公开(公告)号：US08652147B2

公开(公告)日：2014-02-18

申请号：US11549701

申请日：2006-10-16

申请人： Charles C. Hart

发明人： Charles C. Hart

IPC分类号： A61B17/24

CPC分类号： A61B17/00234 ,  A61B2017/00287

摘要： A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.

摘要翻译： 组织隔离和去除装置具有由装置打开和支撑的容纳袋。 该袋具有两个打开/关闭部分，能够关闭并重新打开。 位于远离组织的一部分被插入袋中并覆盖另一部分以包围或隔离在另一部分中捕获的任何组织。

公开(公告)号：US06231572B1

公开(公告)日：2001-05-15

申请号：US09087361

申请日：1998-05-29

申请人： Charles C. Hart ,  Nabil Hilal ,  Richard C. Ewers ,  Bounsavanh Pravongviengkham

发明人： Charles C. Hart ,  Nabil Hilal ,  Richard C. Ewers ,  Bounsavanh Pravongviengkham

IPC分类号： A61B1814

CPC分类号： A61B18/1492 ,  A61B2017/22038 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00148 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00285 ,  A61B2018/0041 ,  A61B2018/00505 ,  A61B2018/162

摘要： A catheter adapted to increase the patency of a body conduit includes an elongate tube having an axis extending between a proximal end and a distal end, and a balloon disposed at the distal end of the tube and having properties for being expanded to a high-profile state and for being contracted to a low-profile state. A sleeve disposed over the balloon has a pair of ends disposed on opposing sides of a central section, the ends having a floating relationship relative to the tube with the central section disposed circumferentially of the balloon. An electrode disposed outwardly of the sleeve has properties for being electrosurgically energized to incise materials defining the body conduit when the balloon is in the high-profile state. The electrode can be formed of a plurality of elements stranded to increase the surface area of the electrode. The catheter can be inserted relative to a guide member having a conductor which carries the electrosurgical energy from the proximal end of the tube to the electrode at the distal end of the tube. An associated method includes the step of introducing electrosurgical energy into the conductor of the guide member to energize the electrode of the catheter.

摘要翻译： 适于增加身体导管的通畅的导管包括具有在近端和远端之间延伸的轴线的细长管和设置在管的远端处的球囊，并且具有用于扩展到高轮廓的性质 并且被缩小到低调的状态。 设置在气囊上方的套筒具有设置在中心部分的相对侧上的一对端部，所述端部相对于管具有浮动关系，其中心部分设置在气囊的周向。 设置在套筒外侧的电极具有电气通电的特性，以便当球囊处于高轮廓状态时切割限定体导管的材料。 电极可以由多个元件形成，以增加电极的表面积。 导管可以相对于具有导体的引导构件插入，该导体将电外科能量从管的近端延伸到管的远端处的电极。 相关联的方法包括将电外科能量引入导向构件的导体以激励导管的电极的步骤。

公开(公告)号：US06217555B1

公开(公告)日：2001-04-17

申请号：US08793494

申请日：1996-01-14

申请人： Charles C. Hart ,  Vincent C. Tangherlini

发明人： Charles C. Hart ,  Vincent C. Tangherlini

IPC分类号： A61M5178

CPC分类号： A61B17/3498 ,  A61B17/3462 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466 ,  Y10S128/26

摘要： A trocar adapted to extend across the body wall into a body cavity, forming a seal around an instrument inserted through the trocar, comprises a cannula having a first axis extending between proximal and distal ends. A valve housing attached to the proximal end of the cannula forms a working channel with the cannula and includes a rigid housing portion and a flexible housing portion. First and second septum valves are formed in an end wall of the flexible housing portion and form separate valve sets with associated zero closure valves disposed within the valve housing. The valve sets are sized and configured accommodating different ranges of instrument diameters. The first and second septum valves are offset from the axis of the cannula in normal positions but are movable to positions more aligned with the axis of the cannula, due to elastomeric characteristics of the flexible housing.

