公开(公告)号：US08021296B2

公开(公告)日：2011-09-20

申请号：US11486383

申请日：2006-07-14

申请人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

发明人： Frank Bonadio ,  John Butler ,  Catherine Deegan ,  Trevor Vaugh

IPC分类号： A61B1/32

CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61B2017/3492

摘要： A wound retractor (320) comprises a distal ring (3) for insertion through a wound opening (6), a proximal ring (4) for location externally of the wound opening (6), a valve (10) mounted to the proximal ring (4), and a sleeve (2) for retracting laterally the sides of the wound opening (6). The wound retractor (320) also comprises a flexible release member (81) for releasing the distal ring (3) from a retracting configuration for removal of the distal ring (3) from the wound opening (6). A first end (301) of the release member (81) is attached to the valve housing (102), the release member (81) loops around the distal ring (3), and a second end (302) of the release member (81) is movable relative to the proximal ring (4) to release the distal ring (3) from the retracting configuration.

摘要翻译： 缠绕牵开器（320）包括用于插入穿过开口（6）的远端环（3），用于位于所述缠绕开口（6）外部位置的近端环（4）;安装到所述近端环 （4）和用于在所述卷绕开口（6）的侧面侧向缩回的套筒（2）。 所述卷绕牵开器（320）还包括用于将所述远端环（3）从用于从所述伤口（6）移除所述远端环（3）的缩回构造的弹性释放构件（81）。 释放构件（81）的第一端（301）附接到阀壳体（102），释放构件（81）围绕远端环（3）环绕，并且释放构件的第二端（302） 81）能够相对于近端环（4）移动以将远端环（3）从收缩构型释放。

公开(公告)号：US20110092778A1

公开(公告)日：2011-04-21

申请号：US12907864

申请日：2010-10-19

申请人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

发明人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

IPC分类号： A61B1/32 ,  A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3468 ,  A61B2017/00557 ,  A61B2017/3484 ,  A61B2017/3492

摘要： A wound retractor system comprises a retractor having a distal ring 91 and a retracting sleeve 4 extending from the ring. An insertion tool 120 has a distal groove 122 to hold the ring for insertion of the ring through a small incision 90 in the abdominal wall 97. The retractor may be used for retracting an incision to receive an instrument therethrough. A seal or valve may be mounted to the retractor through which an instrument can pass.

摘要翻译： 缠绕牵开器系统包括具有从环延伸的远端环91和缩回套筒4的牵开器。 插入工具120具有远端凹槽122，以保持环，用于将环插入腹壁97中的小切口90.牵开器可用于缩回切口以接收仪器通过其中。 密封件或阀可以安装到牵开器上，仪器可以通过该收缩器通过。

公开(公告)号：US07195590B2

公开(公告)日：2007-03-27

申请号：US10635909

申请日：2003-08-07

申请人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

发明人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

IPC分类号： A61B17/00

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00265 ,  A61B2017/00477 ,  A61B2017/00557 ,  A61B2017/22051 ,  A61B2017/3435 ,  A61B2017/3482 ,  A61F2/958 ,  A61M25/0119 ,  A61M29/02 ,  A61M2025/0062 ,  A61M2025/109

摘要： A wound retractor comprises a retracting member for insertion into a wound opening and a proximal member for location member for location externally of a wound opening. The proximal member is movable relative to the retracing member to shorten the axial extent of the retracting member to laterally retract a wound opening. The retracted wound opening is retracted by a seal which is integral with the retractor.

摘要翻译： 缠绕牵开器包括用于插入到伤口中的收回构件和用于定位构件的近侧构件，用于位于伤口开口的外部。 近侧构件可相对于回退构件移动，以缩短缩回构件的轴向范围以使伤口开口横向缩回。 缩回的卷绕开口通过与牵开器成一体的密封件缩回。

公开(公告)号：US20050148823A1

公开(公告)日：2005-07-07

申请号：US10965217

申请日：2004-10-15

申请人： Trevor Vaugh ,  John Butler ,  Frank Bonadio

发明人： Trevor Vaugh ,  John Butler ,  Frank Bonadio

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61M39/06 ,  F16K15/00

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00265 ,  A61M39/06 ,  A61M39/0606 ,  A61M39/0613 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0666 ,  A61M2039/0686

摘要： A surgical sealing device, suitable for use during a surgical procedure such as a laparoscopic procedure or a hand-assisted laparoscopic procedure, comprises a first sealing member and a second sealing member. In one case, the first sealing member and the second sealing member are integrally formed of a gelatinous elastomeric material. A thin slit is defined between the sealing members. The first sealing member overlaps the distal end opening of a passageway through the second sealing member in a closed configuration to prevent leakage of insufflation gases out of an abdomen. In an open configuration, the first sealing member is retracted to reveal the distal end opening of the passageway and thus facilitate passage of an object, such as a surgeon's hand or forearm, into the abdomen.

