Abstract: The present invention relates to surgical safety drapes that are provided with a mechanism for removing fuel sources, trapped under the surgical drape covering the patient during surgery, which support the generation of operating room fires. The drape contains a plenum layer that is sandwiched between a liquid impervious layer and a porous layer. The plenum layer contains hollow members for providing a path way for evacuating vapors there through via the porous layer.

Abstract: A sterile craniotomy drape and method of simultaneously draping a sterile barrier over a patient and a navigation tracker prior to performing a craniotomy procedure are provided. The sterile craniotomy drape has a flexible, sterile wall with opposite edges extending lengthwise between opposite ends. The wall is sized to substantially cover a patient lying on a patient support surface of an operating table. The wall has a cranial region adapted to be attached to the patients head and at least one opening adjacent the cranial region. A flexible, tubular sterile sleeve has an open end attached to the wall about the at least one opening. The sleeve extends away from the wall to a free end for receipt of a navigation tracker therein.

Abstract: Dressings, systems, and methods to facilitate the application of reduced pressure to an extremity, such as heel, on a patient are provided. In one instance, a dressing for treating an extremity on a patient includes a drape envelope, a transport manifold, and a pouch. The drape envelope has an outer drape member, inner drape member, and an interior portion between the outer drape member and the inner drape member. The inner drape member has fenestrations on at least an application portion. The transport manifold is disposed within the interior portion of the drape envelope. The pouch is for receiving the extremity and includes the drape envelope and a pouch-forming attachment. The dressing allows reduced pressure to be initially supplied at a remote location from the wound and avoid leaks. Other systems, methods, and apparatuses are disclosed.

Abstract: The present invention relates to surgical safety drapes that are provided with a mechanism for removing fuel sources, trapped under the surgical drape covering the patient during surgery, which support the generation of operating room fires. The drape contains a plenum layer that is sandwiched between a liquid impervious layer and a porous layer. The plenum layer contains hollow members for providing a path way for evacuating vapors there through via the porous layer.

Abstract: A surgical drape includes a base sheet of thin, flexible material. The base sheet includes an upper surface, a lower surface, a first lateral side edge, a second lateral side edge, a top edge and a bottom edge. A first support member extends between the first lateral side edge and the top edge, and a second support member extends between the second lateral side edge and the top edge, the first and second support members being shaped and dimensioned to support the sheet in a tented configuration. The base sheet includes a first aperture formed therein and a second aperture formed therein. The first aperture and the second aperture are symmetrically positioned along opposite sides of the sheet relative to a central axis extending between the top edge and the bottom edge.

Abstract: A surgical drape comprising a base sheet defining a base sheet aperture, an absorbent pad attached to the base sheet and defining a pad aperture positioned in substantial alignment with the base sheet aperture, and a linear tear polymer pane attached to the base sheet and absorbent pad and defining a fenestration in substantial alignment with the base sheet and pad apertures. The base sheet, absorbent pad and linear tear polymer pane are operatively arranged to tear in communication with one another when the drape is torn away from a patient. The linear tear polymer pane further and has an adhesive strip to adhere the drape to the patient's body when the drape is in position during surgery.

Abstract: A surgical drape and method of providing a sterile surface therewith is provided. The drape is configured to cover an upper portion of a radiation shield and includes a flexible wall providing a cavity sized to receive the upper portion of the radiation shield. The flexible wall has a rear wall portion configured to cover at least in part a rear portion of the radiation shield and a front wall portion configured to cover a front portion of the radiation shield. The front wall portion extends to an upper front free edge and the rear wall portion extends to an upper rear free edge. At least one fastener is attached to at least one of the front and rear wall portions adjacent respective ones of the upper front free edge and rear free edge. The fastener is configured to releasably fix the front and rear walls to the radiation shield.

Abstract: A device for preventing development of infections includes a surgical drape in which a window, through which an incision may be made, is formed. The window defines borders having an inner face; a first layer of a material, covering the inner face of the borders, the first layer being configured to absorb incision secretions; and a second layer, covering the inner face of the borders, the second layer being impregnated with an antiseptic haemostatic ingredient, the second layer partially covering the first layer, the first layer being wider than the second layer. The second layer is arranged to come into contact with incision margins and cover a top part and a bottom part of an incision during installation of a spacer.

