Abstract: A wound retractor comprises a retracting member for insertion into a wound opening and a proximal member for location member for location externally of a wound opening. The proximal member is movable relative to the retracing member to shorten the axial extent of the retracting member to laterally retract a wound opening. The retracted wound opening is retracted by a seal which is integral with the retractor.

Abstract: A wound protector retractor comprises an inner O-ring for insertion through a wound opening and a connecting sleeve extending between the O-ring and outer mounting means. The outer means are provided by rings between which the sleeve is led. The rings are rotated relative to each other and the inner ring to form a centralised lumen of reduced cross section and to shorten the axial extent of the sleeve. A wound is both retracted and protected.

Abstract: An evertable tube having a lumen therethrough, an inflation port for inflating the tube, and a self-closing valve at the inflation port. The tube has an inflation port for inflating the tube to grip a member, such as a probe, in the lumen. Advancement of the member, for example through a colon, will then cause eversion of the tube. The inflation port is provided in the form of an aperture in the outer wall of the tube. The valve comprises a sheath extending from the port along a wall of the tube. The sheath may be fixed to the wall of the tube. The sheath may alternatively be integrally formed with the wall of the tube. The sheath extends from the inflation port along the wall of the tube parallel to the longitudinal axis of the tube to an open end of the sheath.

Abstract: A device to aid advancement of a colonoscope through the colon of a patient comprises an elongate body defining a colonoscope lumen. The body provides a fluid tight seal to the colonoscope. The body has an anchor to releasably anchor the interior wall of the colon to the device to enable a colonoscope to be more easily advanced. The anchor may be provided by suction apertures through which a suction is applied to draw the colon into anchored engagement with the body. The anchor may be provided by a balloon and/or foam based anchoring systems may be provided.

Abstract: A colonic overtube for maintaining a sigmoid colon in a straightened configuration has a proximal end for location externally of a colon, and a distal end for insertion into a colon. A colonoscope lumen extends through the overtube to facilitate passing the overtube over a colonoscope. The overtube has a convoluted corrugation which extends along the entire length of the overtube from the proximal end to the distal end. The corrugated configuration of the overtube provides the overtube with laterally flexibility so that the overtube may flex substantially without kinking during advancement of the overtube through a colon. A flexible seal, in the form of a tubular silicone sheath of film material, is provided at the distal end of the overtube for sealing between the overtube and a colonoscope extending through the colonoscope lumen.

Abstract: An insertion device (82) to aid introduction of an overtube (90) into a colon over a previously inserted colonoscope (2). The insertion device (82) comprises an elongate tubular sheath (80), which defines a lumen to receive the colonoscope (2) and the overtube (90), a band (61) of resilient material to hold the sheath (80) to the colonoscope (2) during introduction of the colonoscope (2) with the insertion device (82) mounted thereto into a colon, and an inflatable holder (81) for gripping the sheath (80) to the colonoscope (2) during insertion of the overtube (90) into the sheath (80). The holder (81) is deflated to release the grip on the colonoscope (2) and the insertion device (82) is at least partially removed from the colon after the overtube (90) has been inserted into the colon.

Abstract: A wound protector and retractor device comprising a longitudinal axis, a distal ring, a proximal ring, and a sleeve extending between the distal ring and the proximal ring. The sleeve is fixed to the proximal ring at a first end portion and axially slidable over the proximal ring at a second end portion.

Abstract: A hand access device (1, 50, 55, 60, 65) for use as a seal for sealing a surgeon's forearm (2) on entry through a wound opening (3), for example in an abdominal wall (4) comprises a substantially tubular sleeve (5) of pliable gas tight material. The tube is turned axially back on itself to define an outer sleeve section (11) and an inner sleeve section (12) which define therebetween a scaled inflatable chamber. The inner sleeve section (12) is engaged by the forearm (2) which, on insertion, causes the sleeve to ever The device has version limiting means in the form of inner and outer rings (30, 31) which are of elastomeric material.

Abstract: A retainer to retain the viscera displaced from an internal body area to be accessed for surgery comprises an outer envelope of pliable material with an evacuation port. At least two sheets of material are arranged in face to face relation in the envelope. The sheets have a forming configuration in which they are relatively free to slide over one another in conforming the envelope to a desired shape and a form retained configuration in which the sheets are restrained from sliding relative to one another on evacuation of the envelope. In one case there are sheets of an inelastic material and sheets of an elastic material. Alternatively the sheets may be of the same inelastic material.

Abstract: A colonic overtube 1 for maintaining a sigmoid colon in a straightened configuration has a proximal end 2 for location externally of a colon, and a distal end 3 for insertion into a colon. A colonoscope lumen 4 extends through the overtube 1 to facilitate passing the overtube 1 over a colonoscope. The overtube 1 has a convoluted corrugation 5 which extends along the entire length of the overtube 1 from the proximal end 2 to the distal end 3. The corrugated configuration of the overtube 1 provides the overtube 1 with laterally flexibility so that the overtube 1 may flex substantially without kinking during advancement of the overtube 1 through a colon. A flexible seal, in the form of a tubular silicone sheath 6 of film material, is provided at the distal end 3 of the overtube 1 for sealing between the overtube 1 and a colonoscope extending through the colonoscope lumen 4.

