The Cleveland Clinic Foundation

Atropos Limited

Inderbir S Gill

Frank Bonadio

Mark Scott Goodin

Helmuth Kotschi

Thomas H S Hsu

Mihir M Desai

Bryan P Byermann

A surgical procedure is carried out on any suitable hollow organ, such as a gall bladder located beneath an abdominal wall. In a first step of the procedure the hollow organ is inflated by air or water through an inflation line so that the organ swells up. A scalpel is then used to create an incision in the abdominal wall. Sutures are then inserted through the opening and these are used to pull up the inflated organ to the opening. The inflated organ is now presented to the opening and a laparascopic procedure is carried out on the organ. A number of medical devices may be employed to perform the procedure for example a scalpel, an introducer device, an instrument access device, an insufflator, a camera device, and various surgical instruments.

Surgical procedure

Paired vascular clamps simplify laparoscopic vascular reconstruction surgery by providing an instrument for bringing vessel ends together to a reasonable working distance under a controlled fashion. A first clamp, with a pivoted connecting arm, and a second clamp with a lock/release device for attaching the second clamp to the connecting arm, can be inserted through an trocar or other port into a surgical field and then positioned on with the first clam and the second clamp in side-by-side and substantially parallel relationship, so that said first clamp and said second clamp can hold and position one or more vessels or elongated tissues. A laparoscopic approximator-everter has extendable blades for gripping blood vessel edges or other tissue to be anamosted, and an extendable sheath that can be advanced to surround the blades. Notches in the end of the sheath automatically evert and approximate the blood vessel edges for laparoscopic clip application or suturing when the sheath is advanced to surround the blades.

Surgical instruments and procedures

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Beachwood, OH, United States of America

Inderbir S Gill