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公开(公告)号：US20100210914A1
公开(公告)日：2010-08-19
申请号：US12768328
申请日：2010-04-27
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。
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公开(公告)号：US20070213675A1
公开(公告)日：2007-09-13
申请号：US11683821
申请日：2007-03-08
申请人： Jeremy J. Albrecht , Gigi Au , Eric Nguyen , Donald L. Gadberry , John R. Brustad , Gary M. Johnson , Charles C. Hart , Michael L. Michaud , Matthew M. Becerra , Kennii Pravongvienghkam
发明人： Jeremy J. Albrecht , Gigi Au , Eric Nguyen , Donald L. Gadberry , John R. Brustad , Gary M. Johnson , Charles C. Hart , Michael L. Michaud , Matthew M. Becerra , Kennii Pravongvienghkam
IPC分类号： A61M25/00
CPC分类号： A61B17/3421 , A61B2017/3482 , A61B2017/3486 , A61B2017/3492
摘要： A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula. The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity. The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译： 气球套管针包括插管组件，其包括套管和套管上的外套管。 外套筒的远端靠近套管的远端。 气囊联接到套管的远端部分和套管的远端部分。 套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道。 在其远端部分具有凝胶垫的枕头可滑动地安装到套管组件上并且可以锁定在期望的位置。 在使用中，套针针通过体壁插入切口并进入体腔。 气囊膨胀，并且套管组件向近侧拉动抵靠切口，同时将垫片向远侧滑动到体壁并锁定在适当位置以用压缩气囊密封切口。
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公开(公告)号：US09155558B2
公开(公告)日：2015-10-13
申请号：US13356260
申请日：2012-01-23
CPC分类号： A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed. The instrument comprises a shaft having an insufflation channel extending between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end. A tip is at the distal end and a vent hole is formed in the tip being in connection with the insufflation channel and adapted to expel fluid under pressure to insufflate the abdominal region. The tip is formed of a transparent material to facilitate visualization of the abdominal wall and region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel.
摘要翻译： 公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式外科器械。 仪器包括具有在近端和远端之间延伸的吹入通道的轴，所述吹入通道适于连接到在近端处于压力下的流体源。 尖端在远端，并且在尖端中形成有与吹气通道连接的通气孔，并且适于在压力下排出流体以吸入腹部区域。 尖端由透明材料形成，以便于腹壁和区域的可视化。 轴包括沿近端和远端之间的轴线延伸的腔，以能够插入腹腔镜。 管腔和吹气通道可以形成为单独通道或一个共享通道。
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公开(公告)号：US08226552B2
公开(公告)日：2012-07-24
申请号：US12119414
申请日：2008-05-12
IPC分类号： A61B1/32
CPC分类号： A61B17/3423
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall. The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor. The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译： 外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。 不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。 进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。 外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。
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公开(公告)号：US08109873B2
公开(公告)日：2012-02-07
申请号：US12119371
申请日：2008-05-12
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall. The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor. The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译： 外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。 不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。 进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。 外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。
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公开(公告)号：US20110054260A1
公开(公告)日：2011-03-03
申请号：US12873115
申请日：2010-08-31
申请人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
发明人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B2090/0801
摘要： A surgical access system comprises a wound retractor comprising an outer anchor, an inner anchor, and a flexible, tubular sheath extending therebetween. Embodiments of the outer anchor comprise an outer ring rotatable around an annular axis thereof, thereby rolling the sheath therearound when retracting an incision or opening in a body wall. The sheath comprises a plurality of fibers or strands that improve the abrasion and puncture resistance thereof. Consequently, the surgical access system is useful in procedures in which damage to the sheath is likely, for example, orthopedic hip replacement, and spinal procedures. In some embodiments, the sheath tapers from the outer ring to the inner ring.
摘要翻译： 外科进入系统包括缠绕牵开器，其包括在其间延伸的外部锚固件，内部锚固件和柔性管状护套。 外部锚固件的实施例包括可围绕其环形轴线旋转的外环，从而当缩回体壁中的切口或开口时在其周围滚动护套。 护套包括提高其耐磨性和耐刺穿性的多个纤维或股线。 因此，外科手术进入系统可用于其中可能损伤皮肤的程序，例如矫形髋关节置换术和脊柱手术。 在一些实施例中，护套从外环逐渐变细到内圈。
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公开(公告)号：US09717522B2
公开(公告)日：2017-08-01
申请号：US12873115
申请日：2010-08-31
申请人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
发明人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B2090/0801
摘要： A surgical access system comprises a wound retractor comprising an outer anchor, an inner anchor, and a flexible, tubular sheath extending therebetween. Embodiments of the outer anchor comprise an outer ring rotatable around an annular axis thereof, thereby rolling the sheath therearound when retracting an incision or opening in a body wall. The sheath comprises a plurality of fibers or strands that improve the abrasion and puncture resistance thereof. Consequently, the surgical access system is useful in procedures in which damage to the sheath is likely, for example, orthopedic hip replacement, and spinal procedures. In some embodiments, the sheath tapers from the outer ring to the inner ring.
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公开(公告)号：US08343047B2
公开(公告)日：2013-01-01
申请号：US12358080
申请日：2009-01-22
申请人： Jeremy J. Albrecht , Juan J. Lechuga , Matthew M. Becerra , Donald K. Gadberry , Gary M. Johnson , John R. Brustad
发明人： Jeremy J. Albrecht , Juan J. Lechuga , Matthew M. Becerra , Donald K. Gadberry , Gary M. Johnson , John R. Brustad
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3417 , A61B17/3423 , A61B17/3462 , A61B2017/3449 , A61B2017/345 , A61B2017/3452 , A61B2017/3454 , A61B2017/3466
摘要： Embodiments of an access device system useful for single or limited port procedures includes a retractor and a gel cap removably coupled to the retractor. The gel cap includes a gel pad that acts as an artificial body wall, through which instruments may be inserted into a body cavity, either directly or through one or more trocars. The gel pad permits flexible instrument placement, as well as translational and angular degrees of freedom for the instruments while maintaining a gas tight seal.
摘要翻译： 用于单个或有限端口程序的接入设备系统的实施例包括可拆卸地联接到牵开器的牵开器和凝胶帽。 凝胶帽包括用作人造体壁的凝胶垫，仪器可以直接或通过一个或多个套管针插入体腔。 凝胶垫允许灵活的仪器放置，以及仪器的平移和角度自由度，同时保持气密密封。
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公开(公告)号：US20120108906A1
公开(公告)日：2012-05-03
申请号：US13345279
申请日：2012-01-06
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall. The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor. The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译： 外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。 不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。 进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。 外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。
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公开(公告)号：US07909760B2
公开(公告)日：2011-03-22
申请号：US11548758
申请日：2006-10-12
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。
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