Surgical multipurpose support device for 'non-touch' manipulation activity for implants and prosthesis as well as dissection of tissue planes

Abstract

A surgical multi purpose support device suitable selectively for 'non-touch' manipulation activity for implants and prosthesis as well as dissection of tissue planes avoiding tissue injury in body cavities in surgical procedures and the like. The multipurpose device includes a manipulator end (3) shaped free of any sharp peripheral edges and with a blunt tip (3C) at the front adapted for entry within said body cavity and providing a carrier support for the manipulating activity including adjusting said implant or device in position with respect to any surgical region of interest as well as dissection procedures. An extended shaft (4) operatively connects the manipulator end portion for manipulate externally away from said region of interest in said cavity during surgery. The device is directed to favour non-touch surgical procedures with more safety in surgical procedures, avoiding unwanted touch such as in manipulation of the breast prosthesis or adjustment of the breast cavity as well in other surgery.

Description

[0001] TITLE: SURGICAL MULTIPURPOSE SUPPORT DEVICE FOR 'NON- TOUCH' MANIPULATION ACTIVITY FOR IMPLANTS AND PROSTHESIS AS WELL AS DISSECTION OF TISSUE PLANES

[0002] 5

[0003] FIELD OF THE INVENTION

[0004] 10 The invention relates to device for use in surgical procedures, More specifically, the invention relates to a surgical support device such as those helping to adjust or manipulate the position of breast implant or other breast prostheses within implant cavity or adjust the Implant cavity dimensions to the inserted implant during prosthetic breast implant procedures such as

[0005] 15 breast augmentation etc, or for blunt dissections of tissue planes during various surgical procedures such as Breast augmentation.

[0006] EAMGROUND ART:

[0007] In various surgical procedures the surgeons sometimes need to insert

[0008] 20 impiants / prosthesis in the region of interest for the surgery such as in breast implant surgery, surgeons create a pocket or cavity inside breast - appropriately of the size of the proposed breast prosthesis or implant. There are various ways surgeons can choose to create the cavity inside the breast. These include sharp dissections, dissections with diathery or with blunt

[0009] 25 dissection, with minimum tissue trauma and bleeding, Our device can be used to create the pocket with blunt dissections for breast prosthesis or for other surgical procedures, in conjunction with above mentioned methods, as necessary. It is to be understood that for success of the procedure, this pocket must be snug for the said prosthesis. If It is not snug, there is a risk of

[0010] 30 excessive movement of the prosthesis or implant within the tissue pocket or the cavity. Once the surgical pocket or the cavity is created, It is carefully washed and often treated with rinses of betadine.

[0011] In surgical practice various tong slender instruments are usuaily used by surgeons to achieve similar purpose, These instruments may include long

[0012] 35 blunt artery forceps, long swab holding forceps, long cervical dilators, and others. Examples of these are provided as below:

[0013] 1 The main limitations of the existing solutions used by some surgeons for the purpose mentioned above is that these are not custom devices and not necessarily always suitable. There is also a considerable risk or danger of the

[0014] 5 inadvertent and unrecognisable injury to the prosthesis - especially with use of artery forceps or other forceps. Some surgeons may just use their gloved finger(s) as blunt instruments or dissectors. The main risk of this method is introduction of infection or contamination of cavity. There is of course the limitation of the reach of a human finger into the cavity.

