Abstract: A method and system is disclosed for sending changes in information to a central system. The method includes providing a first database having a plurality of information tables for storing information and providing a second database for tracking changes to the information in the information tables of the first database. The second database may include a link table containing links corresponding to the information tables in the first database. The changes in the information tables may be periodically extracted from the first database by using the second database. The changes may be extracted via a link of the link table which corresponds to the information table where an information change occurred. The extracted changes may be sent to a central server.

Abstract: An access port device is provided which enables hand access to a patient's body cavity while retaining pneumoperitoneum by minimizing gas leakage through the access port device. In one embodiment, the access port device includes first and second sleeves forming an inflatable chamber and a third sleeve mounted within the second sleeve including an elastic band for sealingly engaging a hand or wrist. The access port device may also include an exit opening seal for positioning within the patient's body cavity and a second sleeve retraction prevention device for preventing inadvertent movement of the second sleeve outwardly from the patient's body cavity through the incision. In another embodiment, an access port device provided which includes an inner annular sealing device and a non-adhesive outer annular sealing device for creating a non-adhesive seal against the outer surface of a patient. An access component forming an inflatable chamber and including an integral sleeved glove may also be provided.

Abstract: An access port device is provided which enables hand access to a patient's body cavity while retaining pneumoperitoneum by minimizing gas leakage through the access port device. The access port device comprises a sleeve of flexible material including a proximal end and a distal end, and forming an access opening positionable in an incision in a patient's body, an outer annular sealing device attached to the proximal end of the sleeve to secure the access port device externally to a patient, an inner annular sealing device attached to the distal end of the sleeve to secure the access port device internally to the patient, and an access component removably connected to the outer annular sealing device, the access component including a flexible ring removably engaging the outer annular sealing device.

Abstract: An improved access port device (10,100) is provided which enables hand access to a patient's body cavity while retaining pneumoperitoneum by minimizing gas leakage through the access port device. In one embodiment, the access port device (10) includes first and second sleeves (12,20) forming an inflatable chamber (30) and a third sleeve (22) mounted within the second sleeve (20) including an elastic band (54) for sealingly engaging a hand or wrist. The access port device (10) may also include an exit opening seal (38) for positioning within the patient's body cavity and a second sleeve retraction prevention device (46) for preventing inadvertent movement of the second sleeve (20) outwardly from the patient's body cavity through the incision. In another embodiment, an access port device (100) is provided which includes an inner annular sealing device (112) and a non-adhesive outer annular sealing device (110) for creating a non-adhesive seal against the outer surface of a patient.