Abstract: A surgical drape has an impermeable cloth with a window providing access to the surgical site. The cloth has two peelable impermeable films which are a continuation of one another and are sealed together by a heat weld making it possible to separate the films by peeling. The window is shared between the two sheets. The invention has application in surgical drapes used in operations.

Abstract: A sterile drape configured for isolating a portion of a surgical device within a sterile environment, comprising: a plurality of drape interface mechanisms comprising: at least one drape/handle interface mechanism comprising a first ring defining a first opening through the sterile drape and configured for coupling with a control mechanism, the control mechanism comprising a surgical device for controlling a surgical instrument; and at least one drape/shaft interface mechanism comprising a second ring defining a second opening through the sterile drape, and configured for sealingly receiving a shaft there through as the shaft moves with a piston and is detachably coupled with the piston, wherein the piston is configured for responding to a first set of control signals sent by a first mechanical manipulation mechanism via a first connector by moving between a proximal end and a distal end of a first mechanical slave cylinder.

Abstract: A draping system provides a continuous sterile field between a patient incision area and one or more medical practitioners. The draping system has a quick release system incorporated into the drape that enables a medical practitioner to separate from the continuous sterile field without disrupting the sterile field around the practitioner or the patient. The draping system may include an abbreviated practitioner gown, a drain and an integral patient incision area or a flap for extending the continuous sterile field around to one or more additional operating room tables. A modular drape and gown system extends the sterile field beyond the operating table allowing practitioners to couple to the extended field. A tent provides an enclosed sterile field useful in mobile or other non operating room surgical environments. Integral lighting and information displays facilitate field surgical procedures.

Abstract: Antibacterial agents comprise as an active ingredient a hemostatic contact cloth having an acidic pH combined with povidone iodine. Also disclosed are surgical dressings. Also disclosed are devices for active protection of incision margins.

Abstract: A surgical drape is made from a pair of rectangular panels of drape material which are interconnected at a separation zone so that the panels to be pulled apart following a procedure. A fenestration is punched out of the material of one of the panels, near the perforated zone. The fenestration is covered by a flexible, transparent plastic window, preferably made of a polyethylene film and the perimeter of the window is bonded to the drape panel around the fenestration. The window is larger than the fenestration, and is folded or gusseted at its corners so that its center can rise well above the plane of the fenestration, in order to provide clearance for instruments which may be protruding from a surgical site over which the drape is placed.

Abstract: The present invention provides for pleated bags used with interventional pullback systems, including imaging catheters such as IVUS catheters, as well as for use with other catheters. An exemplary pleated bag of the present invention may be an elongate, sterile bag, having a plurality of pleats near the distal end, and including an orifice proximal to the pleats designed to allow passage of a catheter into the bag. The present invention also provides for a system that includes a pullback device, catheter, and pleated bag. The present invention allows for improved imaging catheter procedures at reduced costs.

Abstract: A surgical drape includes a first sheet of surgical drape material secured to a second sheet of surgical drape material by a removable adhesive disposed along an overlapping joint. A pre-defined work-through area is defined in a central portion of the surgical drape, and the overlapping joint intersects with the work-through. Optionally, removable areas of pre-defined size and shape around the work-through area are defined by frangible paths so that the work-through area can be selectively enlarged by tearing along one or more of the frangible paths to remove one or more of the removable areas. A tab facilitates gripping by a user for separating the first sheet from the second sheet. The work-through area may be a pre-cut opening or a pre-defined tear-away removable portion of the first and/or second sheets.

Abstract: A drape for use in cranial surgical procedures including a sterile sheet and a plurality of fluid-collection pouches surrounding a cranial region fenestration. The drape further includes a thoracic region fenestration for concurrent or directly subsequent thoracic surgical procedures. Advantageously, the drape allows for a superior aseptic surgical field and superior drainage facilitated by a multi-pouch configuration.

Abstract: A device for preventing development of infections includes a surgical drape in which a window, through which an incision may be made, is formed. The window defines borders having an inner face; a first layer of a material, covering the inner face of the borders, the first layer being configured to absorb incision secretions; and a second layer, covering the inner face of the borders, the second layer being impregnated with an antiseptic haemostatic ingredient, the second layer partially covering the first layer, the first layer being wider than the second layer. The second layer is arranged to come into contact with incision margins and cover a top part and a bottom part of an incision during installation of a spacer.

