公开(公告)号：US20070244426A1

公开(公告)日：2007-10-18

申请号：US11279600

申请日：2006-04-13

申请人： Charles Hart ,  John Brustad ,  Jeremy Albrecht

发明人： Charles Hart ,  John Brustad ,  Jeremy Albrecht

IPC分类号： A61M1/00

CPC分类号： A61M39/24 ,  A61B17/3462 ,  A61M2039/242 ,  A61M2039/2426

摘要： A duckbill check valve and septum combination includes a hollow elastomeric body having an open proximal end, a closed distal end and a pair of opposed flat portions that form a distal edge. The distal edge includes a slit having a periphery that is smaller than the periphery of the instrument inserted therethrough. The slit provides a zero seal in the absence of an instrument and an instrument seal in the presence of an instrument. A shield including a tubular member and a plurality of blades protruding distally from the distal end of the tubular member may be placed inside the check valve and operates to center and guide the surgical instrument through the blades before expanding the slit of the check valve. An instrument inserted into the check valve stretches the distal portion of the duckbill valve to form a septum-like seal around the inserted instrument.

摘要翻译： 鸭嘴止回阀和隔膜组合包括中空弹性体，其具有敞开的近端，闭合的远端和形成远端边缘的一对相对的平坦部分。 远侧边缘包括具有小于插入其中的器械的周边的周边的狭缝。 在仪器存在的情况下，狭缝提供零密封。 包括管状构件和从管状构件的远端向远侧突出的多个叶片的护罩可以放置在止回阀的内部，并且在扩大止回阀的狭缝之前操作以使外科器械穿过叶片居中并引导。 插入止回阀中的仪器延伸鸭嘴阀的远端部分，以在插入的仪器周围形成隔垫状的密封。

公开(公告)号：US20050288622A1

公开(公告)日：2005-12-29

申请号：US11170567

申请日：2005-06-29

申请人： Jeremy Albrecht ,  John Brustad ,  Scott Taylor ,  Gary Johnson ,  Nabil Hilal

发明人： Jeremy Albrecht ,  John Brustad ,  Scott Taylor ,  Gary Johnson ,  Nabil Hilal

IPC分类号： A61B17/34 ,  A61B19/00 ,  A61M37/00

CPC分类号： A61M13/003 ,  A61B1/06 ,  A61B17/3417 ,  A61B17/3462 ,  A61B17/3474 ,  A61B17/3494 ,  A61B90/361 ,  A61B2017/3454 ,  A61B2017/346 ,  A61B2017/349 ,  A61M2202/0007 ,  A61M2202/02 ,  A61M2202/0468 ,  A61M2205/3337

摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel. The tip may be blunt, the shaft and the tip may be integrally formed, and the vent hole may be of any geometric shape including round, oval, square and rectangular. The blunt tip may further comprise a marker to indicate penetration of the abdominal wall. In another aspect, the tip may be sharp, pointed or bladed to facilitate penetration of body tissue.

摘要翻译： 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械，包括具有沿近端和远端之间的轴延伸的吹入通道的轴，所述吹入通道适于连接到 在近端处于压力下的流体源，在轴的远端处的尖端，以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔，并且适于在压力下将流体排出 灌注腹部区域。 至少前端和轴中的一个被一半透明或透明的材料形成，诸如聚碳酸酯，以便于腹壁和腹部区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔，以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。 尖端可以是钝的，在轴和尖端可以一体地形成，并且所述通风孔可以是任何几何形状，包括圆形，椭圆形，方形和矩形的。 钝尖可以进一步包括指示腹壁穿透的标记。 在另一方面，尖端可以是尖锐的，尖的或叶片的，以便于穿透身体组织。

公开(公告)号：US20060264991A1

公开(公告)日：2006-11-23

申请号：US11119189

申请日：2005-04-29

申请人： Gary Johnson ,  Jeremy Albrecht ,  Nabil Hilal ,  Charles Hart

发明人： Gary Johnson ,  Jeremy Albrecht ,  Nabil Hilal ,  Charles Hart

IPC分类号： A61B17/32

CPC分类号： A61B17/3498 ,  A61B17/34 ,  A61B17/3417 ,  A61B17/3462 ,  A61B2017/3464 ,  A61M39/06 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0653

