Other

Gerald W Johnson

Jeffrey W Johnson

Jeffrey Bowman Johnson

Lana Lea Johnson

Adaptor for a planter

Receptacle for adapting outdoor planter to indoor

Flowerpot with integral soil anchor

Flowerpot with soil anchor

A container for a tissue implantable solid filler material is disclosed. The filler material can be directly inserted into a cavity within the tissue or into a shell can be inserted into the cavity which either already contains the filler or has the filler added thereto during implantation. Methods for packaging the filler material are also disclosed.

Solid filled implants

An endoscopic assisted mastopexy, with or without augmentation, or an endoscopic assisted reduction mammoplasty is disclosed in which an incision is made at a point on the body remote from the breast which is not ordinarily visible, such as in a preexisting scar, under an armpit or elsewhere accessible to the upper hemisphere of the breast. In the mastopexy with augmentation, dissection is carried up to the fascia of the pectoralis muscle and above the fascia and with the scope for visualization, an endotube is inserted from the incision over the pectoral fascia. A tissue expander is inserted and inflated to dissect the fascia away from the muscle to form a posterior pocket and then removed. With blind dissection, with external palpation, using scissors, from the incision, the skin is undermined in the upper quadrant. The pocket is then connected from the subcutaneous position and the breast tissue is released by cutting loose to yield a direct communication from the subcutaneous pocket around to the postglandular pocket. The soft tissue of the breast is elevated away from the pectoralis muscle and fascia going up above the second rib and just below the clavicle to lift and position the nipple areolar complex. The upper pole of the breast is sutured into the prepectoral fascia. An implant is placed into the pocket and then inflated with saline as in an endoscopic augmentation. The initial incision is closed and the patient is dressed and provided with support during recuperation and healing. Nipple reduction, if necessary, is accomplished by undermining the areolar border and placing a permanent circum-aroelar suture through stab wounds which allows a reduction in nipple size by the purse-string suture without any scars around the nipple. In the mastopexy without augmentation, the implant is omitted. In the reduction mammoplasty, breast tissue is removed and the breast repositioned and reshaped.

Endoscopic assisted mastopexy

A surgical procedure for tissue dissection is disclosed in which an incision is made in a human body. A hollow tissue expander is then inserted into the incision to a point where a space or cavity or pocket is desired. Fluid is forced into the expander to cause it to expand an separate two layers of tissue to form the space or cavity or pocket. The expander can be used to dissect or create spaces: (1) within subcutaneous fat; (2) between skin and bone; skin and muscle or skin and fascia; (3) between fat and bone; fat and muscle; fat and fascia; (4) between peritoneum and muscle; peritoneum and fascia; (5) between bladder and other tissue; (6) between nerves and other tissue; (7) between blood vessels and other tissues; (8) between muscle and other tissues. The tissue expander can, in fact, be used any place in the body where a surgeon could or would use other instruments to create spaces in, dissect or separate soft tissues. This use of a tissue expander to dissect tissue, create cavities or pockets, or separate layers of soft tissue can be done: (1) under direct vision; (2) under endoscopic vision; (3) under X-ray vision; (4) under blind conditions by manual palpatation; (5) or any combination of the above.

Dissection of tissue by tissue expander

A surgical procedure is an endoscopic assisted abdominoplasty. This procedure eschews the use of abdominal incisions and obtains the desired result with no visible scars on the abdomen of the patient. A traditional or standard abdominoplasty (also called a dermolipectomy of the abdomen) has always required a surgical incision in the abdomen followed by surgical removal of part of the skin, the underlying fat layer, and suturing the opening. The endoscopic assisted abdominoplasty shown herein uses two small hidden incisions, one in the umbilicus or on the abdomen or other areas, in pre-existing scars or other areas such as under the armpit for introduction of the surgical instruments, and a small incision within the pubic hair line for endoscopic and/or direct observation and control of the procedure. While observing the procedure through the endoscope, the surgical instruments are inserted through the umbilical incision to remove fat by liposuction and plicate and repair the muscles by use of a tenaculum and fascial sutures. After removal of the instruments, the small incisions are sutured and the skin layer allowed to retract and tighten. The procedure has had considerable success and leaves no visible scars, which is of great importance to most patients.

Endoscopic assisted abdominoplasty

A surgical procedure for breast augmentation is disclosed in which an incision is made at a point on the body remote from the breast which is not ordinarily visible, such as in a pre-nexisting scar, under an armpit or inside the navel or umbilicus. An endotube which has an obturator with a bullet shaped tip is introduced into this incision and pushed from the incision, staying just above the fascia of the interior abdominal and chest wall, and below the subcutaneous tissue and fat, to a position behind the breast. The obturator is removed and an endoscope used to verify the proper location of the tunnel. The endotube is removed leaving a temporary tunnel leading to a space behind the breast. A hollow prosthesis is rolled up tightly, positioned inside the end of the endotube and pushed into the tunnel behind the breast. The prosthesis is held in place by the hand of the surgeon on the breast and the endotube removed. The prosthesis is pumped full of saline solution to about a 50% overfill. The filling of the prosthesis with saline solution, together with the manipulation and pressure by the surgeon causes the tissues behind the breast to be dissected to form a pocket filled by the implant. After a short time, excess liquid is allowed to flow out of the prosthesis and the fill tube removed. The procedure is then repeated for the other breast. The incision is sutured and the patient may then go home from the recovery room. Special electrosurgical and electrocauterizing instruments are provided.

Endoscopic augmentation mammoplasty

A novel surgical procedure is an endoscopic assisted abdominoplasty. This procedure eschews the use of abdominal incisions and obtains the desired result with no visible scars on the abdomen of the patient. A traditional or standard abdominoplasty (also called a dermolipectomy of the abdomen) has always required a surgical incision in the abdomen followed by surgical removal of part of the skin, the underlying fat layer, and suturing the opening. The endoscopic assisted abdominoplasty shown herein uses two small incisions, one in the umbilicus for introduction of the surgical instruments, and a small incision within the pubic hair line for endoscopic observation and control of the procedure. While observing the procedure through the endoscope, the surgical instruments are inserted through the umbilicular incision to remove fat (by liposuction) and plicate and repair the muscles (by use of a tenaculum and fascial staples or a single instrument which combines the function of these instruments). After removal of the instruments, the small incisions are sutured and the skin layer allowed to retract and tighten. The procedure has had considerable success and leaves no visible scars, which is of great importance to most patients.

A surgical procedure for breast augmentation is disclosed in which an incision is made inside the navel or umbilicus. An endotube which has an obturator with a bullet shaped tip is introduced into this incision and pushed from the umbilicus, staying just above the fascia of the interior abdominal and chest wall, and below the subcutaneous tissue and fat, to a position behind the breast. The obturator is removed and an endoscope used to verify the proper location of the tunnel. The endotube is removed leaving a temporary tunnel leading to a space behind the breast. A hollow prosthesis is rolled up tightly, positioned inside the end of the endotube and pushed into the tunnel behind the breast. The prosthesis is held in place by the hand of the surgeon on the breast and the endotube removed. The prosthesis is pumped full of saline solution to about a 50% overfill. The filling of the prosthesis with saline solution, together with the manipulation and pressure by the surgeon causes the tissues behind the breast to be dissected to form a pocket filled by the implant. After a short time, excess liquid is allowed to flow out of the prosthesis and the fill tube removed. The procedure is then repeated for the other breast. The navel is sutured and the patient may then go home from the recovery room. Special electrosurgical and electrocauterizing instruments are provided.

Growing community of inventors

Houston, TX, United States of America

Gerald W Johnson