Abstract: A hand access device for use in hand assisted laproscopic surgery comprises a substantially tubular inflatable sleeve of pliable gas tight material having a twisted inner sleeve section and an outer sleeve section. The device has an inner O-ring for insertion through a wound opening in the abdominal wall and an outer O-ring for location outside of the wound opening. On insertion of a surgeon's arm the sleeve everts while monitoring a reduced lumen seal to the arm and a seal to the wound openings.

Abstract: A retractor (101) for retracting the margins of a wound opening (103) comprises an inner anchoring O-ring (105) attached to a cylindrical sleeve (106) at a distal end and a reinforcing O-ring (109) attached to a proximal end of the sleeve (106). The sleeve (106) is led between an inner ring part (110) and a corresponding recess (116) in an outer ring part (111). The outer ring part (111) has anchor formations (120) over which the proximal end of the sleeve (106) is attached to anchor the sleeve (106). To retract the wound opening (103) the sleeve (106) is pulled while the guide rings (110, 111) are moved against the tissue surrounding the wound opening (103). This pulls the inner O-ring (105) against the inside of the tissue adjacent the wound opening (103), and retracts the wound opening (103). The sleeve (106) is manipulated locally for maximum retraction efficiency.

Abstract: A hand access device for use as a seal for sealing a surgeon's forearm on entry through a wound opening, for example, in an abdominal wall contains a substantially tubular sleeve of pliable gas tight material. The tube is turned axially back on itself to define an outer sleeve section and an inner sleeve section which define therebetween a sealed inflatable chamber. The inner sleeve section is engaged by the forearm which, on insertion, causes the sleeve to evert. The device has eversion limiting means in the form of inner and outer rings which are of elastomeric material.

Abstract: A retractor (101) for retracting the margins of a wound opening (103) comprises an inner anchoring O-ring (105) attached to a cylindrical sleeve (106) at a distal end and a reinforcing O-ring (109) attached to a proximal end of the sleeve (106). The sleeve (106) is led between an inner ring part (110) and a corresponding recess (116) in an outer ring part (111). The outer ring part (111) has anchor formations (120) over which the proximal end of the sleeve (106) is attached to anchor the sleeve (106). To retract the wound opening (103) the sleeve (106) is pulled while the guide rings (110, 111) are moved against the tissue surrounding the wound opening (103). This pulls the inner O-ring (105) against the inside of the tissue adjacent the wound opening (103), and retracts the wound opening (103). The sleeve (106) is manipulated locally for maximum retraction efficiency.

Abstract: A hand access device for use in hand assisted laparoscopic surgery comprises a substantially tubular inflatable sleeve of pliable gas tight material having a twisted inner sleeve section and an outer sleeve section. The device has an inner O-ring for insertion through a wound opening in the abdominal wall and an outer O-ring for location outside of the wound opening. On insertion of a surgeon's arm the sleeve everts while monitoring a reduced lumen seal to the arm and a seal to the wound openings.

Abstract: A wound protector comprises an inner O-ring for insertion through a wound opening and a connecting sleeve extending between the O-ring and outer mounting means. The outer means are provided by rings between which the sleeve is led. The rings are rotated relative to each other and the inner ring to form a centralized lumen of reduced cross section and to shorten the axial extent of the sleeve. A wound is both retracted and protected.

Abstract: A hand access device for use in hand assisted laparoscopic surgery comprises a substantially tubular inflatable sleeve of pliable gas tight material having a twisted inner sleeve section and an outer sleeve section. The device has an inner O-ring for insertion through a wound opening in the abdominal wall and an outer O-ring for location outside of the wound opening. On insertion of a surgeon's arm the sleeve everts while monitoring a reduced lumen seal to the arm and a seal to the wound openings.

Abstract: The invention relates to a device for carrying out surgical operations. The device includes a distal part, a middle part extending from the distal part, and a proximal part mounted on the middle part opposite to the distal part. A gripping element of the device is for gripping body tissue and the like. Another element of the device, near the distal part of the device, is for operating the gripping element. Near the distal part of the device is an element for operating a severing component.

Abstract: Device suitable for internally supporting vessels in particular circular vessels in the non-medical and medical fields, such as transmission pipes and blood vessels, the urinary tract, the digestive tract, and airways, said device comprising;

Abstract: A medical device having an introducer for introducing an object such as an instrument through a body opening such as the throat. The device has a tubular sleeve of pliable plastics material which is turned axially back on itself to define inner an outer sleeves sections. The inner sleeve section defines an inner lumen and the sleeve may be twisted to centralise the lumen. The sleeve is pre-shaped to define a desired non-linear shape. A chamber between the inner and outer sleeve section is inflatable. The device may also be deployed remotely for example, for balloon angioplasty.