Adjustable Surgical Access Port

Abstract

To provide an interconnectable port adapted to be at least partially placed in an incision in a patient's body.SOLUTION: An interconnectable port comprises first and second ports configured to be interconnected to form the interconnectable port. The second port is disconnectable from the first port. The first port is connected to a first portion of a flexible wall when the second port is connected to a second portion of the flexible wall. The flexible wall is adapted to form a chamber.SELECTED DRAWING: Figure 51

Description

[Technical Field]

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

[0002] As humans have existed for a long time, surgical procedures have been performed to some extent; however, Techniques that began to resemble the surgical procedures used today began to develop during the 16th century. Minimally invasive surgery is a procedure in which the surgeon performs the procedure through small incisions in the skin, resulting in minimally invasive surgery. The first is a concept that aims to minimize hospital stays after surgery. The procedure was performed at the beginning of the 20th century and industrialization for the procedure allowed for laparoscopic methods. Laparoscopic surgery is a procedure that is usually performed using small cuts of the skin. 1-4 trocars are placed in the thoracic incision. The patient is allowed to see the inside of the body. To create a cavity in the body, CO2 gas is usually injected through a trocar, which inflates the body. The gas is inserted through one of the trocars to ensure that the trocar seals properly against the patient's skin. The use of CO2 is necessary to reduce the expansion of the cavity from leaking out. As such, they do not create a large enough cavity for the surgeon to see through. Optical visibility is usually To obtain a view from the outside, a fiber optic endoscope is provided. Even though laparoscopic techniques are widely used today, complications do occur. In some cases, this leads to conversion to open surgery. The reason for this can be, for example, negligent infringement by a neighboring organization. The size of the tumor exceeds that expected or expected for inflammatory disease. The usual conversion rate for laparoscopic procedures varies between 5 and 36%. Because it is done without proper preparation and usually as a response to a challenge, patients undergoing conversion surgery are often unpredictable. Requires a longer post-operative hospital stay than regular open surgery patients, 70% higher Extremely, complications with conversion patients are also a lot higher than with elective open surgery patients. For example, in laparoscopic cholecystectomy, 10% of cases are converted to open surgery due to bleeding, and abscesses and The incidence of inflammation and transformation in patients with complications and patient mortality doubles. A common drawback is that the objects that can be transferred between the interior and exterior of the tolerant body are Usually, the cavity in which laparoscopic surgery is performed is occupied by a C0 2. Removing the gas and removing larger specimens from the body is recommended after the surgery. A surgical procedure in which a relatively large specimen is removed from the body. Examples of procedures include: appendectomy, cholecystectomy, nephrectomy, hysterectomy, and oophorectomy. , adrenalectomy, splenectomy, colon resection and liver resection.

[0003] Arthroscopy is a surgical discipline similar to laparoscopy, but focuses on the patient's joints. In arthroscopic surgery, the ligament can be operated without being fully opened. A small incision allows the surgeon to perform optical inspection of the joint and manipulating movements within the joint. At least one optical instrument (arthroscope) for at least one operating instrument for The clear fluid is made to enlarge the joint and allow for better vision within the joint. The benefits of arthroscopy over traditional open surgery are The result is that it reduces recovery time and increases the rate of surgical success. This is because the procedure imposes less trauma on the tissues and they heal faster. Arthroscopy is especially useful for professional athletes, as it can be a time-consuming procedure.

[0004] Because conventional arthroscopy is performed through multiple small incisions, it can alter the location of the joint. It has the same drawbacks as laparoscopic surgery, imposing limitations on the size of objects that can be obtained. Most arthroplasty cases can be performed using surgical arthroscopy, but generally all implants The size of the incision exceeds that of a typical incision made in a normal arthroscopic procedure. The procedure of arthroplasty is therefore limited to the use of open surgery. The passageway leading to the joint area thus defined provides a large surface area exposed to the operating room environment. It requires a lot of incision. The risk to patients undergoing surgery is significantly greater than in abdominal surgery, which has been the case for the last decade. This has been a focus area for orthopedic surgeons. Potential effects: prolong rehabilitation, morbidity and mortality. Bacteria, viruses, and parasites that enter the body can destroy healthy tissue. It can spread through the blood and can multiply. Although primarily occurring in the skin and other soft tissues, the infection can spread to bones (osteomyelitis) and joints. (septic arthritis) can develop. Orthopedic infections can cause limb loss or morbidity if not treated. do.

[0005] Increased awareness of the high risk of infection associated with orthopedic surgery has led to increased awareness of the need for orthopedic surgery during and after surgery. increased preventive measures. It is important to keep the incidence of infection at a minimum. Factors: Operating room design, meticulous surgical technique, and aseptic discipline in all areas of operation Specific precautions to take during orthopedic surgery include: Imposing restrictions on clothing worn in the operating room, including the use of protective clothing, and the standard of living in the operating room. The amount of air that is used is limited by the amount of air that is used in sterile operating rooms (e.g., air conditioning systems requiring special air). Use of purification filters. Complex instruments and machine parts are usually very difficult to sterilize. The most common solution to this problem is to complete the process with robotically processable sheets. The problem is that the entire surface is covered, and the process is time-consuming and expensive.

[0006] Operating environments in the industrialized world are usually very clean, and all procedures are carried out with care to prevent infectious diseases. This is done to reduce the risk that complications will have an impact on postoperative care. However, the environment in which surgery is performed is by no means always the industrialized world. Environment (possibly an operating environment or environment where proper sterilization of tools is difficult to perform) In one example, the surgery is performed in an operating room. In remote areas and mobile sterile environments, it is still necessary to pre-sterilize the instrument, as this is important. ,be.

[0007] of an interconnectable port adapted to be placed at least partially in an incision in a patient's body. The medical device is provided with an interconnectable port. and a first and second port adapted to be interconnected to form a The second port is detachable from the first port. the first port is connected to the first portion of the flexible wall when the first portion is connected to the second portion; and The flexible wall is adapted to form a chamber therein, which is a step in the surgical procedure.

[0008] According to one embodiment, the interconnectable port is a port in a body cavity of a patient. to perform endoscopic procedures and surgical procedures in medical equipment or rooms using endoscopic instruments Selecting either to perform at least one step in the chamber of the hand to be inserted For example, laparoscopy is required until the object has to be inserted into the patient's body. The procedure can be performed or the specimen can be placed on the patient, the subject, or the specimen can be placed on a medical device. When the interconnected port is disconnected, it can be transferred from the room to the patient's cavity. or must be removed from the body in the opposite direction.

[0009] According to one embodiment of the interconnectable ports, when disconnected from the second port, the first port The port forms a closable wall port so that the chamber can remain sealed.

[0010] An embodiment of interconnectable ports when a first port is isolated from a second port. According to the present invention, the second port forms a body port that can be closed independently. When an interconnectable port is disconnected, the patient chamber and cavity remain disconnected. The second port is separated from the first port and the second volume is separated from the first volume. When the first and second ports are interconnected, the chamber can be larger than the According to one embodiment, the first volume is 100,000 mm 3 According to one embodiment, the second volume is 500,000 mm 3 Greater than.

[0011] According to one embodiment, the medical device includes first and second fittings, the first port being a first When the first port is connected to the first fitting, the second port is connected to the second fitting. At least one of the joints may include a protruding member, and the first and second joints may At least one of the second joints may include a recess (which may be a groove); The protruding member is adapted to engage with the recess for locking the first joint to the second joint. It's fine.

[0012] According to one embodiment, in the first state, the interconnectable ports are adapted. The surgeon then connects the first and second ports together to form a series of interconnected ports. The second port is separate from the first port, as will be described shortly. When the catheter is inserted, the surgeon creates a flexible connection between the first and second ports of the interconnectable ports. The steps of the procedure can be performed within a chamber formed by the walls. The interconnectable port can be connected to the patient's body through a second port that can be adapted. Allow the surgeon to remove the specimen from the body and into the chamber, and perform 1: Place the book and remove the specimen from the chamber through the second port.

[0013] According to one embodiment, the first and second ports are adapted to be reconnected after being disconnected. Then, after the specimen is removed, the surgeon can operate through the interconnected ports. It could continue.

[0014] the interconnectable port is removably connected to at least one of the first and second fittings; The insets may further comprise a fixing inset, whereby the insets can be separated. and can be replaced by different insets. It may comprise at least one of: surgical gloves and a device or instrument attached.

[0015] According to one embodiment, at least one of the first and second ports is The seal is provided by providing a rubber or flexible membrane that is adapted to the pressure and that can be easily removed by hand under compression. or allows an object to be inserted through the membrane.

[0016] The first port may include an interconnectable port according to an embodiment of the present invention. a flexible or resilient membrane and a second port, in an uncompressed state, Flexible membrane (and single rubber or flexible membrane adapted so that they act as a second The membranes may be adapted to be tightly arranged together, and the first The seal can be provided by inserting a hand or object through the membrane in a compressed state. The first and second membranes allow for insertion of a measuring instrument through the membranes. A plurality of self-sealing holes may be provided.

[0017] According to one embodiment, the interconnectable port further comprises at least one: The vacuum seal is formed between the interconnectable port and the patient's skin. and a pressure seal adapted to maintain a pressure less than atmospheric pressure between the device and the patient's skin. The seal is formed between the interconnectable port and the patient's skin. The device is adapted to maintain a pressure above atmospheric pressure between the device and the patient's skin.

[0018] The interconnectable ports according to any of the previous embodiments, further comprising at least one: Filter devices for filtering fluids, sterilizers for directly or indirectly sterilizing fluids The device and the fluid-tempering device configured to change the temperature of the fluid.

[0019] Surgical procedures performed on a patient's body using interconnectable ports are further provided. It is being done. The interconnectable ports comprise first and second ports, and the method comprises: the second port such that a chamber is formed by a wall connecting the first and second ports; Separating the first port from the incision and performing the surgical procedure steps in the chamber Place the accessible port and make an incision in the patient's skin. The steps of the surgical procedure are performed in a laboratory to remove specimens from the patient's body cavity. and transferring the specimen through a second port and placing the specimen in a chamber of the medical device. It is equipped with: The surgical method may further comprise: Reconnecting the first and second through the interconnectable port is Such that a possible port is formed to perform a surgical step in the patient's cavity. Carry the.

[0020] A medical device for performing a surgical procedure on a patient is provided. at least partially to the patient's body to form a chamber in which an improved environment can be maintained. The chamber has walls adapted to accommodate the surgical procedure to be performed. where some walls directly or indirectly have a single open end. an elongated tubular enclosure extending through and adapted to the chamber; The tubular enclosure is inserted through its open end into the elongated tubular enclosure. The surgical procedure may then be performed on the patient's extremities. and a fluid discharge system for emptying fluid from the interior of the elongated tubular enclosure. The patient's extremities are then placed in the enclosure.

[0021] By emptying the fluid from the elongated tubular enclosure, bacteria or viruses can be removed. for the patient's extremities for cases reducing the risk of the device getting caught on the patient's skin The interior wall of the elongated tubular enclosure can fit snugly around the incision in the chamber of the medical device. be transported to the site.

[0022] According to one embodiment, when fluid is emptied from the interior of the elongated tubular enclosure, The elongated tubular enclosure is provided with an adhesive surface suitable for contacting the patient's skin.

[0023] According to one embodiment, the first portion of the elongate tubular enclosure may comprise an adhesive surface. and the medical device may further comprise a separation layer adapted to cover the first portion. and the separating layer may be adapted to be removed from the first portion. The adhesive surface is then placed on the patient's skin.

[0024] In one embodiment, the device is adapted to seal with the skin of the patient and at least one (medical examination with one sealing device): A medical device and a wall of an elongated tubular enclosure. The sealing device exerts an adjustable sealing force. It may be suitable.

[0025] According to one embodiment, the sealing device is hydraulically, pneumatically or electrically actuated. The pressure seal member is provided.

[0026] According to one embodiment, the sealing device comprises at least one vacuum seal attached to Provided with materials; walls, and the skin and walls of the enclosure and the patient's end and the elongated tubular enclosure applying a pressure less than atmospheric pressure to create a vacuum seal with at least one of the electrodes; It is suitable for

[0027] According to one embodiment, the medical examination apparatus further comprises at least one: A pressure-creating member connected to at least one of: hydraulically, pneumatically and a member connecting to the electrically actuated seal member and the vacuum seal member. The vacuum that is being created.

[0028] According to one embodiment, the body multiple ports are secured in an elongated tubular enclosure.

[0029] A method embodiment of forming a sterile environment in which to use a medical device is further The medical device includes a wall adapted to form a chamber, wherein the sealed ring The boundary can be maintained, where some walls directly or indirectly connect to the room. and extending at a distance of 100 mm to form an elongated tubular enclosure having a single open end. The method comprises attaching the medical device to the patient end, whereupon a tubular enclosure is formed. The patient's end is placed in an elongated tubular enclosure so that the end fits snugly against the skin. The fluid is emptied from the elongated tubular enclosure.

[0030] According to one embodiment, the method includes inflating a wall of the medical device so that an inflated chamber is formed. It further includes:

[0031] According to one embodiment, the method includes providing an elongated tubular enclosure for the medical device prior to attachment to the patient's end. Inflate the catheter and / or insert the medical device into the patient's end. Further comprising removing the separating layer from the enclosure.

[0032] It is further provided to perform an incision in the patient's body for communication with the body cavity. 1. A medical device for performing a surgical procedure on a patient, the medical device comprising: a wall adapted to be applied externally to a patient's body to form a chamber, wherein the sealed A controlled environment can be maintained for performing procedures, including parts of a surgical procedure. The sealing device is adapted to seal between the medical device and the patient's body. a cavity of the body (sealed from the surrounding environment (physical examination apparatus further comprising at least one) The fluid connection can be detachable to allow access to and manipulation of the chamber. at least one first port and chamber fixed to a wall for At least one first inset for removably fastening the portion to the wall and forming: at least one second port adapted to be detachably fixed to a wall; A second port and at least one second inset having a different design from the wall (first a second inset having a different design from the first inset) wherein the first port is replaceable by at least one of: The first inset is replaceable by at least one second port, the first Inset and second inset: first port, second port and second inset to.

[0033] Interchangeable ports allow for shifting, e.g., for endoscopic open procedures, or for patient vacancies. Manual manipulation within the cavity or from the chamber of the medical device to the cavity of the patient or to the chamber of the medical device For endoscopic instruments that use this technology.

[0034] According to one embodiment, the medical device is adapted to remain closed until at least one a valve member having at least a portion of the inset and at least a portion of the port; is placed in the first hole in the wall.

[0035] According to one embodiment, the walls of the medical device divide the chamber into at least a first compartment and a second compartment. The first compartment and the second port are provided with an outer wall and at least one partition wall. When the second port or second inset acts as an airlock channel, When fixed to the first port, the first port or first inset is the first section. The first port is fixed to the outer wall of the first chamber. When this is done, the environment in the second compartment remains closed.

[0036] According to one embodiment of the medical device, the medical device is adapted to provide at least one surface The adhesive further comprises: A fixed wall within the wall against the patient's skin and a seal is formed between the wall and the patient's skin.

[0037] According to one embodiment, the wall has a free upper surface suitable for contacting the surface of the patient's skin. The chamber is defined by upper and lower wall portions and a bottom wall portion. The wall portion is adapted to be attached to the patient's body before the start of the surgical procedure. When the patient is incised, the chamber may be opened through the bottom wall and the patient's skin. Rieru.

[0038] According to one embodiment, the medical device is inserted into the chamber and into the patient's skin, and the chamber and the patient's body are then inserted into the chamber and into the patient's skin. placed in an incision that is adapted to be continuously open to allow passage between the interior and exterior of the The device further comprises a retraction adjustment device adapted for

[0039] A method of performing a surgical procedure on a patient using a medical device is also provided. The medical device may, at a minimum, have a chamber in fluid connection with a body cavity of a patient. In order to ensure safe operation, the chamber (a sealed environment where surgical procedures, medical procedures, etc. are performed) is sealed from the surrounding environment. a sealing device adapted to seal with the medical device and maintained to contain a part of the patient's body; The device is provided with a wall adapted to be applied externally to the patient's body, forming a At least one removably fixed to the wall to allow access and operation to the chamber. forming a wall and a portion of the first port and the chamber and at least one of the walls and the portion of the chamber detachably attached to the wall; At least one first inset to be fixed to: At least one second port suitable for removably fixing to a wall, the first port A second port and wall (having a different design from the first inset) at least one second inset adapted to be removably fastened to the Inset of Figure 1. The method includes the following steps: The patient's body using a sealing device against the patient's skin (a sealed environment must be maintained) A sealed medical device that applies a wall on the patient's body to form a chamber with the Place the device on the patient's skin and create between the device and the wall at least one: Swap the first port to at least 1: a second port, a first inset, and a second inset (and at least one (Replace the first inset with this one): First port, second port and second inset (using different instruments (or hands) Different operational steps may be performed on different operational sites that use (something that seems possible).

[0040] A medical device for performing a surgical procedure on a patient is provided. A procedure in which a first pressure exceeding the sealed environment can be performed Forming a first chamber suitable for considering the order held between the part containing the surgical The device is provided with a wall adapted to be at least partially applied to the patient's body to form a A portion of the wall is configured to be attached to the patient's skin to create a substantially airtight seal between the wall portion and the patient's skin. The first chamber is adapted to contact the skin of the patient and to transmit fluid between the patient and the cavity within the first chamber. through the patient's skin in an environment where the incision is sealed so that a connecting tube can be made After this type of incision is made, the wall is Suitable for maintaining a substantially airtight seal with the skin. When performed, the device is suitable for medical testing, allowing fluid connections with a cavity above atmospheric pressure. The first chamber pressure is maintained at a predetermined pressure, wherein the wall comprises: A first pressure can be maintained in the first chamber and the second wall part. so that a second pressure can be maintained in the second chamber to which the second pressure is applied. The first wall part is designed to create a seal between the medical device and the patient's body against first and second pressures. Depending on the medical device in place, the first positive or negative pressure is applied to the patient. and A second positive pressure is provided in the chamber of the medical device and / or in the patient's body cavity. You can be there.

[0041] According to one embodiment of the medical device, the wall comprises a top portion and a bottom portion, which The bottom wall and the seal with the patient's skin are in contact with the patient's skin (surface to surface) and The first wall part is suitable for pressing and pressing when the pressure in the first chamber exceeds atmospheric pressure. The bottom wall is adapted to allow the patient's skin incision to be sealed in an environment. The incision may then be adapted to be cut through the sealed environment. This reduces the risk that bacteria can enter the incision site. Lower it.

[0042] According to one embodiment, the bottom wall portion is provided with an adhesive surface for at least one : Affix the wall to the patient's skin, sealing the wall portion and the patient between the bottom.

[0043] According to one embodiment, the bottom wall portion comprises at least one vacuum seal member; Attached to and integral with the wall, the seal member and the patient's create a vacuum. To create a vacuum between the skin and the wall to seal the skin, the vacuum is less than atmospheric pressure. Adapted for applying pressure.

[0044] According to one embodiment, the chamber volume is 100,000 mm 3 Greater than 500000mm 3 twist big.

[0045] A method for performing a surgical procedure in a sealed environment is also provided. The upper part of the device is attached to the patient's body so that a sealed environment can be maintained. A first wall is provided to form a chamber. applying a second wall part on the patient's body to form a second chamber together with the patient's body; The incision in the patient's body is connected to the ambient environment and a first pressure in the first chamber. Inflating the first chamber with a fluid to a second chamber (the second chamber at a different pressure than the first) inflating the first chamber with a fluid to create a second pressure; and The sealed environment is created between the first chamber and the second chamber.

[0046] A medical device for performing a surgical procedure on a patient is also provided, the medical device comprising: By itself or together with the patient's body, the sealed environment contains part of the surgical procedure. a part of the patient's body to form a chamber in which the suction can be performed The medical device has a wall suitable for at least application to a medical device. and a sealing device adapted to seal with the patient's body. The sealing device may be an air, hydraulic, or adjustable operating device with a pressurized sealing member adapted thereto. The nurse will then allow the patient's body to be exposed to higher pressures than atmospheric pressure during the surgical procedure. and pressurizing the medical device such that it is at least substantially sealed from the surrounding environment. After being applied at least partially to the patient's body, the wall thus adapted is closed. The device used is the smallest that seals the chamber; the incision is in contact with the patient's body and the incision. The fluid connection tube between the chamber and the patient cavity is created within the incision to form the chamber's patient. A sealing device is inserted into the wall of the chamber and into the skin of the patient. Thus, the sealing is adapted to remain unaffected, and The force of impact (the sealing device has a closed geometric configuration) The medical device is in a sealed contact with the skin and is pressed against the skin of the patient by the pressure applied from the sealing device. The direction is substantially opposite to the direction of the arrow, and thus suitable for maintaining a closed geometric configuration. A holding handle is provided. The medical device further comprises at least one of the following: a pressure adjusting means adapted to adjust the pressure acting on the sealing device and at least Also, a monitoring device for monitoring 1: the pressure acting on the sealing device, passing the sealing device Direct or indirect leakage of fluid from the bloodstream and chambers containing the sealing device (or the patient's body) By monitoring the pressure acting on the actuator (the effect of the actuator), the acting force can be determined to be adequate. This type of seal can provide a sufficient seal while causing minimal damage to the patient's body.

[0047] According to one embodiment, the sealing device is applied to the surface of the membrane that does not surround any limb of the patient. a closed geometric configuration suitable for use with and / or suitable for encircling a patient's limb It has a closed geometric configuration.

[0048] The medical device may further comprise at least one of the following: a sealed environment of the chamber; The surgeon should wear gloves outside the room to perform manual operations while maintaining the the chamber, at least one inset and at least one sealed The surgeon inserts the gloves with the integrated glove to maintain the environment and perform manual manipulations in the room. At least one person should be able to use gloves from outside the room to The gloves were integrated into the wall.

[0049] According to one embodiment, the bottom wall portion and the seal with the patient's skin are such that the wall is resistant to the patient's skin. The medical device has a bottom portion that is suitable for contact and pressing. The wall of the medical device is adapted to prevent the pressure in the chamber from increasing to atmospheric pressure. The bottom wall is adapted to allow the patient's skin incision to be sealed. It may be adapted to be turned off throughout the time it is to be performed in the environment.

[0050] According to one embodiment, the bottom wall portion is provided with an adhesive surface for at least one : Affix the wall to the patient's skin, sealing the wall portion and the patient between the bottom.

[0051] According to one embodiment, the chamber volume is 100,000 mm 3 Greater than 500000mm 3 twist big.

[0052] The medical device may be adapted to be at least one A second sealing device is provided. sealed and connected to at least one other thing; Wall and closable body port (integral part of at least one); The wall and the closable port embody at least one of the skin and the patient. Adapted to seal against tissue.

[0053] Method embodiments of performing a surgical procedure on a patient using a medical device are further provided. It is being done. The method comprises: The chamber ( A sealed environment may be maintained for the purpose of performing certain surgical procedures. applying a wall to the patient's skin to form a wall; injecting fluid into the chamber; The pressure inside the chamber from the sealing device onto the skin creates an incision in the patient's skin within the sealed environment of the chamber. and at least one that is above atmospheric pressure and is opposite to the direction of the applied pressure. Applying a holding handle adapted to hold a medical device in a direction substantially: Regulating the pressure by means of a sealing device and monitoring at least one: The pressure acting on the seal, the blood flow passing through the seal, and the direct flow of fluid from the chamber or indirect leakage.

[0054] A medical device is provided for performing a surgical procedure on a patient, the medical device being attached to the patient's body. Suitable for at least partially applying to a chamber, and further suitable for forming a chamber by itself. A sealed environment is implemented for either the patient's body or the patient's body. Is it possible to include some of the surgical procedures and maintain them? and at least one wall inset or wall The port is attached to the wall and the chamber in which the port is replaceable, where the wall inset or or adapted to allow operation inside walls: First position (where the inset or wall port is movable relative to the patient's skin or tissue) the first position (where the inset or wall port is closest to the patient's skin) or a fixed relative and secondary position to the tissue). Having the port or inset further away from the patient's skin allows for easier access to the chamber of the medical device. Use hands or instruments to operate, but do not use an endoscope near the skin. Facilitates manipulation of the patient's body cavity using tools or hands.

[0055] In one embodiment, mating with a wall inset or wall port can be achieved either directly or indirectly. A first fitting is provided that is adapted to secure the inset or wall port to the patient. It is configured for skin or tissue.

[0056] According to one embodiment, the wall comprises a first and a second joint, the first joint being located in a first position. and a second fitting is adapted to secure the wall inset or wall port in the first position. Suitable for connecting to a first fitting for fixing the

[0057] The medical device is adapted to be attached to other wall portions or to the skin or tissue of a patient. The first fitting may further comprise a body inset or a body port. or may be adapted to be disposed relative to the body inset, and may be first When the first and second fittings are connected in the first position, the wall port and the body port are The body port may be adapted to form an integral port. The body port may be adapted to connect to the first fitting. The second coupling may be adapted to:

[0058] According to one embodiment, when the wall inset or wall port is in the first position, the chamber A first volume can be assumed, and a second volume that is larger than the first volume can be assumed. When the inset or wall port is in the second position.

[0059] According to one embodiment, at least one of: The wall inset or at least a portion of the wall port is formed in the wall of the entire hole. The wall port can be fixed by inserting a hole in the wall port to close the chamber. A valve for closing may be provided.

[0060] According to one embodiment, the device is applied to the body of a patient on whom a surgical procedure is to be performed. The wall portion is adapted to form a seal between the wall portion and the patient's membrane. The vacuum seal member may further comprise a vacuum seal member adapted to maintain a pressure less than atmospheric pressure therebetween. The seal member may be adapted to create a substantially airtight seal with the wall portion and the patient's skin. and a fluid connection between the patient and the cavity in the chamber can be made. This allows the incision to be performed through the patient's skin in a sealed environment.

[0061] According to one embodiment, the device is applied to the body of a patient on whom a surgical procedure is to be performed. The wall portion is adapted to form a seal between the wall portion and the patient's membrane. It further comprises a pressure seal member adapted to maintain a pressure above atmospheric pressure therebetween.

[0062] A surgical method for performing a laparoscopic procedure in a sealed environment is also provided. The law requires that the walls of the medical device are sealed and connected to the patient's skin, and that the chamber is The wall of the medical device and the wall in relation to the patient's skin. The wall is provided with a wall inset or wall port for placement of the medical device. and moving the wall inset or wall port from the first position, where The wall inset or wall port is secured in relation to the patient's skin or tissue at the second location. and is farther from the patient's skin than the first position. The port is movable relative to the patient's skin or tissue.

[0063] According to one embodiment, the surgical method includes creating a fluid connection between the chamber and a cavity in the patient's body. The method further includes creating a skin incision in the patient's body.