摘要翻译： 一种外科手术密封装置，适用于诸如腹腔镜手术或手辅助腹腔镜手术的手术过程中的使用，包括第一密封构件和第二密封构件。 在一种情况下，第一密封构件和第二密封构件由凝胶状弹性体材料一体形成。 密封构件之间限定有狭缝。 第一密封构件以闭合构型与通过第二密封构件的通道的远端开口重叠以防止吹入气体从腹部泄漏。 在打开构造中，第一密封构件缩回以露出通道的远端开口，从而便于诸如外科医生的手或前臂的物体通过到腹部。

公开(公告)号：US08657740B2

公开(公告)日：2014-02-25

申请号：US12694888

申请日：2010-01-27

申请人： Frank Bonadio ,  Trevor Vaugh ,  Ronan B. McManus ,  Shane J. MacNally ,  John Butler

发明人： Frank Bonadio ,  Trevor Vaugh ,  Ronan B. McManus ,  Shane J. MacNally ,  John Butler

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3462 ,  A61B17/3468 ,  A61B17/3498 ,  A61B2017/00477 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466 ,  A61B2017/3484 ,  A61B2017/3492

摘要： An instrument access device comprises first, second and third instrument seals for sealing around instruments extended through the device. The seals have respective connector sleeves. Each sleeve connects a base to one of the instrument seals. The device also comprises two insufflation/desufflation ports. Each of the ports comprises a connector extending from the base, a tube extending from the connector, a luer connector and a removable cap. The luer connector is used for connection to any suitable supply line for insufflation gas or for discharge if insufflation gas. In use, the insufflation/desufflation ports facilitate independent control of insufflation and desufflation as may be required during a surgical procedure. Access sleeve at the proximal end is cut-off, folded over the inner proximal ring and is held in place between the base and the inner proximal ring when the base is fitted. The proximal end of the sleeve that is generated when the sleeve is pulled upwardly to retract an incision is removed from the field of use.

摘要翻译： 仪器进入装置包括第一，第二和第三仪器密封件，用于密封通过该装置延伸的仪器。 密封件具有相应的连接器套筒。 每个套管将底座连接到仪表密封件之一。 该装置还包括两个吹入/​​去气孔。 每个端口包括从基座延伸的连接器，从连接器延伸的管，鲁尔连接器和可移除盖。 鲁尔连接器用于连接任何合适的吹入气体供应管线，或用于吹入气体时排出。 在使用中，吹入/抽吸端口有助于在外科手术过程中可能需要的吹气和脱气的独立控制。 在近端的接近套筒被切断，折叠在内侧近端环上，并且当基座安装时，将其保持在基部和内侧近端环之间的适当位置。 当套筒向上拉以缩回切口时产生的套筒的近端从使用领域移除。

公开(公告)号：US20090292176A1

公开(公告)日：2009-11-26

申请号：US12428823

申请日：2009-04-23

申请人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

发明人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

IPC分类号： A61B1/32

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482

摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and four strap members (5) extending between the proximal ring member (4) and the distal ring member (2). The four separate strap members (5) are axially movable relative to the distal ring member (2) and relative to the proximal ring member (4). The distal ring member (2) comprises four slots (6), with each strap member (5) positioned extending through a slot (6). The slots (6) thus act as passageways through which the strap members (5) may extend, and in this manner the slots (6) guide movement of the strap members (5) relative to the distal ring member (2). The proximal ring member (4) also comprises four slots (7) which act as passageways to guide movement of the strap members (5) relative to the proximal ring member (4). In use, the distal ring member (2) is inserted into the wound opening (3), and the proximal ring member (4) is located externally of the wound opening (3). The second end (10) of each strap member (5) is then gripped, and a pulling force is exerted to retract laterally the sides of the wound opening (3).

摘要翻译： 缠绕牵开器装置（1）包括用于插入伤口（3）的远端环构件（2），用于位于伤口（3）外部的近端环构件（4），以及四个绑带构件（5） 在近端环构件（4）和远端环构件（2）之间延伸。 四个分离的带构件（5）可相对于远端环构件（2）并相对于近端环构件（4）轴向移动。 远端环构件（2）包括四个狭槽（6），每个带构件（5）定位成延伸穿过槽（6）。 因此，槽（6）用作通道，带构件（5）可以穿过该通道延伸，并且以这种方式，槽（6）引导带构件（5）相对于远端环构件（2）的运动。 近端环构件（4）还包括四个狭槽（7），其作为通道引导带构件（5）相对于近端环构件（4）的移动。 在使用中，远端环构件（2）插入到卷绕的开口（3）中，并且近端环构件（4）位于伤口（3）的外部。 然后夹紧每个带构件（5）的第二端（10），并且施加拉力以横向地缩回伤口（3）的侧面。