摘要： The invention is directed to a trocar adapted to form a seal around a surgical instrument, the trocar comprising a cannula having an axis extending between a proximal end and a distal end; a housing having a proximal wall and forming with the cannula a working channel sized and configured to receive the instrument; a septum seal disposed in the housing and extending transverse to the axis of the cannula across the working channel, the septum seal having a normal state when the instrument is absent from the working channel and a stretched state when the instrument is being withdrawn from the working channel; portions of the proximal wall of the housing defining an orifice sized and configured to receive the instrument into the working channel; and an elastomeric ring-shaped projection extending axially distally between the proximal wall and the septum seal, the ring-shaped projection having an axial length adapted to deform to prevent inversion and binding of the septum seal and the orifice upon withdrawal of the surgical instrument. In particular, the septum seal is prevented from reaching the orifice in the proximal wall of the housing when the instrument is withdrawn. The projection may be bonded, insert-molded, or compressively fitted to the proximal wall of the housing. The projection may be formed of an elastomeric material such as natural or synthetic rubber. The projection may further comprise a plurality of portions or fingers extending axially distally from the proximal wall, each of the extending portions or fingers may further include a living hinge. In another aspect, the ring-shaped projection may be formed on the surface of the septum seal instead of the proximal wall of the housing. That is, the ring-shaped projection may be formed to extend axially proximally from the surface of the septum seal toward the proximal wall of the housing.

公开(公告)号：US20070225650A1

公开(公告)日：2007-09-27

申请号：US11277116

申请日：2006-03-21

申请人： Charles Hart ,  Gigi Au ,  Kennii Pravongviengkham ,  Jeremy Albrecht

发明人： Charles Hart ,  Gigi Au ,  Kennii Pravongviengkham ,  Jeremy Albrecht

IPC分类号： A61M29/00 ,  A61M5/32 ,  A61M31/00 ,  A61M37/00

CPC分类号： A61B17/3421 ,  A61B2017/00557 ,  A61B2017/3419 ,  A61B2017/3482 ,  A61B2017/3486 ,  A61B2017/349 ,  A61B2017/3492

摘要： A stabilization seal is used with existing cannulas for forming a gas-tight seal with tissue in a body wall The stabilization seal includes a cylindrical inflatable elongate tube having a graduated wall-thickness that is thicker in a central region and thinner in a distal-end region. The tube includes a sealing cuff, having an inflation port, for sealing around a cannula. Application of inflation pressure greatly expands the distal-end region while the central region expands slightly. Another embodiment of a stabilization seal includes an inflatable thread that is used with a cannula having a helical channel on its outer surface. An inflatable tube is wound into the channel. A distal end of the tube includes a gas-tight seal and a proximal end of the tube includes an inflation port In the uninflated condition the nested tube is flush with the channel. Inflating the tube enlarges the cannula assembly.

摘要翻译： 与现有插管一起使用稳定密封件，用于与体壁中的组织形成气密密封。稳定密封件包括圆柱形可充气细长管，其具有在中心区域较厚并且在远端较薄的梯度壁厚度 地区。 该管包括密封箍，其具有用于围绕套管密封的充气端口。 通气压力的应用大大扩大了远端地区，而中部地区略有扩张。 稳定密封件的另一实施例包括可与其外表面上具有螺旋通道的套管一起使用的可充气螺纹。 充气管缠绕在通道中。 管的远端包括气密密封，并且管的近端包括充气端口在未膨胀状态下，嵌套管与通道齐平。 充气管扩大插管组件。

公开(公告)号：US20080086074A1

公开(公告)日：2008-04-10

申请号：US11868883

申请日：2007-10-08

申请人： Scott Taylor ,  Paul Balschweit ,  Jeremy Albrecht ,  Gary Johnson ,  Said Hilal ,  Zoran Falkenstein

发明人： Scott Taylor ,  Paul Balschweit ,  Jeremy Albrecht ,  Gary Johnson ,  Said Hilal ,  Zoran Falkenstein

