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公开(公告)号:US20090248013A1
公开(公告)日:2009-10-01
申请号:US12416765
申请日:2009-04-01
Applicant: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
Inventor: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC: A61B18/14
CPC classification number: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
Abstract: Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
Abstract translation: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。 电外科系统可以包括电外科发生器,反馈电路或控制器以及电外科手术工具。 反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。 电外科系统可以包括多个用于不同电外科手术的电外科工具,并且可以包括各种用户界面特征和音频/视觉性能指标。 电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。
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公开(公告)号:US20090248007A1
公开(公告)日:2009-10-01
申请号:US12416668
申请日:2009-04-01
Applicant: Zoran Falkenstein , Christopher J. Capello , Gary M. Johnson , Benjamin A. Giannescho , Olivia J. Tran , Matthew A. Wixey , Kennii Provongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
Inventor: Zoran Falkenstein , Christopher J. Capello , Gary M. Johnson , Benjamin A. Giannescho , Olivia J. Tran , Matthew A. Wixey , Kennii Provongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
CPC classification number: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
Abstract: An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
Abstract translation: 电外科系统可以包括电外科发生器,反馈电路或控制器以及电外科手术工具。 反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。 电外科系统可以包括多个用于不同电外科手术的电外科工具,并且可以包括各种用户界面特征和音频/视觉性能指标。 电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。
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公开(公告)号:US20090137879A1
公开(公告)日:2009-05-28
申请号:US12360710
申请日:2009-01-27
Applicant: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
Inventor: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC: A61B1/32
CPC classification number: A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
Abstract: A surgical access device includes a single valve that forms a seal with the body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon, thereby providing hand access into the cavity.A method for making the surgical access device includes the combining of a gelling agent with an oil, preferably in a molding process. A method for using the device includes steps for creating an opening with the instrument. In a particular process, an organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity. The valve and method are particularly adapted for laparoscopic surgery wherein the abdominal cavity is insufflated with a gas thereby requiring the zero seal, the instrument seal, and the organ seal in various procedures.
Abstract translation: 外科进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有在没有仪器的情况下产生零密封的特性,以及具有仪器直径范围的仪器的仪器密封。 该阀可以包括凝胶,优选地包括由弹性体和提供大于1000%的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口,其中仪器包括外科医生的手臂 ,从而提供手进入空腔。 用于制造外科进入装置的方法包括胶凝剂与油的组合,优选在模制过程中。 一种使用该装置的方法包括用该仪器产生开口的步骤。 在特定的过程中,器官可以通过单个阀从体腔中移除,以在器官在体腔外部寻址时产生器官密封。 该阀和方法特别适用于腹腔镜手术,其中腹腔用气体吹入,因此需要零密封,器械密封和器官密封。
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公开(公告)号:US07238154B2
公开(公告)日:2007-07-03
申请号:US11218412
申请日:2005-09-01
Applicant: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
Inventor: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC: A61B17/02
CPC classification number: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
Abstract: A surgical wound retractor is adapted to dilate a wound to a desired diameter. The retractor includes first and second rings, each having a diameter greater than that desired for the wound. The first and second rings are adapted for disposition interiorly and exteriorly of the wound, respectively. A plurality of retraction elements is disposed in a generally cylindrical relationship between the first and second rings and extends through the wound to exert a radial retraction force on the wound that is dependent on the distance separating the first and second rings. Retraction elements, both distensible and non-distensible, are contemplated with appropriate attachment elements 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.
Abstract translation: 外科伤口牵开器适于将伤口扩张到期望的直径。 牵开器包括第一和第二环,每个环的直径大于伤口所需的直径。 第一和第二环分别适于在伤口的内部和外部设置。 多个退回元件以第一和第二环之间的大致圆柱形的关系设置,并且延伸穿过伤口,以在伤口上施加径向缩回力,这取决于分隔第一和第二环的距离。 可伸缩和不扩张的回缩元件可以考虑在环处的合适的附接元件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。
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公开(公告)号:US08932214B2
公开(公告)日:2015-01-13
申请号:US13105179
申请日:2011-05-11
Applicant: Charles C. Hart , Edward D. Pingleton
Inventor: Charles C. Hart , Edward D. Pingleton
CPC classification number: A61B17/0293 , A61B17/3423 , A61B17/3498 , A61B2017/00265
Abstract: The invention is directed to a surgical access system that provides access to a surgical area while maintaining pneumoperitoneum during laparoscopic surgery. The access system comprises a sheath retractor adapted to dilate a wound stretchable to a desired diameter and a detachable seal adapted to be removable from the sheath retractor. In another aspect, the detachable seal comprising a valve including a plurality of overlapping sheets defining an access channel that 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.
