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    Wound retraction apparatus and method
    31.
    发明申请
    Wound retraction apparatus and method 有权
    伤口收缩装置及方法

    公开(公告)号：US20050288558A1

    公开(公告)日：2005-12-29

    申请号：US11218412

    申请日：2005-09-01

    申请人： Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

    发明人： Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

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

    CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

    摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

    摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。 缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

    Surgical instruments with improved traction
    33.
    发明申请
    Surgical instruments with improved traction 审中-公开
    外科手术具有改善的牵引力

    公开(公告)号：US20050192605A1

    公开(公告)日：2005-09-01

    申请号：US10664698

    申请日：2004-02-06

    申请人： Charles Hart ,  Donald Gadberry ,  Eduardo Chi-Sing ,  Mark Ashby ,  Luis Urquidi ,  Robert Jones

    发明人： Charles Hart ,  Donald Gadberry ,  Eduardo Chi-Sing ,  Mark Ashby ,  Luis Urquidi ,  Robert Jones

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/122 ,  A61B17/28 ,  A61B17/08

    CPC分类号： A61B17/02 ,  A61B17/122 ,  A61B17/1227 ,  A61B2017/00858 ,  A61B2017/00862 ,  A61B2017/0243 ,  A61B2017/2825

    摘要： A surgical instrument (10) is adapted to contact tissue of a patient, and to provide traction with the tissue in order to inhibit migration of the instrument relative to the tissue. The instrument may include a pair of opposing jaws (16, 18) with at least one of the jaws (16, 18) comprising a substrate having a particular surface facing the tissue, and a plurality of discrete elements (26, 28) disposed on the particular surface for increasing the traction of the instrument relative to the tissue. These discrete elements (26, 28) may include a multiplicity of granules, bristles, or projections, and may be formed of materials having various properties such as hydrophilic characteristics. The discrete elements in the form of bristles can be oriented too so that the column strength of each bristle provides increased traction in a predetermined direction.

    摘要翻译： 手术器械（10）适于接触患者的组织，并提供对组织的牵引，以便抑制器械相对于组织的移动。 仪器可以包括一对相对的夹爪（16,18），其中至少一个钳口（16,18）包括具有面向组织的特定表面的衬底，以及多个分立元件（26,28），其设置在 用于增加器械相对于组织的牵引力的特定表面。 这些离散元件（26,28）可以包括多个颗粒，刷毛或凸起，并且可以由具有各种性质如亲水特性的材料形成。 刷毛形式的离散元件也可以被定向，使得每个刷毛的柱强度在预定方向上提供增加的牵引力。

    Surface treatments and modifications using nanostructure materials
    34.
    发明申请
    Surface treatments and modifications using nanostructure materials 审中-公开
    使用纳米结构材料的表面处理和修饰

    公开(公告)号：US20050113936A1

    公开(公告)日：2005-05-26

    申请号：US10976506

    申请日：2004-10-29

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

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

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/06 ,  A61B17/064 ,  A61B17/122 ,  A61F2/00 ,  A61F2/02 ,  A61F2/04 ,  A61F2/06 ,  A61F2/24 ,  B05D3/00 ,  C09D20060101

    CPC分类号： A61B17/064 ,  A61B17/02 ,  A61B17/06166 ,  A61B17/122 ,  A61B2017/00345 ,  A61B2017/00858 ,  A61F2002/0086 ,  A61L27/30 ,  A61L31/082 ,  A61L2400/12 ,  A61L2400/18