IPC分类号： A61M13/00 ,  A61B1/01 ,  A61M25/01

CPC分类号： A61B17/3474 ,  A61B1/0008 ,  A61B1/00154 ,  A61B1/015 ,  A61B1/127 ,  A61B1/3132 ,  A61B17/3498 ,  A61B90/361 ,  A61B2017/00907 ,  A61B2017/3441 ,  A61B2017/3454 ,  A61B2017/3456 ,  A61B2017/346 ,  A61M13/003

摘要： A visual insufflation obturator is provided. The obturator includes seals, valves, screens and/or various other tip features to eliminate the ingress of fluids, matter and/or gas that can disrupt the visual field of the laparoscope disposed within the obturator. The obturator provides additional features such as lens and anti-fog features to further increase visibility of the scope, efficiently insufflate the patient and ultimately provide an access channel into the insufflated abdomen once the visual insufflation obturator is removed.

摘要翻译： 提供视觉吹气闭孔器。 闭孔器包括密封件，阀门，筛网和/或各种其它尖端特征，以消除流体，物质和/或气体的进入，这些流体，物质和/或气体可能破坏设置在闭孔器内的腹腔镜的视野。 闭孔器提供了额外的特征，例如镜片和防雾功能，以进一步提高镜架的可视性，有效地填充患者，并且一旦去除了视觉注射闭孔器，就最终提供进入吸入腹腔的通道。

公开(公告)号：US20050131349A1

公开(公告)日：2005-06-16

申请号：US11000123

申请日：2004-11-30

申请人： Jeremy Albrecht ,  Gary Johnson ,  Henry Kahle

发明人： Jeremy Albrecht ,  Gary Johnson ,  Henry Kahle

IPC分类号： A61B17/34 ,  A61M39/06 ,  A61M5/178

CPC分类号： A61B17/34 ,  A61B17/3496 ,  A61B17/3498

摘要： The invention is directed to a trocar assembly having a channel defined along an elongate axis, the trocar assembly being adapted to receive a surgical instrument, the trocar assembly comprising a septum seal disposed in the channel including a seal tip having a proximal facing surface, the seal tip including portions defining an orifice; and a septum shield including a tubular member having a proximal end and a distal end, and a plurality of blades or leaflets protruding distally from the distal end of the tubular member, the septum shield being placed inside the septum seal such that the blades engage the proximal facing surface of the seal tip. The trocar assembly may further comprise a zero closure seal such as a double duckbill valve disposed in the channel outside of the septum seal. The septum shield operates to reduce the drag force and to minimize axial movement of the septum shield and the instrument during insertion and removal of the instrument through the septum seal. The septum shield may be formed from a rigid plastic material, and the septum seal may be formed of an elastomeric material. The blades or leaflets may overlap or offset one another. The orifice may be expandable to accommodate the instrument having a diameter of about 5-15 mm. The blades or leaflets have distal tips that glide or roll against the instrument during placement of the instrument. The distal tips may comprise of a combination of material, durometer and shield geometry to control the behavior of the septum shield. The trocar assembly may further comprise a second septum shield disposed outside of the septum seal.

摘要翻译： 本发明涉及具有沿着细长轴线限定的通道的套管针组件，所述套管针组件适于接纳外科器械，所述套管针组件包括设置在所述通道中的隔垫密封件，所述隔膜密封件包括具有近端面的表面的密封末端， 密封尖端包括限定孔口的部分; 以及隔膜，其包括具有近端和远端的管状构件，以及从所述管状构件的远端向远侧突出的多个叶片或小叶，所述隔垫被放置在所述隔膜密封件的内部，使得所述叶片接合 密封尖端的面向近侧的表面。 套管针组件还可以包括零封闭密封件，例如设置在隔膜密封件外部的通道中的双鸭嘴阀。 隔垫屏蔽件用于减小阻力并且在通过隔膜密封件插入和移除仪器期间最小化隔膜屏蔽件和仪器的轴向移动。 隔垫可以由刚性塑料材料形成，并且隔垫密封件可以由弹性体材料形成。 叶片或传单可能彼此重叠或相互抵消。 孔口可以是可扩张的，以容纳具有大约5-15mm直径的仪器。 叶片或小叶具有在放置仪器期间滑动或滚动仪器的远端尖端。 远端尖端可以由材料，硬度和屏蔽几何组合组成，以控制隔膜屏蔽的行为。 套管针组件还可以包括设置在隔膜密封件外部的第二隔垫。

