471 results about "Surgical wound" patented technology

A surgical wound retractor comprises a retracting member for insertion into a wound opening and a proximal member for location externally of a wound opening A clamp is used to clamp the retracting member to the proximal member.

A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment elements at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

A portable system for subatmospheric pressure therapy in connection with healing a surgical wound, includes a wound dressing dimensioned for positioning relative to a wound bed of a subject, a portable subatmospheric pressure mechanism dimensioned to be carried or worn by the subject and a container for collecting exudates from the wound bed removed under the subatmospheric pressure supplied by the subatmospheric pressure mechanism. The portable subatmospheric pressure mechanism includes a housing, a subatmospheric pressure source disposed within the housing and in fluid communication with the wound dressing to supply subatmospheric pressure to the wound dressing and a power source mounted to or within the housing for supplying power to actuate the subatmospheric pressure source.

The invention is directed to a surgical wound retractor for retracting and sealing an incision and forming a functional opening or channel through which a surgical procedure may be executed. The wound retractor provides a path for a surgeon to insert his hand and / or instruments through the opening formed by the wound retractor. The wound retractor is sized and configured to be easily placed through a small incision and removed without further insult to the body tissue adjacent to the incision. The wound retractor is adapted to dilate a surgical wound incision to a desired diameter, and comprises a first ring having a diameter greater than the desired diameter of the wound incision and being adapted for disposition interiorly of the wound incision; a second ring having an annular axis and a diameter greater than the desired diameter of the wound incision and being adapted for disposition exteriorly of the wound incision; and a flexible sleeve disposed in a generally cylindrical form between the first ring and the second ring, the first ring having at least one notch to facilitate folding or collapsing of the first ring during insertion and removal of the first ring through the wound incision. The first ring may further comprise a second notch disposed on an opposing end of the first notch to further facilitate folding or collapsing of the first ring. With this aspect, the first ring is folded by squeezing between the first and second notches during insertion and removal of the retractor from the incision. In another aspect, the wound retractor may further comprise a tether having a length, a first end attached to the first ring interiorly of the sheath, and a second end disposed outside of the wound incision, wherein the tether facilitates removal of the first ring by pulling on the second end to retrieve the first ring through the wound incision.

A wound dressing system includes a fluid permeable support member for positioning within a wound and adapted to generally conform to a topography of a wound, a plurality of beads supported by the support member, an outer member for positioning over the wound to substantially enclose the beads and a conduit for supplying reduced pressure to the wound. The support member is adapted to permit exudates from the wound to pass therethrough. The beads are characterized by having sufficient rigidity to substantially maintain respective shapes thereof to thereby facilitate passage of the exudates through spaces or passages defined between adjacent beads. The beads may comprise glass, an acrylic or a polymeric material. The support member may comprise a polymeric or fabric material. The support member may be an enclosure member or pouch which houses the beads. Multiple pouches are also envisioned.

A reduced-pressure system for treating tissue, such as damaged subcutaneous tissue, includes a shaped dressing bolster for placing on the patient's epidermis and substantially sized to overlay the damaged subcutaneous tissue. The system further includes a sealing subsystem for providing a fluid seal over the shaped dressing bolster and a portion of the patient's epidermis, and a reduced-pressure subsystem for delivering a reduced pressure to the sealing subsystem. The reduced-pressure system may develop a force, which may include a vertical force that is realized at tissue site deeper than the epidermis or a closing force directed towards the incision. The shaped dressing bolster is shaped to evenly distribute the force. Other methods and systems are included.

A speculum for use with a body opening, such as a vagina, rectum or surgical wound, may have an insertion portion with an arcuately-shaped wall and a slot that extends along a length of the wall. An end face of the wall at the distal end of the insertion portion may be arranged at a non-perpendicular angle to the longitudinal axis of the insertion portion. A flange portion joined at a proximal end of the insertion portion may have a continuous band that extends radially outwardly from the wall and includes a notch that communicates with the slot. A handle portion may have a gripping surface extending proximally at a bottom side of the flange portion with an arcuate shape that is approximately concentric with the wall of the insertion portion. A top side of the flange portion may be free of the handle portion.

