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公开(公告)号：US08313431B2
公开(公告)日：2012-11-20
申请号：US12905932
申请日：2010-10-15
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：US20110112374A1
公开(公告)日：2011-05-12
申请号：US13006727
申请日：2011-01-14
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译： 本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号：US20100249527A1
公开(公告)日：2010-09-30
申请号：US12815986
申请日：2010-06-15
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译： 本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号：US07749415B2
公开(公告)日：2010-07-06
申请号：US11548746
申请日：2006-10-12
IPC分类号： B28B3/02
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译： 本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。
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公开(公告)号：US08647265B2
公开(公告)日：2014-02-11
申请号：US13006727
申请日：2011-01-14
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译： 本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。 凝胶帽包括结合到帽的凝胶。 该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。 随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。
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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
申请人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
发明人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/3423 , A61B2017/00265
摘要： 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.
摘要翻译： 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：US08721826B2
公开(公告)日：2014-05-13
申请号：US12950782
申请日：2010-11-19
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译： 提供了一种具有细长主体和可操纵部分的可转向扭结接近装置; 还提供了用于制造扭结装置的方法。 进入护套具有足够小的外径，使得其可以插入体腔或导管中。 进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。 张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。
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公开(公告)号：US20110066105A1
公开(公告)日：2011-03-17
申请号：US12950782
申请日：2010-11-19
IPC分类号： A61M25/092 , B65H81/06
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译： 提供了一种具有细长主体和可操纵部分的可转向扭结接近装置; 还提供了用于制造扭结装置的方法。 进入护套具有足够小的外径，使得其可以插入体腔或导管中。 进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。 张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。
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公开(公告)号：US07850811B2
公开(公告)日：2010-12-14
申请号：US11695449
申请日：2007-04-02
IPC分类号： B32B37/00
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译： 提供了一种具有细长主体和可转向部分的可转向扭结接近装置。 进入护套具有足够小的外径，使得其可以插入体腔或导管中。 进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。 张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。
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公开(公告)号：US20110130633A1
公开(公告)日：2011-06-02
申请号：US13023334
申请日：2011-02-08
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： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.
摘要翻译： 用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环，外环和可扩张套管。 外环包括彼此耦合的至少一对圆形管。 圆形管中的至少一个包括形成开放端的管腔和裂口。 其中分开的不合适的管状环位于内腔中。 管状环被定向成其开口端定位成远离圆形管的分割。 核心位于管状箍的内腔中。 芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。 圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。
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