公开(公告)号：US07537564B2

公开(公告)日：2009-05-26

申请号：US11086661

申请日：2005-03-23

申请人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

发明人： Frank Bonadio ,  Trevor Vaugh ,  John Butler

IPC分类号： A61B1/267

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/3482

摘要： A wound retractor device (1) comprises a distal ring member (2) for insertion into a wound opening (3), a proximal ring member (4) for location externally of the wound opening (3), and four strap members (5) extending between the proximal ring member (4) and the distal ring member (2). The four separate strap members (5) are axially movable relative to the distal ring member (2) and relative to the proximal ring member (4). The distal ring member (2) comprises four slots (6), with each strap member (5) positioned extending through a slot (6). The slots (6) thus act as passageways through which the strap members (5) may extend, and in this manner the slots (6) guide movement of the strap members (5) relative to the distal ring member (2). The proximal ring member (4) also comprises four slots (7) which act as passageways to guide movement of the strap members (5) relative to the proximal ring member (4). In use, the distal ring member (2) is inserted into the wound opening (3), and the proximal ring member (4) is located externally of the wound opening (3). The second end (10) of each strap member (5) is then gripped, and a pulling force is exerted to retract laterally the sides of the wound opening (3).

摘要翻译： 缠绕牵开器装置（1）包括用于插入伤口（3）的远端环构件（2），用于位于伤口（3）外部的近端环构件（4），以及四个绑带构件（5） 在近端环构件（4）和远端环构件（2）之间延伸。 四个分离的带构件（5）可相对于远端环构件（2）并相对于近端环构件（4）轴向移动。 远端环构件（2）包括四个狭槽（6），每个带构件（5）定位成延伸穿过槽（6）。 因此，槽（6）用作通道，带构件（5）可以穿过该通道延伸，并且以这种方式，槽（6）引导带构件（5）相对于远端环构件（2）的运动。 近端环构件（4）还包括四个狭槽（7），其作为通道引导带构件（5）相对于近端环构件（4）的移动。 在使用中，远端环构件（2）插入到卷绕的开口（3）中，并且近端环构件（4）位于伤口（3）的外部。 然后夹紧每个带构件（5）的第二端（10），并且施加拉力以横向地缩回伤口（3）的侧面。

公开(公告)号：US20060161050A1

公开(公告)日：2006-07-20

申请号：US11291089

申请日：2005-12-01

申请人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

发明人： John Butler ,  Trevor Vaugh ,  Frank Bonadio

IPC分类号： A61B1/32 ,  A61M5/14

CPC分类号： A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00265 ,  A61M39/06 ,  A61M39/0606 ,  A61M39/0613 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0666 ,  A61M2039/0686

摘要： A surgical sealing device (405), suitable for use during a surgical procedure such as a laparoscopic procedure or a hand-assisted laparoscopic procedure, comprises a first sealing member (5) and a second sealing member (6). A thin slit is defined between the sealing members (5, 6). In a closed configuration, the first sealing member (5) overlaps the distal end opening of a passageway (2) through the second sealing member (6) to prevent leakage of insufflation gases out of an abdomen (4). In an open configuration, the first sealing member (5) is retracted to reveal the distal end opening of the passageway (2) and thus facilitate passage of an object, such as a surgeon's hand or forearm (3), into the abdomen (4). The device (405) comprises a planar support element (406) fixedly attached to the proximal exterior surface (408) of the first sealing member (5). The first sealing member (5) is fixedly attached to the second sealing member (6) at an attached region (409), with a detached region (407) remaining detached from the second sealing member (6). The support element (406) acts as a stiffening element to increase the stiffness of the detached region (407) of the first sealing member (5) to minimise the deformation of the detached region (407) of the first sealing member (5) when the surgeon's hand/forearm (3) is pushed through the passageway (2). It is thus easier for the surgeon to retract the first sealing member (5) laterally to reveal the distal end opening of the passageway (2) by pushing the hand/forearm (3) through the passageway (2) and easier for the surgeon to pass the hand/forearm (3) through the device (405) and gain access to the abdomen (4).

