Medical device

Abstract

To provide a medical device which is adapted to be located in association with an incised part created on a patient's skin.SOLUTION: A medical device 2500 includes a vacuum sealed device provided with an inner vacuum sealed member 2505' positioned on the inner side of the body of a patient for generating a vacuum seal between the medical device and human tissues inside the patient's skin S. By providing the inside of the patient with the vacuum seal, the skin surface can be maintained unaffected, which means that color change does not occur to hematoma or the skin. The inner vacuum sealed member can separate a specific region of the patient's body by sealing a more inner part of the patient's body. The vacuum sealed device may be adapted to provide sealing for, for example, muscle tissues, fascia, fat tissues, inside the patient's skin, subcutaneous tissues, a surface of the incised part created in the patient's body, physical organ, or fibrosis tissues.SELECTED DRAWING: Figure 44b

Description

[Technical Field]

[0001] The present invention relates to the field of endoscopic and / or open surgery. [Background technology]

[0002] Although surgical procedures have been practiced to some degree throughout human history, few surgical procedures are currently in use. Techniques such as the surgical procedure that is currently in use began to develop during the 16th century. Minimally invasive surgery is a procedure in which the surgeon uses a small amount of skin By performing the procedure through a small incision in the skin, scarring and post-operative hospital stays are minimized. The first minimally invasive surgeries were performed in the early 20th century, In the industrialized world, the most preferred technique for procedures allows for a laparoscopic approach Laparoscopic surgery is typically performed through one to four trocars placed in an incision in the skin. It is performed by inserting needles into the patient's body to allow the surgeon to see inside the body. To create the cavity, CO2 gas is typically inserted into one of the trocars. The use of CO2 gas requires that the trocar form an adequate seal with the patient's skin. This is because a large leak reduces cavity expansion, which can cause the surgeon to have difficulty in the surgical field. This is because it is not possible to create a cavity large enough to adequately view the patient's body. The use of a vacuum to create an airtight seal between the device and the patient is This is more efficient as it promotes complete contact between the medical device and the patient's skin. The use of vacuum seals can also determine the seal level by measuring leakage from the vacuum seal. This allows direct feedback of the seal level. If the skin is damaged, the superficial capillaries under the skin may be destroyed, causing a hematoma, which can affect the skin tone. Applying a vacuum to one part of the patient's skin can cause a change in the It can also affect circulation in the skin, which in severe cases can lead to ischemia in multiple areas of the skin. It may cause.

[0003] Although laparoscopic techniques are widely used today, there are cases where open surgery is not an option. Complications that lead to conversion occur. Reasons for conversion from laparoscopic to open surgery Reasons for this include, for example, accidental invasion of adjacent tissue, or the size of the tumor being removed being smaller than expected. The usual conversion rate for laparoscopic surgery is 5-36%. Such shifts are often made in reaction to problems and without proper preparation. Therefore, patients who underwent converted surgery had a significantly lower risk of postoperative complications compared with patients who underwent planned open surgery. They require longer hospital stays, and the complication rate for converted surgery patients is , which is significantly higher than patients undergoing planned open surgery, up to 70% or more. In excision, 10% of surgeries were converted to open surgery due to bleeding, abscess, or inflammation. Patients with all minimally invasive procedures are twice as likely to develop complications that could lead to death. A common drawback of surgical procedures is the limited size of objects that can be moved between the patient's body and outside the body. The removal of relatively large specimens from the body is usually performed laparoscopically. At the end of the surgery, a relatively large incision is made while releasing the CO2 gas that had occupied the cavity. Examples of surgical procedures in which relatively large specimens are removed from the body are :Appendectomy; Cholecystectomy; Nephrectomy; Hysterectomy; Ovariectomy; Adrenalectomy; Splenectomy ;colectomy;small bowel resection;gastrectomy;prostatectomy;cystectomy;hepatectomy and many It is a different cancer removal procedure.

[0004] Arthroscopy is a surgical procedure similar to laparoscopy, but it targets the patient's joints. This allows the patient to operate on the joint without making a full arthroscopic incision. By creating a small incision, the surgeon has at least 100% access for optical observation of the joint. one optical instrument (arthroscope) and at least one osteopathic instrument for performing intra-articular osteopathic procedures; Instruments can be inserted. A clear fluid is circulated within the joint to dilate the joint and make it possible to visualize the inside of the joint. The advantage of arthroscopy over traditional open surgery is that it causes less trauma to the tissues. This reduces recovery time and improves the success rate of surgery. Because national athletes require shorter healing times, arthroscopy is a It is particularly useful for professional athletes.

[0005] Conventional arthroscopy is performed using multiple small incisions, allowing for movement into the joint It has the same drawback as laparoscopic surgery, that is, the size of the object is limited, and for example, most articular The surgical procedure is typically performed with all implant sizes created using a conventional arthroscopic procedure. It cannot usually be performed arthroscopically because it significantly exceeds the size of the incision required. Plastic surgery requires a substantial incision and opening into the joint area, which This is limited to open surgery, which increases the surface area exposed to the operating room environment. The risk of a patient developing an infection after cosmetic surgery is significantly higher than after abdominal surgery, which is why It has been an area of ​​interest for leading orthopedic surgeons for decades. The consequences of bacterial infection include: prolonged rehabilitation, morbidity and mortality. Disease-causing bacteria, viruses, and parasites that invade the body destroy healthy tissue and If the infection occurs on the surface of the skin and other soft tissues, Even in this case, this infection can lead to infection of the bones (osteomyelitis) and joints (septic arthritis) Orthopedic-related infections can become chronic if not treated promptly, which can lead to severe complications. It can lead to paralysis or morbidity of affected limbs and can destroy previously healthy joints.

[0006] Increased awareness of the high risk of infection associated with orthopedic surgery has led to Increased vigilance is required during and after the outbreak. Key factors in keeping the incidence of infection low are typical Specifically: operating room design; meticulous surgical techniques; and the discipline of asepsis in all areas related to surgery. Specific precautions during orthopedic surgery include: the use of specially sterilized operating rooms; air conditioning systems require special air filters; special requirements for clothing worn in the operating room, including the use of full-body protective suits Complex instruments and parts of machinery are generally very difficult to sterilize. The most common solution to this problem is to completely cover the robot with disposable sheets. The best way to achieve complete coverage is to coat the surface, but this process is time consuming and expensive.

[0007] Surgical environments in the industrialized world are generally very clean, and infections affect postoperative care. All measures will be taken to reduce the risk. However, the surgery will be performed on Earth. The environment can be far from that found in operating rooms in the industrial world, and in some cases Difficulties in performing proper sterilization in the surgical environment or in the tools used in such environments In any case, surgery will be necessary even in remote areas, so a portable sterile environment and a pre-sterilization system will be necessary. Sterilized instruments are important. Summary of the Invention

[0008] A medical device adapted to be positioned relative to an incision made in a patient's skin. The medical device is provided by connecting the medical device to human tissue underneath the skin of a patient. an internal vacuum adapted to be positioned within the patient's body to create a vacuum seal therebetween A vacuum sealing device is provided that includes a sealing member to provide a vacuum seal inside the patient's body. This allows the skin surface to remain unaffected, which means that hematomas and skin changes are prevented. This means that no color will be generated. The inner vacuum seal also seals further inside the patient's body. The vacuum sealing device can be used to isolate specific areas within the patient's body. , adipose tissue, inside the patient's skin, subcutaneous tissue, the surface of the incision made in the patient's body, It can be adapted to provide a seal in an organ or fibrous tissue.

[0009] According to one embodiment, the internal vacuum sealing device or member is applied to the patient's skin. The device is adapted to be positioned at and / or inside the incision made.

[0010] The medical device includes a device chamber adapted to communicate with a cavity within the patient's body. an internal vacuum sealing device for sealing the cavity and the chamber formed by the medical device; The chamber is adapted to be positioned within the body so as to seal the entire chamber against the exterior of the chamber. That's fine.

[0011] According to one embodiment, the first vacuum sealing member forms a vacuum with human tissue inside the patient's skin. A vacuum groove is provided to create the chamber.

[0012] According to one embodiment, the vacuum sealing device is connected to another portion of human tissue inside the patient's skin. a second vacuum sealing member having a second vacuum groove that together create a second vacuum chamber; At least one of the vacuum sealing members is a loop vacuum sealing member, which is adapted to surround an incision made in the patient's skin or the inside of a skin incision; adapted to be connected to human tissue within a patient's body and to the fascia and / or the outer surface of the fascia and / or The inner fascia and / or the fascia of the rectus abdominis muscle of the abdominal wall and / or the fascia of the peritoneum and / or the adipose tissue and and / or fibrous tissue and / or muscle tissue and / or bodily organs (all of which are located within the body) The vacuum sealant allows the vacuum to flow when an incision is made in the patient's skin. The catheter is adapted to be placed to seal against human tissue using a catheter.

[0013] The medical device may further comprise a holding device, the holding device being adapted to be held against the patient's skin. and adapted to hold a medical device positioned within the patient's body, and to hold the therapeutic device and / or to be attached to both the inside and outside skin of the patient's body. to retain the medical device from the abdominal wall, chest wall and created body cavity The medical device is secured by clamping both sides of at least one of the walls of the device. The container is adapted to hold the container and / or to be integrated with a vacuum sealing device.

[0014] According to one embodiment, at least one of the vacuum sealing members is a circular vacuum sealing member. .

[0015] The vacuum sealing member of the medical device according to any one of the embodiments may be adapted to seal the patient's skin against the The device may further comprise an external vacuum sealing member adapted to seal on the exterior of the device. The sealing member can function as a retention member to keep the medical device outside the patient's body. The outer vacuum sealing member surrounds the incision made in the patient's skin and is attached to the patient's skin outwardly. The vacuum seal may be a looped outer vacuum seal adapted to be connected at the

[0016] The medical device is inserted from outside the patient's body into the patient's body through an incision made in the patient's skin. The device may further comprise a closable body port adapted to allow movement of the According to the statement, the medical device is delivered to the patient from outside the patient's body through an incision made in the patient's skin. At least two closable body ports adapted to allow movement into the body of a person may be provided.

[0017] Medical devices also provide access to cavities and fluids within a patient's body that can perform portions of a surgical procedure. The chamber may include a wall adapted to surround the chamber, the chamber being adapted to communicate with the wall. The catheter may be located entirely outside the patient's body, or partly inside and partly outside the body. The chamber may be positioned within the patient's body or may be placed entirely within the patient's body. 500000mm to allow for the procedure steps to be performed 3 The volume may be greater than 1000 vol.

[0018] According to one embodiment, the wall is adapted to allow movement of air from the ambient environment to the inside of the chamber. The wall may be flexible and / or resilient and / or may be transparent and may be made from, for example, PVC with a plasticizing additive.

[0019] The wall allows for procedures within the chamber of the medical device and / or inside the cavity of the patient. The device may further comprise at least one integrated glove.

[0020] According to one embodiment, the medical device is adapted to connect the inset to the medical device. The medical device further comprises a connector formed on: a wall of the medical device; and a connector formed on the skin of the patient. The inset may be adapted to be placed in at least one of the incisions. For example, glove insets, hand access insets, port insets, multi-port insets The inset may be selected from a gel port inset and a gel port inset.

[0021] The closable wall port and the closable wall port in any of the embodiments described herein The body port may include a connecting means for connecting the closable wall port to the closable body port. The closable body port may further comprise a first penetrable self-sealing gel. The closable wall port may comprise a second penetrable self-sealing gel, and the first and second penetrable gels may be The insertable self-sealing gel is tightly positioned against each other by the wall and the connected body port. The first and second penetrable self-sealing gels may be adapted to be pressurized, whereby the first and second penetrable self-sealing gels may be pressurized. In the collapsed state, it provides a seal, and in the compressed state, it is possible to insert a hand or Acts as a single penetrable self-sealing gel adapted to allow insertion of objects do.

[0022] In one embodiment, the walls forming the chamber are adapted to maintain a pressure within the chamber above atmospheric pressure. It may be adapted to

[0023] The medical device in any of the embodiments described herein may be operated at subatmospheric pressure. a vacuum sealing device connected to the vacuum sealing device for generating a force within the at least one vacuum sealing member; The medical device may be part of a medical device system further comprising a pressure regulation device. The device system may further comprise a control unit for controlling the pressure regulating device.

[0024] According to one embodiment, the medical device may further comprise at least one sensor, The unit is adapted to control the pump based on input from said at least one sensor. The sensor may be adapted to sense a physiological parameter of the patient's body. The physiological parameters include: the patient's blood flow; the patient's blood saturation; the patient's ischemic markers; the patient's and the patient's skin tone. In an alternative embodiment, the sensor is adapted to sense a physical parameter of the medical device. The physical parameters may include: the pressure in the sealed device; the pressure in the chamber; and It may be a physical parameter selected from direct or indirect leakage of fluid from the chamber. In any of the embodiments of the medical device system, the control unit may include a vacuum-sealed Controlling the pressure in the vacuum-sealed device so that the pressure in the device does not substantially affect the patient's blood flow may be adapted to do so.

[0025] The internal vacuum sealing member in the medical device according to any of the embodiments is surrounded by Or it may have an adjustable perimeter so that the size of the enclosed area can be adjusted.

[0026] A device adapted to be positioned inside a patient's body through an incision made in the patient's skin. The medical device includes a medical device and at least one between at least one human organ or at least a portion of a human tissue associated with and in contact with said human organ and forming a seal with said at least one human organ or a joint associated with said human organ. and positioned in contact with and sealing at least a portion of the human tissue. The medical device includes an internal sealing device having an internal sealing member adapted to a medical device chamber hermetically connected to the internal sealing device; The chamber contains: at least one human organ; and at least one surgically incised and adapted to generate the organ so as to be connected to at least one of the organs. When implanting a medical device during a surgical procedure, the medical device chamber a wall surrounding the cavity, the at least one human organ; and the at least one surgically implanted and at least one of the incised organs, and sealed by at least one of the incised organs. Space is created.

[0027] According to one embodiment, the internal sealing device: Internal vacuum sealing devices that seal human tissue in contact with the organs; and / or pressure-based an internal pressure sealing device for sealing a human organ or human tissue associated with and in contact with said human organ; and / or adhesively connected to a human organ or to human tissue associated with and in contact with said human organ. The device includes an internal adhesive sealing device that seals the device by sealing the device.

[0028] The internal sealing device is: on a human organ; and / or human tissue associated with and in contact with said human organ. and / or into an incision made in at least one human organ of the patient; and / or On the inside of at least one human organ or human tissue associated with and in contact with the inside of said human organ and / or at least one human organ or human organs associated with and in contact with the outside of said human organs The device may be adapted to be positioned on the outside of the tissue.

[0029] The above organs include, for example: esophagus; stomach; small intestine; large intestine; anus; gallbladder; bile duct; kidney; renal pelvis; ureter; bladder Bladder; urethra; blood vessels; heart; lungs; bronchi; body openings; fascia; peritoneum; adipose tissue; fibrous tissue; muscle tissue; and bodily organs, all of which are located inside the body. The closure device is adapted to close a human organ or a part associated with said human organ when an incision is made in the patient's body. It may be adapted to be positioned to seal against at least one human tissue that it contacts.

[0030] The medical device chamber in any of the embodiments may be located within an organ within a patient's body. The device may be adapted to communicate with a port located within a side cavity and / or a body incision. The medical device chamber may be configured to accommodate the at least one human organ, a cavity within the organ, or human tissue associated with and in contact with said human organ, within the incision area of ​​the human body. medical chambers that reach and connect to ports and / or are located outside the body; a portion of the medical chamber disposed outside the body and communicating with the incision in the body; A port connected to the wall of the chamber is adapted to open and close. When the port is open, it communicates with a portion of the medical chamber located outside the body. The internal sealing device can seal the entire chamber formed by the above options from its outside. The device is adapted to be positioned inside the body to seal against the skin.

[0031] The medical device further comprises a device for detecting the presence of at least one of the human organs when creating an incision in the human organ. It seals fluids or other bodily substances from the inside and keeps the fluids outside the sealed space. or may be adapted to avoid the diffusion of other bodily substances.

[0032] The medical device may be used to incision of an organ with bodily material containing bacteria, and / or to Resection of at least one organ or at least a portion of human tissue associated with and in contact with said organ and / or any bodily-derived substance from inside or outside said at least one organ. and / or removal of said at least one organ from inside or outside or from said at least one organ. Resection of any body tissue associated with at least one organ, and / or Connections between different parts of an organ and / or different parts of different organs and / or at least one medical device associated with said at least one organ. and / or replacement of at least one bodily function, and / or placement of at least one medical device relative to the organ, and / or At least one medical device is positioned relative to the organ. It may be adapted to seal confined spaces during surgical procedures involving replacement of bodily functions.

[0033] The medical device of any of the embodiments may include, within the medical device chamber, , at least one trocar, and / or at least one inset, and / or At least one port, and / or at least one camera, and / or flow in the chamber At least one tube or channel for infusing the body, and / or at least One suction device, and / or at least one diathermy device, and / or a sealed At least one instrument or tool to enable a surgical procedure to be performed within the space may be adapted to accept

[0034] According to one embodiment, the internal vacuum sealing member of the medical device is adapted to seal the internal vacuum sealing member with a human organ or tissue. The heating element may include a vacuum groove adapted to form a vacuum chamber in the heating element.

[0035] The medical device according to any of the embodiments may be used in conjunction with other parts of the human body and / or other organs. and forming a second vacuum chamber with a portion of the same medical device having a different shape. The vacuum seal may include a second or more vacuum sealing members, each of which includes a second vacuum groove, The chamber comprises two or more internal vacuum-sealed chambers adapted to contact different body parts. It is surrounded by members.

[0036] At least one of the internal vacuum sealing members described herein is a loop vacuum sealing member. which surrounds the incision made in the at least one organ of the patient. and surrounding a human organ. Another vacuum sealing device uses a vacuum to seal the small incision made in the patient's organ. Ensuring at least one human organ to create a sealed space for performing a surgical procedure The device may be adapted to be arranged to

[0037] The medical device may further comprise a retention member, which may be adapted to contact the incision and / or the patient. adapted to hold a medical device positioned relative to the at least one organ. and / or for holding a medical device from inside the patient's body. to hold the medical device from both the side and the skin on the outside of the body, and / or the abdominal wall and / or clamping both sides of the chest wall and / or the walls of the created body cavity and / or integrated with a vacuum sealing device. and / or a medical device connected to a body port positioned relative to an incision in the body. and / or to hold a medical device in a plurality of different discrete positions. So, it will be adapted.

[0038] According to one embodiment, the inner vacuum seal member is a circular vacuum seal member.

[0039] The medical device according to any one of the embodiments is adapted to close a body incision by inside and / or inside the tissue connected to the cut portion of the incision, outside and / or or inside the incision and / or both inside and outside the incised wall of the cavity The container may further comprise an additional vacuum sealing member adapted to seal at the container.

[0040] According to one embodiment, the medical device comprises at least one retention member and / or at least one The device may further comprise another pressure sealing member and / or an additional vacuum sealing member, which may be used to seal the incision in the body. or the inside and / or outside and / or both inside and outside of the tissue associated with said incision. The device is adapted to be placed in

[0041] In any of the embodiments, the additional vacuum sealing member is created on the patient's skin. an additional loop-shaped vacuum sealing member adapted to surround the incision, The airtight seal may be: attached to the patient's skin, externally; and / or to the patient's human tissue, internally. on the inside; adapted to connect to at least one of: fascia; and / or muscle the outer membrane; and / or the inner fascia; and / or the fascia of the rectus abdominis muscle of the abdominal wall; and / or the peritoneum; and and / or adipose tissue; and / or fibrous tissue; and / or muscle tissue; and / or bodily organ sacs At least one of them is sealed, and all of them are located inside the body. One additional vacuum sealing element is located near the incision if one has been made in the patient's skin. It may be adapted to be placed in a vacuum-sealed manner to seal human tissue in abutting relationship. .

[0042] The medical device according to any of the embodiments can be used to: a closed end adapted to allow movement inwardly through an incision made in the patient's skin; a closable body port; and / or forming a portion of a chamber located outside the incision a closable wall port disposed in another portion of the wall of the chamber adapted to Preferably, the closable wall port allows access from the outside of the medical device to the inside of the medical device chamber. adapted to allow passage of a wall-ported medical device through the wall to .

[0043] According to one embodiment, the medical device further comprises a multi-port, formed outside the incision. The portion of the chamber adapted to change from a first shape to a second shape during a surgical procedure. In the first configuration, the medical device is adapted to be fitted into the patient's skin in an adjacent relationship to the incision. The implant can be positioned so that it is in close proximity to the skin incision. In the second configuration, the medical device comprises: The multiport can be positioned away from the incision in the patient's skin, thereby The portion of the chamber placed outside the skin was placed inside the inset with the glove. Hands; devices; non-body parts; body parts; instruments and parts used for surgical procedures The device is adapted to be formed with sufficient space to receive at least one of the plurality of nozzles.

[0044] A medical device according to any one of the embodiments described herein may be a medical device a body port connected to the wall of the patient's skin (this body port is placed adjacent to the incision on the patient's skin) and a heat seal (adapted to fit around the medical device) sealed to the medical device by an internal sealing device. and forming a sealed tunnel between the human organ or human tissue associated with and in contact with said human organ. The patient may be adapted to perform the procedure, thereby containing the surgical object inside the enclosed space. The tissue adjacent to the skin incision may be the patient's skin outside the incision and / or the tissue within the incision. , may be human tissue of a patient inside the body.

[0045] The multi-port in any of the embodiments described herein may be detachably a two-part port adapted to be connected to the wall and the body; a portion of the sealed chamber disposed outside the

[0046] The medical device may further comprise a device fabricated on the patient's skin from outside the patient's body to inside the patient's body. at least two closable bodies adapted to allow movement through the incision and at least two closable masts with two, three or more ports. It may be equipped with a multiport.

[0047] According to one embodiment, the walls of the medical device define a chamber in which a portion of the surgical procedure can be performed. and the chamber is adapted to surround a first chamber adapted to be placed outside the body. and a second, inner portion adapted to be placed inside the patient's body. The medical device may be adapted to be in fluid communication with a cavity having a chamber outside the chamber. The outer and inner parts together form a chamber; and the outer part of the chamber a closable body port adapted to be positioned adjacent to an incision in the body between the inner portion and the body; The chamber can be divided into two separate closed portions of the chamber. is adapted to conform to at least one of

[0048] In one of the embodiments described herein, the medical device is adapted to perform a surgical procedure. to disinfect and / or sterilize any body parts remaining inside the enclosed space when , a flow path from the outside to the inside of the body to allow injection of a disinfectant or to inject a fluid The device may comprise a tube or channel adapted to provide bodily communication therewith.

[0049] In some of the embodiments described herein, the medical device comprises: a human organ or or removing at least one internal sealing device from human tissue in contact with said human organ. and releasing the first internal sealing device using at least one internal sealing device. and maintaining the enclosed space in a closed state after the device is released. May be suitable.

[0050] According to any one of the embodiments described herein, the medical device is At the end of the surgical procedure, the sealed chamber must be closed to prevent leakage of bodily substances from the cavity. The device may further comprise a closing sealing device adapted to maintain the space closed.

[0051] The sealed tunnel of any of the embodiments described herein may be used in: appendectomy; biliary tract surgery; cystectomy; nephrectomy; hysterectomy; oophorectomy; adrenalectomy; gastric bypass; fundoplication ;Intestinal shunt;Hernia repair;Splenectomy;Colon or small bowel resection;Hepatectomy;Cecal filtration Stoloplasty; Colostomy; Duodenostomy; Ileostomy; Appendicostomy; Esophagostomy; Gastrostomy; Urinary diversion; Nephrostomy; Ureterostomy; Cystostomy; Endoscopic surgery; Open surgery; combined open and endoscopic surgery; arthroscopic surgery; open joint surgery ;Combined open and arthroscopic joint surgery;Cryoablation;Ultrasonic knife Surgery; removal of isolated bone or cartilage tissue; insertion of ligaments; installation of fixation elements such as screws, nails, plates, etc. Insertion; joint replacement; lubrication procedure; cancer surgery; insertion of another medical device; insertion of a foreign part; Medical devices and other special needs using a combination of open surgery and laparoscopic or endoscopic surgery Insertion of solid parts; laparoscopic or arthroscopic surgery; incision of organs with bodily material containing bacteria Removal of at least one organ or at least part of human tissue; Removal of at least one organ Removal of bodily substances, either from the inside or the outside; removal of at least one organ from the inside or the outside The removal of any body tissue from outside or associated with at least one organ; The connection of different parts of an organ, and the connection of different parts of different organs; placement of at least one medical device in relation to at least one organ; at least one replacement of bodily functions; placement of at least one medical device associated with at least one organ placement of at least one medical device in relation to at least one organ; , and at least one of the replacement of at least one bodily function to reduce the infection rate. Insertable medical implants include, for example: arthroplasty prostheses; cardiac assist devices; energized impellers; Runt; Control logic; Fillable aesthetic implant; Implantable drug dispenser; Power supply unit Vascular implants; Urological implants; Abdominal implants; Drug-releasing implants gynecological implants; active and inactive medical implants may be provided.

[0052] The medical device according to any one of the embodiments described herein may be: a surgical instrument; Endoscopic instruments; scalpels; trocars; tweezers; suture instruments; forceps; cameras; clamping instruments; Dissecting instruments; grasping instruments; adhesive instruments; suturing or stapling instruments; cutting instruments; electromagnetic or ultrasonic Wave diathermy; laparoscopic grasper; laparoscopic nail grasper; laparoscopic stone grasper; laparoscopic needle holder; abdominal Laparoscopic hooks; Laparoscopic dissection instruments; Laparoscopic diathermy instruments; Arthroscopic instruments; Joint replacement instruments orthopedic instruments; appliances; and machines. You may.

[0053] The medical device according to any one of the embodiments described herein may include, in the chamber 500,000mm to allow for the steps of the surgical procedure to be performed 3 The volume may be greater than 1000 vol.

[0054] In some embodiments, the walls of the medical device are adapted to transport fluid from the ambient environment to the inside of the chamber. The wall may be flexible and / or resilient. It may be plastic and / or transparent and may be made from, for example, PVC with a plasticizing additive.

[0055] The walls of the medical device may be configured to support the medical device within the chamber and / or the patient cavity. At least one integrated glove or integrated gloves are provided to enable the procedure of The device may further include an inset.

[0056] The medical device according to any one of the embodiments may include an inset or port attached to the medical device. The medical device may further comprise a coupler adapted to connect to the medical device. and at least one of the walls of the incision made in the patient's skin.

[0057] The insets above are: Glove inset; Hand access inset; Port inset; Mal and a gel port inset. .

[0058] The medical device according to any one of the embodiments described herein may include a closable wall. Port / multiport and / or in relation to or adjacent to a patient's incision The device may comprise a closable body port / multiport adapted to be placed in a Closable wall ports / multiports and closable body ports / multiports are Connection means for connecting a port / multiport to a closable body port / multiport Multiports are available in two, three, or four ports arranged in a single multiport casing. or more ports.