[0064] According to one embodiment, the surgical method involves incising a portion of the wall of an incision made in the patient's skin. by placing a port or wall port and / or applying negative pressure to the sealing device. The patient's cavity is sealed to the patient's skin and / or laparoscopic fluids are used. The method further includes a blinding step, thereby enabling visual inspection within the patient's body. A cavity is formed.

[0065] According to one embodiment, the surgical method includes replacing a wall inset or wall port. Further comprising: an inset or chamber of a medical device or of a patient's cavity; The port to run the step on.

[0066] A medical device for performing an endoscopic surgical procedure on a patient is provided. The medical device, having at least an adapted wall, may be placed alone or in contact with the patient's body (sealed or otherwise). (a closed environment may be maintained for the purpose of performing, including parts of, a surgical procedure) Together, they are used to form a chamber in the patient's body. A vacuum seal is formed between the skin and the wall. or between the skin and the wall of the second chamber and the patient's skin in contact with the second chamber. When adapted to maintain pressure, the wall portion of the medical device contacts the skin of the patient on whom the surgical procedure is being performed. Pressure suitable for skin contact: Different from the pressure in the chamber, the pressure between the wall and the patient's skin is The vacuum seal member is thus configured to provide a seal between the , maintaining a pressure above atmospheric pressure at the chamber and below atmospheric pressure at the vacuum seal member. Make it possible.

[0067] According to one embodiment, the vacu-seal member forms a substantially airtight seal with the wall portion and the patient's skin. and an incision is made to create a fluid connection between the cavity in the patient and the chamber. The device allows the device to be performed through the patient's skin in a sealed environment.

[0068] The medical devices are placed one after the other to enhance the sealing effect provided by the vacuum. Multiple vacuum seal members may be provided for sealing and / or varying sealing positions. In this way, the patient's skin is not affected by the vacuum seal member.

[0069] The plurality of vacuum seal members are adapted to be arranged in series to seal a plurality of vacuums. The grooves may be provided.

[0070] According to one embodiment, the apparatus further comprises at least one medical examination; The sealed environment of the chamber is maintained while the surgeon is able to perform manual operations from outside the chamber. The chamber, at least one inset and at least one The surgeon's hands are also fitted with gloves to maintain a sealed environment. At least, so that gloves can be used from outside the room to perform manual operations. One glove was attached to the wall.

[0071] The medical device may further comprise an adhesive adapted to provide at least one surface. Possible: An enclosure with at least one wall fixed and tolerant to the skin between the device and the patient's skin, and at a minimum, between the wall and one of the enclosures. seal).

[0072] According to one embodiment, the medical device is attached to a wall allowing passage between the room and the outside of the room. The method further comprises at least one wall port positioned on the wall. The wall port can be removably fixed to the wall so that it can be replaced by a different port. This can be done.

[0073] According to one embodiment, the chamber is in fluid connection with a cavity in the patient's body through an incision in the patient's body. At that time, the medical device is used on the patient's body to perform a surgical procedure, The medical device further comprises: At least one inlet in at least one of: The walls of the medical device and at least one of the chamber and the cavity of the patient's body are provided with fluid. At least one provided in the patient and at least one Outlet skin: the walls of the medical device and the patient's skin for draining fluid from at least one of: the chamber and and body cavities. The health check that the device can perform is to circulate the fluid from the outlet member to the inlet member. The pump is suitable for

[0074] According to one embodiment, the medical device is configured to allow passage between the chamber and the interior of the patient's body. The device further includes a main body port adapted to be placed in the chamber of an incision made in the patient's skin for the purpose of It becomes.

[0075] According to one embodiment, the medical device has a sealing device adapted for at least 1 second. Prepare; sealed and connected to at least one other thing; The wall and the closable body form an integral part of the port and at least one ; The wall and the closable main body port (where the sealing device is located between at least one of the skin and the patient's 2) more suitable for sealing against fabrics;

[0076] In one embodiment, the patient (multi-port) is connected to at least one closable main body port. The incision chamber is made in the skin of the body (which may be suitable for connecting the a closable body multi-port adapted to be placed from the body; wall port, and when the medical device is used on the patient's body to perform a surgical procedure The walled multiport closable means that the ports are enclosed by walls, and at least one of any of the embodiments Equipped with a closable wall multi-port suitable for connecting to multiple devices; When the main body port and medical device are used on the patient's body to perform a surgical procedure, A body multiport that is placed in an incision in the patient's body.

[0077] A method of performing a surgical procedure on a patient using a medical device is also provided. A vacuum seal member suitable for maintaining the pressure of the second chamber is applied between the skin and the wall. A chamber (a sealed environment maintained for performing surgical procedures, including some The method comprises applying a wall on the patient's skin to form a negative pressure Forces are generated between the skin and the wall (at a pressure different from that of the chamber) and through the incision in the patient's skin. The pressure of the sealed environment of the chamber (like a vacuum seal) (Emptying the fluid from the vacuum seal member so that at least the second chamber is formed.) The method can further include injecting a fluid into the chamber, whereby Atmospheric pressure is created.

[0078] A medical device for performing a surgical procedure on a patient is provided. The device has a wall adapted to be at least partially applied to the patient's body to form a In this, a sealed environment is maintained for performing, including part of, a surgical procedure. A closable wall port can be placed in some of the walls. a sequesterable body port positioned in the second portion of the wall and configured to be placed in an incision in the patient's body; At least one sealing device is adapted; sealed and connected to at least one other thing; The wall and the closable body form an integral part of the port and at least one ; the wall and the closable body port, the sealing device has at least one opposite sealing Also suitable for: The patient's skin and tissues. The wall, wall port, and body port together provide an air barrier between the patient's body cavity and the surrounding environment. It is suitable for forming a lock channel, at which time the surgical procedure is performed. By forming a channel, objects or specimens from the patient's body are transported through the patient and surrounding environment. Between cavities in opposite directions while keeping the volume of the boundary or cavity sealed at any time in the patient's body can be transferred.

[0079] According to one embodiment, an elongated object can be displaced longitudinally through the wall and body port. The wall and body port are positioned relative to one another so that the wall and body port are capable of being inserted into the body.

[0080] According to one embodiment, the wall port is interchangeable between a first position and a second position. wherein the second position is further from the body port.

[0081] According to one embodiment, the wall suitable for the port is at least one: When the device is connected to the main body port and abuts against the main body port, it is locked to the main body port. It has become an integrated port along with the

[0082] According to one embodiment, at least one of: The port and the closable wall carried by the closable body comprise a permeable self-sealing gel. This maintains a sealed environment while allowing the object or hand to be inserted through the wall port. It is possible that this will happen.

[0083] According to one embodiment, the medical device further comprises at least one other body port, another At least one body inset, another wall port, and another wall inset, wall port, and body port. One can also be replaced by an additional port or another inset.

[0084] In one embodiment, a surgical procedure is performed on a wall portion adapted to be applied to a patient's body. The matching of the time further comprises at least one of the following: A vacuum seal member suitable for maintaining a pressure less than atmospheric pressure between the wall portion and the patient is provided. and a wall that seals between the patient's skin and the skin ... and a pressure seal member adapted to maintain a pressure above atmospheric pressure between the pressure seal member and the patient's skin. .

[0085] According to one embodiment, the vacuum or pressure seal is in contact with the wall portion and the patient's skin. and is adapted to create a substantially airtight seal between the patient and the cavity within the chamber. The incision is passed through the patient's skin in a sealed environment so that fluid connections can be made. This allows the system to be executed as follows:

[0086] According to one embodiment, at least one of the closable body multi-ports is connected to the patient's skin. The device may be adapted to be placed in a chamber of an incision to be performed in the body. Multiport is suitable for connecting to at least one; Wall port and wall multiport medical devices are used on the patient's body to perform surgical procedures When a closable wall port is used, it becomes a closable wall multiport (when a wall multiport is used, (suitable for connecting at least one thing); When the body port and medical device are used on the patient's body to perform a surgical procedure A body multiport that is placed in an incision in the patient's body.

[0087] According to one embodiment, a closable body port provides passage between the chamber and a body cavity of the patient. The device is adapted to be placed in an incision made in the patient's skin to allow

[0088] According to one embodiment, after the incision is made, the main body port is fitted into the patient's skin. The medical device is then used in the patient's body. and / or the closable body port can be connected by a partial wall. , the closable wall and the body port move relative to each other while connected by the wall portion It is possible that.

[0089] A surgical method for performing a laparoscopic procedure in a sealed environment is also provided. The surgical method includes a wall connecting the closable wall port and the closable body port. and creating an incision in the patient's skin. A fluid connection is made between the chamber and the skin of the patient's cavity. Place the closable body port in the incision and connect the port and closable body to the wall and and providing a sealing device formed by at least one closable wall; Connected to at least one: When integrated in at least one body port or wall; Body port or wall at the very least to seal and connect; At least one main body port placed in the incision and wall; The patient's body tissues and skin.

[0090] A surgical method for performing a laparoscopic procedure in a sealed environment is also provided. The method comprises making an incision in the patient's skin and, relative to the patient, forming a wall, a closable wall port. The incision has a wall, a closable body port, and a body port that is positioned in the incision. A medical device is provided having a chamber formed by a lockable wall and a body port. A patient's body cavity or sealed environment, including chambers and body cavities, sealing a medical device to the skin Communicating with the patient's tissue moving through the closable wall port to form a Allows the application to be configured to connect to a main body port, and Form an integrated port.

[0091] The surgical method further includes the step of inflating the patient's cavity using laparoscopic fluid. A cavity is formed that allows for visual inspection within the patient's body. and / or replacing a closable body port, to replace another port or the patient's body Insets and / or closable for performing operational steps in the cavity of Performing operational steps in a room with another port or medical device to replace the wall port Inset for the row.

[0092] The medical device according to any of the embodiments may be used to protect the body from the surrounding environment while a surgical procedure is being performed. Further provided is a method for transferring an object from a medical device to a cavity of a patient. A closable wall port (located in the wall of the medical device) is inserted into a chamber formed by the wall and the wall of the body port. Transferring the object through the patient's skin and into the patient's cavity and transferring the object through a closable body port placed in the incision. .

[0093] A method for forming an airlock conduit between the ambient environment and the patient cavity is further provided. The method includes providing a medical device having a wall connecting to a wall port and a body port. The chamber is formed by the wall of the medical device (closable body port), and the incision is Place the main body port and connect it to the body cavity by opening the patient's skin and the closable wall port incision. This allows communication with the cavity. waterway.

[0094] A medical device for performing a surgical procedure on a patient is provided. a first chamber in which a portion of a surgical procedure can be performed; a wall adapted to be at least partially applied to a patient's body to form a a medical device, some walls of which are suitable for being in contact with the skin of a patient on whom a surgical procedure is being performed; a first chamber having a catheter inserted therein and adapted to be placed between the first chamber and the body cavity; The main body port and the airlock placed in the wall of the medical device (airlock with waterway) Waterways: The first valve, the second valve, and the second chamber are positioned between the valves. The lock channel is suitable for forming part of a sealed environment, where the first The first chamber ( Through the body port (through the second valve) the medical device is transferred from the patient's body cavity to the target It is suitable for allowing a reversible passage, thereby reducing the risk of contamination.

[0095] According to one embodiment, the medical device maintains a pressure in the first chamber that is above atmospheric pressure. The patient's cavity is then expanded to provide improved visibility of the cavity. The pressure can be increased and / or above atmospheric pressure can be increased to force the powder particles into the chamber. It can be installed in a room reducing the risk of entry.

[0096] According to one embodiment (the second chamber has a larger volume than the first): 100,000mm 3 , 200000mm 3 , 300000mm 3 , 400000mm 3 Oh and 500,000 mm 3 .

[0097] According to one embodiment, the wall is at least partially collapsible and inflatable with a fluid. It is suitable to be used.

[0098] A sealed environment is maintained for at least one body cavity while allowing the surgeon to manually manipulate the body cavity. It is possible to use gloves from outside the room via a wall port or wall inset to As shown, the wall and / or body inset may have a small number of holes accumulated in the body inset. At least one glove may be provided; First chamber and body cavity.

[0099] According to one embodiment, the medical device further comprises at least one: A pressure less than atmospheric pressure between the wall and the patient's skin to seal between the wall and the patient's skin A vacuum seal member suitable for maintaining pressure against the patient's skin. When applied to the device, the pressure seal is applied to the patient's skin and the wall (pressure seal material is oily against the patient's skin). (suitable to be forced pressure-wise, pneumatically, or mechanically).

[0100] According to one embodiment, the medical device is provided between the first chamber and the environment outside the first chamber. from at least one wall port provided in the wall allowing the passage of objects; When the membrane is adapted, the port comprises at least one resilient membrane wall and a flexible membrane. in the uncompressed state (sealing the first chamber with the environment outside the first chamber), and , allowing a hand or object to be inserted through the membrane in a compressed state.

[0101] The medical device may be detachably connected to the body port to allow for replacement and removal of the body port. The device may further comprise a fitting suitable for attaching the device to the skin of a patient.

[0102] The method of transferring an object from the environment to a cavity of a patient and vice versa further comprises using a medical device. The method includes inserting an object into a body port (placed on the skin of a patient) of a medical device. A first chamber surrounded by a wall is moved, and a second valve is used to move the object into an airlock channel. and transferring the object through the first valve to the surrounding environment. The risk of

[0103] A medical device for performing a surgical procedure on a patient is provided. The medical device comprises: a wall adapted to be at least partially applied to a patient's body to form a chamber; A sealed environment is maintained in which part of the surgical procedure is to be performed. wherein a fluid connection between the patient and the cavity in the chamber is made. Before an incision is made through the patient's skin, the wall portion and the patient's The device is adapted to contact the patient's skin to create a substantially airtight seal with the skin. At least one wall and incision (around the incision) with a port or wall inset placed on some of the walls a second sealing member adapted to be placed on the outside of the patient's skin) around the patient's body wall; a sealing device connected to the wall having a first sealing member adapted to be placed in the cavity; and a sealing connection member suitable for connecting the first and second sealing members, and a sealing device. are suitable for sealing at least one of the chambers between which the fluid is connected. the first sealing member and the interior of the cavity toward the patient's skin so as to surround the body cavity, The cavity or wall inset is formed by exerting pressure from the sealing device, wall and wall port. When the tissue is connected, the second is directly or indirectly to the patient's skin. Using the medical device in a surgical procedure, a first incision in the patient's skin is made to seal the medical device. It can be performed in a sealed chamber, thus reducing the risk of infection.

[0104] According to one embodiment, the wall of the medical device is at least partially collapsible, and The chamber is configured to be inflated with a fluid having a pressure exceeding that of the air pressure. It may be good for keeping fit.

[0105] According to one embodiment, the sealed environment of the chamber is maintained while the surgeon is able to manually manipulate the chamber. The wall inset is placed on the wall so that it is possible to use gloves from outside the room. The device includes at least one glove stacked together.

[0106] The medical device may further comprise at least one of: A pressure less than atmospheric pressure between the wall and the patient's skin to seal between the wall and the patient's skin A vacuum seal member suitable for maintaining pressure against the patient's skin. When applied to the device, the pressure seal is applied to the patient's skin and the wall (pressure seal material is oily against the patient's skin). (suitable to be forced pressure-wise, pneumatically, or mechanically).

[0107] The medical device may further comprise an adhesive adapted to provide at least one surface. can: A fixed wall within the wall against the patient's skin and a seal is formed between the wall and the patient's skin.

[0108] The medical device is further connected to a main body multi-port adapted to be placed in the incision chamber of the patient's skin. The body multi-port may be adapted to allow passage of objects between the chambers. The device includes at least two ports and an incision inside the patient's body.

[0109] According to one embodiment, the sealing connection member comprises at least one of the second sealing members and The seal between the patient and the first sealing member and the skin of the patient's tissue is spring-loaded or resilient. be.

[0110] The medical device includes a closable body connected to at least one of the sealing device and the wall. The device may further comprise a port, which provides communication between the chamber and the interior of the patient's body when deployed. The chamber is adapted to be placed into an incision in the patient's skin to allow passage of the object.

[0111] According to one embodiment, the medical device removably connects the body port to the sealing device and / or wall. and / or a fitting adapted to attach to the patient's body port for replacement and / or It is the skin that allows for its application and removal.

[0112] A method of performing a surgical procedure on a patient using a medical device is also provided. The method includes applying a wall on the patient's skin to form a chamber. The sealed environment can cause cuts through the walls of the device and the patient's skin. In the case of a surgical procedure, including a surgical procedure, the patient may be kept in a hospital for a period of time. A fluid connection tube between the patient and the cavity in the chamber is provided to connect the first sealing member of the cavity around the incision to the patient. and a second sealing member is placed on the outside of the patient's skin around the incision. and a sealing connecting member connecting the first and second sealing members. and placing at least one of the above: directly or indirectly on the patient's skin. a second seal member sealing and directly or indirectly contacting the first seal member against the patient's tissue; Sealing of components.

[0113] A medical device for performing a surgical procedure is provided. a surgical procedure with a wall adapted for at least one surgical procedure, a wall port placed in the wall, a wall connected to the wall and configured to Sealing devices suitable for sealing against the body of a person, such that the chamber is formed by a wall, The wall port encloses a chamber for containing the patient's body and a portion of the patient's body. During the procedure, it is placed into an incision made in the patient's body and is detachably connected to a main body port. Suitable for.

[0114] When connecting to the main body port, it can be detachably connected to the wall port. For cases where endoscopic surgery within a patient's body cavity is performed through a wall port The wall port can be connected to the main body port. , and further separated from the body port to allow further movement of the wall port relative to the body port. The operation can be performed by endoscopic instruments through the wall port or by using the wall port. The medical device may be operated by a hand inserted through the chamber. The connectable / detachable wall / body port allows for endoscopic, public and and / or allows a combination of manual-assisted and endoscopic surgery to be performed.

[0115] According to one embodiment, the wall port is connected to the body port and the second port when the wall port is disconnected therefrom. When connected to the volume, the medical device is adapted to have a first volume. If the second volume is greater than the first volume, the first volume is 100,000 mm 3 Smaller and the second volume is 500000mm 3 It may be larger.

[0116] According to one embodiment, the wall is adapted to receive a pressure of atmospheric pressure above the chamber.

[0117] According to one embodiment, the medical device further comprises a fitting placed on the wall. The medical device is adapted to be fixed to the fitting. The device may further comprise a removable inset.

[0118] According to one embodiment, the medical device can further comprise a body port.

[0119] At least one protruding member and / or a body port in the wall of any of the embodiments The protruding member may be provided with a recess for locking the wall port to the body port. The recess is adapted to engage a recess in at least one of the wall port and the body port. Alternatively, the groove may be a single groove.

[0120] According to one embodiment, the body port is adapted to be fastened to a second fitting, and the wall port is The first and second fittings are adapted to be fastened to the wall port and the body port. Suitable for connecting to a port.

[0121] The first or second coupling can connect the first fitting to the second fitting Suitable for engaging a magnet or magnetic material in a first or second coupling for locking Equipped with a magnet or magnetic material.

[0122] At least one of the first and second joints may include a recess. According to at least one of the first and second methods, the hand is provided with a protruding member, and the protruding member is a second The recess is adapted to engage with the first coupling for locking the first coupling.

[0123] According to one embodiment, the recess is a groove in at least one of the first and second fittings. .

[0124] The medical treatment according to the embodiment further comprises at least one of: The vacuum seal is created by sealing the skin against the patient's skin and pressure against the patient's skin. A pressure seal is used to close the chamber and maintain a pressure above atmospheric pressure between the patient's skin. A suitable seal is placed on the patient's skin to close the chamber and the vacuum seal is placed on the patient's skin to close the chamber. It has adapted to maintain a pressure less than atmospheric pressure between the

[0125] In any embodiment of the wall port, in a first state, the wall port is connected to the main body port. It can be applied during surgery and operates inside the patient's cavity through a wall port. When the wall port is separated from the main body port, It can be easily stated that the surgeon performs the steps of the procedure within a chamber formed by walls. It is possible.

[0126] A method for performing a surgical procedure on a patient using a medical device is further defined. Interconnected ports are formed, and the steps of the surgical procedure are performed through the interconnected ports. The wall port is connected to a main incision in the patient's body, similar to how a stent is operated. When attached to the wall of the medical device, the body port forms a sealed chamber with the wall and the patient's body. The method comprises applying a wall (01) on the patient's body so as to

[0127] A medical device for performing a surgical procedure on a patient is provided. a first wall portion adapted for at least a portion of a surgical procedure, A second wall portion at least partially accommodates the second chamber surrounding the second chamber. The first wall portion encloses the chamber, forming a seal between the wall and the patient. The first wall portion is configured to accommodate a first pressure above atmospheric pressure. The second wall portion is adapted to be able to maintain a second pressure in the first chamber. A sealing medical device adapted to be able to maintain a force in the second chamber during making between the device and the patient's body, where the pressure is 1: above atmospheric pressure, and to provide a seal between the medical device and the patient under atmospheric pressure, and and the second pressure is different.

[0128] The medical device is provided in a second chamber that allows the first to engage the patient's skin. A pressure or vacuum sealed expanded cavity in the patient's body under or above pressure and / or an overpressure is maintained that prevents particles from entering the chamber. An overpressure may be provided in the first chamber of the medical device so that At the same time, it can be provided between the wall of the medical device and the patient's skin.

[0129] According to one embodiment, the second chamber may be configured to provide a pressure and / or medical pressure to exert pressure on the skin. To maintain pressure above the patient's tissue to create a seal between the device and the patient's body. Suitable.

[0130] The second pressure may be higher than the first pressure, so that the first pressure of the sealing member The pressure in the chamber above the stop device can withstand the force acting on it.

[0131] According to one embodiment, the second chamber may be configured to generate negative pressure and / or is adapted to hold the patient's tissue to create a seal between the medical device and the patient. The first chamber is a chamber in which the patient (the patient's cavity has the same pressure and is partially filled by the medical device) The patient has a cavity through a skin incision (forming a joint volume surrounded by a chamber) It may be suitable to be in fluid connection.

[0132] According to one embodiment, the medical device includes a patient (in the chamber) and a negative pressure source for creating a negative pressure in the second chamber. configured to be in fluid connection with a device generating a force and creating a possible vacuum. a second chamber with a second skin and / or tissue that can be attached to the second chamber; .

[0133] According to one embodiment, the first chamber provides a positive pressure between 5 mmHg and 120 mmHg. The second chamber is suitable for maintaining a negative pressure between 5mmHg and 120mmHg. Good for maintaining pressure.

[0134] The second chamber may be adapted to surround the patient's end and create a The second wall portion is sealed along the enclosed portion. The second wall portion allows the second chamber to create a second pressure. It is also suitable to exert pressure on the patient's end between the first and second pressures. Good sealing between the medical device and the patient's skin.

[0135] The medical device may further comprise a monitoring device for monitoring at least one of: a patient; The subject's blood pressure, the pressure in the first chamber and the pressure in the second chamber and pressure-generating element are The pressure-creating member is adapted to create pressure in the second chamber. The pressure-creating member is connected to a filter from the monitoring device. and adapted to receive feedback and create a pressure in the second chamber based on the received feedback. It may be possible.

[0136] The monitoring device may be a monitor configured to pressurize the blood in the patient. Provides feedback to the force-generating components.

[0137] A system is further provided, according to any of the embodiments, wherein the system is equipped with a medical device. The system is adapted to create a pressure exceeding 5 mmHg at a point in the first chamber of the medical device. The second medical device between the pressure-creating element and the vacuum-creating device The device is adapted to create a negative pressure of 5 mmHg in the chamber, and the patient's medical device, skin, and and / or tissue.

[0138] The second system is further provided comprising: According to any of the embodiments, the medical device may be provided with a pressure greater than 5 mmHg at the first chamber of the medical device. a first pressure-generating member suitable for generating a pressure, a second pressure-generating member suitable for generating a pressure, The second chamber of the medical device is provided with a pressure exceeding 5 mmHg. The device is adapted to create pressure and a seal between the medical device and the patient's skin.

[0139] The second pressure may be higher than the first pressure, so that the first pressure of the sealing member The pressure in the chamber above the stop device can withstand the force acting on it.

[0140] If a seal is further provided between the medical device and the patient's skin, A method of forming a chamber, the method comprising: placing a first chamber against the patient's skin so that the first chamber is formed by the wall itself; applying a first wall portion of the medical device or a second wall portion of the medical device to the patient's skin. So, the pressure is above atmospheric pressure, and this kind of very second chamber is blocked by the walls themselves or by the patient and and a first portion of the medical device formed by at least one wall and the skin against the patient's skin. Inflating the first chamber to pressure applying to the wall portion of two: pressure below atmospheric pressure the second wall portion is pressed against the patient's skin so that thereby sealing, wherein the second chamber is separate from the pressure of the first chamber. atmospheric pressure exceeding the pressure to provide pressure and emptying fluid from the second chamber Inflating the second chamber against a vacuum seal is created between the second wall portion and the patient's skin. .

[0141] Inflate the first chamber to a pressure between 5mmHg and 120mmHg. The first chamber may be inflated to 5 mmHg and 120 The chamber can be configured so that a negative pressure of between mmHg is created in the second chamber. The step of emptying the fluid from the second comprises emptying the fluid.

[0142] According to one embodiment, the step of inflating the first chamber comprises inflating the first chamber to 5 mmHg and 120 mmHg. Inflating the first chamber to a pressure between 1000 and 1500 kcal / cm² can be performed. Inflate the first chamber to a pressure between 5mmHg and 120mmHg. It may be equipped with inflation.

[0143] The method includes the steps of monitoring pressure in at least one of the first chamber and the second chamber. The method may further include:

[0144] The method may further include monitoring a physiological parameter of the patient, and disposing at least one of the first and second chambers based on the monitored physiological parameter. It can be inflated or emptied. Physiological parameters are measured by the patient's blood pressure. It may be pressure or blood flow.

[0145] The method may further include creating an incision in the patient's skin within the first chamber. A fluid connection is then made between the first chamber and the patient's body cavity. .

[0146] A medical device for performing a surgical procedure on a patient, the medical device comprising: (A sealed environment may be maintained for the purpose of performing some surgical procedures.) and adapted to be applied at least partially to the patient's body to form a chamber with the The medical device is placed on some of the walls and is positioned at the port that is placed in the incision on the patient's body. The device may further comprise a closable wall port adapted to be connected to the port. When the medical device is used on a patient's body to perform a surgical procedure, , connected to the wall and the patient (port is connected to the skin, the airlock channel between the patient's body cavity and the A closable port is disposed in the surrounding environment, forming at least a portion of the airlock channel. a closable wall) against the skin for a medical device to perform a surgical procedure A sealing device is provided that is adapted to seal the device against the patient's body when in use.

