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公开(公告)号:US08636759B2
公开(公告)日:2014-01-28
申请号:US12750372
申请日:2010-03-30
IPC分类号: A61B17/34
CPC分类号: A61B17/02 , A61B17/3417 , A61B17/3478 , A61B2017/320044 , A61B2017/3456 , A61B2017/346
摘要: A surgical obturator adapted to penetrate a body wall includes an elongate shaft having an axis which extends between a proximal end and a distal end. A bladeless tip, disposed at the distal end of the shaft has an outer surface which extends to a blunt point The outer surface has a pair of side sections separated by an intermediate section The side sections extend from the blunt point radially outwardly with progressive positions proximally along the axis. These side sections include a distal portion in proximity to the blunt point, and a proximal portion in proximity to the shaft. The distal portion of the side section is twisted radially with respect to the proximal portion of the side section. The outer surface in radial cross section has the general configuration of a geometric shape which rotates in a first direction about the axis with progressive proximal radial cross sections along the axis.
摘要翻译: 适于穿透身体壁的手术闭孔器包括具有在近端和远端之间延伸的轴线的细长轴。 设置在轴的远端的无叶尖具有延伸到钝点的外表面。外表面具有由中间部分分隔开的一对侧部。侧部从平直点径向向外延伸,具有向近侧的渐进位置 沿着轴。 这些侧部分包括靠近钝点的远侧部分和靠近轴的近端部分。 侧部的远侧部分相对于侧部的近侧部分径向扭转。 径向横截面中的外表面具有几何形状的总体构型,该几何形状沿着围绕轴线的第一方向旋转,并且具有沿轴线的渐进近端径向横截面。
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公开(公告)号:US08579894B2
公开(公告)日:2013-11-12
申请号:US12416751
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: An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译: 可以使用电外科工具来熔合组织。 电外科手术工具可以包括钳口组件,细长轴和手柄组件。 手柄组件的致动可以致动钳口组件。 细长轴可以旋转而不中断与钳口组件的电连接。 电外科手术工具可以包括用于分离熔融组织的切割刀片。 电外科手术工具还可以包括钳口组件配置或外部切割电极,以利用该工具改善手术进入。
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公开(公告)号:US08568411B2
公开(公告)日:2013-10-29
申请号:US12416128
申请日:2009-03-31
申请人: Zoran Falkenstein , Kennii Pravongviengkham , Haruyasu Yawata , Boun Pravong , Matthew A. Becerra , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , 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 , Kennii Pravongviengkham , Haruyasu Yawata , Boun Pravong , Matthew A. Becerra , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , 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: An electrosurgical tool can be used for tissue dissection. The tool can include several electrodes positioned on a jaw assembly. The electrodes can be selectively connected to a power source in a cutting arrangement or a coagulation arrangement. Switching from the cutting arrangement to the coagulation arrangement can be provided by opening and closing a handle to actuate the jaw assembly.
摘要翻译: 电外科手术可用于组织剥离。 工具可以包括位于钳口组件上的多个电极。 电极可以选择性地连接到切割装置或凝结装置中的电源。 可以通过打开和关闭手柄来致动钳口组件来提供从切割装置到凝结装置的切换。
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公开(公告)号:US08469883B2
公开(公告)日:2013-06-25
申请号:US12840989
申请日:2010-07-21
申请人: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
发明人: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/3423 , A61B2017/00265
摘要: Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field. Embodiments of the internal retractor are adjustable.
摘要翻译: 装置,方法和系统提供了一种外科进入装置,其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。 卷绕的收缩器将体壁中的开口缩回到体腔中,而内部牵开器允许使用者控制体腔内的内部结构的位置,从而允许使用者限定外科手术领域。 内部牵开器的实施例是可调节的。
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公开(公告)号:US20120226105A1
公开(公告)日:2012-09-06
申请号:US13312393
申请日:2011-12-06
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 surgical access device is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device comprises an access seal. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal conforms to a surface of an instrument inserted through the working channel.