[0059] The closable body port may comprise a first penetrable self-sealing gel, and the closable wall port The port may comprise a second penetrable self-sealing gel, and the first and second penetrable self-sealing gels The gel is adapted to be tightly positioned relative to each other by the wall and the connected body port. whereby the first and second penetrable self-sealing gels are sealed in an uncompressed state. and allowing a hand or object to be inserted through the self-sealing gel while maintaining a seal in a compressed state. The gel acts as a single penetrable self-sealing gel adapted to

[0060] In any of the embodiments described herein, the walls forming the chamber are The chamber may be adapted to maintain a pressure above atmospheric pressure so that endoscopic surgery can be performed. .

[0061] The inner or outer vacuum sealing member in any of the embodiments described herein may be: sealed To enclose a relatively large surgical area within a closed space: enclosing the incision made encircling two or more locations on or around at least one organ of the patient; and and a loop-shaped true body adapted to encircle at least one of two or more human organs. The at least one vacuum sealing member may be a vacuum sealing member. When constructed, the device seals at least one human organ or associated tissue using a vacuum. The device is adapted to be positioned so as to

[0062] This closure sealing device is used to prevent leakage of bodily substances from the enclosed space. To achieve this, a vacuum is used to keep the sealed space closed at the end of the surgical procedure. It may be adapted to seal.

[0063] The medical device includes a closable wall multi-port and a medical device at or adjacent to a patient's incision. and a closable body multi-port adapted to be disposed in a closed relationship. The closable wall port and the closable body port are The device may include a connection means for connecting to a body port.

[0064] The medical device is introduced from outside the body into the chamber. One or two or more fluid intake and intake valves adapted to allow fluid to be drawn into and injected into the chamber from the outside. and a fluid conduit, said one or more fluid conduits being: a medical device; integrated into at least one of the wall and a body port positioned adjacent the incision and fluid conduits arranged as separate tubes and displaced as separate tubes. and positioned adjacent to the medical device, the wall, and the incision between the two ends. and at least one of the body ports. are also matched to one another.

[0065] The medical device chamber may be adapted to enclose a portion of the surgical procedure to be performed; The medical device also includes: a closable wall multiport disposed in a portion of the wall; and a second portion disposed on the second portion and adapted to be placed in or adjacent relation to an incision in the patient's body; The sealing device may comprise: a wall and a closable body multi-port adapted thereto. and a wall and closure; At least one of the possible body ports being an integral part of at least one of the body ports and the sealing device may further comprise a sealing device adapted to seal at least one of the patient's skin and tissue. Both the wall multiport and the body multiport may be adapted to seal the surgical When performing a procedure, an airlock sluice is opened between the patient's body cavity and the surrounding environment. It is adapted to form

[0066] The walls and body ports of the medical device allow for longitudinal passage of an elongated object through the walls and body ports. The actuators may be positioned relative to one another so as to be easily displaceable.

[0067] In any of the embodiments described herein, the wall port of the medical device comprises a first and a second position, the second position being further away from the body port. The wall multiport is: connected to the body multiport; abutting; locked to body multiport; integral with body multiport The casing may be adapted to at least one of forming a port.

[0068] At least one of the closable wall multiport and the closable body multiport , may comprise an infiltrable self-sealing gel, which allows the wall multiport and the body multiport to be If both ports are provided with a penetrable self-sealing gel as described above, the self-sealing gel can be penetrated. and inserting an object or hand into the device, thereby allowing at least one of the object, device, instrument, or hand to be inserted. One can be inserted into the patient's body through a wall multiport and then through a body multiport, and The body part is inserted from inside the body through the body multiport and then through the wall multiport into the chamber. can be moved outside the surgical site while maintaining a sealed environment during the surgical procedure. do.

[0069] The medical device may be: an additional body port; an additional body multiport; an additional body inset at least one of: an additional wall port; an additional wall multiport; and an additional wall inset The device may further comprise one of a wall port, a wall multiport, a body port, a body multiport, a wall At least one of the inset and the body inset may be: an additional body port; an additional body port; Body multiport; additional body inset; additional wall port; additional wall multiport; and It may be replaceable by at least one of the additional wall insets.

[0070] In one embodiment, the medical device comprises a sealing member adapted to seal the wall against human tissue. the inner sealing member being: a vacuum sealing member adapted to maintain a pressure below atmospheric pressure; and a member adapted to maintain a pressure above atmospheric pressure to form a seal between said wall and said human tissue. At least one of the vacuum seal members is provided.

[0071] The medical device may further comprise a closable body port and a closable multi-port. The closable body port is placed from inside the chamber into an incision made in the patient's skin. The body may include a closable body multi-port adapted to receive the blood, the body multi-port comprising: , when applying a medical device onto a patient's body to perform a surgical procedure: a wall port; and a wall multiport. The wall port may comprise a closable wall multi-port, the wall multi-port being adapted to accommodate a surgical procedure. When applying the medical device to the patient's body to perform the procedure, the medical device is placed at an incision on the patient's body. Placed: body port; and to be connected to at least one of the body multiports It will be adapted.

[0072] According to one embodiment, the wall comprises a flexible member having a first inset and an interconnectable port. The interconnectable port is a flexible wall, and the interconnectable port is formed with a first port. At least one of a first port / multi-port and a first inset for forming and a second coupler adapted to be interconnected with the first coupler, The first port / multi-port can be disconnected from the first inset. The multi-port may be connected to a first portion of the flexible wall, and the first inset may be a third connector may be connected to the flexible wall; and a second connector may be connected to the flexible wall second section; The flexible wall is coupled to the first port and / or the first inset and / or the second connector. The second connector may be adapted to form a chamber. The chamber is inserted into the patient's skin after an incision is made in the patient's skin during a surgical procedure. The first port and the second port may be adapted to communicate with an internal cavity of the patient's body through the first port and the second port. and the first inset is adapted to connect the second connector to the skin of the patient in a proximate relationship to the skin of the patient in the first position. wherein the chamber may have a first relatively small volume, and At least one of the first port and the first inset is in the second position. the first coupler and the second coupler in a relatively spaced relationship from the patient's skin. The chamber may be adapted to be spaced apart, where the chamber has a second, relatively large volume.

[0073] According to one embodiment, the first port is closable when disconnected from the second connector. Form a wall port / multi-port.

[0074] In one embodiment, the second coupler is configured to connect the first port to the second coupler when the first port is disconnected from the second coupler. When closed, it forms a self-closable body port / multi-port.

[0075] The first port in any of the embodiments described herein may be two, three, four, or The device may include a multi-port with two or more individual ports.

[0076] The first inset shows surgical gloves and devices or instruments to assist in the surgical procedure. At least one of the attachment portions may be provided.

[0077] The medical device may include a first connector, a first port and / or a multi-port and and / or the first inset may connect to a second connector, the second connector being connected to the first connector. The first coupler may be adapted to be reversibly connected directly to the second coupler. It is adapted to

[0078] One of the first coupler and the second coupler may include a protruding member, and the first coupler and At least one of the first and second couplers may include a recess, and the protruding member may The recess may be adapted to engage the recess to lock the connector to the second connector. may be a groove in at least one of the first coupler and the second coupler.

[0079] The interconnectable port in any of the embodiments described herein includes: a first In a first state, the port or first coupler is interconnected with a second coupler. It allows surgeons to perform endoscopic surgery through interconnected, connectable ports. and in a second state in which the second coupler is disconnected from the first port or the first coupler. In this embodiment, a flexible wall is provided between the first port and the second connector of the interconnectable ports. allowing the surgeon to perform multiple steps of a surgical procedure within the chamber formed by the The interconnectable port may be adapted to allow the surgeon to connect the first The specimen is then passed through the two connectors into the chamber, allowing for removal of the specimen from the patient's body. and: placing the specimen in a chamber; and dispensing the specimen into the chamber through a first port. The method may be adapted to perform at least one of: removing the .

[0080] According to one embodiment of the medical device, the second port (body port) also has a second connection. The first port, the second body port, and the first connector may be adapted to be placed in the body. One of them allows the surgeon to continue the operation after removing the specimen through an interconnectable port. and adapted to be reconnected to the second coupler after being disconnected from the second coupler, such as good.

[0081] The medical device according to any one of the embodiments described herein may include a retraction system. The device may further comprise: a flexible connecting member; a flexible connecting member around the incision to be made in the skin; The flexible connecting member is adapted to be positioned inside the tissue wall of the patient. an inner retraction member and / or retention member and / or mechanical sealing member adapted to be connected to the and an outer retraction member and / or an outer retention member and / or an outer mechanical member, The retraction member and / or the external retention member and / or the external mechanical member may be attached to the first flexible wall. , a flexible connecting member and a second connector and / or a body port and / or a body multi-port connected to at least one of the ports and positioned adjacent to the incision; or at least one of the outer retraction member, the outer retention member, and the outer mechanical member. a second connector, a body port, and a body multiport, the second connector being integral with at least one of the body port and the body multiport; The second connector is connected to the patient's skin: near the incision; within the incision; and around the incision. the outer surface of the patient's skin around the incision. The flexible connection is an integral part of the second connector adapted to be positioned outside the skin. The member interconnects the inner and outer retraction members, thereby forming inner and outer retraction members. The wound member is adapted to be larger than the incision so that the flexible connecting member connects the skin and tissue to the skin. The flexible connecting member may be retractable at an incision opening that is generally parallel to the at least one of an inner retractor member, a retaining member, and a mechanical sealing member; and an outer retractor member. directly or indirectly with at least one of the material, the external retaining member, and the external mechanical sealing member. interconnecting the inner and outer retraction members, the retaining or outer retaining member, and the mechanical At least one of the external and external mechanical sealing members is configured to be larger than the incision. The flexible connecting member connects the skin and tissue through an incision opening that is generally parallel to the skin. The flexible connecting member may be configured to connect the first flexible wall and the second connector sac. or the first flexible an integral part of the wall that is adapted to be placed through an incision into a body cavity and for extending an incision passage from the chamber into the body cavity during a surgical procedure. and, together with the inner and outer retractors, pressing the skin and tissue against the skin in the vicinity of the incision. It is adapted for generally parallel retraction.

[0082] The medical device according to any one of the embodiments described herein may be a sealed device. The device may further comprise: a flexible connecting member; a flexible connecting member around the incision to be made in the skin; The device is adapted to be positioned under the patient's skin and is sealed to a flexible connecting member. a first sealing member connected in a closed state; and a second sealing member, , the first flexible wall, the flexible connecting member, and the second coupling. or to be positioned outside the patient's skin around the incision. The flexible connecting member is an integral part of the first and second tightly coupled connectors. The closure members are sealingly interconnected, whereby the first and second closure members are: a second closure; and the patient's skin or tissue; and between the first sealing member and the patient's tissue. The flexible connecting member is adapted to be larger than the incision so as to seal the incision. The first flexible wall and the connector are connected in a sealing manner, or the first flexible wall and the connector are connected in a sealing manner. The flexible wall is adapted to be disposed as an integral part of the second connector, the body, during the surgical procedure. When the body port or body multiport is open, the communicating chamber and the body cavity The tubing is adapted to participate in sealing the combined volume of the tubing and the tubing from the ambient environment.

[0083] According to one embodiment, the first port is closable when disconnected from the second connector. The second coupler forms a wall port that can be connected to the first port when the first port is disconnected from the second coupler. When closed, the body port may itself form a closable body port.

[0084] The medical device of any of the embodiments described herein may include a chamber that is pressurized. The medical device may be adapted to connect to a fluid source and adapted to receive pressure. The pressurized fluid is maintained at the same pressure as the pressurized fluid filling the body cavity outside the chamber. maintain a pressure lower than the pressurized fluid filling the body cavity outside the chamber; and maintaining a pressure higher than the pressurized fluid filling the body cavity outside the chamber. The pressure is adapted to be maintained in response to at least one of:

[0085] The medical device includes: a nipple for a fluid source located outside the body; and a fluid supply device located outside the body. A nipple for a fluid supply located on the side and a chamber for allowing fluid circulation. and a second nipple adapted to receive the fluid flow exiting the Each member may have at least one additional

[0086] The wall may be positioned at least partially over the patient's body to form a medical device chamber with the patient's body. The chamber may be adapted to be at least partially applied, in which the The medical device can maintain a sealed environment to enclose a portion of the surgical procedure. Further, a medical device may be placed in a portion of the wall and inserted into the patient's body to perform a surgical procedure. When applied, a closable device is placed within an incision in the patient's body that is connected to the body cavity. A closable wall port / multiport device adapted to be detachably connected to a suitable body port. and an inset; and a device adapted to be placed in at least one of the incisions in the patient's body. and closing the device when applying the device to the patient's body to perform a surgical procedure. a closable wall port / multi-port, further adapted to be detachably connected to the Body ports / multi-ports and insets; and applying medical devices to the patient's body a sealing device adapted to connect to the wall and seal the incision in the patient when The device may include at least one of the following: a closable wall port / multi-port, a wall and sealing device The device is suitable for both closable body ports and closable wall ports and closable body ports. The closable body port or multi-port described above is adapted for performing a surgical procedure. When applying the medical device to the patient's body to The multiport is adapted to form an airlock sluice (18) between the two ports. , 3, 4, 5 or more integrated ports .

[0087] Closable wall ports / multiports, closable body ports / multiports and closures A small number of both closable wall ports / multiports and closable body ports / multiports At least one of the following is true: during application of a medical device to a patient's body to perform a surgical procedure; adapted to form an airlock sluice between the patient's body cavity and the surrounding environment. That's fine.

[0088] Closable wall ports and closable body ports are also known as closable wall ports / multiports. and longitudinal displacement of elongated objects through a closable body port / multi-port. The electrodes may be positioned relative to each other so that

[0089] In any one of the embodiments described herein, a closable wall port and an inlet At least one of the insets has a closable wall port or inset adjacent to the incision. At least one of the body ports / multi-ports and insets is relatively closable. A first location adjacent to the wall port / multi-port and an inset of the closable wall port / multi-port. At least one closable body port / multiport or inset relatively far away The second position may be displaceable between a first position and a second position.

[0090] Any of the embodiments with a closable body port / multiport or inset In some cases, a closable wall port or inset is used to connect a medical device to perform a surgical procedure. When applying the device to the patient's body, the device is connected to a closable body port and the closable body port is connected to a The device may be adapted for at least one of being locked to a body port.

[0091] At least one of the closable body port and the closable wall port is an accessible A self-sealing gel may be provided, which allows the closable wall port to be closed while maintaining a sealed environment. An object or hand can be inserted through it.

[0092] According to one embodiment, the medical device further comprises a connector, the connector being: positioned at the incision; and at least one of a closable body port, a multi-port, and an inset. a connecting portion adapted to be connected to the wall; and a closable wall port, a second connection adapted to be connected to at least one of the port and the wall inset; The connector may comprise at least one of a closable body port, a multi-port, At least one of the ports and insets may be a closable wall port, a multi-port or directly or indirectly removably attached to at least one of the insets; and the connecting portion is adapted to attach to at least one of the connecting portions.

[0093] The medical device further comprises at least one of an additional port and an additional inset. The closable wall port or inset and the closable body port or inset may be At least one of the ports may be interchangeable with the additional port.

[0094] A medical device according to any one of the embodiments described herein includes an air loop. The wall port may include a port spaced apart from the wall port; For use within a lock sluice; and to allow the passage of objects between the chamber and the outside of the chamber and / or being fully integrated with the wall port to achieve the same.

[0095] Regarding the wall of the medical device according to any one of the embodiments, a second separate section of this wall This portion forms, together with the patient's body, an external medical device chamber that is positioned outside the body. and the external medical device may be adapted to be applied at least partially to the patient's body for Within the device chamber, there are A sealed environment can be maintained. The medical device is used to perform surgical procedures. When the device is applied to the patient's body, it will connect with a port placed at the incision on the patient's body. The device may further comprise a closable wall port disposed in a portion of the wall adapted to The chair is adapted to connect to a wall and seal the incision on the patient. When applying a medical device to a patient's body to perform a surgical procedure, and adapted to form at least a portion of an airlock sluice together with the closable port. The airlock sluice is preferably a sluice between the medical device chamber placed on the patient's body and the surrounding area. It is between the environment.

[0096] According to one embodiment, the closable wall port is an openable wall port placed at an incision in the patient's body. For a surgical port, a medical device is applied to the patient's body to perform the surgical procedure. The ports are positioned to allow longitudinal displacement of an elongated object through the ports when the device is in use. It will be adapted.

[0097] In one embodiment, the closable wall port is configured to connect the closable wall port to the patient's skin and a first location relatively close to at least one of the skin ports disposed in the opening; and , when applying the medical device to the patient's body to perform a surgical procedure, the closable wall The port may be displaceable between a first position and a second position that is relatively spaced from the patient's skin.

[0098] The closable wall port in any of the embodiments described herein may be used in conjunction with a surgical procedure. When applying the medical device to the patient's body to perform the procedure, and a port connected to a cavity in the patient's body. The device may comply with at least one of the following requirements:

[0099] The closable wall port in any of the embodiments described herein may be The chamber may comprise a self-sealing gel that allows it to be closed while maintaining a sealed environment within the chamber. An object or hand can be inserted through the wall port.

[0100] The medical device according to any one of the embodiments described herein may include an additional port. , an inset, and a coupler, When applying a medical device to a patient's body to perform a surgical procedure, the inset and the connector. It will be adapted.

[0101] According to one embodiment, the medical device comprises an interior portion of a chamber disposed inside the body; and an external portion of the chamber disposed outside the body. The walls of the section form a sealed environment to enclose a portion of the surgical procedure to be performed. a second separate wall adapted to maintain an internal chamber The medical device is adapted to form an external chamber that can be reversibly connected directly or indirectly to the the vise includes a closable wall port or multi-port disposed in a portion of the second wall; and at least one of a closable body port / multiport and a connector; At least one of the closable body port / multiport and the connector is the second portion of the wall of the second device and adapted to be placed directly on the incision on the patient's body or further adapted to be indirectly connected to an interior portion of the chamber disposed inside the body; and At least one of an internal body port, a second connector, a retention member, and an inner or outer retraction member. the internal body port, the second connector, the retention member, and the inner or outer opening. At least one of the wound elements is further connected to an interior portion of the chamber. is connected to the wall or second wall and is attached to the skin and / or an additional sealing device adapted to seal against body tissue; and the patient's skin and / or A closable body port or multi-port and connection adapted to seal body tissue. At least one of the wall ports / multiports. The port may include an internal body port or multiple ports, a second connector, a retaining member, and an internal or external a chamber connected to at least one of the retraction members and including an inner portion and an outer portion of the chamber; It is adapted to form an enclosed space.

[0102] The wall in any of the embodiments described herein may be configured to accommodate the surgical procedure to be performed. forming a medical device chamber capable of maintaining a sealed environment to enclose a portion of the therapeutic procedure; The medical device may be adapted to: a closable device adapted to be positioned on a portion of the wall and further positioned at an incision in the patient's body; a body port adapted to connect to the wall and seal against the patient's skin and / or body; The wall port and the body port may both be located in a cavity in the patient's body. a closable wall port, which may form an airlock sluice between the tee and the ambient environment; Closable body ports and both closable wall ports and closable body ports at least one of applying a medical device to a patient's body to perform a surgical procedure When the patient is in the ventilated area, the device is adapted to form an airlock sluice between the patient's body cavity and the surrounding environment. are combined.

[0103] In one embodiment, the closable wall port / multiport is a closable body port or multiport. at least one of a multiport, a second connector, a retention member, and an inner or outer retraction member; to be attached, installed integrally in place, and locked The term "conforms to" is used interchangeably with "conforms to" and "conforms to" in the following cases:

[0104] The medical device according to any one of the embodiments described herein may include an additional port. or may further comprise additional insets, such as closable wall ports / multi-ports and closable At least one of the available body ports / multi-ports is connected to the additional port or additional They may be interchangeable by means of insets.

[0105] According to one embodiment, the closable body port comprises a cutout to be formed in the patient's skin. The opening is provided with a closable body multi-port adapted to be placed from inside the chamber. Thus, the closable body multiport prevents the passage of objects between the chamber and the inside of the patient's body. At least two closable body ports adapted to allow passage of blood. The body multiport allows medical devices to be applied to the patient's body to perform surgical procedures. When doing so, a wall port is placed in the incision on the patient's body that is connected to the chamber inside the body. and a wall multi-port, The closable wall port comprises a wall multiport having at least two closable wall ports. This wall multiport allows medical devices to be applied to the patient's body to perform surgical procedures. a closable incision in the patient's body that is connected to a chamber inside the body when the device is inserted into the incision. and a closable body multi-port. It will be adapted.

[0106] The closable wall port and / or the closable body port may be formed of an elastic membrane or a flexible membrane. The membrane may comprise at least one chamber and an outer annulus of the chamber in an uncompressed state. The membrane should be adapted to seal between the body and the surface of the device and, under compression, to allow a hand or object to be inserted through it. stomach.

[0107] The medical device is attached to the inside of the patient's skin around the incision that will be made in the skin. a first sealing member adapted to be positioned on the patient's skin around the incision; a second sealing member adapted to be positioned outside the skin; and a second sealing member having a first and second sealing member. and a spring-loaded or resilient connecting member that seals and interconnects the sealing device. The spring-loaded or resilient connecting member may be: (a) between the second sealing member and the patient's skin; (c) between the first sealing member and the tissue of the patient; and (d) between the connecting member and the tissue associated with the incision. At least one of the spaces may be sealed.

[0108] The medical device according to any one of the embodiments described herein comprises: a chamber; A filtration unit for filtering the fluid being supplied; a filtration unit for filtering the fluid being supplied to the chamber directly or indirectly Sterilization unit for selectively sterilizing fluids; adapted to change the temperature of the fluid supplied to the chamber a fluid temperature adjustment unit; a filtration unit for filtering the fluid supplied to the chamber; a sterilization unit for directly or indirectly sterilizing a fluid to be fed into the chamber; a filtration unit adapted to filter and change the temperature of the fluid supplied to the chamber; a fluid temperature regulation unit for directly or indirectly sterilizing the fluid supplied to the chamber; a fluid temperature controller adapted to change the temperature of the fluid supplied to the sterilization unit and chamber; a filtration unit for filtering the fluid supplied to the chamber; Sterilization units and chambers for direct or indirect sterilization of fluids supplied to the at least one of the fluid temperature regulation units adapted to change the temperature of the fluid being may be provided.

[0109] A medical device according to any one of the embodiments described herein: a medical device a chamber and a patient's body, the chamber and the patient's body being fitted to at least one of the wall of the chamber and the patient's skin; at least one inlet for supplying a fluid to at least one of the cavities; and a chamber and a chamber provided on at least one of a wall of the medical device and the skin of the patient; at least one outlet for draining fluid from at least one of the body cavities; The device may further comprise at least one of the ports.

[0110] The medical device according to any one of the embodiments described herein may include a fluid outlet. The system may further comprise a pump adapted to circulate the gas from the inlet to the inlet.

[0111] At least one of the wall and the body port may include a protruding member, and the wall and the body port may include a protruding member. At least one of the ports includes a recess. A protruding member locks the wall port to the body port. The recess may be adapted to engage with the recess for locking the wall port and the body port. There may be at least one groove.

[0112] According to one embodiment, the wall port is adapted to be secured to the first connector and the body port The first and second connectors are adapted to be secured to the wall port and the body. The first and second connectors are adapted to be connected to connect the body port and the body port. At least one of the first and second couplers may include a magnet or a first magnetic material. At least one of the first coupler and the second coupler may comprise a magnet or magnetic material, and the magnet may connect the first coupler to the second coupler. The connector may be adapted to engage a magnet or magnetic material to lock onto the connector.

[0113] At least one of the first and second connectors includes a protruding member, and the first and second connectors At least one of the connectors includes a recess, and a protruding member connects the first connector to the second connector. The locking member may be adapted to engage the recess for locking.

[0114] According to one embodiment, the recess is located in at least one of the first coupler and the second coupler. It's a groove.

[0115] The medical device according to any one of the embodiments described herein may be placed inside the body. an inner portion of the chamber positioned within the body and an outer portion of the chamber positioned outside the body. The outer portion of the wall is an outer portion of the medical device that is directly or indirectly connected to the inner portion of the wall. The medical device is adapted to form a proximal end portion at least partially within an incision in the patient's body. The interconnectable port is adapted to be disposed on the The port includes first and second electrodes adapted to be interconnected to form the interconnectable port. The device may include a second port, the second port being disconnectable from the first port, The port is connected to a first portion of the flexible wall, and the second port is connected to a first portion of the flexible wall. The two sections are connected and the flexible wall is adapted to form a medical device chamber. The first port may be disconnected from the second port to form a closable wall port. stomach.

[0116] When the first port is disconnected from the second port, the second port becomes a closable body port. A gate may be formed.

[0117] The chamber may have a first volume when the first and second ports are interconnected. and may have a second volume when the second port is disconnected from the first port. , the second volume may be larger than the first volume.

[0118] The first volume is 100,000 mm 3 The second volume may be less than 500,000 mm 3 super The flexible wall may include a pleated portion to allow the flexible wall to expand. That's fine.

[0119] The medical device according to any one of the embodiments described herein comprises first and second The first port may be connected to the first coupler, and the second port may be At least one of the first and second couplers may be connected to a second coupler. and at least one of the first coupler and the second coupler includes a recess. Preferably, the protruding member engages the recess to lock the first connector to the second connector. The recess may be adapted to fit into a groove of at least one of the first and second couplers. It may be.

[0120] In any of the embodiments described herein, the chamber formed by the flexible wall , may be adapted to hold a pressure above atmospheric pressure.

[0121] A medical device according to any one of the embodiments described herein may include an interconnectable The interconnectable ports may include: a first port and a second port; In the first state, the surgeon can communicate through the interconnected ports. to allow endoscopic surgery to be performed; and the second port is disconnected from the first port. In the second state, a first port and a second port of the interconnectable ports are connected to each other. The surgeon performs multiple steps of the procedure within a chamber formed by the outer portion of the flexible wall. The system is adapted to enable the implementation of the

[0122] A medical device according to any one of the embodiments described herein may include an interconnectable In the second state, the surgeon may have a port, and the interconnectable port may: to allow removal of the specimen from the patient's body into the chamber through the second port. and: placing the specimen in a chamber; and dispensing the specimen through a second port. and adapted to perform at least one of removing the fluid from the chamber. The chamber may further comprise a pouch for retaining the specimen within the chamber. The pouch is placed in the chamber to isolate the removed specimen within the chamber. can be closed to produce

[0123] The first and second ports of the interconnectable port can be interconnected by the surgeon after removal of the specimen. Adapted to be disconnected and reconnected so that surgery can continue through the available port You may.

[0124] The medical device includes a vacuum seal for generating a subatmospheric pressure within at least one vacuum seal member. The vacuum sealing device may further include a pressure regulation device connected to the vacuum sealing device.

[0125] The medical device adjusts at least one of the pressure adjusting device and the pressure inside the chamber. It may further comprise a control unit for controlling.

