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    APPARATUS FOR INSERTING A SURGICAL DEVICE AT LEAST PARTIALLY THROUGH A WOUND OPENING
    11.
    发明申请
    APPARATUS FOR INSERTING A SURGICAL DEVICE AT LEAST PARTIALLY THROUGH A WOUND OPENING 审中-公开
    用于通过打开开口部分地插入手术装置的装置

    公开(公告)号：US20090326330A1

    公开(公告)日：2009-12-31

    申请号：US12374941

    申请日：2007-07-26

    申请人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Shane Joseph MacNally

    发明人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Shane Joseph MacNally

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3421 ,  A61B17/0293 ,  A61B17/32093 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3468 ,  A61B50/30 ,  A61B2017/00738 ,  A61B2017/320044 ,  A61B2017/3435

    摘要： An apparatus (1) for inserting a wound retractor device (2) at least partially through a wound opening. The apparatus (1) comprises a conveying device (4) and a holder element (5). The conveying device (4) is insertable at least partially through the wound opening to convey the would retractor device (2) at least partially through the wound opening. The holder element (5) holds part of the wound retractor device (2) in a low-profile configuration. The holder element (5) is slidable relative to the conveying device (4) between a holding configuration in which part of the wound retractor device (2) is held in the low-profile configuration, and a release configuration in which the wound retractor device (2) is released. As the conveying device (4) is inserted through the wound opening, the holder element (5) engages with the external surface of the tissue. In this manner the holder element (5) is moved from the holding configuration to the release configuration.

    摘要翻译： 一种用于至少部分地通过伤口开口插入伤口牵开装置（2）的装置（1）。 装置（1）包括输送装置（4）和保持器元件（5）。 输送装置（4）可以至少部分地插入穿过卷绕开口，以便将卷收器装置（2）至少部分地传送通过卷绕开口。 保持器元件（5）将卷绕的牵开器装置（2）的一部分保持在薄型结构中。 保持器元件（5）能够相对于输送装置（4）在夹持构造之间滑动，在该保持构造中，卷绕的牵开器装置（2）的一部分保持在低轮廓构造中，并且释放构造，其中卷绕的牵开器装置 （2）被释放。 当输送装置（4）穿过卷绕的开口插入时，保持器元件（5）与组织的外表面接合。 以这种方式，保持器元件（5）从保持配置移动到释放构造。

    Wound retractor device
    13.
    发明授权
    Wound retractor device 有权
    伤口牵开装置

    公开(公告)号：US08734336B2

    公开(公告)日：2014-05-27

    申请号：US12428823

    申请日：2009-04-23

    申请人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

    发明人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482

    摘要： A wound retractor device comprises a distal member for insertion into a wound opening, a proximal member for location externally of the wound opening, a connecting member extending at least between the distal member and the proximal member. At least part of the connecting member is movable relative to the proximal member to shorten the length of the connecting member located between the distal member and the proximal member and thereby retract laterally the sides of the wound opening. At least part of the connecting member is movable relative to the proximal member by a guide slot through which the connecting member changes its direction to substantially perpendicular to the longitudinal axis of the wound retractor device.

    摘要翻译： 缠绕牵开器装置包括用于插入伤口的远端构件，用于位于伤口开口外部的近端构件，至少在远侧构件和近端构件之间延伸的连接构件。 连接构件的至少一部分可相对于近端构件移动，以缩短位于远端构件和近端构件之间的连接构件的长度，从而横向地缩回伤口的侧面。 连接构件的至少一部分可通过引导槽相对于近端构件移动，连接构件通过该引导槽改变其大致垂直于缠绕的牵开器装置的纵向轴线的方向。

