1. A wearable badge for displaying removable indicia, the wearable badge comprising:
a backing including an attachment fastener, the backing defining an indicia portion;
a frame defining an opening, the frame having a first frame edge and a second frame edge, the first frame edge joined to the backing such that the first and second frame edges at least partially surround the indicia portion, the indicia portion viewable through the opening and the second frame edge moveable away from the backing to facilitate insertion and withdrawal of indicia between the backing and the frame.
2. The badge of claim 1, wherein the backing defines an indicia portion perimeter, and the first and second frame edges cooperate to at least partially define a frame perimeter that substantially corresponds to the indicia portion perimeter.
3. The badge of claim 2, wherein the backing includes a cutout and the second frame edge extends across the cutout, and wherein the cutout portion exposes a rear surface of the frame to facilitate bending the second frame edge away from the backing plate.
4. The badge of claim 1, wherein the backing includes a first backing edge and a second backing edge substantially opposite the first backing edge and wherein the first frame edge is substantially aligned with and joined to the first backing edge and the second frame edge is substantially aligned with and bendable away from the second backing edge.
5. The badge of claim 1, wherein the backing defines a plurality of apertures along a first backing edge and the frame defines a plurality of projections along the first frame edge, each of the plurality of projections configured for insertion into a respective one of the plurality of apertures for joining the frame to the backing.
6. The badge of claim 5, further comprising a clear indicia overlay positioned between the frame and the backing, wherein the plurality of projections cooperate to retain the overlay between the frame and the backing.
7. The badge of claim 1, further comprising a clear indicia overlay positioned between the frame and the backing, wherein the frame includes a rear surface that faces the backing when the frame is joined to the backing, the frame defining a recess that extends around the opening and is recessed with respect to the rear surface, the recess sized and shaped to receive the clear indicia overlay.
8. The badge of claim 1, wherein the indicia portion is a first indicia portion, the badge further comprising a second indicia portion positioned adjacent the first indicia portion.
9. The badge of claim 8, wherein the first and second indicia portions display indicia in substantially parallel planes, and wherein the first indicia portion receives indicia in a direction that is substantially parallel to the planes, and the second indicia portion receives indicia in a direction that is substantially perpendicular to the planes.
10. A wearable badge for displaying removable indicia, the wearable badge comprising:
a backing including an attachment fastener, the backing defining an indicia portion having an indicia portion perimeter including at least a first backing edge and a second backing edge substantially opposite the first backing edge, the first backing edge defining a plurality of apertures, the backing including a cutout positioned substantially opposite the first backing edge;
a frame defining an opening, the frame having a first frame edge and a second frame edge that at least partially define a frame perimeter that substantially corresponds to the indicia portion perimeter, the frame including a rear surface and a recess that extends around the opening and is recessed with respect to the rear surface, the first frame edge including a plurality of projections, each projection configured for insertion into a respective one of the plurality of apertures for joining the frame to the backing, the indicia portion viewable through the opening and the cutout portion in the backing exposing the rear surface of the frame to facilitate movement of the second frame edge away from the backing plate for insertion and withdrawal of indicia between the backing and the frame; and
a clear indicia overlay received by the recess and positioned between the frame and the backing, the recess and the plurality of projections cooperating to retain the overlay between the frame and the backing.
The claims below are in addition to those above.
All refrences to claim(s) which appear below refer to the numbering after this setence.
1. An endoscopic overtube configured to receive at least one endoscope for endoscopic surgery comprising:
an elongate sheath configured to be introduced through a naturally occurring s body orifice, the sheath including a proximal portion and a distal portion, and the sheath defining a passageway extending between the proximal portion and the distal portion;
a cuff coupled to the distal portion of the sheath, the cuff having an inflated condition and a deflated condition, the cuff in the inflated condition having a distally facing surface positioned to contact an inner lumenal wall and a proximally facing surface located distal of the distally facing surface and positioned to contact an outer pertioneal wall; and
an inflation lumen connected to deliver inflation fluid to the cuff to inflate andor deflate the cuff.
2. The endoscopic overtube of claim 1, wherein the sheath is flexible.
3. The endoscopic overtube of claim 1, wherein the sheath is rigid.
4. The endoscopic overtube of claim 1, wherein the sheath has an adjustable length.
5. The endoscopic overtube of claim 1, wherein the cuff comprises a proximal cuff and a distal cuff.
6. The endoscopic overtube of claim 5, wherein the distally facing surface of the proximal cuff is positioned to contact the inner lumenal wall.