Abstract translation: 本发明涉及一种在腹腔镜手术期间保持气腹的外科手术区域的外科进入系统。 所述进入系统包括套管牵开器,所述护套牵开器适于将可拉伸到期望直径的伤口扩张,并且适于可从所述鞘收缩器移除的可拆卸密封件。 在另一方面,所述可拆卸密封件包括阀,所述阀包括多个重叠的片材,所述多个重叠片材限定了与所述患者体内的切口连通的进入通道。 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。
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公开(公告)号:US20130296655A1
公开(公告)日:2013-11-07
申请号:US13909669
申请日:2013-06-04
Applicant: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia Tran
Inventor: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia Tran
IPC: A61B17/02
CPC classification number: A61B17/0293 , A61B17/3423 , A61B2017/00265
Abstract: Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field. Embodiments of the internal retractor are adjustable.
Abstract translation: 装置,方法和系统提供了一种外科进入装置,其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。 卷绕的收缩器将体壁中的开口缩回到体腔中,而内部牵开器允许使用者控制体腔内的内部结构的位置,从而允许使用者限定外科手术领域。 内部牵开器的实施例是可调节的。
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公开(公告)号:US08551089B2
公开(公告)日:2013-10-08
申请号:US12611352
申请日:2009-11-03
Applicant: Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
Inventor: Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
IPC: A61B18/14
CPC classification number: A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
Abstract: 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.
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公开(公告)号:US08496581B2
公开(公告)日:2013-07-30
申请号:US13421730
申请日:2012-03-15
Applicant: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
Inventor: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC: A61B1/32
CPC classification number: A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
Abstract: A device includes an access port adapted to permit access of at least one surgical instrument into a patient. The access port includes a proximal portion, a distal portion, and an intermediate portion monolithically formed of a flexible material. At least one opening extends through the access port. The proximal portion includes a proximal flange. The distal portion includes a distal flange. The intermediate portion includes an outer surface and at least one inner surface. The access port is adapted to form a perimeter seal when the proximal flange is disposed exteriorly and the distal flange is disposed interiorly. The access port is adapted to form a seal with the at least one surgical instrument positioned through the access port. The intermediate portion conforms to the surface of the surgical instrument positioned through the at least one opening and forms the seal between the inner surface and the surgical instrument.
Abstract translation: 一种装置包括适于允许至少一个手术器械进入患者的进入口。 进入口包括近端部分,远端部分和由柔性材料整体形成的中间部分。 至少一个开口延伸穿过进入端口。 近端部分包括近侧凸缘。 远侧部分包括远端凸缘。 中间部分包括外表面和至少一个内表面。 当近侧凸缘设置在外部并且远侧凸缘位于内部时,进入口适于形成周边密封。 进入端口适于与通过进入端口定位的至少一个外科器械形成密封。 中间部分符合通过至少一个开口定位的外科器械的表面,并在内表面和外科器械之间形成密封。
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公开(公告)号:US20120241076A1
公开(公告)日:2012-09-27
申请号:US13427031
申请日:2012-03-22
Applicant: Edward D. Pingleton , Ghassan Sakakine , Boun Pravong , Michael Palermo , Nathalie Raad
Inventor: Edward D. Pingleton , Ghassan Sakakine , Boun Pravong , Michael Palermo , Nathalie Raad
CPC classification number: A61M25/0012 , A61M25/0015 , B29C53/60 , B29C2793/0045 , B29L2031/753
Abstract: A method for manufacturing a kink-resistant tube having drainage holes is provided. A wire is coated with plastic material and wound around a mandrel forming a plurality of windings. The wound coated wire is heated until the plastic coating material melts and bonds the wire windings to form a wire-reinforced sheath having wire-containing sections and non-wire containing sections. Alternatively, a coated or non-coated wire is wound around a mandrel together with separate polymer filament material and then heated. A filament having an elongated cross-section may be employed with the major axis of the elongated cross-section substantially parallel to the longitudinal axis of the sheath. At least one non-wire containing section is identified by passing light through at least one wall of the wire-reinforced sheath. Image capture and analysis via an optical system and microprocessor automatically identify regions to target a drill for forming holes in the non-wire containing sections.
Abstract translation: 提供一种具有排水孔的扭结管的制造方法。 电线用塑料材料涂覆并缠绕在形成多个绕组的心轴上。 卷绕的涂覆的线被加热直到塑料涂层材料熔化并结合线绕组以形成具有线材包含部分和无线包含部分的线材增强护套。 或者,涂覆的或未涂覆的丝线与单独的聚合物长丝材料一起缠绕在心轴上,然后加热。 可以使用具有细长横截面的细丝,其中细长横截面的长轴基本上平行于护套的纵向轴线。 通过使光通过电线增强护套的至少一个壁来识别至少一个非线容纳部分。 通过光学系统和微处理器的图像捕获和分析自动识别区域以瞄准钻孔,以在非线包含部分中形成孔。
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公开(公告)号:US08105234B2
公开(公告)日:2012-01-31
申请号:US12360710
申请日:2009-01-27
Applicant: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
Inventor: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC: A61B1/32
CPC classification number: A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
Abstract: A surgical access device includes a single valve that forms a seal with the body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon, thereby providing hand access into the cavity.
Abstract translation: 外科进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有在没有仪器的情况下产生零密封的特性,以及具有仪器直径范围的仪器的仪器密封。 该阀可以包括凝胶,优选地包括由弹性体和提供大于1000%的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口,其中仪器包括外科医生的手臂 ,从而提供手进入空腔。
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