    Wound retractor
    14.
    发明授权
    Wound retractor 有权
    伤口牵开器

    公开(公告)号：US08657741B2

    公开(公告)日：2014-02-25

    申请号：US13210307

    申请日：2011-08-15

    申请人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

    发明人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61B2017/3492

    摘要： A wound retractor (320) comprises a distal ring (3) for insertion through a wound opening (6), a proximal ring (4) for location externally of the wound opening (6), a valve (10) mounted to the proximal ring (4), and a sleeve (2) for retracting laterally the sides of the wound opening (6). The wound retractor (320) also comprises a flexible release member (81) for releasing the distal ring (3) from a retracting configuration for removal of the distal ring (3) from the wound opening (6). A first end (301) of the release member (81) is attached to the valve housing (102), the release member (81) loops around the distal ring (3), and a second end (302) of the release member (81) is movable relative to the proximal ring (4) to release the distal ring (3) from the retracting configuration.

    摘要翻译： 缠绕牵开器（320）包括用于插入穿过开口（6）的远端环（3），用于位于所述缠绕开口（6）外部位置的近端环（4）;安装到所述近端环 （4）和用于在所述卷绕开口（6）的侧面侧向缩回的套筒（2）。 所述卷绕牵开器（320）还包括用于将所述远端环（3）从用于从所述伤口（6）移除所述远端环（3）的缩回构造的弹性释放构件（81）。 释放构件（81）的第一端（301）附接到阀壳体（102），释放构件（81）围绕远端环（3）环绕，并且释放构件的第二端（302） 81）能够相对于近端环（4）移动以将远端环（3）从收缩构型释放。

    Wound retractor system
    15.
    发明授权
    Wound retractor system 有权
    伤口牵开器系统

    公开(公告)号：US07867164B2

    公开(公告)日：2011-01-11

    申请号：US10665395

    申请日：2003-09-22

    申请人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

    发明人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3423 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3468 ,  A61B2017/00557 ,  A61B2017/3484 ,  A61B2017/3492

    摘要： A wound retractor system comprises a retractor having a distal ring 91 and a retracting sleeve 4 extending from the ring. An insertion tool 120 has a distal groove 122 to hold the ring for insertion of the ring through a small incision 90 in the abdominal wall 97. The retractor may be used for retracting an incision to receive an instrument therethrough. A seal or valve may be mounted to the retractor through which an instrument can pass.

    摘要翻译： 缠绕牵开器系统包括具有从环延伸的远端环91和缩回套筒4的牵开器。 插入工具120具有远端凹槽122，以保持环，用于将环插入腹壁97中的小切口90.牵开器可用于缩回切口以接收仪器通过其中。 密封件或阀可以安装到牵开器上，仪器可以通过该收缩器通过。

    Wound retractor
    16.
    发明申请
    Wound retractor 有权
    伤口牵开器

    公开(公告)号：US20070093695A1

    公开(公告)日：2007-04-26

    申请号：US11486383

    申请日：2006-07-14

    申请人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

    发明人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61B2017/3492

    摘要： A wound retractor (320) comprises a distal ring (3) for insertion through a wound opening (6), a proximal ring (4) for location externally of the wound opening (6), a valve (10) mounted to the proximal ring (4), and a sleeve (2) for retracting laterally the sides of the wound opening (6). The wound retractor (320) also comprises a flexible release member (81) for releasing the distal ring (3) from a retracting configuration for removal of the distal ring (3) from the wound opening (6). A first end (301) of the release member (81) is attached to the valve housing (102), the release member (81) loops around the distal ring (3), and a second end (302) of the release member (81) is movable relative to the proximal ring (4) to release the distal ring (3) from the retracting configuration.