Abstract: The present invention provides for pleated bags used with interventional pullback systems, including imaging catheters such as IVUS catheters, as well as for use with other catheters. An exemplary pleated bag of the present invention may be an elongate, sterile bag, having a plurality of pleats near the distal end, and including an orifice proximal to the pleats designed to allow passage of a catheter into the bag. The present invention also provides for a system that includes a pullback device, catheter, and pleated bag. The present invention allows for improved imaging catheter procedures at reduced costs.

Abstract: This document provides methods and materials related to portals that can be used to create a channel through a surgical drape without compromising the sterile operating field. For example, a portal provided herein can include an applicator frame and sheath (e.g., flexible sheath) that is capable of creating a channel into a sterile operating field so that a device, whether sterile or not, can be used at the time of surgery without compromising the sterility of the surgical field.

Abstract: A surgical drape including a clear plastic substrate which is substantially impervious to liquids. The substrate is positionable over a patient with a first surface of the substrate generally engaging the patient. The substrate has an aperture formed therein which affords access to a location to which an incision is to be made in the patient. The drape further includes an absorbent lamina which overlies a second surface of the substrate which faces in a direction opposite that in which the first surfaces faces. A clear plastic patch, also substantially impervious to liquids, is sealed relative to the substrate along a line encircling the aperture. The patch can have a hole, either initially provided at manufacture or created by a surgeon during the procedure, which is at least partially coextensive with the aperture.

Abstract: A draping provides at least partial and preferably complete coverage of MRI coils, an MRI table and an MRI support system thereby protecting a patient and the equipment. Draping notch fold down flaps may be pushed into shaped apertures of an MRI apparatus by the patient's breast due to the design of the draping. This offers a barrier between the patient and the equipment pad providing the patient with warmth, comfort and protection from infectious diseases such as Methicillin-resistant staphylococcus aureus (MRSA). The draping reduces the clean up and improves the procedure turnaround time for the technologist.

Abstract: A retracting eye drape assembly is disclosed for use around a patient's eye to seclude and seal off the operative field during eye surgery. The drape assembly includes a retraction member connected to the drape and configured to engage the patient's eyelid, an extension member connected to the retraction member or to the drape and configured to substantially enclose the patient's eyelid, and a retraction flap configured to secure the patient's eyelid in a substantially retracted position. A method of applying an eye drape assembly is disclosed. After application of the drape to the patient's face, and while the patient's eyelid is closed, the patient's eyelid is engaged by a retraction member connected to the drape and retracted. While retracted, the patient's eyelid is substantially enclosed to seclude the eyelid and eyelashes from the operational area. The secluded eyelid and eyelashes are then secured in a retracted position.

Abstract: The present invention provides for pleated bags used with interventional pullback systems, including imaging catheters such as IVUS catheters, as well as for use with other catheters. An exemplary pleated bag of the present invention may be an elongate, sterile bag, having a plurality of pleats near the distal end, and including an orifice proximal to the pleats designed to allow passage of a catheter into the bag. The present invention also provides for a system that includes a pullback device, catheter, and pleated bag. The present invention allows for improved imaging catheter procedures at reduced costs.

Abstract: A drape having a pair of elongated sheets connected at distal ends to define a skirt, with opposing side walls in a first portion of the elongated sheets having a first width and in a second portion having a different width so the drape has a stair-step structure, with a paper and plastic laminated first and second tier panels attached to the elongated sheets in spaced-relation and a central panel attached therebetween, for covering a tiered surgical operating table.

Abstract: A retracting eye drape assembly is disclosed for use around a patient's eye to seclude and seal off the operative field during eye surgery. The drape assembly includes a retraction member connected to the drape and configured to engage the patient's eyelid, an extension member connected to the retraction member or to the drape and configured to substantially enclose the patient's eyelid, and a retraction flap configured to secure the patient's eyelid in a substantially retracted position. A method of applying an eye drape assembly is disclosed. After application of the drape to the patient's face, and while the patient's eyelid is closed, the patient's eyelid is engaged by a retraction member connected to the drape and retracted. While retracted, the patient's eyelid is substantially enclosed to seclude the eyelid and eyelashes from the operational area. The secluded eyelid and eyelashes are then secured in a retracted position.