A portable system for subatmospheric pressure therapy in connection with healing a surgical wound includes a wound dressing dimensioned for positioning relative to a wound bed of a subject and a portable subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing having a control unit, a collection canister, and means for releasably connecting the housing and the canister. The collection canister collects exudates from the wound bed which has been removed under subatmospheric pressure supplied by the control unit. The connection means between the housing and the canister permits the removal of the canister for emptying thereof or replacement with a new collection canister.

A surgical sponge comprises a plurality of radiopaque markers having a high radiographic density and a distinctive, visually recognizable shape. The markers have an x-ray density equivalent to at least about 0.1 g / cm2 of BaSO4. The markers produce an x-ray image with high contrast and a shape that is readily recognizable and differentiated from the images produced by other items and structures commonly seen in x-rays of post-operative patients. Owing to the distinctive, high contrast image produced by the markers, the sponge is reliably and unambiguously detected. This is so even in situations where the sponge is inadvertently left in the surgical wound. Discomfort, trauma, and possibly fatal consequences that might otherwise occur are virtually eliminated. The surgical procedure is carried out with decreased likelihood of a sponge being retained inadvertently.

A radio-frequency surgical implement detection system detects surgical implements in a surgical wound during and at the completion of a surgical procedure. Surgical implements, including surgical sponges or laparotomy pads, gauze pads and metallic surgical instruments, are individually attached to a non battery-powered, encapsulated radio-frequency marker. The marker comprises an integrated chip having a burnt-in memory code, which is broadcast through an antenna using a modulated carrier frequency. The code is received by an interrogating antenna of a detector. The interrogating antenna provides a power pulse, which is received by the antenna of the radio-frequency marker. The power pulse charges a capacitor, which proves power for the read function, carrier frequency modulation function and broadcast function of the integrated chip, permitting each marker-containing implement to be specifically identified.

Systems and methods are provided to improve the gait performance of subjects with neurodegenerative disease neurodegenerative disease movement disorders, injuries, surgical wounds, athletic performance objectives, or combinations thereof through feedback-enhanced training. A subject walks, jogs or runs on a surface with the use of an assistive walking device such as a walker, cane, rollator or railings. Attached to the assistive walking device is a distance sensor and processing unit that detects, measures, and evaluates certain gait characteristics and delivers feedback to the subject. The subject is trained to exhibit desirable gait characteristics such as stride length, heel-toe motion, cadence, pace and the like.

A modified starch material for biocompatible hemostasis, biocompatible adhesion prevention, tissue healing promotion, absorbable surgical wound sealing and tissue bonding, when applied as a biocompatible modified starch to the tissue of animals. The modified starch material produces hemostasis, reduces bleeding of the wound, extravasation of blood and tissue exudation, preserves the wound surface or the wound in relative wetness or dryness, inhibits the growth of bacteria and inflammatory response, minimizes tissue inflammation, and relieves patient pain. Any excess modified starch not involved in hemostatic activity is readily dissolved and rinsed away through saline irrigation during operation. After treatment of surgical wounds, combat wounds, trauma and emergency wounds, the modified starch hemostatic material is rapidly absorbed by the body without the complications associated with gauze and bandage removal.

The invention relates to a modified starch material for biocompatible hemostasis, biocompatible anti-adhesion, tissue healing promotion, absorbable surgery sealing and tissue adhesion. The invention applies biocompatible modified starch to animal tissues, wherein the modified starch material has the molecular weight of more than 15,000 daltons, and the particle diameter of between 1 and 1,000 mu m. The modified starch hemostatic material has stypticity, reduces hemorrhage, blood oozing and tissue fluid oozing of wounds, maintains relative moistening or drying of wound surfaces or the wounds, inhibits bacterium growth and inflammation reaction, and contributes to locally diminish inflammation of the wounds and relieve pain of patients. Moreover, the modified starch material can wash local parts after operation is over and remove redundant modified starch which does not participate in hemostasis, and can easily remove haemostatic under the condition of debridement treatment after self-help and first-aid treatment of war wounds; and hemostatic materials with a small amount of modified starch can be absorbed by the body, so that the pain of tearing of gauzes and bandages on people is avoided.

