公开(公告)号：US5507755A

公开(公告)日：1996-04-16

申请号：US279513

申请日：1994-07-25

申请人： Charles Gresl ,  Albert K. Chin ,  Tim J. Kovac ,  Edwin J. Hlavka

发明人： Charles Gresl ,  Albert K. Chin ,  Tim J. Kovac ,  Edwin J. Hlavka

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0057 ,  A61B17/0401 ,  A61B17/06066 ,  A61B17/06166 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0472

摘要： An apparatus for suturing deep puncture wounds utilizes a capturing member which is pivotally mounted to the distal end of an elongate rod. During use, the capturing member is inserted into a body cavity through a trocar sheath positioned in a wound and pivoted into a position in which it extends beneath the tissue surrounding the wound. A membrane or other suture-capturing surface is formed on the surface of the capturing member. A suture to be applied to the wound has anchors on each of its ends, and suture-carrying needles carry each of the suture ends and their corresponding anchors. The suture-carrying needles are individually passed through the tissue layers surrounding the wound and subsequently passed through the membrane of the capturing member. The suture ends and corresponding anchor means are released from the needles. The capturing means is pivoted to position in which it extends longitudinally of the elongate rod, causing the anchors to become engaged by the membrane by virtue of their inability to pass through the membrane unless carried by a needle. A lifting force is applied to the elongate rod to lift the capturing member out of the wound, pulling the ends of the suture out of the wound to close the opening in the tissue.

摘要翻译： 用于缝合深穿刺伤口的装置利用可枢转地安装到细长杆的远端的捕获构件。 在使用期间，捕获构件通过定位在伤口中的套管针鞘被插入到体腔内，并被枢转到其在围绕伤口的组织下方延伸的位置。 在捕获构件的表面上形成膜或其它缝合线捕获表面。 施加到伤口上的缝合线在其每个端部上具有锚固件，并且缝合线承载针带有每个缝线端部及其对应的锚固件。 缝合线承载针单独地通过围绕伤口的组织层，随后穿过捕获构件的膜。 缝合线末端和相应的锚定装置从针上释放出来。 捕获装置枢转到位置，其中细长杆的纵向延伸，导致锚固件由于不能通过膜而不能通过膜而被接合，除非被针携带。 将提升力施加到细长杆上以将捕获构件提升出伤口，将缝合线的端部拉出伤口以封闭组织中的开口。

公开(公告)号：US5458612A

公开(公告)日：1995-10-17

申请号：US178063

申请日：1994-01-06

申请人： Albert K. Chin

发明人： Albert K. Chin

IPC分类号： A61B1/12 ,  A61M25/00 ,  A61M29/02 ,  A61M31/00

CPC分类号： A61B1/012 ,  A61B1/00082 ,  A61M29/02 ,  A61M2025/0037

摘要： The invention is directed to a novel method and apparatus for treatment of a diseased internal organ, specifically, the male prostrate gland. The method and apparatus are specific to a transperineal approach to the prostrate gland. The apparatus comprises a catheter containing a plurality of lumens therethrough, an inflatable transparent member in fluid communication with one of the lumens and placed on the distal end of the catheter, and visualizing means to allow for visualization of the area to be treated through said inflatable member. Upon inflation, the inflatable member aids in the separation of the prostrate gland from the rectal wall. Additionally, treating means can be inserted through another of the lumens in order to obtain the desired systemic effect on the prostate gland.

摘要翻译： 本发明涉及用于治疗患病内脏器官，特别是男性前列腺的新颖方法和装置。 该方法和装置是针对匍匐腺的经腹方法所特有的。 该装置包括一个导管，其中包含多个通过其流通的内腔，一个可膨胀的透明构件，其与一个内腔流体连通并放置在导管的远端，以及可视化装置，以允许通过所述可膨胀的 会员。 在膨胀时，可膨胀构件有助于将前列腺与直肠壁分离。 此外，治疗装置可以插入通过另一个内腔，以获得对前列腺的期望的全身作用。

公开(公告)号：US5449380A

公开(公告)日：1995-09-12

申请号：US122394

申请日：1993-09-17

申请人： Albert K. Chin

发明人： Albert K. Chin

IPC分类号： A61B17/00 ,  A61B17/42 ,  A61B18/00 ,  A61B18/04 ,  A61B18/08 ,  A61B19/00 ,  A61F7/00 ,  A61F7/12

CPC分类号： A61B18/08 ,  A61F7/12 ,  A61B18/00 ,  A61B2017/00557 ,  A61B2017/4216 ,  A61B2018/00559 ,  A61B2018/046 ,  A61B2090/3614 ,  A61F2007/0054

摘要： An apparatus and method for cauterizing the endometrial tissue of the uterus includes an inflatable balloon mounted to the end of a cannula and spring members which shape the balloon to approximate the bicornual shape of the uterus. A heating coil heats a saline solution to approximately 190.degree.-210.degree. F. and a pump circulates the saline solution through the cannula and inflates the balloon. The inflated balloon contacts substantially all of the intrauterine surface and is held in contact with the surface for 5 to 7 minutes until the tissue has been necrosed. A fiberoptic scope is used to monitor balloon placement and cauterization effect.