Abstract: A surgical drape comprising a base sheet defining a base sheet aperture, an absorbent pad attached to the base sheet and defining a pad aperture positioned in substantial alignment with the base sheet aperture, and a linear tear polymer pane attached to the base sheet and absorbent pad and defining a fenestration in substantial alignment with the base sheet and pad apertures. The base sheet, absorbent pad and linear tear polymer pane are operatively arranged to tear in communication with one another when the drape is torn away from a patient. The linear tear polymer pane further and has an adhesive strip to adhere the drape to the patient's body when the drape is in position during surgery.

Abstract: A drape for maintaining a sterile field for a real-time guided medical procedure (such as with ultrasound guidance) may include a contact film base having an aperture therethrough. A shield may project outwardly from the base and may surround the aperture.

Abstract: A drape for use in cranial surgical procedures including a sterile sheet and a plurality of fluid-collection reservoirs surrounding a cranial region fenestration. The drape further can include a thoracic region fenestration for concurrent or directly subsequent thoracic surgical procedures. Advantageously, the drape allows for a superior aseptic surgical field and superior drainage facilitated by a multi-pouch configuration.

Abstract: A biodegradable monolayer medical material, comprising at least 15 percent cellulose fibers by dry weight, with a remainder comprising at least 60 percent by dry weight of natural fibers, the monolayer medical material providing a barrier to liquids and/or microorganisms meeting at least level 1 performance based on a standard defined by AAMI PB70, and at least a portion of the monolayer medical material comprises a softening process pattern configured to soften the monolayer medical barrier material.

Abstract: A medical drape has a tool-less removal feature and includes a drape material, a drape cut, an adhesive tape strip, and a scoreline. The drape material has a top side, a back side, and at least one exterior edge. The drape cut has a starting point at the exterior edge and extends completely through the thickness of the drape material. The adhesive tape strip is positioned along the length of the drape cut to overlap at least a portion of the drape material on both sides of the drape cut to initially secure the two adjoining cut edges to each other. The scoreline extends along the length of the adhesive tape strip and only partially through the thickness of the adhesive tape strip to permit easy tearing of the adhesive tape strip for separation of the two adjoining cut edges.

Abstract: A medical drape includes a patient drape (100) and a radial drape attachment (200). The radial drape attachment can be coupled to the patient drape by way of an adhesive coupling (202). The radial drape attachment includes defines one or more fenestrations (205) or apertures through which a central line may be inserted. Some or all of the radial drape attachment (200) can be transparent or pellucid. Portions of the radial drape attachment can be opaque as well. A support layer can be configured to be absorptive, fluid impenetrable, or both. A tourniquet (1801) may be integrated with the radial drape attachment, as can one or more tool-less removal features (209). Pouches (901,902) can be added to catch fluids or hold medical implements during a procedure.

Abstract: A medical drape (100) includes an upper portion (101) and a lower portion (102). The upper portion (101) can be pellucid, while the lower portion (102) can be opaque. To facilitate central catheter insertion, the upper portion (101) can define one or more apertures (104,105) through which a central line may be inserted. A tourniquet (401) may be integrated with the drape, as can one or more tool-less removal features (108,109).

Abstract: A patient warming device (400), which can be configured as a patient warming blanket (207), patient warming drape (300), or surgical drape (500), includes the top layer of material and optionally a bottom layer of material. The top layer (401) can be formed by laminating non-woven fabric (301) to a film layer (100) or by needle punching fibers through the film layer (100). The film layer (100) has a thermally reflective side (404) and a thermally absorptive side (405). The patient warming device (400) can be used in a patient warming system (700) with one or more light sources (701,702) and an optional control module (704) to warm a patient during and after medical procedures.

Abstract: A medical drape has at least one suction port disposed. By one approach the medical drape includes a fenestration and the suction port is disposed within the fenestration. By one approach the fenestrated area includes an incise film (which may itself be fenestrated if desired) and the suction port is disposed through that incise film. Suction applied to this suction port facilitates maintaining the incise film in place on the patient. This suction port can have a first end configured to attach to suction tubing. The medical drape can include a patient-side spacer and this spacer can comprise a compressible, resilient material that is substantially permeable to liquids. If desired, such a spacer can be disposed over a patient-side suction opening of the suction port.

