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公开(公告)号：US20110276083A1
公开(公告)日：2011-11-10
申请号：US12775699
申请日：2010-05-07
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B2017/00946 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2929 , A61B2017/3445 , A61B2017/3466
摘要： Devices and related methods are disclosed that generally involve elongate surgical instruments that include at least one bendable region to allow the instrument to be bent for improved triangulation, visualization, comfort, and/or maneuverability. In one aspect, a surgical device is provided that includes an elongate body having a proximal end and a distal end, a handle coupled to the proximal end of the elongate body, and an end effector having movable jaws, the end effector being coupled to the distal end of the elongate body. The elongate body includes at least one non-resilient bendable region.
摘要翻译： 公开了通常涉及包括至少一个可弯曲区域的细长手术器械的装置和相关方法，以允许器械弯曲以改善三角测量，可视化，舒适性和/或机动性。 一方面，提供了一种手术装置，其包括具有近端和远端的细长主体，连接到细长主体的近端的手柄，以及具有可动夹爪的端部执行器，末端执行器联接到 细长体的远端。 细长主体包括至少一个非弹性可弯曲区域。
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公开(公告)号：US20100261972A1
公开(公告)日：2010-10-14
申请号：US12420232
申请日：2009-04-08
申请人： Christopher W. Widenhouse , Katherine J. Schmid , Anthony T. Nguyen , Denzel Z. Herrera-Davis , Patrick J. Minnelli , Frederick E. Shelton, IV
发明人： Christopher W. Widenhouse , Katherine J. Schmid , Anthony T. Nguyen , Denzel Z. Herrera-Davis , Patrick J. Minnelli , Frederick E. Shelton, IV
CPC分类号： A61B17/3462 , A61B17/3423 , A61B2017/00477 , A61B2017/3466 , A61B2017/3484
摘要： Various methods and devices are provided for sealing a working channel of a surgical access device using a non-resealable membrane. The non-resealable membrane seals the working channel of the device before use and is punctured when a surgical instrument is inserted into the device such that it will no longer provide a seal in the working channel.
摘要翻译： 提供各种方法和装置，用于使用不可重新密封的膜密封外科进入装置的工作通道。 不可重新密封的膜在使用之前密封装置的工作通道，并且当外科器械插入装置时被刺穿，使得其不再在工作通道中提供密封。
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公开(公告)号：US20100249520A1
公开(公告)日：2010-09-30
申请号：US12712402
申请日：2010-02-25
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3431 , A61B2017/0225 , A61B2017/3429 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466
摘要： Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor and a releasable insert having multiple instrument openings is disclosed. The insert can be in the form of an insert assembly including multiple components. A method of using the insert is also described, where the insert is positionable at different insertion depths within the passageway defined by the flexible member.
摘要翻译： 提供了通过单个外科手术进入装置插入多个外科器械的各种装置和方法。 公开了一种包括柔性组织牵开器和具有多个仪器开口的可释放插入件的医疗装置。 插入件可以是包括多个部件的插入组件的形式。 还描述了使用插入件的方法，其中插入件可定位在由柔性构件限定的通道内的不同插入深度处。
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公开(公告)号：US20100249516A1
公开(公告)日：2010-09-30
申请号：US12712276
申请日：2010-02-25
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3431 , A61B2017/0225 , A61B2017/3429 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466
摘要： Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor a releasable insert having multiple instrument openings, and a member such as a sleeve is disclosed. The insert can be in the form of an insert assembly including multiple components. The sleeve can support the insert with respect to the retractor such that the insert and sleeve can be removed together with the retractor remaining in the incision. A method of using the insert is also described.
摘要翻译： 提供了通过单个外科手术进入装置插入多个外科器械的各种装置和方法。 公开了一种包括柔性组织牵缩器的医疗装置，具有多个仪器开口的可释放插入件和诸如套筒的构件。 插入件可以是包括多个部件的插入组件的形式。 套筒可以相对于牵开器支撑插入件，使得插入件和套筒可以与保持在切口中的牵开器一起被移除。 还描述了使用插入件的方法。
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公开(公告)号：US20100228091A1
公开(公告)日：2010-09-09
申请号：US12399625
申请日：2009-03-06
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B2017/00862 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3464 , A61B2017/3466
摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.
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公开(公告)号：US20100114032A1
公开(公告)日：2010-05-06
申请号：US12261717
申请日：2008-10-30
IPC分类号： A61B17/34
CPC分类号： A61B17/3421 , A61B17/0218 , A61B17/3431 , A61B2017/0225 , A61B2017/3433 , A61B2017/3447 , A61B2017/3488
摘要： A surgical access device for surgical instruments comprises a housing with an instrument port and zero closure valve. A cannula is disposed distally relative the housing. The cannula comprises a distal end, a proximal end, and a flexible tube having a longitudinal axis between the distal and proximal ends. An instrument seal is positioned adjacent the distal end of the cannula. The instrument seal is dimensioned to have an interference fit with a surgical instrument inserted into the cannula. Longitudinal movements of a surgical instrument are accommodated by buckling of the flexible tube while the relative longitudinal position of the instrument seal and instrument are substantially unchanged.