[0126] The medical device may further comprise a sensor, a motor and a pump, and the control unit may comprise at least Both may be adapted to control the motor and the pump based on input from a single sensor.

[0127] The medical device may comprise at least one sensor adapted to sense a physiological or physical parameter of a patient. The physiological or physical parameters may further include at least one sensor. flow; patient blood saturation; patient ischemic markers; patient skin temperature; patient skin tone; pressure The parameter may be selected from: force; time; movement; extension; distance; and volume. In an embodiment, the sensor is adapted to sense a functional or physical parameter of the medical device. The functional or physical parameters may be: pressure in the sealed device; pressure in the chamber; Force; direct or indirect leakage of fluid from a chamber; force; time; motion; extension; distance; volume; Parameters selected from electrical parameters; energy; energy balance; voltage; current; and temperature It may be a meter.

[0128] The control unit regulates the pressure in the vacuum-sealed device so as not to substantially affect the patient's blood flow. It may be adapted to control

[0129] According to one embodiment, the medical device comprises at least one retention member, are: ring-shaped; circular, bendable; flexible; at least one is held inside the incision two circular bendable shapes adapted to be inserted into the incision; One, two or more ring-shaped structures adapted for insertion through an incision; At least one flexible support adapted to be held inside the incision ring-shaped structure; inside the incision, outside the incision, and in the tissue associated with the cut two or more holding member parts (top) adapted to be arranged on at least one of the the two or more components being adapted to be positioned as separate components at the selected locations; At least two parts are connected to each other, and at least two parts are connected to each other. , this connection is elongated and significantly longer than the closest distance between the parts); adapted to expand the area of ​​or around the incision to allow passage through the incision and a structure in which the

[0130] According to one embodiment, the at least one retaining member is: sealingly attached to a wall; and; a separate body port or body multi-port that is not connected to the wall and is sealed to the body. be hermetically attached to a wall-connected body port or body multiport; be placed free from separate body ports or multiple body ports be placed in a chamber that is in contact with but not attached to the wall; near the incision or placed on the outside of the chamber towards the tissue in the incision; and the holding member is attached to the patient's skin by an adhesive. The product complies with at least one of the following requirements:

[0131] The body multiport in any of the embodiments is attached to the skin by an adhesive. It may be further adapted to

[0132] The body multiport further comprises a second coupling disposed on the periphery of the body multiport. Preferably, this is adapted to allow the body multiport and the second coupling to be reversibly connected. The body multiport is further adapted to be placed outside the skin and includes a second connection. The device passes through a hand placed in a glove in the connector when the body multiport is disconnected. and adapted to have an inner circumference larger than the skin incision so that the incision can be made; The skin is sufficiently elastic to allow for larger incision sizes for the hand. is.

[0133] According to one embodiment, the medical device comprises at least one retention member, The device is configured to hold a medical device and simultaneously hold the medical device and close the incision inside the body. the first internal retention member is adapted to seal against at least one of the sides of the The device is adapted to have a larger size around the incision and is further bendable to allow for external The retention member is adapted to be bent and introduced inside the wall of the incision when performing a surgical procedure. is further adapted to hold a medical device from inside the incision, and It has a feasible inner circumference size and restores its circumference after introduction through a relatively small incision. and the medical device is adapted to be positioned outside the incision. The first inner and second outer retaining members may further include a flexible connection. The flexible connecting member is an integral part of the wall of the medical device, the chamber a separate flexible connecting wall adapted to be disposed on the outside of the chamber; and a separate flexible connecting wall adapted to be disposed on the inside of the chamber. At least one of the separate flexible connecting walls is adapted to

[0134] According to one embodiment, the second connector is an integral part of the second external retaining member; and and the flexible connecting member is an integral part of the wall of the medical device. Be fulfilled.

[0135] The medical device in any of the embodiments described herein may be used to insulate the patient's skin. The device may further include a body multi-port adapted to seal the chamber against the opening.

[0136] The medical device has an inner portion of the chamber located inside the body and an inner portion of the chamber located outside the body. The chamber may further comprise an outer portion of the chamber that is closable. a single body port or a body multiport with two, three, four or more ports Both the inner and outer chambers may be divided by At least one fluid inlet and at least one fluid passage for raising the pressure inside to above atmospheric pressure. The fluid outlet may be adapted to have at least one of the fluid outlets.

[0137] The sealing member or inner sealing member may be deformable during introduction through the incision, whereby This allows the chamber to regain its shape after the introduction. The wall surrounding the chamber also supports this wall. The medical device may be adapted to maintain its shape using a reinforcing loop sealing member. , intramurally perpendicular to the axis from the incision to the sealing member placed on the organ or associated tissue. The brace may comprise a plurality of ring or loop reinforcements arranged in a circular fashion.

[0138] The chamber substantially retains its shape when the pressure outside the chamber is higher than the pressure inside the chamber. The chamber may be adapted to have a pressure above atmospheric pressure, The body cavity outside the chamber may be adapted to have a different pressure.

[0139] The medical device has an inner portion of the chamber located inside the body and an inner portion of the chamber located outside the body. The chamber may have an outer portion that is closed, and the inner and outer portions of the chamber may be closed. Body port or body multiport with two, three, four or more ports wherein both the inner and outer chambers are adapted to have a pressure above atmospheric pressure; The inner and outer chambers are adapted to have different pressures.

[0140] A method using a medical device according to any one of the embodiments described herein is provided. The method includes the steps of: forming an incision in the skin of a patient; incising the tissue associated therewith; a medical device sealingly connected to an internal sealing device. placing a medical device with a wall adapted to create a chamber; placing at least one internal sealing device on a human organ or tissue associated with said organ; or placing more sealing devices on multiple different organs or associated tissues. a step of sealing at least one of the first and second sealing members by a first sealing device having a first sealing member; A method for treating at least a portion of a human organ or human tissue associated with or in contact with said human organ. The closing of the medical device and the at least one human organ or tissue. creating a seal between at least one closable member disposed in the wall of the chamber; a wall port, a closable body port located near the incision, and a port located near the incision A second dense layer positioned adjacent to and / or inside and / or outside the incision on the relevant tissue. sealing the medical device chamber with at least one of the closure members; filling the chamber with a pressurized fluid; At least one of the human organs and at least one organ that is surgically opened during the surgical procedure and placing the medical device chamber and the at least one at least a portion of one human organ and a cavity within said at least one surgically opened organ; by a wall surrounding at least one of the spaces, or by a wall and one or more spaces creating a sealed space with the port; and performing a surgical procedure with the instrument. The method includes the step of:

[0141] The method comprises: transferring a blood sample from outside the patient's body through an incision made in the patient's skin to the inside of the patient's body; A method for closing a multi-port closable body port, including a step for enabling movement to the side. placing the two or three together in a proximal relationship within or adjacent to the incision; A stage in which a surgical procedure is performed through the multiport having four or more ports. The device may further include at least one of the following:

[0142] The method includes the steps of: a. placing an external portion of the chamber outside the body; b. changing the shape of the medical device in a predetermined manner during the surgical procedure. c. Placing a body port or body multi-port and The chamber is provided with wall ports or wall multi-ports arranged in the wall of the outer portion, and is connected to the outside of the body. d. Point c. Interconnecting a body port or multiport with a wall port or wall multiport according to By changing the shape according to point b, the ports are interconnected. If the ports are separated, the chamber volume will be smaller. e. The interconnected ports are connected according to point d. If so, any device may be connected through interconnected body and wall ports or multi-ports. If the port is separated, perform an endoscopic surgical procedure using the instrument. glove, hand placed in glove, body part and surgical instrument At least one of the channels is from the outside environment to the exterior portion of the chamber and then to the interior portion of the chamber. f. Manipulating the implant according to point e; g. Using a second, outer sealing member, seal the skin incision on the inside, outside, or both the inside and outside. The device seals the incision on the patient's skin, protecting the tissue and medical device associated with the incision. and between at least one human organ or at least a part of a human tissue and a medical device. A sealed tunnel is created between the surgical site and the patient, and the surgical target is placed in a sealed space. Reduces infection rates by preventing outside access and creating a sealed tunnel The method may further include at least one of the steps.

[0143] The method involves the following surgical procedures performed in a confined space: Dissection of organs containing foreign material; removal of at least one organ or at least part of human tissue ;Removal of bodily material from either the inside or outside of at least one organ; Any of the following, from inside or outside an organ or relating to at least one organ: Removal of body tissue; connection of different parts of at least one organ; Connection of different parts; at least one medical device associated with at least one organ placement of the body, replacement of at least one bodily function; at least one related to at least one organ and placement of at least one medical device associated with at least one organ. Replacement of at least one bodily function through placement of a medical device; appendectomy; cholecystectomy; Nephrectomy; Hysterectomy; Ovariectomy; Adrenalectomy; Gastric Bypass; Fundoplication; Intestinal Shaft Hernia repair; Splenectomy; Colon or small bowel resection; Liver resection; Cecal fistula creation Surgery; Colostomy; Duodenostomy; Ileostomy; Appendicostomy; Esophagostomy Gastrostomy; Urinary diversion; Nephrostomy; Ureterostomy; Cystostomy; Endoscopic surgery; Open surgery ;Combined open and endoscopic surgery;Arthroscopic surgery;Open joint surgery;Open lower leg surgery Combination of arthroscopic and joint surgery; cryoablation; ultrasonic knife surgery; separation Removal of damaged bone or cartilage tissue; insertion of ligaments; insertion of fixation elements such as screws, nails, plates, etc.; artificial joint replacement; lubrication procedures; cancer surgery; insertion of other medical devices; insertion of foreign parts; and direct vision and medical devices and other foreign bodies using a combination of laparoscopic and endoscopic surgery The device may further include at least one of the inserts.

[0144] The method further comprises providing a medical device chamber with other implants, such as: arthroplasty prostheses; Prostheses; Cardiac assist devices; Electrically conductive implants; Control logic; Fillable cosmetic implants; Implantable drug dispensers; power supply units; vascular implants; urological implants; abdominal Implants; Drug-releasing implants; Gynecological implants; Active and inactive medical implants placing at least one of the implant and / or the medical device chamber; The following instruments are included: scalpels, trocars, forceps, suture instruments, scissors, cameras, and clamps. Dissecting instruments; Grasping instruments; Adhesion instruments; Suturing or stapling instruments; Cutting instruments; Electromagnetic or ultrasonic diathermy; laparoscopic grasper; laparoscopic nail grasper; laparoscopic stone grasper; laparoscopic needle holder Laparoscopic hooks; Laparoscopic dissection instruments; Laparoscopic diathermy instruments; Arthroscopic instruments; Related Joint replacement instruments; orthopedic instruments; undefined instruments; surgical instruments; endoscopic instruments; and some machines The method may further include the step of disposing at least one of the

[0145] It should be noted that all of the above embodiments can be combined in any general way. I want to be done that.

[0146] A device adapted to be positioned inside a patient's body through an incision made in the patient's skin. The medical device includes a medical device and at least one and forming a seal between at least one human organ or at least a portion of a human tissue. and positioned in connection with at least one human organ or at least a portion of said human tissue. a first internal sealing member adapted to seal the first internal sealing member; The medical device comprises a medical device and at least one human organ or and forming a seal between the at least one human tissue and at least a portion of the human tissue. and positioned in connection with and sealing at least a portion of the human organ or tissue. a second internal sealing member adapted to seal the first and second internal sealing devices; The medical device chambers are closed and connected to each other, and a portion of at least one human organ is positioned at a first position. and a second inner sealing member disposed inside the medical device chamber. and a wall adapted to generate the

[0147] According to one embodiment, the medical device includes a body port that is placed into an incision in the patient's skin. Further, the wall may be connected to the port, thereby providing a first inner sealing member, a second inner sealing member, and a A medical device chamber is created between the inner sealing member and the body port.

[0148] At least one of the first and second sealing members is adapted to surround a tubular organ. good.

[0149] According to one embodiment, the wall of the medical device is adapted to separate the human organ or tissue from the medical device chamber. The closure may include a closure portion adapted to be opened and closed to enclose the closure within the member. The closure portion may include a zipper. The closure portion may include a first interior closure device and a second interior closure device. It may be placed between the device.

[0150] According to one embodiment, a first internal sealing device is provided to surround and seal the patient's intestine. and a second internal device adapted to surround and seal the patient's esophagus; The wall is adapted to encapsulate the patient's stomach, whereby the patient's stomach is enclosed by the first sealing member, the second sealing member, and the The medical device is disposed within the chamber between the sealing member and the wall.

[0151] According to one embodiment, the first sealing member of the medical device has a smaller circumference than the second sealing member. It has.

[0152] The internal sealing device: uses a vacuum to seal a human organ or a human tissue associated with and in contact with said human organ. Internal vacuum sealing devices for sealing tissues; an internal pressure sealing device that seals against contacting human tissue; and a human organ or said human organ. An internal adhesive sealing device that seals by adhesively connecting to associated and contacting human tissue. At least one of these may be provided.

[0153] The internal sealing device of any of the embodiments described herein may be: on a human organ; on human tissue associated with and in contact with a human organ; created within at least one human organ of a patient Within the incision; at least one human organ or human tissue associated with and in contact with the interior of said human organ on the inside of the body; and at least one human organ or a human organ associated with and in contact with the outside of said human organ. The implant may be adapted to be positioned on at least one of the exterior of the tissue.

[0154] The medical device according to any one of the above-described embodiments is adapted to treat an organ in a patient's body. a cavity on the side of the medical device chamber, a portion of the medical device chamber disposed outside the body, and a cavity on the side of the medical device chamber disposed outside the body and adapted to communicate with at least one portion of a medical device disposed adjacent to the Instead, a port placed in an incision in the body and connected to the wall can cause the body to become incapacitated if the port is open. a chamber adapted to open and close to allow communication with said portion of the chamber located outside the body; are combined.

[0155] The medical device according to any one of the above-described embodiments is adapted to create an incision in a human organ. and sealing off fluid or other bodily substances from inside at least one human organ. to avoid the spread of such fluids or other bodily substances outside the enclosed space. It may be adapted to

[0156] The medical device according to any one of the above-mentioned embodiments comprises: a body-derived Dissection of an organ with a substance; at least one of said organs or a human being associated with and in contact with said organ Removal of at least a portion of tissue; either from inside or outside said at least one organ. Removal of bodily substances from inside or outside said at least one organ or from said at least one organ. Resection of any body tissue relating to at least one organ; Connection of different parts; Connection of different parts of different organs; placement of at least one medical device relative to one organ; at least one bodily function placement of at least one medical device relative to said at least one organ; and and positioning at least one medical device relative to said at least one organ. During a surgical procedure involving the replacement of at least one bodily function by It may be adapted to seal an enclosed space.

[0157] According to one embodiment of the medical device, the medical device comprises a medical device chamber. At least one trocar; at least one inset; at least one port At least one camera; at least one tube for injecting fluid into the chamber a tube or channel; at least one suction device; at least one diathermy device; and and at least one instrument or device to enable a surgical procedure to be performed in a confined space. is adapted to receive at least one of the tools.

[0158] According to one embodiment, the internal vacuum sealing member is adapted to seal the vacuum chamber with the human organ or tissue. The vacuum groove is adapted to form a

[0159] According to one embodiment, the internal vacuum sealing device is configured to be connected to a second true portion of the human body. A second or more true vacuum chamber having at least one second vacuum groove forming an empty chamber. A hollow sealing member is provided.

[0160] The inner vacuum sealing member is a loop vacuum sealing member, which is adapted to seal the at least one enclosing an incision made in a human organ; and enclosing a human organ. At least one of the vacuum sealing members is adapted to be inserted into the patient's skin through an incision. When the section is created, a vacuum is used to seal the at least one human organ, thereby performing a surgical procedure. It is adapted to be positioned to create an enclosed space for performing the procedure.

[0161] According to one embodiment, the medical device may further comprise a retention member, the retention member being configured to and positioned relative to at least one of the opening and the at least one organ of the patient. and at least one of said retaining members is adapted to: Holding the medical device from inside: both inside the patient's body and on the skin outside the body Retaining the medical device from: the abdominal wall, chest wall and walls of the created body cavity holding the medical device by clamping at least one side of the Integrates with a vacuum sealing device; a body port positioned relative to the body incision Holding the connected medical device; and holding the medical device in a plurality of different separate locations. The device is further adapted to at least one of:

[0162] According to one embodiment, the at least one internal vacuum sealing member is a circular vacuum sealing member. do.

[0163] According to one embodiment, the medical device is adapted to seal a body incision and comprises: the inside of the incision; and the inside of tissue connected to the cut portion of the incision. The device further includes an additional vacuum sealing member adapted to seal the other one of the devices.

[0164] The medical device includes an additional device adapted to seal an incision on the patient's skin at its exterior. The container may further comprise a vacuum seal seat.

[0165] According to one embodiment, the medical device comprises at least one retention member and at least one and at least one of the pressure sealing members, which may be positioned inside, outside, or adjacent to the body incision. and adapted to be placed both inside and outside the patient's incision. The device is adapted to seal the incision on the inside, outside, or both inside and outside of the body. The device further includes an additional vacuum sealing member adapted to be disposed thereon.

[0166] According to one embodiment, the medical device further comprises an additional vacuum sealing member, said additional vacuum The sealing member is a looped vacuum seal adapted to surround an incision made in the patient's skin. and the additional vacuum sealing member is attached to: the patient's skin on the exterior thereof; and adapted to connect to human tissue, inside the body, to at least one of: Fascia; outer fascia; inner fascia; fascia of the rectus abdominis muscle of the abdominal wall; peritoneum; adipose tissue; fibrous tissue; muscle and body organs, all of which are located inside the body. The at least one additional vacuum sealing member is configured to be inserted into the patient's skin after an incision has been made in the patient's skin. When the incision is made, the human tissue in close proximity is positioned to be sealed using a vacuum. It is adapted to be

[0167] According to one embodiment, the medical device is adapted for: delivery from outside the patient's body to inside the patient's body; a closable body adapted to allow movement through an incision made in the patient's skin; a body port; and / or a chamber adapted to form a portion of the chamber located outside the incision a closable wall port disposed in another portion of the wall, The port is a wall port located from the outside of the medical device to the inside of the medical device chamber. It is adapted to allow movement through the wall of the medical device.

[0168] According to one embodiment, the medical device further comprises a multi-port, and the medical device The surgical device is adapted to change from a first shape to a second shape during a surgical procedure. a portion of the chamber formed on the side of the medical device, and in the first configuration, the medical device is in contact with the patient's skin. The multiport can be positioned in close proximity to the incision in the skin. It allows keyhole surgery through multiple ports placed in close relation to the incision, and In this configuration, the medical device positions the multiport away from the incision in the patient's skin. The portion of the chamber positioned outside the skin may include: a glove; Hand placed inside the inset; device; non-body part; body part; used for surgical procedure The device is formed with a sufficient space to receive at least one of the tools and components used. It is adapted to

[0169] According to one embodiment, the medical device includes a catheter that is adapted to connect the patient's skin to the tissue adjacent to the incision and an internal seal. a human organ or associated with said human organ, sealed to a medical device by a device adapted to create a sealed tunnel between the tissue and the tissue in contact, thereby It is adapted to contain the surgical subject inside an enclosed space.

[0170] According to one embodiment, the medical device includes a body port (which is connected to the wall of the medical device). the body port is adapted to be placed adjacent to an incision in the patient's skin) and an internal seal a human organ or associated with said human organ, sealed to a medical device by a device adapted to create a sealed tunnel between the tissue and the tissue in contact, thereby The enclosed space may contain the surgical subject.

[0171] According to one embodiment, the multiport comprises two parts adapted to be releasably connected. The medical device includes a product port that allows the medical device to assume a first and second configuration. The two parts are connected to the wall and a part of the sealed chamber is placed outside the body. Generate.

[0172] According to one embodiment, the medical device further comprises a catheter for guiding a catheter from outside the patient's body to inside the patient's body. and adapted to allow movement of at least one of the following through an incision made in the patient's skin: at least two closable body ports; and at least one with two, three or more ports The device also includes at least one of two closable multiports.

[0173] According to one embodiment, the walls of the medical device define a chamber in which a portion of the surgical procedure can be performed. and the chamber is adapted to surround a first chamber adapted to be placed outside the body. and a second, inner portion adapted to be placed inside the patient's body. a medical device adapted to be in fluid communication with a cavity having an outer portion of the chamber; and the inner part: forming one chamber; and the outer part and the inner part of the chamber A closable body port adapted to be placed adjacent to a body incision between the At least one of the following may be implemented: Both are adapted to fit together.

[0174] According to one embodiment, the medical device is adapted to be used in a closed space during a surgical procedure. To allow the injection of disinfectants to disinfect or sterilize the body parts remaining inside; is adapted to reach from outside to inside of the body in fluid communication for injecting a fluid It comprises a tube or channel.

[0175] According to one embodiment, the medical device is: a human organ or in contact with said human organ releasing the at least one internal sealing device from the human tissue; and / or With one internal sealing device, the sealed air is released after the internal sealing device is released. and maintaining the gap closed.

[0176] According to one embodiment, the medical device includes a device for preventing leakage of bodily substances from a sealed space. The device is adapted to maintain the enclosed space closed at the end of the surgical procedure to avoid The device further comprises a closing sealing device.

[0177] According to one embodiment, the medical device chamber is 500,000 mm 3 It has a volume of over 1000.

[0178] According to one embodiment, the wall is adapted to allow movement of air from the ambient environment to the inside of the chamber. The device may have a closable wall port fitted thereto, the wall of which may be flexible and / or resilient.

[0179] According to one embodiment, the medical device may include a chamber within the medical device and / or a patient chamber. At least one integrated glove or integrated glove that allows for procedures inside the cavity The device further comprises an inset comprising a glove.

[0180] According to one embodiment, the medical device may include an inset or port for connecting the inset or port to the medical device. The connector further comprises a connector adapted to connect: a wall of the medical device; and the skin of the patient. It may be placed in at least one of the incisions made in the skin.

[0181] According to one embodiment, the medical device comprises: a glove inset; a hand access inset; Select from port insets; multi-port insets; and gel port insets It further comprises an inset.

[0182] According to one embodiment, the medical device comprises a closable wall port or wall multiport located in the wall. a port and adapted to be placed at or in proximal relation to a patient's incision; and at least one of a combined closable body port or a body multi-port. , closable wall ports or multiports and closable body ports or multiports The closable wall port or wall multiport may be connected to a closable body port or body multiport. a connecting means adapted to connect to one multiport case; It has two, three, four or more ports arranged within the housing.

[0183] According to one embodiment, the closable body port comprises a first penetrable self-sealing gel; The closable wall port includes a second penetrable self-sealing gel, and the first and second penetrable The self-sealing gel is positioned tightly against each other by the wall and the connected body port. whereby the first and second penetrable self-sealing gels are tightly packed in an uncompressed state. provides a closure that allows a hand or object to be inserted through the self-sealing gel while maintaining a seal under compression. The gel acts as a single penetrable self-sealing gel adapted to allow the gel to be inserted into the body.

[0184] According to one embodiment, the walls forming the chamber are configured to allow endoscopic surgery to be performed. The pressure in the reservoir is adapted to be maintained above atmospheric pressure.

[0185] According to one embodiment, the first and second inner sealing devices: To enclose a large surgical area: To enclose the incision made; to enclose at least the patient's Encircling two or more locations on or around one organ; and encircling two or more human organs a loop-shaped vacuum sealing member adapted to surround at least one of the

[0186] According to one embodiment, the at least one vacuum sealing member is adapted to seal the patient's organ after an incision has been made in the organ. When the device is installed, it uses a vacuum to seal at least one human organ or associated tissue. The device is adapted to be arranged as follows.

[0187] According to one embodiment, the closure sealing device is adapted to prevent bodily matter from being removed from the enclosed space. Maintaining the sealed space closed at the end of the surgical procedure to avoid leakage To do this, the container is adapted to be sealed using a vacuum.

[0188] According to one embodiment, the medical device is adapted to be delivered from outside the body to inside the body, inside the chamber. and a small inlet adapted to allow fluid to be drawn into and injected into the chamber from outside the body. and at least one fluid conduit, said at least one fluid conduit being connected to: a medical device; and a body port located adjacent to the wall or incision. and having two ends of a fluid conduit displaced as separate tubes, and a and at least one of the medical device and the body port positioned adjacent to the wall or the incision. at least one of being arranged as separate tubes, adapted to be integrated into one Both are matched together.

[0189] According to one embodiment, the medical device chamber surrounds a portion of the surgical procedure being performed. The medical device further comprises: a closable wall multi-layer structure disposed in a portion of the wall; a port disposed in the second portion of the wall and positioned in or proximal relationship to the incision in the patient's body; a closable body multi-port adapted to be placed in a wall, the sealing device comprising: a wall and A sealing connection to at least one of the closable body ports; and and being an integral part of at least one of the closable body ports. and the sealing device is adapted to at least one of the patient's skin or tissue. The wall multiport and the body multiport are adapted to seal one another, and together When performing the procedure, an airlock sluice is formed between the patient's body cavity and the surrounding environment. It is adapted to achieve this.

[0190] According to one embodiment, the wall port of the medical device according to any one of the embodiments , displaceable between a first position and a second position, the second position being farther from the body port. are spaced apart.

[0191] According to one embodiment, the wall multiport of the medical device is connected to: a body multiport; abutting the body multiport; locking to the body multiport; and forming an integral port together with the multi-port. .

[0192] According to one embodiment, a closable wall multiport and a closable body multiport pouch are provided. At least one of the electrodes comprises a penetrable self-sealing gel, whereby the self-sealing gel is penetrated. An object or hand can be inserted through the hole.

[0193] According to one embodiment, the medical device comprises: an additional body port; an additional body multi-port; Additional body insets; Additional wall ports; Additional wall multiports; and Additional wall insets and at least one of a wall port, a wall multiport, a body port, a body multiport, At least one of the multiport, wall inset, and body inset may include: an additional body port; additional body multiports; additional body insets; additional wall ports; additional wall multiports and an additional wall inset.

[0194] According to one embodiment, the medical device is adapted to seal the wall against human tissue. and a sealing member, the sealing member being: a vacuum adapted to maintain the pressure below atmospheric pressure. and a vacuum sealing member adapted to maintain a pressure above atmospheric pressure. At least one.

[0195] According to one embodiment, the medical device includes a closable body port and a closable multi-port. the closable body port is adapted to connect the chamber to an incision made in the patient's skin. a closable body multi-port adapted to be placed from the inside, The port is used to apply a medical device to the patient's body to perform a surgical procedure: and a wall multiport; adapted to be connected to at least one of the wall multiports and closed; The closable wall port comprises a closable wall multi-port, which is adapted to accommodate a surgical procedure. When applying the medical device to the patient's body to perform the procedure, Arranged to be connected to at least one of: body port; and body multiport It will be adapted.