摘要翻译： 用于烧灼子宫内膜组织的装置和方法包括安装到套管末端的可充气气囊和使球囊成形以近似子宫的双子宫形状的弹簧构件。 加热盘管将盐水溶液加热至约190°-210°F，并且泵将盐水溶液循环通过套管并使气囊膨胀。 膨胀的气囊几乎接触到子宫内表面，并且与表面保持接触5至7分钟，直到组织已经坏死。 光纤作用范围用于监测气球放置和烧灼效果。

公开(公告)号：US5431669A

公开(公告)日：1995-07-11

申请号：US92831

申请日：1993-07-16

申请人： Todd Thompson ,  Albert K. Chin

发明人： Todd Thompson ,  Albert K. Chin

IPC分类号： A61B17/128 ,  A61B17/00

CPC分类号： A61B17/1285 ,  Y10S227/902

摘要： The invention provides a surgical clip applier particularly useful in laparoscopic and other least invasive surgical procedures. The clip applier includes a shaft having a distal end and a proximal end, the shaft defining an axial direction. Means are provided in the shaft for advancing a clip to the distal end. Hook means are fixed to the distal end of the shaft, the hook means having a distal portion disposed transverse to the shaft so as to define a surface facing in a proximal direction for engaging a tissue structure. A pair of movable jaws are mounted at the distal end of the shaft and are axially slidable relative to the hook means for closing a clip on a tissue structure engaged by the hook means. The movable jaws will define a U-shaped slot open in a generally distal direction. Means are further provided for advancing the jaws to a position adjacent the distal portion of the hook means, as well as means for closing the jaws. The clip applier is particularly advantageous in providing the capability to engage a tissue structure in the hook means and reposition the tissue structure and/or hold the tissue structure in tension while a surgical clip is applied.

摘要翻译： 本发明提供了一种特别适用于腹腔镜和其他最小侵入性外科手术的手术夹具。 施夹器包括具有远端和近端的轴，所述轴限定轴向方向。 在轴上设有用于将夹子推进到远端的装置。 钩装置固定到轴的远端，钩装置具有横向于轴设置的远侧部分，以便限定面向近端方向的表面以接合组织结构。 一对可动爪安装在轴的远端，并且可相对于钩装置轴向滑动，用于封闭由钩装置接合的组织结构上的夹子。 可移动的夹爪将限定在大致远端方向上敞开的U形槽。 进一步设置用于将夹爪推进到与钩装置的远端部分相邻的位置的装置，以及用于关闭钳口的装置。 夹子施放器在提供接合钩装置中的组织结构并且在施加外科夹子时重新定位组织结构和/或保持组织结构处于张力的能力是特别有利的。

公开(公告)号：US5431667A

公开(公告)日：1995-07-11

申请号：US26445

申请日：1993-03-04

申请人： Todd A. Thompson ,  Tim Kovac

发明人： Todd A. Thompson ,  Tim Kovac

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/04

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B17/128 ,  A61B2017/2929 ,  A61B2017/2948

摘要： An gas-sealed instrument for use in laparoscopic procedures in a gas-insufflated body cavity. The instrument comprises a static portion, a moving portion, and a flexible seal for preventing gas from escaping from the body cavity through the static portion. The static portion includes a handle, and an elongate outer tube having a bore, a proximal portion attached to the handle, and a distal portion adapted for inserting into the body cavity. The moving portion includes an operating lever pivotally mounted in the handle, and an elongate operating rod mounted in the bore of the elongate outer tube, and sliding axially relative thereto in response to the operating lever. The flexible seal includes an outer portion attached to the static portion, an inner portion disposed about part of the moving portion, and a flexible mid portion between the outer portion and the inner portion. A rigid seal may be substituted for the flexible seal.