[0015] 10 Particularly in breast implant surgery, surgeon creates a pocket or cavity inside breast - appropriately of the size of the proposed breast prosthesis or implant. It is to be understood that for success of the procedure, this pocket must be snug for the said prosthesis. If it is not snug, there is a risk of excessive movement of the prosthesis or implant within the tissue pocket or

[0016] 15 the cavity. Once the surgical pocket or the cavity is created, it is carefully washed and often treated with rinses of betadine. Following this step, the surgeon may use a well known prior art prosthetic sleeve for enabling nontouch insertion and placement of the breast implant. Breast implant surgical procedures such as breast augmentation, breast augmentation mastopexy or

[0017] 20 prosthesis reconstruction of post-mastectomy breast reconstruction are common procedures performed by Plastic surgeons, Breast surgeons and some General surgeons. During some of these procedures the breast implant is inserted under 'non-touch' technique usually with a sleeve device, into the cavity created previously, by the surgeon involving prosthetic sleeves. The

[0018] 25 example of use of sleeve device (prior art) to insert the implant into the breast cavity by 'non touch' technique is also proposed. However, such sleeve devices enable surgeons to insert implants or prosthesis by ’non-touch1technique, they do not allow adequate safe manipulation under control of the operating surgeon.

[0019] 30 Some of the main limitations of the existing solutions used by some surgeons for the purpose mentioned above is that these are not custom devices and not necessarily always suitable. There is also a considerable risk or danger of the inadvertent and unrecognisable injury to the prosthesis - especially with use of artery forceps or other forceps. Some surgeons may just use their gloved

[0020] 35 finger(s) as blunt instruments or dissectors. The main risk of this method is

[0021] 2 introduction of infection or contamination of cavity. There is of course the limitation of the reach of a human finger into the cavity.

[0022] 5 OBJECTS OF THE FRESEHT IMVENTtoK:

[0023] Thus, the present advancement is basically about nan-touch surgical devices of various embodiments such as required to adjust the position of surgical prosthesis in implant cavity appropriate to the procedure and adjust the implant cavity to the surgical prosthesis.

[0024] 10 Another object ef the present invention is to provide for a surgical device suitable for selective positioning and disposition of implants and prosthesis in specific surgical cavities under strict sterile conditions and with 'non-touch' technique during implant related surgical procedures and the like, favouring better control of the implants or prostheses cavities, and also safety in such

[0025] 15 surgical procedures, avoiding unwanted touch and related contaminations and complexities during positioning / manipulation of such implants / prosthesis devices.

[0026] Another object of the present invention is directed to a device proposed to be used in surgical procedures such as that of breast implants involving implants

[0027] 20 or other prostheses but is not limited to these surgical procedures and can be used for various other surgical procedures in general surgery, urological surgery, gynaecological surgery, endoscopic assisted surgery, etc,

[0028] Yet another object of the present invention is directed to a proposed to be used in surgical procedures such as that of breast implants involving implants

[0029] 25 or other prostheses which would help adjusting the breast implant cavity to the inserted implant or adjust the implant to the cavity or both without the need for inserting hand or finger or other non-standard devices, thus enhancing the surgical sterility which is utmost crucial in breast implant surgery to prevent infection.

[0030] 3 A further object of the invention is directed to a device that can also help closure of the wound - by protecting the prosthesis being injured by the suturing needle, especially when deep sutures are being performed.

[0031] 5 According to a very important aspect of the device of the present advancement, the device apart from assisting such non-touch surgical procedures also helps reduce the risk of infection or contamination of the cavities by achieving the task of gentle manipulation of the breast prosthesis or adjustment of the breast cavity by "non-touch" technique.

[0032] 10

[0033] SUMMARY OF 7HF

[0034] Thus according to the basic aspect of the present invention there is provided a surgical multi purpose support device suitable selectively for 'non-touch' manipulation activity for implants and prosthesis as well as dissection of

[0035] 15 tissue planes avoiding tissue injury in body cavities in surgical procedures and the like comprising: a manipulator end including a manipulator shaped free of any sharp peripheral edges and a blunt tip at the front adapted for entry within said

[0036] 20 body cavity and a carrier support for the manipulating activity including adjusting said implant or device in position with respect to any surgical region of interest as well as dissection procedures; and an extended shaft operatively connecting the manipulator end portion for

[0037] 25 extended connect to operate externally away from said region of interest in said cavity during surgery.

