Diaphragm Depressor-Stabilizer (DIBAS)

Abstract

The invention is a surgical device developed to stabilize the non-functioning diaphragm muscle, preventing paradoxical movement of the diaphragm and creating space for the lungs to move freely during respiration. It is a metallic device surgically implanted into the body (into the chest cavity) for patients with non-functioning diaphragm muscles and respiratory distress. There are three types of this metallic device, usable in both open and closed surgery. The device has a hinge at the handle to ensure it fits snugly onto the diaphragm during surgery. All three types must be fixed to the chest wall after placement on the diaphragm. A chest wall fixation device is included for this purpose. While all three types can be used in open surgery, only the fan and retractable fan types can be used in minimally invasive surgery.

Description

1 TARIFF Diaphragm Depressor-Stabilizer (DIBAS) Technical Area 5 The invention aims to prevent paradoxical movement of a paralyzed, non-functional diaphragm muscle by stabilizing it. and to create space for the lungs to ventilate comfortably, it is necessary to open a thoracic surgery related to be used in both surgical and minimally invasive surgery bring them together. State of the Art 10 The diaphragm muscle is the main muscle of the respiratory process and alone accounts for 70% of respiration. It is responsible for the breathing process, which involves the diaphragm muscle that covers the lower part of the chest cavity. the increase in the volume of the chest cavity due to contraction, resulting in negative This occurs when air enters the lungs under pressure. The relaxation of the diaphragm and the elasticity of the lungs... Exhalation occurs thanks to the recoil function. Diaphragm paralysis 15 In this situation, respiratory distress occurs. Diaphragm paralysis is congenital. It can occur due to many reasons, both congenital and acquired. Diaphragmatic paralysis is generally caused by phrenic nerve damage. The phrenic nerve... Damage can occur due to trauma, iatrogenic causes in heart and / or lung surgeries, or cancer. In patients with granulomatous diseases, due to pressure or invasion, 20 lymph nodes It can be affected by inflammation and diaphragm paralysis may develop. In cases of respiratory distress due to diaphragmatic paralysis, patients are usually given Plication surgeries are performed. This technique was described in the early 1900s. This is the most commonly used method. In this method, the aim is to fix the diaphragm, which is paradoxical. Its function is impaired by preventing movement and, due to paralysis, it thins and rises towards the chest cavity. 25 This is the downward pulling of the diaphragm, which has lost some space, to make room for the lung (1-2). By developing different plication techniques for the respiratory distress problem described above. As the inventor who has a patent application (3,4), artificial using nanoparticles There are also researchers who have obtained diaphragm patents (5). In addition, for heart surgery There are also inventions for removing the diaphragm from the environment by pressure (6). 30 2 In plication surgeries, there is an improvement in lung function in the initial period. However, the effectiveness of surgical intervention decreases over time, and this is also evident radiologically. It can be observed that the effectiveness has decreased (7). The invention in the application is simple, applicable to everyone. a surgical technique that applies pressure to a mechanical diaphragm and is thus fixed to the chest wall It is a material. With its introduction, it has enabled the use of plication-like procedures in the later stages of post-surgical recovery. It is not expected that there will be a decrease in activity. Sources: 1. Schwartz, Marshall Z., and Robert M. Filler. "Plication of the diaphragm for symptomatic phrenic nerve paralysis." Journal of pediatric surgery 13.3 (1978): 259-263. 2. Wood H, Eventration of diaphragm, Surg Gynecol Obstet 23:344-8,1916 10 3. Patent No: SU1421316A1. Method Of Treatment Of Diaphragm Relaxation. 4. Patent No: RU2760780C1. Method For Treating Relaxation Of The Diaphragm. 5. Patent Number: US 10,376,355 B2. Date of Patent: Aug 13, 2019. Artificial Diaphragm having intelligent nanomagnetic particles for treatment of Diaphragmatic Paralysis. Tina Saber, Poona Saber, Mahmood Mirhoseini, Sassan Saber, Aria Manasheri. Appl. No: 15 / 902,772. 15 6.Application No. 202221348158.4, Application date: May 23, 2022, Patentee: Zhongshan Hospital Affiliated to Fudan University, Inventors: Yang Zhaohua, Lu Shuyang, Wang Chunsheng, Qiu Shouji, Patent Agency: Shanghai Shenhui Patent Agency Co., Ltd. 7. Li, X., Wang, Y., & Sun, D. (2022). Long-term efficacy of diaphragm plication on the pulmonary function of adult patients with diaphragm paralysis: a retrospective cohort 20 study Journal of Thoracic Disease, 14(9), 3462. Purpose of the Invention (Technical Problems that the Invention Intends to Solve) The invention will enable the paralytic diaphragm to be fixed by pressing it downwards, thus This invention will prevent the paradoxical movement from occurring during respiration. This invention is frequently used. There will be no loosening of the skin after the plication surgery. 