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    A WOUND RETRACTOR DEVICE
    2.
    发明公开
    A WOUND RETRACTOR DEVICE 审中-公开
    伤口回收装置

    公开(公告)号：EP1727476A1

    公开(公告)日：2006-12-06

    申请号：EP05718819.5

    申请日：2005-03-23

    申请人： Atropos Limited

    发明人： BONADIO, Frank ,  VAUGH, Trevor ,  BUTLER, John

    IPC分类号： A61B17/02 ,  A61B17/34

    CPC分类号： A61B17/0293 ,  A61B17/3431 ,  A61B2017/3482

    摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and four strap members (5) extending between the proximal ring member (4) and the distal ring member (2). The four separate strap members (5) are axially movable relative to the distal ring member (2) and relative to the proximal ring member (4). The distal ring member (2) comprises four slots (6), with each strap member (5) positioned extending through a slot (6). The slots (6) thus act as passageways through which the strap members (5) may extend, and in this manner the slots (6) guide movement of the strap members (5) relative to the distal ring member (2). The proximal ring member (4) also comprises four slots (7) which act as passageways to guide movement of the strap members (5) relative to the proximal ring member (4). In use, the distal ring member (2) is inserted into the wound opening (3), and the proximal ring member (4) is located externally of the wound opening (3). The second end (10) of each strap member (5) is then gripped, and a pulling force is exerted to retract laterally the sides of the wound opening (3).

    摘要翻译： 本发明提供一种伤口收缩装置（1），其包括用于插入伤口开口（3）的远侧环构件（2），用于位于伤口开口（3）外部的近侧环构件（4）以及四个带构件（5） 在近侧环构件（4）和远侧环构件（2）之间延伸。 四个单独的带构件（5）相对于远侧环构件（2）和相对于近侧环构件（4）可轴向移动。 远端环构件（2）包括四个狭槽（6），每个狭带构件（5）定位为延伸穿过狭槽（6）。 狭槽6因此用作带构件5可以延伸穿过的通道，并且以这种方式，狭槽6引导带构件5相对于远环构件2的运动。 近侧环构件（4）还包括四个狭槽（7），其充当通道以引导带构件（5）相对于近侧环构件（4）的运动。 在使用中，远侧环构件（2）插入伤口开口（3）中，并且近侧环构件（4）位于伤口开口（3）的外部。 然后抓住每个带构件（5）的第二端（10），并且施加拉力以横向缩回伤口开口（3）的侧面。

    AN INSTRUMENT ACCESS DEVICE
    3.
    发明公开
    AN INSTRUMENT ACCESS DEVICE 有权
    INSTRUMENTENZUGRIFFSVORRICHTUNG

    公开(公告)号：EP2770922A1

    公开(公告)日：2014-09-03

    申请号：EP12791273.1

    申请日：2012-10-30

    申请人： Atropos Limited

    发明人： BONADIO, Frank ,  VAUGH, Trevor

    IPC分类号： A61B17/34

    CPC分类号： A61B17/3421 ,  A61B17/3417 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3443 ,  A61B2017/3445

    摘要： An instrument access device (1) comprises a wound protector and retractor (2), a proximal assembly (3) coupled to the wound protector and retractor (2), and an instrument receiver (5) which can be releasably coupled to the proximal assembly (3). The instrument receiver (5) has a valve assembly (6) through which an instrument (7) is passed and a cannula portion (8) which extends in use through an incision which has been retracted and protected by the retractor (2). The instrument receiver (5) has an insufflation/desufflation port (9). The proximal assembly (3) comprises an inner proximal ring member (40) and an outer proximal ring member (41). The proximal end of the retractor sleeve (25) is located between the proximal ring members (40, 41). The inner proximal ring member (40) has a slot (43) for receiving and releasably engaging with an insufflation port section (45) of the instrument receiver (5). Because the cannula portion (8) extends through the retracted and protected incision there is minimal frictional resistance to the insertion of an instrument through the retracted incision. The distal end of the cannula portion 8 may be located close to the inner surface of the abdominal tissue which minimises restriction on movement of an instrument within the abdomen - the cannula provides minimal obstruction to this internal movement. Curved instruments may be readily inserted.

