公开(公告)号：US20070106319A1

公开(公告)日：2007-05-10

申请号：US11270181

申请日：2005-11-09

申请人： Gigi Au ,  Jeremy Albrecht ,  Charles Hart ,  Gary Johnson ,  John Brustad

发明人： Gigi Au ,  Jeremy Albrecht ,  Charles Hart ,  Gary Johnson ,  John Brustad

IPC分类号： A61M29/00 ,  A61M5/178

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。

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：US20070149859A1

公开(公告)日：2007-06-28

申请号：US11548765

申请日：2006-10-12

申请人： Jeremy Albrecht ,  Charles Hart ,  John Brustad ,  Gary Johnson

发明人： Jeremy Albrecht ,  Charles Hart ,  John Brustad ,  Gary Johnson

IPC分类号： A61B1/32

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 placed 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，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。 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。

公开(公告)号：US20050216028A1

公开(公告)日：2005-09-29

申请号：US10807974

申请日：2004-03-24

申请人： Charles Hart ,  John Brustad

发明人： Charles Hart ,  John Brustad

IPC分类号： A61B17/28 ,  A61B17/34 ,  A61F11/00

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 an axis extending between 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 and having properties to float with the septum seal relative to the tubular member. The tubular member may be formed from an elastomeric material. The tubular member has a wall that may be rigid or semi-rigid, and the tubular member may be reinforced with a coil along a portion of the tubular member. The tubular member may include a distal, mechanically deployable shielding portion. The zero seal may be a duckbill seal constructed with one or more intersecting sealing portions. The duckbill seal may comprise of opposing lip portions separated by a slit portion. The opposing lip portions are coated with or attached to a soft or occlusive material. The occlusive material is one of Kraton, polyurethane or the like. The occlusive lip portions allow a surgical item such as a suture to extend through the slit portion without disrupting the seal. In one aspect, the tubular member and the septum seal are molded together as a single unit and the zero seal is then bonded or fused to the septum seal. In another aspect, the tubular member, the septum seal and the zero seal are all molded together or integrally formed as a single unit. The tubular member may further comprise flexibility enhancing features to allow the tubular member to flex in response to a motion of a surgical instrument within the working channel of the tubular member.

摘要翻译： 本发明涉及一种外科进入装置，其包括细长管状构件，该细长管状构件具有工作通道和在近端和远端之间延伸的轴线，一体地形成在管状构件的远端处的隔膜密封件以及零密封件 在管状构件的远端处并且远离隔膜密封件，零密封件的尺寸和构造被设计成在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 具有相对于管状构件以隔垫密封件浮动的性质。 管状构件可以由弹性体材料形成。 管状构件具有可以是刚性或半刚性的壁，并且管状构件可以沿着管状构件的一部分用线圈加强。 管状构件可以包括远侧机械展开的屏蔽部分。 零密封可以是由一个或多个相交的密封部分构成的鸭嘴形密封件。 鸭嘴形密封件可以包括由狭缝部分分开的相对的唇部。 相对的唇部被涂覆或附着到柔软或闭塞的材料上。 封闭材料是Kraton，聚氨酯等之一。 闭合唇部允许诸如缝合线的手术物品延伸穿过狭缝部分而不破坏密封。 在一个方面，管状构件和隔膜密封件作为单个单元一起模制，然后将零密封件粘合或熔合到隔膜密封件。 在另一方面，管状构件，隔膜密封件和零密封件全部模制在一起或整体地形成为单个单元。 管状构件还可以包括柔性增强特征，以允许管状构件响应于外科器械在管状构件的工作通道内的运动而弯曲。

公开(公告)号：US20050209619A1

公开(公告)日：2005-09-22

申请号：US10805864

申请日：2004-03-22

申请人： Gary Johnson ,  John Brustad ,  Charles Hart

发明人： Gary Johnson ,  John Brustad ,  Charles Hart

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

CPC分类号： A61B17/3417 ,  A61B17/34 ,  A61B2017/00473 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61M39/02

摘要： The present invention relates to a surgical access port for insertion into a body cavity having an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip disposed at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip operates to move from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing operably connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip. The retention member may be biased to hold the distal tip in an off-axis position when there is no axial load, or it may be lightly held in axial alignment and subsequently deflected in the presence of an instrument within the tubular body. The distal tip, which may comprise one or more parts or petals, may reposition to the side of the tubular body in a substantially right-angled condition in the second, retaining position. The repositioned tip remains in an off-axis condition until removal of the access port, at which time the distal tip automatically realigns with the axis of the tubular body as the access port is withdrawn from the body wall. The tubular body may be a thin walled tube. The distal tip may comprise a conical, tapered or rounded shape to separate tissue layers. The distal tip may be solid or hollow, which may act as a specimen bag by closing on a specimen and pulled inside the tip during removal of the access port. The distal tip may be formed from a clear material to allow viewing through an endoscope during placement of the surgical access port.

公开(公告)号：US20060217681A1

公开(公告)日：2006-09-28

申请号：US11383927

申请日：2006-05-17

申请人： Charles Hart ,  John Brustad

发明人： Charles Hart ,  John Brustad

IPC分类号： A61M31/00

CPC分类号： A61B17/3421 ,  A61B1/3132 ,  A61B17/3417 ,  A61B17/3474 ,  A61B90/30 ,  A61B2017/00685 ,  A61B2017/320044 ,  A61B2017/3405 ,  A61B2017/3484 ,  A61B2017/349 ,  A61B2090/08021 ,  A61B2090/373 ,  A61M25/02 ,  A61M25/04 ,  A61M2025/0286

摘要： A trocar system for providing access across a body wall includes a trocar and an anchor provided in the form of a first helix. The anchor is adapted for placement in an operative position wherein the anchor extends at least partially through the body wall. A second helix formed on the trocar is size and configured to engage the first helix of the anchor so that rotation of the trocar relative to the anchor moves the second helix along the first helix. In this manner, the trocar is drawn into the anchor as it moves into the body wall. A proximal force applied to the anchor resists tenting of the abdominal wall. The anchor also holds the layers of the body wall together thereby resisting peritoneal separation.

