POST COSMETIC SURGERY PROTECTOR

Patent number: 3804087
Filing date: Jul 24, 1972
Issue date: Apr 1974
Inventor: Caron Sarnoff


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Microsurgical technique for cosmetic surgery

Abstract

A procedure for supporting the soft tissue of a patient's scalp in a superior position using a microanchor includes forming a plurality of incisions proximate to the soft tissue to be moved, inserting an endoscope through at least of one of the incisions and undermining the soft tissue to be moved while at least a portion of the undermining process is viewed through the endoscope. At least one microanchor having a generally cylindrical body including a first bone contacting end, a second trailing end and bone fixation means formed on at least a portion of an outer surface of the microanchor between the first and second ends is provided. Each of the one or more microanchors has a length of less than about 4.0 mm and has a predetermined length of suture thread attached thereto. At least one pilot hole is formed in the patient's cranium through the incisions made therein. The one or more microanchors are inserted into the one or more pilot holes, the soft tissue is moved to the...

Patent number: 5950633
Filing date: Oct 2, 1997
Issue date: Sep 14, 1999
Inventors: Richard J. Lynch, Tommy L. Turpin
Assignee: Ethicon, Inc.
Primary Examiner: Dinh X. Nguyen


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What is claimed is:

1. A surgical procedure for supporting soft tissue of a patient's scalp in a superior position using a suture anchor, comprising the steps of:

making a plurality of incisions proximate to the soft tissue to be moved;

inserting an endoscope through at least one of the incisions;

undermining the soft tissue to be moved while viewing at least a portion of the undermining process through the endoscope;

forming at least one pilot hole in the cranium through one of the incisions;

providing one or more microanchors having a generally cylindrical body including a first bone contacting end, a second trailing end and bone fixation means formed on at least a portion of an outer surface of the microanchor between the first and second ends, the one or more microanchors each having a length of less than about 4.0 mm and having a predetermined length of suture thread attached thereto;

inserting the one or more microanchors into the at least one pilot hole in the cranium;

moving the soft tissue to a desired superior position; and

suturing the soft tissue in the desired position.

2. The procedure of claim 1, wherein the bone fixation means comprise external threads with a major diameter of less than about 2.4 mm.

3. The procedure of claim 2, wherein the microanchor has a length of about 3.5 mm and a major diameter of about 2.0 mm.

4. The procedure of claim 2, wherein each microanchor is constructed from a metal.

5. The procedure of claim 1, wherein each microanchor is removably pre-mated to a suture anchor insertion tool.

6. The procedure of claim 1, wherein the bone fixation means comprises at least one deformable barb capable of penetrating bone tissue.

7. The procedure of claim 6, wherein the microanchor body is composed at least partially of titanium and the deformable barbs are constructed from a shape memory material.

8. The procedure of claim 7, wherein the bone fixation means comprises two opposed deformable barbs capable of penetrating bone tissue.

9. The procedure of claim 6, wherein the microanchor has a diameter of less than about 1.5 millimeters.

10. The procedure of claim 9, wherein the microanchor has a diameter of about 1.3 and a length of about 3.7 mm.

11. The procedure of claim 6, wherein each microanchor is removably pre-mated to a suture anchor insertion tool.

12. The procedure of claim 1, wherein the pilot holes are formed using a drill bit having an effective length of less than about 5 millimeters and having a scoring means suitable to provide clearance around the pilot hole to allow for a suture anchor insertion tool to insert the microanchor at or below the surface of the cranium.

13. The procedure of claim 1, wherein the plurality of incisions include parasagital incisions carried down to the periosteum, are located proximally to the hairline of the scalp and have a length between approximately 1.0 and 2.0 millimeters.

14. The procedure of claim 13, wherein a periosteal elevator is employed to undermine the tissue to be moved.

15. The procedure of claim 13, wherein pilot holes are drilled in a posterior portion of the incisions after manually placing the soft tissue in the desired position.