[0147] The airlock channel formed by the medical device while keeping the cavity sealed in the patient's body This allows for the transfer of objects and / or specimens from a patient's body cavity to the surrounding environment.

[0148] According to one embodiment, the closable wall port is an openable port placed in an incision in the patient's body. (Any of the body ports disclosed herein can be any of the The elongated object is then passed longitudinally through the port. The medical device is then inserted into the patient's body to perform the surgical procedure. Used for.

[0149] According to one embodiment, the closable wall port is interchangeable between the first and second positions. In the embodiment, the closable wall port is relatively close to at least 1. When used on the patient's body to perform a surgical procedure, the patient and the skin port (either However, the skin of any of the body ports disclosed herein may be the skin opening and the second position (where the closable wall port is further away from the patient's skin). It will be placed.

[0150] The port may be adapted to have at least one closable wall; It is connected to a port that is connected to a cavity in the patient's body. The connector is secured to the port.

[0151] According to one embodiment, the closable wall port comprises a permeable self-sealing gel. This maintains the sealed environment of the chamber while allowing the object or hand to enter through the closable wall port. It can be inserted through

[0152] The device may further comprise at least one medical; The closable wall port is adapted to be replaced by at least one Additional ports, insets and fittings; Additional ports, insets and fittings (for medical devices to connect to the patient for performing surgical procedures) used on the body).

[0153] According to one embodiment, the wall is adapted to receive a fluid in a chamber having an air pressure above the pressure. is doing.

[0154] The sealing device has a structure in which there is less than atmospheric pressure between the wall and the patient's skin to form a seal between the wall and the patient's skin. A vacuum seal suitable for maintaining pressure may be provided.

[0155] The medical device may further comprise at least one of: The airlock, which is located independently from the wall port and airlock, is integrated in the wall port. did. Allows passage of objects between the chamber and the surrounding environment without significant leakage of either the chamber or fluid. Airlocks in both cases are operational.

[0156] The vacuum seal may be adapted to create a substantially airtight seal with the wall and the patient's skin. And the fluid connection tube between the patient and the main cavity of the room is outside the connected chamber and cavity ( Any significant fluid leakage (when the medical device is used on the patient's body to perform a surgical procedure) through the patient's skin in a sealed environment so that the incision can be made without bleeding Enable it to be carried out.

[0157] According to one embodiment, the chamber is in fluid connection with a cavity in the patient's body through an incision in the patient's body. The medical device may then be used on the patient's body to perform a surgical procedure. can be. The medical device may further comprise at least one of: At least one inlet in at least one of: and a patient's skin for providing fluid to at least one of the walls and chamber of the medical device. The medical device has at least one outlet provided in at least one It can further consist of: a wall of the medical device and the patient's skin for draining fluid from at least one of: Chambers and body cavities.

[0158] The medical device comprises a pump adapted to circulate a fluid from an outlet member to an inlet member. It can become even more.

[0159] According to one embodiment, the medical device further comprises a detachably adapted fitting; Alternatively, it may be placed in a defined position, locked, or attached to at least one cut, abut, attached; Closable wall port, for separating port (which can be either The presently disclosed body port (placed in an incision in a patient's body that connects to a body cavity) and a wall (suitable for being applied at least partially to the patient's body). When a medical device is used on a patient's body to perform a surgical procedure, Run the port.

[0160] A closable wall port is placed in either wall portion and measures between at least one In some embodiments, the device may be configured to allow handling of the device; The cut is made completely through the patient's skin and through the patient via a closable wall port. The wall is then used to perform the surgical procedure. applied to the body of the person.

[0161] In any embodiment, the wall portion may be in the patient's body. To allow for the surgical procedure to be applied to the patient's skin, an incision must be made. It is suitable to be able to be made as it is.

[0162] A medical device system for performing a surgical procedure is also provided. A medical device comprising a medical device according to any one of the embodiments and a closable body port. The device system connects the chamber created by the medical device to a cavity in the patient's body. The medical device is adapted to be placed in an incision in a patient's body for performing a surgical procedure. It is used on the body of a person.

[0163] According to one embodiment, the closable wall port and the closable body port are secured by a portion of the wall. and a closable wall port and a closable wall portion connected by the wall portion. The available body ports can move relative to each other.

[0164] A surgical method for performing a laparoscopic procedure in a sealed environment is also provided. The law requires the placement of a medical device having a wall and a closable wall port in relation to a patient. The wall of the medical device then seals and connects to the patient's skin. The chamber is formed by the walls of the medical device and the patient's skin. An incision is made in the patient's body within the chamber. The incision port is then inserted into the chamber so that a fluid connection can be made between the chamber and the patient's cavity. and placing the fabricated closable body on the patient's skin.

[0165] A surgical method for performing a laparoscopic procedure in a sealed environment is also provided. The surgical method comprises: applying negative pressure to the chamber and the patient's body skin creating contact with the patient's body cavity; Make an incision and place a closable wall port (direct or indirect) on the patient's body toward the skin incision. to the patient's skin by moving a Positioning a medical device having a wall and a closable wall port relative to a patient; The wall of the chamber is then sealed to the patient's skin. It is formed by the patient's skin and seals the wall portion.

[0166] The surgical method may further include inflating the patient's cavity using laparoscopic fluid. A cavity is then formed that allows for visual inspection within the patient's body. do.

[0167] The surgical method further includes replacing the closable body port with at least one Can be done; Additional ports, inserts, and other devices are provided for performing operational steps in the patient's body cavity. Kits and fittings.

[0168] The surgical method further includes replacing the closable wall port with at least one can be; Additional ports, insets, for performing operational steps in the medical device chamber and fittings.

[0169] Method for removing an object from an environment that is more similar to the environment for a patient's cavity during a surgical procedure - Patents.com As stated, the method comprises: A first closable wall port (e.g., The object is transferred through the wall of the medical device, onto the patient's skin, and transferring the object through a closable body port placed in an incision made in the subject's cavity; .

[0170] If a patient cavity is further provided, an airlock conduit is formed between the patient cavity and the surrounding environment. The method comprises two immediately interchangeable steps: The body port is positioned at the incision to be made, and the wall of the medical device is sealed and connected to the patient's skin. and positioning the medical device having the closable wall port relative to the patient so as to The patient's skin and the wall of the main body port form a chamber.

[0171] A medical device for performing a surgical procedure on a patient is provided. The medical device maintains a sealed environment for performing procedures, including some surgical procedures. The container is provided with walls adapted to form a chamber into which the container can be inserted. The medical device may further comprise a closable wall port through which the medical device is placed in the wall of the portion, and the closable body port The card is adapted to be placed on the wall of a portion of the patient's body and further positioned incision, and The sealing device was connected to the wall and adapted to seal against the skin and / or the patient's body. The port is an airlock between the cavity and at least one of the volume of the patient and the surrounding environment. Wall ports and bodies forming waterways; Closable wall port, closable body port, port and closable body together and a closable wall forming an airlock channel between the patient's body cavity and the surrounding environment. The medical device is then used on the patient's body to perform a surgical procedure. can be.

[0172] The airlock channel formed by the medical device while keeping the cavity sealed in the patient's body This allows for the transfer of objects and / or specimens from a patient's body cavity to the surrounding environment.

[0173] According to one embodiment, the sealing device is adapted to be applied by pressing it against the patient's skin or tissue. A pressure seal member is provided that is suitable for sealing with the wall of the medical device and the patient's skin.

[0174] According to one embodiment, the sealing device is adapted to be pressured under atmospheric pressure against the patient's skin or tissue. The container may further comprise a vacuum seal member suitable for sealing therewith.

[0175] An elongated object is longitudinally displaceable through the closable wall and body port Thus, the closable wall and the body port can be positioned relative to one another.

[0176] According to one embodiment, the closable wall port is in the first position (the closable wall port is in the closable The valve is interchangeable between a first position (relatively near the body port) and a second position. In this embodiment, the closable wall port is further from the closable body port.

[0177] According to one embodiment, the closable wall is adapted to have at least one port; attached and locked into a closable body port do.

[0178] The medical device may have a separate port or separate inset therein. , at least one of the closable ones, and a closable main body port that walls off the port is additional Interchangeable by port or inset.

[0179] According to one embodiment, the closable body port is located within an incision made in the patient's skin. The device may include a closable body multi-port suitable for placement from a In this case, the closable main body multi-port provides communication between the chamber and the inside of the patient's body. at least two closable body ports adapted to allow for passage of the fluid therethrough. In the case where the closable main body multi-port is suitable for connecting to at least one There are; Wall ports and wall multiports, which are placed together in the patient's incision, connect to the body cavity. The medical device is then used on the patient's body to perform a surgical procedure. and the closable wall port comprises a wall multiport. and two closable wall ports, wherein the wall multiport comprises at least one Suitable for connecting to; Connected to a body cavity (a medical device used in a patient's body to perform a surgical procedure) A closable body port and a closable body multi-port are placed in an incision in the patient's body.

[0180] The medical device may further comprise at least one of: At least one inlet in at least one of: a patient and a patient-receiving device for providing fluid to at least one of a wall and a chamber of a medical device; The skin of the body cavity. The medical device has at least one outlet provided in at least one It can further consist of: a wall of the medical device and the patient's skin for draining fluid from at least one of: Chambers and body cavities. The medical device may include a pump adapted to circulate the fluid from the outlet to the inlet. can proceed.

[0181] According to one embodiment, a closable body port provides passage between the chamber and the interior of the patient's body. It is adapted to be placed in the chamber of an incision to be made in the patient's skin to allow

[0182] The medical device is removably attached to at least one closable body port. The device may further comprise a fitting adapted to: A patient's skin and closable wall port that allows for replacement and removal of the closable body port. to.

[0183] According to one embodiment, a closed loop is provided so that it allows for the handling of the measuring instrument to at least one The chainable wall port can be adapted and placed in the wall section; A cut is made through the patient's skin via a closable wall port and completely inserted into the chamber (the wall of the patient's A cut is made through the patient's skin with an instrument placed on the skin (applied to the body).

[0184] According to one embodiment, the wall portion itself is configured to allow for a surgical procedure in which the wall is applied to the patient's body. Suitable for use in the surgical procedure, the device can be cut to reach and make an incision in the patient's skin. There are.

[0185] a closable body that may be adapted to have at least one port; The skin after the incision and the closable body after the incision are made in the skin After being inserted into the skin of the patient, the device is attached to a closable wall port created in the skin. The patient is the body that is fitted to the object and to which the medical device is applied.

[0186] According to one embodiment, the closable wall port and the closable body port are secured by a portion of the wall. The closable wall and body ports are connected by the wall portion. They can move relative to each other.

[0187] Method of forming an airlock channel for use in performing a surgical procedure on a patient and a method for applying a wall to a patient's body to form a chamber with the patient's body. wherein the sealed environment is used to perform a surgical procedure, including and the wall can be maintained to have a closable wall port and a closable wall port. Further methods include providing a body port and providing a wall-mounted device against the skin and / or the patient's body. a sealing device connected to the patient's body to seal the device between the wall of the medical (An airlock channel appears to be formed between the closable wall port and the main body port. and placing a closable body port between the body incision and the patient's skin. do.

[0188] A medical device for performing hip surgery on a patient is provided. The medical device comprises: The wall may be at least partially, alone or in combination with the patient's body to form a chamber. It is adapted to be placed in the body, whereupon a sealed surgical environment is created in the chamber. The chamber is placed over the patient's skin and the hip joint for at least one step of the hip surgery to be performed. It is suitable for containing nodal surgical incisions, while maintaining a sealed surgical environment. The further medical device may be connected to a wall and adapted to seal with the wall, and the patient (sealing device) The device forms at least a special loop by enclosing at least one of the following parts: and skin or tissue of the skin. The sealing device seals at least one of the surgical and hip joint incision sites. The following areas and regions of the legs, pelvic area, abdomen, groin, buttocks, and chest are retracted: Anal opening, urethral opening and perineal area. By creating a sealed environment, the risk of infection can be substantially reduced. can. The risk of infection is particularly great when performing prosthetic surgery inside a patient's joint. That is why it is important to maintain a controlled environment.

[0189] According to one embodiment, both the urethra and the anus form a sealed surgical environment. The sealing device is positioned to prevent entry into the enclosed chamber.

[0190] According to one embodiment, the medical device is connected to a wall and provides a seal between the ambient environment and the chamber. The device further comprises a second sealing device adapted to surround the patient's leg.

[0191] By itself or in conjunction with a medical device to hold the medical device in a desired position. The therapeutic device may further comprise a holding handle adapted to encircle a portion of the patient's body.

[0192] Some walls can be directly or indirectly fitted with at least one open end. The enclosure can be formed into an elongated tubular enclosure having a plurality of proximal and distal ends. The first open end of the housing is adapted to fit at least some of the legs, and some of the legs extend through the first open end of the housing. The medical device is positioned so that it reaches the enclosure through the surgical instrument. It is performed on the legs of a person.

[0193] The walls of the medical device may be adapted to form a chamber that is free from the patient's body involvement. The wall portion forming the chamber may also form a tubular enclosure, and the tubular enclosure The enclosure may also form a second chamber with the patient's body. The seal may be adapted to be sealed at a first or more open ends by

[0194] According to one embodiment, the chamber is adapted to communicate with the operating field during a surgical procedure. When the patient's skin is incised into position inside the chamber, the walls surrounding the chamber allow at least 1 wall ports or wall insets that can be attached to wall sections for Objects moving into and / or out of the chamber or field of operation The manual operation being performed.

[0195] The medical device may further comprise a body port or body inset, and a wall port. Port or wall inset is a port or body inset for May be suitable for connecting to the body: Transfer of objects from the surrounding environment to the field of operation and integrated insets Integrated port allowing operations to be performed in the field from the environment Wall ports allow objects to be transferred from the ambient environment to the room. The body port and the wall port may be adapted to be isolated from each other, such as Wall insets allow manual operations to be performed in the room from the surrounding environment. It is possible, and the body port allows objects to be moved from the chamber into the field of operation. or the body inset allows manual operation to manipulate the patient's body cavity. It is possible that the field can be implemented.

[0196] According to one embodiment, the chamber may be adapted to communicate with an operating field during a surgical procedure. The portions of the walls forming the chamber and the tubular enclosure are to be opened at those portions. This type of surgery is suitable for patients with hip joint surgery incisions and openings with fields of operation. It is suitable for placement in a room that allows communication. Some wall ports contain only a chamber to allow wall ports or or with wall inset, from the outside of the room of the least; At least one object moving below; In the field of operation, manual operation is performed in at least one chamber; chambers and areas of operation.

[0197] According to one embodiment, the port or inset includes a first and a second portion. The first portion is formed in a portion of the wall forming the chamber and the tubular enclosure. To make communication between the chamber and the field of operation, mounted in a hole to allow a first wall port or a first wall inset adapted to be opened for The part comprises a wall port or wall inset; wherein the passage between the chamber and the operating field includes a first wall port or wall inset. and a field of operation in which a chamber is positioned between the tubular enclosure and the patient's skin. In order to be carried out from a second further chamber, the field of operation and / or manual operation is The object moves further from the chamber, and the chamber has a size equal to or greater than zero.

[0198] The body port and the wall port are adapted to be locked together in at least one fixed position. It may be possible.

[0199] The medical device may comprise at least one: Interchangeable first wall port and second interchangeable wall inset (wall port (different from wall ports and wall insets) must be at least one of the wall ports or wall insets. They adapted to replace them.

[0200] According to one embodiment, the medical device may comprise at least one: The second interchangeable body port and the body port and the body inset are different from the body Inserted in a manner suitable to replace at least one of the port and body inset Second interchangeable body.

[0201] The medical device may further comprise a second interchangeable integrated port different from the integrated port. and adapted to replace the integrated port during the surgical procedure.

[0202] The walls of the medical device may be at least partially collapsible and / or the chamber may be fluid-accessible. It may therefore be suitable for being inflated.

[0203] According to one embodiment, a surgical instrument is provided to maintain a sterile environment in the room while allowing the surgeon to perform manual manipulations. Insets are integrated into the wall so that gloves can be used from outside the room. At least one glove is provided.

[0204] According to one embodiment, the medical device is a device or device suitable for holding a measuring instrument in a chamber. It further comprises an instrument mount.

[0205] According to one embodiment, the sealing device is attached to at least one of the wall and the enclosure. and at least one of the edges and walls and enclosure is attached between the patient's skin and A vacuum seal is placed between the patient's skin and the vacuum seal to create a vacuum that seals the patient's skin. The vacuum seal may be adapted to apply less pressure.

[0206] The sealing device is attached to at least one of the wall and the enclosure to create a patient the skin of the patient's extremity, which may be provided with a pressure seal member adapted to be pressed against the skin of the patient's extremity. and pressurizing the seal between at least one of the wall and the enclosure. The pressure seal is hydraulically, pneumatically, or mechanically forced against the patient's skin. It may be suitable for being controlled.

[0207] The device may further comprise a suitable adhesive. do: Enclosure and skin of at least one of the walls fixed and tolerant and (between the patient's skin and at least one of the walls and enclosure) (This is the case.)

[0208] According to one embodiment, the medical device comprises an air evacuation system adapted to evacuate air from the second chamber. The patient end portion is then placed in the enclosure. The system may be adapted to evacuate air from the vacuum seal member.

[0209] The medical device has a chamber circumferentially disposed at least partially around the end of the patient, radially relative to the longitudinal axis of the end. The medical device may further comprise a notch for attaching the medical device to a wall thereof. The chamber may be adapted to be at least partially closed by a closing element attached thereto. When the medical device is positioned peripherally at some ends, the medical device is positioned on the first and second sides of the notch. The first and second portions may comprise at least Also suitable for interconnection by one: Adhesives and mechanical connectors.

[0210] At least one inset or port is in the first position (the inset or port is in the patient's are relatively close to the patient's skin or tissue and directly or indirectly or tissue) and a second position (insert or wall port in the first position) The wall may be replaceable between the patient's skin and the wall. It is applied at least partially to the patient's body.

[0211] A method of performing a hip surgery on a patient using the medical device is further provided. The method further comprises a sealing device at least partially surrounding one or more of the following: A chamber that uses a seal between the wall and the patient's skin to form a special loop (A sealed environment may be maintained for the purpose of performing some surgical procedures.) and applying the wall to the patient's skin to form a first seal. The device seals at least one of the surgical and hip incision sites. The lower legs, pelvic area, abdomen, groin, buttocks, chest area and areas are retracted: The anal opening, urethral opening and perineal area. A further method involves sealing the chambers of the medical device. The incision site may cause cuts due to the environment provided.

[0212] A medical device for performing hip surgery on a patient is provided. The device is positioned at least partially within the patient's body, forming a chamber with or without the patient's body. The wall is adapted to maintain a sealed environment for the surgical procedure and The chamber covers the patient's skin and at least a portion of the hip surgery incision to be performed. Suitable for inclusion.

[0213] The further medical device comprises a first sealing device and a waistband adapted to be connected to the wall and to seal with the wall. At least one part of the surgical incision and the operative hip joint surgery is performed The device is provided with a seal to separate the patient's skin or tissue. The anal opening, the urethral opening, and the chambers are still sealed, and the A sealing device comprising at least one part of the shadow area: The first part of the sealing device and the medical device are connected to the patient's body to be involved in closing the room. Suitable for holding in place by enclosing at least one leg or an extension thereof. The first holding handle. The further medical device may include at least one second part of the sealing device to at least partially seal the medical device. By surrounding the entire body from left to right above the legs, at least one of which is selected It has a second holding handle suitable for holding it in place. The level of the pelvis (as well as the abdominal or thoracic area of the patient) is involved in closing the room. The medical device further comprises at least one of the following: From the medial cranial part of the leg where it meets the groin to the side where the sealing or hip surgery is performed in its extension (further in a lateral cephalad direction in the plane above the midline of the patient's abdomen on the back) a third part of the sealing device that is suitable for sealing the second sealing device; and the walls extend at least partially in the cephalad direction until the chamber and / or a third retaining handle adapted to close the chamber and to seal at least one of the chambers; a first portion of the sealing device, a second portion of the sealing device, and a third portion of the sealing device; the anal opening, the urethral opening and at least part of the perineal area.

[0214] By creating a sealed environment, the risk of infection can be substantially reduced. The risk of infection is particularly high when performing prosthetic surgery inside a patient's joint. And that is why maintaining a controlled environment is important.

[0215] According to one embodiment, both the urethra and the anus are enclosed, forming a sealed environment. A sealing device is positioned to prevent entry into the chamber.

[0216] The medical device is adapted to be placed on the outside of the patient's skin around the incision and a second The incision and sealing performed in the seal members interconnects the first and second seal members. a first sealing member adapted to be placed within the patient's skin around the connecting member; The device may further comprise a second sealing device comprising: The second sealing device is suitable for sealing with at least one of: the second sealing member and the patient and the first sealing member and the patient's tissue skin.

[0217] According to one embodiment, by itself or to keep the medical device in a desired position, At least one of the first and second holding handles, together with the sealing device, is adapted to contact a portion of the patient's body. Suitable for surrounding.

[0218] At least a portion of the wall of the elongated tubular enclosure has at least one open end. The enclosure may be formed directly or indirectly from at least one and the leg portion may be adapted to fit through its first open end. The medical device can then be positioned so that it reaches the enclosure. The procedure is to be performed on a part of the patient's body.

[0219] According to one embodiment, the chamber is formed by a wall that does not involve the patient's body, and A portion of the wall forming the chamber is also suitable for forming a tubular enclosure. When performing a surgical procedure, one wall faces the interior of the chamber, and the other faces the tubular outlet. The tubular enclosure has two wall sides facing the tubular enclosure. the first or more open ends are contained by the device and sealed by a body portion of the patient. The tubular end may be configured to be inserted into at least a portion of the second chamber. The wall part facing the closure is adapted to form a second chamber together with the patient's body. That's fine.

[0220] According to one embodiment, the chamber is adapted to communicate with the operating field during a surgical procedure. Once inside the chamber, the patient's skin was incised into position. The wall containing the chamber may have wall ports or wall interfaces attached to the wall portion of the chamber to allow having an offset; Objects moving into and / or performing in a chamber or field of operation Manual operation.

[0221] According to one embodiment, the medical device further comprises a port having first and second portions. The first part is a chamber in which the object is to be operated on from a further chamber in the field of operation and / or a hand It is attached to the patient's cut skin so that it can be moved further out of the chamber for manual manipulation. The second part may have a body port or body inset suitable for It may be equipped with a port or wall inset.

[0222] The two parts of the port or inset may be adapted to be attached together. and forming an integrated port or inset that allows the object to be seen outside the room. Move directly from the field of operation to the field of operation and / or manual operations performed in the field of operation The two parts or insets of the port are separated from each other. detachable and adapted to be placed in one or more locations, thereby The second part of the inset is brought into the chamber and / or manual operation for the object to be performed. A first part of a chamber and a port or inset suitable for use in It is used to allow the part to be inserted through the cut skin into the patient's body. From the chamber passing the cut skin to the field of operation and / or manual operation to be performed Oppose moving from.

[0223] According to one embodiment, the chamber is adapted to communicate with an operating field during a surgical procedure; and The wall portions forming the chamber and the tubular enclosure are The patient's hip surgery incision and opening are minimal inside the chamber, and the operation field is from outside the chamber (Part of the wall side containing the chamber only to allow wall ports or wall It is arranged to allow this type of communication with Suitable for and suitable for being opened; a) oppose to move to at least one thing; Manual operation in the field of the chamber and operation performed in at least one; chambers and areas of operation.

[0224] According to one embodiment, the medical device includes a port or inset including a first and a second portion. The second part has a wall port or wall inset, and the first part has a chamber and and is attached to a hole in a portion of the wall forming the tubular enclosure, Suitable for opening to create communication between the operating room and the field of operation A first wall port or a first wall inset is provided, wherein the chamber and The passage between the operating fields includes a first wall port or inset and the operating fields and wherein the chamber is inserted into a second further chamber located between the tubular enclosure and the patient's skin. Objects that move further from the chamber to the field of operation and / or manual operation to be performed, and The chamber has a size equal to or greater than zero.

[0225] According to one embodiment, two parts of the port or inset are attached together. Suitable for integrated ports and insets and thereby allowing Palpate each other to form a; Use of moving objects and / or integrated ports or insets in the field of operation The chamber is open, and the port or inset is located on the outside of the two parts. Manual manipulations performed in the field involve one or more positions that are not in contact with each other, and , thereby adapted to be separated from each other; Use wall ports or insets on the second part to allow; a first portion of the chamber that moves to and further allows for manual manipulation to be performed in the chamber; Objects using first wall ports or first wall insets; Object moving from the chamber passing the cut skin into the field of operation and / or minute of operation Manual manipulation is performed from the chamber through the cut skin further into the field.

[0226] Two parts of a port or inset are locked together in at least one fixed position It may be suitable for use.

[0227] The room containing the surgical procedure is suitable to reduce the infection risk of the surgical procedure. When the two parts are separated, both of the two parts of the port have a fluid-tight valve. It may be suitable to provide.

[0228] According to one embodiment, the second part is provided with a fluid-tight valve. can be.

[0229] In the embodiment walls and enclosures any of the above may be sealed and at least one of the end and wall and enclosure between the patient's skin. a vacuum seal member and a patient to create a vacuum sealing at least one of the chambers; The device includes a vacuum seal member adapted to apply a pressure less than atmospheric pressure between the device and the skin of the wearer.

[0230] In the embodiment walls and enclosures any of the above may be sealed a pressure seal member attached to at least one of the wherein the pressure seal member is adapted to press hydraulically or pneumatically against the patient's skin. Suitable for application or mechanical force to the skin and walls of the patient's extremities and and pressurizing a seal between at least one of the enclosures.

[0231] The medical device may further comprise an adhesive adapted to provide at least one surface. can: Enclosure and skin of at least one of the walls fixed and tolerant and (between the patient's skin and at least one of the walls and enclosure) (This is the case.)

[0232] According to one embodiment, the medical device comprises an air evacuation system adapted to evacuate air from the second chamber. The patient end portion is then placed in the enclosure. The system may further be adapted to evacuate air from the vacuum seal member.

[0233] According to one embodiment, the medical device is adapted to contact at least a portion of the patient radially with respect to the longitudinal axis of the edge. The end has a notch for peripheral placement of the chamber. The notch is attached to the wall of the medical device. The opening may be adapted to be at least partially closed by a closing element provided therein.

[0234] When the chamber is positioned at the least part of the periphery, the medical device is positioned at the first and second slits. The second side may include first and second portions, the first and second portions being Suitable for interconnection by at least one: Adhesive surfaces and mechanical connecting members.