摘要翻译： 套管针适于延伸穿过身体壁进入体腔，在穿过套管针插入的器械周围形成密封件，包括具有在近端和远端之间延伸的第一轴线的插管。 附接到套管的近端的阀壳体与套管形成工作通道，并且包括刚性壳体部分和柔性壳体部分。 第一和第二隔膜阀形成在柔性壳体部分的端壁中并且形成分离的阀组，其具有设置在阀壳体内的相关联的零关闭阀。 阀组的尺寸和配置适应不同范围的仪器直径。 第一和第二隔膜阀在正常位置偏离套管的轴线，但是由于柔性壳体的弹性特性，它们可移动到与插管的轴线更为对准的位置。

公开(公告)号：US5954732A

公开(公告)日：1999-09-21

申请号：US926875

申请日：1997-09-10

申请人： Charles C. Hart ,  Brett Trauthen ,  Nabil Hilal ,  Said Hilal ,  Bounsavanh Pravongviengkham

发明人： Charles C. Hart ,  Brett Trauthen ,  Nabil Hilal ,  Said Hilal ,  Bounsavanh Pravongviengkham

IPC分类号： A61B17/00 ,  A61B17/04

CPC分类号： A61B17/0625 ,  A61B17/0469 ,  A61B17/0483 ,  A61B17/0057 ,  A61B17/0482 ,  A61B2017/00637 ,  A61B2017/00663 ,  A61B2017/0472

摘要： A suturing apparatus adapted to close an incision and an anterior tissue wall includes an elongate support structure having an axis extending between a proximal end and distal end. A receiver disposed at the distal end is insertable through the incision in a low-profile state and expanded to a high-profile state on the far side of the tissue wall. Needles carried by the support structure are operable to extend through the support wall on either side of the incision and into the expanded receiver. Sutures advanced through the needles are captured by the receiver after the needles are removed and the receiver is returned to its low-profile state. Removal of the suturing apparatus from the incision draws the captured suture ends outwardly through the incision. A novel suture knot can be tied in the four suture ends and moved into proximity with the tissue wall to close the incision.

摘要翻译： 适于闭合切口和前组织壁的缝合装置包括具有在近端和远端之间延伸的轴线的细长支撑结构。 设置在远端的接收器可以通过切口以低轮廓状态插入，并且在组织壁的远侧扩展到高轮廓状态。 由支撑结构承载的针可操作地延伸穿过切口两侧的支撑壁并进入扩展的接收器。 在针被移除并且接收器返回到其低调状态之后，穿过针的缝合线被接收器捕获。 从缝合处去除缝合装置通过切口将捕获的缝线端向外拉。 一条新颖的缝合结可以绑在四条缝线端上，并移动到组织壁附近以封闭切口。

公开(公告)号：US5904698A

公开(公告)日：1999-05-18

申请号：US872206

申请日：1997-06-10

申请人： Thomas P. Thomas ,  Charles C. Hart ,  Said Hilal

发明人： Thomas P. Thomas ,  Charles C. Hart ,  Said Hilal

IPC分类号： A61B17/22 ,  A61B17/32 ,  A61B18/14

CPC分类号： A61B17/3207 ,  A61B17/221 ,  A61B18/1492 ,  A61B17/320725 ,  A61B2017/22061 ,  A61B2017/2212 ,  A61B2017/320004 ,  A61B2018/00214

摘要： A surgical device is disclosed for treating and removing obstructing material from within a vascular conduit or other body passageway. The device comprises a catheter device having an expandable and collapsible outer mesh sleeve disposed at a distal end. The outer mesh sleeve is configured such that when expanded in the obstructed conduit or passageway, a portion of the obstructing material is forced through a plurality of openings in its outer surface and thus, into the outer mesh sleeve. An inflatable and deflatable balloon may be coupled to the catheter and used to radially expand the outer mesh sleeve into the obstructing material. A treatment element disposed within the catheter device is moved against the inner surface of the outer mesh sleeve to treat and remove any obstructing material with which it contacts. The treatment element may be configured as a blade for physically removing the obstructing material, or as an electrode for electrosurgical treatment. After treatment or removal of the obstructing material, the outer mesh sleeve is collapsed and the catheter device removed from the body conduit.