    摘要翻译： 缠绕牵开器（320）包括用于插入穿过开口（6）的远端环（3），用于位于所述缠绕开口（6）外部的近端环（4）;安装到所述近端环 （4）和用于在所述卷绕开口（6）的侧面侧向缩回的套筒（2）。 所述卷绕牵开器（320）还包括用于将所述远端环（3）从用于从所述伤口（6）移除所述远端环（3）的缩回构造的弹性释放构件（81）。 释放构件（81）的第一端（301）附接到阀壳体（102），释放构件（81）围绕远端环（3）环绕，并且释放构件的第二端（302） 81）能够相对于近端环（4）移动以将远端环（3）从收缩构型释放。

    Surgical instrument
    17.
    发明申请
    Surgical instrument 审中-公开
    手术器械

    公开(公告)号：US20070049966A1

    公开(公告)日：2007-03-01

    申请号：US11386103

    申请日：2006-03-22

    申请人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Catherine Deegan ,  Shane MacNally

    发明人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Catherine Deegan ,  Shane MacNally

    IPC分类号： A61B17/00

    CPC分类号： A61B17/3417 ,  A61B17/00234 ,  A61B17/0469 ,  A61B17/068 ,  A61B17/29 ,  A61B17/2909 ,  A61B17/3421 ,  A61B17/3423 ,  A61B2017/003 ,  A61B2017/00424 ,  A61B2017/00464 ,  A61B2017/00738 ,  A61B2017/2901 ,  A61B2017/2902 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2931 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3449 ,  A61B2017/3466

    摘要： A surgical access system (100) comprises an access port (5), a rigid cannula having a shaft (11) and a laparoscopic surgical instrument (101). The access port (5) comprises a seal (6) and a retractor. The retractor comprises a distal O-ring (71), an outer proximal ring member (77), an inner proximal ring member (78) and a sleeve (72). The sleeve (72) extends distally from the inner proximal ring member (78) to the distal O-ring (71) in a first layer, is looped around the distal O-ring (71), and extends proximally in a second layer between the inner proximal ring member (78) and the outer proximal ring member (77). The instrument (101) comprises a shaft (103) with a rigid proximal region (104), a flexible intermediate region (105), and a rigid distal region (106). The instrument shaft (103) may be inserted through the cannula shaft (11). The instrument (101) has a rigid end effector (107) releasably coupled to the distal end (108) of the instrument shaft (103). An actuator (109) for actuating the end effector (107) is provided at the proximal end (110) of the instrument shaft (103). The actuator (109) is movable along the instrument shaft (103) parallel to the longitudinal axis of the instrument shaft (103).

    摘要翻译： 手术进入系统（100）包括进入口（5），具有轴（11）和腹腔镜手术器械（101）的刚性插管。 进入口（5）包括密封件（6）和牵开器。 牵开器包括远端O形环（71），外近端环构件（77），内近端环构件（78）和套筒（72）。 套筒（72）从内侧近端环构件（78）向远端延伸到第一层中的远端O形环（71），围绕远端O形环（71）环绕，并且在第二层之间向近侧延伸 内侧近端环构件（78）和外侧近端环构件（77）。 仪器（101）包括具有刚性近端区域（104），柔性中间区域（105）和刚性远侧区域（106）的轴（103）。 仪器轴（103）可以插入穿过套管轴（11）。 仪器（101）具有可释放地联接到仪器轴（103）的远端（108）的刚性端部执行器（107）。 用于致动末端执行器（107）的致动器（109）设置在仪器轴（103）的近端（110）处。 致动器（109）可沿着仪器轴（103）平行于仪器轴（103）的纵向轴线移动。

    Wound retractor device
    19.
    发明申请
    Wound retractor device 有权
    伤口牵开装置

    公开(公告)号：US20050197537A1

    公开(公告)日：2005-09-08

    申请号：US11086661

    申请日：2005-03-23

    申请人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

    发明人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

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

    CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482

    摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and four strap members (5) extending between the proximal ring member (4) and the distal ring member (2). The four separate strap members (5) are axially movable relative to the distal ring member (2) and relative to the proximal ring member (4). The distal ring member (2) comprises four slots (6), with each strap member (5) positioned extending through a slot (6). The slots (6) thus act as passageways through which the strap members (5) may extend, and in this manner the slots (6) guide movement of the strap members (5) relative to the distal ring member (2). The proximal ring member (4) also comprises four slots (7) which act as passageways to guide movement of the strap members (5) relative to the proximal ring member (4). In use, the distal ring member (2) is inserted into the wound opening (3), and the proximal ring member (4) is located externally of the wound opening (3). The second end (10) of each strap member (5) is then gripped, and a pulling force is exerted to retract laterally the sides of the wound opening (3).

