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    ENDOSCOPIC FASCIAL CLOSURE SYSTEMS AND METHODS FOR USING SAME
    41.
    发明申请
    ENDOSCOPIC FASCIAL CLOSURE SYSTEMS AND METHODS FOR USING SAME 有权
    内窥镜紧固闭合系统及其使用方法

    公开(公告)号：US20130165955A1

    公开(公告)日：2013-06-27

    申请号：US13336837

    申请日：2011-12-23

    申请人： Albert K. Chin

    发明人： Albert K. Chin

    IPC分类号： A61B17/06

    CPC分类号： A61B17/0485 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/06 ,  A61B17/06066 ,  A61B17/062 ,  A61B17/3474 ,  A61B2017/00535 ,  A61B2017/00946 ,  A61B2017/0472 ,  A61B2017/0474 ,  A61B2017/06052 ,  A61B2017/320044 ,  A61B2090/0811

    摘要： A system for closure of a fascial opening is disclosed. The system may include a first capture device for pulling one end of a suture through fascial tissue on one side of a fascial opening, and a second capture device for pulling an opposing end of the suture through the fascial tissue on an opposite side of the fascial opening. A trapping device for locating and engaging the first capture device can be used, prior to the capture device being pulled through the fascial tissue, so that the trapping device can subsequently pull the suture to facilitate closure of the fascial opening. Methods and apparatuses for closure of a fascial opening are also disclosed.

    摘要翻译： 公开了一种用于关闭筋膜开口的系统。 所述系统可以包括第一捕获装置，用于将缝合线的一端拉入筋膜开口的一侧上的筋膜组织;以及第二捕获装置，用于将缝合线的相对端拉过筋膜的相对侧上的筋膜组织 开放 在捕获装置被拉动通过筋膜之前，可以使用用于定位和接合第一捕获装置的捕集装置，使得捕获装置随后可以拉动缝线以便于关闭筋膜开口。 还公开了用于关闭筋口的方法和装置。

    INSTRUMENT AND METHOD FOR REMOTELY MANIPULATING A TISSUE STRUCTURE
    42.
    发明申请
    INSTRUMENT AND METHOD FOR REMOTELY MANIPULATING A TISSUE STRUCTURE 审中-公开
    用于远程控制组织结构的仪器和方法

    公开(公告)号：US20120010463A1

    公开(公告)日：2012-01-12

    申请号：US12983867

    申请日：2011-01-03

    申请人： Albert K. Chin ,  John P. Lunsford ,  Tenny Chang ,  Jeffrey W. Baxter

    发明人： Albert K. Chin ,  John P. Lunsford ,  Tenny Chang ,  Jeffrey W. Baxter

    IPC分类号： A61B1/00

    CPC分类号： A61B1/313 ,  A61B17/00008 ,  A61B17/0218 ,  A61B2017/00292 ,  A61B2017/003 ,  A61B2017/00778

    摘要： A retractor and a surgical tool are posittioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a dissection cradle that is resiliently supported along an axis skewed relative to the axis of the cannula. The dissection cradle, in operation, is extended to cradle the target vessel, and the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate a side branch for exposure to a surgical tool. The retractor includes a hollow support and a spray nozzle disposed in the distal end of the retractor to form an irrigation system and lens washer that can be selectively positioned to direct the spray of irrigation fluid at a remote surgical site or at an endoscopic lens.

    摘要翻译： 牵开器和手术工具位于套管内，牵开器的解剖支架位于插管的远端。 牵开器包括一个解剖支架，该夹层支架沿着相对于套管轴线倾斜的轴线弹性支撑。 在操作中的解剖支架被延伸到对目标血管进行摇摆，并且牵开器可以被完全延伸以促使血管远离套管的轴线以隔离侧分支以暴露于手术工具。 牵开器包括中空支撑件和设置在牵开器的远端中的喷嘴，以形成灌洗系统和透镜垫圈，其可以选择性地定位成将冲洗流体的喷雾引导到远程外科手术部位或内窥镜镜片。

    Systems and Methods for Removal of Intravascular Leads
    44.
    发明申请
    Systems and Methods for Removal of Intravascular Leads 有权
    系统和方法去除血管内引导