Abstract: A urology drape is disclosed which comprises a flexible sheet (12) which has a flexible hood (22) overlying part of the sheet (12) to form a repository (24) between the sheet (12) and the hood (22). The sheet (12) has a hole (18) to enable a procedure to be performed on a patient when the drape is located on the patient. Bodily fluid is able to flow from the hole down the sheet (12) into the repository (24) and when the procedure is finished, the drape can be folded or otherwise collapsed into a disposable package so that the drape and fluid can be disposed of in a hygienic manner.

Abstract: A urological drape is provided defining a vaginal aperture and a finger cot for accessing the rectum of a patient without making contact therewith. The drape includes an adhesive backing for fixing the drape relative to the patient. Preferably, a pouch is provided which is constructed and arranged to catch any fluids which might be discharged from the vagina during an examination or surgical procedure.

Abstract: Techniques for biventricular pacing include a rigid shaped stylet approximating curves of a coronary sinus and branch vein. Some techniques include a parasternal coronary sinus cannula comprising an outer sheath and an obturator. The obturator is removeably disposed inside the outer sheath from a device end of the hollow shaft. The obturator includes a flexible stem that fits snugly inside the hollow shaft, a malleable core disposed inside the flexible stem, a tapered tip that extends beyond a cardiac end of the shaft when the obturator is disposed inside the outer sheath, and a sensor for determining properties of the subject in a vicinity of the tapered tip. An optional pressure-seal, such as a tent, connected to suction maintains negative intrepleural pressure for insertion under local anesthesia.

Abstract: A method of manufacturing a nonwoven fabric including at least one nonwoven web material layer having thermoplastic polymer filaments and an initial thickness Ts, wherein the method includes embossing the nonwoven web material layer to form in the layer an embossed portion having a compressed thickness Tc that is less than Ts and an expanded portion of the layer having a thickness Te that is greater than Ts.

Abstract: The present invention provides for pleated bags used with interventional pullback systems, including imaging catheters such as IVUS catheters, as well as for use with other catheters. An exemplary pleated bag of the present invention may be an elongate, sterile bag, having a plurality of pleats near the distal end, and including an orifice proximal to the pleats designed to allow passage of a catheter into the bag. The present invention also provides for a system that includes a pullback device, catheter, and pleated bag. The present invention allows for improved imaging catheter procedures at reduced costs.

Abstract: A drape for use in cranial surgical procedures including a sterile sheet and a plurality of fluid-collection reservoirs surrounding a cranial region fenestration. The drape further can include a thoracic region fenestration for concurrent or directly subsequent thoracic surgical procedures. Advantageously, the drape allows for a superior aseptic surgical field and superior drainage facilitated by a multi-pouch configuration.

Abstract: A medical drape is disclosed. The drape comprises a main portion having a front side, a back side, a first edge, a second edge, a top, and a bottom. The first and second edges are positioned opposite one another. The top and the bottom are positioned opposite one other. The drape further comprises a first and a second fenestration extending completely through the main portion and spaced generally equidistant from a vertical axis. The vertical axis is generally parallel to the first and second edges. The drape further comprises a third and a fourth fenestration extending completely through the main portion and are spaced generally equidistant from the vertical axis. The first and second fenestrations are closer to the top than the third and fourth fenestrations.

Abstract: A surgical drape has a fenestration configured to aid in identifying an anatomical point of interest and positioning the fenestration at the surgical site. In one preferred form, the surgical drape has a chevron-shaped fenestration for positioning the fenestration relative to the xiphoid process region of a patient, which is useful for establishing the sterile field in certain bariatric procedures. An anesthesia screen at a head of the drape extends laterally to the sides of the base sheet forming the fenestration and defines integral arm board covers. The lateral ends of the anesthesia sheet are sealed in part to close the ends of the arm board covers. A secondary base sheet defining a smaller, secondary fenestration is releasably attached to the base sheet so that the fenestrations can be aligned with one another. Various instrument and chord management features are also included. A method of making the drape is also disclosed.

Abstract: A surgical drape with a functional interface for engaging surgical instruments, including a flexible, tube-like sleeve for creating a sterile barrier around a non-sterile holding arm. The drape is open at a proximal end, and has a hub at a distal end for connection to a distal end of the holding arm. The hub has sterile external surfaces that allow surgical instruments to be easily removably attached in a variety of directions and orientations, providing sufficient mechanical strength to transmit forces from the instruments to the holding arm. The hub includes an externally accessible, sterile actuator for actuating an electronic circuit local to the holding arm on the non-sterile side of the barrier.