[0196] According to one embodiment, the wall is a flexible wall and the medical device is attached to the first inset or wall. and an interconnectable port disposed on the first port or the second port. a first port and a first interface for forming a multiport and an interconnectable port; a second coupler adapted to be interconnected with at least one of the sets; The second coupler is detachable from the first port or the first inset, and the first At least one of the ports or multiple ports is connected to the first portion of the flexible wall, and the first interface The second connector is connected to a third portion of the flexible wall and the second connector is connected to a second portion of the flexible wall. the flexible wall is connected to the second connector and at least one of the first port and the first inset. the second connector is adapted to form a chamber with at least one of the first and second connectors, the second connector having a closable opening. The chamber is adapted to allow for contact with the patient's skin during the surgical procedure. After the incision is made, communication can be gained through the connector to an internal cavity of the patient's body. At least one of the first port or multiport and the first inset The other is connected to the second connector in a first position in close proximity to the patient's skin. wherein the chamber has a first relatively small volume and a first port or multiport. At least one of the port and the first inset is in a second position. The device is disconnected from the connector and then disconnected from the second connector at a relatively remote position relative to the patient's skin. The chamber is adapted to be separated, where the chamber has a second, relatively large volume.

[0197] According to one embodiment, the first port is closable when disconnected from the second connector. This creates a wall port or a closable multiport.

[0198] According to one embodiment, the second coupler is a first port or a multi-port second coupler. When disconnected from the body, it forms a closable body port. There may be two, three, four or more individual ports.

[0199] According to one embodiment, the first inset is a surgical glove to assist in the surgical procedure. and a device or instrument mount.

[0200] According to one embodiment, the medical device further comprises at least one first coupler, At least one of the ports or multiports and at least one inset is a connected to one coupler and at least one of the first port or multiport and the first inset At least one second coupler adapted to be directly connected to the first coupler indirectly The first coupler is adapted to be reversibly connected directly to the second coupler.

[0201] According to one embodiment, at least one of the first coupler and the second coupler includes a protrusion. at least one of the first coupler and the second coupler has a recess; The projection member is adapted to engage the recess to lock the first connector to the second connector. will be done.

[0202] According to one embodiment, the interconnectable ports are: a first port or a first coupler; In a first state in which the coupling is interconnected with the coupling of the a port through which the surgeon can perform endoscopic surgery; and a second connector In a second state, the connector is disconnected from one port or the first connector. The external pressure is applied to a chamber formed by a flexible wall between the first port of the port and the second connector. The device is adapted to enable a surgeon to perform multiple steps of a surgical procedure.

[0203] According to one embodiment, the interconnectable port allows the surgeon to perform a first The specimen is then passed through the two connectors into the chamber, allowing for removal of the specimen from the patient's body. and: placing the specimen in a chamber; and dispensing the specimen into the chamber through a first port. The method is adapted to enable at least one of: removing the memory card from the memory card;

[0204] According to one embodiment, the medical device is also adapted to be placed in the second connector. a second body port connected to the first port, the second body port, and the first connection One of the instruments allows the surgeon to continue the operation after specimen removal through an interconnectable port. adapted to be disconnected from and reconnected to the second coupler so as to will be done.

[0205] According to one embodiment, the medical device is adapted to connect the chamber to a pressurized fluid source. The medical device receives a pressurized fluid to: maintain the same pressure as the pressurized fluid filling the chamber; maintaining a pressure lower than the pressurized fluid to be filled; and and maintaining a pressure higher than the pressurized fluid to be filled.

[0206] According to one embodiment, the medical device comprises: a valve for a fluid source located outside the body; and a nipple for a fluid supply placed outside the body, allowing fluid circulation. and a second nipple adapted to receive the fluid flow exiting the chamber to The method further comprises at least one of the following combinations:

[0207] According to one embodiment, the medical device comprises: a filter for filtering the fluid supplied to the chamber; Sterilization unit for directly or indirectly sterilizing a fluid supplied to the chamber a fluid temperature regulation unit adapted to change the temperature of the fluid supplied to the chamber; Directly or indirectly sterilizing fluids supplied to a filtration unit and chamber for filtering the body a sterilization unit for filtering the fluid supplied to the chamber; a fluid temperature regulation unit adapted to change the temperature of the fluid supplied to the chamber; sterilization units and chambers for directly or indirectly sterilizing fluids supplied to the chambers; a fluid temperature adjustment unit adapted to change the temperature of the fluid being fed; and A filtration unit for filtering the fluid supplied to the chamber, directly or indirectly. A sterilization unit for direct sterilization and a method for changing the temperature of the fluid supplied to the chamber Further comprising at least one of the adapted fluid temperature regulation units.

[0208] According to one embodiment, the medical device is applied to the body of a patient to perform a surgical procedure. The medical device is provided with: a wall of the medical device and / or a skin of the patient. a chamber for supplying fluid to at least one of the chamber and the cavity of the patient's body; at least one inlet for the medical device; and at least one inlet for the medical device; and at least one inlet for the medical device; and a valve for discharging fluid from at least one of the chamber and the body cavity. The at least one outlet for discharging the at least one fluid is further provided.

[0209] According to one embodiment, the medical device is adapted to circulate fluid from an outlet to an inlet. The device further includes an integrated pump.

[0210] According to one embodiment, the medical device further comprises a wall, the wall being configured to expand the flexible wall. It has pleated portions so that it can be folded.

[0211] According to one embodiment, the medical device further comprises a sensor, which measures: the patient's blood flow; ;Patient's blood saturation;Patient's ischemic markers;Patient's skin temperature;Patient's skin tone;Pressure; adapted to sense at least one of force; time; motion; extension; distance; and volume. The sensor may be a sensor.

[0212] According to one embodiment, the sensor is: a pressure in a sealed device; a pressure in a chamber; a pressure in a chamber Direct or indirect leakage of fluid from; force; time; motion; extension; distance; volume; electrical parameters and sensing at least one of: data; energy; energy balance; voltage; current; and temperature. The sensor may be adapted to

[0213] A method for creating a sealed chamber at least partially inside a patient's body is provided. The method includes the steps of: creating an incision in the skin of a patient's body; inserting through the incision a first internal sealing device comprising an internal sealing member; a first interposition between the medical device and at least a portion of at least one human organ or human tissue; said at least one human organ or human tissue so that a seal is created; positioning a first inner sealing member connected to the tubular wall; inserting a second internal sealing device through the incision, the second internal sealing device including a second internal sealing member; Step 2: sealing the medical device chamber between the first and second internal sealing devices and the tubular wall. A medical device and at least one human organ or a small amount of human tissue are combined to produce a closed system. and forming a second seal between at least a portion of the at least one human organ or Positioning a second, inner sealing member in connection with the at least a portion of the human tissue. Includes step.

[0214] According to one embodiment, the method includes inserting at least one trocar through an incision in the patient's skin. inserting at least one dissection tool into the trocar; and incising a region of the organ or tissue. .

[0215] According to one embodiment, the method includes the steps of placing a body port at an incision in the patient's skin. the tubular wall is connected to the body port, thereby forming a first internal seal A sealed chamber is created between the device, the second internal sealing device, and the body port. .

[0216] According to one embodiment, the method includes: a) providing a first and a second sealing device each enclosing a tubular organ; positioning first and second internal sealing devices to surround the first and second internal sealing devices; Further comprising the step of positioning a second sealing device.

[0217] According to one embodiment, the method includes providing a first sealing device surrounding the patient's intestine and a gastrointestinal tract to the patient. positioning a second internal sealing device surrounding the passageway; The method further includes positioning the closure device so that the wall encapsulates the patient's stomach and prevents the patient from The subject's stomach is positioned within the medical device chamber between the first sealing member, the second sealing member, and the wall. will be done.

[0218] According to one embodiment, the wall surrounds a human organ or tissue within the medical device chamber. and a closure portion adapted to open and close to enclose the patient's organ, the method comprising: opening the wall to enclose the patient's organ; and closing the wall to encapsulate the organ.

[0219] According to one embodiment, the internal sealing member is an internal vacuum sealing member, and the method further comprises: applying a vacuum to the closure member and sealing the vacuum closure member with the applied vacuum. Included.

[0220] According to one embodiment, the internal sealing member is an internal pressure sealing member, and the method further comprises: applying pressure to the closure member to seal the pressure closure member with the applied pressure. Included.

[0221] According to one embodiment, the closure portion comprises a zipper, and the closure portion is adapted to close the wall and encapsulate the organ. The step includes closing the zipper.

[0222] According to one embodiment, the method further comprises filling the chamber with pressurized fluid.

[0223] According to one embodiment, the method comprises the following surgical procedures performed in an enclosed space: Dissection of an organ with bodily material containing bacteria; Removal of at least a portion of at least one organ from the body, either from inside or outside Removal of tissue from inside or outside of at least one organ the removal of any bodily tissue relating to; the connection of different parts of at least one organ , the connection of different parts of different organs; placement of at least one medical device, replacement of at least one bodily function; The placement of at least one medical device in relation to the organ and the placement of at least one medical device in relation to the organ Replacement of at least one bodily function by placement of at least one medical device; appendix Resection; Cholecystectomy; Nephrectomy; Hysterectomy; Ovariectomy; Adrenalectomy; Gastric Bypass; Fundoplication; Intestinal shunt; Hernia repair; Splenectomy; Colon or small bowel resection; Liver resection ;Cecostomy;Colostomy;Duodenostomy;Ileostomy;Worms esophagostomy; gastrostomy; urinary diversion; nephrostomy; ureterostomy; cystostomy; Endoscopic surgery; Open surgery; Combination of open and endoscopic surgery; Arthroscopic surgery; Direct surgery Lower joint surgery; open and arthroscopic joint surgery combined; cryoablation; ultra Sonic knife surgery; removal of separated bone or cartilage tissue; insertion of ligaments; screws, nails, plates, etc. Insertion of fixation elements; artificial joint replacement; lubrication procedures; cancer surgery; insertion of other medical devices; foreign parts insertion of medical devices; and combinations of open surgery and laparoscopic or endoscopic surgery Further comprising at least one of a vise and an insert for other foreign parts.

[0224] According to one embodiment, the method further comprises the steps of: Plants: Arthroplasty prostheses; Cardiac assist devices; Electrical implants; Control logic; Fillable aesthetics Implants; Implantable drug dispensers; Power delivery units; Vascular implants; Urology Gynecological implants;Abdominal implants;Drug-releasing implants;Gynecologic implants;Active and an inert medical implant.

[0225] According to one embodiment, the method includes inserting into the medical device chamber an instrument such as: a scalpel; Trocars; forceps; suture instruments; scissors; camera; clamping instruments; dissection instruments; grasping instruments; Applied instruments; Suturing or stapling instruments; Cutting instruments; Electromagnetic or ultrasonic diathermy; Laparoscopes grasper; laparoscopic nail grasper; laparoscopic stone grasper; laparoscopic needle holder; laparoscopic hook; laparoscopic dissection Dissection instruments; Laparoscopic diathermy instruments; Arthroscopy instruments; Joint replacement instruments; Orthopedic instruments; positioning at least one of a definition instrument; a surgical instrument; an endoscopic instrument; and a machine. Further includes:

[0226] A device adapted to be positioned inside a patient's body through an incision made in the patient's skin. The medical device includes: a medical device and at least one between at least one human organ or at least a portion of a human tissue associated with and in contact with said human organ and forming a seal with said at least one human organ or a joint associated with said human organ. and positioned in contact with and sealing at least a portion of the human tissue. an internal sealing device having an internal sealing member adapted to seal the internal sealing device; a medical device connected in a manner such that at least one portion of a human organ or tissue is connected to the medical device; a tubular wall adapted to be disposed within the vise chamber; The sealing device surrounds or surrounds a portion of the at least one human organ or human tissue. It has an adjustable circumference for encirclement.

[0227] According to one embodiment, the medical device includes a body port placed at an incision in the patient's skin. The wall is connected to the body port, thereby connecting at least one of the human organs. The portion is a medical device formed between the first inner sealing member, the second inner sealing member, and the body port. The device is placed in a vice chamber.

[0228] According to one embodiment, the medical device further comprises a second internal sealing device, The internal sealing device comprises a medical device and at least one human organ or human tissue. and forming a seal between said at least one human organ or said human body. adapted to be positioned in contact with and seal against at least a portion of tissue a second inner sealing member, the wall further connected to the second inner sealing member, thereby A portion of at least one human organ is located between the first inner sealing member and the second inner sealing member. The medical device is disposed inside the chamber.

[0229] According to one embodiment, the second sealing member is adapted to seal the at least one human organ or tissue. The perimeter of the device is adjustable to encircle or surround a portion of the device.

[0230] According to one embodiment, at least one of the first and second inner sealing members is circular. and has an adjustable diameter so that the circumference can be adjusted by adjusting the diameter.

[0231] According to one embodiment, the internal sealing device: Internal vacuum sealing device for sealing associated and contacting human tissue; an internal pressure sealing device that seals against human tissue associated with and in contact with said human organ; and sealing by adhesively connecting to the organ or to human tissue associated with and in contact with said human organ; At least one of the internal adhesive sealing devices.

[0232] According to one embodiment, the inner sealing member is adapted to connect to and seal a portion of the patient's tissue. at least one sealing surface adapted to receive an internal sealing device; is positioned in front of the inner sealing device so as to seal axially against the tissue surface.

[0233] According to one embodiment, the inner sealing device member is connected to a portion of the patient's tissue. at least one sealing surface adapted to seal an internal seal; The device is adapted to seal axially around the tubular organ or tissue, i.e., around the circumference of the tubular organ or tissue. , disposed on the inner periphery of the inner sealing device.

[0234] According to one embodiment, at least one of the inner sealing members comprises a pleated portion, By adjusting this pleated portion, the circumference can be adjusted.

[0235] According to one embodiment, the internal sealing device is an internal vacuum sealing device comprising a pleated vacuum conduit. the pleated vacuum conduit is adapted to generate suction against tissue of a patient. perforations, which create a seal between the pleated vacuum conduit and the patient's organ or tissue; do.

[0236] According to one embodiment, the medical device connects the pleated vacuum conduit to a vacuum source outside the patient's body. The tissue sealing device further comprises a vacuum conduit adapted to connect to the tissue sealing device. The inner sealing device may be positioned at the front end of the inner sealing device to seal against various surfaces. When the vacuum conduit is inserted, the perforations are positioned on the inner circumference of the pleated vacuum conduit, thereby forming an inner sealing device radially. and thus can seal against the circumference of a tubular organ or tissue.

[0237] According to one embodiment, the internal sealing device is: on a human organ; in association with and in contact with said human organ; on human tissue; within an incision made in at least one human organ of the patient; on the inside of one human organ or human tissue associated with and in contact with the inside of said human organ; and at least on the outside of another human organ or human tissue associated with and in contact with the outside of said human organ The sensor is adapted to be positioned at least one

[0238] According to one embodiment, the medical device chamber is a cavity inside an organ within a patient's body. a portion of the medical device chamber disposed outside the body; and a portion of the medical device chamber disposed outside the body. the incision in the body, adapted to communicate with at least one of the portions of the medical device A port placed in the wall and connected to the body is placed outside the body when the port is open. The valve is adapted to open and close to allow communication with the portion of the chamber.

[0239] According to one embodiment, the internal sealing device comprises a chamber formed by the above options. Adapted to be positioned inside the body to seal the entire body against the outside .

[0240] According to one embodiment, the medical device is adapted to perform at least one of the following functions in creating an incision in a human organ: A sealed space that contains fluids or other bodily substances from inside one human organ. The device is adapted to prevent the diffusion of said fluids or other bodily substances outside the device.

[0241] According to one embodiment, the internal vacuum sealing member is adapted to seal the vacuum chamber with the human organ or tissue. The vacuum groove is adapted to form a

[0242] According to one embodiment, the internal vacuum sealing device is configured to be connected to a second true portion of the human body. A second or more true vacuum chamber having at least one second vacuum groove forming an empty chamber. A hollow sealing member is provided.

[0243] According to one embodiment, the medical device is connected to the inside of the incision and to the cut portion of the incision. and a vacuum sealing member adapted to seal at least one of the tissues. can.

[0244] According to one embodiment, the medical device seals an incision on the exterior of the patient's skin. The device further includes an additional vacuum sealing member adapted to

[0245] According to one embodiment, the additional vacuum sealing member encloses the incision made in the patient's skin. a loop-shaped vacuum sealing member adapted to surround the patient's at least one of: on the skin, externally; and on the human tissue of a patient, internally. Adapted to connect at least one: fascia; outer fascia; inner fascia; rectus abdominis of the abdominal wall fascia; peritoneum; adipose tissue; fibrous tissue; muscle tissue; and body organs. and at least one additional vacuum-sealed portion, all of which are located inside the body. When an incision is made in the patient's skin, the material is placed in close proximity to the incision. The fabric is adapted to be arranged to be sealed using a vacuum.

[0246] According to one embodiment, the medical device is adapted for: delivery from outside the patient's body to inside the patient's body; a closable body adapted to allow movement through an incision made in the patient's skin; a body port; and / or a chamber adapted to form a portion of the chamber located outside the incision and at least one of the closable wall ports disposed in another portion of the wall, The closable wall port is a wall port that allows passage of the medical device from the outside of the medical device to the inside of the medical device chamber. The port is adapted to allow movement through the wall of the medical device in which it is placed.

[0247] According to one embodiment, the closable wall or body port is adapted to be releasably connected. a two-part port adapted to allow the medical device to assume a first and second configuration; The two parts are connected to the wall and form a sealed chamber outside the body. Generate minutes.

[0248] According to one embodiment, the wall is 500,000 mm 3 Medical device chamber with a volume exceeding is adapted to generate

[0249] According to one embodiment, the wall is flexible and / or elastic.

[0250] According to one embodiment, the wall is in the chamber of the medical device and / or in the cavity of the patient. At least one integrated glove or integrated gloves to allow for inside procedures and an inset comprising:

[0251] According to one embodiment, the medical device may include an inset or port for connecting the inset or port to the medical device. The connector further comprises a coupler adapted to

[0252] According to one embodiment, the connector is made on the wall of the medical device and on the skin of the patient. The device is adapted to be placed in at least one of the incisions.

[0253] According to one embodiment, the medical device comprises: a glove inset; a hand access inset; Select from port insets; multi-port insets; and gel port insets It further comprises an inset.

[0254] According to one embodiment, the medical device comprises a closable membrane comprising a first penetrable self-sealing gel. and a closable wall port comprising a penetrable body port and a second penetrable self-sealing gel. The first and second penetrable self-sealing gels are mutually sealed by walls and connected body ports. the first and second penetrable self-insertion devices are adapted to be closely positioned relative to the first and second penetrable self-insertion devices. The sealing gel provides a seal in the uncompressed state and maintains the seal while remaining a self-sealing gel in the compressed state. A single, penetrable, self-sealing device adapted to allow insertion of a hand or object through the hole. Acts as a closed gel.

[0255] In one embodiment, the walls forming the chamber maintain a pressure within the chamber above atmospheric pressure. It is adapted to hold

[0256] According to one embodiment, the wall port is displaceable between a first position and a second position; The second location is located further away from the body port.

[0257] According to one embodiment, at least one of a closable wall port and a closable body port is provided. The other includes at least one of an elastic membrane and a flexible membrane, the membrane being in an uncompressed state. The membrane provides a seal between the chamber and the environment outside the chamber, and when compressed, a hand or It is adapted for insertion of an object.

[0258] In one embodiment, the body port is positioned around the patient's skin around an incision that will be made in the skin. a first sealing member adapted to be positioned under the subject's skin and a second sealing member adapted to be positioned around the incision; a second sealing member adapted to be positioned external to the patient's skin in the and a spring-loaded or elastic connecting member that interconnects the two sealing members in a sealed state, The elastic connecting member is: (a) between the second sealing member and the patient's skin; (b) between the first sealing member and the and (c) at least one of the following: (a) between the connecting member and the tissue associated with the incision; and (b) between the connecting member and the tissue associated with the incision. The valve is adapted to seal one of the valves.

[0259] The medical device according to any one of the embodiments comprises: a filter for filtering a fluid supplied to the chamber; a filtration unit for filtering the fluid supplied to the chamber; for directly or indirectly sterilizing the fluid a fluid temperature control unit adapted to change the temperature of the fluid supplied to the chamber; a filtering unit for filtering the fluid and a filtering unit for filtering the fluid supplied to the chamber directly or indirectly; a sterilization unit for indirect sterilization; a filter unit for filtering fluids supplied to the chamber; a fluid temperature regulator adapted to change the temperature of the fluid supplied to the filtering unit and chamber; Unit; Sterilization unit for directly or indirectly sterilizing fluids supplied to the chamber; and a fluid temperature regulation unit adapted to change the temperature of the fluid supplied to the chamber; and a filtering unit for filtering the fluid supplied to the chamber; Temperature of fluids supplied to sterilization units and chambers for direct or indirect sterilization of bodies at least one of the fluid temperature regulation units adapted to change the

[0260] According to one embodiment, the medical device is applied to the body of a patient to perform a surgical procedure. The medical device is provided with: a wall of the medical device and / or a skin of the patient. a chamber for supplying fluid to at least one of the chamber and the cavity of the patient's body; at least one inlet for the medical device; and at least one inlet for the medical device; and at least one inlet for the medical device; and a valve for discharging fluid from at least one of the chamber and the body cavity. The at least one outlet for discharging the at least one fluid is further provided.

[0261] According to one embodiment, the medical device is adapted to circulate fluid from an outlet to an inlet. The device further includes an integrated pump.

[0262] According to one embodiment, at least one of the wall and the body port comprises a protruding member; At least one of the wall and the body port includes a recess, and the protruding member connects the wall port to the body. The recess is adapted to engage with the recess to lock into the port.

[0263] According to one embodiment, the recess is a groove in at least one of the wall port and the body port. do.

[0264] According to one embodiment, the wall port is adapted to be secured to the first connector and the body port The first and second connectors are adapted to be secured to the wall port and the body. The device is adapted to be connected to a body port.

[0265] According to one embodiment, the flexible wall is pleated to allow the flexible wall to expand. It has a shaped portion.

[0266] According to one embodiment, the medical device measures pressure, flow, and physiological or physical parameters of a patient. at least one sensor adapted to sense at least one of the parameters According to one embodiment, the physiological or physical parameters include: blood flow of the patient; Patient's blood saturation; patient's ischemic markers; patient's skin temperature; patient's skin tone; pressure; force The parameter is selected from: time; movement; extension; distance; and volume.

[0267] A method for creating a sealed chamber at least partially inside a patient's body is provided. The method includes the steps of: creating an incision in the skin of a patient's body; inserting an internal sealing device having a sealing member through the incision; the medical device and at least one human organ or at least a portion of a human tissue. connected to said at least part of said at least one human organ or human tissue, positioning the inner sealing member in a state where the inner sealing member is attached to at least one human organ or human body; The circumference of the sealing member is adjusted to encircle or surround a portion of the tissue to form a seal on the medical device. creating a sealed chamber with a tubular wall, an internal sealing device, and an organ or tissue; include.

[0268] According to one embodiment, the method includes inserting at least one trocar through an incision in the patient's skin. inserting at least one dissection tool into the trocar; and incising a region of the organ or tissue. .

[0269] According to one embodiment, the method includes the steps of placing a body port at an incision in the patient's skin. The tubular wall is connected to the body port, thereby forming an internal sealing device. A sealed chamber is created between the suction cup and the body port.

[0270] According to one embodiment, the method comprises: providing a second, inner sealing member, also connected to the tubular wall. inserting through the incision a second internal sealing device comprising: a tubular wall of the chair, first and second internal sealing devices, and an organ or tissue sealed therein; a second medical device and at least one human organ or human tissue to create a space; and forming a seal between the at least one human organ and at least a second portion of the human organ. or positioning a second, inner sealing member in connection with at least the portion of the human tissue. The method further includes the step of:

[0271] According to one embodiment, the method comprises: or further comprising adjusting the circumference of the second sealing member to surround the second sealing member.

[0272] According to one embodiment, at least one of the first and second inner sealing members is circular. and has an adjustable diameter so that the circumference can be adjusted by adjusting the diameter.

[0273] According to one embodiment, the internal sealing member is an internal vacuum sealing member, and the method further comprises: applying a vacuum to the closure member and sealing the vacuum closure member with the applied vacuum. Included.

[0274] According to one embodiment, the internal sealing member is an internal pressure sealing member, and the method further comprises: applying pressure to the closure member to seal the pressure closure member with the applied pressure. Included.

[0275] According to one embodiment, the internal sealing device is connected to and seals a portion of the patient's tissue. at least one sealing surface adapted to close an internal sealing device; The device is placed in front of the device and is connected to at least one human organ or tissue. The step of positioning the sealing member may include axially positioning the internal sealing member against the surface of the organ or tissue. The method further includes applying the member.

[0276] According to one embodiment, the internal sealing device is connected to and seals a portion of the patient's tissue. at least one sealing surface adapted to close an internal sealing device; At least one human organ or at least a portion of a human tissue is disposed on the inner periphery of the chair. The step of positioning the inner sealing member in the connected state may include positioning the inner sealing member around the outer periphery of the tubular organ or tissue. The method further includes applying an inner sealing member radially to the inner sealing member.

[0277] According to one embodiment, the method further comprises filling the chamber with pressurized fluid.

[0278] According to one embodiment, the method comprises the following surgical procedures performed in an enclosed space: Dissection of an organ with bodily material containing bacteria; Removal of at least a portion of at least one organ from the body, either from inside or outside Removal of tissue from inside or outside of at least one organ the removal of any bodily tissue relating to; the connection of different parts of at least one organ , the connection of different parts of different organs; placement of at least one medical device, replacement of at least one bodily function; The placement of at least one medical device in relation to the organ and the placement of at least one medical device in relation to the organ Replacement of at least one bodily function by placement of at least one medical device; appendix Resection; Cholecystectomy; Nephrectomy; Hysterectomy; Ovariectomy; Adrenalectomy; Gastric Bypass; Fundoplication; Intestinal shunt; Hernia repair; Splenectomy; Colon or small bowel resection; Liver resection ;Cecostomy;Colostomy;Duodenostomy;Ileostomy;Worms esophagostomy; gastrostomy; urinary diversion; nephrostomy; ureterostomy; cystostomy; Endoscopic surgery; Open surgery; Combination of open and endoscopic surgery; Arthroscopic surgery; Direct surgery Lower joint surgery; open and arthroscopic joint surgery combined; cryoablation; ultra Sonic knife surgery; removal of separated bone or cartilage tissue; insertion of ligaments; screws, nails, plates, etc. Insertion of fixation elements; artificial joint replacement; lubrication procedures; cancer surgery; insertion of other medical devices; foreign parts insertion of medical devices; and combinations of open surgery and laparoscopic or endoscopic surgery Further comprising at least one of a vise and an insert for other foreign parts.

[0279] According to one embodiment, the method further comprises the steps of: Plants: Arthroplasty prostheses; Cardiac assist devices; Electrical implants; Control logic; Fillable aesthetics Implants; Implantable drug dispensers; Power delivery units; Vascular implants; Urology Gynecological implants;Abdominal implants;Drug-releasing implants;Gynecologic implants;Active and an inert medical implant.