    公开(公告)号：US20110213398A1

    公开(公告)日：2011-09-01

    申请号：US13010447

    申请日：2011-01-20

    申请人： Albert K. Chin ,  Lishan Aklog

    发明人： Albert K. Chin ,  Lishan Aklog

    IPC分类号： A61B17/32

    CPC分类号： A61N1/05 ,  A61B17/50 ,  A61N2001/0578

    摘要： Systems and methods for extraction of implanted articles are disclosed. According to aspects illustrated herein, there is provided a system for extraction of an implanted article that includes an elongated member, guide member disposed at a distal section of the elongated member and having a pathway in substantially parallel relationship to the elongated member, through which pathway an implanted article can be accommodated, and a cutting mechanism, situated between the distal section of the elongated member and the guide member, for severing a fibrous adhesion about the implanted article to allow the implanted article to be extracted.

    摘要翻译： 公开了用于提取植入物品的系统和方法。 根据本文所示的方面，提供了一种用于提取植入物品的系统，其包括细长构件，引导构件，其设置在细长构件的远侧部分处，并具有与细长构件基本平行的通路，通过该通道 可以容纳植入的物品，以及切割机构，其位于细长构件的远端部分和引导构件之间，用于切断围绕植入物品的纤维粘附，以允许植入物品被抽出。

    TISSUE DISSECTOR APPARATUS AND METHOD
    45.
    发明申请
    TISSUE DISSECTOR APPARATUS AND METHOD 有权
    组织分离器装置和方法

    公开(公告)号：US20110202082A1

    公开(公告)日：2011-08-18

    申请号：US13092826

    申请日：2011-04-22

    申请人： Albert K. Chin

    发明人： Albert K. Chin

    IPC分类号： A61M29/00 ,  A61B1/00

    CPC分类号： A61F2/062 ,  A61B17/00008 ,  A61B17/32 ,  A61B17/320016 ,  A61B17/3201 ,  A61B18/1445 ,  A61B18/148 ,  A61B18/1482 ,  A61B2017/320048 ,  A61B2017/320064 ,  A61B2018/00404 ,  A61B2018/00428 ,  A61B2018/00595 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61M29/02

    摘要： Surgical apparatus and method includes a cannula that houses an endoscope and supports a dilating element near a distal end of the cannula. The dilating element has a dimension which is greater than the diameter of the cannula for enlarging a surgical cavity in tissue as the cannula is advanced through tissue at a surgical site to provide working space adjacent a target vessel within which surgical instruments may be conveniently manipulated. The dilating element of oval sided shape permits surrounding tissue to be pushed away or otherwise displaced away from the target vessel atraumatically. A locking mechanism is disposed on the cannula, which accepts a succession of mating dilating elements of progressively larger dimensions for successive insertion and enlargement of a surgical cavity as required. In one embodiment, the dilating element is made of rigid plastic, and in another embodiment, the dilating element is made of resilient material that may be confined within a retractable sheath which, in the extended position, encases and compresses the dilating element to a smaller dimension and which, in a retracted position, allows the dilating element to resiliently expand and enlarge the surgical cavity.

    摘要翻译： 手术装置和方法包括套管，其插入内窥镜并且在套管的远端附近支撑扩张元件。 扩张元件的尺寸大于套管的直径，当套管前进穿过手术部位的组织时，用于扩大组织中的手术腔，以提供邻近目标血管的工作空间，在该手术器械内可以方便地操纵手术器械。 椭圆形形状的扩张元件允许周围的组织被推开或以其他方式远离目标血管移开。 一个锁定机构设置在插管上，其接受逐渐更大尺寸的一系列匹配的扩张元件，用于根据需要连续插入和扩大手术腔。 在一个实施例中，扩张元件由刚性塑料制成，并且在另一个实施例中，扩张元件由弹性材料制成，弹性材料可被限制在可伸缩护套内，伸缩位置包裹并将扩张元件压缩至更小的护套 并且其在缩回位置允许扩张元件弹性膨胀和扩大手术腔。

    Tissue dissector apparatus
    47.
    发明授权
    Tissue dissector apparatus 有权
    组织解剖器

