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    ENDOSCOPIC INSTRUMENT MANAGEMENT SYSTEM
    111.
    发明申请
    ENDOSCOPIC INSTRUMENT MANAGEMENT SYSTEM 审中-公开
    内窥镜仪器管理系统

    公开(公告)号：US20100137681A1

    公开(公告)日：2010-06-03

    申请号：US12623224

    申请日：2009-11-20

    Applicant: Richard C. Ewers ,  Christopher James Earley ,  Barton P. Bandy ,  Haio Fauser

    Inventor： Richard C. Ewers ,  Christopher James Earley ,  Barton P. Bandy ,  Haio Fauser

    IPC: A61B1/01 ,  A61B1/018

    CPC classification number: A61B17/00234 ,  A61B17/2909 ,  A61B2017/003

    Abstract: Endoscopic instrument management systems are described herein which allow one or more operators to manage multiple different instruments utilized in endoscopic procedures. In one aspect, responsibility for instrumentation management between one or more operators may be configured such that a first set of instruments is controlled by a primary operator and a second set of instruments is controlled by a secondary operator. The division of instrumentation may be facilitated by the use of separated instrumentation platforms or a single platform which separates each instrument for use by the primary operator. Such platforms may be configured as trays, instrument support arms, multi-instrument channels, as well as rigidized portions of instruments to facilitate its handling, among others. In another aspect, one or more plastically deformable instrument manifolds are provided to guide flexible endoscopic instruments into and through an endoscopic access device.

    Abstract translation: 本文描述了内窥镜仪器管理系统，其允许一个或多个操作者管理在内窥镜程序中使用的多种不同的仪器。 一方面，可以配置一个或多个操作者之间的仪表管理责任，使得第一组仪器由主操作者控制，第二组仪器由次操作者控制。 可以通过使用分离的仪器平台或将每个仪器分离以供主要操作员使用的单个平台来促进仪器的划分。 这样的平台可以被配置为托盘，仪器支撑臂，多仪器通道，以及便于其操纵的仪器的刚性部分等。 在另一方面，提供一个或多个可塑性变形的仪器歧管以将柔性内窥镜器械引导入并通过内窥镜检查装置。

    SURGICAL ACCESS APPARATUS AND METHOD
    114.
    发明申请
    SURGICAL ACCESS APPARATUS AND METHOD 有权
    外科手术设备及方法

    公开(公告)号：US20090137879A1

    公开(公告)日：2009-05-28

    申请号：US12360710

    申请日：2009-01-27

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

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

    IPC: A61B1/32

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

    Abstract: A surgical access device includes a single valve that forms a seal with the body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon, thereby providing hand access into the cavity.A method for making the surgical access device includes the combining of a gelling agent with an oil, preferably in a molding process. A method for using the device includes steps for creating an opening with the instrument. In a particular process, an organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity. The valve and method are particularly adapted for laparoscopic surgery wherein the abdominal cavity is insufflated with a gas thereby requiring the zero seal, the instrument seal, and the organ seal in various procedures.

    Abstract translation: 外科进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有在没有仪器的情况下产生零密封的特性，以及具有仪器直径范围的仪器的仪器密封。 该阀可以包括凝胶，优选地包括由弹性体和提供大于1000％的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口，其中仪器包括外科医生的手臂 ，从而提供手进入空腔。 用于制造外科进入装置的方法包括胶凝剂与油的组合，优选在模制过程中。 一种使用该装置的方法包括用该仪器产生开口的步骤。 在特定的过程中，器官可以通过单个阀从体腔中移除，以在器官在体腔外部寻址时产生器官密封。 该阀和方法特别适用于腹腔镜手术，其中腹腔用气体吹入，因此需要零密封，器械密封和器官密封。

    TISSUE GRASPING APPARATUS
    116.
    发明申请
    TISSUE GRASPING APPARATUS 有权
    组织砂光装置