[0038] According to another aspect there is provided for the surgical multi purpose support device as above wherein said manipulator shaped free of any sharp

[0039] 30 peripheral edges and a blunt tip at the front comprises of :a curved spoon type manipulator shape comprising of a blunt serrations or undulations at a concave face side thereof for supporting the manipulator activity and a convex outer flat curved face at the other side thereof for supporting the adjustment of the surgical cavity to the implant or prosthesis and including said blunt

[0040] 4 curved margin at the tip and on sides thereof for supporting the dissection activity for creation of the surgical cavity for the implant or prosthesis or for adjustment of the surgical cavity to the implant or prosthesis;

[0041] 5 said curved manipulator shape comprising of a blunt serrations or undulations at a concave face side thereof for supporting the activity of protection of the implant while placing deep sutures to prevent needle point injury to the implant or prosthesis;

[0042] 10 said extended shaft end away from the manipulator end having a handle means for effective grip of the device.

[0043] According to yet another aspect of the present invention there is provide for the surgical multi purpose support device as above suitable for 'non-touch'

[0044] 15 selective positioning and disposition of implants and prosthesis in surgical procedures and the like through body cavity like incision for breast implant surgery for desired manipulation comprising: said manipulator end comprising of a curved manipulator end adapted for

[0045] 20 support for the manipulating activity; said curved manipulator end comprising of a blunt serrations or undulations at a concave face side thereof for supporting the manipulator activity and a convex outer flat curved face at the other side thereof for supporting the

[0046] 25 adjustment of the surgical cavity to the implant or prosthesis; said curved end comprising of a blunt curved margin at the tip and on sides thereof for supporting the dissection activity for creation of the surgical cavity for the implant or prosthesis or for adjustment of the surgical cavity to the

[0047] 30 implant or prosthesis. said curved manipulator end comprising of a blunt serrations or undulations at a concave face side thereof for supporting the activity of protection of the implant while placing deep sutures to prevent needle point injury to the

[0048] 35 implant or prosthesis.

[0049] 5 an extended shaft operatively connecting the manipulator end portion for extended connect to operate externally away from said region of interest of surgery;

[0050] 5 said shaft operatively connected to said manipulator end portion providing for inserting of the implant manipulator through incision for breast implant surgery and therethrough said breast implant in said cavity for desired manipulation involving said manipulator end through said extended shaft

[0051] 10 connection.

[0052] According to yet another aspect of the present invention there is provided for the surgical multi purpose support device as above wherein said spoon type manipulator shape include a concave face having a radius of curvature 1-1.5

[0053] 15 m, the serrations or undulations approximately 4-5 mm wide and 4-5 mm tall.

[0054] According to yet another aspect of the present invention there is provided for the surgical multi purpose support device as above wherein the thickness of the blunt margin and the manipulating end is approximately 5-8 mm, with the

[0055] 20 length of the manipulating spoon type end shaped is approximately 3-5 cm.

[0056] According to yet further aspect of the present invention there is provided for the surgical multi purpose support device as above comprising of device

[0057] 25 length ranging from 6 cm to 40cm, or longer or shorter than this length, and having a handle means which is flat or round, narrow or broad.

[0058] According to another aspect of the present invention there is provided for the surgical multi purpose support device as above wherein said extended shaft

[0059] 30 with or without the handle portion include markings selectively for depth of entry into body cavity indications and to show the direction of the convexity of the manipulating end.

[0060] According to yet further aspect of the present invention there is provided for

[0061] 35 the surgical multi purpose support device as above wherein said manipulating

[0062] 6 end comprises a blunt round margin, a gentle concavity like a spoon and gentle undulations or serrations on the concave side.

[0063] 5 According to yet another aspect of the present invention there is provided for the surgical multi purpose support device as above wherein said manipulating end is shaped selectively as blunt club type with variety of shapes including circular and oval tip.

