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    • 2. 发明授权
    • Apparatus and method for abdomino-pelvic chemotherapy perfusion and lavage
    • US06383162B1
    • 2002-05-07
    • US09438479
    • 1999-11-12
    • Paul H. Sugarbaker
    • Paul H. Sugarbaker
    • A61M100
    • A61M3/0258A61B2218/008A61F2007/0059A61F2007/0069A61F2007/0095A61H33/14A61H35/00A61H2201/105A61H2203/0456A61M35/00A61M2210/1017
    • An abdomino-pelvic perfusion and lavage apparatus is disclosed to which skin surrounding an incision formed through an abdominal wall of a patient can be attached and suspended. The apparatus includes a containment vessel impermeable to water and air, having a wall having a base, wherein the wall has an upper end with a perimeter which defines an upper opening, a lower end with a perimeter which defines a base opening, a cranial end with a perimeter edge which defines an opening, and a caudal end with a perimeter edge which defines an opening. The containment vessel can be carried by a table on which a patient is positioned. Scaffolding carried by the containment vessel supports and elevates the skin surrounding the incision made through the abdominal wall of the patient and thereby forms a well above, and extending into, an abdomino-pelvic cavity. A plurality of fluid ports communicate through the wall of the containment vessel. The cranial opening and the caudal opening can be sealed around the patient's torso. A base seal can seal the base of the containment vessel to the table. Perfusion fluid can be supplied from a reservoir to one of the fluid ports communicating through the wall of the containment vessel and delivered to the well and can be withdrawn from the well and returned to the reservoir. A removable cover can be sealed over the upper opening of the containment vessel. The cover can be removed for visual inspection and manual manipulation of the lavage fluid and the patient's viscera. An air evacuation system can be connected to the fluid port and can evacuate aerosols and gasses from within the containment vessel. A heater can be used to heat the perfusion fluid when carrying out hyperthermic perfusion. The apparatus can be left in place on a patient for up to 5-10 days particularly when using cell-cycle specific chemotherapy agents which require long-term contact with tissues in order to achieve their optimal effect. Similarly, the apparatus can be used for repeated access to the abdomino-pelvic space in patients with peritonitis or pancreatitis.
    • 3. 发明授权
    • Abdomino-pelvic lavage apparatus and method
    • 腹部盆腔灌洗装置及方法
    • US5336171A
    • 1994-08-09
    • US163552
    • 1993-12-09
    • Paul H. Sugarbaker
    • Paul H. Sugarbaker
    • A61F7/00A61M3/02A61M37/00
    • A61M3/0229A61F7/00A61M2210/1017
    • An abdomino-pelvic lavage apparatus adapted to be secured in a midline abdominal incision to form a well with the abdomino-pelvic cavity for lavaging the abdomino-pelvic cavity during surgery. The apparatus includes a cylindrical wall made of a transparent plastic material and having structure at its base end for securing the wall in place and effecting a water-tight seal with the edge of an abdominal incision. Ports through the wall around its circumference provide openings for the surgeon's hands so that the surgeon has free access to the abdomino-pelvic cavity for manipulation of intra-abdominal tissues, lavage fluid and inflow and outflow tubes for the lavage fluid. A transparent removable cover may be placed on the wall during chemotherapy treatment to contain fumes and prevent spillage, and to permit pressurization of the well and abdomino-pelvic cavity. Inflow tubes extend through the wall to admit lavage fluid and pressurized gas into the abdomino-pelvic cavity, and outflow tubes drain the lavage fluid from the cavity. Heat sensors, pH monitors, and a pressure gauge on the apparatus, and associated Geiger counters permit accurate monitoring and control of these parameters in the abdomino-pelvic cavity during the procedure. Fluid from drain sites may be sampled for desired data during the lavage procedure.
    • 一种腹部 - 盆腔灌洗装置,适于固定在中线腹部切口中,与腹部盆腔形成一个井,用于在手术过程中沐浴腹盆腔。 该装置包括由透明塑料材料制成的圆柱形壁,并在其底端具有结构,用于将壁固定在适当的位置,并与腹部切口的边缘进行水密密封。 通过围绕其周围的壁的端口为外科医生的手提供开口,使得外科医生可以自由进入腹部 - 盆腔以操纵腹腔内组织,灌洗液和用于灌洗液的流入和流出管。 在化学治疗期间,可以将透明的可移除盖放置在壁上,以包含烟雾并防止溢出,并允许井和腹盆腔增压。 流入管延伸通过壁以将灌洗液和加压气体进入腹腔 - 盆腔,并且流出管从腔排出灌洗液。 热传感器,pH监测器和设备上的压力表以及相关的盖革计数器允许在手术过程中对腹部 - 盆腔中的这些参数进行准确的监测和控制。 在灌洗程序期间,排水点的流体可以被采样以获得所需的数据。