied Medical Resources Corporation Surgical instrument access device
US8703034B2 (en) 2001-08-14 2014-04-22 Applied Medical Resources Corporation Method of making a tack-free gel
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8758236B2 (en) 2011-05-10 2014-06-24 Applied Medical Resources Corporation Wound retractor
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US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US9289200B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
US9289115B2 (en) 2010-10-01 2016-03-22 Applied Medical Resources Corporation Natural orifice surgery system
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
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US9949730B2 (en) 2014-11-25 2018-04-24 Applied Medical Resources Corporation Circumferential wound retraction with support and guidance structures
US10172641B2 (en) 2014-08-15 2019-01-08 Applied Medical Resources Corporation Natural orifice surgery system
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US10485620B2 (en) 2012-08-06 2019-11-26 Alcon Pharmaceuticals, Ltd. Sterile surgical drape for ophthalmic surgery
US10575840B2 (en) 2015-10-07 2020-03-03 Applied Medical Resources Corporation Wound retractor with multi-segment outer ring
US10674896B2 (en) 2016-09-12 2020-06-09 Applied Medical Resources Corporation Surgical robotic access system for irregularly shaped robotic actuators and associated robotic surgical instruments
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Cited By (130)

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US4339163A (en) * 1980-04-04 1982-07-13 Nuclear Power Outfitters Bag-like contaminant control work module
US4485806A (en) * 1983-10-24 1984-12-04 Calspan Corporation Method and apparatus for evacuating contaminated casualties
WO1986006272A1 (en) * 1985-04-23 1986-11-06 Lone Star Medical Products, Inc. Isolator for use in surgery
US4950222A (en) * 1985-04-23 1990-08-21 Lone Star Medical Products, Inc. Isolator for use in surgery or as a clean room and method of using the same
EP0286525A1 (en) * 1987-04-03 1988-10-12 Oddvin Lokken Sterile cassette
US4998538A (en) * 1989-08-25 1991-03-12 Charowsky Deborah A Medical drape for laser surgery
US5178162A (en) * 1992-04-14 1993-01-12 Bose William J Splash and spill resistant extremity irrigation and debridement surgical drape
US5316541A (en) * 1993-01-19 1994-05-31 Fischer William B Enclosure for surgical procedures
US5437602A (en) * 1993-08-13 1995-08-01 Atm Wound Management, Inc. Isolator bag for therapeutic treatments of human limbs
US5396904A (en) * 1993-09-21 1995-03-14 Hartigan, Jr.; William J. Apparatus for containing and collecting debris generated during medical procedures
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
US5609163A (en) * 1995-12-27 1997-03-11 Beard; David M. Surgical shield for orthopedic surgery
US5728041A (en) * 1996-04-10 1998-03-17 Lone Star Medical Products, Inc. Isolator for use in surgery or as a clean room and method of using the same
US8845687B2 (en) 1996-08-19 2014-09-30 Bonutti Skeletal Innovations Llc Anchor for securing a suture
US5758660A (en) * 1996-12-12 1998-06-02 Life Tech Systems Inc. Sterile environment enclosure
US8808329B2 (en) 1998-02-06 2014-08-19 Bonutti Skeletal Innovations Llc Apparatus and method for securing a portion of a body
EP1008334A3 (en) * 1998-12-08 2001-04-11 Spineology, Inc. Apparatus for establishing and maintaining a positive atmosheric pressure surgical field
AU766605B2 (en) * 1998-12-08 2003-10-16 Spineology, Inc. Apparatus for establishing and maintaining a positive atmospheric pressure surgical field
US20040267096A1 (en) * 1999-07-30 2004-12-30 Martin Caldwell Hand access port device
US8845699B2 (en) 1999-08-09 2014-09-30 Bonutti Skeletal Innovations Llc Method of securing tissue
US6383162B1 (en) 1999-11-12 2002-05-07 Paul H. Sugarbaker Apparatus and method for abdomino-pelvic chemotherapy perfusion and lavage
US8747439B2 (en) 2000-03-13 2014-06-10 P Tech, Llc Method of using ultrasonic vibration to secure body tissue with fastening element
US8814902B2 (en) 2000-05-03 2014-08-26 Bonutti Skeletal Innovations Llc Method of securing body tissue
US8016755B2 (en) 2000-10-19 2011-09-13 Applied Medical Resources Corporation Surgical access apparatus and method
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US9669153B2 (en) 2001-08-14 2017-06-06 Applied Medical Resources Corporation Method of manufacturing a tack-free gel for a surgical device
US8703034B2 (en) 2001-08-14 2014-04-22 Applied Medical Resources Corporation Method of making a tack-free gel
US8870904B2 (en) 2001-08-14 2014-10-28 Applied Medical Resources Corporation Access sealing apparatus and method
US9878140B2 (en) 2001-08-14 2018-01-30 Applied Medical Resources Corporation Access sealing apparatus and method
US20080047567A1 (en) * 2001-08-28 2008-02-28 Bonutti Peter M Surgical draping system
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JPS4961978A (ja) 1974-06-15
DE2328307A1 (de) 1973-12-13
DE2328307C3 (de) 1975-08-07
CH571340A5 (ja) 1976-01-15
DE2328307B2 (de) 1974-12-19
FR2188437A5 (ja) 1974-01-18
GB1425887A (en) 1976-02-18

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