[0235] According to one embodiment, at least one inset or port attached to the wall is 1. Position (where the inset or port is relatively close to the patient's skin or tissue) directly or indirectly connected to the patient's skin or tissue) and a second location (in the inset or wall port is further from the patient's skin than in the first position) The wall is adapted to be displaceable, and the wall is then at least partially adapted to the patient's body. will be done.

[0236] A method for performing hip surgery on a patient using a medical device is provided. a method comprising forming a chamber using walls with or without the patient's body; Placed at least partially on the patient's body (for at least part of the hip surgery procedure to be performed) The chamber contains part of the three steps and maintains a sealed environment for the surgical procedure. a first sealing device connected to the wall between the wall and the skin or tissue of the patient, The sealing steps include: In at least one to at least one part of a hip joint surgery, the operative field is sealed: 3. Keeping the chamber still sealed, close the chamber using at least one medical device. by encircling at least one leg or an extension thereof of the patient to be involved in and to keep it in place, and to cover the anal opening, the urethral opening and at least one part of the perineal area. Department; A sealing device and a first portion of a first holding handle (a medical device selected from at least one (Keep in place by encircling the entire body evenly from left to right above the selected leg); The pelvis (and at least one abdomen of the patient involved in closing the chamber) level of the abdomen or chest area); At least one of the second parts of the sealing device is used until the hip surgery is partially completed. 1. Where the third part of the sealing device extends in at least the cephalad direction, Separately, a further sealing device and a and seal the part of the neck mid-leg where it meets the groin or its extension. and separate into a second retaining handle; A member for sealing a chamber, a wall interconnecting the first, second and third sealing devices A sealing device holding a third part and a third part in one third, thus sealing the chamber This will remove at least 1 from the room; the anal opening, the urethral opening and at least part of the perineal area.

[0237] The method involves placing sealing devices such that both the urethra and the anus are sealed. further comprising forming a sealed environment outside the enclosed chamber. can be done.

[0238] The medical device may further comprise a second sealing device comprising first and second seal members. The method can include the following steps: A second sealing member is placed on the outside of the patient's skin around the incision and sealed using the connecting member. around an incision made in the skin interconnecting the first and second sealing members. and placing the first seal member inside the patient's skin. To seal: (a) the second sealing member, the patient, and the first sealing member; (b) and skin of the patient's tissue.

[0239] The method includes, by itself or in conjunction with a sealing device, removing the first and second retaining handles. and surrounding a portion of the patient's body with at least one of the It may further include:

[0240] A medical device for performing knee surgery on a patient is provided. (At least one knee surgery performed while maintaining a sealed environment for the surgical procedure) A chamber (suitable for containing at least part of the knee joint) is formed by enclosing the knee joint at least partially. and a closable wall port or inset located in a portion of the wall. The closable wall port or inset is suitable to be at least 1: (And so that the arthroscopic step of knee surgery can be performed. and a body port placed in a fixed position relative to the body port, which is placed in an incision in the knee region of the patient's body, do)

[0241] By creating a sealed environment, the risk of infection can be substantially reduced. The risk of infection is particularly high when performing prosthetic surgery inside a patient's joint. And that is why maintaining a controlled environment is important.

[0242] The medical device further comprises a sealing device connected to the wall and adapted to seal against the patient's body. A sealed chamber is then formed by the wall and the patient's body.

[0243] According to one embodiment, the medical device is connected to a closable body port that is connected to the first portion of the wall. The closable body port may be connected to the second portion of the wall. The closable wall port and the closable main body port are suitable for interconnection. Removably connect to form a port.

[0244] According to one embodiment, the wall of the port and the body port are interrelated. It has been adapted to place such things as: Objects are transferred into the room through the body port to the patient and out of the room through the wall port. At that time, knee surgery is performed.

[0245] In one example, matching wall ports or wall insets are interchangeable: a first position that is relatively close to the patient's skin and a second position that is farther away from the patient's skin than the first position; . The wall port may be adapted to be locked to the body port.

[0246] According to one embodiment, the medical device comprises a first wall portion and a seal with the patient's skin. a vacuum seal adapted to maintain a subatmospheric pressure between the membrane and the patient's skin It can further comprise:

[0247] According to one embodiment, the vacu-seal member forms a substantially airtight seal with the wall portion and the patient's skin. and a fluid connection between the patient and the chamber cavity is created. Allows the incision to be performed through the patient's skin in a sealed environment so that To do so.

[0248] A method for performing a knee joint surgery on a patient using a medical device is provided. In the method, a sealed environment is maintained for performing a portion of the knee joint surgery. The method further comprises applying a wall on the patient's skin to form a chamber in which the patient can be inhaled. The wall is provided with a closable wall port connecting the closable wall port, The body port is configured so that there is at least one wall port. (where the arthroscopic steps of knee surgery may be performed) When the valve is kicked, it abuts against the main body port. The method is from outside the chamber through the wall port, and The method may further include replacing the object in the chamber.

[0249] When knee surgery is performed, the insertion of the object through the body causes the patient's cavity to be invaded. Carrying a person.

[0250] According to one embodiment, the method includes inserting a wall port into a second location that is farther from the patient's skin than the first location. from a first position relatively close to the patient's skin.

[0251] A medical device for performing a surgical procedure on a patient is provided. The patient's body (a sealed environment must be maintained to perform the procedure, including some surgical procedures) The device is applied at least partially to the patient's body, forming a chamber with the device. The medical device is adapted to be inserted into the patient's body for performing a surgical procedure. When used, it is placed in the wall of a part of the patient's body and has at least one port connected to the body cavity. adapted to be removably connected to a closable body placed in an incision in a subject's body. Closable wall ports and insets; The closable main body port and inset are placed into an incision in the patient's body and The medical device is further adapted to be removably connected to the medical device. The device is a surgical procedure (a sealed device connected to the wall and suitable for sealing against the patient's skin). The medical device is then used on the patient's body to perform the procedure. At least one closable wall port, the port and the closable body together carry a closable wall port, The closable body port and closable wall provide an air gap between the patient's body cavity and the surrounding environment. The medical device is then adapted to form a lock channel for performing a surgical procedure. used on the patient's body.

[0252] By providing a medical device forming an airlock channel, the object or specimen , can be transferred from the patient's body between the patient's body cavity and the surrounding environment.

[0253] According to one embodiment, the elongated object comprises a closable wall port and a closable body port. The closable wall port and the closable wall port are configured to be longitudinally displaceable through the port. The various body ports are adapted to be positioned relative to one another.

[0254] According to one embodiment, at least one of: Inset in first position (closable wall port or inset in closable body port) and (relative to at least one of the insets) and a second position Interchangeable and closable wall ports, in which at least one; The further away the set is from the closable body port or inset, the The wall surrounds the port.

[0255] The port or inset may be adapted to be at least one closable wall; A medical device is applied to the body port by connecting to the body port and locking the body port. When a surgical procedure is performed, the patient is the subject on whom the surgical procedure is performed.

[0256] According to one embodiment, at least one of a closable body port and a closable wall port is provided. The other is equipped with a permeable self-sealing gel, which helps maintain a sealed environment. While the device is in place, an object or hand can be inserted through the closable wall port.

[0257] According to one embodiment, when a surgical procedure is to be performed, the medical device The device is provided with a sealing device adapted to be placed on a portion of the wall adapted to be applied to the body. The sealing device may be a vacuum seal adapted to maintain a pressure less than atmospheric pressure between the first wall portion. The device includes a seal member and a first wall portion and a seal with the patient's skin.

[0258] The airlock flume may be at least one: Wall ports and separate placement, partially using the airlock wall ports, rinse , a wall port for allowing the passage of objects between the chamber and the outside of the chamber, It became embodied.

[0259] According to one embodiment, the vacu-seal member forms a substantially airtight seal with the wall portion and the patient's skin. and a fluid connection between the patient and the cavity in the chamber is created. Ensure that the incision is performed through the patient's skin in a sealed environment so that Make it possible.

[0260] According to one embodiment, the closable body port is a chamber for an incision made in the patient's skin. The closable body includes a multi-port adapted to be placed from within the closable body. The body multiport is adapted to allow passage of an object between the chamber and the interior of the patient's body. The body may have at least two closable body ports. The device may be adapted to be connected to at least one of the devices; The closable wall port and the closable together are placed in an incision in the patient's body that connects to a body cavity. The medical device then connects the patient to the wall for performing a surgical procedure. The wall port is used in the body of the patient and includes a wall multiport. At least two closable wall ports, where the wall multiport has at least also suitable for connecting to one thing; Connected to a body cavity (a medical device used in a patient's body to perform a surgical procedure) A closable body port and a closable body multi-port are placed in an incision in the patient's body.

[0261] According to one embodiment, the medical device comprises an incision made in the skin and a patient's skin around the incision. a second sealing member adapted to be placed on the outside of the skin and disposed within the patient's skin; and a sealing device having a first sealing member adapted to seal the second sealing member. The first and second sealing members (whereby at least one of the first and second sealing members is spring-loaded or resilient) Spring-loaded or resilient connecting members interconnecting the seals (seals): (a) the second sealing member, the patient, and the first sealing member; (b) and skin of the patient's tissue.

[0262] The closable body port is connected to the patient to allow passage between the chamber and the patient's body cavity. The device may be adapted to be placed in a chamber of an incision performed in the subject's skin.

[0263] The medical device is removably attached to at least one closable body port. The device may further comprise a fitting adapted to: The patient's skin and the closable body port or inset are The port or inset is walled off to allow for removal.

[0264] According to one embodiment, a closed loop is provided so that it allows for the handling of the measuring instrument to at least one The chainable wall port can be placed in the wall portion and can be configured; The cut is completely through the patient's skin and through the patient via a closable wall port. The skin has a measuring instrument placed in the chamber, and the wall is then applied to the patient's body.

[0265] The wall portion itself is used to reach and create an incision in the patient's skin to allow for the surgical procedure. The wall may then be adapted to be applied to the patient's body.

[0266] a closable body that may be adapted to have at least one port; The skin after the incision and the closable body after the incision are made in the skin After being inserted into the skin of the patient, the device is attached to a closable wall port created in the skin. The patient is the body that is fitted to the object and to which the medical device is applied.

[0267] Closable body ports or insets can be connected by some walls In one embodiment, a closable wall port or inset is connected by a wall portion. While the closable wall port or inset and closable seem to materialize the port The objects or insets can move relative to each other.

[0268] The medical device may further comprise a fitting suitable for fitting any of the embodiments. , which is at least 1 as follows At least one of the body ports or body insets, and at least one of the wall ports Another integral part or integral part of the wall is inserted, and the body joint is placed against the patient's skin. Adapted to be placed in close proximity to the wall port or inset and the wall bond is placed in close relation to the wall of the medical device. The fitting may also be adapted to connect to a body port or inset. stomach.

[0269] An airlock for use when performing a surgical procedure on a patient is further provided. A method for forming a waterway. The method comprises: A sealed environment can be maintained for the purpose of performing, including parts of a surgical procedure. and applying the wall on the patient's body to form a chamber with the wall of the medical device. and creating at least one connection between the patient's skin and the skin; A closable port is placed in the wall of a portion of a closable body port that is placed in an incision in the patient's body. Wall ports and insets.

[0270] A medical device for performing a surgical procedure on a patient is provided. The device has walls that are at least partially adapted to form a chamber by itself or together with the patient's body. A surgical procedure in which a sealed environment is applied to the patient's body to form a Can the part be maintained containing the surgical procedure when it is performed? , a portion of the wall is suitable for contact with the patient's skin. The seal between the wall portion and the patient's skin is formed by a pressure less than atmospheric pressure between the wall portion and the patient's skin. and the vacuum adjusting means device is provided with a vacuum seal member adapted to hold the vacuum. Adapted to adjust the pressure of the sealing member.

[0271] According to one embodiment, the vacuum regulator device adjusts the vacuum system in response to at least one It may also be suitable for adjusting the pressure of the cooling element: Patient physiological parameters and medical device parameters. The parameters of the medical device are: The chamber pressure, the vacuum seal member pressure, and the patient's physiological parameters may be one : the patient's blood pressure, the patient's blood flow and the patient's body temperature.

[0272] The medical device may further comprise a monitoring device connected to the adjusting means device. The monitoring device is suitable for monitoring at least one of: Chamber pressure, vacuum seal pressure, patient blood pressure, patient blood flow and patient temperature.

[0273] According to one embodiment, the adjusting means is adapted to adjust the blood flow of the patient so that the blood flow of the patient remains substantially unaffected. The device may be adapted to adjust the pressure of the vacuum seal member.

[0274] According to one embodiment, the medical device includes a patient and a second monitoring device (which measures the pressure of the vacuum seal member). a first monitoring device suitable for monitoring blood flow or blood pressure of a maintaining the chamber sealed to keep the patient's blood flow substantially unaffected; To mediate between the first and second monitoring devices, the adjusting means device adjusts the true It may be suitable for adjusting the pressure of the empty seal member.

[0275] In an embodiment, the adjusting means device comprises at least one true pressure adjusting means for maintaining pressure between the true pressure adjusting means and the pressure adjusting means. It may be suitable to adjust the pressure of the empty sealing member: 135 mraHg and 0 mmHg, -1 15 mmHg and 0 mmH g, -100 mmHg and 0 mmHg, -50 mmHg and 0 mm Hg, -30 mmHg and 0 mmHg, -20 mmHg and 0 mm Hg, -10 mmHg and 0 mmHg, and -5 mmHg and 0 mmHg, And thus, the patient's blood flow remains substantially unaffected.

[0276] The vacuum sealing device creates a substantially airtight seal with the wall portion and the patient's skin. and a fluid connection between the patient and the cavity in the chamber is formed. This allows the incision to be made through the patient's skin in a sealed environment.

[0277] According to one embodiment, the wall is adapted to receive pressure in the chamber above atmospheric pressure, and The vacuum is sealed so that the pressure in the chamber can be maintained above atmospheric pressure. The device is suitable for sealing with the wall of the medical device and with the skin of a patient.

[0278] According to one embodiment, the medical device is adapted to seal the device to monitor the pressure of the vacuum. and monitoring the chamber pressure. The device was adapted to monitor pressure inside the chamber. The adjusting means device may be adapted to adjust the pressure of the vacuum seal member. At least one of; The pressure in the chamber can be maintained above atmospheric pressure, and the pressure difference between the atmospheric pressure and the chamber pressure can be In vacuum, the pressure exceeds the pressure difference between the sealing atmosphere and the chamber pressure.

[0279] The pressure in the chamber can be between 5 mmHg and 75 mmHg above atmospheric pressure, and In vacuum, the pressure can be between 6mmHg and 76mmHg under sealing atmosphere .

[0280] According to one embodiment, the medical device is attached to a wall allowing passage between the room and the outside of the room. The device may further comprise at least one closable wall port. Closable wall port so that it can be replaced with a wall port or wall inset The closable body port can be removably fixed to the wall. An incision is made in the patient's skin to allow passage between the interior and exterior of the chamber. It may also be more suitable for

[0281] According to one embodiment, when implanted, a portion of the wall of the medical device is a chamber of the medical device. extending within and in contact with the patient's skin, and sealing the patient's skin against the sealed ring of the chamber of the medical device. An elongated tubular housing is formed that is suitable for separation from the boundary.

[0282] The device may further comprise a suitable adhesive. do: The wall is fixed to the patient's skin, sealing the skin of the patient and the wall between them.

[0283] In any embodiment, the vacuum sealing device is connected to a vacuum pump. The vacuum pump can be connected to adjust the pressure of the vacuum seal. Groups can be further organized.

[0284] According to one embodiment, the vacuum regulator device adjusts the vacuum in response to an input from the monitoring device. It may be suitable for controlling a pump.

[0285] A method for providing a sealed environment using a medical device is also provided. Thus, the surgical procedure can be performed in a sealed environment. The method comprises: Applying a wall on the patient's skin to form a chamber in which the sealed environment is The patient may be kept in a ward to have some of the procedures performed. and applying a vacuum sealant that is in contact with the skin of the medical device. The device is connected to a wall and configured to close off the chamber from the surrounding environment, and the device is configured to contact the patient's skin. and a vacuum seal member to seal the device between the medical device and the wall. Adjust the pressure.

[0286] According to one embodiment, the step of adjusting the pressure of the vacuum seal member comprises the step of: adjusting the pressure of the vacuum seal member in response to: A monitored parameter of a medical device and a monitored physiological parameter of a patient.

[0287] A switch that adjusts the pressure of a vacuum seal member in response to a monitored parameter of a medical device. The step can comprise adjusting the pressure of the vacuum seal member in response: Chamber pressure and vacuum seal pressure.

[0288] According to one embodiment, the vacuum seal is adapted to adjust the temperature of the patient in response to a monitored physiological parameter. The step of adjusting the pressure of the member comprises adjusting the pressure of the vacuum seal member in response. You can: the patient's blood pressure, the patient's blood flow and the patient's body temperature.

[0289] A medical device is provided for performing arthroscopic surgery on a patient's joint. In this position, at least a portion of the patient's joint is sealed so that arthroscopic surgery can be performed. The device is provided with walls suitable for forming a chamber for the entry of the device into the sealed environment. The room is suitable for containing part of the procedure to be performed. a fluid inlet conduit adapted to provide fluid to the chamber and to evacuate fluid from the articular region; a fluid drainage conduit adapted to be placed in an incision made in the joint region of a patient for It is equipped with:

[0290] The wall may be adapted to fill the chamber at least partially with liquid; The liquid may be at least one of the following: Isotonic solutions and antibiotic liquids.

[0291] The medical device can be configured for knee procedures, and thus, at least Also equipped with 1; The second opening is arranged so that the patient's leg can exit the medical device. The first opening is arranged so that the subject's leg can enter the medical device.

[0292] According to one embodiment, the medical device may be configured to extract fluid from a fluid outlet conduit and direct it to a fluid inlet. The fluid system includes a fluid system for providing a fluid from a fluid discharge conduit to a fluid inlet. The device may further comprise a fluid pump for surrounding the device. The fluid system may comprise at least one of: Filters for filtering fluids (sterilizing devices for directly or indirectly sterilizing fluids) The filter device is a fluid-tempering device configured to change the temperature of the fluid.

[0293] A portion of the wall extends in the chamber of the medical device and is in contact with the patient's skin, forming an elongated tubular housing adapted to separate the skin from the sealed environment of the chamber of the medical device. The fluid discharge conduit may be disposed through a wall of the elongated tubular enclosure. This can be done.

[0294] In one embodiment, the device is provided with a sealing device that seals the device and the patient. According to the Medical Journal, the sealing device thus prevents contact with the skin and / or A sealing member is provided between the pressure and the air pressure. a vacuum seal member suitable for maintaining a pressure less than the atmospheric pressure creating the vacuum; and thereby mechanically pressing the device against the patient's skin. A seal is formed between the patient's skin and the medical device.

[0295] The medical device is an energy source suitable for transferring energy from outside the room into a sealed environment. The tool may further comprise a coupling transferring the tool. Before the medical device is placed in relation to a patient, the medical device is placed within a sealed environment. The device may be adapted to hold an energy consuming tool pre-positioned therein.

[0296] A method of performing an arthroscopic surgical procedure on a patient using a medical device is further provided. are. The method comprises: Applying a wall on the patient's skin to form a chamber in which the sealed environment is including part of the surgical procedure may be held to be performed. in a sealed environment so that a connecting tube is created between the chamber and the patient's body cavity. 2. An incision is made in the patient's skin, and a fluid drainage conduit is created in the patient's skin. and providing fluid to the chamber through a first fluid inlet located in the wall thereof, and Fluid is drained from the incision site through a fluid drainage conduit that is placed.

[0297] A medical device is provided for performing arthroscopic surgery on a patient's joint. The device is provided with a wall adapted to form a chamber adapted to enclose a joint of a patient. The sealed environment (the first flow channel located in the wall and adjusted to provide fluid to the chamber) a chamber adapted to contain a portion of the surgical procedure to be performed, while maintaining a body inlet conduit The second chamber is placed in the wall and in the joint (the incision in the patient's skin). a first fluid discharge conduit (for supplying fluid to the joint) adapted to discharge fluid from the fluid inlet of the first fluid discharge conduit; (to provide fluid) and a second fluid drainage duct is installed in the joint to drain fluid from the joint. The tube was adapted to be placed in an incision in the patient's skin.

[0298] Providing first and second fluid systems allows for more efficient transport from the incision site For blood and other bodily matters, a higher flow is achieved in the incision in the patient's body. The first fluid system may have a slower fluid flow during filtration, for example. This can sterilize and soften the fluid in the chamber of the medical device.

[0299] The first fluid system may be suitable for at least one of: providing a fluid to the first fluid inlet to discharge fluid from at least one of the first and second fluid discharge conduits; and emptying fluid from at least one of the first or second fluid discharge conduits. The fluid is circulated from the second fluid inlet to the first fluid inlet.

[0300] The first fluid system may be suitable for at least one of: providing a fluid to the second fluid inlet and one of the first and second fluid discharge conduits; Emptying fluid from at least one of the first or second fluid discharge conduits. The fluid is circulated from the first fluid inlet to the second fluid inlet.

[0301] According to one embodiment, the first fluid system provides a fluid to the first fluid inlet to generate a first fluid. Emptying fluid from the discharge conduit and / or from the first fluid discharge conduit to the first fluid inlet Suitable for circulating fluids.

[0302] According to one embodiment, the medical device provides fluid to a second fluid inlet and a second fluid outlet. further comprising a second fluid system adapted to empty the fluid from the conduit, and Fluid is circulated from the discharge conduit to the second fluid inlet.

[0303] The fluid may be a liquid fluid (eg, an isotonic solution and an antibiotic liquid).

[0304] The first and second fluid systems are connected to the first or second fluid discharge conduit. A fluid pump may be provided for circulating the fluid to the second fluid inlet.

[0305] The medical device can be configured for a knee procedure, where the patient's leg exits the medical device. The second opening is arranged so that the patient's leg can enter the medical device. The first openings may be arranged in this manner so that:

[0306] According to one embodiment, a portion of the wall extends within the chamber of the medical device and is in contact with the patient's skin. and an elongated tubular member adapted to separate the patient's skin from the sterile environment of a medical device room. A housing can be formed.

[0307] At least one of the first fluid inlet and the first fluid outlet conduit is an elongated tubular outlet. It can be placed through the wall of the enclosure.

[0308] The medical device may further comprise a sealing device for providing a seal between the medical device and the patient. The sealing device thus prevents pressure between the skin and / or pressure of the patient and the medical device. creating a vacuum sealing member adapted to maintain an air pressure above The vacuum seal may be adapted to maintain a pressure less than that of the air pressure present in the vacuum chamber. , which can be mechanically pressed against the patient's skin to provide a seal between the skin and medical devices.

[0309] According to one embodiment, the medical device is adapted to transfer energy from outside the room to a sealed environment. The tool can further comprise suitable energy-transferring bonds. can be activated.

[0310] According to one embodiment, the medical device is sealed before being placed in connection with the patient. Suitable for holding energy-consuming tools pre-positioned within the environment That's fine.

[0311] The medical device is adapted to be inserted into a patient (wherein the port or inset is provided with at least one a body port or body inset adapted to be placed in the skin incision of the body (body). You can: having at least two ports adapted to allow the passage of at least one object; Equipped with multiple ports; one or more tools, one or more devices, and one or more parts of the human body (external to the patient's body) One suitable for allowing passage of at least one object into the patient's body or the opposite direction (with a port inside the main body port); The outside of the patient's body relative to the inside of the patient's body or opposite direction as follows: 1. One or more tools (one or more devices and a part of the human body) from the body inset The glove and the device or instrument are attached.

[0312] According to one embodiment, the medical device is at least one It can also consist of a single wall port: Surgical tools, surgical devices and one or more parts of the human body (including sealed environments and between the sealed environment and the outside environment, or in the opposite direction. At least one of the membranes may be in a non-expanded state (sealed environment and In the sealed environment (sealing with the outside environment) and in the extended state, the hand is elastic This allows the membrane to penetrate through the membrane.

[0313] Method of performing an arthroscopic surgical procedure on a patient using a medical device further comprising: As stated, the method comprises: Applying a wall on the patient's skin to form a chamber in which the sealed environment is It is possible that some of the surgical procedures may be performed on the wall. A fluid is provided to the chamber through a first fluid inlet located in the wall, and a fluid outlet located in the wall. A second fluid inlet is placed in the incision in the patient's skin, which drains the fluid from the chamber through a conduit. a second fluid drainage duct placed in the incision in the patient's skin, providing fluid to the patient's body cavity; The drainage of fluid from a patient's body cavity through a tube.

[0314] A medical device for performing a surgical procedure is also provided. The medical device comprises: The wall is adapted to be applied at least partially to the patient's body to form a chamber alone. or the patient (where a sealed environment is maintained to perform, including part of a surgical procedure) The pressure-sealing device is attached to the wall and the patient's body (which may be held by the patient). The wall is then applied to the patient's body, where the chamber is adapted to form a body seal. To tolerate pressure in the room above atmospheric pressure and at a minimum during the surgical procedure from the environment and a pressure sealing device configured to seal the wall portion against the patient's body so as to be substantially sealed. A pneumatically, hydraulically, or mechanically driven pressure seal suitable for pressing Equipped with: A pressure adjusting means device suitable for adjusting the pressure of the sealing member and at least one motor Monitoring equipment: Medical device parameters and patient physiological parameters. The pressure of the seal member is monitored and adjusted to prevent the pressure from forming. The patient's skin may be injured or damaged by the high enough pressure to be able to maintain a high enough pressure. The temperature should be kept as low as possible and the seal should be tight.

[0315] The pressure adjusting means adjusts the pressure of the seal member in response to an input from the monitoring device. It may also be suitable for

[0316] The parameters of the medical device may be: pressure on the sealing member, pressure in the chamber and direct or indirect leakage of fluid from the chamber. The physiological parameters of the patient may be at least one of: the blood flow passing the sealing device, the patient's blood pressure and the patient's body temperature.

[0317] The regulator may be adapted to adjust the pressure of the sealing device based on input from the monitoring device. In this way, the sealing does not substantially retard the flow of blood passing the seal member. stomach.

[0318] According to one embodiment, a medical device can include first and second monitoring devices. The first monitoring device may be adapted to monitor at least one of: The patient's blood pressure, the blood flow passing through the seal and the body of the patient, and a second monitoring device The temperature of the device may be suitable for monitoring at least one of: The pressure at the time of sealing, the pressure in the chamber and the direct or indirect leakage of fluid from the chamber.

[0319] According to one embodiment, the pressure regulating means device adjusts the pressure based on inputs from the first and second monitoring devices. This is suitable for adjusting the pressure of the sealing member.