[0280] According to one embodiment, the method includes inserting into the medical device chamber an instrument such as: a scalpel; Trocars; forceps; suture instruments; scissors; camera; clamping instruments; dissection instruments; grasping instruments; Applied instruments; Suturing or stapling instruments; Cutting instruments; Electromagnetic or ultrasonic diathermy; Laparoscopes grasper; laparoscopic nail grasper; laparoscopic stone grasper; laparoscopic needle holder; laparoscopic hook; laparoscopic dissection Dissection instruments; Laparoscopic diathermy instruments; Arthroscopy instruments; Joint replacement instruments; Orthopedic instruments; positioning at least one of a definition instrument; a surgical instrument; an endoscopic instrument; and a machine. Includes:

[0281] A medical device according to any of the embodiments described herein may be used to treat a patient's body by inserting a needle into an incision in the body. The connector may include an interconnectable port adapted to be at least partially disposed in the connector. The interconnectable ports are interconnected to form the interconnectable ports. It has adapted first and second ports, the second port being disconnectable from the first port. The first port is connected to a first portion of the flexible wall, and the second port is connected to a second portion of the flexible wall. The two sections are connected with a flexible wall to form a chamber in which steps of the surgical procedure can be performed. It is adapted to

[0282] According to one embodiment, the interconnectable port is a port within a cavity in the patient's body. performing endoscopic surgery through the port and providing a medical device chamber inside the chamber; At least one step of the surgical procedure is performed using an endoscopic instrument or hand inserted into the chamber. For example, inserting an object into the patient's body. Laparoscopic surgery is performed until the specimen is removed from the patient's body. At this point, the interconnected ports may be disconnected and the object or specimen may be transferred to the medical device. It can be moved from the vise chamber to the patient cavity and vice versa. do.

[0283] In one embodiment of the interconnectable port, a first port receives a connection from a second port. When released, it creates a closable wall port, thereby allowing the chamber to remain sealed. It is possible.

[0284] According to one embodiment of the interconnectable ports, the second port is connected to the first port via a second When disconnected from the port, it forms a closable body port on its own, Thus, the chamber and patient cavity are separated even though the interconnectable ports are separate. The chamber remains in the state where the first port and the second port are interconnected. The second port may have a first volume and may have a second volume when the second port is disconnected from the first port. The second volume may be greater than the first volume. , the first volume is 100000mm 3 According to one embodiment, the second volume is less than 50 0000mm 3 It's super.

[0285] According to one embodiment, the medical device comprises first and second connectors, the first port being a second The first port is connected to the first coupler, and the second port is connected to the second coupler. At least one of the two connectors may include a protruding member, and the first connector and the second connector may At least one of the clamping devices may include a recess, which may be a groove, and the protrusion A member is adapted to engage the recess to lock the first connector to the second connector. That's fine.

[0286] According to one embodiment, the interconnectable ports are: a first port and a second port interconnected; In the first state, the surgeon can access the interconnected ports. and the second port is disconnected from the first port so that surgery can be performed. In the second state, a flexible connector is provided between the first and second ports of the interconnectable ports. allowing the surgeon to perform multiple steps of the procedure within a chamber formed by a flexible wall. The interconnectable port is adapted to allow the surgeon to The parallel ports are arranged to allow removal of the specimen from the patient's body into the chamber through two ports. and: placing the specimen in a chamber; and discharging the specimen through a second port into the chamber. The method may be adapted to perform at least one of: removing the .

[0287] According to one embodiment, the first and second ports are interconnectable by the surgeon after removal of the specimen. The device is adapted to be disconnected and then reconnected so that surgery can continue through the appropriate port.

[0288] The interconnectable port is detachably connected to at least one of the first and second couplers. It may further comprise a fixed inset, whereby said inset can be removed to allow a different This inset can be used to attach the device or instrument to the surgical glove. may include at least one of:

[0289] According to one embodiment, at least one of the first and second ports is resilient or flexible. a membrane that provides a seal in an uncompressed state and a flexible membrane that provides a seal in an uncompressed state; The device is adapted to allow a hand or object to be inserted therethrough.

[0290] According to one embodiment of the interconnectable ports, the first port comprises a first elastic or flexible membrane. the second port may comprise a second elastic or flexible membrane, and the first and second membranes may be adapted to be closely positioned together, whereby the first and second membranes form a single Acting as an elastic or flexible membrane, which provides a seal in the uncompressed state and The membrane is adapted to allow a hand or object to be inserted through the membrane. The device may include a plurality of self-sealing holes to allow for insertion of instruments therethrough.

[0291] According to one embodiment, the interconnectable port is: an interconnectable port and a patient's skin; Create subatmospheric pressure between the interconnectable port and the patient's skin to create a seal between the a vacuum seal adapted to hold the interconnectable port between the patient's skin and the Maintaining superatmospheric pressure between the interconnectable port and the patient's skin to create a seal The device further comprises at least one pressure seal adapted to

[0292] The interconnectable ports according to any one of the above-described embodiments may be used to filter fluids. a filtration unit for directly or indirectly sterilizing fluids and a sterilization unit for directly or indirectly sterilizing fluids. and at least one fluid temperature regulation unit adapted to change the temperature of the fluid. good.

[0293] Further provided is a surgical procedure performed on a patient's body using the interconnectable ports. The interconnectable ports include first and second ports, and the method includes: making an incision in the patient's skin. creating a second port; placing an interconnectable port in the incision; Disconnect the first port from the wall and connect the channel with the wall connected to the first and second ports. forming a chamber; and performing steps of a surgical procedure within said chamber. The steps of performing a surgical procedure in the chamber include: removing the specimen from the cavity; and transferring the specimen through a second port. and placing the specimen in a chamber of the medical device. The surgical method involves: reconnecting the first and second ports to form interconnectable ports; and a surgical step within the patient's cavity through said interconnectable port. The method may further include the step of performing:

[0294] A medical device for performing a surgical procedure on a patient is provided. The device is designed to be placed at least close to the patient's body to create a chamber that can maintain a sealed environment inside. The chamber has a wall adapted to be partially applied to the The wall portion is adapted to enclose a portion of a surgical procedure. directly or indirectly forming an elongated tubular enclosure, extending into the chamber and inserted through the open end into the elongated tubular enclosure The surgical instrument is adapted to fit over a portion of the patient's limb, thereby allowing the surgical procedure to be performed on the patient's limb. The medical device can be implemented on a portion of a patient's limb. When placed in an enclosure, the enclosure is designed to evacuate fluid from the interior of the enclosure. A fluid discharge system is provided.

[0295] By discharging fluid from the elongated tubular enclosure, The inner wall of the device can fit snugly around the patient's limb, for example, to prevent the device from being trapped against the patient's skin. Reduces the risk of bacteria or viruses being transferred to the incision site within the chamber of the medical device.

[0296] According to one embodiment, the elongated tubular enclosure is adapted to direct fluid through the elongated tubular enclosure. The adhesive surface is adapted to contact the patient's skin when discharged from within the device.

[0297] According to one embodiment, the first portion of the elongate tubular enclosure may comprise an adhesive surface. The medical device may further comprise a separation layer adapted to cover the first portion; The separation layer is adapted to be removed from the first portion upon placement of the adhesive layer on the patient's skin. You may.

[0298] According to one embodiment, the medical device is adapted to connect the skin of the patient's extremity with the walls and membranes of the medical device. a small number of elongated tubular enclosures adapted to form a seal between the elongated tubular enclosure and at least one of the elongated tubular enclosures; at least one sealing device that applies an adjustable sealing force. It may be suitable for

[0299] According to one embodiment, the sealing device is hydraulically, pneumatically or electrically powered. The pressure seal is provided.

[0300] According to one embodiment, the sealing device comprises at least one of a wall and an enclosure. a vacuum seal member attached to one of the chambers, the vacuum seal member providing a pressure below atmospheric pressure; By supplying the fluid to the skin and wall of the patient's limb and at least one of the elongated tubular enclosures, The vacuum seal is adapted to create a vacuum seal between at least one of the electrodes.

[0301] According to one embodiment, the medical device is at least one of hydraulic, pneumatic, and electrical. a pressure generating member connected to the sealing member powered by a The vacuum generating member further comprises at least one of the vacuum generating members.

[0302] According to one embodiment, the body multi-port is secured to an elongated tubular enclosure.

[0303] The medical device of any of the embodiments described herein may be provided with a first pressure above atmospheric pressure. and a pressure sensor configured to detect pressure changes in the patient's body at least to form a first chamber adapted to hold a pressure of and a wall adapted to be partially applied to the first chamber, wherein in the first chamber: A sealed environment can be maintained to enclose the portion of the surgical procedure that will be performed A portion of the wall contacts the patient's skin to create a substantially airtight seal between the portion of the wall and the patient's skin. the first chamber and the cavity in the patient. The incision is made through the patient's skin in a sealed environment so that fluid communication can be created between the The wall can be formed by forming an incision as described above between a portion of the wall and the patient's skin. The medical device is adapted to maintain a substantially airtight seal during a surgical procedure. When forming the incision as described above, the pressure in the first chamber is maintained above atmospheric pressure. The wall is adapted to be in fluid communication with the cavity, and the wall is adapted to be in fluid communication with the first chamber. a first wall portion configured to maintain a first pressure within the reservoir, and a first wall portion configured to connect the medical device and the patient to the reservoir; A second pressure can be maintained in a second chamber adapted to create a seal between the second chamber and the body of the subject. The second wall portion is designed to have a pressure difference between the first pressure and the second pressure. The therapeutic device may include a first electrode to form a seal between the patient's skin and / or tissue. Positive or negative pressure can be provided within the chamber of the medical device and / or the cavity in the patient's body. A second positive pressure can be provided to the

[0304] According to one embodiment of the medical device, the wall comprises a top and a bottom, the bottom having a surface The device is adapted to contact and press against the surface of the patient's skin, thereby forming a base of the wall and a surface of the patient's skin. The first wall portion maintains a pressure in the first chamber above atmospheric pressure. The bottom of the wall is adapted to allow the incision to be made on the patient's skin in a sealed environment. The incision may be adapted to be cut to create the incision in a sealed environment. This reduces the risk of bacteria being introduced into the incision site.

[0305] According to one embodiment, the bottom of the wall is adapted to secure the wall to the patient's skin and to connect the bottom of the wall to the patient's skin. The adhesive surface is provided for at least one of forming a seal between the subject and the adhesive surface.

[0306] According to one embodiment, the bottom of the wall comprises a vacuum sealing member, which comprises at least The vacuum seal may also be attached to or integrated into the wall to provide a large gap between the vacuum seal and the patient's skin. It is adapted to provide sub-atmospheric pressure to create a vacuum seal between the skin and the wall.

[0307] The medical device of any of the embodiments: adjusts the pressure applied by the sealing device a pressure adjusting device adapted to adjust the pressure applied by the sealing device; At least one of the blood flow passing through and the direct or indirect leakage of fluid from the chamber. The sealing device may further include at least one of a monitoring unit for monitoring. By monitoring the pressure applied and its effect on the patient's body, damage to the patient's body can be minimized. The force applied can be adapted to provide a small yet adequate seal.

[0308] According to one embodiment, the sealing device is adapted to seal the skin without enclosing any of the patient's extremities. A closed geometric configuration adapted to be applied to a surface and / or to enclose a patient's extremity. The device has a closed geometric configuration adapted to accommodate the

[0309] The medical device includes: at least one glove (which is attached to the outside of the chamber) can be used to maintain a sealed environment within the chamber while performing procedures inside the chamber. at least one inset; and The surgeon works inside the chamber while maintaining a sealed environment inside the chamber using gloves. At least one inset with an integrated glove to allow the procedure to be performed may have at least one more.

[0310] According to one embodiment, the wall has a bottom adapted to contact and press against the patient's skin. The wall of the medical device comprises a tubular member, which forms a seal between the bottom of the wall and the patient's skin. The bottom of the wall is adapted to allow the pressure within the chamber to be higher than atmospheric pressure. The device may be adapted to be cut during creation of an incision in the patient's skin within the defined environment.

[0311] In any of the embodiments described herein, the medical device is The chamber is adapted to be applied at least partially to the patient's body, either alone or in conjunction with the patient's body. and a wall further adapted to form a chamber in which A sealed environment can be maintained to enclose the portion of the surgical procedure that will be performed, and a portion of the wall is enclosed within the patient. The medical device is adapted to contact the skin of a patient. The medical device is also attached to a wall and is positioned within a chamber. at least one wall inset or wall port adapted to allow a procedure within the The wall inset or wall port may be configured to be in contact with the patient's skin or a first position where the inset or wall port is secured to the tissue and the inset or wall port is secured to the patient's skin; A first position away from the inset or wall port, the inset or wall port being movable relative to the patient's skin or tissue. a second position at which the port or inset is more securely attached to the patient's skin; The spacing allows for manual or instrument manipulation within the chamber of the medical device. This allows for close proximity to the skin, allowing for the examination of cavities in the patient's body using endoscopic instruments or by hand. This makes it easier to perform procedures within the facility.

[0312] According to one embodiment, the wall inset or wall port is The device comprises a first connector adapted to be secured directly or indirectly to the skin or tissue of a person.

[0313] According to one embodiment, the wall comprises first and second connectors, the first connector being in a first position. the second coupler is adapted to connect the wall inset or wall port to the first position. The coupling is adapted to be connected to the first coupler to lock the coupling in place.

[0314] The medical device is adapted to be placed on another part of the wall or on the skin or tissue of a patient. The first connector may further comprise a body inset or a body port. The body inset may be adapted to be positioned in connection with the wall port and the body The port forms an integral port when the first and second couplers are connected in the first position. The body port may be adapted to connect to the first connector. A coupler may be provided.

[0315] According to one embodiment, the chamber is configured such that when the wall inset or wall port is in the first position, and when the inset or wall port is in a second position, It has a second volume that is larger than the first volume.

[0316] The portion of the wall adapted to be applied to the patient's body when performing a surgical procedure is A pressure below atmospheric pressure is maintained between a portion of the wall and the patient's skin to provide a pressure between the portion of the wall and the patient's skin. The device further includes a vacuum sealing member adapted to form a seal with the skin. and may be adapted to create a substantially airtight seal between a portion of the wall and the patient's skin. , thereby creating fluid communication between the cavity in the patient and the chamber. An incision can be made through the subject's skin in a sealed environment.

[0317] A medical device for performing an endoscopic surgical procedure on a patient is provided. The medical device comprises a wall that encloses a portion of the surgical procedure to be performed. To form a chamber, alone or together with the patient's body, capable of maintaining a sealed environment for The medical device is adapted to be applied at least partially to the patient's body. The portion is adapted to contact the skin of a patient during the performance of a surgical procedure, and the vacuum sealing member , in a second chamber between the skin and the wall, or in the second chamber and in contact with the skin of the patient. The pressure is adapted to maintain a pressure between the wall of the chamber and the pressure in the chamber. Unlike the conventional air-filled air pump, the pressure is below atmospheric pressure to provide a seal between a portion of the wall and the patient's skin. The vacuum seal of the lever is capable of maintaining a pressure above atmospheric pressure within the chamber and is also The pressure within the vacuum enclosure may be below atmospheric pressure.

[0318] The vacuum sealing members in any of the embodiments described herein are arranged in series. The device may include a plurality of vacuum sealing grooves adapted to receive the vacuum.

[0319] The medical device in any of the embodiments described herein may include an additional body port. at least one of: an additional body inset, an additional wall port, and an additional wall inset and at least one of the wall port and the body port is further provided with the additional It can be replaced by a port or additional inset.

[0320] According to one embodiment, the device is adapted to be applied to the body of a patient when performing a surgical procedure. The wall portion is: The wall portion is connected to the patient's skin to form a seal between the wall portion and the patient's skin. a vacuum seal adapted to maintain a subatmospheric pressure between the wall and the skin; and maintain a pressure above atmospheric pressure between the wall and the patient's skin to create a seal between the wall and the patient's skin The device further comprises at least one pressure sealing member adapted to

[0321] In one embodiment, the vacuum or pressure seal is formed between a portion of the wall and the patient's skin. and adapted to create a substantially airtight seal between the cavity within the patient. through the patient's skin in a sealed environment so as to create fluid communication between the The incision can be made with

[0322] According to one embodiment, at least one of the closable body multi-ports is The device may be adapted to be placed from the inside of the chamber into the incision that will be made in the skin. Body multiports allow medical devices to be applied to the patient's body to perform surgical procedures. and adapted to be connected to at least one of a wall port and a wall multi-port when The closable wall port comprises a closable wall multi-port, and the wall multi-port comprises an external When applying a medical device to a patient's body to perform a medical procedure, and a body multi-port disposed in the body. It will be adapted.

[0323] According to one embodiment, the medical device of any one of the embodiments described herein The device includes a first and a second chamber, the second chamber being adapted to connect the medical device to the patient. Negative pressure is used to apply suction to the patient's skin and / or tissue to create a seal between the The first chamber is adapted to hold the patient's skin through an incision. The chamber and the patient cavity may be adapted to be in fluid communication with the patient cavity, and the chamber and the patient cavity may be at the same pressure. The first chamber forms a connected volume that is connected to the first channel and partially surrounded by the medical device. The first chamber may be adapted to hold a positive pressure of 5 mmHg to 120 mmHg, and the second chamber may be adapted to hold a positive pressure of 5 mmHg to 120 mmHg. It is adapted to maintain a negative pressure of 120 mmHg to 120 mmHg.

[0324] A medical device according to any one of the above-mentioned embodiments, a first channel of the medical device -PRESSURE-GENERATING MEMBER ADAPTED TO GENERATE A PRESSURE OF MORE THAN 5 mmHg IN A MEMBRANE, AND MEDICAL DEVICE - Patent application a second chamber of the medical device to create a seal between the second chamber and the patient's skin and / or tissue. a vacuum generating device adapted to generate a negative pressure of 5 mmHg within the chamber, Further, the present invention provides

[0325] 1. A medical device according to any one of the embodiments, wherein in the first chamber of the medical device a first pressure-generating member adapted to generate a pressure of greater than 5 mmHg at the a second chamber of the medical device to create a seal between the second chamber and the patient's skin and / or tissue. a second pressure generating device adapted to generate a second pressure of greater than 5 mmHg within the chamber; A second system is further provided, comprising:

[0326] The first pressure of the sealing member is in response to a force applied by the pressure in the chamber on the sealing device. The second pressure may be higher than the first pressure so as to be tolerable.

[0327] To provide a medical device for performing hip surgery on a patient, the medical device comprising: at least partially on the patient's body to form a chamber alone or together with the patient's body a wall adapted to be placed in the chamber, thereby creating a sealed surgical environment within the chamber. This chamber allows for the removal of the patient's skin from the hip joint while maintaining a sealed surgical environment. Surrounding the surgical incision and at least one step of the hip surgery to be performed The medical device is adapted to be connected to the wall and to be positioned between the wall and the patient's skin or tissue. The device may further comprise a sealing device adapted to seal against the legs, the pelvic region, one or more of the following regions: the abdominal region, the groin region, the buttocks region, the chest region, and the lumbar region forming a special loop that at least partially surrounds at least one portion, thereby The sealing device is designed to be used in at least the following areas: the hip surgery incision, the anal orifice, the urethral meatus, and the perineal area. By creating a sealed environment, the risk of infection is reduced. The risk of infection can be substantially reduced when prosthetic surgery is performed inside a patient's joint. This is why it is important to maintain a controlled environment. The chair encloses both the urethra and the anus from an enclosed chamber that creates a sealed surgical environment. The device is positioned to exclude the

[0328] A medical device according to any of the embodiments described herein may be connected to a wall or a first sealing device adapted to form a seal between the cavity wall and the patient's skin or tissue. This allows the chamber to be sealed while still allowing access to the hip surgery incision and At least a part of the surgical field of the hip joint surgery is located in at least one of the anal orifice, the urethral orifice and the perineal region. The sealing device seals from at least one of the first and second portions of the sealing device. and at least one leg or extension thereof of the patient that will be involved in sealing the chamber. a first portion adapted to hold the medical device in place by enclosing the The medical device includes at least one of the retaining members. and the height of the patient's pelvic, abdominal or thoracic region, which may be further relevant to sealing the chamber. At least one of the following is selected: a second retention device adapted to hold the medical device in place by enclosing the The medical device further comprises at least one of the members. the third portion being positioned at the mid-head of the leg where it meets the groin area or an extension thereof. From the lid, the patient's ventrodorsal midsagittal plane was taken to the lateral skull, the side where hip surgery would be performed. a third portion of the sealing device adapted to be sealed in the direction of the second sealing device; the walls extending at least partially in a cranial direction until they meet the first, second and third walls of the sealing device. and / or the chamber is sealed to allow the anus to pass through the chamber. adapted to exclude at least one of the external orifice, the urethral meatus, and at least a portion of the perineal region. The combined third holding member is sealed.

[0329] The medical device according to any one of the embodiments described herein is and disposing a chamber radially about at least a portion of the limb relative to the longitudinal axis of the limb. The slit may be provided with a closure element disposed in the wall of the medical device. The closure may be adapted to be at least partially closed by the element.

[0330] The medical device may include a sleeve upon placement of the chamber around at least a portion of the limb. The first and second portions may be disposed on first and second sides of the slot. The second portions are interconnected using at least one of an adhesive surface and a mechanical connecting member. It is adapted to be

[0331] According to one embodiment, at least one inset or wall port attached to the wall , this inset or port when the wall is at least partially applied to the patient's body. The device is relatively close to the patient's skin or tissue and is in direct or indirect contact with the patient's skin or tissue. a first location connected to the inset or wall port, and a second location where the inset or wall port is further from the patient's skin than the first location; The actuator is adapted to be displaceable between a first position and a second position spaced apart.

[0332] The medical device in any of the embodiments described herein may be configured to: an at least partially enclosing chamber and a closable wall port disposed in a portion of the wall; or may be adapted to form an inset, the chamber providing a sealed seal for the surgical procedure. The present invention provides a method for enclosing at least a portion of a knee surgery procedure while maintaining a protected environment. The closable wall port or inset is adapted to be inserted into an incision in the knee region of the patient's body. abutting, attaching and in a fixed position against a body port placed in The present invention is adapted to at least one of the above-mentioned methods for performing arthroscopic knee surgery. The steps can be carried out.

[0333] A method for performing a portion of a knee joint surgery on a patient using a medical device is provided. The device is capable of maintaining a sealed environment to enclose the portion of the knee surgery that will be performed. The method includes applying a wall to the patient's knee to form a chamber through which the wall is closed. a closable wall port connecting the closable wall port to the body port, thereby The wall port abuts or is attached to the body port, thereby Arthroscopic steps of knee surgery can be performed.

[0334] To provide a medical device for performing a surgical procedure on a patient, the medical device: A chamber capable of maintaining a sealed environment to enclose the portion of the surgical procedure that will be performed. The member is adapted to be applied at least partially to the patient's body to form a joint with the patient's body. a wall adapted to be placed on a portion of the wall and attached to the patient's body to perform a surgical procedure; When applying the medical device, it is placed into an incision in the patient's body that is connected to a body cavity. a closable wall port adapted to be detachably connected to a closable body port provided and at least one of an inset; adapted to be placed at an incision in the patient's body. and capable of being closed when applying the medical device to the patient's body to perform a surgical procedure. a closable body port and an interface, the body port and interface being further adapted to be detachably connected to a suitable wall port; and at least one of a medical device connected to the wall and attached to the patient's body. A sealing device adapted to seal against the patient's skin when applied. Wall ports, closable body ports, and closable wall ports and closable body ports At least one of the two is a medical device inserted into the patient's body to perform a surgical procedure. When applying the device, it forms an airlock sluice between the cavity inside the patient's body and the surrounding environment. It is adapted to achieve this.

[0335] The medical device according to any one of the embodiments includes: a body port or a body inset an integral part of at least one of the wall ports or wall insets; an integral part of the wall port or interface; adapted to be placed in proximate relationship to the patient's skin; a body connector further adapted to be connected to the set; and a body connector adjacent to the wall of the medical device. and adapted to be at least one of the wall connectors adapted to be arranged in a The device may further comprise a connector adapted to be connected to a body port or inset. It may be more suitable.

[0336] The wall in any of the embodiments described herein may at least partially enclose the chamber. The fluid may be adapted to hold a fluid to be filled in the catheter, the fluid being selected from the group consisting of an isotonic fluid and an antibiotic fluid. It may be at least one of:

[0337] The medical device of any of the embodiments described herein may be adapted for use in knee joint procedures. and thus arranged to allow the patient's legs to be inserted into the medical device. a first opening disposed to allow the patient's leg to exit the medical device; and a second opening disposed to allow the patient's leg to exit the medical device. At least one of the two openings is provided.

[0338] According to one embodiment, the medical device has a fluid outlet for withdrawing fluid and a fluid inlet. A fluid system is provided for delivering fluid to the mouth. The fluid system includes a fluid flow path. The fluid system may further include a fluid pump for circulating the fluid from the outlet to the fluid inlet. The system includes a filtration unit for filtering a fluid, a sterilization unit for directly or indirectly sterilizing a fluid, and and a fluid temperature regulation unit adapted to change the temperature of the fluid. Each member may have one more.

[0339] The medical device in any of the embodiments may include a , an energy transfer device adapted to transfer energy from outside the chamber into the enclosed environment. The medical device may further comprise a transmission coupler. Keep energy-consuming tools pre-positioned in a sealed environment before placing them in a safe condition. may be adapted to hold

[0340] The medical device according to any embodiment includes: a wall disposed therein and adapted to supply fluid to the chamber; a first fluid inlet adapted to discharge fluid from the chamber; a first fluid outlet adapted to be placed in an incision in the patient's skin in the region of the joint; a second fluid inlet for supplying fluid to the joint; and an incision in the patient's skin in the area of ​​the joint. a second fluid outlet adapted to be positioned at the joint for draining fluid from the joint; The fluid may be a liquid fluid such as an isotonic solution and an antibiotic solution. a fluid pump for circulating fluid from the first or second fluid outlet to the first or second fluid inlet; It's okay.

[0341] The medical device is designed so that the pressure within the sealing member is 10mmHg to 160mmHg, 20mmHg ~140mmHg, 30mmHg~120mmHg, 30mmHg~100mmHg, 4 0mmHg~100mmHg, 40mmHg~80mmHg and 50mmHg~70mm a pressure regulator adapted to regulate the pressure within the sealing member to one of Hg. The pressure regulating device may comprise a flow device for delivering the gaseous fluid to the sealing member. A fluid pump for delivering a liquid fluid to a sealing member, a fluid pump for generating pressure Spring-loaded devices and pre-filled reservoirs involved in creating pressure It may comprise at least one of:

[0342] In any of the embodiments, the monitoring unit surrounds the patient's limb and By applying pressure higher than systolic blood pressure to the injured limb, blood flow is momentarily stopped. The blood pressure monitor may be adapted to periodically measure or monitor the patient's blood pressure. The patient was given a 1-5 minute, 5-10 minute, 10-20 minute, or 20-30 minute interval. The device may be adapted to measure the blood pressure of a person.