25 Explanation of the Figures Figure 1. Diaphragm stabilizer (Main Part) Figure 2. Fixing apparatus for securing the main component to the thoracic wall. 3 Figure 3. MI-DIBAS (Minimally Invasive-DIBAS) (Main Part, used in minimally invasive surgery) (in a usable form) Figure 4. MI-DIBAS-E (Minimally Invasive-DIBAS-Expandable) (Main Part, minimally invasive) (a foldable design that can be used in surgery) Explanation of References in Figures 5 Explanation of Figure 1: a: The thickness of the main part that makes the sound is 3mm. b: Main part pressing radius: 50mm / 60mm / 70mm c: Length of the main part handle: 70mm d: Width of the main part handle: 10mm 10 e: The hole on the handle section of the main part Figure 2 explanation: f: Adapter length: 65mm Explanation of Figure 3: a: Main part, pressing section thickness 3mm 15 b: Longest distance of the main part pressing the bass: 100mm / 120mm / 140mm c: Length of the main part handle: 70mm d: Width of the main part handle: 10mm e: The hole on the handle section of the main part Figure 4 explanation: 20 a: The thickness of the main part that makes the sound is 3mm. b: Longest distance of the main part pressing the bass: 100mm / 120mm / 140mm c: Length of the main part handle: 70mm d: Width of the main part handle: 10mm e: Hole 25 on the handle section of the main part g: Lever that opens and closes the foldable main part. 4 h: Lines used to indicate overlapping sections of the main piece. Description of the Invention Diaphragm heights can be treated with open surgery or closed surgery (minimally invasive) methods. (surgical) DIBAS can be placed. In the open surgical method, Figures 1, 3, and 4 can be used. If DIBAS is to be used using a minimally invasive surgical technique, see Figure 3 or Figure 4 or 5. should be used. Figure 2 shows the method for securing the main part to the chest wall. It is a device. That is, Figures 1, 3, and 4 are not used individually but must always be placed against the chest wall. It will be attached using Figure 2. Figure 1 is a prototype of a standard diaphragm printer. It is a circular diaphragm with thickness “a” and radius “b”. It is an apparatus. The apparatus has a handle section of length "c", width "d" and thickness "a". The handle is 10 The middle of this section is hinged and can be fixed at the desired angle. (Stem) There is a hole at the end of this section for securing it with sewing material (thread, steel wire). Figure 2: This is the apparatus used to secure the main component to the chest wall. The apparatus is labeled “f”. It is [length] long and has holes to fit the main part to the handle section; the holes are for the main part. The part will be 0.5 mm longer than the dimensions “a” and “d” of the handle section. It is shaped like this. There are a total of three holes on it. The middle hole is the handle of the main part. This will correspond to the first part. The other two holes are for securing with stitching material. will be used. Figure 3: The apparatus shown in the figure is a variant of the apparatus shown in Figure 1 that can be used in minimally invasive surgery. It represents the shape. The part that will apply pressure is fan-shaped, and the opening of the fan is 20 A tangent line will be drawn to the point where the handle joins the main part, and the length of the pressing part will be marked. The intersection of "2b", which is the distance, forms an angle of forty-five degrees in both directions. It will be that size. The handle part is the same size as in Figure 1. Figure 4: This is the type of device in Figure 3 that has an opening and closing feature. By turning the “g” lever. The leaves can be opened and closed. Once the desired position is given, the lever is turned 25. It is detachable. The fan opening and handle are the same as the apparatus shown in Figure 3. It has this characteristic. How the invention can be applied to industry. The invention produces surgical sets using a material that will not cause a reaction in the body. (The materials used during surgery) 30 that can be easily produced by a single company. It is thought that.

Claims

REQUESTS Claim 1. The invention describes a surgical device that enables the diaphragm muscle to be kept under compression. The abbreviation for the circular type is "DIBAS". Claim 2. Invention: A surgical device that enables the diaphragm muscle to be kept under compression. 5 The abbreviation for the type used in minimally invasive surgery is “MI-DIBAS”. Claim 3. The invention describes a surgical device that enables the diaphragm muscle to be kept under compression. an expandable (open-close) device to be used in minimally invasive surgery. Another type's name is abbreviated as "MI-DIBAS-E". Claim 4. Invention of a surgical device to enable the diaphragm muscle to be kept under pressure. 10 They come in three types: circular, fixed open fan, and foldable fan. Claim 5. The invention describes a surgical device that enables the diaphragm muscle to be kept under compression. The handle sections have a hinge mechanism in the middle for adjusting the angle. Claim 6. The invention describes a surgical device that enables the diaphragm muscle to be kept under compression. There are holes at the ends of the handles for securing them. 15 Claim 7. The invention describes a surgical device that enables the diaphragm muscle to be kept under compression. The type that is openable and fan-shaped has fan blades at the end of the stem. It has a lever system that allows it to be opened. 25

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