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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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公开(公告)号:US20110071463A1
公开(公告)日:2011-03-24
申请号:US12960458
申请日:2010-12-03
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: A61M13/00
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 is adapted for performing laparoscopic surgical procedures with multiple instruments passing through the surgical access device and through a single incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device is adapted to provide instrument access to the abdominal cavity for surgical procedures while generally maintaining insufflation pressure in the abdominal cavity. The surgical access device comprises an access pad. The access pad comprises a material formed of a mixture comprising a triblock copolymer, an oil, and a foaming agent. The access pad is adapted to be disposed within an incision within an abdominal wall. The access pad has an external flange and an internal flange integrally formed with the access pad. The external flange is adapted to be disposed external to the abdominal wall in an operative position and the internal flange adapted to be disposed internal to the abdominal wall in the operative position. The access pad is configured to be maintained in the operative position and adapted to form a seal with the abdominal wall. A plurality of openings are formed through the access pad between an external surface and an internal surface of the access pad. The plurality of openings when operatively disposed are in communication with the incision and form working channels between a location external to the abdominal wall and a location internal to the abdominal wall. The access pad is adapted to conform to a surface of an instrument inserted through the working channel. At least a portion of the access pad between the external flange and the internal flange and within the incision between an external surface of the abdominal wall and an internal surface of the abdominal wall is adapted to form an instrument seal with the instrument. Locating the access pad within the incision creates a radially compressive force to provide an axial seal between the access pad and the abdominal wall.
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公开(公告)号:US06958037B2
公开(公告)日:2005-10-25
申请号:US10399209
申请日:2001-10-20
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
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 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. 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,既可扩张也不可扩张,可以考虑在环处的适当的附接元件,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。 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:US06716183B2
公开(公告)日:2004-04-06
申请号:US09947071
申请日:2001-09-05
Applicant: Ralph V. Clayman , Edward D. Pingleton , Frans Vandenbroek , Ghassan Sakakine
Inventor: Ralph V. Clayman , Edward D. Pingleton , Frans Vandenbroek , Ghassan Sakakine
IPC: A61M2509
CPC classification number: A61M25/09 , A61B1/307 , A61M2025/09083 , A61M2025/09175
Abstract: A urological guidewire includes a core formed of a first metallic material and extending toward an end of the guidewire. A coil having a plurality of convolutions is disposed around the core at the end of the guidewire, the coil being formed of a second metallic material different than the first metallic material. A mechanical interlock is formed to inhibit separation of the different materials forming the coil and the core. The mechanical interlock may include an enlargement at the end of the core and a bonding material fixing the enlargement to the coil. The convolutions may include a penultimate convolution with a first radius of curvature and an ultimate convolution having a second, shorter radius of curvature to form a bridge. In this case, portions of the core can be bent back on themselves and directed over or around the bridge to form the mechanical interlock.
Abstract translation: 泌尿导丝包括由第一金属材料形成并且朝向导丝的端部延伸的芯。 具有多个卷积的线圈在导丝的端部处设置在芯周围,线圈由与第一金属材料不同的第二金属材料形成。 形成机械互锁以阻止形成线圈和芯的不同材料的分离。 机械互锁可以包括在芯的端部的放大和将放大物固定到线圈的接合材料。 卷积可以包括具有第一曲率半径的倒数第二卷积和具有第二较短的曲率半径以形成桥的最终卷积。 在这种情况下,芯的部分可以自身弯曲并引导到桥上或周围,以形成机械互锁。
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公开(公告)号:US09108017B2
公开(公告)日:2015-08-18
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:US08562598B2
公开(公告)日:2013-10-22
申请号:US12416668
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
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:US08070676B2
公开(公告)日:2011-12-06
申请号:US12960449
申请日:2010-12-03
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 an access seal comprising an ultra gel elastomeric material formed of a mixture comprising a triblock copolymer and an oil. The access seal is adapted to be disposed relative to the abdominal wall. At least one access channel is formed through the elastomeric material between a proximal portion and a distal portion of the access seal. The access channel when operatively disposed forms at least a portion of a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The elastomeric material of the access seal is adapted to conform to a surface of an instrument inserted through the working channel to provide instrument access to the abdominal cavity while maintaining insufflation pressure in the abdominal cavity. The access channel is configured to self seal in the absence of any instrument extending through the access channel.
Abstract translation: 外科进入装置包括进入密封件,其包括由包含三嵌段共聚物和油的混合物形成的超凝胶弹性体材料。 进入密封件适于相对于腹壁设置。 在进入密封件的近端部分和远端部分之间通过弹性体材料形成至少一个进入通道。 当操作性地设置时,进入通道形成在腹壁外部的位置与腹壁内部的位置之间的工作通道的至少一部分。 进入密封件的弹性体材料适于与通过工作通道插入的仪器的表面一致,以提供器械进入腹腔,同时保持腹腔内的注射压力。 访问通道被配置为在没有任何通过访问通道延伸的仪器的情况下自封。
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公开(公告)号:US20110282157A1
公开(公告)日:2011-11-17
申请号:US13105179
申请日:2011-05-11
Applicant: Charles C. Hart , Edward D. Pingleton
Inventor: Charles C. Hart , Edward D. Pingleton
IPC: A61B1/32
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:US20110021879A1
公开(公告)日:2011-01-27
申请号:US12840989
申请日:2010-07-21
Applicant: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
Inventor: Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
IPC: A61B1/32
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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