公开(公告)号：US08485971B2

公开(公告)日：2013-07-16

申请号：US12706780

申请日：2010-02-17

申请人： Robert C. Smith ,  Thomas Wenchell

发明人： Robert C. Smith ,  Thomas Wenchell

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/00265 ,  A61B2017/00477 ,  A61B2017/3464

摘要： A surgical access apparatus adaptable to permit the sealed insertion of either the surgeon's hand and/or surgical instruments during laparoscopic and endoscopic surgical procedures includes an access housing defining a longitudinal axis and having a first internal passageway configured and dimensioned to permit passage of at least one of a hand and an arm of a surgeon, and a base mountable to the access housing. The base may include a liner member positionable within an incision of a patient to at least partially line the incision. A displacement member may be operatively connected to the access housing and to the liner member. The displacement member is adapted for movement to cause corresponding displacement of the liner member relative to the access housing whereby the liner member engages tissue forming the incision to at least partially retract the incision.

摘要翻译： 适于在腹腔镜和内窥镜手术过程中允许外科医生的手和/或手术器械的密封插入的手术进入装置包括限定纵向轴线的入口壳体，并且具有构造和尺寸的第一内部通道，以允许至少一个 外科医生的手和手臂，以及可安装到进入壳体的基座。 基部可以包括可定位在患者切口内以至少部分地切开切口的衬垫构件。 位移构件可以可操作地连接到进入壳体和衬套构件。 位移构件适于移动以引起衬套构件相对于进入壳体的相应位移，由此衬垫构件接合组织切口的组织以至少部分地缩回切口。

公开(公告)号：US08409086B2

公开(公告)日：2013-04-02

申请号：US12961531

申请日：2010-12-07

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61B1/32

CPC分类号： A61B17/0218 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/2929

摘要： A surgical portal apparatus includes a portal housing, a portal sleeve, and a seal. The portal housing defines a central housing axis and a central housing channel. The portal sleeve extends from the portal housing and is dimensioned to pass through tissue to provide access to underlying tissue via a longitudinal opening. The central housing channel of the portal housing and the longitudinal opening of the portal sleeve define a passageway for reception and passage of a surgical object. The seal has inner surfaces defining a seal passage for establishing a general sealed relation about the surgical object. The seal passage is radially offset with respect to the central housing axis. The seal is adapted to rotate about the central housing axis to vary positioning of the seal passage to substantially maintain the substantial sealed relation upon manipulation of the surgical object within the portal housing.

摘要翻译： 手术入口装置包括入口壳体，入口套管和密封件。 入口壳体限定中心壳体轴线和中心壳体通道。 入口套管从入口壳体延伸并且尺寸设计成穿过组织以经由纵向开口进入下面的组织。 入口壳体的中心壳体通道和门静脉套管的纵向开口限定了用于接收和通过手术物体的通道。 密封件具有限定用于建立关于手术物体的一般密封关系的密封通道的内表面。 密封通道相对于中心壳体轴线径向偏移。 密封件适于围绕中心壳体轴线旋转以改变密封通道的定位，以在门静脉外壳内的外科手术对象的操纵时基本保持基本上密封的关系。

公开(公告)号：US08382716B2

公开(公告)日：2013-02-26

申请号：US13009967

申请日：2011-01-20

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61M5/178

CPC分类号： A61B17/3496 ,  A61B17/3474 ,  A61B2090/0811

摘要： Pneumoperitoneum needles for providing and/or insufflating a corporal and/or abdominal cavity are provided. The pneumoperitoneum needle can include a housing, an elongate tubular body extending from a distal surface of the housing, and an elongate hollow tubular rod slidably received within the tubular body. The tubular body preferably includes a passage formed therethrough for connection to a gas administration system. The tubular rod preferably includes a blunt distal end defining an opening, and a proximal end portion defining an opening formed therethrough.

公开(公告)号：US08353875B2

公开(公告)日：2013-01-15

申请号：US13204804

申请日：2011-08-08

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3421 ,  A61B17/3462

摘要： A surgical access assembly including a housing, an elongate access member and a zero closure valve including a valve periphery having a collar, a tapered segment extending inwardly from the collar and a second segment extending contiguously from the tapered segment. First and second lips depend from the second segment of the zero closure valve and define lip edges which are in approximated closed relation when the zero closure valve is in the closed position to define a slit. The first and second lips each include a proximal lip surface having an outer surface portion and an inner surface portion interconnected by a curved surface. A support rib depends from the proximal lip surface of each of the first and second lips to define a gap therebetween to be in spaced relation when the valve is in the closed position and being positioned to contact the surgical instrument during insertion through the first and second lips.