[0343] A medical device according to any of the embodiments described herein may provide a sealed environment. an energy transfer device for transferring energy from the outside of the chamber to the inside of the chamber while maintaining A transmission member and a signal transmission for transmitting information from the outside of the chamber to the inside of the chamber. The energy transmission member may further include a member. The device may be adapted to transmit at least one of the mechanical energy. and the energy transmission member includes a valve, which allows dynamic energy to be transmitted through the wall of the medical device. to transmit at least one of energy, pneumatic energy, and hydraulic energy. To do this, the energy transmission member can be released.

[0344] According to one embodiment, the energy transmission member is at least one of a wireless link and a cable connection. In an alternative embodiment, the energy The electrical transmission member has a first conductor positioned outside the chamber and a second conductor positioned inside the chamber. for transmitting electrical energy by a magnetic field between a first conductor and a second conductor positioned on the , may comprise an inductive coupler.

[0345] A medical device according to any of the embodiments described herein may include a medical device having a wall an information transfer device adapted to transfer information from outside the chamber to inside the chamber through the According to one embodiment, the information transmitting member may further comprise an optical information transmitting member, a capacitance At least one of a magnetic information transmission member, an inductive information transmission member, and a wireless information transmission member The optical information transmission member may be an infrared information transmission member. The step of transmitting energy by means of air pressure energy, liquid energy, etc., through the wall of the medical device. The method may include transmitting at least one of pressure energy and kinetic energy. stomach.

[0346] A portion of the wall of the medical device may form an elongated tubular enclosure, the elongated tubular The elongated tubular enclosure has a chamber between the wall of the medical device and the elongated tubular enclosure. To form a membrane, the membrane extends into the chamber of the medical device and contacts the patient's skin, and the membrane extends into the chamber. It is adapted to separate the patient's skin from the enclosed environment.

[0347] The medical device may further comprise an exhaust valve for exhausting the fluid from the chamber. The drain valve may be connected to a filtration unit for filtering the drained fluid. The device may further comprise a control system for controlling the opening of the exhaust valve. The system includes manual detection of pressure in the chamber, visibility in the chamber, detecting vapor in the chamber, and determining at least one of the temperature and time-related variables in the chamber; The control unit may be adapted to control a discharge valve based on the detected pressure.

[0348] There is further provided a medical device for use in endoscopic surgical procedures. The medical device includes a flexible wall surrounding a chamber. The medical device is positioned on the flexible wall. A device adapted to be positioned and connected to a trocar connecting portion of a trocar A connecting portion is further provided, whereby the chamber surrounded by the wall and the cavity within the patient are connected. A fluid communication is created between the

[0349] The medical device is enclosed within a chamber and inserted into the patient's cavity through a trocar. It may further comprise a surgical instrument adapted to operate.

[0350] The surgical instrument may include a handle portion that can be accessed from outside the chamber. The handle portion of the device may be operably enclosed by the wall so as to be operable.

[0351] According to one embodiment, the medical device is adapted to provide a seal between the chamber and the ambient environment. The membrane has a penetrable second self-sealing membrane.

[0352] The second self-sealing membrane is configured to be in a position where it is securely fastened to the trocar when the medical device is connected to the trocar. a first self-sealing membrane of the trocar, the first self-sealing membrane being positioned on the device connection portion of the medical device; This forms a one-piece self-sealing membrane, and the one-piece self-sealing membrane An endoscopic instrument contained in the medical device can be inserted into the trocar through the trocar.

[0353] The second connecting portion engages the outside of the trocar and the inside of the trocar. adapted to be connected to the first connecting portion of the trocar by one of The sleeve may include a sleeve for providing a seal between the sleeve and the trocar. A sealing member may be provided.

[0354] The device connecting portion of the medical device may have a corresponding recess or protruding member on the trocar connecting portion. The device may include a recess or protruding member adapted to engage the

[0355] There is also provided a medical device system for performing endoscopic surgery on a patient. The medical system includes a medical device that includes a flexible wall surrounding a chamber. The device has a fluid communication between a device connection portion positioned in the flexible wall and a cavity within the patient. a trocar adapted to be positioned through the patient's skin to establish bodily communication; The medical device includes a trocar connecting portion. minutes to establish fluid communication between the chamber of the medical device and the cavity of the patient, It may be adapted to be connected to a trocar connecting portion of a trocar.

[0356] According to one embodiment, the wall port is relatively close to the patient's tissue or skin. Between a first position and a second position where the wall port is further from the patient's skin than the first position. It is displaceable.

[0357] According to one embodiment, the wall port is adapted to be locked to the body port.

[0358] According to one embodiment, at least one of the wall port and the body port provides a sterile environment. A self-sealing gate that is penetrated so that an object or hand can be inserted through the wall port while the gate is maintained. It is equipped with

[0359] According to one embodiment, the chamber is adapted to hold a fluid having a pressure greater than atmospheric pressure. will be done.

[0360] Any of the body ports listed in relation to the medical device must be at least 2 The port may be a body multiport with one or more tools. at least one of the following: a hologram, one or more devices, and one or more parts of a human body; The device can be passed from outside the patient's body to inside the patient's body, or vice versa. The body port is adapted to connect one or more tools, one or more devices, and at least one of one or more parts of the human body from outside the patient's body. A device adapted to be passed into or out of a patient's body. It may further comprise a port.

[0361] The endoscopic instruments described herein include, for example: endoscopic graspers; endoscopic claw graspers; endoscopic stone graspers instruments; endoscopic needle holders; endoscopic hooks; cameras; scissors; knives; ultrasonic dissectors; suction instruments ; it may be an endoscopic dissector or an endoscopic diathermy device.

[0362] The medical device in any of the embodiments may include a medical device that allows viewing into a chamber of the medical device. The device may have a wall with a transparent layer that allows the device to be seen.

[0363] The medical device in any of the embodiments is an infrared device capable of performing part of a surgical procedure. forming a chamber adapted to maintain a pressure above atmospheric pressure to maintain a bacterial environment; The device may comprise a wall adapted to be applied at least partially to the patient's body to provide a support. A portion of the wall is sterile so as to create fluid communication between the cavity in the patient and the chamber. The device is in contact with the patient's skin to allow an incision to be made through the patient's skin in an environment and adapted to contact the wall to create a substantially airtight seal between a portion of the wall and the patient's skin. The wall is configured to have a seal between a portion of the wall and the patient's skin after the incision is made as described above. The medical device is adapted to maintain a periphery of the incision as described above during a surgical procedure. When the pressure is higher than atmospheric pressure in a chamber in fluid communication with the cavity, The device is adapted to hold a sterile chamber prior to making an incision in the patient's skin. This allows the incision to be made in a sterile environment, thereby reducing the risk of complications associated with creating the incision. The risk of introducing bacteria into the patient's body is dramatically reduced.

[0364] The medical device in any of the embodiments may comprise a top and a bottom, the bottom The portion is adapted such that its surface contacts and presses against the surface of the patient's skin, thereby The wall is adapted to provide a seal between the bottom of the wall and the patient's skin, and the wall maintains a pressure within the chamber above atmospheric pressure. The device is adapted to be able to:

[0365] The medical device of any of the embodiments may have a wall that, when applied to a patient's body, A wall sealing device may be included adapted to provide a seal between a portion of the wall and the patient's body. The sealing device may be configured to pneumatically, hydraulically, or mechanically secure a portion of the wall to the patient's body. a pressure sealing member adapted to mechanically compress the chamber, thereby allowing the surgical procedure to proceed; The pressure inside the chamber can be increased above the ambient atmospheric pressure during the installation. The wall sealing device is at least partially sealed from the patient's body, thus preventing the medical device from being exposed to the patient's body. After at least partial application, an incision is made in the wall of the chamber that is in contact with the patient's body. and at least during forming an incision in the patient's skin that forms part of the chamber. Both are adapted to seal the chamber.

[0366] Another feature that may be included in various embodiments disclosed herein is that a portion of the wall may be open. The object of the present invention is to directly or indirectly form an elongated tubular enclosure having an open end. The enclosure extends into the chamber and is inserted into the enclosure through the open end. In another embodiment, the medical device is adapted to fit over a portion of the patient's limb. The chair is adapted to enclose the patient's limb and form a seal between the patient's skin and the wall. , may comprise a sealing member.

[0367] Another feature that may be included in various embodiments disclosed herein is a chamber surrounding The enclosure may be rigid, while the walls surrounding the extremity may be rigid. It may be foldable or deformable to allow for easy insertion. However, in other embodiments, the walls surrounding the chamber may be partially or fully collapsible. It is equally possible that it is noh.

[0368] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may also have two gloves integrated into the wall, allowing for procedures in a sterile environment. These gloves have a design that connects the glove to the wall and allows free movement of the glove within the sterile environment. The wall may be connected using pleated sections that allow for contact with the wall.

[0369] Another feature that may be included in various embodiments disclosed herein is that the wall is at least partially If the wall is partially collapsible, the wall may be compressed by a gaseous fluid to define a chamber. The object is to provide a flexible and expandable structure.

[0370] Another feature that may be included in various embodiments disclosed herein is that the sealing member is vacuum-tight. The vacuum seal may include a closure member, which may be configured to close the vacuum seal against the patient's skin. be adapted to maintain a pressure of less than 1 bar to create a vacuum seal between the adapted to form a seal between the patient's limb and the partially collapsible wall. The vacuum is generated by a vacuum pump connected to the vacuum seal by means of a vacuum conduit. The vacuum sealing member may be made, for example, from a semi-rigid polymeric material.

[0371] Another feature that may be included in various embodiments disclosed herein is the ability to attach a portion of a limb to an electric shock absorber. After placement in the enclosure, air is evacuated from the enclosure, thereby This air exhaust system is used to fasten the walls around the In fluid communication with the enclosure, allowing air to be exhausted from the enclosure. A conduit may be provided.

[0372] Another feature that may be included in various embodiments disclosed herein is the ability to separate walls and enclosures. and attached to at least one of the walls and enclosure of the patient's limb. Press the skin of the extremity to create a pressure seal between at least one of the A pneumatic sealing member adapted to press against the patient's skin using air pressure. The air pressure is adapted to transfer pressurized gas from an air pressure pump to a cavity within the pressure sealing member. The pneumatic pump is connected to the pneumatic sealing member using a combined fluid conduit. The pressure sealing member may be expandable, thereby allowing the size and and / or change shape so that the pneumatic sealing member can press against the skin of the limb, thereby and a pneumatic sealing member. For example, it can be made from an elastic material such as an elastic polymer.

[0373] Another feature that may be included in various embodiments disclosed herein is that the adhesive may be attached to the wall and securing at least one of the enclosures to the patient's skin; and and at least one of the wall and the enclosure. The adhesive may also be adapted to provide a The adhesive may be, for example, 3M's pressure sensitive adhesive Scotch-Gri The adhesive may be a pressure sensitive adhesive such as p 4268-NF.

[0374] Another feature that may be included in various embodiments disclosed herein is that the wall may be cylindrical or tubular. If the wall is at least partially foldable, the wall may be It may be inflatable by means of a pneumatic conduit which may be connected to a tank containing pressurized gas.

[0375] Another feature that may be included in various embodiments disclosed herein is the provision of air in the chamber. A pneumatic system for transmitting pressure. In the example shown here, connected to a pneumatic tool, which is an orthopedic saw adapted to be operated in a sterile environment. The pressure supplied to the sterile environment and the pneumatic system may be connected to pneumatic conduits. The wall may be controlled and monitored by a control / monitoring system. A pneumatic seal may be used to seal against the limb.

[0376] Another feature that may be included in the various embodiments disclosed herein is the provision of a medical device having an empty space. A pneumatic seal may be incorporated.

[0377] Another feature that may be included in various embodiments disclosed herein is a two-zipper closure. An airlock sluice with a chain-type continuous opening, and an outer zipper allows access from the outside of the chamber. Openable to place and / or remove objects within the airlock sluice between zippers. The inner zipper allows objects to be placed and / or removed from the airlock sluice. For example, an airlock sluice can be opened from inside the chamber to allow the environment to It may be used to remove the specimen from the sterile environment while maintaining its sterility, or this The Alox Loose may be used to insert a medical instrument or implant into a sterile environment. stomach.

[0378] Another feature that may be included in the various embodiments disclosed herein is the inclusion of a laparoscopic port. It is a multi-port system through which laparoscopic trocars or endoscopic instruments can be inserted.

[0379] Another feature that may be included in various embodiments disclosed herein is the ability to place the instrument in a sterile environment. This is the attachment part for holding the equipment.

[0380] Another feature that may be included in various embodiments disclosed herein is a chamber and a sterile A non-foldable transparent window to allow visibility into the environment. If foldable, a non-foldable transparent window is preferred over a partially foldable wall. If the medical device is made of a transparent material, for example, the medical device may not fully expand or It provides limited visibility even at material seams or curves, Ensures that the surgeon has adequate visual control over the procedure.

[0381] Another feature that may be included in the various embodiments disclosed herein is a self-sealing access A port, which may be, for example, a port containing a gel-type material. The access port allows for the insertion of a trocar and / or instruments and a human hand. This allows for procedures to be performed within the chamber.

[0382] Another feature that may be included in various embodiments disclosed herein is the ability to provide a patient with a diaphragm within the chamber. The endoscope port is a body port for an endoscope that is directly connected to a body limb of a patient. By using curling and manipulating the instrument from inside the sterile environment or by the instrument being pushed against the wall By reaching the port or self-sealing port in the wall and the port in a sterile environment, It may be possible to perform arthroscopic surgery in an environment.

[0383] Another feature that may be included in various embodiments disclosed herein is the flow of the gas entering the chamber. This is a system for regulating the body temperature. The temperature regulation part of the system is a foldable A gaseous fluid may be provided to expand the wall for heating or cooling. If so, the temperature control portion of the system is used to raise the temperature of the sterile environment and provide a If the ambient environment is hot, the temperature of the system may be increased. The temperature control section is used to lower the temperature of the sterile environment, creating a beneficial surgical environment for the patient and surgeon. and temperatures that inhibit bacterial and viral infections.

[0384] Another feature that may be included in various embodiments disclosed herein is the ability to separate gases entering the chamber. The sterilization unit is adapted to sterilize gaseous fluids. It may start from a pressure tank and may be pre-sterilized. In other embodiments, the gaseous fluid is pressurized ambient air. Ambient air is used to inflate the collapsible walls and allow the operation In embodiments that comprise the environment, this air must be suitably sterilized.

[0385] Another feature that may be included in various embodiments disclosed herein is the ability to provide a thief-like device for a medical device. A system for circulating a fluid through a chamber. an inlet disposed in the wall for supplying the fluid and an outlet for draining the fluid from the chamber; The fluid may be circulated using the delivery unit and may include a fluid conduit connected to the delivery unit. It is circulated through a sterilization / filtration unit adapted to remove impurities and sterilize the fluid.

[0386] Another feature that may be included in various embodiments disclosed herein is the ability to suspend the gas. a filtration unit adapted to remove fine particles from the surrounding environment. It may further comprise an inlet to allow the addition of gas from the When used, the transparency of the liquid allows the surgeon to have visual control of the procedure. The liquid is filtered in this embodiment to remove impurities, and its clarity is The filtration unit may comprise a filter containing, for example, activated carbon.

[0387] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may be adapted to be placed in relation to a limb of the patient, for example a leg or arm. The medical devices are suitable for use in, for example, hospital environments and in third world countries or disaster areas. It can be used to perform resections both in settings where there is a significant risk of infection, such as Medical devices can be used in extremely remote areas without access to water or electricity, reducing the risk of infection. The goal is to enable surgical procedures to be performed in a fully enclosed environment without risk. can.

[0388] Another feature that may be included in various embodiments disclosed herein is a self-sealing port. The self-sealing port has a self-sealing membrane secured to a rigid portion of the self-sealing port. The self-sealing membrane may have a small self-sealing hole in the center of the membrane. The closing membrane may be, for example, sufficiently tight to create an airtight seal between the sterile environment and the outside environment. yet be deformed large enough to allow a human hand to pass through the small self-sealing hole. The self-sealing port may be made of a gel-type material that has sufficient elasticity to allow the patient to one intracorporeal ring adapted to be positioned inside the skin of the patient; and one intracorporeal ring adapted to be positioned outside the skin of the patient. The retractor may be secured to a wound retractor having one ring adapted to be placed in the body. and a ring adapted to be placed on the outside of the patient's skin to retract the skin. adapted to apply pressure to the cut surface of the incision to hold the wound open; Position the retractor membrane. The retractor membrane is preferably made from a resilient or elastic polymer material. The ring is adapted to be placed on the outside of the patient's skin to hold the wound open. A spring-loaded roll-up system adapted to generate appropriate pressure on the retractor membrane to support the It may have an integrated roll-up system, which may be stem.

[0389] Another feature that may be included in the various embodiments disclosed herein is a retractor membrane connected to the retractor. The retractor membrane is a self-sealing port that is fitted with a rigid portion of the port. The device is made of a material that is sufficiently resilient to allow it to be secured in place.

[0390] Another feature that may be included in various embodiments disclosed herein is the ability to isolate the chip from the outside environment. The walls separating the chambers may be fixed by adhesive or by using a pressure difference between the outside and inside of the chamber. The device is adapted to be secured to the patient's skin by means of a flexible adhesive.

[0391] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: Upper and lower sides for fastening ring-shaped objects, which may be insets or ports, for example The device may further comprise a connector, where the inset may be, for example, a surgical glove or a holding device. The port may be an endoscopic port or a manual access port. The connector may include a release lever for releasing the object from the connector. The lower connection may be connected to a spring loaded latch member from the rear to secure the groove of the object. The inset fixed to the suturing device may be, for example, a surgical glove, and is used to prevent the procedure from occurring inside the patient's body. It becomes possible.

[0392] Another feature that may be included in various embodiments disclosed herein is that the upper connector may be used a valve member adapted to close the opening in the upper connector when the valve member is not in operation.

[0393] Another feature that may be included in various embodiments disclosed herein is the ability to connect a coupler, e.g. From surgical gloves to a multi-port with three endoscope ports, allowing you to change objects It is possible to quickly convert an endoscopic system into a manual access or procedural system. Being able to do this can be crucial if complications arise during the procedure, and This is due to the traditional conversion from laparoscopic to open surgery, the risk of complications and / or postoperative care. It eliminates the need for conversions that inevitably cause rising problems.

[0394] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The medical device may be adapted to be applied to a patient before the start of a surgical procedure. For example, it may be adapted to be secured to the abdominal region of the patient using an adhesive. By securing the medical device to the patient before The medical device may be connected to a source of pressurized fluid, for example, and this pressurized fluid may be formed inside the The body may be led to the chamber through a fluid conduit.

[0395] Another feature that may be included in various embodiments disclosed herein is the ability to provide a thief-like device for a medical device. The chamber can be configured to allow laparoscopic surgery to be performed partially within the chamber and partially within the patient. , may be adapted to hold a gaseous fluid having a pressure above 1 bar.

[0396] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The laparoscopic port may be removably secured to the wall. The port may be adapted to be removably attached using a connector. a barrier for closing a wall hole while exchanging a laparoscopic port for another inset or port; The chamber may further include a lubricating member, which allows the above-mentioned inner cavity to be cleaned while maintaining a sterile environment within the chamber. The removable inset or port can be attached to the wall using a connector. and thereby adapted for rapid replacement.

[0397] Another feature that may be included in the various embodiments disclosed herein is a wall-integrated These surgical gloves are suitable for sealing the chamber of a medical device in an airtight manner. This allows for procedures to be performed within the chamber.

[0398] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: Although it is an inflatable medical device that may be positioned before the start of a typical laparoscopic surgery, Until the surgery is completely completed and the medical device expands, e.g., when it is time to remove the specimen. , remains uninflated.

[0399] Another feature that may be included in various embodiments disclosed herein is the ability to provide a flow path from the inside of the chamber. The cleaning device is for cleaning a transparent window from a position close to the transparent window. and providing a fluid adapted to assist in cleaning the transparent window via a fluid conduit to a nozzle disposed thereon. The fluid may be an isotonic solution, such as saline, or a solution such as chlorhexidine. Disinfectants such as xyzine.

[0400] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: Spraying a fluid onto a window to mechanically remove objects from the window, then wiping the window clean For this purpose, the window contact member may further be provided.

[0401] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The medical device may be adapted to be applied to the abdominal region of a patient. The patient is then evacuated using a vacuum that acts on the patient along a vacuum channel that may be connected to a vacuum pump. The device may be adapted to be fastened to a user.

[0402] Another feature that may be included in the various embodiments disclosed herein is the ability to a removable port that may be positioned in the wall according to any of the embodiments described herein. The ports may be fitted with connectors that allow for quick exchange of ports. The port may be, for example, a self-sealing port, which may have a rigid portion. The self-sealing membrane may comprise a fixed self-sealing membrane having a small self-sealing membrane located in the center of the membrane. The self-sealing membrane may, for example, provide an airtight seal between the sterile environment and the outside environment. The small self-sealing hole is then passed through a human hand while the hole is tight enough to create a hole. Made from a gel-type material that is elastic enough to allow for large enough deformation to accommodate the You may.

[0403] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may include a filtration unit adapted to remove impurities and optionally sterilize the fluid. The filtration unit may be adapted to remove particles that may be suspended in the gas. The filtration unit further comprises an inlet to allow the addition of gas from the ambient environment. If the fluid is liquid, the transparency of the fluid allows the surgeon to have visual control of the procedure. The liquid is filtered in this embodiment to remove impurities. The filtration unit is equipped with a filter containing activated carbon, for example. It's okay.

[0404] Another feature that may be included in various embodiments disclosed herein is the ability to provide a surgical glove, for example, with a The object in the connector can be changed from the endoscope port unit to the endoscope port unit. This coupler allows the endoscopic system to be quickly switched to a manual access or procedural system. This can be crucial if complications arise during the procedure, and it can also Conventional conversion from laparoscopic to open surgery increases the risk of complications and / or postoperative care. In another embodiment, the abdominal cavity can be used to remove the need for diversion, which inevitably causes problems such as The speculum port and surgical gloves may also be attached to a holding device, e.g., to hold an instrument or implant. may be exchanged for.

[0405] Another feature that may be included in various embodiments disclosed herein is the ability to perform a surgical procedure without incisions on the patient. The medical device is adapted to be applied to the patient prior to the start of the surgical procedure so that it can form in a sterile environment. It is a good thing that it fits.

[0406] Another feature that may be included in various embodiments disclosed herein is the ability to provide a wall of a medical device. When the wall is at least partially collapsible, the wall can be used to connect the fluid conduit to the medical device. The device may be adapted to be inflated by a pressurized fluid entering the device.

[0407] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: adapted to be placed in contact with the patient's skin before the start of surgery, All portions of the wall in contact with the skin are provided with adhesive, which allows the patient's incision to be guided through the wall. , and even extend through the patient's skin, which can lead to the patient's skin not being properly disinfected. In this case, the risk that infectious material may be transferred from the patient's skin to the patient's incision is reduced.

[0408] Another feature that may be included in various embodiments disclosed herein is that the connector may be integral with the wall. The connector may be, for example, in the form of a surgical glove or retainer from the port. The inset can be used to change the object. Closing the connector hole when changing objects so that the microbial environment can remain sterile The device may further comprise a valve member for

[0409] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: For example, suitable for holding surgical instruments and / or implants or parts of implants. The device may be provided with a holding device that may be fitted to the device.

[0410] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The provision of a connector integrated into the wall, e.g., between the chamber and the outside of the chamber. An airlock for moving objects by this airlock may be secured to the connector. a first valve member isolating the airlock from the sterile environment; and a second valve member isolating the airlock from the outside environment. The valve member may be provided between the first valve and the second valve. For example, medical instruments or devices can be passed into the chamber using an airlock space that allows The specimen or sample may be passed through or out of the chamber.

[0411] Another feature that may be included in various embodiments disclosed herein is the use of an upper connector. This allows for procedures and preparations to be performed within the medical device, which can be used for instrument preparation or This procedure may be necessary to prepare the implant for replacement or implantation. This may be done using a glove secured to the wall by a

[0412] Another feature that may be included in various embodiments disclosed herein is a surgical glove that is attached to the upper side. In other embodiments, the surgical glove may be secured to a connector, for example, as described herein. The surgical port or retention device as further disclosed with reference to other embodiments described above. You may exchange it.

[0413] Another feature that may be included in various embodiments disclosed herein is the ability to connect medical devices. The fastener may include a release lever for releasing the object. It may be connected to a latch member that may be spring loaded from the rear to secure the groove of the object. .

[0414] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The object inside the connector can be changed from a surgical glove to a multi-port with an endoscope port. It is possible to quickly transfer from an endoscopic system to a manual access system or procedural system. The ability to switch quickly is crucial if complications arise during the procedure. This also reduces the risk of complications and / or postoperative treatment, including traditional laparoscopic to open surgery conversions. This would eliminate the need for conversions that inevitably cause problems that increase the risk of

[0415] Another feature that may be included in various embodiments disclosed herein is the ability to connect the chamber to the patient. and creating an incision in the patient's skin, and then inserting the incision into a cavity within the patient's body through the incision in the patient's skin. The fluid may be adapted to be in fluid communication with the

[0416] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The medical device may be adapted to maintain a pressure in the chamber above 1 bar. The device is attached to the patient's skin with an adhesive, which keeps the pressure in the chamber at 1 bar. The medical device may be capable of being held higher than the cavity and chamber within the patient. and a wall of the medical device before forming an incision in the patient's skin that creates fluid communication between the wall of the medical device and the wall of the medical device. connected to the patient's skin to create a substantially airtight seal between the patient's skin and the The device may be adapted to be positioned in a state.

[0417] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: The chamber has walls of 500,000 mm 3 By forming it to have a volume exceeding The objective is to have the device adapted to allow procedures inside the chamber.

[0418] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: To create a seal between the wall and the patient's skin, a subatmospheric pressure is maintained between the wall and the patient's skin. The vacuum sealing member may include a vacuum groove adapted to hold the vacuum seal. The vacuum groove may be secured to the patient using a vacuum that acts on the patient along the vacuum channel. The fluid conduit may be connected to a vacuum pump using tubing. The pressure in the chamber and in the sterile environment is controlled using pressurized fluid in a pressurized fluid tank that is delivered to the chamber. The force can be maintained at over 1 bar.

[0419] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: A barrier between the chamber and the external environment to allow passage of objects between the chamber and the external environment. The opening may further be provided in the

[0420] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: A seal is created between the sterile environment within the medical device and the outside environment by pressing against the patient's skin. The device may further comprise a pressure seal adapted to expand to increase the pressure. The force sealing may be, for example, a fluid conduit connected to a pressure source, which in this embodiment is a pressurized tank. The walls of the medical device can be inflated, for example, through an inflated pressure sealing. The device may be secured to the patient using an adhesive adapted to withstand the forces generated by the .