Abstract: A tray (100) for accommodating a coiled medical device, such as a catheter assembly (700), includes a first compartment (101), a second compartment (102), and a third compartment (103). The catheter assembly (700) and devices associated with a catheterization procedure, such as syringes (701,702) containing sterile water and lubricating jelly and a specimen container (703) can be disposed within the tray. Printed instructions (1001) can be included with the tray (100). One or more layers of wrap material (2200) can be folded about the tray (100) to enclose the tray (100) and other items, such as an additional layer of wrap material (2701), packaged liquid hand sanitizer (2401), and packaged gloves (2402). When a health care services provider (3101) unfolds the wrap material, the same can be used to create a sterile field beneath a patient (3201).

Abstract: A urology drape is disclosed which comprises a flexible sheet (12) which has a flexible hood (22) overlying part of the sheet (12) to form a repository (24) between the sheet (12) and the hood (22). The sheet (12) has a hole (18) to enable a procedure to be performed on a patient when the drape is located on the patient. Bodily fluid is able to flow from the hole down the sheet (12) into the repository (24) and when the procedure is finished, the drape can be folded or otherwise collapsed into a disposable package so that the drape and fluid can be disposed of in a hygienic manner.

Abstract: A surgical drape having a tearable first sheet, the first sheet including at least one notch disposed at a periphery of the first sheet and an imperforate portion extending from the at least one notch to at least one fenestration, wherein tearing the first sheet via the at least one notch creates a linear tear line extending along the imperforate portion from the at least one notch to the at least one fenestration. The fenestration may be included in the first sheet. The drape may also include a second sheet, wherein the second sheet comprises the fenestration, wherein a cut extends from a periphery of the second sheet to the fenestration in the second sheet, wherein the first sheet is affixed a surface of the second sheet and extends along a length of and overlapping the cut, and wherein the notch is aligned with the cut.

Abstract: The invention relates to an antibacterial agent comprising, as active product, a haemostatic contact tissue with an acid pH combined with povidone iodine, the haemostatic contact tissue being regenerated or non-regenerated oxidized cellulose. It also relates to a device used for active protection of incision margins and incorporating such an antibacterial agent. The applicant has now demonstrated surprisingly that the combination of regenerated or non-regenerated oxidized cellulose with povidone iodine provided a degree of bacterial inhibition superior to simple use of regenerated or non-regenerated oxidized cellulose on its own or of povidone iodine on its own. This therefore represents a synergistic effect, which yields a novel agent that is both a very powerful haemostatic and also very powerful antibacterial substance.

Abstract: A method of forming a fenestrated extremity surgical drape includes providing improved seal integrity to reduce the occurrence of pathogenic contamination at the surgical site via migration through the seal. The seal has a non-linear configuration to eliminate uneven stress concentrations commonly located at the corners of rectilinear seals. An elastomeric apertured panel can be disposed between a film panel and a fiber/film laminate panel. These layers can be joined by a heat sealing operation along two spaced apart concentric seal locations ringing the aperture and a fenestration in the laminate panel. The assembly can then be affixed by adhering the underside(s) of one or more panels to a base drape, which has an opening aligned with the aperture and fenestration.

Abstract: A drape for clean operation is a flexible bag-shaped structure for maintaining a substantially closed operating space around an operation site. The bag-shaped structure comprises a bottom wall 1 and a transparent top wall 2 and has a closed proximal end 100a and a closed distal end 100b. The bottom wall 1 is provided with at least one operation site-revealing opening 3 close to the proximal end, and the top wall 2 is provided with at least one pair of hand insertion parts 4 at a position close to the operation site-revealing opening 3 to allow the physician to aseptically insert the hands into the operating space, and a closed, openable and closable medical device supply port 5 for supplying medical devices required for operations at a position away from the operation site-revealing opening 3.

Abstract: An new Improved Medical Examination Drape Designed in the shape of a pair of pants, a garment used in Hospital's, Clinics, and Doctors office's, to provide privacy, and coverage over the female patients entire lower body portion from the waistband down covering, the legs, hips, thighs, and stomach, has a attached lower front portion a hidden middle center slit opening between the upper inner thighs extending back to the rear drawstring waistband tie opening making it easier, faster, and better, for Doctors to perform pap smear's and pelvic examination without exposing the lower body portion.