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公开(公告)号:US08551088B2
公开(公告)日:2013-10-08
申请号:US12416695
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
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.
摘要翻译: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。
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公开(公告)号:US20130217973A1
公开(公告)日:2013-08-22
申请号:US13765278
申请日:2013-02-12
申请人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号: A61B1/32
CPC分类号: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要: A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter through body cavities of varying thicknesses. The retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound, a second ring having a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound, and a sheath disposed between the two rings. Optionally, the second ring may be detachably attached to the sheath to adapt the retractor to body cavities of varying thickness. Additional rings may be disposed along the sheath to provide for adjustment of the distance between the first and second rings. The retractor may also include an expandable foam annulus that can adjust the distance between the first and second rings.
摘要翻译: 外科伤口牵开器适于通过不同厚度的体腔将可伸展到期望直径的伤口扩张。 牵开器包括第一环,其直径大于伤口所需的直径,并且适于在伤口内部配置,第二环的直径大于伤口所需的直径,并适于在伤口的外部进行配置;以及 设置在两个环之间的护套。 可选地,第二环可以可拆卸地附接到护套以使牵开器适应变化厚度的体腔。 可以沿着护套设置附加的环以提供第一和第二环之间的距离的调整。 牵开器还可以包括可调节第一和第二环之间距离的可膨胀泡沫环。
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公开(公告)号:US08133196B2
公开(公告)日:2012-03-13
申请号:US12902890
申请日:2010-10-12
IPC分类号: A61M13/00
CPC分类号: A61M13/003 , A61B17/3474
摘要: An insufflation gas warmer and humidifier apparatus and methods are provided. Insufflation gas is received from a bulky insufflation tubing. Insufflation gas received travels through, in one aspect, a channel or winding flow path, in a passage. The configuration of the passage ensures that the insufflation gas, which travels through the passage, receives sufficient heat and moisture. A humidifying reservoir humidifies the insufflation gas as the insufflation gas is passed to the passage. In one aspect, an oxygenator introduces slight amounts of oxygen into the insufflation gas. A warmer connected to the passage warms the gas in the passage. The warmer, in one aspect, contains a reactive agent that when exposed to air produces heat that is transferred to the passage to warm the insufflation gas within the passage.
摘要翻译: 提供了一种吹气加温器和加湿装置和方法。 从大体积吹入管接收吹入气体。 在一个方面,接收的吹入气体在通道中穿过通道或卷绕流动路径。 通道的构造确保了通过通道的吹入气体受到足够的热量和湿气。 当吹入气体通过通道时,加湿容器加湿吹入气体。 一方面,氧合器将少量的氧气引入吹入气体。 与通道连接的暖气暖气通道中的气体。 在一个方面,暖气器包含一种反应剂,当暴露在空气中时,会产生传递到通道的热量,以加热通道内的吹入气体。
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公开(公告)号:US08007477B2
公开(公告)日:2011-08-30
申请号:US10805864
申请日:2004-03-22
IPC分类号: A61M25/00
CPC分类号: A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要: A surgical access port for insertion into a body cavity can have an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip moves from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip.
摘要翻译: 用于插入体腔的外科进入口可以具有沿着近端和远端之间的轴延伸的细长管状体,以及在管状体的远端处的尖端,用于穿透体壁并进入体内 腔。 当身体壁已经穿过时,远端从第一穿透位置移动到第二保持位置。 外科进入口还可以包括连接到管状体的近端的密封外壳,密封壳体具有进入端口,该入口端口提供管状体的开口以允许外科器械通过。 远侧尖端可以是尖锐的,尖的或叶片的。 远侧末端也可以是基本上钝的或具有锥形表面。 进入端口还可以包括用于连接管状体和远侧末端的保持构件。
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公开(公告)号:US07951076B2
公开(公告)日:2011-05-31
申请号:US11245709
申请日:2005-10-07
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/3423 , A61B17/3498 , A61B2017/00265
摘要: A surgical access device adapted for disposition relative to an incision in a patient comprising a valve including a plurality of overlapping sheets defining an access channel, and a ring having an inner diameter for holding the valve by fixing each of the overlapping sheets along a portion of the perimeter is described. The access channel extends into communication with the incision in the patient. Each of the overlapping sheets includes a portion of the perimeter that is not fixed to the inner diameter of the ring, which provide open edges defining the access channel. The open edges slightly overlap at the center of the ring.
