Abstract: A surgical retractor liner and integral drape suitable for inserting in an incision and adjusting in place to prevent cross-contamination during surgery between the incised cavity and the surrounding skin of the patient. In one embodiment, a flexible elastic liner impervious to microorganisms has resilient inner and outer rings at opposite ends for holding the liner firmly in the incision. The outer ring is rolled down over itself drawing the liner taut and contiguous in the incision. In another embodiment, a skirt is sealingly joined at the outer ring and tapers outwardly and sealingly joins to a drape around a central aperture therein. The inner ring is inserted and expanded against the inner edge of the incision, and the outer ring is rolled down over the liner and skirt to draw the liner taut in the incision and to retract the sides of the incision while positively anchoring the drape in place around the area of the incision.

Abstract: Surgical apparatus for providing extracorporeal pneumoperitoneum. One embodiment provides a reversely turned fluid and gas impermeable fingerless sleeve (14) with a quick connect and disconnect assembly around the cuff of the sleeve (14) for sealing around an abdominal incision to allow hand-assisted minimally invasive surgery under conditions of pneumoperitoneum. A dome shaped enclosure (62) is provided for use with the quick connect and disconnect assembly to seal around an abdominal incision and maintain pneumoperitoneum during interruptions in a surgical procedure. Another embodiment incorporates a fingerless sleeve (14) which is adhesively secured directly to a patient's skin around an incision. The sleeve is applied over a pre-gloved surgeon's hand, and an outer surgical glove (18) is applied over the sleeve (14) in the region where the fingers and thumb protrude before the sleeve (14) is reversely turned on itself for connection to a patient.

Abstract: A surgical retractor liner (12) and integral drape (16) suitable for inserting in an incision and adjusting in place to prevent cross-contamination during surgery between the incised cavity and the surrounding skin of the patient. In one embodiment, a flexible elastic liner (12) impervious to microorganisms has resilient inner (20) and outer rings (18) at either end for holding the liner (12) firmly in the incision. The outer ring (18) is rolled down over itself drawing the liner (12) taut and contiguous in the incision. In another embodiment a skirt (14) is sealingly joined at the outer ring (18) and tapers outwardly and sealingly joins to a drape (16) around a central aperture (16a) therein.

Abstract: A surgical instrument and the method for delivering and withdrawing surgical tools through a cannula in an abdominal cavity during hand-assisted minimally invasive surgery. A tube slidably extends through a cannula with a slender surgical tool such as a suture needle holder, secured in a snap-in gripper at the insertion end of the tube. The thumb and fingers of one hand of the surgeon or an assistant's cause the tube to move axially from a fully retracted position in the cannula to a position where the tool projects from a snap-in socket in the tube a length sufficient for a surgeon's hand to grip a knurled surface around the tool. A detent bead around the periphery of the tool snaps into a complementary groove within the gripper. Insufflating gas may be introduced or vented as needed through a port which communicates through the interior of the tube with the abdominal cavity. The procedure is reversed for withdrawing the tool.

Abstract: Surgical apparatus for providing extracorporeal pneumoperitoneum. One embodiment provides a fluid and gas impremeable fingerless glove with a quick connect and disconnect assembly around the cuff of the glove which seals around an abdominal incision to allow hand-assisted minimally invasive surgery under conditions of pneumoperitoneum. Another embodiment provides a dome-shaped enclosure with the quick connect and disconnect assembly which seals around an abdominal incision to maintain pneumoperitoneum during interruptions in a surgical procedure.

Abstract: An improved surgical apparatus for hand-assisted minimum invasive surgery with isolation at the site of a wound from ambient conditions. A sleeve of gas-impermeable material includes entry and exit openings for access to the wound, and ports for introducing surgical instruments into the sleeve within easy reach of a surgeon's hand.

Abstract: A surgical retractor liner and integral drape assembly suitable for inserting in an incision and adjusting in place to prevent cross-contamination during surgery between the incise cavity and the surrounding skin of the patient. A flexible liner impervious to microorganisms has resilient inner and outer rings at either end for holding the liner firmly in the incision. A skirt sealingly joined at the outer ring tapers outwardly and sealingly joins to a drape around a central aperture therein. The inner ring is inserted and expanded against the inner edge of the incision, and the outer ring is rolled down over the liner and skirt to draw the liner taut in the incision and to retract the sides of the incision while positively anchoring the drape in place around the area of the incision.

Abstract: Apparatus and method for hand-assisted minimally invasive laparoscopic surgery which allows for palpation and biophysical feedback within a sterile environment. A sleeve provides a sealed chamber communicating with a wound accessible to an surgeon's hand through entry and exit openings. The entry opening is sealed around the surgeon's wrist or forearm by a cuff.

Abstract: An incrementally adjustable apparatus and method of use thereof for protecting an incised wound from exposure to bacterial and other harmful contaminants. A pair of resilient O-rings is connected to opposite ends of an impermeable pliable sleeve. One of the O-rings is formed to engage the inner edge of the wound with a portion of the sleeve above the wound capable of being rolled onto the other ring to draw the remaining sleeve portion contiguous with the sides of the wound. Flat surfaces on the other ring provide a gripping surface to turn the ring about its annular axis.