7. The endoscopic overtube of claim 5, wherein the proximally facing surface of the distal cuff is positioned to contact the outer peritoneal wall.
8. The endoscopic overtube of claim 6, wherein the inflation lumen is positioned at least partially within the sheath.
9. The endoscopic overtube of claim 1, further comprising a mouthpiece coupled to the proximal portion of the sheath.
10. The endoscopic overtube of claim 1, further comprising an insufflation lumen configured to deliver insufflation fluid into a body cavity.
11. An endoscopic overtube configured to receive at least one endoscope for endoscopic surgery comprising:
an outer sheath configured to be introduced through a naturally occurring body orifice, the outer sheath including a proximal portion and a distal portion, and the outer sheath defining a passageway extending between the proximal portion and the distal portion;
an inner sheath extending through the passageway defined by the outer sheath, the inner sheath including a proximal portion and a distal portion, and the inner sheath defining a passageway extending between the proximal portion and the distal portion;
a cuff coupled to each of the distal portion of the inner sheath and the distal portion of the outer sheath, each cuff having an inflated condition and a deflated condition, the cuff of the outer sheath in the inflated condition having a distally facing surface positioned to contact an inner lumenal wall, and the cuff of the inner sheath in the inflated condition having a proximally facing surface positioned to contact an outer peritoneal; and
an inflation lumen connected to deliver inflation fluid to each cuff of the inner sheath and the outer sheath to inflate andor deflate each cuff.
12. The endoscopic overtube of claim 11, wherein the inner sleeve is movable with respect to the outer sheath along a longitudinal axis thereof.
13. A method for introducing an endoscope for transluminal endoscopic surgery in a body cavity, the method comprising the steps of:
introducing an elongate sheath through a naturally occurring body orifice;
passing a distal portion of the sheath through an incision in a tissue wall;
inflating a cuff coupled to the sheath such that a distally facing surface of the cuff contacts the inner lumenal wall and a proximally facing surface of the cuff contacts the outer peritoneal wall; and
introducing the endoscope through a passageway defined by the sheath and into the body cavity.
14. The method of claim 13, wherein the step of introducing the sheath comprises positioning the distal end of the sheath adjacent an inner lumenal wall.
15. The method of claim 14, wherein the step of introducing the sheath comprises introducing the endoscope through a passageway defined by the sheath to a position adjacent an inner lumenal wall.
16. The method of claim 15, wherein the step of introducing the endoscope further comprises providing an incision through the tissue wall using the endoscope, thereby providing access to the body cavity.
17. A method for introducing an endoscope for transluminal endoscopic surgery in a body cavity, the method comprising the steps of:
advancing a first endoscope through a first lumen defined by an endoscopic overtube;
advancing the endoscopic overtube through a naturally occurring body orifice into a body organ;
advancing a second endoscope through a second lumen defined by the endoscopic overtube;
providing an incision through a wall of a body organ;
advancing the first endoscope through the incision and into a body cavity;
guiding a distal portion of the endoscopic overtube through the incision and into the body cavity; and
advancing the second endoscope through the incision and into the body cavity.
18. An endoscopic overtube configured to receive at least two endoscopes for endoscopic surgery comprising an elongate sheath configured to be introduced through a naturally occurring body orifice, the sheath including at least a proximal portion and a tapered distal portion, and the sheath defining a passageway extending between the proximal portion and the tapered distal portion, wherein the tapered distal portion of the sheath defines at least two openings through which an endoscope can be extended, including a first opening located proximal of a second opening.
19. The endoscopic overtube according to claim 18, wherein the overtube includes a cuff coupled to the distal portion of the sheath, the cuff having an inflated condition and a deflated condition, the cuff in the inflated condition having a distally facing surface positioned to contact an inner lumenal wall and a proximally facing surface located distal of the distally facing surface and positioned to contact an outer peritoneal wall.
20. The endoscopic overtube according to claim 19, wherein the sheath includes a sump port located proximal of the cuff, the sump port being in communication with a sump port entrance defined in the proximal portion of the overtube.
21. The endoscopic overtube according to claim 18, further comprising a closure device associated with the tapered distal portion.
22. The endoscopic overtube according to claim 18, further comprising a means for controlling the orientation of the first opening andor the second opening.
23. The endoscopic overtube according to claim 18, wherein the sheath comprises access ports configured to provide access to a body cavity.