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167 条记录 (耗时 0.03 秒)

    Circular surgical retractor
    102.
    发明授权
    Circular surgical retractor 有权
    圆形手术牵开器

    公开(公告)号：US07704207B2

    公开(公告)日：2010-04-27

    申请号：US11548767

    申请日：2006-10-12

    申请人： Jeremy J. Albrecht ,  Charles C Hart ,  John R. Brustad

    发明人： Jeremy J. Albrecht ,  Charles C Hart ,  John R. Brustad

    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： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.

    摘要翻译： 用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环，外环和可扩张套管。 外环包括彼此耦合的至少一对圆形管。 圆形管中的至少一个包括形成开放端的管腔和裂口。 其中分开的不合适的管状环位于内腔中。 管状环被定向成其开口端定位成远离圆形管的分割。 核心位于管状箍的内腔中。 芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。 圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。

    Wound retraction apparatus and method
    105.
    发明授权
    Wound retraction apparatus and method 有权
    伤口收缩装置及方法

    公开(公告)号：US07238154B2

    公开(公告)日：2007-07-03

    申请号：US11218412

    申请日：2005-09-01

    申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott 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 Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

    IPC分类号： A61B17/02

    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 to a desired diameter. The retractor includes first and second rings, each having a diameter greater than that desired for the wound. The first and second rings are adapted for disposition interiorly and exteriorly of the wound, respectively. A plurality of retraction elements is disposed in a generally cylindrical relationship between the first and second rings and extends through the wound to exert a radial retraction force on the wound that is dependent on the distance separating the first and second rings. Retraction elements, both distensible and non-distensible, are contemplated with appropriate attachment elements at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force.

    摘要翻译： 外科伤口牵开器适于将伤口扩张到期望的直径。 牵开器包括第一和第二环，每个环的直径大于伤口所需的直径。 第一和第二环分别适于在伤口的内部和外部设置。 多个退回元件以第一和第二环之间的大致圆柱形的关系设置，并且延伸穿过伤口，以在伤口上施加径向缩回力，这取决于分隔第一和第二环的距离。 可伸缩和不扩张的回缩元件可以考虑在环处的合适的附接元件以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。

    Surgical access apparatus and method
    107.
    发明授权
    Surgical access apparatus and method 有权
    手术进入装置及方法

    公开(公告)号：US06887194B2

    公开(公告)日：2005-05-03

    申请号：US10346846

    申请日：2003-01-17

    申请人： Charles C. Hart ,  John R. Brustad

    发明人： Charles C. Hart ,  John R. Brustad

    IPC分类号： A61B1/313 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B1/00

    CPC分类号： A61B17/3417 ,  A61B1/3132 ,  A61B17/3474 ,  A61B90/30 ,  A61B2017/320044 ,  A61B2017/349 ,  A61B2090/08021 ,  A61B2090/373

    摘要： A laparoscopic insufflation device is provided in the configuration of a coil with a blunt tip. The device is capable of passing through the abdominal wall without cutting tissue, and exiting the abdominal wall substantially parallel to the inner surface. While rotation of the coiled device results in forward movement through the abdominal wall, a counter force can be applied to the device to create a safety space between the wall and the interior organs. With the blunt distal tip, parallel exit angle, and safety space, there is substantially no threat to the interior organs during placement of the device. Further space can be generated with the use of pressured gas to produce an abdominal cavity for the subsequent placement of trocars. By rotatably attaching the coiled insufflation device to a trocar, the advantage of a counter force can be used not only to establish the safety space but also to pull the trocar into the abdominal wall with a counterforce which resists tenting.

    摘要翻译： 在具有钝头的线圈的构造中提供了腹腔镜吹气装置。 该装置能够穿过腹壁而不切割组织，并且基本上平行于内表面离开腹壁。 当卷绕装置的旋转导致通过腹壁的向前运动时，可以向装置施加反作用力以在壁和内部器官之间形成安全空间。 使用钝的远端，平行的出口角度和安全空间，在设备放置期间对内部器官基本上没有威胁。 可以通过使用加压气体产生进一步的空间以产生用于随后放置套管针的腹腔。 通过可旋转地将卷绕的吹气装置连接到套管针上，反力的优点不仅可以用于建立安全空间，而且可以用抵抗帐篷的反作用力将套管针拉入腹壁。

    Instrument seal
    108.
    发明授权
    Instrument seal 有权
    仪表密封

    公开(公告)号：US08684975B2

    公开(公告)日：2014-04-01

    申请号：US13419628

    申请日：2012-03-14

    申请人： Jeremy J. Albrecht ,  John R. Brustad ,  Gary M. Johnson ,  Matthew W. Becerra ,  Eric Nguyen

    发明人： Jeremy J. Albrecht ,  John R. Brustad ,  Gary M. Johnson ,  Matthew W. Becerra ,  Eric Nguyen

    IPC分类号： A61M5/178

    CPC分类号： A61B17/3462 ,  A61B17/3421 ,  A61B2017/3464 ,  A61M2039/0633

    摘要： A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder.

    摘要翻译： 手术进入口包括将仪器接触功能与仪器符合功能分开的阀或仪器密封件。 仪器密封件的实施例包括在通过压缩元件中的开口延伸的仪器接触元件中，从而限定与延伸穿过其中的仪器密封的仪器孔。 仪器接触元件的实施例包括不可扩张的膜或膜，例如作为管或气缸。

    Surgical access apparatus and method
    109.
    发明授权
    Surgical access apparatus and method 有权
    手术进入装置及方法

    公开(公告)号：US08496581B2

    公开(公告)日：2013-07-30

    申请号：US13421730

    申请日：2012-03-15

    申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Gary R. Dulak ,  Payam Adlparvar ,  Robert R. Bowes

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3474 ,  A61B17/3498 ,  A61B2017/00265 ,  A61B2017/00526 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3492 ,  A61M13/003

    摘要： A device includes an access port adapted to permit access of at least one surgical instrument into a patient. The access port includes a proximal portion, a distal portion, and an intermediate portion monolithically formed of a flexible material. At least one opening extends through the access port. The proximal portion includes a proximal flange. The distal portion includes a distal flange. The intermediate portion includes an outer surface and at least one inner surface. The access port is adapted to form a perimeter seal when the proximal flange is disposed exteriorly and the distal flange is disposed interiorly. The access port is adapted to form a seal with the at least one surgical instrument positioned through the access port. The intermediate portion conforms to the surface of the surgical instrument positioned through the at least one opening and forms the seal between the inner surface and the surgical instrument.

    摘要翻译： 一种装置包括适于允许至少一个手术器械进入患者的进入口。 进入口包括近端部分，远端部分和由柔性材料整体形成的中间部分。 至少一个开口延伸穿过进入端口。 近端部分包括近侧凸缘。 远侧部分包括远端凸缘。 中间部分包括外表面和至少一个内表面。 当近侧凸缘设置在外部并且远侧凸缘位于内部时，进入口适于形成周边密封。 进入端口适于与通过进入端口定位的至少一个外科器械形成密封。 中间部分符合通过至少一个开口定位的外科器械的表面，并在内表面和外科器械之间形成密封。