摘要翻译: 外科进入装置适于执行腹腔镜外科手术,其中至少一个器械通过外科进入装置,并通过患有腹部腔的切口在腹腔内用吹入气体加压。 手术进入装置包括进入密封件。 进入密封件的材料适于形成密封件,以通常维持腹腔内的注入压力。 通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。 当操作性地设置时,所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。 进入密封件的材料符合通过工作通道插入的仪器的表面。
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公开(公告)号:US20100222801A1
公开(公告)日:2010-09-02
申请号:US12750372
申请日:2010-03-30
IPC分类号: A61B17/34
CPC分类号: A61B17/02 , A61B17/3417 , A61B17/3478 , A61B2017/320044 , A61B2017/3456 , A61B2017/346
摘要: A surgical obturator adapted to penetrate a body wall includes an elongate shaft having an axis which extends between a proximal end and a distal end. A bladeless tip, disposed at the distal end of the shaft has an outer surface which extends to a blunt point The outer surface has a pair of side sections separated by an intermediate section The side sections extend from the blunt point radially outwardly with progressive positions proximally along the axis. These side sections include a distal portion in proximity to the blunt point, and a proximal portion in proximity to the shaft. The distal portion of the side section is twisted radially with respect to the proximal portion of the side section. The outer surface in radial cross section has the general configuration of a geometric shape which rotates in a first direction about the axis with progressive proximal radial cross sections along the axis
摘要翻译: 适于穿透身体壁的手术闭孔器包括具有在近端和远端之间延伸的轴线的细长轴。 设置在轴的远端的无叶尖具有延伸到钝点的外表面。外表面具有由中间部分分隔开的一对侧部。侧部从平直点径向向外延伸,具有向近侧的渐进位置 沿着轴。 这些侧部分包括靠近钝点的远侧部分和靠近轴的近端部分。 侧部的远侧部分相对于侧部的近侧部分径向扭转。 径向横截面的外表面具有几何形状的总体构型,该几何形状沿着围绕轴线的第一方向旋转,并且具有沿轴线的渐进近端径向横截面
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公开(公告)号:US07481765B2
公开(公告)日:2009-01-27
申请号:US11244647
申请日:2005-10-05
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 surgical access device includes a single valve forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and 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. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. 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.
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公开(公告)号:US07189249B2
公开(公告)日:2007-03-13
申请号:US10477330
申请日:2001-05-11
IPC分类号: A61B17/34
CPC分类号: A61B17/34 , A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3476 , A61B17/3496 , A61B2017/32006 , A61B2017/3454 , A61B2090/08021
摘要: The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue. Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs. The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface.
摘要翻译: 套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。 设置在封闭器内部的牵引踏板在远端顶端反转,并沿闭塞器或插管的外表面向近侧延伸。 在远端,胎面可以促进分离而不是切割组织。 沿着外表面,胎面可以接合组织以沿着前进的闭孔向近侧拉。 这产生反作用力,其可导致净近端力促进腹壁的膨胀和腹壁与内部器官的分离。 牵引踏板可以是轴向和/或径向连续的。 相关联的操作方法包括以下步骤:使身体壁与远侧末端处的牵引踏板相接触,并且沿着面向外表面的壁部分与身体壁与牵引踏板接合。
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公开(公告)号:US5275609A
公开(公告)日:1994-01-04
申请号:US790583
申请日:1991-11-08
CPC分类号: A61B17/32002 , A61B2217/005
摘要: A surgical cutting instrument is disclosed for percutaneously debulking tissue through an access sheath commonly used in minimally invasive laparoscopic or endoscopic surgical procedures. The cutting instrument includes a inner rotary member tube having a cutting edge at the distal end thereof for cutting and slicing tissue. The outside surface of the rotary inner cutting member tube and outer sheath annularly close about the distal ends thereof for preventing perforation of the surgical tissue bag in which the tissue is contained. The inner cutting member tube includes a hollow passageway for suctioning and aspirating tissue and fluid through the tube and into a collection chamber or out through a vacuum or suction line attached thereto. Vacuum or suction control ports are included at the proximal end of the inner cutting member tube and stationary sheath for also controlling the amount of vacuum or suction applied to the tissue. The surgical cutting instrument includes a control handle for grasping by the physician. A collection chamber is connected to a coupler connected to the stationary sheath for collecting tissue therein. The inner cutting member tube extends through the collection chamber to a drive motor or to a remotely positioned rotary drive mechanism. A vacuum line is attached to the collection chamber for drawing tissue and fluid through the inner cutting member tube and into the collection chamber.
摘要翻译: 公开了一种通过通常用于微创腹腔镜或内窥镜外科手术的通路鞘的经皮减压组织的外科切割仪器。 该切割器具包括内部旋转构件管,该内部旋转构件管在其远端具有切割和切割组织的切割边缘。 旋转内切割构件管和外护套的外表面围绕其远端环形地闭合,用于防止其中容纳组织的外科组织袋的穿孔。 内切割构件管包括中空通道,用于抽吸和抽吸组织和流体通过管并进入收集室或通过附接到其的真空或吸入管线流出。 内切割构件管和固定护套的近端处包括真空或抽吸控制口,用于还控制施加到组织上的真空量或抽吸量。 外科切割仪器包括用于由医生掌握的控制手柄。 收集室连接到连接到固定护套的耦合器,用于在其中收集组织。 内切割构件管延伸通过收集室到驱动马达或远程定位的旋转驱动机构。 真空管线附接到收集室,用于将组织和流体通过内切割构件管并进入收集室。
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公开(公告)号:US08915910B2
公开(公告)日:2014-12-23
申请号:US12416765
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
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. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
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。 电外科系统可以包括电外科发生器,反馈电路或控制器以及电外科手术工具。 反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。 电外科系统可以包括多个用于不同电外科手术的电外科工具,并且可以包括各种用户界面特征和音频/视觉性能指标。 电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。
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