MX2010013031A - Surgical medical device for prolonged examination and applications within abdominal and thoracic cavities. - Google Patents

Abstract

This invention relates to a novel surgical medical device of the siliconized, medical grade, gas-sterile type for prolonged examination and applications within the abdominal and thoracic cavity, characterized in that it consists of: an operating "button" and an accessories kit where the operating button is formed by: a transparent or opaque siliconized tube with tip, which facilitates introduction of the device in the abdominal or thoracic wall; an external thread which allows the device to be fixed once it has been introduced into the abdominal wall; an inflatable balloon which, when inflated, functions as a stop preventing the device from being retracted from the inside of the abdominal or thoracic wall; a fixing disc which is provided with a through-hole in its centre allowing it slide along the tube so that it can move towards or away from the inflatable balloon; a valve which is located perpendicularly with respect thereto and which is used to supply air to the balloon so that it inflates when it is situated inside the umbilical wall; a lid used to keep the operating button hermetically sealed; a plunger which acts as a guide, facilitating initial positioning of the device; an adaptor used for fixing peritoneal dialysis or irrigation catheters. The accessories kit is composed of: an adaptor for replenishing with gas; three control discs with through-holes for allowing the passage of 1, 2 or 3 instruments and facilitating manoeuvring; a lid, a ring and a disc made preferably of cellulose impregnated with a wide-spectrum antibiotic which must be positioned between the fixing disc and the abdominal or thoracic wall so as to control the possibility of infection in this area.

Description

SURGICAL MEDICAL SPOSITIVE FOR PROLONGED USE AND APPLICATIONS IN CAVIDAD ABDOMINAL AND TORÁC TECHNICAL FIELD present invention has its technical field in mechanics plus those utensils or surgical medical devices used in Jominal and Thoracic ..

The object of this invention is to provide surgical use for prolonged use, revision and application of the lominal and thoracic, which allows mainly the placement of peritoneal isis or irrigation, as well as the exploration of the cavity in unconscious patients or patients. very serious in the nsivos unidade without having to take them to the operating room, by means of such tools as an adjunct to inject CO2, step of vid izar laparoscopic revisions, tweezers to carry out an iroscopic biopsy.

A CO2 gas discharge key is positioned perpendicular to the transparent tube. The touch measures approximately 16cm in length or is rigid and its use is restricted to the patient being eral and having distended the abdominal or thoracic cavity with C entó consists of a punch with a retractable leaf that is used for a couple by puncture of the abdominal wall or thoracic. The trocars are required for placement of two eumoperitoneum or pneumothorax maneuvers by inserting a CO2 flaring needle, and 2.- once the pneumoperitoneum or trocar duction is performed by the retractable blade punch, they are considered risky by the possibility of injuring ominales .0 thoracic. You can also use the Trocars hinge technique by incision, but as CO2 escapes more laparoscopic years prefer the technique first described. Ares because of their rigid structure can not remain in the cavida cica after the laparoscopic procedure.

On the other hand, gastrostomy tubes or silicon soft gastric buttons and consist of tubes that end in your ex contraption; The main drawback is that if it dysfunctions, it has to be erased again to the operating room for its withdrawal, on four or five occasions in different periods of time. In laparoscopic operation, the patient also requires a thoracoscopic approach to change the catheter if it becomes obstructed or dysfunctional. and other problems the present medical device was developed q prolonged in revision and applications in the abdominal cavity and to change the dialysis catheter without the need of a new one to the operating room, since the one that the patient has will be removed and one will be removed and placed new through the device, whether or \ sedation in a procedure room.

DESCRIPTION OF THE INVENTION Characteristic details of this medical surgical device in revision and applications in the abdominal and thoracic cavity I have mentioned in the following description and in the figures that accompany it, as examples, and should not be considered as lir reference to said figures, the surgical medical device for revision and applications in the abdominal and thoracic cavity, this medical grade is also sterilized with gas also in gradient of a "button" of maneuvers and a "Kit." of accessories also "Maneuvering button" is made up of: n tube (1a), silicone that can be transparent or opaque and of 1 to 3cm in diameter, which in one of its ends has an angle of 45 ° that gives it a tip shape (2a), which facilitates the opponent in the abdominal or thoracic wall. The tube (la), has proximal; ii) an external thread (3a), 6cm long which allows the di ndo has been introduced into the abdominal wall. A third lower d is external (3a), is found; iii) an inflatable balloon (4a), of ca located at 1.5cm from the tip (2a), which when inflated prevents the device from being removed from the inside of the wall. And when the balloon (4a), this deflated can slide inside the incision; iv) a holding disc (5a), which has a center that allows it to slide in the tube (la), of such a It is located inside the abdominal wall. End this to the tip (2a), of the tube (1a), closed by means of; vi) gives to keep tightly closed the "button" maneuver to cover has a flexible neck (10a) f that is fastened to the tub was the lid (9a) can be placed easily and quickly; vii) rado), made of rigid plastic, whose length is 0.5cm. less than the "button" of maneuvers, to avoid any type of ominal or thoracic injury, said punch serves as a guide, facilitating its coloc the "button" of maneuvers must be placed by ilic incision, to avoid injury of the viscera or abdominal vessels; You can make an intercostal incision at the desired level. Once the maneuver "button" is removed, the punch is withdrawn, a) optionally used to fix dialysis catheters (one or two catheters) which is introduced into the proximal orifice; The adapter has a double function, the first one is sealed and the second is to fix the dialysis catheter or irrigated catheter of accessories consists of: ados, to perform two simultaneous maneuvers; iv) a third disc (with three previous holes, to perform three sim or control maneuvers in the center of its lower face with a coupling), inside which is located a past hole (Hb), used only a camcorder or a pair of tweezers for taking a rosin biopsi or a dialysis or irrigation catheter and on its central circular face (13b), legs (7b ') and a perimeter recess to the CO2 adapter of the maneuver "button"; v) a top cover on its upper face with a boleado (15b1), to avoid cutting by manipulating, on the other hand its lower face has a ring (17b), ducirse inside the central circular recess (13b), the disk way these two elements are coupled, in addition the ring with shutters (16b), for each hole of the disc more is counted as a complement: vi) a cellulose disk (not to check the possibility of an infection which is impregnated with mess Spectrum, which is placed between the abdominal or thoracic wall (5a).