[0421] Another feature that may be included in various embodiments disclosed herein is the ability to apply a suction force to the patient's skin. Wall fixation may be assisted or replaced by bands that press against the walls of the medical device. This band is particularly effective in reducing the pressure required to create a seal between the patient's skin and the wall. This pressure may be necessary if a larger pressure is required, and this pressure may depend on, for example, the positioning of the medical device. It is possible.

[0422] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may include a removable port arrangement that may be positioned within the chamber of the medical device. The port configuration is adapted to be placed around an incision under the patient's skin. an intracorporeal ring adapted to be placed around the incision on the outside of the patient's skin; The intracorporeal ring may be secured to a retractor having an outer ring and an inner ring. To create a seal between the rings and the skin or human tissue and to further retract the skin. applying pressure to the skin or human tissue at the incision to keep the incision open by An annular retractor membrane is positioned, adapted to apply a pressure to the retractor membrane. The retractor membrane may be elastic or The outer ring may be made from a resilient polymer material. The outer ring is spring loaded to hold the wound open. an integral rope adapted to generate appropriate pressure on the retractor membrane to hold it in place; A pull-up system may be provided.

[0423] The port configuration includes a rigid annular seat attached to the outer ring, a radial bore in the seat, and A spring-loaded latch member is provided, and the latch member is allowed to be pulled out against the action of the spring. The port may include a connector having a hand lever connected to the latch member for fastening the port. The port arrangement may further include a self-sealing body port carried by the connector. A disk-shaped self-locking device fixed to a rigid ring having an outer circumferential groove for receiving the latch member of the coupler. It may comprise a self-sealing membrane having a small self-sealing hole in the center of the membrane. This self-sealing membrane may, for example, be sufficiently thick to create an airtight seal between the chamber and the outside environment. The small self-sealing hole is large enough to allow a human hand to pass through while still being tightly closed. It may be made from a gel-type material that has sufficient elasticity to allow it to deform.

[0424] The connector allows for rapid exchange of body ports, so the surgeon can To allow removal of the body port by disengaging the latch member from the groove. The body port can then be released from the port configuration by simply pulling the hand lever. do.

[0425] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: Upper and lower sides for fastening ring-shaped objects, which may be insets or ports, for example The device may further comprise a connector, where the inset may be, for example, a surgical glove or a holding device. The port may be an endoscopic port or a manual access port, such as a self-sealing port. The connector may include a release lever for releasing the object.

[0426] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: a valve adapted to close the opening of the upper coupler when the upper coupler is not in use; The upper connector may comprise a member for performing procedures and preparations within a medical device, for example. This is used to prepare or modify instruments or to prepare implants for transplantation. The lower connector may be necessary, for example, for laparoscopic manipulation within the patient's body, or for example, for specimen insertion. The device may be used for procedures to remove or position implants.

[0427] Another feature that may be included in various embodiments disclosed herein is the ability to provide a surgical glove, for example, with a The inset may be fixed to the lower connector.

[0428] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may have a connector integral with the wall, for example, from the port to the surgical glove. Or an inset in the form of a retaining member can be provided to allow the object to be changed. close the connector hole when changing objects so that the sterile environment can remain sterile. The retaining member may comprise a valve member for locking the surgical instrument and / or impeller. The implant may be adapted to hold a portion of the implant or implant. The walls of the medical device may be adapted to be secured to the patient's skin by a vacuum seal.

[0429] Another feature that may be included in various embodiments disclosed herein is the ability to provide a wall of a medical device. At least a portion of the wall may be partially foldable, and the foldable wall The expandable portion may be adapted to be inflated by a gaseous fluid to define a chamber. The collapsible portion of the wall is actuated by pressurized fluid entering the chamber through the fluid conduit. The window may be inflated by inflation of the wall to which it is integrated. The patient is positioned in a suitable position to visualize the procedure being performed. This may continue until the pressure in the chamber exceeds 1 bar, which may be necessary in some applications. It is necessary.

[0430] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: It may be used in surgical procedures requiring intervention between open and endoscopic surgery. A portion of the wall of the medical device is displaceable between a first position and a second position. wherein the wall provides a high degree of mobility within the chamber of the medical device to the surgeon. When in a second position to allow freedom of movement, the medical devices are separated from one another. and a wall extending from the abdominal cavity for further access into the patient's body. When in the first position, which may allow the use of a trocar or manual access, The side connector is locked to the lower connector. The medical device may further comprise a Implementations that require procedures in a sterile environment to prepare the medical device for use Other applications include, for example, when a surgeon examines a patient's In these instances, it is desired to remove a specimen from the body. The endoscopic surgery may be performed in close proximity to the patient's skin, and the posterior wall of the without contact with the external environment and relieves the pressure that often fills the abdomen during endoscopic surgery. The specimen can be removed from the patient's body and placed into the chamber of the medical device without releasing the The lower coupler may be displaced to a second position to allow the lower coupler to A lever may be provided to release and / or lock the upper coupling.

[0431] Another feature that may be included in various embodiments disclosed herein is an airlock. The object may be connected to the wall of the medical device, for example, by means of a connector. The lock is adapted to transfer an object between an external environment and a chamber of the medical device. This airlock is designed to enclose an object within the airlock. Each side of the airlock may have an inner and outer wall. Another example of an object that can be replaced by a surgical glove is and ports such as endoscope ports for performing endoscopic surgery.

[0432] Another feature that may be included in various embodiments disclosed herein is the upper and / or lower The side coupler includes a valve member for closing the opening of the coupler when the object is to be replaced. The valve member may be, for example, a flap valve.

[0433] Another feature that may be included in various embodiments disclosed herein is the ability to perform medical procedures prior to the start of surgery. The walls of the device may be placed in contact with the patient's skin, and the walls of the device may be placed in contact with the patient's skin. The entire wall may be provided with adhesive, allowing the patient's incision to pass through the wall and further into the patient's This can lead to the patient's skin not being properly disinfected. In this case, the risk that infectious material may be transferred from the patient's skin to the patient's incision is reduced. The patient's body may be viewed from, for example, a fluid conduit connected to a pressure tank, allowing for better visualization of the interior of the body. However, the patient's body can be inflated to allow the patient to Inflation through another incision in the body is also contemplated.

[0434] Another feature that may be included in various embodiments disclosed herein is a medical device associated The connected object is then moved down while the walls of the medical device are locked in the first position, i.e., by lowering the upper connector. The side coupler may be locked and replaced with different objects. The surgical gloves may be exchanged for an airlock, which may be used to place the airlock in a sterile environment. a first valve member isolating the airlock from the environment outside the chamber; and a second valve member that can be provided between the first valve and the second valve. The airlock space may be used to pass, for example, medical instruments or devices into the chamber. Alternatively, the specimen or sample may be passed out of the chamber or The cavity may be adapted to hold, for example, a surgical instrument and / or part of an implant. The holding member is replaced with a new one, or the holding member is replaced with an endoscope port unit having an endoscope port. According to this embodiment, the medical device may have a majority of the wall of the medical device adhesive. The device may be adapted to be secured to the patient's skin by means of a pressure and vacuum seal.

[0435] Another feature that may be included in various embodiments disclosed herein is a medical device comprising: A medical device having an opening that allows passage from the chamber to the cavity in the patient's body. The opening may include a retainer that is placed on the patient's skin to allow the patient to pressures within both the patient's cavity and the chamber of the medical device that are higher than the pressure of the external environment; This allows for easy access using conventional trocars and medical devices. Semi-endoscopic procedures can be performed both with and without hand access. The retainer may be any of the retainers disclosed herein or may be a retainer using hooks. The retainer may be a different type, including a conventional retainer. For internal procedures, the wall of the medical device may be provided with an upper connector, e.g. with a release lever. and surgical gloves are attached using a surgical glove, both of which are further described throughout this application. will be explained.

[0436] Another feature that may be included in various embodiments disclosed herein is the ability to provide a thief-like device for a medical device. The chamber may be configured to allow manipulation of objects within the chamber and / or to accommodate various To place objects of this size, a 500cm 3 It may have a larger volume. do.

[0437] Different aspects or any part of an aspect or different embodiments or Any parts of an embodiment may be combined in any possible way. A method or any step of a method may be considered an apparatus description, and similarly Any device embodiment, aspect, or part of an aspect or embodiment may be a method All of these may be considered as descriptions of the Any detailed description may be combined in any manner. Any embodiment or part of an embodiment and any It should be noted that the methods or portions of the methods may be combined in any manner.

[0438] The invention will now be described, by way of example only, with reference to the accompanying drawings, in which: [Brief explanation of the drawings]

[0439] [Figure 1a] FIG. 1a shows the medical device as it is applied to the leg of a patient. [Figure 1b] FIG. 1b shows the medical device as it is applied to the leg of a patient. [Figure 1c] FIG. 1c shows the medical device as it is applied to the leg of a patient. [Figure 1d] FIG. 1d shows the medical device as it is applied to the arm of a patient. [Figure 2a] FIG. 2a is a detailed view of the vacuum seal. [Figure 2b] FIG. 2b is a detailed view of the exhaust pump. [Figure 2c] FIG. 2c is a detailed view of the pressure seal. [Figure 2d] FIG. 2d is a detailed view of the adhesive seal. [Figure 2e] FIG. 2e shows an embodiment of a medical device comprising an elongated tubular enclosure. [Figure 2f] FIG. 2f is a cross-sectional view of an embodiment of a medical device comprising an elongated tubular enclosure. [Figure 2g] FIG. 2g shows an embodiment of a medical device comprising an elongated tubular enclosure in an expanded state. [Figure 2h] FIG. 2h shows an embodiment of a medical device comprising an elongated tubular enclosure when a patient's leg is inserted into said elongated tubular enclosure. [Figure 2i] FIG. 2i shows an embodiment of the medical device when the elongated tubular enclosure fits snugly around the patient's leg. [Figure 3a] FIG. 3a is a perspective view of an embodiment of a medical device. [Figure 3b] FIG. 3b is a perspective view of an embodiment of a medical device. [Figure 3c] FIG. 3c is a perspective view of an embodiment of a medical device. [Figure 3d] FIG. 3d is a perspective view of an embodiment of a medical device. [Figure 3e]FIG. 3e is a perspective view of an embodiment of a medical device. [Figure 4a] FIG. 4a shows an embodiment of a self-sealing port. [Figure 4b] FIG. 4b shows an embodiment of a self-sealing port. [Figure 4c] FIG. 4c shows an embodiment of a self-sealing port. [Figure 5a] FIG. 5a is a cross-sectional view of an embodiment of a medical device. [Figure 5b] FIG. 5b is a cross-sectional view of the coupler. [Figure 5c] FIG. 5c shows the exchange of objects within the coupler. [Figure 5d] FIG. 5d shows a connector in the wall of the medical device. [Figure 5e] FIG. 5e shows a connector in the wall of the medical device. [Figure 5f] Figure 5f shows the medical device in use. [Figure 5g] Figure 5g shows the medical device in use. [Figure 5h] FIG. 5h is a cross-sectional view of an embodiment of a medical device. [Figure 5i] FIG. 5i is a cross-sectional view of an embodiment of a medical device. [Figure 5j] FIG. 5j shows the medical device in use. [Figure 5k] FIG. 5k shows the medical device in use. [Figure 5l] FIG. 5l shows the medical device in use. [Figure 5m] Figure 5m shows the medical device in use. [Figure 5n] FIG. 5n shows the medical device in use. [Figure 5o] Figure 5o shows the medical device in use. [Figure 5p] FIG. 5p is a cross-sectional view of an embodiment of a medical device. [Figure 5q] FIG. 5q is a perspective view of an embodiment of a medical device. [Figure 5r]FIG. 5r is a perspective view of an embodiment of a medical device. [Figure 5s] FIG. 5s is a cross-sectional view of an embodiment of a medical device. [Figure 5t] FIG. 5t is a cross-sectional view of an embodiment of a medical device. [Figure 5u] FIG. 5u is a cross-sectional view of an embodiment of a medical device. [Figure 6a] FIG. 6a shows an embodiment of the medical device in use and secured to a patient. [Figure 6b] FIG. 6b shows an embodiment of the medical device in use and secured to a patient. [Figure 6c] FIG. 6c shows an embodiment of the medical device in use and secured to a patient. [Figure 6d] FIG. 6d shows an embodiment of the medical device in use and secured to a patient. [Figure 6e] FIG. 6e shows an embodiment of the medical device in use and secured to a patient. [Figure 6f] FIG. 6f shows an embodiment of the medical device in use and secured to a patient. [Figure 6g] FIG. 6g shows an embodiment of the medical device in use and secured to a patient. [Figure 6h] FIG. 6h is a cross-sectional view of an embodiment of a medical device. [Figure 6i] FIG. 6i is a cross-sectional view of an embodiment of a medical device. [Figure 7] FIG. 7 is a cross-sectional view of another embodiment of a medical device. [Figure 8] FIG. 8 shows an embodiment of a medical device that includes a vacuum seal and a connector to which an object can be connected. [Figure 9a] FIG. 9a shows an embodiment of a medical device that includes a vacuum seal and a connector to which an object can be connected. [Figure 9b] FIG. 9b shows an embodiment of a medical device that includes a vacuum seal and a connector to which an object can be connected. [Figure 10]FIG. 10 shows an embodiment of a medical device that includes a vacuum seal and a connector to which an object can be connected. [Figure 11] FIG. 11 shows an embodiment of a medical device that includes a vacuum seal and a connector to which an object can be connected. [Figure 12] FIG. 12 is a cross-sectional view of an embodiment of a medical device. [Figure 13] FIG. 13 is a cross-sectional view of an embodiment of a medical device. [Figure 14] FIG. 14 is a cross-sectional view of another embodiment of a medical device. [Figure 15] FIG. 15 is a cross-sectional view of another embodiment of a medical device. [Figure 16] FIG. 16 is a cross-sectional view of another embodiment of a medical device. [Figure 17a] FIG. 17a is a cross-sectional view of an embodiment of a medical device secured to a patient in use. [Figure 17b] FIG. 17b is a cross-sectional view of an embodiment of a medical device secured to a patient in use. [Figure 18a] FIG. 18a shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18b] FIG. 18b shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18c] FIG. 18c shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18d] FIG. 18d shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18e] FIG. 18e shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18f] FIG. 18f shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18g] FIG. 18g shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18h]FIG. 18h shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18i] FIG. 18i shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18j] FIG. 18j shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 18k] FIG. 18k shows an alternative embodiment of the medical device when secured to the abdomen of a patient. [Figure 19] FIG. 19 is a cross-sectional view of an embodiment of a medical device. [Figure 20] FIG. 20 shows the medical device as it is applied to the abdomen of a patient. [Figure 21a] FIG. 21a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 21b] FIG. 21b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 21c] FIG. 21c is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 22a] FIG. 22a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 22b] FIG. 22b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 23a] FIG. 23a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 23b] FIG. 23b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 24a] FIG. 24a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 24b] FIG. 24b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 25a]FIG. 25a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 25b] FIG. 25b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 26a] FIG. 26a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 26b] FIG. 26b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 26c] FIG. 26c is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 27] FIG. 27 is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 28] FIG. 28 is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 29a] FIG. 29a is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 29b] FIG. 29b is a perspective view of various embodiments of the medical device as applied to the body of a patient. [Figure 30] FIG. 30 is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 31] FIG. 31 is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 32] FIG. 32 is a perspective view of various embodiments of a medical device as applied to a patient's body. [Figure 33] FIG. 33 is a perspective view of an embodiment of a medical device. [Figure 34a] FIG. 34a shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34b]FIG. 34b shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34c] FIG. 34c shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34d] FIG. 34d shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34e] FIG. 34e shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34f] FIG. 34f shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34g] FIG. 34g shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34h] FIG. 34h shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34i] FIG. 34i shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 34j] FIG. 34j shows an embodiment of a medical device comprising a pressure or vacuum sealing member connected to a monitoring unit and / or a regulating device. [Figure 35] FIG. 35 is an embodiment of a medical device applied to a patient's limb. [Figure 36] FIG. 36 is an embodiment of a medical device applied to a patient's limb, including a fluid circulation system. [Figure 37a] FIG. 37a shows an embodiment of a medical device comprising an information and / or energy transmission member. [Figure 37b] FIG. 37b shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38a] FIG. 38a shows an embodiment of a medical device comprising an information and / or energy transmission member. [Figure 38b] FIG. 38b shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38c] FIG. 38c shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38d] FIG. 38d shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38e] FIG. 38e shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38f] FIG. 38f shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38g] FIG. 38g shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 38h] FIG. 38h shows an embodiment of a medical device comprising information and / or energy transmission members. [Figure 39] FIG. 39 shows an embodiment of a medical device comprising an information and / or energy transmission member. [Figure 40a] FIG. 40a shows an embodiment of a medical device with an integrated trocar. [Figure 40b] FIG. 40b shows an embodiment of a medical device with an integrated trocar. [Figure 40c] FIG. 40c shows an embodiment of a medical device with an integrated trocar. [Figure 40d] FIG. 40d shows an embodiment of a medical device when being used in a surgical procedure. [Figure 40e] FIG. 40e shows various embodiments of trocars adapted for use with medical devices. [Figure 40f] FIG. 40f shows various embodiments of trocars adapted for use with medical devices. [Figure 40g] FIG. 40g shows various embodiments of trocars adapted for use with medical devices. [Figure 40g.] FIG. 40g' shows various embodiments of trocars adapted for use with medical devices. [Figure 40g..] FIG. 40g'' shows various embodiments of trocars adapted for use with medical devices. [Figure 40h] FIG. 40h shows an embodiment of a trocar when being used with a medical device. [Figure 40h.] FIG. 40h' shows an embodiment of a trocar when being used with a medical device. [Figure 40i] FIG. 40i shows an embodiment of an enclosed trocar in use. [Figure 40j] FIG. 40j shows an embodiment of an enclosed trocar in use. [Figure 40k] FIG. 40k shows an embodiment of an enclosed trocar in use. [Figure 40l] FIG. 40l shows an embodiment of an enclosed trocar in use. [Figure 40m] FIG. 40m shows an embodiment of a trocar and medical device used together. [Fig. 40n.] FIG. 40n' shows an embodiment of a trocar and medical device used together. [Figure 40n..] FIG. 40n'' shows an embodiment of a trocar and medical device used together. [Figure 40n...] FIG. 40n''' shows an embodiment of a trocar and medical device used together. [Figure 40o] FIG. 40o shows an embodiment of a trocar and medical device used together. [Figure 40p] FIG. 40p shows an embodiment of a trocar and medical device used together. [Figure 40q.] FIG. 40q' shows an embodiment of a trocar and medical device used together. [Figure 40q..] FIG. 40q'' shows an embodiment of a trocar and medical device used together. [Figure 40q...] FIG. 40q''' shows an embodiment of a trocar and medical device used together. [Figure 40q....] FIG. 40q'''' shows an alternative embodiment of a trocar and medical device combination. [Figure 41a] FIG. 41a is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 41b] FIG. 41b is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 42a] FIG. 42a is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 42b] FIG. 42b is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 43a] FIG. 43a is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 43b] FIG. 43b is a flowchart illustrating a method adapted to be performed using a medical device according to various embodiments presented herein. [Figure 44a] FIG. 44a shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44b] FIG. 44b shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44c]FIG. 44c shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44d] FIG. 44d shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44e] FIG. 44e shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44f] FIG. 44f shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44g] FIG. 44g shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 44h] FIG. 44h shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 45] FIG. 45 shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 46a] FIG. 46a shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 46b] FIG. 46b shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 47] FIG. 47 shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 48] FIG. 48 shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 49a] FIG. 49a shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 49b]FIG. 49b shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 49c] FIG. 49c shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body. [Figure 50a] FIG. 50a shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 50a.] FIG. 50a' shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 50b] FIG. 50b shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 50b.] FIG. 50b' shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 50b..] FIG. 50b'' shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 50c] FIG. 50c shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 50d] FIG. 50d shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 50e] FIG. 50e shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 51a] FIG. 51a shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 51b] FIG. 51b shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 51b.] FIG. 51b' shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 51c] FIG. 51c shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 52a] FIG. 52a shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 52b] FIG. 52b shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 52b.] FIG. 52b' shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. [Figure 52b..] FIG. 52b'' shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 52b...] FIG. 52b''' shows an embodiment of a medical device adapted to be sealed and secured to tissue or an organ inside a patient's body so as to create a chamber inside the patient's body. [Figure 53]FIG. 53 shows an embodiment of a medical device adapted to be sealed and secured to tissue or organs inside a patient's body so as to create a chamber inside the patient's body. DETAILED DESCRIPTION OF THE INVENTION

[0440] Adapted to be secured and / or sealed to the patient's body using a vacuum sealing device The vacuum-sealing device is provided for a medical device that is capable of sealing a portion of the inside of a patient's body, i.e., Adapted to apply subatmospheric pressure (negative pressure) between the inside of the patient's skin and the medical device The negative pressure presses an internal portion of the patient's body against the vacuum sealing device. A suction force is created, which creates a sealed connection between an internal portion of the patient's body and the medical device. The vacuum sealing device forms a connection between the tissue, for example, muscle tissue, fascia, fat tissue, and the patient's skin. Connected to the inside, subcutaneous tissue, surface of an incision made within the patient's body, body organs, or fibrous tissue Suitable for connection and sealing by a vacuum sealing device. The flesh tissue may be, for example, the inner or outer rectus abdominis, the inner or outer transverse abdominis, or the internal oblique. medial or lateral, medial or lateral to the external oblique muscle, or the surface of an incision in any of the above muscles Muscle membranes suitable for connection and sealing with a vacuum sealing device include, for example, abdominal muscles. , transversus fascia, internal oblique fascia, external oblique fascia, rectus abdominis fascia, and parietal fascia. Adipose tissue suitable for connection and sealing with a chair includes, for example, extraperitoneal adipose tissue and subcutaneous adipose tissue. The body organs include, for example, organs of the digestive system, such as the esophagus, stomach, small or large intestine, or anus. The organ may further comprise the gallbladder or bile duct of the patient, or the urethra, bladder, ureter or The organ may be an organ of the urinary system such as a kidney.

[0441] The vacuum seal connects to and seals a portion of the patient's body inside the patient's body. The surface of the skin remains unaffected, i.e., no hematoma or discoloration of the skin occurs. Additionally, the superficial blood flow of the patient's skin remains substantially unaffected, reducing the risk of infection in areas of the skin. Reduces the risk of ischemia.

[0442] The medical device may be sealed using a vacuum sealing device or by sealing the device against, for example, the skin and / or the abdomen. The medical device is attached by squeezing or clamping a portion of the muscle and / or fascial layers of the wall, etc. Additional retaining members may be used to secure the vise to the patient's body.

[0443] The medical devices provided herein, in their different embodiments, are suitable for manual access or endoscopic or other surgical procedures to allow for the insertion or removal of objects or instruments from the surgical area It can be used in open surgery or in a combination of endoscopic and open surgery. In one embodiment, the medical device may be adapted for use in arthroscopic surgery, in which case the medical device may It may comprise one or more chambers adapted to be filled with a liquid. The sealing characteristics of the device may be, for example, within the patient's body, outside the patient's body, or within the patient's body. A means for creating a completely sterile and closed surgical environment between the inside and outside of the body The sterile and closed surgical environment is suitable for open surgery, endoscopic surgery, and arthroscopic surgery. The medical device may thus be used in a suitable operating room. It can be used as a mini operating room in situations where medical devices are not available. In the example of use as a medical device, the medical device is adapted for a particular surgical procedure, in which case the particular The objects and / or instruments required for a particular procedure are pre-placed in the medical device and Shipping and handling of objects and / or instruments and maintaining sterility of objects and / or instruments at all times Furthermore, arthroscopic surgery can be performed directly using a single port or multiple ports. In addition to being able to be combined with endoscopic joint surgery, the medical devices described herein , conventional laparoscopic surgery and / or single-port laparoscopic surgery and / or transluminal endoscopic surgery and / or or hand-assisted laparoscopic surgery and / or open surgery and / or combined multiport laparoscopic surgery It also offers the possibility of combining any of the techniques.

[0444] The medical devices described herein are suitable for use in surgical procedures such as appendectomies, cholecystectomies, nephrectomies, hysterectomies, and the like. surgery, oophorectomy, adrenalectomy, gastric bypass, fundoplication, intestinal bypass, hernia repair resection, splenectomy, resection of colon or small intestine, liver resection, appendiceal fistula formation, colon fistula Fistula formation, duodenal fistula formation, ileostomy formation, appendiceal fistula formation, esophagostomy, gastrostomy , may be suitable for urinary fistula formation, nephrostomy, ureterostomy, cystostomy, It can be used beneficially not only in combination with arthroscopic surgery and open joint surgery, but also in endoscopic surgery. Surgery and open surgery can also be combined, for example cryoablation or ultrasonic scalpel techniques. In arthroscopic surgery, medical devices are used to remove or repair separated bone or cartilage tissue. Inserts of fixing elements such as bands, screws, nails, plates, artificial joints, or lubricating elements Additionally, any type of cancer surgery can be performed, where applicable, using a medical device. Medical devices are still associated with laparoscopic or arthroscopic surgery. It also provides the opportunity to insert any kind of medical device or other foreign object into the body. The medical device shown herein, in its different embodiments, is suitable for use in laparoscopic surgery, gastroscopy, It is used as a complement to endoscopic procedures such as arthroscopic surgery and for hand access or It can allow for the insertion or removal of objects or instruments from the inflated surgical area. The device also provides information related to the possibility of conversion from endoscopic surgery to open surgery. In some embodiments, the medical device can be used to reduce complications, e.g. For example, it can be used with circulating fluids in arthroscopic surgery. The vise is completely sterile and closed for use in open surgery, endoscopic surgery, or a combination of both. The medical device can be used as a means to create a controlled surgical environment. It can be used as a minor operating room in situations where a suitable operating room is not available. In the example of a minor operating room, medical devices are adapted to specific surgical procedures and are used in situ. In this case, the objects and / or instruments required for that particular procedure may be pre-disposed within the medical device. and the shipping and handling of objects and / or equipment, and the disposal of objects and / or equipment at any time. The embodiments disclosed herein facilitate the surgical procedure to be performed in a cellular setting. Allowing the procedure to be carried out in a more enclosed environment to reduce the risk of bacterial and viral infections Most of the sterile products used during a surgical procedure are consumables, so they are not suitable for the surgical procedure. Creating a suitable environment is expensive, time-consuming, and environmentally damaging. Rooms are generally equipped with special air filtration and ventilation systems that reduce particle counts in the surgical environment. Even if the operating room is properly sterilized, the air is properly filtered, and medical staff are not wearing proper protective gear, Clothing should be used and the area should be sterilized with the passage of medical staff into and out of the operating room. The usual surgical procedures involve the It requires as many as 10 different staff members to be trained in or involved in anesthesia. Some of these members of the medical staff may be present during concurrent surgical procedures. may be involved in the procedure or may need to prepare or coordinate further action. This requires moving from the controlled environment of the operating room to a less controlled environment outside the operating room. By enclosing the surgical field closer to the patient's body, The area that needs to be kept sterile can be reduced, which also reduces the sensitivity of the surgical procedure. Reduce the number of staff who need direct contact with sensitive areas, allowing any medical staff to operate This eliminates the need for passage from the most sensitive areas of the body to outside the operating room.