[0320] The pressure adjusting means adjusts the pressure of the sealing member so that the pressure between the sealing members is 1. May be suitable for adjusting: lOmmHg-160mmHg(20mmHg)-140mmHg(30mmHg)- 120mmHg(30mmHg)-100mmHg(40mmHg)-100mmHg( 40mmHg)-80mmHg and 50mmHg-70mmHg.

[0321] The pressure regulating means device may comprise at least one: A fluid pump for pumping a gaseous fluid into a sealing member, a liquid fluid into a sealing member a fluid pump for pumping the fluid, a spring-loaded device involved in creating pressure, and and a pre-filled reservoir involved in creating pressure.

[0322] According to any embodiment of the present disclosure, the medical device may include, when a surgical procedure is performed, A closable body port adapted to be placed on the patient's skin between the patient's body cavity and the chamber. It can be equipped with a port. a closable body that can have at least one port; Resilient and flexible membranes. In the uncompressed state, the membrane provides a barrier between the chamber and the environment outside the chamber, and in the compressed state, allowing a hand or object to be inserted through a membrane that can be adapted for sealing in In another embodiment, the closable body port is connected to a wall port and is detachable. Wall and / or fittings may be placed on different secondary ports or body insets It can be fitted to be replaced.

[0323] The medical device provides fixation of at least one of the wall and the enclosure to the patient's skin. and / or between the patient's skin and, at a minimum, the wall and air There may be an adhesive sealing one of the enclosures.

[0324] According to one embodiment, the medical device comprises a chamber and at least one wall interface placed in the chamber and wall. at least one wall port adapted to allow passage between the outside of the The wall port or wall inset may be replaced with another wall port or wall inset. The wall port or wall inset can be removably fixed to the wall so that can.

[0325] According to one embodiment, a portion of the wall extends within the chamber of the medical device and is in contact with the patient's skin. and adapted to separate the patient's skin from the sealed environment of the medical device chamber. A tubular housing is formed.

[0326] In any embodiment, the device can monitor blood flow. The device is adapted to encircle the patient's end and periodically measure the patient's blood pressure so that the device can be stopped for a period of time. or exerting pressure on the enclosed edge that exceeds the systolic arterial pressure. , monitoring the patient's blood pressure.

[0327] The monitoring device may be adapted to measure the patient's blood pressure with an interval of 1: 1-5 minutes (5)-10 minutes (10)-20 minutes and 20-30 minutes.

[0328] The medical device is used so that the surgical procedure can be performed in a sealed environment. A method for providing a sealed environment using a gas-permeable material is further provided. and applying the wall on the patient's skin to provide a sealed environment, wherein the sealed environment is The method may involve performing a procedure on the patient's skin. Applying a pressure seal member that is in contact with the skin, the pressure seal portion is connected to the wall of the medical device. and configured to seal the chamber from the surrounding environment, The method provides a pressure seal between the device and the wall of the medical device. Further comprising adjusting the pressure of the member.

[0329] The step of adjusting the pressure of the pressure seal member includes adjusting the pressure in response to at least one of Adjusting the pressure of the force seal member can further include: Monitored parameters of medical devices and monitored physiological parameters of patients.

[0330] A switch that adjusts the pressure of a pressure seal member in response to a monitored parameter of a medical device. The step can comprise adjusting the pressure of the pressure seal member in response: Chamber pressure and pressure seal member pressure.

[0331] Adjusting the pressure of the pressure seal member in response to a monitored physiological parameter of the patient The steps may further include adjusting the pressure of the pressure seal member in response: the patient's blood pressure, the patient's blood flow and the patient's body temperature.

[0332] A medical device for performing a surgical procedure on a patient is provided. A sealed environment is formed in or with the patient's body, forming a chamber may be maintained at least partially, including part of the surgical procedure performed The medical device is provided with a wall adapted to be applied to the medical device. and a wall port or wall inset, further comprising at least one of: Energy transferring components for moving energy from outside the room to inside the room and The materials for transferring information are moved from the outside of the room to the inside of the room, maintaining a sealed environment. Information.

[0333] By providing medical equipment, the energy consumed by the equipment or instrumentation is The device can be operated within the chamber of a medical device.

[0334] The energy-transferring member may be adapted to transfer at least one of: Air, fluid, kinetic energy.

[0335] According to one embodiment, the energy transferring member allows the transfer of at least one The energy transferring member is provided with a valve so that it can be opened to allow ; Kinetic, air, and fluid energy through the walls of medical devices.

[0336] The medical device is disposed within the chamber of the medical device and is connected to an energy transferring member. The tool can be equipped with a tool that uses air, fluid, and kinetic energy. It may be adapted to be actuated by at least one

[0337] The energy transferring member is a magnetic material adapted to be placed outside the wall of the medical device. and a second component disposed within the wall of the medical device. The first portion receives kinetic energy and the second portion receives kinetic energy. and transferring kinetic energy to the second part by a magnetic coupling between the first and second parts. This will maintain the sealed environment of the room while distributing the kinetic energy within the room. The energy transferring member can be moved from outside the chamber to inside the chamber. A first part transferring rotational kinetic energy to a second part by a magnetic coupling between the first part and the second part. The rotor may be adapted to transfer rotational kinetic energy by a portion of the rotor.

[0338] According to one embodiment, the energy transferring member is a sleeve that is fixed to the wall of the medical device. The sleeve has a first portion adapted to be placed outside the chamber and a second portion adapted to be placed inside the chamber. The sleeve may have a second portion adapted to be attached to the rotating shaft. The rotational kinetic energy is then transferred to the three The first portion of the sleeve can be transferred to the second portion of the sleeve.

[0339] According to one embodiment, the energy transferring member is electrically connected to at least one May be suitable for transferring quantities; Radio links and cable connections. In an alternative embodiment, the energy transferring member is a first conductor and a second conductor located outside the room. and a second conductor placed inside the chamber, and an inductive coupling for transferring power by means of a magnetic field between the second conductor and the It can be done.

[0340] In either embodiment, the medical device is disposed within a chamber of the medical device to deliver energy. A tool may be provided in connection with the transferring member, wherein the tool is Suitable to be actuated by force.

[0341] According to one embodiment, the information transferring element is adapted to transfer information from the interior of the chamber through the wall of the medical device. It is suitable for moving data outside the building.

[0342] According to one embodiment, the information forwarding member comprises at least one: Optical information transfer element, volumetric information transfer element, inductive information transfer element Materials and radio formed the basis of information transferring devices. The optical information transferring member may be an underlying red information transferring member.

[0343] The medical device may include a camera placed in the room. An information transferring component for transferring data out can be connected.

[0344] According to one embodiment, the medical device is in communication with an implant implanted in a patient. The implant is equipped with a data communication device suitable for transmitting data outside the room. Data communications equipment is connected to components transferring information so that it can be transmitted It is possible.

[0345] The medical device is placed in the chamber and receives updates from a sensing probe connected to an information transferring member. The detector probe may be suitable for detecting at least one of: the patient's blood pressure, the patient's blood flow, the patient's temperature, the patient's blood saturation, and at least one ischemia in the patient. Labeling and / or patient skin color.

[0346] The chamber of the medical device may be adapted to maintain an atmospheric pressure above a pressure of 1 or more. By the time the pressure rises, it can exceed the atmospheric pressure: 10mmHg, 20mmHg, 40mmHg, 60mmHg, 80mmHg, 100m mHg and 140 mmHg.

[0347] According to one embodiment, the medical device comprises a device and at least one directly or indirectly It may be provided with a sealing device suitable for sealing with the wall of the decal; Patient's skin and patient's tissue.

[0348] The medical device may be provided with a sealing device comprising at least one of the embodiments. ; Vacuum and pressure seals.

[0349] A method of performing a surgical procedure on a patient using a medical device is also provided. The method comprises applying a wall on the skin of a patient to form a chamber, wherein: The patient's skin is sealed to the chamber so that a fluid connection is made between the cavity within the patient and the chamber. A sealed environment is used to perform surgical procedures, including those involving cutting through the At least one of the following may be retained for transfer: A medical device that maintains a sealed environment while energy and information pass through the wall.

[0350] The step of transferring energy through the wall of the medical device can comprise at least one R: Air, fluid, and kinetic energy through the walls of medical devices.

[0351] The step of transferring energy through the wall of the medical device dissipates the energy within the chamber of the medical device. Provides energy to tools consuming energy within the medical device room Activating the tool may be included.

[0352] The step of transferring information through the walls of the medical device may include transferring data (e.g., images) through the walls of the medical device. The method may comprise transferring the image data.

[0353] A medical device is provided for performing arthroscopic surgery on a patient's joint. In this position, when the medical device is used on the patient, arthroscopic surgery can be performed, To enclose a wall forming a sealed surgical environment in at least a portion of the patient's joint A suitable wall is provided to form a suitable chamber. The wall creates a liquid operating environment. and the medical device is adapted to contain a liquid filling chamber for adapted to receive a liquid through at least one liquid inlet disposed in one of the a wall of the medical device and the patient's skin for providing fluid to at least one of: chambers and joints in the patient's body.

[0354] By providing a fluid environment, arthroscopic procedures or combinations of arthroscopic and open surgical procedures The process can be carried out in a liquid-tight environment.

[0355] The medical device may be configured to deliver fluid through at least one fluid outlet disposed on at least one of the medical devices. May be suitable for emitting: a wall of the medical device and the patient's skin for releasing fluid from at least one of: chambers and the joints of the patient's body.

[0356] According to one embodiment, the medical device may include a chamber and / or a fluid outlet for emptying fluid from the chamber. The fluid outlet is adapted to receive fluid from a joint within the patient. It is adapted to be placed in an incision made in a patient for body evacuation.

[0357] The liquid system may be suitable for circulating liquid from the liquid outlet to the liquid inlet.

[0358] The medical device includes at least one inlet and at least one outlet selected from the following: It can further comprise: a chamber disposed on the wall; a first liquid disposed on the wall and configured to empty the liquid from the chamber; an outlet, adapted to be placed in an incision in the patient's skin, for providing fluid to a second fluid inlet; a first fluid inlet (for providing fluid to the joint) and a second fluid inlet (for providing fluid to the joint) configured to In order to empty the joint, a second fluid outlet is provided which is adapted to be placed in the incision in the patient's skin. (in the mouth).

[0359] According to one embodiment, the medical device is adapted to at least one first fluid system It can further comprise: providing a liquid to a first liquid inlet and emptying the liquid from at least one of: a first liquid outlet and a second liquid outlet, and a first liquid outlet from either the first or second liquid outlet The liquid is circulated to the liquid inlet.

[0360] According to one embodiment, the first liquid system provides liquid to the second liquid inlet to provide at least may also be suitable for emptying liquids from: a first liquid outlet and a second liquid outlet, and at least one of the first and second liquid outlets The liquid is circulated from the first liquid inlet to the second liquid inlet.

[0361] The first fluid system provides a liquid to the first fluid inlet and removes the liquid from the first fluid outlet. and / or from the first liquid outlet to the first liquid inlet. The medical device may circulate the liquid from the second liquid outlet to the second liquid inlet. The system may further comprise a second liquid system adapted for circulation.

[0362] The liquid may be at least one; Isotonic solutions and antibiotic liquids.

[0363] The system may include a pump for pumping the liquid from the liquid outlet to the liquid inlet. The system can be equipped with a filter device for filtering the liquid to be directly delivered to the chamber and a sterilizer. Alternatively, the liquid may be indirectly sterilized to neutralize the liquid. The thawing device accommodated changes in the temperature of the liquid presented to the chamber.

[0364] According to one embodiment, the medical device includes a patient-side ventilator for containing a fluid within the walls and chambers of the medical device. The device may include a sealing device suitable for sealing with the skin. a pressure seal member adapted to seal against the patient's skin by exerting pressure; and / or or less than atmospheric pressure, thus creating a vacuum seal between the patient's skin and the medical device. A vacuum seal suitable for maintaining pressure may be provided.

[0365] The medical device can be further configured for a knee procedure. The second opening is arranged so that the patient's leg can enter the medical device and exit the device. The medical device can further comprise a first opening arranged such that the medical device can be inserted into the first opening. The container is then disposed between the first and second openings.

[0366] A portion of the wall of the medical device extends within the chamber of the medical device and is in contact with the patient's skin. forming an elongated tubular housing adapted to separate the subject's skin from the sealed environment of the chamber; A chamber is then formed between the medical device and the wall of the elongated tubular enclosure. It is done.

[0367] At least one of the first liquid inlet and the first liquid outlet is an elongated tubular enclosure. can be placed through the wall.

[0368] The medical device includes a first port located in a wall of the medical device and an elongated tubular enclosure. A second port may be provided that is located on the wall. The first and second ports may be integrated. They may be suitable for being connected to form a port.

[0369] The medical device may further comprise a wall inset, allowing the hand to be placed within the fluid environment of the chamber. It is equipped with gloves to enable manual operation.

[0370] The medical device is subject to the environment outside the sealed environment and vice versa. The device may further comprise a liquid lock for allowing the passage of an object. The medical device is positioned relative to the patient to slow the leakage.

[0371] A method of performing a surgical procedure on a patient using a medical device is also provided. The method comprises applying a wall of the medical device on the patient's skin to form a chamber. a fluid operating ring so that a fluid connection between the cavity and the chamber within the patient is made; In the surgical procedure, the sealed liquid manipulation environment includes a portion of the surgical procedure to be performed. Fill the chamber with fluid through the fluid inlet to create the environment and make an incision in the patient's skin. It may be maintained for this purpose.

[0372] The step of filling the chamber with liquid through the liquid inlet includes filling the chamber with liquid placed in at least one and filling the chamber with a liquid through the body inlet. the walls of the medical equipment and the patient's body.

[0373] The method may further include discharging the liquid through the liquid outlet. The step of discharging the liquid through the liquid outlet may include discharging the liquid through the liquid outlet disposed on at least one It may comprise releasing a liquid through the mouth: the walls of the medical equipment and the patient's body.

[0374] A medical device for performing a surgical procedure on a patient having a reduced amount of blood is provided. The medical device is designed to be used in a sealed environment, including as part of a surgical procedure. A wall is provided enclosing a compartment in which the container can be maintained. The chamber has a second hollow section disposed around the second, more proximal portion of the first end. a second hollow section having a fluid inlet, a second fluid inlet, and a first and a second hollow section having a fluid inlet and a second ... fluid inlet and a second hollow section having a first hollow compartment equipped with a control system suitable for inflating two compartments; The blood is pushed from the distal end to the proximal end of the first portion of the catheter. A first hollow section is provided.

[0375] By reducing the amount of blood at the patient's extremities, surgical procedures can be performed with less bleeding and / or or can be performed at the patient's end in a sealed environment with blood loss.

[0376] The medical device may further comprise a monitoring device connected to the control system. The device may be suitable for monitoring at least one of: the patient's blood pressure, the patient's blood flow, the patient's temperature, the patient's blood saturation, at least one of the patient's ischemia Blood markers and patient skin color.

[0377] The control system controls one of the first and second hollow compartments based on input from the monitoring device. At least one may be suitable for inflating.

[0378] The control system controls the pressure by at least one factor exceeding the systolic blood pressure. The hollow compartment may be adapted to inflate at least one of the first and second hollow compartments: 0mmHg 10mmHg, 20mmHg, 40mmHg, 60mmHg, 80mmH g, 100mmHg and 140mmHg.

[0379] According to one embodiment, the wall comprises at least one removable wall inset or Integrated wall insets with gloves allowing manual manipulation inside the chamber. According to the present invention, the wall is at least partially applied to the patient's body to form a chamber with the patient's body. It is suitable for use.

[0380] wherein a sealed environment is maintained for performing including part of a surgical procedure. The medical device may be connected to a wall and suitable for sealing against the patient's skin. The medical device can further comprise a sealing device for sealing the medical device to the patient's body. and a closable wall port forms a fluid connection between a portion of the wall (chamber) and a cavity in the patient's body. a closable body port that is suitable for placement in an incision in the patient's body The closable wall port may be adapted to connect to a closable body port. When the medical device is used on the patient's body to perform a surgical procedure, the device is closable. The closable wall port and the closable body port provide an air gap between the patient's body cavity and the surrounding environment. The medical device is then adapted to form an alocc channel for performing a surgical procedure. It is used on the patient's body.

[0381] According to one embodiment, the closable wall port is in the first position (the closable wall port is in the closable The valve is interchangeable between a first position (relatively near the body port) and a second position. In this embodiment, the closable wall port is further from the closable body port.

[0382] According to one embodiment, the closable wall is adapted to have at least one port; abutting against the previously mentioned body port, connecting to the previously mentioned body port, and When the medical device is used in the patient's body, it locks into the body port mentioned earlier.

[0383] According to one embodiment, the medical device further comprises a port therein. A closable main body port walled off at least one of the ports possible by additional Interchangeable ports.

[0384] According to one embodiment, the closable body port is located within an incision made in the patient's skin. The device may include a closable body multi-port suitable for placement from a The main body multi-port is suitable for connecting at least one device; Wall port and wall multiport medical devices are used on the patient's body to perform surgical procedures When a closable wall port is used, it becomes a closable wall multiport (when a wall multiport is used, (suitable for connecting at least one thing); When the body port and medical device are used on the patient's body to perform a surgical procedure A body multiport that is placed in an incision in the patient's body.

[0385] Steps of a surgical procedure on the end of a patient with a decreasing amount of blood using a medical device A surgical method for performing the procedure is further provided, wherein the medical device provides a sealed environment for the surgical procedure. Enclosing a partitioned room where parts of the technique can be performed The surgical method involves reducing the amount of blood in the first end portion of the end. To achieve this, the second compartment of the compartment is inflated around the proximal portion of the patient's end. a first distal portion of the patient's end to reduce the amount of blood in the second more proximal portion of the end; The first compartment of the chamber is inflated and is surrounded by a wall of the medical device. It involves creating a sealed environmental incision within the chamber.

[0386] The method releases pressure in a first portion of the compressor and maintains pressure in a second portion of the compressor. The method may further include steps.

[0387] According to one embodiment, the step of inflating the first and second chambers includes inflating the first and second chambers with a liquid. and inflating the second chamber.

[0388] A medical device for performing a combination of open and endoscopic surgery is provided. In medical devices, a sealed environment is maintained for performing procedures, including parts of a surgical procedure. a wall adapted to be inflated by a fluid to form a chamber in which the fluid can be inflated; Further medical devices include an endoscopic trocar that is inserted when a surgical procedure is being performed. Suitable for placement through the wall of a medical device and through an incision in a patient's body. When performed in the body, at least one chamber enclosed within the patient's chamber is connected to the cavity. (for passing through the facility) is provided.

[0389] By inserting the trocar into the chamber of the medical device, the trocar is inserted into the cavity of the patient. The curl can be kept sterile before insertion.

[0390] The medical device is enclosed within a chamber and adapted to be used through a trocar. The endoscopic instrument may further comprise at least one endoscopic instrument. good: Endoscope gripping device, endoscope claw gripping device, endoscope stone gripping device, endoscope needle holder, endoscope hook Tools, cameras, scissors, knives, ultrasound dissectors, inhalation instruments, endoscopic dissectors and endoscopes Athermi measuring instrument.

[0391] According to one embodiment, the wall of the medical device may be configured to secure the medical device to the patient's skin. It may have an adhesive surface suitable for contacting the skin.

[0392] The medical device provides a fluid having a pressure above atmospheric pressure to a sealed chamber of the medical device and / or The pressure source may further comprise a pressure source adapted to be placed in the chamber.

[0393] The medical device further comprises a sealing device suitable for sealing with the wall of the medical device and the skin of a patient. The sealing device thus creates a vacuum seal with the patient's skin and the medical device. the skin of the patient or the vacuum seal member is adapted to maintain a pressure less than the atmospheric pressure a pressure seal member adapted to seal against the patient's skin by exerting pressure; .

[0394] The medical device may further comprise a camera enclosed within a chamber of the medical device. , which is inserted through a trocar to allow visual inspection within the patient's cavity. may be suitable for

[0395] According to one embodiment, the medical device comprises at least one Suitable for medical surgery; The second opening is arranged so that the patient's leg can exit the medical device. The first opening is arranged so that the patient's leg can enter the medical device. and the container is inserted into a chamber of the medical device defined by the first and second openings and a portion of the wall. stretched and in contact with the patient's skin, exposing the patient's skin to the sterile environment of the medical device room. The housing is disposed between elongated tubular housings adapted to be separated.

[0396] The medical device may further comprise at least one of: Energy transferring components and information transferring components. The energy transferring member may be adapted to transfer at least one of: Fluid energy, air energy, kinetic energy and electrical energy.

[0397] The medical device further comprises an energy consuming tool disposed within the chamber of the medical device. where the energy-consuming tool transfers energy and Suitable for connecting to components that are in use.

[0398] The device can transmit information from the information transfer element having at least one It further consists of: components, capacitive information transferring components, inductive information transferring components, radio-based information Optical information transferring element.

[0399] The medical device can be surgically inserted through at least one trocar. At least one endoscopic instrument enclosed within the room where the procedure is being performed and one instrument measured from outside the room. The instrument handling is provided to allow indirect instrument contact through walls. The medical device may comprise at least one of the following: By keeping the handling portion of the meter on the outside of the flexible portion of the wall of the medical device. At least one flexible section of the wall and a small area in the room so that it can be handled manually. At least one glove on each side allowing handling of at least one measuring instrument.

[0400] According to one embodiment, the medical device further comprises at least one of the following: At least one wall and a port or body inset positioned in an incision in the patient's body. At least one closable wall port or wall inset located on one closable body. to.

[0401] At least one closable wall in which the medical device can be placed at least one closable body port or wall inset; The body inset can be placed in the skin through an incision and the tolerant interconnects Suitable for interconnecting and detachably connecting to form a port or inset At that time, the surgical procedure is performed. The interconnected ports are may be multi-port suitable for enabling the transfer of; Cameras and surgical instruments. The interconnected insets may comprise gloves.

[0402] At least one of the wall port, body port, wall inset, and body inset must be One may be suitable as follows: Separated to allow for different types of ports or insets and at least one replaced by an integral part of the fluid channel; The cavity is introduced from the environment outside the chamber into the cavity and the cavity is removed from the body. Medical equipment used within the main body or part of a foreign organization, replacement organization or part or organization.

[0403] According to one embodiment, the at least one trocar is adapted to have at least one Having multiple ports; The camera and the cavity (where the surgical procedure is performed using endoscopic instruments) are connected to separate tracks. At least one surgical instrument introduced in the local compartment, at least one trocar wherein the valve is an integral part of a fluid channel for allowing at least one; The cavity is introduced from the environment outside the chamber into the cavity and the cavity is removed from the body. Medical equipment used within the main body or part of a foreign organization, replacement organization or part or organization.

[0404] A method for performing a combination of open and endoscopic surgery using a medical device is further provided. Medical devices are designed to be used in sealed environments, including as part of a surgical procedure. adapted to be inflated with a fluid to form a chamber in which the fluid can be maintained. The method includes securing a wall of a portion of the medical device to the patient's skin. Then, an incision is made in the patient's skin either in the room or outside the room. A fluid inlet is positioned to provide fluid to the patient, thereby reducing the range of the patient's body pressure. A medical device that forms a cavity within the cavity and continues through the patient's skin, with one or more separate devices Incision(s) in the wall of the device, one or more trocars are inserted into each of the incisions in the wall of the medical device. Make at least one incision(s) for insertion; camera, and make a second incision in the wall of the medical device continuing through the patient's skin. Perform at least one step of endoscopic surgery through trocar(s), one Through one or more trocar(s), surgical instruments and at least one: transferring the object from the chamber to a cavity within the patient's body through a second incision; A closable main body port is placed through which the specimen is transferred from a cavity within the patient's body to the chamber. To do so.

[0405] The method includes the steps of suturing an incision made in the patient's skin from within a chamber of the medical device. It can further include:

[0406] A medical device for performing a combination of open and endoscopic surgery is provided. In medical devices, a sealed environment is maintained for performing procedures, including parts of a surgical procedure. a wall adapted to be inflated by a fluid to form a chamber in which the fluid can be inflated; Further medical devices include a sealing device that is disposed through the wall of the medical device and is sealed thereto. At least one endoscopic trocar is provided, the wall of the trocar being attached to the first portion of the trocar. and a portion of the trocar is disposed in the chamber of the medical device. It is configured to be 1 second.

[0407] By having a trocar placed through the wall of the medical device, the endoscopic procedure can be performed without the need for a medical The procedure can be performed in the patient's cavity from within the chamber of the therapeutic device.

[0408] According to one embodiment, the medical device comprises a removable cover covering the second portion of the trocar. The second part further comprises a sheet for holding the trocar. Thus, the second part is kept sterile prior to insertion of the trocar. It is possible that.

[0409] According to one embodiment, the medical device is enclosed in a chamber and is inserted through a trocar. The endoscopic instrument further comprises at least one endoscopic instrument adapted to be used in an endoscope. Grasping device, endoscopic claw grasping device, endoscopic stone grasping device, endoscopic needle holder, endoscopic hook, camera Laparoscopic instruments, scissors, knives, ultrasonic dissectors, inhalation instruments, endoscopic dissectors and endoscopic diathermy instruments It may also be a measuring instrument.

[0410] The medical device is adapted to contact the patient's skin for securing the medical device to the patient's skin. The adhesive surface may be provided with a

[0411] The medical device may further comprise at least one of the following: The medical device receives, directly or indirectly, fluid from a fluid inlet placed on the patient's skin. a fluid inlet for providing fluid to the fitting for the fluid, and and; A chamber and a cavity in a patient's body for performing a surgical procedure.

[0412] According to one embodiment, the wall insets can be included in the chamber of the medical device. The device is provided with gloves that allow manual operation within the device.

[0413] The medical device may further comprise at least one suitable pressure source; providing a fluid having a pressure above atmospheric pressure to a sealed chamber of the medical device, and do.

[0414] The medical device further comprises a sealing device suitable for sealing with the wall of the medical device and the skin of a patient. The sealing device may comprise at least one: The pressure seal member seals against the patient's skin by exerting pressure on the patient's skin. The adapted and vacuum seal member thus forms a vacuum seal with the patient's skin and the medical device. It has adapted to maintain a pressure less than the atmospheric pressure it is creating.

[0415] The medical device may further comprise a camera enclosed within a chamber of the medical device. , which is inserted through a trocar to allow visual inspection within the patient's cavity. may be suitable for

[0416] The medical device may be suitable for surgery on a patient's extremity. The medical device comprises at least one The second leg can be inserted so that the patient's leg can exit the medical device. a first opening arranged so that the patient's leg can enter the medical device; The container is then formed by the first and second openings and a portion of the wall. The medical device is configured to have a chamber extending therethrough, contacting the patient's skin and providing a medical It is disposed between an elongated tubular housing adapted to be isolated from the sterile environment of the chamber of the device.