摘要翻译： 公开了用于从血管导管或其他身体通道内处理和移除阻塞材料的手术装置。 该装置包括导管装置，其具有设置在远端的可扩张和可折叠的外网套筒。 外网套筒被构造成使得当在阻塞的导管或通道中膨胀时，阻挡材料的一部分被迫穿过其外表面中的多个开口，并因此被压入外网套筒中。 可膨胀和可放气的气囊可以联接到导管并用于将外网套径向膨胀成阻塞材料。 设置在导管装置内的处理元件抵靠外网套的内表面移动，以处理和移除与其接触的任何障碍材料。 处理元件可以被构造为用于物理去除阻塞材料的刀片，或者用作用于电外科治疗的电极。 在处理或去除阻塞材料之后，外网套筒被折叠并且导管装置从主体管道移除。

公开(公告)号：US5618297A

公开(公告)日：1997-04-08

申请号：US322698

申请日：1994-10-13

申请人： Charles C. Hart ,  Vincent C. Tangherlini ,  Nabil Hilal

发明人： Charles C. Hart ,  Vincent C. Tangherlini ,  Nabil Hilal

IPC分类号： A61B17/34 ,  A61M5/00

CPC分类号： A61B17/3417 ,  A61B17/3496

摘要： An obturator adapted for use in penetrating a body wall of a patient includes an elongate shaft having an axis extending between a proximal end and a distal end. A handle is disposed at the proximal end and an arcuate cutting edge is formed at the distal end of the shaft. The shaft may include a plurality of inner walls and passages, with a shield mechanism movable within the passages from a retracted cutting position to an advanced position. A system of flanges and walls can be used to maintain the shield elements in close proximity to and sliding engagement with the associated inner walls. In an associated method of manufacture, the shaft of the obturator can be extruded.

摘要翻译： 适于用于穿透患者体壁的闭孔器包括具有在近端和远端之间延伸的轴线的细长轴。 手柄设置在近端，弓形切割边缘形成在轴的远端。 轴可以包括多个内壁和通道，其中屏蔽机构可在通道内从缩回切割位置移动到前进位置。 可以使用法兰和壁的系统来将屏蔽元件保持在与相关联的内壁紧密接合并与之相关联的内壁滑动接合。 在相关的制造方法中，可以挤压闭塞器的轴。

公开(公告)号：US08932214B2

公开(公告)日：2015-01-13

申请号：US13105179

申请日：2011-05-11

申请人： Charles C. Hart ,  Edward D. Pingleton

发明人： Charles C. Hart ,  Edward D. Pingleton

IPC分类号： A61B1/32 ,  A61B17/34 ,  A61B17/02 ,  A61B17/00

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3498 ,  A61B2017/00265

摘要： The invention is directed to a surgical access system that provides access to a surgical area while maintaining pneumoperitoneum during laparoscopic surgery. The access system comprises a sheath retractor adapted to dilate a wound stretchable to a desired diameter and a detachable seal adapted to be removable from the sheath retractor. In another aspect, the detachable seal comprising a valve including a plurality of overlapping sheets defining an access channel that 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.

摘要翻译： 本发明涉及一种在腹腔镜手术期间保持气腹的外科手术区域的外科进入系统。 所述进入系统包括套管牵开器，所述护套牵开器适于将可拉伸到期望直径的伤口扩张，并且适于可从所述鞘收缩器移除的可拆卸密封件。 在另一方面，所述可拆卸密封件包括阀，所述阀包括多个重叠的片材，所述多个重叠片材限定了与所述患者体内的切口连通的进入通道。 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。

公开(公告)号：US08764452B2

公开(公告)日：2014-07-01

申请号：US13248449

申请日：2011-09-29

申请人： Boun Pravong ,  Kennii Pravongviengkham ,  Lee Cohen ,  Charles C. Hart ,  Vivek Sikri ,  Zoran Falkenstein ,  Rick Conklin ,  Eduardo Bolanos ,  Adam Hoke ,  Jacob J. Filek ,  Michael Palermo

发明人： Boun Pravong ,  Kennii Pravongviengkham ,  Lee Cohen ,  Charles C. Hart ,  Vivek Sikri ,  Zoran Falkenstein ,  Rick Conklin ,  Eduardo Bolanos ,  Adam Hoke ,  Jacob J. Filek ,  Michael Palermo

IPC分类号： G09B23/28 ,  G09B23/30

CPC分类号： G09B23/285 ,  G09B5/02 ,  G09B23/30 ,  G09B23/306 ,  G09B23/34

摘要： A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.