    摘要： The invention is directed to nanostructure surface treatments, coatings or modifications formed from nanoscale building blocks. The nanostructure surface treatments, modifications or coatings have hydrophobic, hydrophilic and surface adherence properties. The nanoscale building blocks have orientation, geometry, packing density and composition that may be adjusted to control the unique surface characteristics of the desired treatment, coating or modification. Applications of this nanostructure technology include surgical clips, staples, retractors, sutures and manipulators where an improvement in traction, retention or occlusion is desired without excessive material or tissue deformation or where high compressive forces would be undesirable, dangerous or ineffective. In one aspect, a nanostructure surface treatment for a medical device having an external surface is disclosed, wherein the treatment is applied on the external surface to provide a hydrophobic or a hydrophilic surface. With this aspect, the treatment comprises titanium dioxide and provides nanoscopic structures having nearly vertical sidewalls. The treated surface of the device has contact angles greater than or equal to 150 degrees. The vertical sidewalls provide a negative capillary effect and have a width of about 200 nm. The vertical sidewalls attach to a wet surface by the negative capillary effect. The van der Waals forces of the vertical sidewalls enable the treated surface to attach to a dry surface. The treatment may be vapor deposited and cured on the device, or the treatment may be laser blasted on the device.

    摘要翻译： 本发明涉及纳米结构表面处理，由纳米级结构单元形成的涂层或改性。 纳米结构表面处理，改性或涂层具有疏水性，亲水性和表面附着性。 纳米级结构单元具有取向，几何形状，填充密度和组成，可以调节以控制所需处理，涂层或改性的独特表面特性。 该纳米结构技术的应用包括手术夹，钉，牵开器，缝合线和操纵器，其中希望改善牵引力，保持力或闭塞，而不会产生过多的材料或组织变形，或者高压缩力是不希望的，危险的或无效的。 一方面，公开了一种具有外表面的医疗器械的纳米结构表面处理，其中将处理施加在外表面上以提供疏水或亲水表面。 在这方面，处理包括二氧化钛并提供具有近似垂直侧壁的纳米结构。 该设备的被处理表面具有大于或等于150度的接触角。 垂直侧壁提供负毛细管效应并具有约200nm的宽度。 垂直侧壁通过负毛细管效应附着在潮湿的表面上。 垂直侧壁的范德华力使得经处理的表面附着在干燥的表面上。 处理可以在装置上气相沉积和固化，或者可以在装置上激光喷射处理。

    Surgical access system
    36.
    发明申请
    Surgical access system 审中-公开
    手术进入系统

    公开(公告)号：US20050020884A1

    公开(公告)日：2005-01-27

    申请号：US10927551

    申请日：2004-08-25

    申请人： Charles Hart ,  Edward Pingleton

    发明人： Charles Hart ,  Edward Pingleton

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

    CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3498 ,  A61B2017/00265

    摘要： The invention is directed to a hand access system that provides hand access to a surgical area while maintaining pneumoperitoneum during laparoscopic surgery. The hand access system comprises a sheath retractor adapted to dilate a wound stretchable to a desired diameter, the sheath retractor includes a first ring being adapted for disposition interiorly of the wound, a second ring being adapted for disposition exteriorly of the wound, and a sheath being disposed in a generally cylindrical form between the first ring and the second ring and operable to exert a radial retraction force on the wound. The hand access system further comprises a detachable hand seal adapted to be removable from the second ring of the sheath retractor. The sheath retractor may be formed of an elastomeric material, and the hand seal may be formed of a gel material and includes a slit providing an instrument seal in the presence of an instrument or hand and a zero seal in the absence of the instrument or hand. In another aspect, there is disclosed a surgical access device adapted for disposition relative to an incision in a patient comprising a valve including a plurality of overlapping sheets defining an access channel, and a ring having an inner diameter for holding the valve by fixing each of the overlapping sheets along a portion of the perimeter, the access channel extends into communication with the incision in the patient. Each of the overlapping sheets includes a portion of the perimeter that is not fixed to the inner diameter of the ring, which provide open edges defining the access channel. The open edges slightly overlap at the center of the ring. The open edges may have different shapes including at least one of a straight edge, concave, convex and a cross-configuration. The hand access device may further comprise a septum seal formed at the proximal and distal ends of the ring.