[0064] 10 According to yet further aspect of the present invention there is provided for the surgical multi purpose support device as above comprising of hollow or solid material with the convex side smooth or with gentle undulations.

[0065] According to yet another aspect of the present invention there is provided for

[0066] 15 the surgical multi purpose support device as above which is miniaturisable with proportionally reduced sizes of manipulating end, shaft and handle.

[0067] According to yet another aspect of the present invention there is provided for the surgical multipurpose support device as above which is sterilizable and

[0068] 20 reusable, or as a single use or disposable.

[0069] DETAILS OF THE IMVEHTIOM IM RELATION TO MO^-LIMITTO®

[0070] 25 EXEMPLARY EMBODIMENTS AS PER THE ACXOMPAHYIHG FIGURES WHEREIN:

[0071] Figure 1 - is an illustration of the prevailing state of the device such as a Swab holding forceps - curved and straight;

[0072] 30 Figure 2 - is an illustration of another embodiment of the prevailing state of the device such as Long artery forceps - Straight

[0073] Figure 3- is an illustration of yet another embodiment of the prevailing state of the device such as Long artery forceps - Curved

[0074] 35

[0075] Figure 4 - is an illustration of a further embodiment of the prevailing state of the device such as Hegar cervical dilators

[0076] 7 Figure 5 - is an illustration of yet further aspect of the invention illustrating the prevailing state of the device such as Sleeve device to insert the breast

[0077] 5 implant - illustrative sketch

[0078] Figure 6 is a schematic illustration of the surgical support device developed in accordance with the present invention; and

[0079] 10 Figure 7 is yet another illustration of the surgical support device development in accordance with the present invention.

[0080] Figure 8, A, B and C are yet another illustration of magnified views of the manipulating end showing blunt serrations, blunt edge of the device, the

[0081] 15 concave surface with serrations and the concave smooth, rounded surface.

[0082] Figure 9A and 9B are yet further illustrations of the device in accordance with the present invention showing a ruler on the shaft of the device. Such a ruler is preferably provided on both aspects of the shaft for convenience of use of

[0083] 20 the device.

[0084] Reference is first invited to the illustrations as per accompanying Figures 1 to 4 showing some variety of supportive implant devices currently used by surgeons for various implanting procedures.

[0085] More specifically, the accompanying Figures 1 to 4 are representative devices

[0086] 25 of currently used Swab holding forceps - curved and straight as per Figure 1, Long artery forceps - Straight, as per figure 2, Long artery forceps - Curved as per Figure 3 and Hegar cervical dilators as per Figure 4.

[0087] The accompanying Figure 5 illustrates an embodiment of a well known sleeve device (prior art) usually used to insert the implant into the breast cavity by

[0088] 30 ’non touch' technique,

[0089] Such currently available and used devices for such implant / prosthesis procedures are found to be complicated to manufacture and use and / or are not provided with the required simplicity and also control for the operating

[0090] 8 surgeon and yet maintaining the standards of 'non-touch protocol of implant / prosthesis' processes.

[0091] The surgical support device developed in accordance with the present

[0092] 5 invention is next illustrated in greater detail in relation to non-limiting exemplary illustrations of Figures 6, 7, 8 and 9. The advancement is directed to specifically help adjusting the breast implant cavity to the inserted implant or adjust the implant to the cavity or both without the need for inserting hand or finger or other non-standard devices as illustrated in figures 1-4, thus

[0093] 10 enhancing the surgical sterility which is utmost crucial in breast implant surgery to prevent infection. The device is further adapted to also help in blunt dissection of tissue planes to create the pocket for breast implants or other prosthesis or for other surgical procedures in various surgical disciplines. The device can also help closure of the wound - by protecting the

[0094] 15 prosthesis being injured by the suturing needle, especially when deep sutures are being performed. The device also helps reduce the risk of infection or contamination of the cavities by achieving the task of gentle manipulation of the breast prosthesis or adjustment of the breast cavity by "non-touch" technique.