    公开(公告)号：US07938842B1

    公开(公告)日：2011-05-10

    申请号：US09413012

    申请日：1999-10-05

    申请人： Albert K. Chin

    发明人： Albert K. Chin

    IPC分类号： A61B17/00

    CPC分类号： A61F2/062 ,  A61B17/00008 ,  A61B17/32 ,  A61B17/320016 ,  A61B17/3201 ,  A61B18/1445 ,  A61B18/148 ,  A61B18/1482 ,  A61B2017/320048 ,  A61B2017/320064 ,  A61B2018/00404 ,  A61B2018/00428 ,  A61B2018/00595 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61M29/02

    摘要： Surgical apparatus and method includes a cannula that houses an endoscope and supports a dilating element near a distal end of the cannula. The dilating element has a dimension which is greater than the diameter of the cannula for enlarging a surgical cavity in tissue as the cannula is advanced through tissue at a surgical site to provide working space adjacent a target vessel within which surgical instruments may be conveniently manipulated. The dilating element of oval sided shape permits surrounding tissue to be pushed away or otherwise displaced away from the target vessel atraumatically. A locking mechanism is disposed on the cannula, which accepts a succession of mating dilating elements of progressively larger dimensions for successive insertion and enlargement of a surgical cavity as required. In one embodiment, the dilating element is made of rigid plastic, and in another embodiment, the dilating element is made of resilient material that may be confined within a retractable sheath which, in the extended position, encases and compresses the dilating element to a smaller dimension and which, in a retracted position, allows the dilating element to resiliently expand and enlarge the surgical cavity.

    摘要翻译： 手术装置和方法包括套管，其插入内窥镜并且在套管的远端附近支撑扩张元件。 扩张元件的尺寸大于套管的直径，当套管前进穿过手术部位的组织时，用于扩大组织中的手术腔，以提供邻近目标血管的工作空间，在该手术器械内可以方便地操纵手术器械。 椭圆形形状的扩张元件允许周围的组织被推开或以其他方式远离目标血管移开。 一个锁定机构设置在插管上，其接受逐渐更大尺寸的一系列匹配的扩张元件，用于根据需要连续插入和扩大手术腔。 在一个实施例中，扩张元件由刚性塑料制成，并且在另一个实施例中，扩张元件由弹性材料制成，弹性材料可被限制在可伸缩护套内，伸缩位置包裹并将扩张元件压缩至更小的护套 并且其在缩回位置允许扩张元件弹性膨胀和扩大手术腔。

    Instrument and method for remotely manipulating a tissue structure
    49.
    发明授权
    Instrument and method for remotely manipulating a tissue structure 有权
    用于远程操纵组织结构的仪器和方法

    公开(公告)号：US07867163B2

    公开(公告)日：2011-01-11

    申请号：US12333542

    申请日：2008-12-12

    申请人： Albert K. Chin ,  John P. Lunsford ,  Tenny Chang ,  Jeffrey W. Baxter

    发明人： Albert K. Chin ,  John P. Lunsford ,  Tenny Chang ,  Jeffrey W. Baxter

    IPC分类号： A61B1/32

    CPC分类号： A61B1/313 ,  A61B17/00008 ,  A61B17/0218 ,  A61B2017/00292 ,  A61B2017/003 ,  A61B2017/00778

    摘要： A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a dissection cradle that is resiliently supported along an axis skewed relative to the axis of the cannula. The dissection cradle, in operation, is extended to cradle the target vessel, and the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate a side branch for exposure to a surgical tool. The retractor includes a hollow support and a spray nozzle disposed in the distal end of the retractor to form an irrigation system and lens washer that can be selectively positioned to direct the spray of irrigation fluid at a remote surgical site or at an endoscopic lens.

    摘要翻译： 牵开器和手术工具定位在套管内，并且牵开器的解剖支架位于套管的远端。 牵开器包括一个解剖支架，该夹层支架沿着相对于套管轴线倾斜的轴线弹性支撑。 在操作中的解剖支架被延伸到对目标血管进行摇摆，并且牵开器可以被完全延伸以促使血管远离套管的轴线以隔离侧分支以暴露于手术工具。 牵开器包括中空支撑件和设置在牵开器的远端中的喷嘴，以形成灌洗系统和透镜垫圈，其可以选择性地定位成将冲洗流体的喷雾引导到远程外科手术部位或内窥镜镜片。