[0417] The medical device may be configured to receive and transmit information from the energy transferring component and / or the information transferring component. The energy transferring member can be fluid energy and / or air energy. Suitable for transferring energy and / or kinetic energy and / or electrical energy The medical device may be equipped with energy consuming tools located within the chamber of the medical device. where the energy consuming tool is an energy Suitable for connecting to moving parts.

[0418] The device can transmit information from the information transfer element having at least one It further consists of: Component, component transferring cajfacitive information, component transferring inductive information Optical information transferring material, radio-based information transferring material.

[0419] The medical device is inserted into the chamber where the surgical procedure is being performed through at least one trocar. At least one endoscopic instrument is enclosed, and handling of the measuring instrument from outside the room is possible through the wall. and may be adapted to allow indirect contacting of the measuring instrument. The medical device may comprise at least one of the following: The handling portion of the instrument is guided through the medical device by holding the handling portion on the outside of the flexible portion of the wall. At least one flexible section of the wall and at least one flexible section in the room must be installed so that the wall can be handled dynamically. At least one glove is required to allow handling of the measuring instrument.

[0420] The medical device may further comprise at least one of the following: At least one wall and a port or body inset positioned in an incision in the patient's body. At least one closable wall port or wall inset located on one closable body. to.

[0421] According to one embodiment, the medical device further comprises at least one closable wall port. an inset located in the wall and at least one closable body port; The wall may enclose a body inset that is placed into the incision in the catheter or patient's skin. Another closable wall port or wall inset is an interconnected port or inset. The surgical instruments may be adapted to be removably interconnected to form a surgical instrument. The procedure is performed.

[0422] The interconnected ports are adapted to enable the transfer of at least one May be Lutiport; Cameras and surgical instruments. The interconnected insets may be provided with gloves to allow manipulation.

[0423] At least one wall inset and one main body inset are separated in the wall port (main body port). and suitable for being interchanged by different types at the ports or insets. may be or may be an integral part of a fluid conduit for allowing at least one of; The cavity is introduced from the environment outside the chamber into the cavity and the cavity is removed from the body. Medical equipment used within the main body or part of a foreign organization, replacement organization or part or organization.

[0424] The trocar may be equipped with multiple ports, suitable for at least one Also has one as below. The camera and the cavity (where the surgical procedure is performed using endoscopic instruments) are connected to separate tracks. At least one surgical instrument introduced in the local compartment, at least one trocar the valve is an integral part of a fluid channel for allowing at least one; The cavity is introduced from the environment outside the chamber into the cavity and the cavity is removed from the body. Medical equipment used within the main body or part of a foreign organization, replacement organization or part or organization.

[0425] A method of performing endoscopic surgery using a medical device is also provided. The medical device is maintained in a sealed environment for performing procedures, including some surgical procedures. and a medical device wall to form a chamber through which the fluid can be introduced. Both have walls adapted to be inflated by an endoscopic trocar. When the second portion of the trocar is positioned outside the chamber, the first portion of the trocar is positioned inside the chamber. Placed method: Thereby, at least one step of the endoscopic surgery is performed through the trocar. to create a cavity within the patient's body, provide fluid to the patient, and apply a medical device to the patient's skin. The wall of the device is fixed, and an endoscopic trocar is inserted into the patient's body through an incision in the patient's skin. 2. Invaginating and creating an incision in the patient's skin.

[0426] According to one embodiment of the method, the medical device is adapted to be placed in an incision in the skin. The surgical procedure is then performed. The method includes making a second incision through the skin of the patient and at least one A closable body port is placed in the incision to allow access to the airways within the patient's body through a second incision. Transfer the specimen from the cavity to the chamber and insert the object from the chamber to the cavity within the patient's body through a second incision. To move.

[0427] The method includes the steps of suturing an incision made in the patient's skin from within a chamber of the medical device. It can further include:

[0428] A medical device for use in an endoscopic surgical procedure is provided. wherein a portion of the wall is adapted to be fixed to the patient's skin. The treatment device includes a chamber (and a trocar) in which an endoscopic instrument is placed, surrounding the trocar. and further comprising at least one of: The device is enclosed in a chamber and is hermetically placed through the wall of the medical device. By having a trocar extending into the cavity of the body of the medical device and From within, endoscopic procedures can be performed in the patient's body. Surgical instruments are secured to the wall in an accessible position so that they can be operated from outside the room. The handle portion may be enclosed in place.

[0429] The walls may be flexible or resilient.

[0430] The medical device may include a wall inset, allowing manual operation within the chamber of the medical device. Gloves are provided to enable

[0431] The portion of the wall suitable for fastening to the patient's skin can comprise at least one : The vacuum seal member is adapted to seal with the wall of the medical device and the patient's skin, and the adhesive The surface was adapted for adhesion to the patient's skin.

[0432] The trocar provides a seal by pressing against the surface of the patient's skin. A suitable pressure seal member may be provided.

[0433] According to one embodiment, the wall may be adapted to receive atmospheric pressure above the pressure.

[0434] The medical device may further comprise a drain valve for emptying fluid from the chamber. , and may be connected to a filter device for filtering the emptied fluid. The system may further comprise a control system for controlling the opening of the discharge valve. The system may be adapted to control the discharge valve on the basis of at least one of: Room pressure, manual detection of room visibility, room visibility, room smoke detection, room temperature and time , variables were related.

[0435] The endoscopic instrument can be, for example, an endoscopic grasping device, an endoscopic claw grasping device, an endoscopic stone grasping devices, endoscopic needle holders, endoscopic hooks, cameras, scissors, knives, ultrasonic dissectors, suction An endoscopic measuring instrument, an endoscopic dissector, and an endoscopic diathermy measuring instrument.

[0436] A method for performing an endoscopic surgical procedure on a patient using a medical device is further provided. The medical device comprises a wall enclosing a chamber in which a sealed environment can be maintained. Therein, the endoscopic instruments are enclosed. The method comprises: A second portion of the trocar is placed through the incision in the patient's body cavity to close the incision in the patient's skin. Then, the first part of the trocar is placed in the chamber of the medical device. A fluid connection is made between the chamber of the medical device and the cavity in the patient's body. By operating the handle of the endoscopic instrument from outside the wall of the device, endoscopic surgical procedures can be performed. Using the endoscopic instruments in the procedure, insert the endoscopic instruments through the trocar into the patient's cavity. Place.

[0437] The method further includes opening a drain valve in the wall of the medical device to empty the fluid from the chamber of the medical device. can be included in.

[0438] A trocar for performing an endoscopic procedure on a body cavity of a patient is provided. The trocar is a first sealing member within the trocar that is adapted to seal with the patient's body cavity and the surrounding environment. The trocar is then placed through the patient's skin during the surgical procedure. The secondary seal then hermetically connects around the trocar to further seal against the patient's skin. The implant is adapted to engage the surface of the patient's epithelium.

[0439] The seal may be, for example, a seal that allows a trocar to be inserted into a patient's body in a sealed environment. do.

[0440] The secondary seal is placed in contact with the patient's skin to seal against the patient's skin. The adhesive portion may be suitable for

[0441] The vacuum seal is formed between the patient and the skin of the vacuum seal member or the skin of the patient due to the seal member being provided. The pressure created between the membrane and the surface is adapted to seal by pressing the membrane against the surface. In this way, the secondary seal is a vacuum seal member suitable for maintaining a pressure less than atmospheric pressure. The pressure seal member may be positioned in a direction substantially parallel to the extension of the trocar. The device may be adapted to be pressed against the patient's skin or tissue from within the patient's cavity.

[0442] According to one embodiment, the trocar is an inflatable trocar adapted to be inflated by a fluid. The pressure sealing device further comprises a pressure sealing member.

[0443] According to one embodiment, an inflatable pressure seal member is shaped to be inflated. The first sealed chamber is formed on the patient's outer skin while the second sealed chamber is formed in the patient's cavity. When the fluid in the second sealed chamber indirectly presses against the skin, the fluid in the first sealed chamber indirectly presses against the skin. By applying pressure to the patient's skin or tissue from within the patient's cavity.

[0444] According to one embodiment, the trocar is adapted to engage a device mounting portion of a medical device. The medical device is connected to the device interface (the chamber containing the endoscopic instrument). The endoscopic instruments are then inserted into the trocar that the device is attached to. The trocar and medical device may be inserted into the patient's cavity through the attached trocar. Rieru.

[0445] The mounting portion is adapted to engage a corresponding recess or protruding member on the mounting portion of the medical device. The recess or protruding member may be provided.

[0446] The first seal may comprise a first self-sealing membrane.

[0447] According to one embodiment, a first self-sealing membrane is placed on the first attachment portion of the trocar. Then, when the medical device and trocar are connected, the self-sealing membrane The integrated self-sealing membrane then abuts against the second self-sealing membrane of the medical device. Insertion of endoscopic instruments (contained in the medical device into the trocar through the integrated self-sealing membrane) It is made possible and formed.

[0448] A medical device for use in an endoscopic surgical procedure is further provided. A flexible wall is provided surrounding the medical device. The medical device may include a flexible wall mounted thereon and connected to the flexible wall. a device mounting portion configured to mount the device to the trocar; A body connection tube is formed between the chamber surrounded by the wall and the patient's body. It is configured as a cavity.

[0449] The medical device is enclosed within a chamber and operates within the patient's cavity through a trocar. The surgical instrument may further comprise a surgical instrument suitable for:

[0450] The surgical instrument may have a handle portion that can be operated from outside the room. The handle portion is operably enclosed by the wall so that it can be It is possible.

[0451] According to one embodiment, the medical device comprises a permeable membrane suitable for sealing with the chamber and the surrounding environment. 2 self-sealing membranes.

[0452] A second self-sealing membrane can be placed on the device mounting portion of the medical device. The self-sealing membrane is a first self-sealing membrane of the trocar to which the medical device and the trocar are connected. The integrated self-sealing membrane then contacts the endoscopic instrument (the integrated self-sealing membrane). The membrane is formed to allow insertion of a medical device (included in the medical device) into the trocar through the membrane.

[0453] The second attachment part is connected to the first part of the trocar by one The sleeve may be suitable for: Engaging the trocar on the outside and engaging the trocar on the inside. The sleeve may include a seal member for sealing between the sleeve and the trocar. can be done.

[0454] The device mounting portion of the medical device engages a corresponding recess or protruding member of the trocar mounting portion. The device may include a recess or protruding member suitable for receiving the pressure.

[0455] The flexible wall of the medical device may be resilient.

[0456] The walls of the medical device may be adapted to receive pressure exceeding atmospheric pressure at the point of the chamber.

[0457] The medical device may include a drain valve for emptying the fluid from the chamber. The fluid may be connected to a filter device for filtering the fluid.

[0458] The medical device may further comprise a control system for controlling the opening of the drain valve. wherein the control system controls the discharge valve based on at least one Suitable for: Chamber pressure, chamber hand visibility, chamber visibility, chamber smoke detection, chamber temperature and time are variables was related.

[0459] A medical device system for performing endoscopic surgery on a patient is also provided. The system includes a medical device having a flexible wall surrounding a chamber. The device further comprises a device mounting portion positioned on the flexible wall, and the device is adapted to mount the device to the cavity even within the patient. The trocar is also suitable for placement against the patient's skin to determine the fluid connection tube. The trocar includes a trocar mounting portion. The portion includes a trocar tract for establishing a fluid connection between a chamber of the medical device and a cavity of the patient. It may be suitable for connection to a local mounting portion.

[0460] According to one embodiment, the device mounting portion of the medical device is attached to the trocar by the trocar mounting portion. Providing a sleeve suitable for connection to a part: Engaging the trocar on the outside and engaging the trocar on the inside. At least one of the sleeve and the trocar is A sealing member for sealing therebetween may be provided.

[0461] The device mounting portion may include a recess or a protruding member. The trocar may include a recess or protruding member. is adapted to engage a recess for connecting the mounting portion of the medical device to the mounting portion of the trocar. It may be possible.

[0462] According to one embodiment, the device mounting portion comprises a second self-sealing membrane that is permeable. The attachment portion of the medical device includes a permeable first self-sealing membrane, and the attachment portion of the medical device includes a self-sealing membrane. The membrane abuts against the self-sealing membrane of the trocar to which the medical device and the trocar are connected. The integrated self-sealing membrane then allows the medical device chamber to be opened through the integrated self-sealing membrane. It is configured to allow for the insertion of endoscopic instruments into a cavity in the patient's body.

[0463] The medical device is enclosed within a chamber and operates within the patient's cavity through a trocar. The surgical instrument may further comprise a surgical instrument suitable for: The handle portion can be operably enclosed by the wall. This means that the handle can be operated from outside the room.

[0464] An endoscopic surgical method for performing an endoscopic procedure on a body cavity of a patient is also provided. The method comprises: a trocar having a first sealing device within the trocar adapted to seal with a cavity in the patient's body; Place the trocar through the skin and the surrounding environment against the surface of the skin. and placing a second sealing device, sealingly connected to the trocar, against the patient's skin. and configured to engage a surface of the patient's skin for further sealing through the trocar. The second is sealing the patient's cavity during the endoscopic procedure.

[0465] A medical device for a surgical procedure is provided. The medical device is provided with an adapted wall. Together they form a chamber with or without the patient's body, and The chamber is placed on the patient's skin and is in fluid communication with the patient's body cavity. suitable for surgical incisions in the skin of patients, while providing a dense Maintain a sealed environment. The medical device is connected to the wall and has a seal or seal with the wall and skin. The chamber is fitted with a patient sealing device and at least one drain valve for emptying fluid from the chamber. and a sealing device for performing laparoscopic, open, or both laparoscopic and surgical procedures. At least one open procedure; a fluid inlet adapted to inject fluid directly into the chamber, and adapted to indirectly fit into the patient's skin; receiving fluid from an inlet placed on the skin; chambers and the patient's body cavities.

[0466] There is also provided a medical device for performing an endoscopic surgical procedure, the medical device comprising: Some walls are designed to prevent the patient (the device must be positioned between at least three of the following) from entering the room. Suitable for fastening to the skin(s) of a medical device further comprising: a chamber, a medical device enclosed within the chamber, a drain valve for emptying fluid from the chamber, and a closing valve a trocar or inset sealingly placed through the wall of a shackle wall port (and A closable body port or inset (enclosed within) allows endoscopic instruments to be carried out The procedure begins with an endoscopic, open, or both endoscopic and surgical procedure.

[0467] According to one embodiment, the drain valve is connected to a filter for filtering the emptied fluid. do.

[0468] According to one embodiment, the medical device further comprises a control system for controlling the opening of the drain valve. The control system is adapted to control the discharge valve on at least one basis. Are: Chamber pressure, chamber manual detection visibility, chamber visibility, chamber smoke detection, chamber temperature and time , variables were related.

[0469] The walls of the medical device may be adapted to receive the atmospheric pressure above the pressure.

[0470] The medical device can further comprise a sealing device comprising at least one: The pressure seal member seals against the patient's skin by exerting pressure on the patient's skin. The adapted and vacuum seal member thus forms a vacuum seal with the patient's skin and the medical device. It has adapted to maintain a pressure less than the atmospheric pressure it is creating.

[0471] According to one embodiment, the walls of the medical device may have a transparent layer allowing television reception in the chamber of the medical device. Have a program.

[0472] The wall of the medical device may further comprise an adhesive adapted to provide at least one surface. You can: A fixed wall within the wall against the patient's skin and a seal is formed between the wall and the patient's skin.

[0473] According to one embodiment, the walls of the medical device are configured to provide coverage from the medical device chamber to the ambient environment and vice versa. A closable wall port is provided which is adapted to allow the transfer of items.

[0474] A method of performing a surgical procedure on a patient using a medical device is also provided. A method comprising applying a wall on the patient's skin to form a chamber, sealed environment for which may be maintained, including as part of the surgical procedure to be performed, and using the sealing device against the patient's skin to form a seal between the device and the patient's skin. inflating at least one of the patient cavity and the chamber of the medical device with fluid; An incision (I) is made in the patient's skin and placed in a sealed environment. A fluid connection tube between the cavities is created, and steps are performed in the patient's cavities of the surgical procedure. and opening a drain valve in the wall of the medical device to empty the fluid from the chamber.

[0475] A medical device for performing knee surgery on a patient is provided. The therapeutic device is adapted to form a chamber adapted to enclose an area associated with the patient's knee joint. It is suitable for maintaining a sterile environment and for containing the parts of the knee surgery being performed. The chamber further comprises a closable wall port in which the medical device is placed in a wall portion, The closable wall port is attached to a main body port that is placed in an incision in the patient's knee area. a connecting member for connecting to the body port when the body port and the wall port are connected; It seems possible that the chamber may contain part of the surgical procedure when the wall and main body ports are disconnected. The arthroscopic instruments are mobile even while performing the knee joint procedure. and allows a combination of open surgical and arthroscopic procedures to be performed. do.

[0476] A medical device is also provided for assisting in performing a surgical procedure. The medical device comprises a flexible wall and interconnectable ports as follows: The first port, the second fitting configured, is an interconnectable port (the second fitting is connected to the first interconnected by a first port to form a . The first port is connected to a first portion of the flexible wall, and the second coupling is connected to a second portion of the flexible wall. The flexible wall has a first port and a second fitting (having a closable opening) connected to the The chamber is adapted to be connected to a cavity within the patient's body. It is suitable for allowing communication through the hands. At that time, surgical procedures are performed. The first port in the first position connects to a second fitting in close relation to the patient's skin. wherein the first port has a first smaller volume and a second position. The chamber is adapted to be separated from the second fitting and positioned further away from the patient's skin. The chamber has a volume greater than 1 s, and The medical device further comprises a sealing device, disposed in association with at least one Constructed to be; Flexible enough to seal the combined volume of the chamber and body cavity to the outside environment (second fitting open) A second fitting to the wall and the medical device and seal with the skin or tissue of the patient.

[0477] According to one embodiment, the first port is a closable wall port when disconnected from the second fitting. Form.

[0478] According to one embodiment, when the first port is separated from the second fitting, the second fitting is simply It forms a self-closable body port.

[0479] According to one embodiment, when the second fitting is disconnected from the first port, the chamber is connected to the first port. The coupling and the second coupling have interconnecting first and second volumes.

[0480] According to one embodiment, the second volume is larger than the first volume. The first volume is 100,000 mm 3 The second volume may be smaller than 5000 00mm 3 It may be larger.

[0481] The flexible wall may have pleats so that the flexible wall can be expanded. can be done.

[0482] According to one embodiment, the medical device further comprises a first fitting, and the first port is connected to a second a first fitting connected to the first fitting, and a second fitting connected to the first fitting; This can be done.

[0483] According to one embodiment, at least one of the first and second joints comprises a protruding member. , and at least one of the first and second joints includes a recess and a protrusion The member is adapted to engage the recess for locking the first fitting to the second fitting.

[0484] According to one embodiment, the recess is a groove in at least one of the first and second joints. .

[0485] According to one embodiment, the chamber formed by the flexible wall maintains an air pressure above the pressure. Suitable for.

[0486] Interconnectable ports can be adapted: In a first state, the first port and the second coupling are interconnected to provide a surgical instrument. The doctor can operate through the interconnected interconnectable ports, which will be explained shortly. When the second fitting is disconnected from the first port, the surgeon can The procedure is performed in a chamber formed by a flexible wall between the second combination of connectable ports. The steps can be performed.

[0487] In the second state, the interconnectable ports have a second coupling that can be adapted This allows the surgeon to remove the specimen from the patient's body and into the chamber, and then perform one R: Placing a specimen in the chamber and removing the specimen from the chamber through the first port.

[0488] According to one embodiment, the chamber further comprises a pouch for holding the specimen within the chamber. A pouch-shaped chamber is closed to create a chamber for isolating the specimen removed within the chamber. It may be possible to do so.

[0489] According to one embodiment, the medical device also includes a second port adapted to be placed in the second joint. wherein at least one of the first port, the second port, and the first joint At least one is suitable for reconnection after disconnection. Afterwards, the surgeon can continue to operate through the interconnected ports.

[0490] According to one embodiment, the medical device is detachably attached to at least one of the first and second fittings. The insets can then be separated. The insets can be replaced by different insets. It may be a bag or a device or an instrument mount.

[0491] According to one embodiment, the medical device comprises a second port adapted to be placed in the second fitting. The first and second ports are made of rubber that is adapted in a non-compressed state. or a flexible membrane that provides a seal and that, when compressed, can be held in place by a hand or object. to be invaginated through the membrane.

[0492] The second port may include a second rubber or flexible membrane, and the first port may include a first The first and second membranes may comprise rubber or flexible membranes in an uncompressed state. and tightly together so that they act as a single elastic band or The flexible membrane may be adapted to be placed, in a compressed state, by hand or The first and second membranes allow the object to be inserted through the membrane. A plurality of self-sealing holes may be provided to allow for insertion of instruments.

[0493] In one embodiment, at least one of the first port and the second port may be matched. It has a penetrating self-sealing gel that maintains a seal and prevents contact with the object or hand. can be inserted through an interconnectable port.

[0494] According to one embodiment, the second port is provided with a second permeable self-sealing gel. The port is provided with a first permeable self-sealing gel. The first gel may be and the second permeable self-sealing means that in the uncompressed state, the gel is adapted Adapted to be placed tightly together to act as a single, permeable, self-sealing The seal is provided by the hand or object in the cell while maintaining the seal under compression. This allows the sealant gel to be inserted through the sealant.

[0495] The wall of the medical device may further comprise a fluid inlet for inflating the chamber with a fluid. Cut.

[0496] According to one embodiment, the medical device is provided with a wall for draining fluid from the chamber. a fluid discharge conduit.

[0497] The medical device comprises a pump adapted to circulate a fluid from an outlet member to an inlet member. It can become even more.

[0498] a first chamber such that the chamber is closed off from at least one of the surrounding environment and the patient's cavity; The port and the second fitting may be equipped with an impermeable valve.

[0499] The medical device may comprise at least one: The vacuum seal is formed between the interconnectable port and the patient's skin. adapted to maintain a pressure less than atmospheric pressure between the port and the patient's skin, and The seal is formed between the interconnectable port and the patient's skin. The device is adapted to maintain a pressure above atmospheric pressure between the device and the patient's skin.

[0500] The second combination of medical devices may be further adapted to allow hand passage into the body cavity. The second fitting can form an opening. The first port then passes through the second fitting. It was isolated.

[0501] According to one embodiment, the second joint comprises a detachable second inset.

[0502] The medical device may further comprise a third inset to which the first port is detachable. This can be done.

[0503] According to one embodiment, the second fitting defines an opening. The first port then connects to the second The second inset is suitable for closing between the body cavity and the chamber. Good too.

[0504] According to one embodiment, the third port comprises a removable third inset.

[0505] The second fitting can include a body port that is a detachable portion of the second fitting.

[0506] The first port may be a multiport comprising two or more individual ports; The fittings together form an integrated multi-port that is placed in close relation to the skin. It may be suitable for connection to multiple ports for

[0507] The body port may be a multiport having two or more individual ports, and Therefore, the main body port may be multi-port and may be suitable for connecting to the first port. Together they form an integrated multi-port that is placed in close relation to the skin. do.

[0508] Surgical procedures performed on a patient's body using interconnectable ports are further provided. It is being done. A medical device comprising a first port and a second fitting. The method comprises: Make an incision in the patient's skin, connect it to the body cavity, and place an interconnectable port in the incision. and a second fitting, such that the chamber is formed by a wall connecting to the first port. and separating the first port from the second fitting to connect at least one of the body cavity and the chamber. To perform steps of a surgical procedure within.

[0509] The method may further comprise the steps of: disposing a sealing device in relation to at least one of the; The flexible wall and second joint provide a barrier to the patient (and the outside environment) between the combined volume of the chamber and body cavity. When there is a second joint between the medical device and the skin or tissue, Open to

[0510] The step of performing the steps of the surgical procedure in the chamber may comprise: Removing the specimen from the patient's body cavity and transferring the specimen through the second fitting to the medical device. Place the specimen in the chamber.

[0511] The method may further comprise the steps of: forming an interconnectable port; a first port connecting the first and second ports to perform a surgical step in the patient's cavity; Reconnecting the first and second (through interconnectable ports)

[0512] A medical device is provided for assisting in performing a surgical procedure. The first port has a first flexible wall and is provided with an interconnectable port. A second fitting is adapted to the first port to form an interconnectable port. Thus, the second coupling is disconnectable from the first port. The first port can be connected to the first portion of the first flexible wall, and the second fitting can be The first flexible wall may be connected to a second portion of the first flexible wall, the first flexible wall being a first port. and a second fitting (the second fitting having a closable opening) adapted to form a chamber together therewith. When a surgical procedure is performed, the chamber is opened to allow the patient to incision into the patient's skin. communicating through a second connecting the first port at a first location to a cavity within the subject's body. The second joint is in close contact with the patient's skin. Suitable, wherein the first port has a first smaller volume and a second location. The chamber is adapted to be separated from the second fitting and positioned more remotely with respect to the patient's skin. The chamber has a volume significantly larger than that of the first chamber. The medical device is implemented in the skin and is positioned around the incision, sealingly connecting to the flexible connecting member. a flexible connecting member (first sealing member) configured to be placed inside the patient's skin; a second seal having a sealing device and sealingly connecting to at least one of the The first flexible wall (flexible connecting member) and the second joint or It is an integral part of the two fittings, suitable for placement on the outside of the patient's skin around the incision. To do so.

[0513] The flexible connecting member sealingly interconnects the first and second sealing members. Thus, the first and second sealing members have at least one opening larger than the incision they seal between. Suitable for: The patient and the first sealing member and the flexible connecting member are tightly coupled to at least one a second sealing member adapted to be placed in a sealed relationship with the patient's skin or tissue; ; The first flexible wall and the fitting or the outside environment (the second fitting) during the surgical procedure. The first and second membranes are involved in sealing the combined volume of the chamber and body cavity (open). a first flexible wall (adapted to be placed through an incision in a body cavity) against the two sealing members; be an integral part of the

[0514] According to one embodiment, the first port is a closable wall port when disconnected from the second fitting. Form.

[0515] According to one embodiment, when the first port is separated from the second fitting, the second fitting is simply It forms a self-closable body port.

[0516] According to one embodiment, when the second fitting is disconnected from the first port, the chamber is connected to the first port. The coupling and the second coupling have interconnecting first and second volumes.

[0517] According to one embodiment, the second volume is greater than the first volume. mm 3 The second volume may be smaller than 500,000 mm 3 It could be bigger .

[0518] The flexible wall may have pleats so that the flexible wall can be expanded. can be done.