    摘要翻译： 仪器进入装置（1）包括伤口保护器和牵开器（2），联接到伤口保护器和牵开器（2）的近端组件（3）和器械接收器（5），其可释放地联接到近端组件 （3）。 仪器接收器（5）具有阀组件（6），仪器（7）通过该组件和套管部分（8），其在使用中通过已经被牵开器（2）缩回和保护的切口延伸。 仪器接收器（5）具有吹入/去气孔（9）。 近端组件（3）包括内近端环构件（40）和外近端环构件（41）。 牵开器套筒（25）的近端位于近端环件（40,41）之间。 内侧近端环构件（40）具有槽（43），用于容纳和释放地接合仪器接收器（5）的吹入口部分（45）。 因为套管部分（8）延伸穿过缩回和保护的切口，所以对于通过缩回的切口插入器械具有最小的摩擦阻力。 套管部分8的远端可以靠近腹部组织的内表面定位，这最大限度地限制了器械在腹部的运动的限制 - 插管对该内部运动提供了最小的阻碍。 弯曲的仪器可能很容易插入。

    AN INSTRUMENT ACCESS DEVICE
    4.
    发明公开
    AN INSTRUMENT ACCESS DEVICE 审中-公开
    INSTRUMENTENZUGANGSVORRICHTUNG

    公开(公告)号：EP2010071A2

    公开(公告)日：2009-01-07

    申请号：EP07736106.1

    申请日：2007-04-19

    申请人： Atropos Limited

    发明人： VAUGH, Trevor ,  BUTLER, John ,  MACNALLY, Shane Joseph ,  BONADIO, Frank

    IPC分类号： A61B17/34

    CPC分类号： A61B17/3462 ,  A61B1/00137 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3498 ,  A61B2017/3464

    摘要： An instrument access device (1) comprises an instrument seal, a wound retractor for retracting a wound opening (2), and an opening element for at least partially opening the seal to facilitate insertion of an instrument (6) through the seal. The instrument seal comprises a gelatinous elastomeric seal (3) with a pinhole opening (4) extending therethrough, and a housing (5) around the seal (3). The opening element may be employed to at least partially open the pinhole opening (4) to facilitate insertion of the instrument (6) through the pinhole opening (4). The opening element comprises a sheet (11) of flexible material. The sheet (11) is movable distally relative to the seal (3) between a rest configuration and an opening configuration. In the rest configuration the sheet (11) is substantially planar. In the opening configuration, the pointed, the leading end (16) of the sheet (11) enters the pinhole opening (4) and moves distally through the pinhole opening (4) to at least partially open the pinhole opening (4).

    A WOUND RETRACTOR DEVICE
    5.
    发明公开
    A WOUND RETRACTOR DEVICE 审中-公开
    伤口回收装置

    公开(公告)号：EP1727475A1

    公开(公告)日：2006-12-06

    申请号：EP05718817.9

    申请日：2005-03-23

    申请人： Atropos Limited

    发明人： BONADIO, Frank ,  VAUGH, Trevor ,  BUTLER, John ,  DEEGAN, Catherine

    IPC分类号： A61B17/02 ,  A61B17/34

    CPC分类号： A61B17/0293 ,  A61B90/50 ,  A61B2017/3482

    摘要： A wound retractor device (1) comprises a distal ring member (4) for insertion into a wound opening (3), a proximal ring member (2) for location externally of the wound opening (3), and a cylindrical connecting sleeve (5), which extends between the distal ring member (4) and the proximal ring member (2), to retract laterally the sides of a wound opening (3). The device (1) further comprises a rigid engagement ring member (11) for facilitating engagement of the device (1), and manipulation of the device (1) into a desired location and/or orientation. In use, the distal ring member (4) is inserted into the wound opening (3), and the proximal ring member (2) is located externally of the wound opening (3), with the connecting sleeve (5) extending between the proximal ring member (2) and the distal ring member (4). The connecting sleeve (5) is then pulled proximally to retract laterally the sides of the wound opening (3). The engagement ring member (11) may then be engaged, for example by means of a surgeon gripping the engagement ring member (11), and the device (1) manipulated into a desired location and/or orientation.

    摘要翻译： （1）包括用于插入伤口开口（3）的远侧环构件（4），用于位于伤口开口（3）外部的近侧环构件（2），以及圆柱形连接套筒（5） ），其在远侧环构件（4）和近侧环构件（2）之间延伸，以横向缩回伤口开口（3）的侧面。 装置（1）还包括用于促进装置（1）的接合以及将装置（1）操纵到期望的位置和/或取向的刚性接合环构件（11）。 在使用中，远侧环构件（4）插入伤口开口（3）中，并且近侧环构件（2）位于伤口开口（3）的外部，连接套筒（5）在近侧 环部件（2）和远端环部件（4）。 然后向近侧牵拉连接套筒（5）以侧向缩回伤口开口（3）的侧面。 接合环构件（11）然后可以例如通过握持接合环构件（11）的外科医生和操纵到期望的位置和/或取向的装置（1）接合。

