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公开(公告)号：EP4169464A1
公开(公告)日：2023-04-26
申请号：EP22212171.7
申请日：2009-03-31
发明人： FALKENSTEIN, Zoran , CAPPELLO, Christopher J , JOHNSON, Gary M , GIANNESCHI, Benjamin A , TRAN, Olivia J , WIXEY, Matthew A , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , YAWATA, Haruyasu , BRUSTAD, John R , COHEN, Adam J , HILAL, Nabil , BECERRA, Matthew M , PINGLETON, Edward D , HILAL, Said S , HART, Charles C , WIKOFF, Chris R
摘要： Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
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公开(公告)号：EP3025322A1
公开(公告)日：2016-06-01
申请号：EP14752959.8
申请日：2014-07-24
发明人： BLACK, Katie , POULSEN, Nikolai , HOLMES, Heidi , FELSINGER, Natasha , BRESLIN, Tracy , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , BOLANOS, Eduardo , FALKENSTEIN, Zoran , HART, Charles C. , TALWAR, Tina
IPC分类号： G09B23/28
CPC分类号： G09B23/285 , B29C39/026 , B29K2083/005 , B29L2031/7532 , G09B5/02
摘要： A simulated abdominal wall model that is ideal for practicing laparoscopic first entry surgical techniques is provided. The model includes a simulated abdominal wall portion captured between two frame elements of a support. The support is connectable to a surgical trainer. When connected to the trainer, the model provides a penetrable abdominal tissue portion for accessing an internal cavity of the trainer. The simulated abdominal wall includes a plurality of layers including a skin layer, a fabric posterior rectus sheath layer, a simulated fat layer of low-resilience polyurethane foam and at least two layers that provide distinctive haptic feedback upon penetration of the simulated transversalis fascia and muscle layers. The simulated abdominal wall includes a simulated umbilicus across several layers of simulated tissue.
摘要翻译： 提供了用于练习腹腔镜初次入路手术技术的理想模拟腹壁模型。 该模型包括在支架的两个框架元件之间捕获的模拟腹壁部分。 支持可连接到外科教练。 当连接到教练机时，模型提供了穿透教练机内腔的可穿透腹部组织部分。 模拟腹壁包括多层，包括表层，织物后直肠鞘层，低回弹聚氨酯泡沫的模拟脂肪层以及至少两层，其在穿透模拟横向筋膜和肌肉时提供独特的触觉反馈 层。 模拟的腹壁包括跨几层模拟组织的模拟脐孔。
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3.发明公开TROCAR CANNULA ASSEMBLY WITH LOW PROFILE INSERTION CONFIGURATION AND METHOD OF MANUFACTURE 审中-公开TROKARKANÜLENANORDNUNGMIT FLACHER EINSETZKONFIGURATION UND VERFAHREN ZUR HERSTELLUNG
公开(公告)号：EP2967648A1
公开(公告)日：2016-01-20
申请号：EP14768593.7
申请日：2014-03-13
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3417 , A61B2017/00526 , A61B2017/3425 , A61B2017/3454 , A61B2017/3486 , A61B2017/3492 , A61M25/10184 , A61M39/02 , A61M39/0247 , A61M2039/0255 , A61M2039/0261 , A61M2039/0279
摘要： A cannula assembly having a retention member and a method of manufacture of the cannula assembly is provided. The cannula assembly includes a cannula and a sleeve disposed around the cannula from a proximal end to a distal end. The sleeve can include a balloon formed by a stretch blow molding process following local heating once advanced over the cannula. Once formed, the balloon can be conditioned to constrict against the cannula. A conditioning aid can be advanced over the balloon when it is still formable to constrict the balloon against the cannula.
摘要翻译： 提供具有保持构件和插管组件的制造方法的插管组件。 插管组件包括插管和从近端到远端设置在套管周围的套筒。 套筒可以包括通过拉伸吹塑成型工艺形成的球囊，其在局部加热之后一次超过套管。 一旦形成，气囊可被调节以收缩套管。 当气囊仍能形成以将气囊收缩到套管上时，调节助剂可以在气球上前进。
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公开(公告)号：EP1996092B1
公开(公告)日：2014-01-08
申请号：EP07758971.1
申请日：2007-03-21
CPC分类号： A61B17/3421 , A61B2017/00557 , A61B2017/3419 , A61B2017/3482 , A61B2017/3486 , A61B2017/349 , A61B2017/3492
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公开(公告)号：EP4353167A2
公开(公告)日：2024-04-17
申请号：EP24161170.6
申请日：2016-09-30
发明人： SIAS, Ralph , DO, Alexandra , POULSEN, Nikolai , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , MCMORROW, Timothy , MILES, Anthony W F
IPC分类号： A61B17/34
CPC分类号： A61B17/3474 , A61M2205/334120130101 , A61M2205/335520130101 , A61M2202/022520130101 , A61M2210/106720130101 , A61M13/003 , A61M2205/333420130101 , A61M2205/334420130101
摘要： Pressure conditioning systems for supplying insufflation gas to an open-ended body conduit such as a rectal cavity during a transanal minimally invasive surgery (TAMIS) procedure can reduce billowing of walls of the body conduit. A pressure conditioning system can include a pressure storage component, an accumulator, and a flow restrictor. The pressure storage component can include a variable volume reservoir that is biased to a relatively low volume state. The flow restrictor can include insufflation tubing with a restrictor plate having a relatively low diameter orifice. The pressure storage component, accumulator, and flow restrictor can be fluidly connected in various orders in series or as side branches from a gas flow conduit. Despite a pulsed or otherwise discontinuous insufflation gas flow and leakage and absorption from the body conduit, the pressure conditioning system can maintain a constant pressure within the body conduit.