    公开(公告)号：US20080262539A1

    公开(公告)日：2008-10-23

    申请号：US11736539

    申请日：2007-04-17

    Applicant: Richard C. Ewers ,  Eugene Chen ,  Arvin T. Chang ,  Robert A. Vaughan

    Inventor： Richard C. Ewers ,  Eugene Chen ,  Arvin T. Chang ,  Robert A. Vaughan

    IPC: A61B17/29

    CPC classification number: A61B17/29 ,  A61B2017/00278 ,  A61B2017/003 ,  A61B2017/2926 ,  A61B2017/2932 ,  A61B2017/2939 ,  A61B2017/320064

    Abstract: A tissue grasping apparatus includes a control member, an elongated shaft, and a tissue grasping member attached to the distal end of the elongated shaft. An activation mechanism provides an user-operable connection between the control member and the tissue grasping member. In an embodiment, the tissue grasping member includes a pair of jaws configured to open to an included angle between the jaws of 180 degrees or more. In an embodiment, the activation mechanism includes a flexible drive wire attached to the penetrating member.

    Abstract translation: 组织抓取装置包括控制构件，细长轴和附接到细长轴的远端的组织把持构件。 激活机构提供控制构件和组织把持构件之间的用户可操作的连接。 在一个实施例中，组织夹持构件包括一对夹爪，其被构造成以180度或更大的夹爪之间的夹角打开。 在一个实施例中，激活机构包括附接到穿透构件的柔性驱动线。

    ENDOSCOPIC SYSTEM WITH DISPOSABLE SHEATH
    117.
    发明申请
    ENDOSCOPIC SYSTEM WITH DISPOSABLE SHEATH 审中-公开
    内窥镜系统与可治疗的皮肤

    公开(公告)号：US20080262294A1

    公开(公告)日：2008-10-23

    申请号：US11738297

    申请日：2007-04-20

    Applicant: Richard C. EWERS ,  Eugene CHEN ,  Tung Thanh LE ,  Robert A. VAUGHAN ,  Marvin C. ELMER ,  John A. COX ,  Tracy D. MAAHS

    Inventor： Richard C. EWERS ,  Eugene CHEN ,  Tung Thanh LE ,  Robert A. VAUGHAN ,  Marvin C. ELMER ,  John A. COX ,  Tracy D. MAAHS

    IPC: A61B1/005

    CPC classification number: A61B1/0051 ,  A61B1/00071 ,  A61B1/00105 ,  A61B1/00135 ,  A61B1/00142

    Abstract: An endoscopic system includes a sheath having a flexible sheath body. A tip is attached to a distal end of the sheath body. A handle is attached to the proximal end of the sheath body. A steerable section may be provided in the sheath adjacent to the tip. Steering controls may then be provided on the handle for steering the steerable section. Lumens extend from the tip to the handle. The distal end of each lumen is sealed to the tip. Bodily fluids can only enter into the lumens and not other areas within the sheath. A shapelock assembly has an elongated hollow body positionable within the sheath body. The shapelock body may be switched between generally rigid and flexible conditions. The sheath provides a sterile barrier around the shapelock body. The shapelock assembly can be readily reused and the sheath may be disposable.

    Abstract translation: 内窥镜系统包括具有柔性护套主体的护套。 尖端附接到护套主体的远端。 手柄附接到护套主体的近端。 一个可操纵的部分可以设置在与尖端相邻的护套中。 然后可以在手柄上提供转向控制以转向可转向部分。 流明从尖端延伸到手柄。 每个腔的远端被密封到尖端。 体液只能进入腔内，而不能进入鞘内的其他区域。 形状锁定组件具有可定位在护套主体内的细长的中空体。 形状锁体可以在通常刚性和柔性的条件之间切换。 护套围绕形状锁体提供无菌屏障。 形状锁定组件可以容易地重复使用并且护套可以是一次性的。

    Wound retraction apparatus and method
    119.
    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

    Applicant: 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

    Inventor： 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: A61B17/02

    CPC classification number: A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

    Abstract: 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.

    Abstract translation: 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。

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