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公开(公告)号：US20090131754A1
公开(公告)日：2009-05-21
申请号：US12360634
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.
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公开(公告)号：US07473221B2
公开(公告)日：2009-01-06
申请号：US10381220
申请日：2001-09-21
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 forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and 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. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. 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.
Abstract translation: 手术进入装置包括单个阀，其与主体壁形成密封并且提供进入体腔的通道。 该阀具有在没有仪器和仪器密封的情况下产生零密封的特性。 阀可以包括由弹性体和油组成的凝胶，其提供大于1000％的伸长率和小于5肖氏A的硬度。单个阀可以用作手术口，其中仪器包括外科医生的手臂。 制造外科进入装置的方法包括将胶凝剂与油组合，优选在模制过程中。 使用该装置的方法包括用仪器创建开口。 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。
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公开(公告)号：US07377898B2
公开(公告)日：2008-05-27
申请号：US11755305
申请日：2007-05-30
Applicant: Richard C Ewers , John R Brustad , Edward D Pingleton , Nabil Hilal , Payam Adlparvar , Scott V 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 V Taylor , Gary R Dulak , Michael J Dunn , Norman L Morales , Charles C Hart , Robert R Bowes
IPC: A61B1/32
CPC classification number: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
Abstract: 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.
Abstract translation: 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周向保持器的步骤。
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公开(公告)号：US6117150A
公开(公告)日：2000-09-12
申请号：US115008
申请日：1998-07-14
Applicant: Edward D. Pingleton , Gary L. Butler , Neal E. Fearnot , Donald R. Hollinger , Timothy G. Vendrely , Ralph V. Clayman
Inventor： Edward D. Pingleton , Gary L. Butler , Neal E. Fearnot , Donald R. Hollinger , Timothy G. Vendrely , Ralph V. Clayman
CPC classification number: A61B17/00234 , A61B17/00 , A61B17/3203 , A61B90/00 , A61B18/14 , A61B2017/00544 , A61B2017/2905 , A61B2017/320044 , A61B2017/32035 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M1/0064 , A61M11/06
Abstract: A pneumatic tissue dissector 10 useful for cutting or dissecting living tissue during endoscopic or laparoscopic procedures includes a dissector tip 16 for exuding a flow of pressurized gas, an inlet arrangement 24 for controlling the flow of gas from the tip 16, and an exhaust system 30 for exhausting the gas exuded from the tip 16. The exhaust system includes an inlet 32 adjacent to the tip 16 and an outlet spaced from the inlet 32. The outlet 34 is operable in coordination with the inlet arrangement 24 and is capable of exhausting a flow of gas about equal to that exuded by the tip 16, ensuring that the pressure in the cavity in which the procedure is performed does not increase or fluctuate. The flow of pressurized gas from the tip 16 is preferably compatible with an insufflation cavity pressure of no more than about 15 mm Hg, and the inlet arrangement 24 preferably supplies gas to the tip 16 at a pressure of no more than about 50 psi. The dissector 10 preferably further includes a laparoscopic introducer sheath 68 which is shorter in length than the distance between the inlet 32 and the outlet 34.
Abstract translation: 在内窥镜或腹腔镜手术中可用于切割或解剖活体组织的气动组织剥离器10包括用于渗出加压气体流的分离器尖端16，用于控制来自尖端16的气体流动的入口装置24和排气系统30 用于排出从尖端16渗出的气体。排气系统包括与尖端16相邻的入口32和与入口32间隔开的出口。出口34可与入口装置24协调地操作并且能够排出流 大约等于由尖端16渗出的气体，确保执行该过程的空腔中的压力不增加或波动。 来自尖端16的加压气体的流动优选地与不超过约15mm Hg的吹入腔压力兼容，并且入口装置24优选以不超过约50psi的压力将气体供应到尖端16。 解剖器10优选地还包括腹腔镜引导器护套68，其长度小于入口32和出口34之间的距离。
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公开(公告)号：US5290249A
公开(公告)日：1994-03-01
申请号：US947095
申请日：1992-09-17
Applicant: Thomas L. Foster , John S. Lyttle , Edward D. Pingleton , Paul G. Thomson
Inventor： Thomas L. Foster , John S. Lyttle , Edward D. Pingleton , Paul G. Thomson
CPC classification number: A61B17/34 , A61B2017/00986 , A61B2017/3486 , A61B2090/036 , A61M2025/0233
Abstract: A surgical trocar access sheath having a laterally expandable retention mechanism for percutaneous insertion through a body cavity wall. The expandable retention mechanism is positioned about the distal end of the sheath for retaining the access sheath within the body cavity. The access sheath has an inner elongated member cannula and an outer elongated member tube having a slick surface for ready insertion through a puncture site. The laterally expandable retention mechanism includes a plurality of strips extending and formed longitudinally in the outer tube. The retention mechanism has an expanded state and a retracted state. In the expanded state, the longitudinal strips extend radially from the outer elongated member tube to engage the interior surface of the body cavity wall. The expandable retention mechanism is actuated by sliding an actuating mechanism hub attached to the distal end of the outer elongated member tube against another hub fixedly attached to the inner elongated member cannula. To insert or retract the access sheath through the cavity wall of a patient, the physician squeezes the actuating mechanism hub against the fixed hub to collapse the longitudinal strips against the surface of the inner elongated member cannula. Once inserted, the actuating mechanism is released to expand the retention mechanism.
Abstract translation: 一种具有横向可扩张的保持机构的手术套管针存取护套，用于通过体腔壁经皮插入。 可扩张保持机构围绕护套的远端定位，以将进入护套保持在体腔内。 进入护套具有内部细长构件插管和具有光滑表面的外部细长构件管，用于通过穿刺部位准备插入。 横向可扩张的保持机构包括在外管中纵向延伸和形成的多个条。 保持机构具有展开状态和缩回状态。 在展开状态下，纵向条带从外部细长构件管径向延伸，以接合体腔壁的内表面。 通过将连接到外细长构件管的远端的致动机构毂滑动到固定地连接到内部细长构件插管的另一轮毂上来致动可扩张保持机构。 为了通过患者的腔壁插入或缩回通路护套，医师将致动机构毂挤压在固定轮毂上，以使纵向条带抵靠内部细长构件套管的表面。 一旦插入，释放致动机构以扩大保持机构。
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Patent Agency Ranking
公开(公告)号：US5037379A
公开(公告)日：1991-08-06
申请号：US543680
申请日：1990-06-22
Applicant: Ralph V. Clayman , Edward D. Pingleton
Inventor： Ralph V. Clayman , Edward D. Pingleton
CPC classification number: A61B17/00234 , A61B2017/00287 , Y10S128/24
Abstract: A surgical tissue bag for percutaneously debulking large volumes of tissue contained within the bag. The tissue bag comprises two layers of material, an inner layer of a puncture-resistant material and an outer layer of moisture-proof material for containing cells and fluid therein. The bag material is foldable and flexible for insertion through an access sheath into the surgical site and for forming a gas-tight seal when extended through the access sheath or puncture site. A drawstring is attached to the open end of the bag to close the bag when the tissue is contained therein and pulled through the puncture site in the outer surface of the skin. After the closed open end of the bag is pulled through the puncture site, the closed end is fanned out against the outer layer of the skin, and a morcellator is inserted into the bag for debulking the large volume of tissue. The open end of the bag is continually fanned out to maintain a compact and tight containment of the tissue and fluid remaining in the bag. The morcellation process is continued until the entire volume of tissue is removed at which time the remaining portion of the bag is completely removed from the surgical site area.
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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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