Extracorporeal pneumoperitoneum enclosure and method of use
First Claim
Patent Images
1. Apparatus for providing extracorporeal pneumoperitoneum around a surgical incision in a patient, comprising, in combination:
- a flexible gas impermeable envelope having a first cuff section with an opening and a second hand section with holes respectively aligned for enabling the thumb and fingers of a hand to extend through said holes said envelope being elongate between said hand section holes and said cuff opening for extending along a hand and forearm of a surgeon in a reversely turned manner when operatively connected to the patient; and
a connecting assembly for securing said first cuff section around the incision, said connecting assembly having a first ring fixed in sealing contact with the periphery of said opening and a second ring for selectively connecting in sealing contact with said first ring; and
a peelable adhesive fixed to said second ring for adhering it in sealing contact with skin around the incision.
12 Assignments
0 Petitions
Accused Products
Abstract
Surgical apparatus for providing extracorporeal pneumoperitoneum. One embodiment provides a fluid and gas impremeable fingerless glove with a quick connect and disconnect assembly around the cuff of the glove which seals around an abdominal incision to allow hand-assisted minimally invasive surgery under conditions of pneumoperitoneum. Another embodiment provides a dome-shaped enclosure with the quick connect and disconnect assembly which seals around an abdominal incision to maintain pneumoperitoneum during interruptions in a surgical procedure.
-
Citations
30 Claims
-
1. Apparatus for providing extracorporeal pneumoperitoneum around a surgical incision in a patient, comprising, in combination:
-
a flexible gas impermeable envelope having a first cuff section with an opening and a second hand section with holes respectively aligned for enabling the thumb and fingers of a hand to extend through said holes said envelope being elongate between said hand section holes and said cuff opening for extending along a hand and forearm of a surgeon in a reversely turned manner when operatively connected to the patient; and a connecting assembly for securing said first cuff section around the incision, said connecting assembly having a first ring fixed in sealing contact with the periphery of said opening and a second ring for selectively connecting in sealing contact with said first ring; and a peelable adhesive fixed to said second ring for adhering it in sealing contact with skin around the incision. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
-
-
10. Apparatus for hand-assisted minimally invasive surgery under conditions of pneumoperitoneum, comprising:
-
a gas and fluid impermeable flexible glove-like envelope having a fingerless hand section terminating in holes respectively aligned for complete insertion through the holes of the thumb and fingers of the hand, and an elongate cuff section extending from said hand section and terminating in an opening for receiving said hand section when said cuff section is inverted with its inside facing out; a connecting assembly secured to said glove-like envelope, said connecting assembly having a first ring fixed in sealing contact with the outer periphery of said opening and a second ring releasably connected in sealing contact with said first ring; and a peelable adhesive fixed to said second ring for adhering said glove-like envelope, with said cuff section inverted, in sealing contact with skin around an abdominal incision and forming thereby an annular enclosure in sealed communication with the incision. - View Dependent Claims (11, 12, 13, 14, 15, 16, 17, 18)
-
-
19. A method for performing hand-assisted minimally invasive abdominal surgery under conditions of pneumoperitoneum, comprising the steps of:
-
incising the abdomen and pneumoperitoneum; donning a first conventional surgical glove on the hand; placing the hand in a fingerless hand section of a second glove having thumb and finger holes with the thumb and fingers extending in sealed relation through said thumb and finger holes in the hand section; and inverting a cuff section of the second glove inside out and around the hand section and securing said cuff section around the incision to form an enclosure communicating with the abdominal cavity; and sufflating the abdominal cavity and enclosure. - View Dependent Claims (20, 25, 26, 27, 28, 29, 30)
-
-
21. Apparatus for use in providing extracorporeal pneumoperitoneum around a surgical incision in a patient, comprising:
-
continuous flexible envelope having a distal portion for covering a surgeon'"'"'s hand and a proximal portion for covering the surgeon'"'"'s forearm, said proximal portion defining an opening for insertion of the surgeon'"'"'s hand and forearm, said distal portion having a plurality of openings for receiving a surgeon'"'"'s fingers and thumb and sealing about them when the surgeon'"'"'s hand is placed in envelope with his fingers and thumb extending through said openings thereof, and means for releasably gas-tightly securing said proximal end portion opening to the patient around the surgical incision with said proximal glove end portion being reversibly turned to extend along the surgeon'"'"'s forearm when operatively secured to the patient and insufflated. - View Dependent Claims (22, 23, 24)
-
Specification