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公开(公告)号:US08480575B2
公开(公告)日:2013-07-09
申请号:US13596361
申请日:2012-08-28
申请人: Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
发明人: Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
IPC分类号: A61B1/32
CPC分类号: A61B17/02 , A61B17/0293 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3484 , A61B2017/3492
摘要: Embodiments of a surgical access system useful for single or limited port procedures comprise a trocar comprising a fixation cannula, a retractor, and a gel cap removably coupled to the retractor. The gel cap comprises 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 fixation cannula comprises a retainer and a bolster, which together, capture the artificial body wall therebetween, thereby fixing the trocar thereto. 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: 用于单一或有限端口程序的手术进入系统的实施例包括套管针,其包括可拆卸地联接到牵开器的固定插管,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。 固定插管包括保持器和枕垫,它们一起在其间捕获人造体壁,从而将套管针固定到其上。 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:US08308639B2
公开(公告)日:2012-11-13
申请号:US13050042
申请日:2011-03-17
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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公开(公告)号:US08262568B2
公开(公告)日:2012-09-11
申请号:US12578422
申请日:2009-10-13
申请人: Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
发明人: Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
IPC分类号: A61B1/32
CPC分类号: A61B17/02 , A61B17/0293 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3484 , A61B2017/3492
摘要: Embodiments of a surgical access system useful for single or limited port procedures comprise a trocar comprising a fixation cannula, a retractor, and a gel cap removably coupled to the retractor. The gel cap comprises 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 fixation cannula comprises a retainer and a bolster, which together, capture the artificial body wall therebetween, thereby fixing the trocar thereto. 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: 用于单一或有限端口程序的手术进入系统的实施例包括套管针,其包括可拆卸地联接到牵开器的固定插管,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。 固定插管包括保持器和枕垫,它们一起在其间捕获人造体壁,从而将套管针固定到其上。 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:US07883461B2
公开(公告)日:2011-02-08
申请号:US12791666
申请日:2010-06-01
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
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 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:US07815567B2
公开(公告)日:2010-10-19
申请号:US11548765
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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公开(公告)号:US20090234293A1
公开(公告)日:2009-09-17
申请号:US12405040
申请日:2009-03-16
IPC分类号: A61B17/34
CPC分类号: A61B17/3462 , A61B17/3421 , A61B2017/3464 , A61M2039/0633
摘要: A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder. Some embodiments of the instrument contact element have an hourglass configuration with a first end proximal of the opening of the compression element and a second end distal of the opening of the compression element. Other embodiments of the instrument contact element “wrap around” the opening in the compression element, with the first end and the second end secured to the same side of the opening, for example, proximal of the opening. Embodiments of the compression element comprise an elastomeric seal, for example, a septum seal and/or a gel seal.
摘要翻译: 手术进入口包括将仪器接触功能与仪器符合功能分开的阀或仪器密封件。 仪器密封件的实施例包括在通过压缩元件中的开口延伸的仪器接触元件中,从而限定与延伸穿过其中的仪器密封的仪器孔。 仪器接触元件的实施例包括不可扩张的膜或膜,例如作为管或气缸。 仪器接触元件的一些实施例具有沙漏构造,其具有靠近压缩元件的开口的第一端和压缩元件的开口的远端的第二端。 仪器接触元件的其他实施例“包裹”压缩元件中的开口,其中第一端和第二端固定到开口的相同侧,例如开口的近侧。 压缩元件的实施例包括弹性体密封件,例如隔膜密封件和/或凝胶密封件。
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公开(公告)号:US20080281162A1
公开(公告)日:2008-11-13
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并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: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: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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