公开(公告)号：US20070215268A1

公开(公告)日：2007-09-20

申请号：US11750847

申请日：2007-05-18

申请人： Edward Pingleton ,  Matthew Petrime ,  Ghassan Sakakine ,  Jeremy Albrecht ,  Nabil Hilal

发明人： Edward Pingleton ,  Matthew Petrime ,  Ghassan Sakakine ,  Jeremy Albrecht ,  Nabil Hilal

IPC分类号： B65H81/00 ,  F16L11/00

CPC分类号： B29D23/001 ,  A61M25/0009 ,  A61M25/0045 ,  A61M25/005 ,  A61M25/0662 ,  F16L11/24

摘要： An efficient and cost-effective method of manufacturing a kink-resistant tube, wherein a coated wire is wound around a mandrel while simultaneously being heated to melt the coating, is provided.

摘要翻译： 提供了一种制造耐扭结管的有效且成本有效的方法，其中涂覆的线缠绕在心轴上同时被加热以熔化涂层。

公开(公告)号：US20060149137A1

公开(公告)日：2006-07-06

申请号：US11029606

申请日：2005-01-05

申请人： Edward Pingleton ,  Jeremy Albrecht

发明人： Edward Pingleton ,  Jeremy Albrecht

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B1/32 ,  A61B17/0293 ,  A61B17/3415 ,  A61B17/3431

摘要： The invention is directed to a surgical wound retractor for retracting and sealing an incision and forming a functional opening or channel through which a surgical procedure may be executed. The wound retractor provides a path for a surgeon to insert his hand and/or instruments through the opening formed by the wound retractor. The wound retractor is sized and configured to be easily placed through a small incision and removed without further insult to the body tissue adjacent to the incision. The wound retractor is adapted to dilate a surgical wound incision to a desired diameter, and comprises a first ring having a diameter greater than the desired diameter of the wound incision and being adapted for disposition interiorly of the wound incision; a second ring having an annular axis and a diameter greater than the desired diameter of the wound incision and being adapted for disposition exteriorly of the wound incision; and a flexible sleeve disposed in a generally cylindrical form between the first ring and the second ring, the first ring having at least one notch to facilitate folding or collapsing of the first ring during insertion and removal of the first ring through the wound incision. The first ring may further comprise a second notch disposed on an opposing end of the first notch to further facilitate folding or collapsing of the first ring. With this aspect, the first ring is folded by squeezing between the first and second notches during insertion and removal of the retractor from the incision. In another aspect, the wound retractor may further comprise a tether having a length, a first end attached to the first ring interiorly of the sheath, and a second end disposed outside of the wound incision, wherein the tether facilitates removal of the first ring by pulling on the second end to retrieve the first ring through the wound incision.

摘要翻译： 本发明涉及用于缩回和密封切口并形成可执行外科手术的功能性开口或通道的外科伤口牵开器。 伤口牵开器为外科医生提供了通过由伤口牵开器形成的开口插入他的手和/或器械的路径。 伤口牵开器的尺寸和构造被容易地通过小切口放置并且被移除而不会进一步侮辱与切口相邻的身体组织。 伤口牵开器适于将外科伤口切口扩张到期望的直径，并且包括具有大于伤口切口的期望直径的直径的第一环，并且适于在伤口切口内部配置; 第二环，其具有环形轴线和直径大于所述伤口切口的期望直径，并且适于在所述伤口切口的外部设置; 以及在所述第一环和所述第二环之间以大致圆柱形的形式布置的柔性套管，所述第一环具有至少一个凹口，以便于在通过所述伤口切口插入和移除所述第一环期间折叠或折叠所述第一环。 第一环还可以包括设置在第一凹口的相对端上的第二凹口，以进一步促进第一环的折叠或折叠。 在这方面，通过在插入和从切口中移除牵开器而在第一和第二凹口之间挤压来折叠第一环。 在另一方面，卷绕牵开器还可以包括具有长度的系绳，第一端附接到护套内部的第一环，以及设置在伤口切口外部的第二端，其中系带有助于通过 拉动第二端通过伤口切口取回第一个环。