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公开(公告)号：US20070208300A1
公开(公告)日：2007-09-06
申请号：US11680835
申请日：2007-03-01
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided. The tubing is lightweight and thin-walled. The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement.
摘要翻译： 一种医用管道是灵活的，无消毒作为气体吹入管道，并且不可收缩的吸入/冲洗管道。 管材重量轻，薄壁。 管道具有通常刚性但薄壁的结构形状，或者通常是软和薄壁管道，具有硬重新执行。
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公开(公告)号：US09393042B2
公开(公告)日：2016-07-19
申请号：US13483457
申请日：2012-05-30
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
CPC分类号： A61B17/3462 , A61B17/0218 , A61M39/06 , A61M2039/062 , A61M2039/0633 , A61M2039/064 , A61M2039/0686
摘要： An instrument seal of a surgical access device is provided and includes a plurality of nested coaxial seals arranged to cooperate and form a complete, circumferential seal around an inserted instrument.
摘要翻译： 提供了外科进入装置的仪器密封件，并且包括多个嵌套的同轴密封件，其布置成在插入的器械周围配合并形成完整的周向密封。
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公开(公告)号：US09101354B2
公开(公告)日：2015-08-11
申请号：US13598218
申请日：2012-08-29
申请人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
发明人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译： 提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环 以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。 外环包括轴向间隔开的第一和第二圆形管，其中每个包括具有定位在其中的刚性的，不一致的分割箍的内腔。 外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。 凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。
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公开(公告)号：US08721826B2
公开(公告)日：2014-05-13
申请号：US12950782
申请日：2010-11-19
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译： 提供了一种具有细长主体和可操纵部分的可转向扭结接近装置; 还提供了用于制造扭结装置的方法。 进入护套具有足够小的外径，使得其可以插入体腔或导管中。 进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。 张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。
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公开(公告)号：US20130296655A1
公开(公告)日：2013-11-07
申请号：US13909669
申请日：2013-06-04
申请人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia 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 Tran
IPC分类号： A61B17/02
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：US08551089B2
公开(公告)日：2013-10-08
申请号：US12611352
申请日：2009-11-03
IPC分类号： A61B18/14
CPC分类号： A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要： A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.
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公开(公告)号：US08292853B2
公开(公告)日：2012-10-23
申请号：US10807974
申请日：2004-03-24
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3417 , A61B17/3439 , A61B17/3498 , A61B2017/2905 , A61B2017/3441
摘要： The present invention relates to a surgical access device comprising an elongate tubular member having a working channel and a proximal end and a distal end, a septum seal integrally formed at the distal end of the tubular member, and a zero seal disposed at the distal end of the tubular member and distal to the septum seal, the zero seal being sized and configured to seal when no instrument is in place within the working channel of the tubular member, and the zero seal being coupled to the septum seal The zero seal may be a duckbill seal having opposing lip portions separated by a slit portion. The opposing lip portions are coated with or attached to a soft or occlusive material.
摘要翻译： 本发明涉及一种手术进入装置，其包括具有工作通道和近端和远端的细长管状构件，一体地形成在管状构件的远端的隔膜密封件，以及设置在远端的零密封件 的管状构件并且远离隔膜密封件，零密封件的尺寸和构造在当管状构件的工作通道内没有仪器就位时密封，并且零密封件联接到隔膜密封件。零密封件可以是 具有由狭缝部分分开的相对的唇部的鸭嘴形密封件。 相对的唇部被涂覆或附着到柔软或闭塞的材料上。
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公开(公告)号：US20120203261A1
公开(公告)日：2012-08-09
申请号：US13449017
申请日：2012-04-17
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar fixation device includes a cannula and an elongate tube mounted onto and coupled to the exterior surface of the cannula with the distal end of the cannula extending distally beyond the distal end of the elongate tube. The elongate tube includes a plurality of slits cut at an angle to a longitudinal axis of the elongate tube. The trocar fixation device is activated by rotating the proximal-end region of the elongate tube in a first direction and is deactivated by rotating the proximal-end region of the elongate tube in a second direction, opposite to the first direction. Activation of the trocar fixation device compresses the material positioned between adjacent slits and forces the material radially outwardly, away from the exterior surface of the cannula, thereby forming ridges. Deactivation of the trocar fixation device returns the exterior surface of the elongate tube to a substantially smooth condition.
摘要翻译： 套管针固定装置包括插管和安装到套管的外表面上并连接到套管的外表面的细长管，套管的远端向远侧延伸超过细长管的远端。 细长管包括与细长管的纵向轴线成一定角度切割的多个切口。 套管针固定装置通过沿着第一方向旋转细长管的近端区域而被激活，并且通过沿与第一方向相反的第二方向旋转细长管的近端区域来停用。 套针针固定装置的激活压缩位于相邻狭缝之间的材料，并迫使材料径向向外，远离插管的外表面，从而形成脊。 套针针固定装置的停用将细长管的外表面返回到基本平滑的状态。
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公开(公告)号：US08235054B2
公开(公告)日：2012-08-07
申请号：US13031892
申请日：2011-02-22
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
CPC分类号： A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B17/3498 , A61B2017/00889 , A61B2017/00938 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435
摘要： An incrementally adjustable wound retractor (100), having a first ring (102) with a diameter greater than the desired diameter of the wound incision. A second ring (104), having an annular axis and a diameter greater than the desired diameter of the wound incision. A flexible sleeve (106), disposed in a generally cylindrical form between the first and second rings (102, 104), the second ring may be rolled over itself and around the annular axis to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译： 一种增量可调的伤口牵开器（100），具有直径大于所述伤口切口所需直径的第一环（102）。 第二环（104），其具有环形轴线和直径大于所述伤口切口的期望直径。 柔性套筒（106）以大致圆柱形的形式设置在第一和第二环（102,104）之间，第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基回缩力的套筒 切口至所需直径。
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公开(公告)号：US08157833B2
公开(公告)日：2012-04-17
申请号：US11270181
申请日：2005-11-09
CPC分类号： A61B17/34 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar fixation device includes a cannula and an elongate tube mounted onto and coupled to the exterior surface of the cannula with the distal end of the cannula extending distally beyond the distal end of the elongate tube. The elongate tube includes a plurality of slits cut at an angle to a longitudinal axis of the elongate tube. The trocar fixation device is activated by rotating the proximal-end region of the elongate tube in a first direction and is deactivated by rotating the proximal-end region of the elongate tube in a second direction, opposite to the first direction. Activation of the trocar fixation device compresses the material positioned between adjacent slits and forces the material radially outwardly, away from the exterior surface of the cannula, thereby forming ridges. Deactivation of the trocar fixation device returns the exterior surface of the elongate tube to a substantially smooth condition.
摘要翻译： 套管针固定装置包括插管和安装到套管的外表面上并连接到套管的外表面的细长管，套管的远端向远侧延伸超过细长管的远端。 细长管包括与细长管的纵向轴线成一定角度切割的多个切口。 套管针固定装置通过沿着第一方向旋转细长管的近端区域而被激活，并且通过沿与第一方向相反的第二方向旋转细长管的近端区域来停用。 套针针固定装置的激活压缩位于相邻狭缝之间的材料，并迫使材料径向向外，远离插管的外表面，从而形成脊。 套针针固定装置的停用将细长管的外表面返回到基本平滑的状态。
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