摘要翻译： 一种气体密封仪器，用于气体吹入体腔内的腹腔镜手术。 仪器包括静止部分，移动部分和柔性密封件，用于防止气体通过静态部分从体腔逸出。 静止部分包括手柄和细长的外管，其具有孔，附接到手柄的近端部分和适于插入体腔的远侧部分。 移动部分包括可旋转地安装在手柄中的操作杆和安装在细长外管的孔中的细长操作杆，并且响应于操作杆而相对于其滑动。 柔性密封件包括附接到静止部分的外部部分，围绕移动部分的一部分设置的内部部分，以及在外部部分和内部部分之间的柔性中间部分。 刚性密封件可以代替柔性密封件。

公开(公告)号：US5407433A

公开(公告)日：1995-04-18

申请号：US15765

申请日：1993-02-10

申请人： Bryan E. Loomas

发明人： Bryan E. Loomas

IPC分类号： A61B17/34 ,  A61M39/06 ,  A61M5/00

CPC分类号： A61M39/0606 ,  A61B17/3462 ,  A61M39/06 ,  A61M39/0613 ,  A61B1/00137 ,  A61B17/3498 ,  A61B2017/3464 ,  A61M2039/0279 ,  A61M2039/0626 ,  A61M2039/0673 ,  A61M2039/0686

摘要： A seal for use in a surgical instrument to provide a gas-tight seal with an instrument passed through the seal. The seal can form a gas-tight seal with an instrument having a diameter within a wide range of diameters. The seal comprises a seal body, an instrument seal, and a laterally-compliant seal mounting device. The seal body includes a bore through which the instrument is passed. The instrument seal is made of an elastic material and is disposed substantially perpendicular to the axis defined by the bore in the seal body. The instrument seal includes an instrument port through which the instrument is passed. The laterally-compliant seal mounting device mounts the instrument seal to the seal body, forms a gas-tight seal between the instrument seal and the seal body, and allows the instrument seal to move freely laterally in response to lateral movement of the instrument.

摘要翻译： 用于外科器械的密封件，用于通过密封件的仪器提供气密密封。 密封件可以形成具有直径在很宽的直径范围内的仪器的气密密封。 密封件包括密封体，仪器密封件和横向顺从的密封件安装装置。 密封体包括仪器通过的孔。 仪器密封件由弹性材料制成并且基本上垂直于由密封体中的孔限定的轴线设置。 仪器密封件包括仪器通过的仪器端口。 横向顺从的密封安装装置将仪器密封件安装到密封体上，在仪器密封件和密封体之间形成气密密封，并且允许仪器密封件响应于仪器的横向移动而横向移动。

公开(公告)号：US5391182A

公开(公告)日：1995-02-21

申请号：US100926

申请日：1993-08-03

申请人： Albert K. Chin

发明人： Albert K. Chin

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/06

CPC分类号： A61B17/0469 ,  A61B17/0057 ,  A61B17/0401 ,  A61B17/06066 ,  A61B17/06166 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0454 ,  A61B2017/0458 ,  A61B2017/0472

摘要： An apparatus for suturing fascial tissue for deep puncture wounds utilizes a flexible membrane inserted into a body cavity through a trocar sheath positioned in a wound. A suture to be applied to the wound has anchors attached to each of its ends. A pair of suture-carrying needles each carry an end of the suture and its corresponding anchor. The suture-carrying needles are passed through the fascial layer surrounding the wound and are subsequently passed through the flexible membrane. The suture ends and corresponding anchor means are released from the needles. A lifting force is applied to the flexible member via a cord or shaft which extends out of the wound. The anchors are engaged by the flexible membrane as it is withdrawn out of the wound, pulling the ends of the suture out of the wound to close the opening in the fascial tissue.

摘要翻译： 用于缝合深层穿刺伤口的筋膜组织的装置利用通过定位在伤口中的套管针鞘插入到体腔中的柔性膜。 要施加到伤口上的缝线具有连接到其每个端部的锚固件。 一对缝合线承载针各自承载缝线的一端及其对应的锚。 穿过缝合线的针穿过围绕伤口的筋膜，然后穿过柔性膜。 缝合线末端和相应的锚定装置从针上释放出来。 通过延伸出伤口的绳索或轴将提升力施加到柔性构件。 当柔性膜从伤口中抽出时，锚固件被接合，将缝合线的端部拉出伤口以关闭筋膜组织中的开口。

公开(公告)号：US5361752A

公开(公告)日：1994-11-08

申请号：US877995

申请日：1992-05-04

申请人： Frederic H. Moll ,  Albert K. Chin

发明人： Frederic H. Moll ,  Albert K. Chin

IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/03 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B19/02

CPC分类号： A61B17/3417 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B90/50 ,  A61B17/3462 ,  A61B2017/00261 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/3486 ,  A61B2090/306 ,  Y10T156/1003

摘要： A first inflatable retraction device has a first inflatable chamber and a non-pressurized chamber inside the main chamber. The non-pressurized chamber is expanded by inflating a second inflatable chamber. The non-pressurized chamber enables the main chamber to remain inflated when an aperture is cut in the envelope of the main chamber, through which treatment is carried out. A second inflatable retraction device has an inflatable retractor and a maintainer. The inflatable retractor retracts the organ and the maintainer maintains the organ in its retracted condition after the inflatable retractor is deflated. The maintainer can be inflatable, and can be inside or outside the inflatable retractor. A self-retracting endoscope has an optical assembly with an expandable retractor fitted to its distal end. The distal end of the endoscope is inserted into the body with the retractor in a collapsed condition. The retractor is then expanded to retract organs that would otherwise obstruct the view from the distal end of the optical assembly. After observations are complete, the retractor is returned to its collapsed condition. An insertion tube enables cylindrical objects, such as packaged inflatable retraction devices, to be pulled, instead of pushed, into the body. The additional chamber of an inflatable retraction device having two inflatable chambers is filled with a slurry of a particulate solid in a liquid. The liquid is removed and the additional chamber evacuated to consolidate the particulate solid. This increases the retracting strength of the additional chamber.