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公开(公告)号：EP2622594B1
公开(公告)日：2018-08-22
申请号：EP11767571.0
申请日：2011-09-29
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , COHEN, Lee , HART, Charles, C. , SIKRI, Vivek , FALKENSTEIN, Zoran , CONKLIN, Richard, W. , BOLANOS, Eduardo , HOKE, Adam , FILEK, Jacob, J. , PALERMO, Michael
CPC分类号： G09B23/285 , G09B5/02 , G09B23/30 , G09B23/306 , G09B23/34
摘要： A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.
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7.发明公开ADVANCED FIRST ENTRY MODEL FOR SURGICAL SIMULATION 审中-公开ERWEITERTES ERSTEINTRAGSMODELLFÜRCHIRURGISCHE模拟
公开(公告)号：EP3117421A1
公开(公告)日：2017-01-18
申请号：EP15714707.5
申请日：2015-03-13
发明人： WACHLI, Serene , HOFSTETTER, Gregory, K. , BLACK, Katie , POULSEN, Nikolai , HOLMES, Heidi , FELSINGER, Natasha , BRESLIN, Tracy , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , BOLANOS, Eduardo , FALKENSTEIN, Zoran , HART, Charles, C. , TALWAR, Tina
IPC分类号： G09B23/28
摘要： The present invention provides a surgical training device for training laparoscopic first entry surgical techniques. The training device includes a simulated abdominal wall that is penetrable with an optical trocar. A receptacle containing a tissue simulation is located inside the receptacle. The tissue simulation is observable via scope placed inside the optical trocar. Upon penetration of the one or more of the simulated abdominal wall and receptacle, the tissue simulation appears to translate distally relative to the simulated abdominal wall. The distal translation is effected by a variety of ways including the release of negative pressure inside the receptacle upon penetration and the expansion of an elastic wall of the receptacle with the introduction of fluid under pressure into the receptacle.
摘要翻译： 本发明提供了一种用于训练腹腔镜第一入门手术技术的外科训练装置。 训练装置包括可穿透光套管针的模拟腹壁。 包含组织模拟的容器位于容器内部。 通过放置在光学套管针内的范围可观察到组织模拟。 在模拟腹壁和容器中的一个或多个穿透时，组织模拟似乎相对于模拟的腹壁向远侧平移。 远端平移通过各种方式实现，包括在穿透时释放容器内部的负压并且通过在压力下将流体引入到容器中而使容器的弹性壁膨胀。
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公开(公告)号：EP2622594A2
公开(公告)日：2013-08-07
申请号：EP11767571.0
申请日：2011-09-29
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , COHEN, Lee , HART, Charles, C. , SIKRI, Vivek , FALKENSTEIN, Zoran , CONKLIN, Richard, W. , BOLANOS, Eduardo , HOKE, Adam , FILEK, Jacob, J. , PALERMO, Michael
CPC分类号： G09B23/285 , G09B5/02 , G09B23/30 , G09B23/306 , G09B23/34
摘要： A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.
摘要翻译： 提供便携式外科手术训练装置。 训练器包括与基座间隔开的顶盖，以形成模拟体腔，用于定位从使用者视野基本遮蔽的模型器官。 顶盖包括视频显示器，固定插入端口和包含模拟纸巾层的可互换插页。 训练装置具有展示和训练横向外科技术的开阔面，包括连接到支撑腿的模拟或活组织结肠，用于模拟经肛门微创手术。 公开了一种具有可调节焦距的训练内窥镜，用于训练者，特别是与光学套针。 手术训练者可以有角度，非常适合于培养腹腔镜手术技术和展示手术器械。
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公开(公告)号：EP2349032A1
公开(公告)日：2011-08-03
申请号：EP09741525.1
申请日：2009-10-13
发明人： ALBRECHT, Jeremy, J. , BECERRA, Matthew, M. , BRUSTAD, John, R. , LECHUGA, Juan , GADBERRY, Donald, L. , JOHNSON, Gary, M. , GATUS, Aries, E. , PRAVONGVIENGKHAM, Kennii
CPC分类号： A61B17/02 , A61B17/0293 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3484 , A61B2017/3492
摘要： Embodiments of a surgical access system useful for single or limited port procedures comprise a trocar (1800) comprising a fixation cannula (1810), a retractor, and a gel cap removably coupled to the retractor. The gel cap comprises a gel pad that acts as an artificial body wall, through which instruments may be inserted into a body cavity, either directly or through one or more trocars. The fixation cannula comprises a retainer (1830) and a bolster (1840), which together, capture the artificial body wall therebetween, thereby fixing the trocar thereto. The gel pad permits flexible instrument placement, as well as translational and angular degrees of freedom for the instruments while maintaining a gas tight seal.
摘要翻译： 用于单个或有限端口程序的外科进入系统的实施例包括套管针，其包括可拆卸地联接到牵开器的固定插管，牵开器和凝胶帽。 凝胶帽包括用作人造体壁的凝胶垫，仪器可以直接或通过一个或多个套管针插入体腔。 固定插管包括保持器和枕垫，它们一起在其间捕获人造体壁，从而将套管针固定到其上。 凝胶垫允许灵活的仪器放置，以及仪器的平移和角度自由度，同时保持气密密封。
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公开(公告)号：EP1988959A2
公开(公告)日：2008-11-12
申请号：EP07757698.1
申请日：2007-03-01
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , HILAL, Nabil , BRUSTAD, John, R. , FALKENSTEIN, Zoran
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided. The tubing is lightweight and thin-walled. The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement.
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