    摘要翻译： 缠绕牵开器装置（1）包括用于插入伤口（3）的远端环构件（2），用于位于伤口（3）外部的近端环构件（4），以及四个绑带构件（5） 在近端环构件（4）和远端环构件（2）之间延伸。 四个分离的带构件（5）可相对于远端环构件（2）并相对于近端环构件（4）轴向移动。 远端环构件（2）包括四个狭槽（6），每个带构件（5）定位成延伸穿过槽（6）。 因此，槽（6）用作通道，带构件（5）可以穿过该通道延伸，并且以这种方式，槽（6）引导带构件（5）相对于远端环构件（2）的运动。 近端环构件（4）还包括四个狭槽（7），其作为通道引导带构件（5）相对于近端环构件（4）的移动。 在使用中，远端环构件（2）插入到卷绕的开口（3）中，并且近端环构件（4）位于伤口（3）的外部。 然后夹紧每个带构件（5）的第二端（10），并且施加拉力以横向地缩回伤口（3）的侧面。

    Wound retractor device
    20.
    发明申请
    Wound retractor device 有权
    伤口牵开装置

    公开(公告)号：US20050090717A1

    公开(公告)日：2005-04-28

    申请号：US10678653

    申请日：2003-10-06

    申请人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Shane MacNally ,  Alan Reid

    发明人： Frank Bonadio ,  John Butler ,  Trevor Vaugh ,  Shane MacNally ,  Alan Reid

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

    CPC分类号： A61B17/0293 ,  A61B1/32 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00557 ,  A61B2017/0212 ,  A61B2017/0225 ,  A61B2017/3443 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61B2017/3492

    摘要： A wound protector and retractor device 1 comprises a sleeve 2, a distal member provided by a distal ring 3 of resilient material and a proximal member provided by a proximal ring 4. The sleeve 2 is led around the ring 3 and is free to move axially relative to the distal ring 3 somewhat in the manner of a pulley. The proximal ring 4 is fixed to the sleeve 2, in this case at the proximal inner end thereof. The sleeve 2 terminates in a handle or gripping portion which is reinforced by a gripping ring 15. The sleeve extends from the proximal ring 4 and the distal ring 3 is contained between inner and outer layers 2a, 2b of the sleeve 2. The resilient distal ring 3 is scrunched up and inserted through the incision 6. The sleeve 2 is then pulled upwardly. On pulling of the sleeve 2 upwardly the outer layer 2b is pulled up while the inner layer 2a is drawn around the proximal ring 3. This results in shortening the axial extent between the proximal ring 4 and the distal ring 3, tensioning the sleeve and applying a retraction force to the margins of the incision 6. As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.

    摘要翻译： 伤口保护器和收缩器装置1包括套筒2，由弹性材料的远端环3提供的远端构件和由近端环4提供的近端构件。 套筒2围绕环3引导，并且以滑轮的方式相对于远端环3自由地轴向移动。 近端环4固定到套筒2，在这种情况下，其在近端的内端。 套筒2终止于由夹紧环15加强的手柄或夹持部分。 套筒从近端环4延伸，并且远端环3容纳在套筒2的内层2a和外层2b之间。 弹性远端环3被刮出并穿过切口6插入。 然后将套筒2向上拉。 当将套筒2向上拉时，外层2b被拉起，而内层2a围绕近端环3被拉出。 这导致缩短近端环4和远端环3之间的轴向范围，张紧套管并向切口6的边缘施加缩回力。 当切口正在缩回时，边缘也被套筒保护。 在撤回时，提供进入端口，例如外科医生插入他的手和/或仪器以执行程序。 该装置可以用作开放手术中的牵开器或用作阀/密封件的基座，以允许其用于手动辅助腹腔镜手术或通常用于仪器进入或手动进入。