摘要翻译: 一种外科进入装置,其适于相对于患者中的切口设置,包括阀,所述阀包括限定进入通道的多个重叠片,以及环,其具有用于通过将每个所述重叠片沿着 描述了周边。 进入通道延伸成与患者的切口通信。 每个重叠片材包括未固定到环的内径的周边的一部分,其提供限定接入通道的开口边缘。 开口边缘在环的中心稍微重叠。
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公开(公告)号:US07913697B2
公开(公告)日:2011-03-29
申请号:US12693242
申请日:2010-01-25
申请人: Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人: Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号: A61F13/00
CPC分类号: A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B17/3498 , A61B2017/00889 , A61B2017/00938 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435
摘要: An incrementally adjustable wound retractor (100), having a first ring (102) with a diameter greater than the desired diameter of the wound incision. A second ring (104), having an annular axis and a diameter greater than the desired diameter of the wound incision. A flexible sleeve (106), disposed in a generally cylindrical form between the first and second rings (102, 104), the second ring may be rolled over itself and around the annular axis to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译: 一种增量可调的伤口牵开器(100),具有直径大于所述伤口切口所需直径的第一环(102)。 第二环(104),其具有环形轴线和直径大于所述伤口切口的期望直径。 柔性套筒(106)以大致圆柱形的形式设置在第一和第二环(102,104)之间,第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基缩回力的套筒 切口至所需直径。
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公开(公告)号:US20100249527A1
公开(公告)日:2010-09-30
申请号:US12815986
申请日:2010-06-15
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US07771395B2
公开(公告)日:2010-08-10
申请号:US11423801
申请日:2006-06-13
申请人: Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle
发明人: Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle
IPC分类号: A61M5/178
CPC分类号: A61B17/3498 , A61B17/3423 , A61B17/3462 , A61B2017/3464
摘要: A surgical access device, such as a trocar, includes a pendent valve having an elongate structure extending from a proximal end to a septum valve disposed at a distal end. In operation, the elongate structure follows the angle of the instrument to pre-position the septum valve into the path of the instrument where it is not significantly challenged during instrument insertion or manipulation. The pendant valve can be made to float at both the proximal end and the distal end of the elongate structure, to further reduce the vulnerability of the septum valve. Since the valve is less vulnerable to instrument insertion, it can be formed to minimize friction and maximize the functional range of the access device.
摘要翻译: 手术进入装置,例如套管针,包括具有从近端延伸到设置在远端的隔膜阀的细长结构的侧悬阀。 在操作中,细长结构遵循仪器的角度,以将隔膜阀预先定位到仪器的路径中,在仪器插入或操纵期间,隔膜阀不会受到严重的挑战。 悬挂阀可以制成在细长结构的近端和远端两侧浮动,以进一步降低隔膜阀的脆弱性。 由于阀门不易受仪器插入的影响,因此可以形成最小化摩擦力并最大化进入设备的功能范围。
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公开(公告)号:US07749415B2
公开(公告)日:2010-07-06
申请号:US11548746
申请日:2006-10-12
IPC分类号: B28B3/02
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译: 本发明涉及具有凝胶帽,保持器,套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁,凝胶粘合到该内壁上,由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上,凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐,减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号:US20100049194A1
公开(公告)日:2010-02-25
申请号:US12611352
申请日:2009-11-03
IPC分类号: A61B18/14
CPC分类号: A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要: A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.
摘要翻译: 组织焊接装置适于将第一片组织熔合到第二片组织中,所述第二片组织布置在表面邻近关系中。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。 热源耦合到穿透构件,用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二片组织的柱。 化学试剂可以用穿透构件携带到组织。
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