摘要翻译： 一种外科进入组件，包括壳体，细长进入构件和零关闭阀，其包括具有轴环的阀周边，从所述套环向内延伸的锥形段和从所述锥形段连续延伸的第二段。 第一和第二唇缘从零关闭阀的第二部分上取向并限定当零关闭阀处于闭合位置以限定狭缝时处于近似闭合关系的唇边缘。 第一和第二唇部各自包括具有外表面部分和通过弯曲表面互连的内表面部分的近端唇表面。 支撑肋从所述第一和第二唇缘中的每一个的近侧唇表面取向，以在所述阀处于关闭位置时限定其间的间隔，并且在穿过所述第一和第二唇插入期间定位成接触所述外科器械 嘴唇

公开(公告)号：US08282603B2

公开(公告)日：2012-10-09

申请号：US12824528

申请日：2010-06-28

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61M5/178

CPC分类号： A61B17/3462 ,  A61B2017/00477 ,  A61B2017/3464

摘要： A surgical access device includes a surgical sleeve defining a central longitudinal axis and having a longitudinal passageway to permit passage of a surgical object, and a diameter reduction assembly operably couplable to the surgical sleeve. The diameter reduction assembly includes a structure foundation and at least three stand-off elements mounted to the structure foundation. Each stand-off element is positioned to engage the surgical object and is independently movable relative to the remaining stand-off elements. The at least three stand-off elements are normally biased to a first position which urges the surgical object into general alignment with the central longitudinal axis, and are adapted for distal pivotal movement from the first position to a second position to facilitate passage of the surgical object, and for proximal pivotal movement from the first position to a third position to facilitate withdrawal of the surgical object.

摘要翻译： 手术进入装置包括限定中心纵向轴线并具有允许手术物体通过的纵向通道的外科套筒以及可操作地连接到手术套筒的直径减小组件。 直径减小组件包括安装在结构基础上的结构基础和至少三个分离元件。 每个支架元件被定位成接合手术物体并且可相对于其余的支撑元件独立地移动。 所述至少三个间隔元件通常被偏压到第一位置，所述第一位置促使所述手术物体与所述中心纵向轴线大致对准，并且适于从所述第一位置到第二位置的远端枢转运动，以促进所述外科手术 并且用于从第一位置到第三位置的近端枢转运动，以便于外科手术对象的撤回。

公开(公告)号：US20120253134A1

公开(公告)日：2012-10-04

申请号：US13415971

申请日：2012-03-09

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61B1/32

CPC分类号： A61B17/0293 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3429 ,  A61B2017/3435 ,  A61B2017/3466 ,  A61B2017/347

摘要： A surgical access assembly and method of use is disclosed, including an access member, a tissue engaging member, a sleeve extending from a portion of the membrane, and a fastening member to couple the access member and the sleeve. The access member includes proximal and distal ends, at least one lumen disposed therethrough, and defines a longitudinal axis. The tissue engaging member includes a membrane having proximal and distal ends with opposing openings, and a passage therethrough for receiving the access member. A length of the tissue engaging member may be selectively adjustable by a user so as to provide a retraction force. The sleeve extends proximally from a portion of the membrane. The sleeve has a proximal end and a distal end with opposing openings, the distal end of the sleeve defined by a portion of the membrane. A fastening member couples the access member and the sleeve.

摘要翻译： 公开了一种手术进入组件和使用方法，包括进入构件，组织接合构件，从膜的一部分延伸的套筒以及用于联接进入构件和套筒的紧固构件。 进入构件包括近端和远端，至少一个通过其设置的腔，并且限定纵向轴线。 组织接合构件包括具有近端和远端具有相对的开口的膜，以及用于接收进入构件的通道。 组织接合构件的长度可以由使用者选择性地调节以便提供收缩力。 套筒从膜的一部分向近侧延伸。 套筒具有近端和具有相对开口的远端，套筒的远端由膜的一部分限定。 紧固构件联接进入构件和套筒。

公开(公告)号：US08118783B2

公开(公告)日：2012-02-21

申请号：US12332391

申请日：2008-12-11

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3421 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/3441 ,  A61B2017/3484

摘要： A surgical portal apparatus includes a portal member dimensioned to access tissue and having a longitudinal passageway therethrough to permit access to underlying tissue, and defining leading and trailing ends, a seal housing associated with the portal member and a seal mount at least partially disposed within the seal housing. The seal mount is adapted for rotational movement within the seal housing. The seal mount includes an instrument seal adapted to establish a substantial sealed relation with a surgical object introduced within the longitudinal passageway and a closure valve adapted to substantially close the longitudinal passageway in the absence of the object.