A system for subatmospheric pressure therapy in connection with the healing of a surgical wound is disclosed. The system may be portable or semi-portable, thereby providing the subject with the ability to be partially or completely ambulatory through the course of the treatment. The system includes a wound dressing dimensioned for positioning relative to a wound bed of a subject and a portable subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing, a vacuum source at least partially disposed within the housing and in fluid communication with the fluid conduit, a filter in fluid communication with the vacuum source, and a collection canister for collecting exudates from the wound bed removed under subatmospheric pressure. An elevation member is mounted with respect to the housing. The elevation member is adapted to position the housing and canister at a predetermined orientation when positioned relative to a support surface to minimize a potential of at least one of spillage of the exudates from the canister, clogging of the filter or an inappropriate canister full indication.

A portable system for subatmospheric pressure therapy in connection with healing a surgical wound, including a wound dressing dimensioned for positioning relative to a wound bed of a subject and a subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing having a control unit adapted to draw a vacuum and a canister associated with the housing. The canister has a collection bag disposed therein, which is in fluid communication with the wound dressing to receive exudates from the wound bed. The collection bag is adapted to expand upon receipt of the fluids and has means to release gas from within the collection bag in connection with operation of the control unit. With this arrangement, the canister is attitude independent, i.e., the canister may be positioned on edge, on its side or on its end etc. while still maintaining operation of the control unit. The collection bag may include a hydrophobic vent or material for releasing the gases. In another embodiment, the collection bag comprises a gas permeable material. The collection bag may include one of pleats or bellows.

A system for subatmospheric pressure therapy in connection with the healing of a surgical wound is disclosed. The system may be portable or semi-portable, thereby providing the subject with the ability to be partially or completely ambulatory through the course of the treatment. The system includes a wound dressing dimensioned for positioning relative to a wound bed of a subject and a portable subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing, a vacuum source at least partially disposed within the housing and in fluid communication with the fluid conduit, a filter in fluid communication with the vacuum source, and a collection canister for collecting exudates from the wound bed removed under subatmospheric pressure. An elevation member is mounted with respect to the housing. The elevation member is adapted to position the housing and canister at a predetermined orientation when positioned relative to a support surface to minimize a potential of at least one of spillage of the exudates from the canister, clogging of the filter or an inappropriate canister full indication.

A portable system for subatmospheric pressure therapy in connection with healing a surgical wound, including a wound dressing dimensioned for positioning relative to a wound bed of a subject and a subatmospheric pressure mechanism dimensioned to be carried or worn by the subject. The subatmospheric pressure mechanism includes a housing having a control unit adapted to draw a vacuum and a canister associated with the housing. The canister has a collection bag disposed therein, which is in fluid communication with the wound dressing to receive exudates from the wound bed. The collection bag is adapted to expand upon receipt of the fluids and has means to release gas from within the collection bag in connection with operation of the control unit. With this arrangement, the canister is attitude independent, i.e., the canister may be positioned on edge, on its side or on its end etc. while still maintaining operation of the control unit. The collection bag may include a hydrophobic vent or material for releasing the gases. In another embodiment, the collection bag comprises a gas permeable material. The collection bag may include one of pleats or bellows.