摘要翻译： 一种适于在诸如腹腔镜手术或手辅助腹腔镜手术的外科手术过程中使用的手术密封装置（405）包括第一密封构件（5）和第二密封构件（6）。 在密封构件（5,6）之间限定有狭缝。 在闭合构造中，第一密封构件（5）通过第二密封构件（6）与通道（2）的远端开口重叠，以防止吹入气体从腹部（4）泄漏。 在打开构造中，第一密封构件（5）缩回以露出通道（2）的远端开口，从而便于外科医生的手或前臂（3）等物体通过到腹部（4） ）。 装置（405）包括固定地附接到第一密封构件（5）的近端外表面（408）的平面支撑元件（406）。 第一密封构件（5）在附接区域（409）处固定地附接到第二密封构件（6），其中分离区域（407）保持与第二密封构件（6）分离。 支撑元件（406）用作加强元件，以增加第一密封构件（5）的分离区域（407）的刚度，以最小化第一密封构件（5）的分离区域（407）的变形， 外科医生的手/前臂（3）被推过通道（2）。 因此，外科医生更容易通过将手/前臂（3）推动通过通道（2）而横向缩回第一密封构件（5）以露出通道（2）的远端开口，并且更容易使外科医生 使手/前臂（3）穿过装置（405）并进入腹部（4）。

公开(公告)号：US20050203346A1

公开(公告)日：2005-09-15

申请号：US11086660

申请日：2005-03-23

申请人： Frank Bonadio ,  Trevor Vaugh ,  John Butler ,  Catherine Deegan

发明人： Frank Bonadio ,  Trevor Vaugh ,  John Butler ,  Catherine Deegan

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61B1/32

CPC分类号： A61B17/3423 ,  A61B17/0293 ,  A61B17/3431 ,  A61B2017/00557

摘要： A wound retractor device (1) comprises a distal ring member (4) for insertion into a wound opening (3), a proximal ring member (2) for location externally of the wound opening (3), and a cylindrical connecting sleeve (5), which extends between the distal ring member (4) and the proximal ring member (2), to retract laterally the sides of a wound opening (3). The device (1) further comprises a rigid engagement ring member (11) for facilitating engagement of the device (1), and manipulation of the device (1) into a desired location and/or orientation. In use, the distal ring member (4) is inserted into the wound opening (3), and the proximal ring member (2) is located externally of the wound opening (3), with the connecting sleeve (5) extending between the proximal ring member (2) and the distal ring member (4). The connecting sleeve (5) is then pulled proximally to retract laterally the sides of the wound opening (3). The engagement ring member (11) may then be engaged, for example by means of a surgeon gripping the engagement ring member (11), and the device (1) manipulated into a desired location and/or orientation.

摘要翻译： 一种缠绕式收缩器装置（1）包括用于插入伤口（3）的远端环构件（4），用于位于伤口（3）外部的近端环构件（2），以及圆筒形连接套筒 ），其在远侧环构件（4）和近端环构件（2）之间延伸，以横向地缩回伤口（3）的侧面。 装置（1）还包括用于便于装置（1）的接合以及将装置（1）操纵成所需位置和/或取向的刚性接合环构件（11）。 在使用中，远端环构件（4）插入到卷绕的开口（3）中，并且近端环构件（2）位于缠绕开口（3）的外部，连接套筒（5）在近端 环形构件（2）和远端环构件（4）。 然后将连接套（5）向近侧拉动以横向缩回伤口（3）的侧面。 接合环构件（11）然后可以例如通过夹持接合环构件（11）的外科医生和被​​操纵成所需位置和/或取向的装置（1）接合。

公开(公告)号：US20050155611A1

公开(公告)日：2005-07-21

申请号：US10981730

申请日：2004-11-05

申请人： Trevor Vaugh ,  Frank Bonadio ,  John Butler

发明人： Trevor Vaugh ,  Frank Bonadio ,  John Butler

IPC分类号： A61B17/02 ,  A61B17/34 ,  A61M5/14 ,  A61B17/00

CPC分类号： A61B17/3462 ,  A61B17/3423 ,  A61B17/3439 ,  A61B17/3498

摘要： A surgical sealing device comprises sealing device of a gelatinous elastomeric material, a distal ring element and a proximal ring element. The ring elements are twisted relative to one another to twist the valve body into a twisted configuration to seal across a wound opening. The ring elements are snap-fitted together to maintain the valve in the twisted configuration. By passing an object, such as surgeon's hand through the valve, the opposing sidewalls of a lumen through the valve may be forced radially apart to partially open the lumen, and thereby enable the surgeon's hand to access the interior of the abdomen. The valve remains twisted during insertion of the surgeon's hand through the valve to minimise the loss of insufflation gases from the abdomen.

摘要翻译： 手术密封装置包括胶状弹性体材料的密封装置，远端环形元件和近端环形元件。 环形元件相对于彼此扭曲，以将阀体扭曲成扭曲构型以密封穿过伤口。 环形元件被卡扣配合在一起以将阀保持在扭曲的构型。 通过使诸如外科医生的手通过该阀门的物体，通过该阀门的腔的相对侧壁可被迫径向分开以部分地打开内腔，从而使外科医生的手能够进入腹部内部。 在插入外科医生的手通过阀门时，瓣膜保持扭曲，以减少从腹部吸入气体的损失。