摘要翻译： 用于提供通过身体壁的通路的套针针系统包括以第一螺旋形式设置的套针针和锚。 锚固件适于放置在操作位置，其中锚固件至少部分延伸穿过主体壁。 形成在套针针上的第二螺旋是尺寸并且构造成接合锚固件的第一螺旋，使得套管针相对于锚的旋转沿着第一螺旋移动第二螺旋。 以这种方式，套管针在移动到体壁时被拉入锚中。 施加到锚的近侧力抵抗腹壁的隆起。 锚固体还将体壁的层保持在一起，从而抵抗腹膜分离。

公开(公告)号：US20070088202A1

公开(公告)日：2007-04-19

申请号：US11548767

申请日：2006-10-12

申请人： Jeremy Albrecht ,  Charles Hart ,  John Brustad

发明人： Jeremy Albrecht ,  Charles Hart ,  John Brustad

IPC分类号： A61B1/32

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： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip

摘要翻译： 用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环，外环和可扩张套管。 外环包括彼此耦合的至少一对圆形管。 圆形管中的至少一个包括形成开放端的管腔和裂口。 其中分开的不合适的管状环位于内腔中。 管状环被定向成其开口端定位成远离圆形管的分割。 核心位于管状箍的内腔中。 芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。 圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案

公开(公告)号：US20050165444A1

公开(公告)日：2005-07-28

申请号：US10504279

申请日：2003-01-16

申请人： Charles Hart ,  Gary Johnson ,  Said Hilal ,  John Brustad

发明人： Charles Hart ,  Gary Johnson ,  Said Hilal ,  John Brustad

IPC分类号： A61B17/12 ,  A61B20060101 ,  A61B17/00 ,  A61B17/08 ,  A61B17/32 ,  A61B18/04 ,  A61B18/12 ,  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.

摘要翻译： 组织焊接装置适于将第一片组织熔合到第二片组织中，所述第二片组织布置在表面邻近关系中。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。 热源耦合到穿透构件，用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二片组织的柱。 化学试剂可以用穿透构件携带到组织。

公开(公告)号：US20050159647A1

公开(公告)日：2005-07-21

申请号：US11062022

申请日：2005-02-18

申请人： Charles Hart ,  John Brustad

发明人： Charles Hart ,  John Brustad

IPC分类号： A61B1/313 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B1/00 ,  A61M37/00

CPC分类号： A61B17/3417 ,  A61B1/3132 ,  A61B17/3474 ,  A61B90/30 ,  A61B2017/320044 ,  A61B2017/349 ,  A61B2090/08021 ,  A61B2090/373

摘要： A laparoscopic insufflation device is provided in the configuration of a coil with a blunt tip. The device is capable of passing through the abdominal wall without cutting tissue, and exiting the abdominal wall substantially parallel to the inner surface. While rotation of the coiled device results in forward movement through the abdominal wall, a counter force can be applied to the device to create a safety space between the wall and the interior organs. With the blunt distal tip, parallel exit angle, and safety space, there is substantially no threat to the interior organs during placement of the device. Further space can be generated with the use of pressured gas to produce an abdominal cavity for the subsequent placement of trocars. By rotatably attaching the coiled insufflation device to a trocar, the advantage of a counter force can be used not only to establish the safety space but also to pull the trocar into the abdominal wall with a counterforce which resists tenting.

公开(公告)号：US20080108978A1

公开(公告)日：2008-05-08

申请号：US11970407

申请日：2008-01-07

申请人： Charles Hart ,  Raffi Pinedjian ,  Boun Pravong

发明人： Charles Hart ,  Raffi Pinedjian ,  Boun Pravong

IPC分类号： A61M27/00

CPC分类号： A61M25/0017 ,  A61M25/04 ,  A61M29/02 ,  A61M2025/0063 ,  A61M2210/1085 ,  A61M2210/1096

摘要： A drainage catheter is adapted to drain fluid from the body cavity through a body conduit and includes an elongate tube and a retention member disposed at the distal end of the elongate tube. The retention member is adapted for movement between a low-profile state facilitating insertion of the catheter and a high-profile state facilitating retention of the catheter in its operative position. A woven mesh forms at least a portion of one of the tube and the retention member. The woven mesh can be formed of filaments heat-settable so that the catheter automatically moves to the high-profile state. Insertion of the catheter can be facilitated using a stylet which can be removed after insertion to permit the catheter to automatically return to its high-profile state.

摘要翻译： 排水导管适于通过体导管从体腔排出流体，并且包括细长管和设置在细长管的远端处的保持构件。 保持构件适于在促进导管插入的低轮廓状态和促进导管保持在其操作位置的高轮廓状态之间移动。 编织网形成管和保持构件中的一个的至少一部分。 编织网可以由可热固化的细丝形成，使得导管自动移动到高轮廓状态。 可以使用导管插入导管，该探针可在插入之后被移除以允许导管自动返回到其高轮廓状态。