The invention provides a fixing and navigating surgery system in a vertebral pedicle based on a structure light image. The system comprises a structure light scanner, an infrared navigating and positioning apparatus, a dynamic standard, a surgery apparatus with a plurality of infrared luminous diodes and a computer, wherein the structure light scanner and the infrared navigating and positioning apparatus are arranged in a positioning way; the surgery apparatus is provided with the plurality of infrared luminous diodes, and the infrared light transmitted from the diodes are captured by the infrared navigating and positioning apparatus to define the relationship between the navigation coordinate system of the infrared navigating and positioning apparatus and the surgery apparatus coordinate system of the surgery apparatus; and the dynamic standard which is clamped on the patient vertebra is also provided with a plurality of infrared luminous diodes for instantly tracking the change of a patient coordinate system to the navigation coordinate system. The invention replaces doctor manual pointing with the structure light image scanning, reduces the manual operation error, and reduces the injure of the X ray to the doctor and the patient; and the dynamic standard also has the characteristics of small volume and good function, can improve the reliability of the surgery and the precision of the nail implantation, and reduces surgical wounds.

Disclosed is a system for real-time detection and annunciation of blood associated with menstruation and surgical wounds. The system comprises blood detection means, communication means for relay of blood detection information, and annunciation means to inform the user of the emanation of blood. Various system embodiments include local and remote as well as covert and non-covert annunciation to users or medical personnel, various forms of real-time blood detection sensors, blood analysis capability, and smart bandage telemetry.

A system for subatmospheric pressure therapy in connection with healing a surgical wound includes a wound dressing dimensioned for positioning relative to a wound bed of a subject, a subatmospheric pressure mechanism having a vacuum source for presenting subatmospheric pressure at the wound bed and a collection canister. The collection canister includes a canister housing defining an internal chamber for collecting exudates from the wound bed removed under subatmospheric pressure, an inlet to receive the exudates for depositing in the internal chamber, an outlet in fluid communication with the vacuum source and a valve mounted adjacent the inlet. The valve is adapted to open in the presence of a vacuum condition within the internal chamber to permit the exudates to flow therethrough and to close in the absence of a vacuum condition within the internal chamber. The valve reduces the amount of exudates leakage, and eliminates the need for the use of clamping or the like to clamp about the system tubing. The collection canister may include a valve housing at least partially disposed within the internal chamber of the canister housing. The valve housing defines a valve seat having an opening in fluid communication with the inlet. The valve is mounted to the valve seat adjacent the opening and movable relative to the valve seat between a closed position occluding the opening of the valve seat and an open position at least partially exposing the opening in the valve housing. The valve may be a zero closure valve such an umbrella valve.

Methods of treating scarring are disclosed. Generally, the methods include topically administering an IRM compound to the site of a surgical wound for a period of time and in an amount effective for preventing, reversing, or reducing the formation of a scar. Suitable IRM compound compounds include agonists of one or more TLRs.

Externally detectable electronic article surveillance markers are attached to surgical implements, such as sponges and surgical instruments, appointed for use in a surgical wound. The attachment mechanism facilitates detection by an external interrogating field before the wound has been closed and the patient has left the operating table. The markers are responsive to the imposition of an interrogating field produced by an electronic article surveillance system. Use of the attachment mechanism and markers assure that the surgical implements are reliably detected and removed before completion of the surgical procedure. This technique eliminates the not infrequent mishap in which an implement is undiscovered at the time of surgery and remains indefinitely within the surgical cavity, often entailing dire consequences to the patient.

A surgical drain device includes a matrix of biodegradable polymer material and a plurality of drain tubes attached to the matrix. The device is implanted within a surgical wound to treat the presence of seromas, for example, and is used to promote drainage, tissue adhesion, and wound closure. The drain tubes converge into a common collection tube that leads wound fluid outside the body under gravity feed or negative pressure applied to the collection tube. The matrix contains an array of apertures that allow tissue contact across the device. A preferred embodiment comprises a tissue anchoring system including anchor elements such as hooks or barbs. The device can be used with a negative pressure system to further improve the drainage band can also be used with a wound dressing. The device and systems containing the device are particularly useful to promote the healing of surgical wounds from abdominal surgery.