Suction of the surgical medical device for prolonged use inflatable lón (4a), has completely crossed the abdominal wall placed the "button" of maneuvers in correct position the ball is removed, depending on the case with 10 to 20 ce. of air or water in, for the fastening of the "button" to the inside of the abdominal wall tar external disc (5a), sliding it through the surface tube of the abdominal or thoracic wall, trying to leave a dis), impregnated with antibiotic of wide spectrum, between the suj disc and the abdominal or thoracic wall. 5.- Optionally, the suj disc is fixed to the abdominal or thoracic wall by means of its holes with surgical suture points. 6.- Seal the upper end with the lid (9a) and cover with sterile dressing. Until this the maneuver button and prepared for the following procedures the first procedure using the "Kit." of accessories we proceed domen or to the thorax according to the case, using the adapter of r a pneumoperithecine or a pneumothorax that allows us to realize rosópicas. 8.- Using, as the case may be, the control discs holes to optionally introduce a video camera or a ter. 9.- If it has been decided to place a peritone dialysis catheter positioned at the desired point and at the same time it can be fixed in tolerance and minimal risk of infection. Avoid frequent entry for catheter repositioning, in the case of dysfunction d Its placement can be done with local or general anesthesia, small incision supra or infra umbilical or intercostal thoracic, blind punctures, which can damage the abdominal viscera or blood vessels and which is introduced under direct soft consistency vision of siliconized material does not produce introduction.

It can be applied to hospitalized or ambulatory patients, or to the patient (intensive therapy) in the first case, or in a fourth maneuver in the second case, avoiding the necessity of operating rooms, which speeds up the procedure.

Its material is totally silicone, which allows better to patients and a prolonged stay in them, even in case it deserves it.

Different maneuvers can be done simultaneously, half adapters for laparoscopic camera, revisions for this magnitude of medical problems, instruments of my biopsy maneuvers, irrigation or laparoscopic surgery and Also in patients with abdominal catastrophes such as Necrotizing l, Midgut volvulus in children or Thrombosis in adults, a maneuver button can be left for intensive review in the postoperative period and avoid trans-operative intestinal resections.

In the cases of acute hemorrhagic pancreatitis, in which constant lavage of that area by means of catheters extraction to dilute the pancreatic enzymes, maneuvers can be left postoperatively with two catheters for said pr In the case of transplants of intra-abdominal organs permi of maneuvers that can carry out revisions of the same case necessary in the postoperative surveillance.

All of the above are examples of its usefulness but the mé can use it in any situation in which he doctor tr repeated revisions or an abdominal or thoracic window p evolution of his patients, both children and adults.

Claims (1)

1. CLAIMS Having described my invention sufficiently, I consider it as both claiming as my exclusive property, what is contained in ndications: surgical medical device for prolonged use in revision and abdominal and thoracic avidity, characterized because it is constituted e maneuvers and a "Kit." of accessories where: otón "of maneuvers is made up of: ) a preferably transparent tube, which in one of its recesses at an angle of 45 ° that gives it a tip shape, the introduction of the device into the abdominal or thoracic wall, close to the tip; i) an external thread which allows the device to be fixed introduced into the abdominal or thoracic wall. A third lower than the external thread is found; radially arranged and equidistant from each other, which serve for the face of said external holding disc adhere completely abdominally, leaving between the disc and the wall a cell disc with a broad-spectrum antibiotic. The tube has proximal ends; a valve that is located perpendicular to it, which supply air or sterile water to the oon, which is thus located inside the abdominal wall or chest, the end opposite the tip of the tube is closed by means of; a lid used to keep tightly closed maneuvers where said lid has a flexible neck that tube; in this way the lid can be easily and quickly placed a punch whose length is preferably 0.5cm. smaller than the tube of the "button" of maneuvers, to avoid any type of abdominal or thoracic cavity, said punch serves as a guide, initial placement. Once in place, the punch "button" is removed and an adapter optionally used to fix di or irrigation catheters (one or two catheters) which is inserted into the orifice "" device is used for pneumoperitherapy or pneumothorax and ad inside a double valve, which prevents the escape of gas or abdominal or thoracic cavity. The upper face of the adapter e a circular recess and at least a pair of square holes assemble; a first control disk with a last hole, to make a second control disk with two past holes, pair maneuvers simultaneously; a third control disc with three past holes, pair maneuvers simultaneously. Each control disc has a circular coupler on the lower face inside which is located past hole used to optionally introduce a video clips for the taking of biopsies or laparoscopic maneuvers or dialysis or irrigation and on its underside has a recess circulates legs and a perimeter recess used to attach to the maneuver "button" adapter; a lid which has on its upper face a bullet cuts when it is being manipulated, on the other hand its face and ring that is used to enter the interior of the recess circulates