[0519] The medical device may further comprise a first fitting, and the first port may be connected to the first fitting. and the first fitting is adapted to be connected to the second fitting. It may be possible.

[0520] At least one of the first and second joints may include a protruding member; and At least one of the first and second joints may include a recess; and The protruding member may be adapted to engage a recess for locking the first fitting to the second fitting. good.

[0521] According to one embodiment, the recess is a groove in at least one of the first and second joints. It is possible.

[0522] Interconnectable ports can be adapted: In a first state, the first port and the second coupling are interconnected to provide a surgical instrument. The doctor can operate through the interconnected interconnectable ports, which will be explained shortly. When the second fitting is disconnected from the first port, the surgeon can The procedure is performed in a chamber formed by a flexible wall between the second combination of connectable ports. The steps can be performed.

[0523] In the second state, the interconnectable ports have a second coupling that can be adapted This allows the surgeon to remove the specimen from the patient's body and into the chamber, and then perform one R: Placing a specimen in the chamber and removing the specimen from the chamber through the first port.

[0524] According to one embodiment, the chamber further comprises a pouch for holding the specimen within the chamber.

[0525] The pouch is used to create a pouch-chamber within a chamber to separate the specimen removed within the chamber. It can be closed for a short time.

[0526] According to one embodiment, the medical device also includes a second port adapted to be placed in the second joint. At least one of the first port, the second port, and the first fitting. One may be adapted to be reconnected after disconnection, so that the specimen The surgeon can then continue to operate through the interconnected ports.

[0527] According to one embodiment, the medical device is detachably attached to at least one of the first and second fittings. The insets can then be separated. can be replaced by different insets.

[0528] According to one embodiment, the inset may comprise at least one of: Surgical gloves and the device or instrument are attached.

[0529] The medical device may further comprise a second port adapted to be placed in the first fitting. At least one of the first and second ports may be The seal may be provided by a rubber or flexible membrane that is adapted to provide a seal and that is in a compressed state. , allowing a hand or object to be inserted through the membrane.

[0530] The second port may include a second rubber or flexible membrane, and the first port may include a first The first and second membranes may comprise rubber or flexible membranes in an uncompressed state. and tightly together so that they act as a single elastic band or The flexible membrane may be adapted to be placed, in a compressed state, by hand or This allows an object to be inserted through the membrane.

[0531] According to one embodiment, the first and second membranes allow insertion of a meter through the membranes. A plurality of self-sealing holes may be provided.

[0532] According to one embodiment, at least one of the first port and the second port is permeable. The device can be provided with a self-sealing gel that maintains the seal and also allows the device to be easily removed from the object. or hands can be inserted through interconnectable ports.

[0533] The second port is filled with a second permeable self-sealing gel in an uncompressed state (and the gel The second permeable cell acts as a self-sealing, single permeable cell adapted to The sealing gels may be adapted to be tightly placed together. and the first port may comprise a first permeable self-sealing gel. The seal is provided and maintained under compression while the hand or object presses against the cell. This allows the sealant gel to be inserted through the sealant.

[0534] According to one embodiment, the wall may comprise a fluid inlet for inflating the chamber with a fluid. and / or a fluid discharge conduit is provided in the wall for discharging fluid from the chamber. are.

[0535] The medical device comprises a pump adapted to circulate a fluid from an outlet member to an inlet member. It can become even more.

[0536] According to one embodiment, the chamber is closed off from at least one of the surrounding environment and the patient's cavity. At least one of the first port and the second fitting is an impermeable valve. It can be equipped with:

[0537] The medical device includes an interconnectable port and a seal with the patient's skin. and a vacuum seal adapted to maintain a pressure less than atmospheric pressure between the device and the patient's skin. and / or a pressure seal can be formed between the interconnectable port and the patient's skin. Adapted to maintain pressure above atmospheric pressure between the interconnectable port and the patient's skin did.

[0538] According to one embodiment, the second joint is adapted to allow passage of a hand into the body cavity; and The second fitting can form an opening. Then, the first port can be connected to the second fitting. It was isolated.

[0539] According to one embodiment, the second joint may comprise a removable second inset; The first port can then have a removable third inset.

[0540] According to one embodiment, the second inset is adapted to close between the body cavity and the chamber. Good too.

[0541] According to one embodiment, the medical device includes a third pocket having a removable third inset. It can be equipped with a port.

[0542] The second fitting can include a body port that is a detachable portion of the second fitting.

[0543] The first port may be a multiport comprising two or more individual ports. In this, the fittings together form an integrated multi-port that is placed in close contact with the skin. Suitable for connecting to multiple ports to form a

[0544] The body port may be a multiport having two or more individual ports, and Therefore, the main body port may be multi-port and may be suitable for connecting to the first port. Together they form an integrated multi-port that is placed in close relation to the skin. do.

[0545] Surgical procedures performed on the patient's body provide further. The method comprises: Position the first sealing member around the incision and place the second sealing member on the outside of the patient's skin. and sealingly connecting the incision to the flexible connecting member within the patient's skin around the incision. a sealing device having its flexible connecting member disposed through the skin of the patient to connect to the body cavity; Making an incision and arranging interconnectable ports in the incision so that a chamber is formed by the wall. Placing the first port separates the first port from the second port, providing a The second seal member was then sealed against the patient's skin or tissue. and, within at least one of the scope of the first sight towards the patient and the performing organization. The surgical procedure steps were sealed by the closure element; Chambers and body cavities.

[0546] According to one embodiment, the step of performing the steps of the surgical procedure in the chamber comprises: Removing a specimen from a body cavity of a patient and transferring the specimen through a first port to a medical device Place the specimen in the chamber.

[0547] The surgical method may further comprise: Interconnectable ports are formed by connecting the components together. The first port and the second port are used to perform surgical steps in the patient's cavity. To connect.

[0548] A medical device is provided for assisting in performing a surgical procedure. A flexible wall includes a first flexible wall and interconnectable ports, as follows: a first port, a second port, When the fitting is adapted, it is connected to the first port to form an interconnectable port. The second coupling is connected to the first port, where the second coupling is separable from the first port. The port is connected to a first portion of the first flexible wall, and the second joint is connected to a second portion of the first flexible wall. The first flexible wall is connected to the first port and the second fitting (the closable opening). a second fitting having a second coupling (24) for forming a chamber. When the opening is performed at the patient's skin, the chamber is inserted into a cavity within the patient's body at a first location. Communication through a second connecting port is in close contact with the patient's skin The chamber is suitable for connecting to a second fitting. the first port at the second position is adapted to be isolated from the second fitting. The second joint is then disconnected from the second joint at a more remote location relative to the patient's skin. In addition, the chamber has a volume significantly larger than that of the retracted system. (a) a flexible, flexible device adapted to be placed inside the patient's skin around an incision made in the skin; a flexible connecting member (within which the member is housed) connected to the flexible connecting member; and at least The first one is provided with an outer housing for housing a member connected to one another. The flexible wall (flexible connecting member) and the second joint, or the second joint (the patient around the incision The flexible connecting member is an integral part of the device (suitable for placement on the outside of the skin). The inner and outer contracting members are interconnected. The side contracting member is a flexible connecting member that can contract the skin. The flexible connection is suitable for opening incisions in tissues that are larger than the skin and are substantially parallel to the skin. The member is adapted to be disposed in association with at least one other; a first flexible wall and a second joint, or a first flexible wall (through an incision into a body cavity) The flexible connecting member is an integral part of the skin, the skin and Contracts the tissue in close relation to the incision and retracts internally and externally, substantially parallel to the incision and to increase incision passage from the chamber into the body cavity during a surgical procedure. Great.

[0549] According to one embodiment, the first port is a closable wall port when disconnected from the second fitting. Form.

[0550] According to one embodiment, when the first port is separated from the second fitting, the second fitting is simply It forms a self-closable body port.

[0551] According to one embodiment, when the second fitting is disconnected from the first port, the chamber is connected to the first port. The coupling and the second coupling have interconnecting first and second volumes.

[0552] According to one embodiment, the second volume is larger than the first volume.

[0553] The first volume is 100,000 mm 3 The second volume may be smaller than 5000 00mm 3It may be larger.

[0554] The medical device may include a first fitting. The first port connects to a second fitting. and a second fitting may be adapted to connect to the first fitting. stomach.

[0555] The first and / or second joints may include protruding members, and the first and At least one of the first and second joints may include a recess, and the protruding member may include The second fitting may be adapted to engage a recess for locking the first fitting to the second fitting. , at least one of the first and second joints may have a groove.

[0556] According to one embodiment, the chamber formed by the flexible wall maintains an air pressure above the pressure. Suitable for.

[0557] According to one embodiment, the interconnectable ports can be adapted: In a first state, the first port and the second coupling are interconnected to provide a surgical instrument. The doctor can operate through the interconnected interconnectable ports, which will be explained shortly. When the second fitting is disconnected from the first port, the surgeon can The procedure is performed in a chamber formed by a flexible wall between the second combination of connectable ports. The steps can be performed.

[0558] In the second state, the interconnectable ports have a second coupling that can be adapted This allows the surgeon to remove the specimen from the patient's body and into the chamber, and then perform one R: Placing a specimen in the chamber and removing the specimen from the chamber through the first port.

[0559] The medical device may also further comprise a second port adapted to be placed in the second fitting. At least one of the first port, the second port, and the first joint can be cut off. The specimen may be adapted to be reconnected after being removed, so that the specimen can be The physician can continue to operate through the interconnected ports.

[0560] The medical device is provided with an inlet that is removably secured to at least one of the first and second joints. The inset can further comprise a set, whereby the inset can be separated and They can be replaced by different insets. The inset may comprise at least one of: Surgical gloves and the device or instrument are attached.

[0561] According to one embodiment, the medical device comprises a second port adapted to be placed in the second fitting. At least one of the first and second ports is in an uncompressed state. The seal may be provided by a rubber or flexible membrane adapted to provide a seal and to maintain a compressed state. , allowing a hand or object to be inserted through the membrane.

[0562] The second port may include a second rubber or flexible membrane, and the medical device may be attached to the first rubber or flexible membrane. The first and second membranes may further comprise a flexible membrane or a flexible film. and tightly together so that they act as a single elastic band or The flexible membrane may be adapted to be placed, in a compressed state, by hand or This allows an object to be inserted through the membrane.

[0563] The first and second membranes have a plurality of self-sealing holes that allow for insertion of an instrument through the membranes. It can be equipped with:

[0564] a first chamber such that the chamber is closed off from at least one of the surrounding environment and the patient's cavity; At least one of the port and the second fitting may include an impermeable valve. do.

[0565] The medical device may further comprise at least one of: The vacuum seal is formed between the interconnectable port and the patient's skin. adapted to maintain a pressure less than atmospheric pressure between the port and the patient's skin, and The seal is formed between the interconnectable port and the patient's skin. The device is adapted to maintain a pressure above atmospheric pressure between the device and the patient's skin.

[0566] The port is adapted to be placed on the outside of the patient's skin around the incision and is connected to the skin and a second skin. The incision and sealing performed in the seal member are performed to form the first and second seal members (thereby and a spring-loaded or resilient connecting member (seal) interconnecting at least one of the a spring-loaded or resilient connecting member adapted to be placed inside the patient's skin around the connecting member; The sealing device may further comprise one sealing member: the port and the patient and the first sealing member and the skin of the patient's tissue.

[0567] The fitting is adapted to allow passage of a hand into the body cavity in either embodiment.

[0568] According to one embodiment, the fitting defines an opening, and the first port is then separated from the fitting. was done.

[0569] According to one embodiment, the outer contracting member is sealingly connected to at least one and wherein the interior housing the member is sealingly connected to the flexible connecting member; The first flexible wall (flexible connecting member) and the second joint, or the second joint (flexible connecting member) The connecting members interconnect and seal the inner and outer contracting members to form a direct or indirect Being an integral part of something means being hermetically arranged in relation to at least one other thing. Adapted to be; a first flexible wall and a second flexible wall that are joined or are an integral part of the first flexible wall; .

[0570] The second fitting can include a body port that is a detachable portion of the second fitting. The first port may be a multiport comprising two or more individual ports. The hands together form an integrated multi-port that is placed in close relation to the skin. It may be suitable for connecting to multiple ports.

[0571] The body port may be a multi-port, comprising two or more individual ports. The body port may be adapted to connect to a first port of the multiport; and Together they form an integrated multi-port that is placed in close relation to the skin.

[0572] The second fitting may include a removable second inset, and the first port may be removable. A possible third inset may be provided.

[0573] The second inset may be adapted to close between the body cavity and the chamber.

[0574] According to one embodiment, the medical device includes a third pocket having a removable third inset. It further comprises a lute.

[0575] There is also provided a surgical procedure performed on the body of a patient using a medical device. The medical device has a retracting system and a first port and an interconnectable port. and a second joint. The retracting system includes a flexible connecting member and an internal and an outer contracting member. The method comprises: There is also provided a surgical procedure performed on the body of a patient using a medical device. The medical device has a retracting system and a first port and an interconnectable port. and a second joint. The retracting system is contracting the flexible connecting member and the inner and outer Includes components. The method comprises: An incision is made in the patient's skin and the flexible connecting member is inserted through the incision to connect to the body cavity. Arranging a retracting system that can accommodate the components inside ( around the incision (inside the patient's skin around the incision sealingly connecting to the flexible connecting member) The outer contracting member is placed on the outside of the patient's skin, and the chamber is formed by the wall. Thus, arranging the interconnectable ports in the incision allows for the connection of the first port from the second port. Separate and retract the incision, which leads to the first and second ports, and then the inside and outside Increasing the opening with a flexible connecting member disposed on the contracting member; During surgical procedures, the skin is exposed to the incision to increase passage from the incision to the body cavity. A substantial parallel withdrawal of closely related organizations and at least one category performing steps of surgical procedures within the periphery; chambers and body cavities.

[0576] The step of performing the steps of the surgical procedure in the chamber may comprise: Removing the specimen from the patient's body cavity and transferring the specimen through the second port for medical treatment. Place the specimen in the chamber of the device.

[0577] The surgical method may further comprise: A first port and a second port are coupled together such that an interconnectable port is formed. reconnecting the devices to perform surgical steps in the patient's cavity. (through the

[0578] Medical devices are provided to assist in performing surgical procedures. The medical device includes a first inset with a flexible wall and an interconnectable port. Route. The interconnectable ports include a first port, a second port, and a third port. and interconnected by one thing; A first port and a first inset (where a second fitting is (detachable from the first port or the first inset). The first port is connected to a first portion of the flexible wall, and the first inset is connected to a first portion of the flexible wall. a second joint connected to a second portion of the flexible wall; An incision is made in the patient's skin adapted to form a chamber with the first port. Then, when the surgical procedure is performed, the first inset and the second fitting (closable) A second chamber (connector) having an opening for communication with a cavity inside the patient's body through the connection. It is suitable for allowing At least one; a first port and a first inset on the patient's skin at a first location, Suitable for connecting to a second fitting in a tighter connection to a chamber with a smaller volume . At least one; The first port and first inset of the second position are disconnected from the second fitting and was separated from the joint at a more remote location relative to the patient's skin. At 1 s, the chamber had a significantly larger volume.

[0579] According to one embodiment, the first port is a closable wall port when disconnected from the second fitting. Form.

[0580] According to one embodiment, when the first port is separated from the second fitting, the second fitting is simply It forms a self-closable body port.

[0581] The first volume is 100,000 mm 3 The second volume may be smaller than 5000 00mm 3 It may be larger.

[0582] The medical device may further comprise a first fitting, the first port connecting to a second fitting. and a second fitting may be adapted to be connected to the first fitting. good.

[0583] The first or second fitting may include a protruding member and the second fitting may include a recessed member. At least one of the first and second joints may be provided, and the protruding member may be connected to the first joint at the second joint. The recesses are adapted to engage the hand locking recesses. The recesses are adapted to engage the first and second joints. At least one of the grooves may be included.

[0584] The chamber may be adapted to maintain a superatmospheric pressure.

[0585] According to one embodiment, the interconnectable ports are adapted: In a first state, the first port and the second coupling are interconnected to provide a surgical instrument. The doctor can operate through the interconnected interconnectable ports, which will be explained shortly. When the second fitting is disconnected from the first port, the surgeon can The procedure is performed in a chamber formed by a flexible wall between the second combination of connectable ports. The steps can be performed.

[0586] In the second state, the interconnectable ports have a second coupling that can be adapted This allows the surgeon to remove the specimen from the patient's body and into the chamber, and then perform one R: Placing a specimen in the chamber and removing the specimen from the chamber through the first port.

[0587] The chamber of the medical device may further comprise a pouch for holding the specimen within the chamber.

[0588] According to one embodiment, the pouch may be positioned within the chamber for isolating the specimen removed within the chamber. Can be closed to create a beach chamber.

[0589] The medical device may also further comprise a second port adapted to be placed in the second fitting. At least one of the first port, the second port, and the first joint can be cut off. The specimen may be adapted to be reconnected after being removed, so that the specimen can be The physician can continue to operate through the interconnected ports.

[0590] The inset can be removably secured to at least one of the first and second joints. Then the insets can be separated and the different insets can be used to They can be swapped.

[0591] According to one embodiment, the medical device further comprises a sealing device: The flexible connecting member (first sealing member) is implemented on the skin and is tightly sealed to the flexible connecting member. adapted to be placed inside the patient's skin around the incision, sealing and connecting the Two sealing members are hermetically connected to at least one other; The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision periphery) It is an integral part of the device (suitable for placement on the outside of the patient's skin at the edge of the device). The first and second seal portions are flexible so that the connecting member can be sealed. The first and second sealing members are interconnected to form a seal between at least one The incision may be larger than: a second sealing member and the skin or tissue of a patient and the first sealing member and the tissue of the patient; . The flexible connecting member is adapted to be sealingly disposed in association with at least one ; The first flexible wall and the fitting or the outside environment (the second fitting) during the surgical procedure. The first and second membranes are involved in sealing the combined volume of the chamber and body cavity (open). a first flexible wall (adapted to be placed through an incision in a body cavity) against the two sealing members; be an integral part of the

[0592] The medical device may further comprise a second port adapted to be placed in the second fitting. At least one of the first and second ports may be The seal may be provided by a rubber or flexible membrane that is adapted to provide a seal and that is in a compressed state. , allowing a hand or object to be inserted through the membrane.

[0593] According to one embodiment, the first port may comprise a first rubber or flexible membrane, The second port may then comprise a second rubber or flexible membrane. The membranes, in their uncompressed state, are tightly together, so that according to one embodiment they act It may be suitable for placing a single rubber or suitable flexible membrane. provides a tight seal and, in a compressed state, allows a hand or object to be inserted through the membrane. To perform Noh.

[0594] The first and second membranes have a plurality of self-sealing holes that allow for insertion of an instrument through the membranes. It can be equipped with:

[0595] At least one of the first and second ports may comprise a permeable self-sealing gel. This allows the object or hand to be attached to the interconnectable port while maintaining the seal. It is possible that the device may be inserted through a hole.

[0596] The first port may include a first permeable self-sealing gel, and the second The port may be provided with a second permeable self-sealing gel. The first and second permeable self-sealing members may be configured such that, in an uncompressed state, they The holes are tightly placed together so that they act as a single, permeable, self-sealing unit. and maintaining the seal in a compressed state while being pressed by hand or Allows an object to be inserted through the self-sealing gel.

[0597] a first chamber such that the chamber is closed off from at least one of the surrounding environment and the patient's cavity; At least one of the port and the second fitting may include an impermeable valve. do.

[0598] According to one embodiment, the medical device further comprises at least one: The vacuum seal is formed between the interconnectable port and the patient's skin. adapted to maintain a pressure less than atmospheric pressure between the port and the patient's skin, and The seal is formed between the interconnectable port and the patient's skin. The device is adapted to maintain a pressure above atmospheric pressure between the device and the patient's skin.

[0599] According to one embodiment, the port is adapted to be placed outside the patient's skin around the incision. An incision is made in the skin and the second sealing member and sealed to form the first and second seals. a spring-loaded or resilient connecting member sealing with at least one ) is placed inside the patient's skin around a spring-loaded or resilient connecting member interconnecting the a sealing device having a first seal member adapted to: (a) the port and the patient and the first sealing member (b) the skin and the patient's tissue.

[0600] The second fitting may be adapted to allow passage of a hand into the body cavity.

[0601] The second fitting can form an opening. The first port then passes through the second fitting. It was isolated.

[0602] According to one embodiment, the medical device further comprises a retracting system. The connecting member is inserted into the patient's skin around an incision made in the skin. a flexible connecting member adapted to be placed in the housing and connected to the flexible connecting member to house the member; and , the exterior of which contains a member connected to at least one other; The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision periphery) It is an integral part of the device (suitable for placement on the outside of the patient's skin at the edge of the device).

[0603] The outer flexible member contains the inner and outer contracting members. The connecting member is capable of retracting the skin and opening the incision substantially parallel to the skin. The flexible connecting member is adapted to be larger than the tissue of the incision being made, and the interconnecting members are and the flexible connecting member is disposed in association with at least one of the May be suitable for; a first flexible wall and a second joint, or a first flexible wall (through an incision into a body cavity) Suitable for placement on the skin and together with the interior, being an integral part of the Retracting the retracting member substantially parallel to the skin and tissue in close relation to the incision adapted for use outside the surgical site, enhancing incision passage from the chamber into the body cavity during surgical procedures .

[0604] The interior housing the member may be sealingly connected to the flexible connecting member. The outer contracting member may be hermetically connected to at least one ru; A first flexible wall, a flexible connection, which is joined or is an integral part of a second joint Material and second. The flexible connecting member is hermetically and directly or indirectly contracted on the inside and outside. The members may be interconnected and may be arranged in a sealing relationship with at least one May be suitable; a first flexible wall and a second flexible wall that are joined or are an integral part of the first flexible wall; .

[0605] The fitting may be adapted to allow passage of a hand through the body cavity.

[0606] The fitting can form an opening, and the first port is then separated from the fitting. .

[0607] According to one embodiment, the medical device further comprises a sealing device, the second sealing member being hermetically sealed. The patient's skin is then sealed and connected to at least one incision made around the patient's a flexible connecting member adapted to be placed inside the skin and sealingly connected to the flexible connecting member; a connecting member (first sealing member); The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision periphery) It is an integral part of the device (suitable for placement on the outside of the patient's skin at the edge of the device). A flexible connecting member may sealingly interconnect the first and second sealing members. Thereby, the first and second seal members are sealed with at least one other object. Suitable for larger incisions: a second sealing member and the skin or tissue of a patient and the first sealing member and the tissue of the patient; . The flexible connecting member is adapted to be sealingly disposed in association with at least one ru; a first flexible wall and a joint or fitting that seals the combined volume of the chamber and cavity to the outside environment; a first flexible integral seal member with first and second seal members participating in sealing the a portion of the genital wall adapted to be placed through an incision into a body cavity during a surgical procedure , the second joint is open.

[0608] The second fitting can include a body port that is a detachable portion of the second fitting.

[0609] According to one embodiment, the first port is a multi-port having two or more individual ports. The fittings are integrated into a multi-port that is placed in close contact with the skin. Suitable for connecting to multiple ports to form a

[0610] The body port may be a multiport having two or more individual ports; and Therefore, the main body port is multi-port, so it is suitable for connecting to the first port. Together they form an integrated multi-port that is placed in close relation to the skin.

[0611] According to one embodiment, the second joint may comprise a removable second inset; The first port can then be equipped with a removable third inset. The inset may be adapted to close between the body cavity and the chamber.

[0612] According to one embodiment, the medical device includes a third pocket having a removable third inset. Equipped with a port.

[0613] According to one embodiment, the medical device is arranged in association with at least one sealing device. (suitable for use in Flexible enough to seal the combined volume of the chamber and body cavity to the outside environment (second fitting open) A second fitting to the wall and the medical device and seal with the skin or tissue of the patient.

[0614] There is also provided a surgical procedure performed on the body of a patient using a medical device. The flexible wall, the first inset, and the interconnectable ports are and a medical device having a first port that is a second fitting. The method comprises: An incision is made in the patient's skin and a chamber is formed with a flexible wall that connects to the body cavity. The first port, the first inset, and the second fitting are placed in the incision. We're connected. The method further includes connecting the first port to a second fitting. The camera is introduced through one trocar and then inserted into the first port through the second port. a first inset connecting the first inset to the second fitting, and a second inset connecting the first inset to the second fitting, performing a hand-assisted step of a surgical procedure in at least one of the Two included in the first port that introduces the inserted glove that is part of the first one Surgical procedures are performed through the trocars.

[0615] The medical device may further comprise a sealing device and method, optionally at least one providing a sealing device in relation to the The flexible wall and second joint provide a barrier to the patient (and the outside environment) between the combined volume of the chamber and body cavity. When there is a second joint between the medical device and the skin or tissue, Open to

[0616] The step of performing the steps of the surgical procedure in the chamber can further comprise: Removing the specimen from the patient's body cavity and transferring the specimen through the second fitting to the medical device. Place the specimen in the chamber.

[0617] The surgical method may further comprise: Isolating the first port or such that the interconnectable port is disconnected and a second port is used to perform a surgical step in the chamber. Or the first inset.

[0618] A medical device used to perform joint surgery on a patient. The medical device comprises: The wall may be at least partially, alone or in combination with the patient's body to form a chamber. It is adapted to be placed in the body, whereupon a sealed surgical environment is created in the chamber. wherein the chamber is adapted to accommodate at least one step of a joint surgical procedure to be performed. Suitable for containing the tissue while maintaining a sealed surgical environment. The additional medical device has a first inset and includes an interconnectable port. The interconnectable ports include a first port, which is configured to couple at least interconnected by one thing; A first port and a first inset (where a second fitting is (detachable from the first port or the first inset). The first port is connected to a first portion of the wall, and the first inset is connected to a third portion of the wall. a second fitting connected to a second portion of the wall; the wall connecting to the first port; The set and the second fitting are adapted to form a chamber together, the second fitting being closable. After an incision with an opening is made in the patient's skin, a surgical procedure is performed. When the chamber is adapted to allow communication through the joint to the hip joint inside the patient's body, is doing. At least one; a first port and a first inset on the patient's skin at a first location, Suitable for connecting to a second fitting in a tighter connection to a chamber with a smaller volume . At least one; The first port and first inset of the second position are disconnected from the second fitting and was separated from the joint at a more remote location relative to the patient's skin. At 1 s, the chamber had a significantly larger volume.

[0619] According to one embodiment of the medical device, the first port is closable when disconnected from the second fitting. Form a wall port.

[0620] According to one embodiment, when the first port is separated from the second fitting, the second fitting is simply It forms a self-closable body port.