[0095] 20 As shown in Figure 6, Breast Implant manipulator, breast cavity adjuster while Figure 7 shows its back-view, front-view and side view.

[0096] Reference is further invited to accompanying Figure 6 which depicts general views of the device. The device consists of a handle (5), a shaft (4) and the manipulating end (3). The device can be of various lengths - ranging from 6

[0097] 25 cm to 40cm. The handle can be flat or round with or without markings for depth or to show the direction of the convexity of the manipulating end. Advantageously, the markings in the device would enable further precision in implanting the implant during the surgical process and avoid blankly carrying out the exercise as an added facility. The size of the surgical support

[0098] 30 manipulator can be determined based on the type of surgery and also the depth of the shaft required and its related markings. Breast implants can be inserted via multiple approaches such as via infra-mammary (under the breast or in breast crease), axillary (surgical cut in the arm pit) or via peri- areolar (surgical cuts around the areola). In each of these approaches, a

[0099] 9 surgical cavity is created to place the implant or another prosthesis in appropriate position. The cavity needs to be a snug fit for the implant to be stable. Once the cavity is created, the prosthesis is inserted with the help of a

[0100] 5 sleeve device (prior art). Further adjustment of the cavity is often needed to position the implant appropriately or adjust the cavity dimension with further blunt dissection with a 'non-touch' technique. The present sterile device is then inserted alongside the prosthesis or implant and the cavity and / or the implant is adjusted to have the implant or prosthesis to position appropriately.

[0101] 10

[0102] Figure 6 further illustrates the insertion of the present advanced device via the infra-mammary incision which is the commonest approach for breast implants surgery. Once the implant is placed and secured in snug cavity, the cavity is closed with multiple layers of deep sutures. The deepest layer of

[0103] 15 sutures involves the risk of injury to the breast implant prosthesis by suturing needles. Holding the manipulating end of the device with its concave surface facing the implant thus helps avoiding injuries, while the sutures are placed. These sutures are progressively tied and the cavity is closed. Before tying the final 2-3 sutures the device is removed.

[0104] 20

[0105] Thus, the further illustration as per accompanying Figures 6 shows the advanced device of the present invention thus includes representative illustration of :

[0106] 25 Breast (1)

[0107] Breast Implant within breast (2)

[0108] Manipulator end (3) having a Convex side (3A) of the concave (3B) spoon end of the device adjusting the cavity

[0109] Infra-mammary incision (1A) through which the implant has been

[0110] 30 inserted and the device has also been inserted for adjustment; and Shaft (4) and Handle of the device (5).

[0111] Importantly, the manipulating end (3) which is inserted into the breast

[0112] 35 implant cavity, has a blunt round margin, a gentle concavity like a spoon and gentle undulations or serrations on the concave side. However, the variation can be of completely blunt club type shape with circular or oval tip. The device

[0113] 10 can be hollow or solid material. The convex side can be smooth or with gentle undulations. The device can be miniaturised into smaller sizes with proportionally reduced sizes of manipulating end, shaft and handle, to be

[0114] 5 used for other prosthesis surgery in other surgical procedures. Ideally the device has the gentle curve with a radius of 1-1.5 meters. The serrations or undulations are ideally approximately 4-5 mm wide and 4-5 mm tall. The thickness of the blunt margin and the generally the manipulating end is approximately 5-8 mm. The length of the manipulating end shaped like a

[0115] 10 'spoon' is approximately 3-5 cm.

[0116] Reference is now invited to further illustrated accompanying Figures 7 the advanced device of the present invention thus includes:

[0117] 15 Manipulating end (3) of the device - with blunt serrations on one side(3B), and flat curved curvature (3A) on the other side. Has a blunt end to prevent injury to the implant or cavity.

[0118] Gentle blunt serrations or undulations (3B)

[0119] 1. Gentle curved tip end (3C)

[0120] 20 2. Shaft of the device (4)

[0121] 3. Handle of the device (5).