摘要翻译： 用于外科器械的手术进入装置包括具有仪器端口和零关闭阀的壳体。 套管相对于壳体向远侧设置。 套管包括远端，近端和在远端和近端之间具有纵向轴线的柔性管。 仪器密封件邻近插管的远端定位。 仪器密封件的尺寸设计成与插入插管中的外科器械具有过盈配合。 手术器械的纵向移动通过柔性管的弯曲来容纳，而仪器密封件和仪器的相对纵向位置基本上不变。
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公开(公告)号：US09005116B2
公开(公告)日：2015-04-14
申请号：US12712276
申请日：2010-02-25
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3431 , A61B2017/0225 , A61B2017/3429 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466
摘要： Various devices and methods are provided with respect to inserting multiple surgical instruments through a single surgical access device. A medical device including a flexible tissue retractor a releasable insert having multiple instrument openings, and a member such as a sleeve is disclosed. The insert can be in the form of an insert assembly including multiple components. The sleeve can support the insert with respect to the retractor such that the insert and sleeve can be removed together with the retractor remaining in the incision. A method of using the insert is also described.
摘要翻译： 提供了通过单个外科手术进入装置插入多个外科器械的各种装置和方法。 公开了一种包括柔性组织牵缩器的医疗装置，具有多个仪器开口的可释放插入件和诸如套筒的构件。 插入件可以是包括多个部件的插入组件的形式。 套筒可以相对于牵开器支撑插入件，使得插入件和套筒可以与保持在切口中的牵开器一起被移除。 还描述了使用插入件的方法。
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公开(公告)号：US08926506B2
公开(公告)日：2015-01-06
申请号：US12399625
申请日：2009-03-06
CPC分类号： A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B2017/00862 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3464 , A61B2017/3466
摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.
摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 在一个实施例中，提供了一种外科进入装置，其包括联接到牵开器的壳体。 壳体可以具有用于接收外科器械的一个或多个可移动密封端口。 每个可移动密封端口可以包括其中的一个或多个密封元件，用于密封端口和/或围绕穿过其设置的手术器械形成密封。 每个可移动密封口可以相对于壳体旋转，并且每个密封元件可以沿着预定的轨道路径相对于壳体旋转。
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公开(公告)号：US08821391B2
公开(公告)日：2014-09-02
申请号：US12399633
申请日：2009-03-06
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3464 , A61B2017/3466
摘要： Methods and devices are provided for providing surgical access into a body cavity. In one embodiment, a surgical access device is provided that includes a housing coupled to a retractor. The housing can be have one or more movable sealing ports for receiving surgical instruments. Each movable sealing port can include one or more sealing elements therein for sealing the port and/or forming a seal around a surgical instrument disposed therethrough. Each movable sealing port can be rotatable relative to the housing and each sealing element can be rotatable relative to the housing along a predetermined orbital path.
摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 在一个实施例中，提供了一种外科进入装置，其包括联接到牵开器的壳体。 壳体可以具有用于接收外科器械的一个或多个可移动密封端口。 每个可移动密封端口可以包括其中的一个或多个密封元件，用于密封端口和/或围绕穿过其设置的手术器械形成密封。 每个可移动密封口可以相对于壳体旋转，并且每个密封元件可以沿着预定的轨道路径相对于壳体旋转。
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公开(公告)号：US08727964B2
公开(公告)日：2014-05-20
申请号：US12562279
申请日：2009-09-18
申请人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
发明人： Daniel F. Dlugos, Jr. , Thomas E. Adams , Randal T. Byrum , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , Wells D. Haberstich , Geoffrey C. Hueil , Donna L. Korvick , David T. Krumanaker , Timothy P. Lessek , Amy L. Marcotte , Jeffrey D. Messerly , Kyle P. Moore , Daniel J. Mumaw , Anil K. Nalagatla , Mark S. Ortiz , Frederick E. Shelton, IV , Bret W. Smith , Jeffrey S. Swayze , Patrick J. Swindon , Eric W. Thompson , Mark Tsonton , Lauren S. Weaner , Christopher W. Widenhouse , Scott A. Woodruff
CPC分类号： A61F5/0053 , A61F2/0036 , A61F5/003 , A61F5/0033 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. The elongated member has a compressible ventral surface and a substantially rigid dorsal periphery, wherein the elongated member includes a fluid bladder positioned along the ventral surface. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engages the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. Alternate embodiments are also disclosed.
摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 细长构件具有可压缩的腹侧表面和基本刚性的背侧周边，其中细长构件包括沿腹侧面定位的流体囊。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张力元件控制由细长构件施加的抗张力抵靠患者身体器官或管道的张力。 还公开了替代实施例。
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