Systems and methods are provided to improve the gait performance of subjects with neurodegenerative disease movement disorders, injuries, surgical wounds, athletic performance objectives, or combinations thereof through feedback-enhanced training A subject walks, jogs or runs on a surface with the use of an assistive walking device such as a walker, cane, rollator or railings. Attached to the assistive walking device is a distance sensor and processing unit that detects, measures, and evaluates certain gait characteristics and delivers feedback to the subject. The subject is trained to exhibit desirable gait characteristics such as stride length, heel-toe motion, cadence, pace and the like.

Externally detectable electronic article surveillance markers are attached to surgical implements, such as sponges and surgical instruments, appointed for use in a surgical wound. The attachment mechanism facilitates detection by an external interrogating field before the wound has been closed and the patient has left the operating table. The markers are responsive to the imposition of an interrogating field produced by an electronic article surveillance system. Markers contain one or more magnetomechanically responsive elements that are urged into mechanical resonance by the interrogating field. The ring-down of the resonance and the associated dipolar electromagnetic field provide a signal-identifying characteristic detected by a detection system. Upon detection, an audible or visible signal is triggered to alert relevant medical personnel to the need for follow-up care and removal of the offending item. The resonance occurs at a frequency ranging from about 70 to 300 kHz. Misadventures during operative procedures—especially those wherein implements remain undiscovered at the time of surgery and are retained indefinitely within the surgical cavity, often entailing dire consequences to the patient—are virtually eliminated. The attachment mechanism and markers assure that surgical implements are reliably detected and removed before completion of the surgical procedure.

A surgical sponge comprises a radiopaque marker having a high radiographic density and a distinctive, visually recognizable shape. The marker has an x-ray density equivalent to at least about 0.1 g / cm2 of BaSO4. It produces an x-ray image with high contrast and a shape that is readily recognizable and differentiated from the images produced by other items and structures commonly seen in x-rays of post-operative patients. Owing to the distinctive, high contrast image produced by the marker, the sponge is reliably and unambiguously detected. This is so even in situations where the sponge is inadvertently left in the surgical wound. Discomfort, trauma, and possibly fatal consequences that might otherwise occur are virtually eliminated. The surgical procedure is carried out with decreased likelihood of a sponge being retained inadvertently.

The present invention discloses a method for the preparation of an anti-microbial wound dressing comprises alkalizing chitosan fiber to obtain alkalized chitosan fiber which is then etherified with chloroacetic acid to produce carboxymethyl chitosan fiber. Said fiber is made into dressing by fiber opening, web formation and needling. Alternatively chitosan fiber can be made into chitosan non-woven fabric by non-woven technique first which is then carboxylmethylated. The fabric is then made into wound dressing by cutting, packaging and sterilizing. The present invention also discloses the uses of the anti-microbial wound dressing made according to said method. The dressing according to the present invention can be applied in surgical wound, burn, and other chronic wound. Said dressing, when covering wound, is able to prevent moisture losses in body fluid, provide a favorable moist environment necessary for wound healing and maintain a fluid-free, maceration-free, germ-free wound surface. Said dressing is antiphlogistic, hemostatic and antalgic and promotes wound healing.

The present invention provides an improved surgical blade and trocar system for accessing the retina and other parts of the eye while doing vitreo-retinal and cataract surgeries, including surgeries for macular degeneration. The eye surgeon uses an improved surgical blade for vitreo-retinal and cataract surgeries having a generally flat, V-shaped, W-shaped, or “extended W” shaped cross-section. Using the improved surgical blade, the surgeon creates a multi-planar, self-sealing surgical wound, first by directing the surgical blade substantially perpendicular to the eye surface, then redirecting the blade to follow the general curvature of the eye globe, and finally redirecting the blade to enter the interior of the eye. The improved surgical blade is used with an improved trocar system having two main parts-a relatively rigid, wide-mouthed outer segment and a generally thin-walled, collapsible plastic polymer or metal mesh sleeve that spans the surgical wound and substantially molds to its contour. The improved surgical blade and trocar system can be adapted for use in either vitreo-retinal or cataract surgeries.