摘要翻译： 手术入口装置包括入口构件，入口构件的尺寸适于接近组织并且具有穿过其的纵向通道，以允许进入下面的组织，并且限定前端和后端，与入口构件相关联的密封壳体和至少部分地设置在内 密封住房。 密封安装件适于在密封壳体内旋转运动。 密封安装件包括适于与引入纵向通道内的手术物体建立实质密封关系的仪器密封件，以及适于在没有物体的情况下基本上封闭纵向通道的闭合阀。

公开(公告)号：US20120029284A1

公开(公告)日：2012-02-02

申请号：US13273657

申请日：2011-10-14

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61B1/00

CPC分类号： A61B17/3417 ,  A61B1/00135 ,  A61B1/3132 ,  A61B17/3421 ,  A61B90/361 ,  A61B2017/00473 ,  A61B2017/3454 ,  A61B2017/3456

摘要： An optical penetrating adapter for mounting to a surgical portal to permit visualization through the surgical portal includes an adapter member defining a longitudinal axis and having a transparent window adapted to penetrate tissue and to permit visualization therethrough and means for coupling the adapter member to the surgical portal. The transparent window may have various shapes and configurations adapted to penetrate, dissect, resect or separate tissue in a non traumatic manner. Alternatively, the transparent window may incorporate structure such as cutting edges blades, points, etc to pierce, cut or incise tissue.

摘要翻译： 用于安装到手术入口以允许通过外科门静脉观察的光学穿透适配器包括限定纵向轴线并具有适于穿透组织并允许可视化的透明窗口的适配器构件，以及用于将适配器构件耦合到外科手术门 。 透明窗可以具有适于以非创伤性方式穿透，解剖，切除或分离组织的各种形状和构造。 或者，透明窗可以包括诸如切割刃，点等的结构以刺穿，切割或切开组织。

公开(公告)号：US20110295076A1

公开(公告)日：2011-12-01

申请号：US13204804

申请日：2011-08-08

申请人： Robert C. Smith

发明人： Robert C. Smith

IPC分类号： A61B1/32

CPC分类号： A61B17/3498 ,  A61B17/3421 ,  A61B17/3462

摘要： A surgical access assembly for use with a surgical access device includes a housing defining a central longitudinal axis, an elongate access member extending from the housing whereby the housing and the access member having a longitudinal passage dimensioned to permit passage of a surgical instrument, an instrument seal disposed within the housing and being adapted to establish a substantial fluid tight seal about the instrument and a zero closure valve mounted relative to the housing and being adapted to assume an open condition upon passage of the surgical instrument and a substantially closed position in the absence of the instrument. The zero closure valve includes a valve periphery and first and second lips depending from the valve periphery. The first and second lips have lip edge surfaces in juxtaposed relation to define a slit when the valve is in the closed position thereof. At least one of the lips has a general arcuate internal lip surface leading to the lip edge surface to define a sloping configuration dimensioned to facilitate passage of the surgical instrument through the valve. Each of the first and second lips may define a general arcuate lip surface. In one embodiment, the internal arcuate lip surface of each of the first and second lips includes an outer surface portion arranged at a first angle relative to the longitudinal axis of the seal housing and an inner surface portion arranged at a second angle relative to longitudinal axis and being different from the first angle. The first angle is greater than the second angle.

摘要翻译： 用于外科进入装置的手术进入组件包括限定中心纵向轴线的壳体，从壳体延伸的细长进入构件，由此壳体和进入构件具有尺寸允许外科器械通过的纵向通道，仪器 密封件设置在壳体内并且适于围绕仪器建立实质上的流体密封密封件和相对于壳体安装的零闭合阀，并且适于在外科器械通过时呈现开放状态，并且在不存在的情况下基本上处于关闭位置 的仪器。 零关闭阀包括阀周边和从阀周边悬垂的第一和第二唇缘。 第一和第二唇缘具有并列关系的唇缘表面，以在阀处于其关闭位置时限定狭缝。 唇缘中的至少一个具有通向凸缘边缘表面的通常弧形的内部唇缘表面，以限定倾斜构造，其尺寸被设计成便于手术器械通过该阀。 第一和第二唇缘中的每一个可以限定一般的弧形唇表面。 在一个实施例中，第一和第二唇缘中的每一个的内部弧形唇表面包括相对于密封壳体的纵向轴线以第一角度布置的外表面部分和相对于纵向轴线以第二角度布置的内表面部分 并且与第一角度不同。 第一角度大于第二角度。

公开(公告)号：US08007473B2

公开(公告)日：2011-08-30

申请号：US12403647

申请日：2009-03-13

申请人： Robert C. Smith ,  Ernest Aranyi

发明人： Robert C. Smith ,  Ernest Aranyi

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3462

摘要： An apparatus for the reception of an instrument inserted through a surgical portal apparatus includes a valve mount, a major opening through the valve mount, a primary valve for selectively sealing the major opening, a minor opening through the primary valve, and a secondary valve for selectively sealing the minor opening. Components of both the major valve and the minor valve may be displaced to permit passage of a broad instrument, while components of only the secondary valve may be displaced to permit passage of a narrow instrument.

摘要翻译： 用于接收通过手术入口装置插入的器械的装置包括阀安装件，通过阀安装件的主开口，用于选择性地密封主开口的主阀，通过主阀的小开口，以及用于 选择性地密封小开口。 主阀和次阀两者的组件可以被移动以允许宽的仪器通过，而只有次级阀的部件可以移位以允许狭窄的仪器通过。