[0122] The reference in next invited to accompanying Figures 8A to 8C which further

[0123] 25 illustrate the various illustrative preferred embodiments of the device in accordance with the present invention.

[0124] As shown in accompanying Figures 8 - A and 8 - B, the advanced device of the present invention thus includes a Thick blunt tip margin (3C), the concave

[0125] 30 (3B) (spoon like) side including blunt serrations and the convex outer surface (3A) having a Gentle curve.

[0126] Reference is now invited to accompanying Figure 8C which further illustrated another embodiment of the advanced device of the present invention thus

[0127] 35 includes:

[0128] Thick blunt margin (3C) including the tip and peripheral surfaces;

[0129] Convex back surface (3A); and

[0130] 11 Gentle curve (3A).

[0131] The device of the advancement can be a sterilizable device made from

[0132] 5 surgical steel or other metals or other suitable materials or a single use disposable device made from plastics or any other suitable single use material.

[0133] The support device of the present advancement is adapted to improve

[0134] 10 efficiency, precision, and consistency of achieving optimal breast implant cavity and for optimal placement of breast implants in these cavities with reduced risk of infection, reduced risk of trauma, bleeding and is recommended to be used in conjunction with implant sleeve or funnel devices. The advanced support device can also be potentially used for other surgical

[0135] 15 procedures in general surgery or other surgical specialties or endoscopically for blunt dissections of various body cavities. Miniaturised sizes (smaller size versions) of the device can be used in procedures involving other prosthetic devices such as tissue expanders or facial implants, nasal implants, testicular implants etc.

[0136] 20

[0137] In accordance with yet another aspect of the present invention there is provided for yet another embodiment by way of accompanying Figure - 9 A and B, of the advanced device of the present invention thus includes:

[0138] 25 a Ruler (4A) on the shaft of the device to indicate depth gauge - indicating distance from the tip of front end.

[0139] Thus, the advanced support and surgical device in accordance with the present invention thus provided for a surgical multi purpose support device

[0140] 30 suitable selectively for 'non-touch' manipulation activity for implants and prosthesis as well as dissection of tissue planes avoiding tissue injury in body cavities in surgical procedures and the like. The device of the advancement can be a sterilizable device made from surgical steel or other metals or other suitable materials or a single use disposable device made

[0141] 35 from plastics or any other suitable single use material.

[0142] 12 The support device of the present advancement is adapted to improve efficiency, precision, and consistency of achieving optimal breast implant cavity and for optimal placement of breast implants in these cavities with

[0143] 5 reduced risk of infection, reduced risk of trauma, bleeding and is recommended to be used in conjunction with implant sleeve or funnel devices. The advanced support device can also be potentially used for other surgical procedures in general surgery or other surgical specialties or endoscopically for blunt dissections of various body cavities. Miniaturised sizes (smaller size

[0144] 10 versions) of the device can be used in procedures involving other prosthetic devices such as tissue expanders or facial implants, nasal implants, testicular implants etc.

Claims

I CLAIM:15 1. A surgical multi purpose support device suitable selectively for 'nontouch' manipulation activity for implants and prosthesis as well as dissection of tissue planes avoiding tissue injury in body cavities in surgical procedures and the like comprising:20 a manipulator end (3) including a manipulator shaped free of any sharp peripheral edges and a blunt tip (3C) at the front adapted for entry within said body cavity and providing a carrier support for the manipulating activity including adjusting said implant or device in position with respect to any surgical region of interest as well as25 dissection procedures; and an extended shaft (4) operatively connecting the manipulator end portion for extended connect to manipulate externally away from said region of interest in said cavity during surgery.