    摘要翻译： 本发明涉及一种手动进入系统，其在腹腔镜手术期间提供手术进入手术区域同时保持气腹。 手动进入系统包括一个适合于将可拉伸到所需直径的伤口扩张的护套牵开器，所述护套牵开器包括适于在伤口内部配置的第一环，适于在伤口外部配置的第二环， 在第一环和第二环之间以大致圆柱形的形式设置并可操作以在伤口上施加径向缩回力。 手动进入系统还包括适于从皮带牵开器的第二环移除的可拆卸手动密封件。 护套牵开器可以由弹性体材料形成，并且手动密封件可以由凝胶材料形成，并且包括在没有仪器或手的情况下在仪器或手的存在下提供仪器密封的狭缝和零密封 。 另一方面，公开了一种外科进入装置，其适于相对于患者的切口进行配置，该装置包括阀，所述阀包括限定出入通道的多个重叠片，以及具有用于通过固定每个 沿着周边的一部分重叠的片材，进入通道延伸成与患者的切口连通。 每个重叠片材包括未固定到环的内径的周边的一部分，其提供限定接入通道的开口边缘。 开口边缘在环的中心稍微重叠。 开口边缘可以具有不同的形状，包括直边，凹形，凸形和交叉构型中的至少一个。 手动进入装置还可以包括形成在环的近端和远端的隔膜密封件。

    Methods, systems, and products for sharing presence information
    37.
    发明申请
    Methods, systems, and products for sharing presence information 审中-公开
    用于共享状态信息的方法，系统和产品

    公开(公告)号：US20090077584A1

    公开(公告)日：2009-03-19

    申请号：US11901319

    申请日：2007-09-17

    申请人： Jay Oliver Glasgow ,  Brett D. Johnson ,  Laurence Siegel ,  Charles Hart

    发明人： Jay Oliver Glasgow ,  Brett D. Johnson ,  Laurence Siegel ,  Charles Hart

    IPC分类号： H04N5/445

    CPC分类号： H04N5/44543 ,  H04N7/173 ,  H04N21/252 ,  H04N21/44222 ,  H04N21/4532 ,  H04N21/6582 ,  H04N21/84

    摘要： Methods, systems, and products are disclosed for sharing presence information. Presence notifications are received from users, and the presence notifications describe content items currently being received by the users. A popularity of one or more of the content items being received by the users is determined. An electronic programming guide is provided that includes information regarding the one or more of the content items and the determined popularity associated with the one or more of the content items.

    摘要翻译： 公开了用于共享存在信息的方法，系统和产品。 来自用户的存在通知，存在通知描述用户当前正在接收的内容。 确定由用户接收的一个或多个内容项的流行度。 提供电子节目指南，其包括关于一个或多个内容项目的信息以及与一个或多个内容项目相关联的所确定的流行度。

    WOUND RETRACTION APPARATUS AND METHOD
    39.
    发明申请
    WOUND RETRACTION APPARATUS AND METHOD 有权
    回绕装置和方法

    公开(公告)号：US20070225569A1

    公开(公告)日：2007-09-27

    申请号：US11755305

    申请日：2007-05-30

    申请人： Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

    发明人： Richard Ewers ,  John Brustad ,  Edward Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary Dulak ,  Michael Dunn ,  Norman Morales ,  Charles Hart ,  Robert Bowes

    IPC分类号： A61B1/32

    CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

    摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

    摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离，缩回元件是可伸长的和不可扩张的，在环处有合适的附接装置，以提供 收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成圆周保持器的步骤。

    DEVICE FOR ISOLATING AND REMOVING TISSUE FROM A BODY CAVITY
    40.
    发明申请
    DEVICE FOR ISOLATING AND REMOVING TISSUE FROM A BODY CAVITY 有权
    用于从体腔分离和去除组织的装置

    公开(公告)号：US20070135781A1

    公开(公告)日：2007-06-14

    申请号：US11549701

    申请日：2006-10-16

    申请人： Charles Hart

    发明人： Charles Hart

    IPC分类号： A61M1/00

    CPC分类号： A61B17/00234 ,  A61B2017/00287

    摘要： A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.

    摘要翻译： 组织隔离和去除装置具有由装置打开和支撑的容纳袋。 该袋具有两个打开/关闭部分，能够关闭并重新打开。 位于远离组织的一部分被插入袋中并覆盖另一部分以包围或隔离在另一部分中捕获的任何组织。