[0621] According to one embodiment, the first port comprises a multi-port, and two or more individual Equipped with a port.

[0622] The first volume may be 100,000 mm 3 (Volume is 500000m m 3 1) It may be larger than 2) It may be smaller than

[0623] The medical device may further comprise a first fitting, and the first port may be connected to a second fitting. and a second fitting adapted to be connected to the first fitting. are.

[0624] According to one embodiment, the first and / or second joint comprises a protruding member, and At least one of the first and second joints may include a recess. The second fitting may be adapted to engage a recess for locking the first fitting to the second fitting. , at least one of the first and second joints may have a groove.

[0625] According to one embodiment, the chamber formed by the flexible wall maintains an air pressure above the pressure. Suitable for.

[0626] Interconnectable ports can be adapted: In a first state, the first port and the second coupling are interconnected to provide a surgical instrument. The doctor can operate through the interconnected interconnectable ports, which will be explained shortly. When the second fitting is disconnected from the first port, the surgeon can The procedure is performed in a chamber formed by a flexible wall between the second combination of connectable ports. The steps can be performed.

[0627] According to one embodiment, in the second state, the interconnectable ports are adapted. allowing the surgeon to remove the specimen from the patient's body and into the chamber through the fittings, and Run: Placing a specimen in the chamber and removing the specimen from the chamber through the first port.

[0628] The chamber may further comprise a pouch for holding the specimen within the chamber. It may be closed to create a pouch-chamber within the chamber for isolating the specimen removed by Rieru.

[0629] According to one embodiment, the medical device also includes a second port adapted to be placed in the second joint. wherein at least one of the first port, the second port, and the first joint At least one is suitable for reconnection after disconnection. Afterwards, the surgeon can continue to operate through the interconnected ports.

[0630] According to one embodiment, the inset is at least one of the first and second joints. The insets are then detachably fixed together so that they can be separated and used for different purposes. can be replaced by the insets provided.

[0631] The medical device may further comprise a sealing device, the second seal member sealingly At least one incision is made in the skin surrounding the patient's skin. a flexible connecting member adapted to be placed inside and sealingly connected to the flexible connecting member; (first seal member); The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision periphery) It is an integral part of the device (suitable for placement on the outside of the patient's skin at the edge of the device). A flexible connecting member may sealingly interconnect the first and second sealing members. Thereby, the first and second sealing members are at least one Suitable for sealing larger incisions between: a second sealing member and the skin or tissue of a patient and the first sealing member and the tissue of the patient; . The flexible connecting member is adapted to be sealingly disposed in association with at least one May; The first flexible wall and the fitting or the outside environment (the second fitting) during the surgical procedure. The first and second membranes are involved in sealing the combined volume of the chamber and body cavity (open). a first flexible wall (adapted to be placed through an incision in a body cavity) against the two sealing members; be an integral part of the

[0632] According to one embodiment, the medical device comprises a second port adapted to be placed in the second fitting. At least one of the first and second ports is in an uncompressed state. The seal may be provided by a rubber or flexible membrane adapted to provide a seal and to maintain a compressed state. , allowing a hand or object to be inserted through the membrane.

[0633] According to one embodiment, the first port comprises a first rubber or flexible membrane, and a second The port includes a second rubber or flexible membrane. The first and second membranes are in an uncompressed state. and tightly together so that they act as a single elastic band or The flexible membrane is adapted to be placed against a hand or object in a compressed state to provide a seal. to be invaginated through the membrane.

[0634] The first and second membranes have a plurality of self-sealing holes that allow for insertion of an instrument through the membranes. It can further comprise:

[0635] At least one of the first port and the second port is filled with a permeable self-sealing gel. This allows the object or hand to be interconnected while maintaining a seal. The device can be inserted through a port.

[0636] According to one embodiment, the first port comprises a first permeable self-sealing gel; and The second port includes a second permeable self-sealing gel. The first and second permeable self-sealing layers are such that, in an uncompressed state, the gel is properly They are tightly placed together to act as a single, permeable, self-sealing The device provides a seal that is adapted to and maintains the seal under compression while being held in place by a hand or object. is inserted through the self-sealing gel.

[0637] a first chamber such that the chamber is closed off from at least one of the surrounding environment and the patient's cavity; At least one of the port and the second fitting may include an impermeable valve. do.

[0638] According to one embodiment, the medical device further comprises at least one: The vacuum seal is formed between the interconnectable port and the patient's skin. adapted to maintain a pressure less than atmospheric pressure between the port and the patient's skin, and The seal is formed between the interconnectable port and the patient's skin. The device is adapted to maintain a pressure above atmospheric pressure between the device and the patient's skin.

[0639] According to one embodiment, the port is adapted to be placed outside the patient's skin around the incision. An incision is made in the skin and the second sealing member and sealed to form the first and second seals. a spring-loaded or resilient connecting member sealing with at least one ) is placed inside the patient's skin around a spring-loaded or resilient connecting member interconnecting the a sealing device having a first seal member adapted to: (a) the port and the patient and the first sealing member (b) the skin and the patient's tissue.

[0640] The second fitting may be adapted to allow passage of a hand into the body cavity, and the second fitting The first port can form an opening. At that time, the first port is separated from the second fitting. .

[0641] The medical device may further comprise a retracting system and a flexible connection. and an inner portion is placed inside the patient's skin around an incision made in the skin. The flexible connecting member is adapted to be connected to the housing, and the outside is less Also contains the parts connected to one another; The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision periphery) It is an integral part of the device (suitable for placement on the outside of the patient's skin at the edge of the device). The outer flexible member contains the inner and outer contracting members. The connecting member is capable of retracting the skin and opening the incision substantially parallel to the skin. The flexible connecting member is adapted to be larger than the tissue of the incision being made, and the interconnecting members are . The flexible connecting member may be adapted to be disposed in association with at least one ; a first flexible wall and a second joint, or a first flexible wall (disposed through an incision in a body cavity) It is suitable for placing on the skin and is an integral part of the Retracting the retracting member substantially parallel to the skin and tissue in close relation to the incision It is adapted for use outside the ventricle, enhancing incision passage from the ventricle into the body cavity during surgical procedures.

[0642] The interior containing the member may be sealingly connected to a flexible connecting member; and The outer contracting member may be hermetically connected to at least one cut; A first flexible wall, a flexible connection, which is joined or is an integral part of a second joint Material and second. The flexible connecting member is connected to at least one of the inner and outer contracting members. Directly or indirectly interconnected in a sealed manner (suitable for being placed in a sealed manner in series) can be; a first flexible wall and a second flexible wall that are joined or are an integral part of the first flexible wall; .

[0643] According to one embodiment, the fitting is adapted to allow passage of a hand through the body cavity. The first port may then be separated from the fitting.

[0644] The medical device may further comprise a second sealing device, the second sealing member being hermetically sealed. The patient's skin is then sealed and connected to at least one incision made around the patient's a flexible connecting member adapted to be placed inside the skin and sealingly connected to the flexible connecting member; a connecting member (first sealing member); The first flexible wall (flexible connecting member) and the second joint, or the second joint (incision ( a flexible connecting member sealingly interconnecting the first and second sealing members; be an integral part of the skin (designed to be placed on the outside of the skin). The first and second sealing members have at least one opening larger than the incision that seals therebetween. Suitable for: a second sealing member and the skin or tissue of a patient and the first sealing member and the tissue of the patient; . The flexible connecting member is adapted to be sealingly disposed in association with at least one May; A first flexible wall and a joint or fitting for sealing the combined volume of the chamber and body cavity to the outside environment. The first flexible wall (body) is connected to the first and second sealing members. It is an integral part of the surgical During the procedure, the second fitting is open.

[0645] The second fitting can include a body port that is a detachable portion of the second fitting. The first port may be a multiport comprising two or more individual ports. The hands together form an integrated multi-port that is placed in close relation to the skin. It may be suitable for connecting to multiple ports.

[0646] According to one embodiment, the body port is a multiport having two or more individual ports. The main body port is a multi-port and is suitable for connecting to the first port. and, together, an integrated multi-port device placed in close contact with the skin. Form a .

[0647] According to one embodiment, the second joint comprises a detachable second inset and / or a detachable second inset. The second inset is a closure between the body cavity and the chamber. The medical device may be adapted for a third port having a removable third inset. It can be equipped with a port.

[0648] According to one embodiment, the medical device comprises a second sealing device (disposed in association with at least one (adapted to be placed on the surface); Flexible enough to seal the combined volume of the chamber and body cavity to the outside environment (second fitting open) A second fitting to the wall and the medical device and seal with the skin or tissue of the patient.

[0649] According to one embodiment, the medical device is connected to a wall and forms a seal with the wall and the skin or the patient. It is equipped with a special sealing device that is suitable for the tissue. The special sealing device partially surrounds at least one of the following: Form another loop; The sealing device seals at least one of the surgical and hip joint incision sites. The following areas and regions of the legs, pelvic area, abdomen, groin, buttocks, and chest are retracted: Anal opening, urethral opening, perineal area.

[0650] Special sealing devices can be connected to the wall and separate the operational field from at least one In at least some hip surgery, the seal is made between the wall and the skin or tissue of the patient. Can be: The anal opening, the urethral opening, and the chambers are still sealed, and the A first sealing device comprising at least one portion of the shadow area: The first part of the sealing device and the medical device are connected to the patient's body to be involved in closing the room. Suitable for holding in place by enclosing at least one leg or an extension thereof. The first holding handle.

[0651] The first sealing device further comprises at least one of the following: a second part of the sealing device and a medical device above the at least one selected leg; A second holding grip adapted to hold the body in place by encircling the entire body from left to right. hand; The level of the pelvis (as well as the abdominal or thoracic area of the patient) is involved in closing the room. The first sealing device may further comprise at least one of the following: From the medial cranial part of the leg where it meets the groin to the side where the sealing or hip surgery is performed Suitable for its extension (further in the lateral cephalad direction in the mid-sagittal plane on the patient's posterior abdomen) a third part of the sealing device, and a second part of the sealing device and wall corresponding to the first one; Interconnecting conference, second and third parts of the sealing device for closing the room and third retaining handle The first stage of the sealing device is adapted to close the chamber and keep at least one person out of the chamber. 3 segments extend at least partially in the cephalad direction; the anal opening, the urethral opening and at least part of the perineal area.

[0652] According to one embodiment, both the urethra and the anus form a sealed surgical environment. The sealing device is positioned to prevent entry into the enclosed chamber.

[0653] By itself or in conjunction with a medical device to hold the medical device in a desired position. The therapeutic device may further comprise a holding handle adapted to encircle a portion of the patient's body.

[0654] According to one embodiment, at least some of the walls are directly adapted or indirectly adapted to at least The enclosure forms an elongated tubular enclosure having at least one open end. The first opening is adapted to fit at least a portion of the legs of a person, and the portion of the legs is adapted to fit at least a portion of the legs of the person. The medical device is positioned so that it reaches the enclosure through the distal end. The procedure is performed on the patient's leg.

[0655] According to one embodiment, the wall may be adapted to form a chamber without involving the patient's body. Alternatively, the wall portion forming the chamber may form a tubular enclosure, and The tubular enclosure may form a second chamber with the patient's body. The device may be adapted to be sealed at a first or more open ends by a person's body.

[0656] According to one embodiment, the medical device further comprises at least one: One interchangeable port and one interchangeable inset.

[0657] According to one embodiment, a surgical instrument is provided to maintain a sterile environment in the room while allowing the surgeon to perform manual manipulations. Insets are integrated into the wall so that gloves can be used from outside the room. The device may include at least one glove.

[0658] The medical device is attached to at least one of a wall and an enclosure. and a seal member between the end and wall and at least one of the enclosure and the patient's skin. between the vacuum seal member and the patient's skin to create at least one sealing vacuum The sealing device may further comprise a sealing device adapted to apply a pressure less than atmospheric pressure to the sealing device.

[0659] According to one embodiment, a sealing device is attached to at least one of the wall and the enclosure. The device may be provided with a pressure seal member adapted to be pressed against the patient's skin. The pressure seal can be applied to the skin of at least one of the patient's edges and walls and the enclosure. and pressure between the seal member and the patient's skin, hydraulically, pneumatically, or is suitable for being mechanically enforced.

[0660] According to one embodiment, the medical device includes at least one of an airlock conduit and a liquidlock conduit. The first valve is located in the skin. Attached to at least one of the patient's tissue and directly or indirectly adapted The wall portion to be fitted forms an elongated tubular enclosure, and a second valve is attached to the wall. It can be attached.

[0661] According to one embodiment, the wall contains a liquid filling the chamber to create a liquid operating environment. and the medical device may be adapted to be placed on at least one of the may be adapted to receive a liquid through the two liquid inlets; a wall of the medical device and the patient's skin for providing fluid to at least one of: chambers and joints in the patient's body. The medical device may further comprise at least one intake and exhaust selected from the following: a chamber disposed on the wall; a first liquid disposed on the wall and configured to empty the liquid from the chamber; an outlet, adapted to be placed in an incision in the patient's skin, for providing fluid to a second fluid inlet; a first fluid inlet (for providing fluid to the joint) and a second fluid inlet (for providing fluid to the joint) configured to In order to empty the joint, a second fluid outlet is provided which is adapted to be placed in the incision in the patient's skin. (in the mouth).

[0662] The liquid may be an isotonic solution or an antibiotic liquid.

[0663] The medical device further comprises a pump for pumping the fluid from the fluid outlet to the fluid inlet. It is possible.

[0664] The medical device includes at least one inlet and at least one outlet selected from the following: It can further comprise: a chamber disposed in the wall; a first fluid disposed in the wall and configured to evacuate the gas from the chamber; a discharge conduit adapted to be placed in an incision in the patient's skin for providing gas to a second fluid inlet; a first fluid inlet conduit (for providing gas to the joint) adapted to In order to evacuate gas from the joint, a device is placed in the patient's skin incision. 2 in the fluid discharge conduit).

[0665] According to one embodiment, the medical device further comprises a fluid system adapted to at least one : providing fluid to the second fluid inlet and emptying the fluid from the second fluid discharge conduit; and , circulating fluid from the second fluid discharge conduit to the second fluid inlet. At least one of the first and second fluid systems is adapted to circulate a liquid fluid. It may be suitable.

[0666] The medical device is an energy source suitable for transferring energy from outside the room into a sealed environment. The tool may further comprise a coupling transferring the tool. It's possible.

[0667] According to one embodiment, the medical device comprises one or more further insets. one integrated in the wall of the first inset and at least one further inset The surgeon can then perform manual manipulations inside the chamber and joint cavity. At least one can use gloves from outside the room, while This maintains a sterile environment in the room.

[0668] According to one embodiment, the medical device is adapted to allow the introduction of at least one a fluid channel; At least one surgical instrument for performing at least one joint and at least one The artificial joint surface is then applied to the replacement surface. Use.

[0669] The first port is adapted for the introduction of at least one arthroscopic surgical instrument into at least one at least one trocar for permitting the insertion of the needle into the anus; a chamber and a joint cavity, wherein at least one of the chambers is maintained in a sterile environment and a first The port allows arthroscopic surgical procedures to be combined with manual manipulation within at least one of the chambers and the joint cavity. It is suitable to be able to be.

[0670] The medical device may further comprise at least one of the following: Two devices with multiple ports and suitable for allowing the introduction of at least one one or more further ports and the first port, each having one or more trocars; A surgical instrument, two or more surgical instruments, and an arthroscopic surgical procedure for the insertion of the articular cavity and capsule. At least one of them can be combined with manual operation inside the camera (one of them) (While maintaining a sterile environment in the room).

[0671] According to one embodiment, the wall is adapted to form a chamber without or with the patient's body. At least one or more open ends to which some walls are directly or indirectly fitted elongated, with an enclosure adapted to fit in at least a portion of the patient's body A portion of the body enters the enclosure through its first open end to form a tubular enclosure. The medical device is positioned such that a surgical procedure is performed on the patient's body part. It is supposed to be.

[0672] The elongated tubular enclosure may comprise a first and at least a second The medical device is positioned so that a portion of the body enters the chamber through its first open end. and exits the enclosure through at least the second open end thereof. is to be performed on a part of the patient's body.

[0673] The elongated tubular enclosure may further comprise a third open end. The device is adapted to fit at least both legs or both arms of a patient into the same enclosure. The portion of the body that enters the enclosure through its first open end exits through its second and third open ends. The medical device is positioned so that it exits the enclosure via a preferred biped or surgical hand. When the technique is performed on at least one part of the patient's body, the second and third openings are The arm that comes out through it.

[0674] According to one embodiment, the chamber is adapted to be formed together by the wall and the patient's body. The tubular enclosure is adapted to contain a chamber, and the chamber is first in communication with a body portion of a patient. Suitable to be sealed at one or more open ends.

[0675] A surgical procedure in which a chamber can be formed by walls that do not involve the patient's body. When performing the above, the part of the wall forming the chamber is also the tubular enclosure (chamber and It has two sides, one facing the inside of the wall and the other facing the tubular enclosure. a wall (a wall) for forming a tubular enclosure, The wall part facing the patient is adapted to form a second chamber together with the patient's body. The enclosure includes a second chamber (at least partially contained by the second chamber tubular enclosure). and configured to be sealed at the first or more open ends by a body portion of the patient. (to be formed).

[0676] According to one embodiment, the chamber is adapted to communicate with the operating field during a surgical procedure. When the patient's skin is in contact with the chamber (wherein the chamber contains at least one wall), (wall) cut into position inside; The wall is inserted into at least one, and a first port and an additional port; The first inset and the additional inset (in the wall of the chamber to allow attached); To move the object and / or chamber containing the instrument into the room or field of operation, A manual operation performed on a field or operation. The wall containing the chamber is attached to the wall portion of the chamber, and the wall carries at least one of the following: As expected. The wall is inserted into at least one, and a first port and an additional port; A first inset and a further inset, wall port or wall inset, provided has two parts, a first part and a second part, in which a wall port or wall inset At least one of the second part, the second fitting, and the body port or The first portion includes a body inset that is provided with two joints.

[0677] In accordance with one embodiment, the medical device includes a port or interface including a first and a second portion. The second one is where the wall port or wall inset is located. a first portion having a second fitting and a body port; The main body inset is provided on the first or second joint. Moving further from the chamber to the field of operation and / or manual operation The patient's skin is cut to allow for the attachment of a body port or body Inset.

[0678] The two parts of the port or inset may be adapted to be attached together. and mutual palpation forms an integrated port or inset, thereby to allow access to the room from the outside; Objects containing instruments and / or integrated ports for moving into the field of operation or insets, and one of two ports or insets Manual manipulations performed directly in the field of operation from outside the part are performed by palpating each other. not in one or more positions and thereby suitable to be separated; Objects containing measuring instruments are moved into the room and / or manual operations are performed in the room. The first part of the port or inset can be used to allow further The use of a second part in the base or inset may include the instrument (body) for operation. Field of operation and / or manual operation performed from the chamber through the cut skin further into the field The cut skin is then moved from the chamber to the opposite side.

[0679] According to one embodiment, the chamber may be adapted to communicate with the operating field during a surgical procedure. At that time, a portion of the wall forming the chamber and the tubular enclosure is opened at that portion. and has an opening and cuts the patient's skin in the area of operation ( A wall port or wall in which a part of the wall containing only the chamber is mounted The interior of the room is arranged to allow this type of communication. The wall containing the chamber has at least one wall attached to it. Carrying things; The wall is inserted into at least one, and a first port and an additional port; The first inset from outside the room and the additional inset provided to allow set; To move the object and / or chamber containing the instrument into the room or field of operation, A manual operation performed on a field or operation.

[0680] According to one embodiment, the wall port or wall inset includes a first and a second portion. The part has a port or wall into which the second joint is inserted, and a body port. a first portion having at least one of a body inset or a body inset; and attached to open a portion of the wall forming the chamber and tubular enclosure. The first wall port or first wall inset is used to allow communication between the chamber and the field of operation. Adapted to be open to create communication; The object containing the measuring instrument to be moved is to be carried out from a further chamber into the field of operation. To do this, the operation proceeds from the room to the field of operation and / or manual. The passage between the operating area and the first wall port or inset (tubular enclosure and and a second chamber positioned between the patient and the patient's skin, The second chamber has a value equal to or greater than zero.

[0681] According to one embodiment, two parts of the port or inset are provided to allow access to the chamber from the outside. Forming an integrated port and inset that allows for palpation and attachment together Suitable for being kicked; Objects containing instruments and / or integrated ports for moving into the field of operation or insets, and one of two ports or insets Manual operations performed outside the unit directly in the field of operation are adapted to be separated from one another by one or more positions not ; Use wall ports or insets on the second part to allow; Instruments moving into the chamber and / or implemented in the chamber further use the first wall port a first wall inset of an object or a first part of an object that includes a manual operation to be performed; To move from the chamber passing the cut skin to the field of operation, a pair containing instruments Manual manipulation performed from the chamber through a cut skin further into the object and / or field of operation Made by.

[0682] Two parts or insets of the port are locked together in at least one fixed position It is suitable for use.

[0683] The medical device is a device for performing at least one surgical procedure on a patient in its field of operation. Suitable for being carried out; the extremities, including the hip and knee joints, abdomen, chest and any joint extension and upper extremity joints section.

[0684] According to one embodiment, the room containing the surgical procedure is the surgical room most important for joint surgery. It may also be suitable for reducing the infection risk of the procedure.

[0685] The two parts of the port are adapted to be provided with a fluid-tight valve when the two parts are separated. It may be possible.

[0686] According to one embodiment, only the second part of the two parts of the port is provided with a fluid-tight valve. At that time, the two are separated.

[0687] At least one of the third interchangeable wall ports and the wall port and wall inset Wall insets that are different from the wall port or wall inset are replaced with at least one of the wall ports or wall insets. It may also be suitable for

[0688] According to one embodiment, the medical device includes at least one third interchangeable body port. and a body inset different from the body port and the body inset, Adapted to replace at least one of the cover or body insets.

[0689] The medical device may further comprise a second interchangeable integrated port different from the integrated port. and adapted to replace the integrated port during the surgical procedure.

[0690] The medical device is attached to at least one of the skin and walls and enclosures of the patient's body. and at least one sealing device adapted to seal the enclosure with one of the The sealing device may be attached to at least one of the wall and the enclosure. and at least one of the end and wall and enclosure is attached between the patient's skin and To create a vacuum that seals the gap between the vacuum seal and the patient's skin, a pressure A vacuum seal suitable for applying low pressure may be provided.

[0691] According to one embodiment, a sealing device is attached to at least one of the wall and the enclosure. and a pressure seal member adapted to be pressed against the patient's skin to create pressure. A seal is formed between the patient's skin and at least one of the walls and the enclosure. The roller members are hydraulically, pneumatically, or mechanically forced against the patient's skin. It may also be suitable for

[0692] The device may further comprise a suitable adhesive. do: (a) At least one of the walls of the enclosure is fixed and tolerant to the skin between the device and the patient's skin, and at a minimum, between the wall and one of the enclosures. seal).

[0693] The medical device further comprises an air evacuation system adapted to evacuate air from the second chamber. The patient's extremities are then placed in the enclosure. The seal may be adapted to evacuate air from the vacuum seal.

[0694] The medical device may further comprise a multi-port, or may comprise a first port. and inside the patient's body through an incision made in the skin when performing a surgical procedure and a port (or a plurality of ports) configured to allow passage of an object. (having at least two ports for

[0695] The wall port of the medical device can have multiple ports, which and configured to allow passage of an object into the chamber, and At least two additional instruments are inserted into the patient's body through an incision made in the skin when the procedure is performed. It has two ports.

[0696] The body port of any embodiment can be equipped with a fitting. It can be equipped with a port, which is integrated in multiple ports to configured to allow passage of an o...

Claims

1. 1. A surgical assist device for use in a surgical procedure, comprising: 500,000 mm ３ a deformable wall configured to form a chamber capable of assuming a volume greater than a closable wall port disposed in a first portion of the deformable wall, the closable wall port forming a closable port for travel between the chamber and an ambient environment; a closable body port disposed in a second portion of the deformable wall, the closable body port configured to be connected to an incision in a patient's body during the surgical procedure, the closable body port forming a closable port for allowing movement between the chamber and a cavity in the patient's body; the chamber has a first volume when the wall port and the body port are a first distance from each other and a second, smaller volume when the wall port and the body port are a second, smaller distance from each other; Surgical aid equipment.

2. the chamber formed by the deformable wall is configured to hold a pressure above atmospheric pressure; The surgical assistance device of claim 1 .

3. and an inset removably secured to at least one of the wall and the body port, the inset being removable and replaceable with a different inset.

3. A surgical assistance device according to claim 1 or 2.

4. at least one of the wall and the body port comprises a resilient or deformable membrane; the membrane is configured to provide a seal in an uncompressed state and to allow a hand or object to be inserted therethrough in a compressed state. A surgical assistance device according to any one of claims 1 to 3.

5. at least one of the wall and the body port comprises a permeable self-sealing gel such that an object or hand may be inserted through the wall and / or the body port while maintaining a seal; A surgical assistance device according to any one of claims 1 to 4.

6. the deformable wall includes a fluid inlet for inflating the chamber with a fluid. A surgical assistance device according to any one of claims 1 to 5.

7. and a vacuum seal configured to maintain a subatmospheric pressure between the body port and the patient's skin to form a seal between the body port and the patient's skin. 、 A surgical assistance device according to any one of claims 1 to 6.

8. and a pressure seal configured to maintain a pressure above atmospheric pressure between the body port and the patient's skin to seal between the body port and the patient's skin. A surgical assistance device according to any one of claims 1 to 7.

9. The main body port is a sealing device having a first sealing member configured to be placed inside the patient's skin around an incision in the skin; a second sealing member configured to be placed on the exterior of the patient's skin around the incision; and a spring or resilient connecting member sealingly interconnecting the first seal member and the second seal member; the spring-loaded or resilient connecting member seals between at least one of the ports and the skin of the patient and between the first sealing member and the tissue of the patient; A surgical assistance device according to any one of claims 1 to 8.

10. Glove inset and a groove integrated into the deformable wall, A surgical assistance device according to any one of claims 1 to 9.

11. At least a portion of the deformable wall is transparent to allow viewing into the chamber. A surgical assistance device according to any one of claims 1 to 10.

12. further comprising a filtration unit for filtering the fluid; The surgical assistance device of claim 6.

13. further comprising a sterilization unit for directly or indirectly sterilizing the fluid; A surgical assistance device according to claim 6 or 12.

14. further comprising a fluid tempering unit configured to change the temperature of the fluid; 14. A surgical assistance device according to claim 6, 12 or 13.

15. the deformable chamber is substantially circular; A surgical assistance device according to any one of claims 1 to 14.

Images