[0445] In surgical procedures requiring the removal of material from within the human body, this procedure is preferred. This is done through minimally invasive surgery, which involves smaller incisions and a lower risk of infection. This is advantageous because it results in lower blood pressure, shorter recovery time, and less scarring after the procedure. When removing a section of the intestinal organ, how much of the intestine needs to be removed and how long will it take to remove it? It may not be clear where the intestine that requires treatment is located. In most cases, this is , through small incisions in the patient's body, as is well known in laparoscopic and arthroscopic surgical techniques. This can be determined by optical inspection using a fiber optic camera placed on the trocar being inserted. To allow optical inspection, a cavity within the body must be created, which This is usually done with pressurized CO2 gas introduced through a trocar. Returning to the removal of the part of the trocar, this removal is usually performed using a laparoscopic trocar not exceeding 18 mm in diameter. The medical devices described herein are limited by the size of the conventional laparoscopic and / or Or single-port laparoscopic surgery and / or transluminal endoscopic surgery and / or hand-assisted laparoscopic surgery and / or open surgery. In surgical procedures where the intestinal tract is temporarily placed outside the patient's body, these parts of the intestinal tract are It should be kept moist at all times to reduce the formation of scar tissue after the procedure is completed. Storing the intestinal segment within the chamber of the medical device disclosed herein This can lead to bowel problems, scar tissue formation, or post-operative problems such as infection. Keeping them in a controlled, enclosed, temperature-controlled, moist environment reduces the risk of developing can.

[0446] In hand-assisted laparoscopic surgery, the surgeon inserts his hands through small incisions in the abdomen. Manually assisted laparoscopic surgery allows visual observation of the entire procedure on a visual and overhead television screen. This has the advantage of providing the possibility of guiding surgical instruments while maintaining the possibility of , hand-assisted laparoscopic surgery allows for the intact removal of large tissues, allowing for evaluation of, for example, cancer. Also, hand-assisted laparoscopic surgery is suitable for surgeons who are still learning laparoscopic techniques. Medical devices can also be beneficial for doctors. This allows the surgeon to complete the surgery with his hands inside the patient's body. This may enhance the safety and efficiency of MAS. This allows for the maintenance of intra-abdominal pressure to facilitate controlled viewing and expansion.

[0447] In the following, a detailed description of embodiments of the present invention is presented with reference to the accompanying drawings, in which: It is understood that the terms "up" and "down" are merely examples and do not limit the scope of the present invention in any way. Any references to a direction such as "down" or "up" refer only to the direction shown in the figures. It should be noted that features having the same reference number have the same function, and The features of different embodiments having the same last two digits, i.e., 74, 474, 774, are similar. It should further be noted that unless expressly stated to the contrary, in an embodiment A feature in one embodiment can be exchanged for a feature in another embodiment having the same last two digits. The explanation of similar features with two digits explains the fundamental idea of ​​the feature, which should be seen as complementing each other in demonstrating the versatility of the

[0448] Endoscopy is understood as any form of endoscopic surgery or minimally invasive surgery using endoscopic instruments. Endoscopy techniques include, for example, single incision laparoscopic surgery (SILS), arthroscopic surgery, surgery, such as transluminal endoscopic surgery (NOTES), including gastroscopy and rectoscopy; This includes hand-assisted endoscopic surgery. Endoscopic surgery is performed in the abdomen, chest, joints, and for example, hernias. Any cavity created by a surgeon during repair or pelvic surgery, etc. The present invention is not limited to the use of a stent, but may be used in many different cavities of the human body.

[0449] An inset is a recess in the wall of a medical device to form a wall section. An inset is to be understood as an insertable part. a circular opening that may be locked into an opening in the wall of the medical device or that may be integrated into the wall of the medical device. The inset may be an object in the shape of, for example, an integrated glove, or, for example, an implant. The inset may include a device or instrument attachment for holding the medical device. When positioned against the walls of the therapeutic device, the environment within the chamber is enclosed and sealed by the walls. This means that objects cannot be moved through the inset. cannot be done.

[0450] When used to provide sealing properties, vacuum refers to negative pressure, i.e., pressure below atmospheric pressure. and therefore should be understood as providing a suction force to the area to which the vacuum is applied. The vacuum should not be understood as an absolute vacuum.

[0451] Medical implants include, for example: arthroplasty prostheses; cardiac assist devices; energized implants; Control logic; Filled cosmetic implant; Implantable drug dispenser; Power supply unit; Vascular implant Urological implants;Abdominal implants;Drug-releasing implants;Gynaecological implants or other types of active or inactive implants.

[0452] The instruments, surgical instruments or endoscopic instruments include, for example, scalpels, trocars, forceps, sutures, etc. tools, scissors, cameras, clamping instruments, dissecting instruments, grasping instruments, suturing instruments or staples Joining instruments, surgical scalpels, electromagnetic diathermy, or ultrasonic diathermy and the instrument, surgical instrument or endoscopic instrument may be, for example, a laparoscopic grasper, Laparoscopic nail grasper, laparoscopic stone grasper; laparoscopic needle holder, laparoscopic hook, laparoscopic dissection instrument or may be a laparoscopic diathermy instrument. Any orthopedic type instrument or machine alone Other examples are the many different types of instruments used not only in surgical procedures but also in arthroscopic or joint replacement procedures.

[0453] Physiological or physical parameters include, for example, any kind of pressure, force, time, duration, movement, extension, distance, volume, patient's blood pressure, patient's blood flow, patient's blood saturation or lactate, etc. the ischemic markers of the patient, the temperature of the patient's skin, the condition of the skin, etc. However, it is not limited to the above.

[0454] The functional parameters of the device may be, for example, any type of pressure, force, time, movement, extension, distance, etc. distance, volume, electrical parameters, energy, energy balance, voltage, current, any digital or is at least one of, but is limited to, an analog sensor input and temperature It's not something like that.

[0455] The reference numbers in the accompanying figures refer to the following elements, examples of which are listed in the following list: However, they should only be seen as examples of how the elements may be implemented. and should not be construed as limiting the scope of the term.

[0456] A = ambient environment, surrounded by the chamber of the medical device or within the patient's body or an environment outside of a partially enclosed surgical environment.

[0457] C = Chamber

[0458] F=fat

[0459] I=incision

[0460] L=Leg

[0461] M=muscle

[0462] O=object

[0463] P=peritoneal

[0464] R1, R2 = position 1, position 2

[0465] S=skin

[0466] ST=subcutaneous tissue

[0467] T=tumor

[0468] VP=vacuum perforation

[0469] 0=Medical Device

[0470] 1 = A wall, e.g., a layer of a medical device surrounding a chamber. The wall may be a rigid wall or a flexible, elastic wall. The walls may be transparent, translucent and / or airtight. Often made from a transparent polymer material such as polyvinyl chloride (PVC) with a plasticizer additive The walls may be made of, for example, glass or acrylic glass, polycarbonate, polyethylene transparent polymeric materials such as ethylenediamine phthalate, acrylic fiber materials or polyacrylonitrile The material may be a rigid, transparent material such as a copolymer having the following properties:

[0471] 2 = Gloves are not exposed to external forces, e.g., from outside the environment or by medical staff from a second chamber Represents an indentation in the wall of a medical device that allows for a procedure.

[0472] The pleated portion may be a flexible wall portion with a plurality of folds that allow for expansion of the wall material, for example. The pleated portion may further be elastic.

[0473] 4=Enclosure

[0474] 5 = Sealing device is any sealing element or element that performs both a sealing function or a fastening function, e.g. indicates a fixed element or combination of elements.

[0475] 5' = A vacuum sealing element provides a seal by maintaining a pressure below atmospheric pressure, for example. This shows the elements required when

[0476] 5'' = Pressure sealing element is required to provide a seal, e.g. by pressing an element The key elements are shown, which may include maintaining fluid pressure above atmospheric pressure.

[0477] 5'' = Adhesive sealing element refers to the elements required to provide a seal using, for example, adhesive. show.

[0478] 6 = For example, to prevent the vacuum conduit from collapsing when transferring a pressure lower than the pressure outside the conduit. A vacuum conduit, such as a flexible polymer conduit designed to The conduit may be re-reinforced with a tensile strength increasing agent, which allows the conduit to maintain its flexibility.

[0479] 7 = a layer having an anti-adhesive surface, for example, such that the anti-adhesive surface can be removed from the adhesive surface Separation layer. The anti-adhesion surface may comprise, for example, a PTFE coated surface.

[0480] 8 = Suitable for generating subatmospheric pressure, e.g., to allow air to be evacuated from the chamber The vacuum pump, such as the pump to be incorporated, may be in the form of, for example, a piston or diaphragm pump.

[0481] 9 = Fluid pumps, such as any pump capable of moving liquid or gaseous fluids , piston or membrane pump.

[0482] 10 = A fluid conduit, such as any conduit capable of transporting a fluid or gaseous fluid, For example, it may be flexible polymer tubing.

[0483] 11 = A chamber, e.g., an enclosed space.

[0484] 12=Tank

[0485] 13 = Pneumatic systems, such as systems for handling gaseous fluids that may have a pressure different from atmospheric pressure System. A pneumatic system provides power to a pneumatic tool or inflates a chamber. The pneumatic system may be a system for controlling, for example, air pressure / fluid conduits, valves, Gauges, pressure sensors, sterilization units / filtration units / temperature control units / humidification units, A pump and / or pneumatic energy consuming tool may be provided.

[0486] 15 = Control of gauges or valves, for example, for monitoring or controlling fluid flow or pressure System / Monitoring System.

[0487] 16 = Power tools for surgical use such as orthopedic drills, saws, reamers, staplers, etc.

[0488] 17 = For example, to be able to move an object through a port from one side of a wall to the other side of a wall. Wall ports are any closable / openable ports placed in a wall, e.g. For example, a valve with a self-sealing silicone or gel membrane or an iris or flap valve. It's okay.

[0489] 18 = For example, there is no closure between the first and second regions at any time during the movement of the object. A chain is provided between the first region and the second region through a sluice chamber. Any element that allows the movement of objects through an airlock sluice.

[0490] 19 = Standard zipper, sealed standard zipper or Ziploc® Types of zippers such as zippers.

[0491] 20 = Instrument and / or device attachment, e.g., in or during a surgical procedure It refers to any mounting or holding device that can hold objects that may be needed in the surrounding area.

[0492] 21 = Window, e.g., any transparent sheet material.

[0493] 22 = so that objects can be transferred from outside the body to cavities within the body through ports , a body port such as any closable / openable port placed in the body. For example, a device with a self-sealing silicone or gel membrane or an iris or flap valve It's okay.

[0494] 23 = e.g. flat elastic, made from polymer material or glass or carbon fiber Elastic elements such as sheet material.

[0495] 24 = a medical device made from the same sheet material as the wall and adapted to guide the elastic element Guide slots such as slots in the wall of a chair.

[0496] 25 = For example, to lift the bottom of the wall of the medical device and the wall of the medical device A lifting member such as a polymer wire adapted to connect the top.

[0497] 26 = For example, sterilization, filtration, temperature regulation of gaseous or liquid fluids passing through the unit and a sterilization unit / filtration unit / combined unit adapted to allow humidification. Temperature control unit / humidification unit.

[0498] 26a = Use of heat, e.g. electrical or chemical heat, and / or irradiation, e.g. UV light Sterilization units, such as those using sterilization methods that may include injection and / or the addition of chemical sterilants. .

[0499] 26b = Mechanical filters, e.g., filter fabrics, and / or chemical filters, e.g., activated carbon Filtration units such as units with mechanical and chemical filters or units with a combination of mechanical and chemical filters knit.

[0500] 26c = Heating elements, e.g. electrical or chemical heating elements, or cooling elements or Units containing cooling elements such as liquid hydrogen or chemical cooling elements such as dry ice Temperature control unit.

[0501] 26d = for example by introducing water particles or mixing the fluid with evaporated water, e.g. Humidification units, such as units adapted to increase the humidity of gaseous fluids passing therethrough.

[0502] 27 = A circulation pump, such as any pump capable of moving a liquid or gaseous fluid, e.g. It may be in the form of a piston or membrane pump.

[0503] 28 = Systems for circulating fluids, such as systems for handling circulating fluids. Stems can be used in, for example, fluid conduits, valves, gauges, pressure sensors, sterilization / filtration units, etc. / The temperature regulation unit / unit and a fluid pump may be provided.

[0504] 29 = A fluid conduit, e.g., any conduit capable of transporting a liquid or gaseous fluid, e.g., a flexible The material may be a polymeric tubing.

[0505] 30 = inlet, 30' = inlet inside the body

[0506] 31 = outlet, 31' = outlet in the body

[0507] 32 = A spring that provides a resilient action when a force is applied, such as a metal or polymer coil spring. springs, etc., adapted to provide

[0508] 33 = protruding member 33' magnet

[0509] 34=recess / groove

[0510] 35 = a ring or the like adapted to be positioned inside the patient's body, e.g., subcutaneously Intracorporeal ring, i.e., inner retractor member.

[0511] 36 = May be adapted for example to seal and / or connect and / or use a retractor A connecting member such as a flexible and / or resilient sheet material.

[0512] 37 = outer ring, i.e. positioned outside the patient's body, e.g. connected to the skin an outer retractor member, such as a ring, adapted to be attached to the retractor;

[0513] 38 = A valve member adapted to close an opening or hole, e.g. a flap valve A hub may be provided.

[0514] 39=Lever

[0515] 42 = Insets indicate, for example, any interchangeable parts or any recesses or protrusions vinegar.

[0516] 42' = Wall inset such as an inset provided in a wall portion.

[0517] 42'' = Body inset, such as an inset adapted to be placed in the patient's body .

[0518] 43 = self-sealing membrane refers to a membrane adapted to have, for example, flexible or elastic properties; This allows the membrane to move an object through the membrane, which then changes the membrane's flexible and / or elastic properties. It closes automatically depending on sex.

[0519] 44 = adapted to seal by itself when no external forces act on the membrane, e.g. Self-sealing holes, such as holes in membranes.

[0520] 45=pedestal

[0521] 46 = For example, manual, spring or power systems for winding sheet material. Roll-up system for stems, etc.

[0522] 47 = The interconnected ports are at least two ports, e.g., a body port and a wall port. Indicates a closable / openable port formed by connecting ports.

[0523] 48 = Closable ports or port units, e.g., including multiple closable ports or port units is a multi-port such as a port unit.

[0524] 48' = Wall multiport, such as a multiport adapted for positioning in a wall section.

[0525] 48'' = a device such as a multiport adapted for positioning within the patient's body Body multiport.

[0526] 49 = Support is any structural element adapted to absorb or transfer forces, for example Shows.

[0527] 50 = Sheet material with an adhesive substance or adhesive compound on the surface to adhere to other objects Such substances or compositions may be used for example as pressure sensitive adhesive Scotch-G by 3M. It may be a pressure sensitive adhesive such as rip 4268-NF.

[0528] 51 = adapted to generate mechanical work or to move, e.g., electric motor, air Motors such as pneumatic, hydraulic or combustion motors.

[0529] 52 = e.g., any element adapted to transfer some form of kinetic energy Kinetic energy transfer members.

[0530] 53 = For example, a first kinetic energy transfer member transfers kinetic energy to a second kinetic energy transfer member. Kinetic energy coupler, such as any coupler that can move a wheel.

[0531] 54=O-ring

[0532] 55 = Any element adapted to transmit some form of information, e.g., data Information transmission component.

[0533] 56 = Fluid coupler, such as any coupler capable of handling the movement of gaseous or liquid fluids .

[0534] 57=Magnet

[0535] 58 = Electrical energy connection, e.g., any element adapted to transfer electrical energy The electrical energy coupler may be a standard electrical coupler or a coupler for transferring wireless energy. It may be a sintering device.

[0536] 59=Sleeve

[0537] 60 = Tools such as chucks for gripping drilling or milling tools Ruholdera.

[0538] 61 = Window contact member, for example a member with soft polymer elements for wiping the window.

[0539] 62 = Fluid conduit (for window cleaning)

[0540] 63 = (window cleaning) nozzle

[0541] 64 = Fluid Dispenser (for window cleaning)

[0542] 65 = Cameras such as endoscopic cameras, e.g. cameras used in laparoscopic or arthroscopic surgery The camera may be a camera based on fiber optic technology.

[0543] 66=Coil

[0544] 67=Pressure generating member

[0545] 68 = Bellows, e.g. a chamber with pleated walls.

[0546] 69 = For example, instruments used in surgical procedures, such as implants or medical devices Medical devices and other objects.

[0547] 70=Incision retractor

[0548] 71=Inner wall

[0549] 72=Connection

[0550] 73=Sensing Probe

[0551] 74=Diode

[0552] 75=Detector

[0553] 76=Cuff

[0554] 77 = Removable coverings, such as sheet materials, for the purpose of covering parts of a medical device Sheet.

[0555] 78=Lead wire

[0556] 79 = A device adapted to retract the skin, for example around an incision made in the patient's skin. Retractor components such as elements.

[0557] 80 = For fastening objects such as insets or ports or for connecting additional connectors A coupling, e.g. a mechanical element, adapted to

[0558] 81 = specimens, e.g. bodily material that must be removed from the patient's body, specimens may be, for example, a tumor, a portion of the intestinal system, or an organ such as the patient's appendix or gallbladder.

[0559] 82=Pouch

[0560] 83 = For example, when the protrusion is in a first position, the protrusion is held in the first position, and when the protrusion is in a second position, the protrusion is held in the second position. a keyhole recess, such as a recess that allows the projection to be released when in position.

[0561] 84=Connection

[0562] 85=Bush

[0563] 86=Iris valve

[0564] 87 = Engage the patient's body, for example by holding the medical device and engaging the patient's skin A retaining member such as a mechanical element that is fixed to a

[0565] 88 = e.g., a magnetically operated or Closures such as vacuum operated closures.

[0566] 89 = For example, a grasping instrument, a joining instrument such as a suturing instrument or a stapling instrument, or an external It may be a cutting instrument such as a surgical scalpel, electromagnetic diathermy, or ultrasonic diathermy. , surgical instruments and / or endoscopic instruments, such as laparoscopic graspers, laparoscopic claw graspers, etc. instruments, laparoscopic stone graspers, laparoscopic needle holders, laparoscopic hooks, laparoscopic dissection instruments or laparoscopic diaphragms It may be a thermie device.

[0567] 89s = Adapted to join tissue or skin of a patient, for example with a stapler Stapling instruments such as instruments.

[0568] 92 = of the patient's body, e.g., to allow insertion of an instrument into a cavity within the patient A trocar, such as a hollow element adapted to be inserted into a

[0569] 93=Adjustment device

[0570] 94=Sealed subdevice

[0571] 95 = e.g., esophagus, stomach, small intestine, large intestine, anus, gallbladder, bile duct, kidney, renal pelvis, ureter, bladder, urine Organs such as the bronchus, heart, lungs, or airways.

[0572] 96 = Retaining member, e.g., a structural element that can be retained.

[0573] 97=hole

[0574] 98 = For example, receive input parameters to be monitored and take any action based on the received input A monitoring unit such as a unit adapted to provide an output of some form.

[0575] 99 = a cavity or opening, e.g., capable of receiving something inserted through it etc. open ends.

[0576] 1a-5u are adapted for surgical procedures on a patient's limbs, such as the patient's leg or arm. The medical device may be used in, for example, foot surgery, ankle surgery, knee surgery, etc. It can be used to perform surgery or fracture surgery involving the femur, tibia, or fibula. Surgery on the arm includes, for example, hand surgery, elbow surgery, shoulder surgery, and surgery on the scapula, clavicle, etc. This includes fracture surgery on the humerus, radius, or ulna.

[0577] FIG. 1a shows an embodiment of a medical device 0 for performing a surgical procedure. The chamber C encloses a sealed environment for performing a surgical procedure. It comprises an at least partially collapsible wall 1. At least partially collapsible wall 1 has a wall forming at least one elongated tubular enclosure 4 having an open end 99 The enclosure 4 extends into the chamber C and has an enclosure through its open end. The device is adapted to fit a portion of the patient's limb inserted into the closure. In the embodiment shown, the limb is the patient's leg.

[0578] The medical device is adapted to encircle the patient's leg and fold at least partially above the patient's skin. The sealing device 5 is adapted to seal between the wall 1 and the sealing device 5 shown in FIG. The chair is made of a resilient polymer material that applies pressure against the patient's skin, thereby providing a seal. According to the embodiment shown in FIG. 1a, the elongated enclosure includes a resilient sealing member. Only the portion of wall 1 that includes jack 4 allows the limb to be inserted into elongated enclosure 4. The wall surrounding the chamber is foldable or deformable to accommodate the The remainder of 1 is rigid, but in other embodiments, the entire wall 1 surrounding the enclosed environment is rigid. It is equally conceivable that the

[0579] FIG. 1b shows an embodiment of a medical device 0 similar to the embodiment of FIG. 1a, with the difference being that The embodiment of 1b has two walls integrated into the wall 1 that allow the procedure in a closed environment. The gloves 2a and 2b are further provided. The gloves 2a and 2b are connected to the wall 1. The pleated portion 3 allows free movement of the gloves 2a, 2b in a closed environment. and connected to wall 1.

[0580] FIG. 1c shows a medical device 0 according to an embodiment similar to that shown in FIG. 1a, The difference is that the medical device 0 with the second sealing device 5b encloses the limb at a more distal location. The points are fixed to the wall 1 that constitutes the elongated tubular enclosure 4 that encloses the This is useful because the patient's feet can be isolated and the feet are very difficult to disinfect. It is beneficial.

[0581] FIG. 1d shows an embodiment of the medical device 0 similar to the embodiment of FIG. 1b, with the difference being , the embodiment of FIG. 1d is adapted to receive a limb in the form of an arm.

[0582] Figure 2a shows a pressure of less than 1 bar to form a vacuum seal between the patient's skin and the medical device. The patient's body is sealed by a vacuum sealing member 5' adapted to maintain full pressure (low pressure). A vacuum sealing member 5' adapted to seal between the legs and the partially collapsible wall 1 is provided. The vacuum is supplied to the vacuum conduit 6. Therefore, a vacuum is formed by a vacuum pump 8 connected to the v...

Claims

1. 1. A medical device adapted to be positioned partially inside a patient's body through an incision made in the patient's skin, comprising: an internal sealing device comprising an internal sealing member adapted to be positioned in direct connection with and seal against at least one of the patient's internal organs or at least a portion of internal human tissue associated with and in contact with said internal organs, in order to form a seal between said medical device and at least a portion of said patient's internal organs or internal human tissue associated with said internal organs; a tubular wall adapted to form a medical device chamber partly inside the patient's body and partly outside the patient's body, the medical device chamber being sealingly connected to the internal sealing device; at least one instrument having a handle portion operably enclosed by the tubular wall so as to be operable from outside the medical device chamber; Equipped with Medical devices.

2. a second internal sealing device comprising a second internal sealing member adapted to be positioned in connection with and seal against at least a portion of the at least one human organ or tissue to form a seal between the medical device and at least a portion of the at least one human organ or tissue; The tubular wall is further connected to the second inner sealing member such that a portion of at least one human organ is disposed in contact with the medical device chamber between the inner sealing member and the second inner sealing member. The medical device of claim 1 .

3. The second inner sealing member has an adjustable circumference to encircle at least one human organ or a portion of human tissue. The medical device of claim 2.

4. At least one of the inner sealing member and the second inner sealing member is circular and has an adjustable diameter, and the circumference thereof is adjusted by adjusting the diameter. The medical device of claim 2 or 3.

5. The internal sealing device comprises: a. an internal vacuum sealing device comprising an internal vacuum sealing member that uses a vacuum to seal a human organ or human tissue associated with and in contact with said human organ; b. an internal pressure sealing device that uses pressure to seal a human organ or human tissue associated with and in contact with said human organ; and c. an internal adhesive sealing device that seals by adhesively connecting to a human organ or human tissue associated with and in contact with said human organ. The medical device of claim 1.

6. The inner sealing member includes at least one sealing surface adapted to connect to and seal against a tissue portion of a patient, the sealing surface being disposed at an end of the inner sealing device such that the inner sealing device axially seals against an area of ​​tissue against expansion of the tubular wall. The medical device of claim 5.

7. The inner sealing member includes at least one sealing surface adapted to connect to and seal against a tissue portion of a patient, the sealing surface being disposed on an inner circumference of the inner sealing device such that the inner sealing device can radially seal against expansion of the tubular wall and thus seal against the circumference of a tubular organ or tissue. The medical device of claim 5.

8. At least one inner sealing member has a pleated portion, the circumference of which is adjusted by adjusting the pleated portion. A medical device according to any one of claims 1 to 7.

9. The internal vacuum sealing device is an internal vacuum sealing device having a pleated vacuum conduit with perforations adapted to generate suction against tissue of a patient, wherein a seal is created between the pleated vacuum conduit and a human organ or tissue of the patient. The medical device of claim 5.

10. and a vacuum conduit adapted to connect the pleated vacuum conduit to a vacuum source external to the patient's body. The medical device of claim 9.

11. The perforations are located at the ends of the internal sealing device so that the internal sealing device can seal against a tissue plane.

11. The medical device of claim 9 or 10.

12. The perforations are disposed on the inner circumference of the pleated vacuum conduit such that the inner sealing device can seal radially against the outer circumference of a tubular organ or tissue.

11. The medical device of claim 9 or 10.

13. The internal sealing device comprises: a. on human organs; b. on human tissue associated with and in contact with said human organ; c. within an incision made in at least one human organ of the patient; d. the interior of at least one human organ or human tissue associated with and in contact with the interior of said human organ; and e. adapted to be positioned on at least one of the exterior of at least one human organ or human tissue associated with and in contact with the exterior of said human organ. A medical device according to any one of claims 1 to 12.

14. The medical device is adapted to seal fluids or other body-derived substances from inside at least one human organ with the medical device chamber to prevent the fluids or other body-derived substances from spreading outside the sealed space when an incision is made in the human organ. A medical device according to any one of claims 1 to 13.

15. The internal vacuum sealing member comprises a vacuum groove adapted to form a vacuum chamber with a human organ or human tissue. A medical device according to any one of claims 5 to 7 and 9 to 12.

16. The internal vacuum sealing device comprises a second or more vacuum sealing members comprising at least one second vacuum groove forming a second vacuum chamber with a portion separate from the human organ or tissue that forms the vacuum chamber with the vacuum groove.

16. The medical device of claim 15.

17. Equipped with a grasping instrument, equipped with at least one instrument 17. A medical device according to any one of claims 1 to 16.

18. At least one instrument including a laparoscopic camera 17. A medical device according to any one of claims 1 to 16.

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