摘要翻译： 第一可充气回缩装置具有在主室内的第一可充气室和非加压室。 非加压室通过使第二可膨胀室膨胀而膨胀。 当在主室的封套中切割孔口时，非加压室使得主室保持充气，通过该腔室进行处理。 第二可充气回缩装置具有可充气牵开器和维护器。 充气式收缩器缩回器官，并且保持器在充气式收缩器收缩后将器官保持在缩回状态。 维护者可以充气，并且可以在可充气牵开器的内部或外部。 自动回缩内窥镜具有安装在其远端的可扩张牵开器的光学组件。 将内窥镜的远端插入体内，牵开器处于折叠状态。 然后，收缩器被扩展以缩回否则将从光学组件的远端阻挡视图的器官。 观察完成后，牵开器返回到折叠状态。 插入管使圆柱形物体（例如包装的可充气回缩装置）被拉动而不是被推入身体。 具有两个可膨胀室的可充气回缩装置的附加室被填充有液体中的颗粒状固体的浆液。 除去液体，并且将附加的室抽真空以固结颗粒状固体。 这增加了附加室的回缩强度。

公开(公告)号：US5318580A

公开(公告)日：1994-06-07

申请号：US752867

申请日：1991-08-30

申请人： Charles Gresl, Jr.

发明人： Charles Gresl, Jr.

IPC分类号： A61B17/34 ,  A61B19/00 ,  A61B17/32

CPC分类号： A61B17/3496 ,  A61B2090/08021

摘要： A trocar is received in a trocar tube for movement relative to the tube between a position extended from the tube for piercing and a retracted position shielded by the tube. The trocar is mounted within a housing which carries a spring normally biasing the trocar to the retracted position. A latch mechanism within the housing is engageable with the trocar to maintain the trocar in the extended position. The latch mechanism senses the application of piercing force to the trocar and, upon the interruption of such force in response to the completion of a piercing operation, functions to release the trocar for retraction by the spring.

摘要翻译： 套管针被容纳在套管针管中，用于相对于管在从用于穿刺的管延伸的位置和由管屏蔽的缩回位置之间移动。 套针针安装在外壳内，该外壳内装有通常将套管针偏压到缩回位置的弹簧。 壳体内的闩锁机构能够与套管针接合以将套管针保持在伸出位置。 闩锁机构感测到针刺针的穿刺力的应用，并且在响应于穿刺操作的完成的这种力的中断时起到释放套管针以用于由弹簧缩回的功能。

公开(公告)号：US5300036A

公开(公告)日：1994-04-05

申请号：US41914

申请日：1993-04-02

申请人： Richard L. Mueller ,  Edwin J. Hlavka ,  Tim Kovac ,  Albert K. Chin

发明人： Richard L. Mueller ,  Edwin J. Hlavka ,  Tim Kovac ,  Albert K. Chin

IPC分类号： A61B17/00 ,  A61B17/34 ,  A61M39/06 ,  A61M5/178

CPC分类号： A61M39/06 ,  A61B17/3417 ,  A61B17/3462 ,  A61B2017/0046 ,  A61B2017/347 ,  A61M2039/0626

摘要： An improved trocar is provided which includes converters for adapting to different size surgical instruments while maintaining sealing. The invention also includes an improved trocar tube body seal design which accepts and accommodates surgical tool angulation while still maintaining sealing. Still further, the invention provides a trocar obturator with a snap-fit joint which permits the forward portion of the obturator to be detached from the trocar body and separately used with the trocar tube subassembly. With this option, a latch mechanism is configured opposite to a converter to retain the obturator fixed with the trocar tube subassembly.

摘要翻译： 提供了一种改进的套针针，其包括用于适应不同尺寸的手术器械同时保持密封的转换器。 本发明还包括改进的套管针体密封件设计，其在仍然保持密封的同时接受并适应手术工具的角度。 此外，本发明提供一种具有卡扣配合接头的套管针闭塞器，其允许闭孔器的前部从套针针体脱离并与套管针组件分开使用。 通过该选项，闩锁机构被配置成与转换器相对以保持用套管针组件固定的闭塞器。