摘要翻译： 提供便携式外科手术训练装置。 训练器包括与基座间隔开的顶盖，以形成模拟体腔，用于定位从使用者视野基本遮蔽的模型器官。 顶盖包括视频显示器，固定插入端口和包含模拟组织层的可互换插入件。 训练装置具有展示和训练横向手术技术的开放性，包括连接到支撑腿的模拟或活组织结肠，用于模拟经肛门微创手术。 公开了一种具有可调节焦距的训练内窥镜，用于训练者，特别是与光学套针。 手术训练器可以成角度，非常适合于培养腹腔镜手术技术和展示手术器械。

公开(公告)号：US06582472B2

公开(公告)日：2003-06-24

申请号：US08806337

申请日：1997-02-26

申请人： Charles C. Hart

发明人： Charles C. Hart

IPC分类号： A61F206

CPC分类号： A61F2/82 ,  A61F2/04 ,  A61F2/848 ,  A61F2/90 ,  A61F2/95 ,  A61F2230/0067 ,  A61M27/008

摘要： The disclosed stent is formed of an elongate, flexible duct having a very thin wall and a preformed diameter, length, and shape. The stent is constructed of a woven tubular structure of multiple strands or elements. The woven tubular structure is thermally set to a predetermined diameter and length, so that the “at rest” or natural condition of the tubular structure is predictable. A retention or holding member can be formed at one or both of the ends of the stent. This retention member can be reduced in diameter for insertion into the body passage. The woven tubular structure provides a path for fluids to flow in and around the stent, while a patent lumen is being developed. The woven tubular structure allows the stent to be extended or stretched over a guidewire or other noncompressive member, to thereby reduce the diameter of the stent for insertion of the stent into a body passage.

摘要翻译： 所公开的支架由具有非常薄的壁和预制直径，长度和形状的细长的柔性管道形成。 支架由多根线或元件的编织管状结构构成。 编织管状结构被热定形为预定直径和长度，使得管状结构的“静止”或自然状态是可预测的。 可以在支架的一端或两端形成保持或保持构件。 该保持构件可以减小直径以插入身体通道。 织造的管状结构提供流体在支架内和周围流动的路径，同时正在开发专利流明。 编织管状结构允许支架在导丝或其它非压缩构件上延伸或拉伸，从而减小支架的直径以将支架插入身体通道。

公开(公告)号：US06162196A

公开(公告)日：2000-12-19

申请号：US191759

申请日：1998-11-12

申请人： Charles C. Hart ,  Nabil Hilal

发明人： Charles C. Hart ,  Nabil Hilal

IPC分类号： A61B17/34 ,  A61M5/00

CPC分类号： A61B17/3462 ,  A61B17/3498 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466

摘要： A trocar having a cannula and a valve housing with a polygonal configuration, provides for a floating septum where the float is encouraged in a first direction and restricted in a second direction. The septum includes multiple septum valves which may function with a comnron zero-closure valve, or individually in a valve assembly with an associated zero-closure valve. Various seals can be configured to prevent blow-back. Cup valves, check valves, and reciprocating valves are contemplated, along with various skirt configurations for maintaining pressurized air within the trocar.

摘要翻译： 具有插管的套管针和具有多边形构造的阀壳体提供浮动隔垫，其中在第一方向上鼓励浮子并且沿第二方向受到限制。 隔膜包括多个隔膜阀，其可以与通用零关闭阀一起使用，或者单独地安装在具有关联的零关闭阀的阀组件中。 可以配置各种密封件以防止回吹。 考虑到杯阀，止回阀和往复阀，以及用于在套管针内保持加压空气的各种裙部构造。