16. A surgical procedure for supporting soft tissue of a patient's scalp in a superior position using a suture anchor comprising:

making a plurality of incisions proximate to the hairline of the scalp;

undermining the soft tissue to be moved;

moving the soft tissue to a desired superior position;

providing at least one microanchor, pre-loaded with suture thread and removably pre-mated to a suture anchor insertion tool, the microanchor comprising a generally cylindrical body having external threads on at least a portion thereof, having a major diameter of less than about 3.0 millimeters;

forming a plurality of pilot holes in the scalp and corresponding cranium using a drill bit having an effective length of less than about 5 millimeters and having a scoring means suitable to provide clearance around the pilot hole to allow for a suture anchor insertion tool to insert the microanchor at or below the surface of the cranium;

inserting the microanchors into the pilot holes; and

suturing the soft tissue into the desired superior position.

Method of reducing lung size

Abstract

A device, system, and method provides for lung size reduction by permanently collapsing at least a portion of a lung. The lung portion may be collapsed by obstructing the air passageway which communicates the lung portion to be collapsed. The air passageway may be obstructed by an obstructing member which precludes airflow in either direction or with a one-way valve which permits air to be exhaled from the lung portion while precluding air from being inhaled into the lung portion. In addition, a vacuum may be pulled within the lung portion to be collapsed for collapsing the lung portion and while the lung portion is collapsed the obstructing member may be placed in the air passageway to maintain the lung portion in a permanently collapsed state.

Patent number: 6258100
Filing date: Oct 10, 2000
Issue date: Jul 10, 2001
Inventors: Clifton A. Alferness, Richard Y. Lin, Wilfred E. Jaeger
Assignee: Spiration, Inc.
Primary Examiner: Eduardo C. Robert


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What is claimed is:

1. A method of reducing lung size of a lung, the method including obstructing an air passageway communicating with a portion of the lung, the obstructing step including the step of placing a one-way valve in the air passageway to permit air to be exhaled from the lung portion and to preclude air from being inhaled into the lung portion for collapsing the lung portion.

2. The method of claim 1 including the further steps of inserting a conduit into the air passageway communicating with the lung portion and pulling a vacuum in the lung portion through the conduit.

3. The method of claim 2 wherein the conduit includes an outer surface, and wherein the step of pulling a vacuum includes sealing between the outer surface of conduit and the air passageway.

4. The method of claim 2 wherein the step of placing the one-way valve in the air passageway is performed after the pulling of the vacuum.

5. A method of reducing lung size of a lung, the method including the steps of:

inserting a conduit down a trachea, into a mainstem bronchus, into a bronchial branch, and into a bronchial sub-branch communicating with a lung portion of the lung to be reduced in size;

feeding a one-way valve down the conduit; and

deploying the one-way valve in the bronchial sub-branch so that air is permitted to exit the lung portion while being precluded from entering the lung portion and causing the lung portion to collapse for reducing the size of the lung.

6. The method of claim 5 including the further step of removing the conduit after deploying the one-way valve in the bronchial sub-branch.

7. The method of claim 5 including the further step of pulling a vacuum in the lung portion through the conduit.

8. The method of claim 7 wherein the conduit includes an outer surface, and wherein the step of pulling a vacuum includes sealing between the outer surface of the conduit and the bronchial sub-branch.

9. A method of reducing lung size of a lung, the method including the steps of:

inserting a conduit down a trachea, into a mainstem bronchus, into a bronchial branch, and into a bronchial sub-branch communicating with a lung portion of the lung to be reduced in size;

pulling a vacuum in the lung portion through the conduit to collapse the lung portion; and

deploying an obstructing member in the bronchial sub-branch to preclude air from being inhaled into the lung portion through the bronchial sub-branch.

10. The method of claim 9 wherein the deploying step includes feeding the obstructing member down the conduit and into the bronchial sub-branch.