    A SURGICAL DEVICE
    6.
    发明公开
    A SURGICAL DEVICE 有权
    手术设备

    公开(公告)号：EP1572014A1

    公开(公告)日：2005-09-14

    申请号：EP03780558.7

    申请日：2003-12-16

    申请人： Atropos Limited

    发明人： BONADIO, Frank ,  BUTLER, John ,  VAUGH, Trevor ,  MACNALLY, Shane Joseph ,  REID, Alan

    IPC分类号： A61B17/34 ,  A61B17/02

    CPC分类号： A61B17/3423 ,  A61B17/00234 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3462 ,  A61B2017/3482

    摘要： A surgical device comprises a mounting element provided by a first ring element (200) and a second ring element (201). A sealing member in the form of a sleeve (202) of pliable material has ends mounted to the rings (200, 201). The sleeve (202) is twisted to have a normally closed access opening (207) and is movable on insertion of a surgeon’s hand/arm (210) to open the access opening (207) whilst maintaining substantial sealing engagement to the arm (210). A biassing means is provided to bias the sleeve into a configuration in which the access opening (207) is normally closed. The biassing may be provided by pre-tensioning the sleeve (202) and/or by using a separate spring element (220, 215).

    摘要翻译： 手术装置包括由第一环形元件（200）和第二环形元件（201）提供的安装元件。 呈柔韧材料的套筒（202）形式的密封构件具有安装到环（200,201）的端部。 套管（202）被扭转以具有常闭的进入开口（207），并且在插入外科医生的手/臂（210）时可移动以打开进入开口（207），同时保持与臂（210）的大量密封接合， 。 提供偏压装置以将套筒偏压成通常开口（207）通常关闭的构造。 偏置可以通过预张紧套筒（202）和/或通过使用单独的弹簧元件（220,215）来提供。

    A WOUND RETRACTOR DEVICE
    8.
    发明授权
    A WOUND RETRACTOR DEVICE 有权
    伤口回收装置

    公开(公告)号：EP1545348B1

    公开(公告)日：2008-07-09

    申请号：EP03753883.2

    申请日：2003-10-06

    申请人： Atropos Limited

    发明人： BUTLER, John ,  VAUGH, Trevor ,  BONADIO, Frank ,  MacNALLY, Shane Joseph ,  REID, Alan

    IPC分类号： A61B17/34 ,  A61B17/02

    CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482 ,  A61B2017/3484

    摘要： A wound protector and retractor device (1) comprises a sleeve (2), a distal member provided by a distal ring (3) of resilient material and a proximal member provided by a proximal ring (4). The sleeve (2) is led around the ring (3) and is free to move axially relative to the distal ring (3) somewhat in the manner of a pulley. The proximal ring (4) is fixed to the sleeve (2), in this case at the proximal inner end thereof. The sleeve (2) terminates in a handle or gripping portion which is reinforced by a gripping ring (15). The sleeve extends from the proximal ring (4) and the distal ring (3) is contained between inner and outer layers (2a, 2b) of the sleeve (2). The resilient distal ring (3) is scrunched up and inserted through the incision (6). The sleeve (2) is then pulled upwardly. On pulling of the sleeve (2) upwardly the outer layer (2b) is pulled up while the inner layer (2a) is drawn around the proximal ring (3). This results in shortening the axial extent between the proximal ring (4) and the distal ring (3), tensioning the sleeve and applying a retraction force to the margins of the incision (6). As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.

    摘要翻译： 伤口保护器和牵开器装置（1）包括套筒（2），由弹性材料的远端环（3）提供的远端部件和由近端环（4）提供的近端部件。 套筒（2）围绕环（3）引导并且可以自由地相对于远端环（3）轴向地以滑轮的方式轴向运动。 近端环（4）固定在套筒（2）上，在这种情况下在其近端内端。 套筒（2）终止于手柄或夹紧部分，该夹紧部分由夹紧环（15）加强。 套筒从近端环（4）延伸并且远端环（3）包含在套筒（2）的内层和外层（2a，2b）之间。 弹性远端环（3）被收缩并插入切口（6）。 然后套筒（2）被向上拉。 在向上拉动套筒（2）时，拉动外层（2b），同时围绕近侧环（3）拉动内层（2a）。 这导致缩短了近侧环（4）和远侧环（3）之间的轴向范围，张紧套筒并向切口（6）的边缘施加回缩力。 当切口缩回时，边缘也受到套筒的保护。 在收回时，提供进入口，例如供外科医生插入他的手和/或器械以执行手术。 该装置可用作开放手术中的牵开器或作为瓣膜/密封件的基础，以使其可用于手助腹腔镜手术或通常用于仪器通路或手动通路。