302. The surgical multi purpose support device as claimed in claim 1 wherein said manipulator (3) shaped free of any sharp peripheral edges and a blunt tip (3C) at the front comprises of :a curved spoon type (3B) manipulator shape comprising of a blunt serrations or35 undulations (3B) at a concave face side thereof for supporting the manipulator activity and a convex (3A) outer flat curved face at the other side thereof for supporting the adjustment of the surgical cavity to the implant or prosthesis and including said blunt curved margin at the tip and on sides thereof for supporting the dissection activity for40 creation of the surgical cavity for the implant or prosthesis or for adjustment of the surgical cavity to the implant or prosthesis;14said curved manipulator (3) shape comprising of a blunt serrations or undulations at a concave face side (3B) thereof for supporting the5 activity of protection of the implant while placing deep sutures to prevent needle point injury to the implant or prosthesis; said extended shaft (4) end away from the manipulator end having a handle means (5) for effective grip of the device.

103. The surgical multi purpose support device as claimed in anyone of claims 1 or 2 suitable for 'non-touch' selective positioning and disposition of implants and prosthesis in surgical procedures and the like through body cavity like incision for breast implant surgery for15 desired manipulation comprising: said manipulator end (3) comprising of a curved manipulator end adapted for support for the manipulating activity;20 said curved manipulator end comprising of a blunt serrations or undulations (3B) at a concave face side thereof for supporting the manipulator activity and a convex outer flat curved face at the other side thereof for supporting the adjustment of the surgical cavity to the implant or prosthesis;25 said curved end comprising of a blunt curved margin at the tip (3C) and on sides thereof for supporting the dissection activity for creation of the surgical cavity for the implant or prosthesis or for adjustment of the surgical cavity to the implant or prosthesis.30 said curved manipulator end comprising of a blunt serrations or undulations (3B) at a concave face side thereof for supporting the activity of protection of the implant while placing deep sutures to prevent needle point injury to the implant or prosthesis.3515an extended shaft (4) operatively connecting the manipulator end portion for extended connect to operate externally away from said region of interest of surgery;5 said shaft (4) operatively connected to said manipulator end (3) portion providing for inserting of the implant manipulator through incision for breast implant surgery and therethrough said breast implant in said cavity for desired manipulation involving said10 manipulator end through said extended shaft connection.

4. The surgical multi purpose support device as claimed in anyone of claims 1 to 3 wherein said spoon type manipulator shape include a15 concave face having a radius of curvature 1-1.5 m, the serrations or undulations approximately 4-5 mm wide and 4-5 mm tall.

5. The surgical multi purpose support device as claimed in anyone of claims 1 to 4 wherein the thickness of the blunt margin and the20 manipulating end is approximately 5-8 mm, with the length of the manipulating spoon type end shaped is approximately 3-5 cm.

6. The surgical multi purpose support device as claimed in anyone of claims 1 to 5 comprising of device length ranging from 6 cm to 40cm,25 or longer or shorter than this length, and having a handle means which is flat or round, narrow or broad.

7. The surgical multi purpose support device as claimed in anyone of claims 1 to 6 wherein said extended shaft with or without the handle30 portion include markings selectively for depth of entry into body cavity indications and to show the direction of the convexity of the manipulating end.

8. The surgical multi purpose support device as claimed in anyone of35 claims 1 to 7 wherein said manipulating end comprises a blunt round margin, a gentle concavity like a spoon and gentle undulations or serrations on the concave side.

169. The surgical multi purpose support device as claimed in anyone of claims 1 to 8 wherein said manipulating end is shaped selectively as5 blunt club type with variety of shapes including circular and oval tip.

10. The surgical multi purpose support device as claimed in anyone of claims 1 to 9 comprising of hollow or solid material with the convex side smooth or with gentle undulations.1011. The surgical multi purpose support device as claimed in anyone of claims 1 to 10 which is miniaturisable with proportionally reduced sizes of manipulating end, shaft and handle.15 12. The surgical multipurpose support device as claimed in anyone of claims 1 to 11 which is sterilizable and reusable, or as a single use or disposable.17

Images