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    Apparatus for peritoneal retraction
    51.
    发明授权
    Apparatus for peritoneal retraction 失效
    腹膜回缩装置

    公开(公告)号：US5634883A

    公开(公告)日：1997-06-03

    申请号：US452152

    申请日：1995-05-26

    申请人： Albert K. Chin ,  Frederic H. Moll

    发明人： Albert K. Chin ,  Frederic H. Moll

    IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B18/14 ,  A61B19/00 ,  A61B19/02 ,  A61F2/958 ,  A61M1/00 ,  A61M29/02

    CPC分类号： A61B17/3417 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B17/320016 ,  A61B50/20 ,  A61B90/50 ,  A61B17/32002 ,  A61B17/3462 ,  A61B18/14 ,  A61B2017/00261 ,  A61B2017/00278 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/22051 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/32113 ,  A61B2017/3486 ,  A61B2090/306 ,  A61B2217/005 ,  A61B2217/007 ,  A61M25/10 ,  A61M25/1006

    摘要： A method and apparatus for mechanically lifting the abdominal wall away from underlying abdominal organs for laparoscopic surgery without insufflation. In the method an expansible device is inserted in the abdominal cavity through a small incision in a collapsed state and then expanded into engagement with an extensive area of the abdominal wall. Lifting force is then applied to the device for peritoneal retraction. The device takes the form of mechanical rods or arms and/or balloons. In the balloon embodiments lifting force may be applied externally of the abdominal cavity, or internally of the cavity by balloon inflation. Certain of the balloon embodiments are of an annular or U-shaped configuration and include a membrane for draping the internal organs and/or a centrally located balloon for lateral expansion. The balloons may be provided with an internal endoscope for viewing. The method also provides for laparoscopic gallbladder removal, either to the interior or exterior of the balloons. A needle is provided to laparoscopically pierce and drain the gallbladder. The needle carries a balloon inflatable to grip the gallbladder for retraction and removal.

    摘要翻译： 一种用于机械地将腹壁远离腹腔镜手术的方法和装置，用于腹腔镜手术而不吹气。 在该方法中，可膨胀装置通过处于塌缩状态的小切口插入腹腔中，然后膨胀成与腹壁的广泛区域接合。 然后将牵引力施加到装置上用于腹膜收缩。 该装置采取机械杆或手臂和/或气球的形式。 在气囊实施例中，可以通过球囊充气在腹腔外部或腔内部施加提升力。 气囊实施例中的某些具有环形或U形构造，并且包括用于悬垂内部器件的膜和/或用于侧向膨胀的位于中心的球囊。 气囊可以设置有用于观察的内部内窥镜。 该方法还提供了到气囊的内部或外部的腹腔镜胆囊去除。 提供一个针以腹腔镜刺穿并排出胆囊。 针携带一个充气的气球，以抓住胆囊进行收缩和移除。

    Retraction apparatus and methods for endoscopic surgery
    54.
    发明授权
    Retraction apparatus and methods for endoscopic surgery 失效
    内窥镜手术的收缩装置和方法

    公开(公告)号：US5450843A

    公开(公告)日：1995-09-19

    申请号：US212249

    申请日：1994-03-14

    申请人： Frederic H. Moll ,  Albert K. Chin

    发明人： Frederic H. Moll ,  Albert K. Chin

    IPC分类号： A61B1/32 ,  A61B17/00 ,  A61B17/02 ,  A61B17/22 ,  A61B17/30 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B19/02

    CPC分类号： A61B17/3417 ,  A61B17/0218 ,  A61B17/0281 ,  A61B17/22032 ,  A61B90/50 ,  A61B17/3462 ,  A61B2017/00261 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/306 ,  A61B2017/320048 ,  A61B2017/3486 ,  A61B2090/306

    摘要： A first inflatable retraction device has a first inflatable chamber and a non-pressurized chamber inside the main chamber. The non-pressurized chamber is expanded by inflating a second inflatable chamber. The non-pressurized chamber enables the main chamber to remain inflated when an aperture is cut in the envelope of the main chamber, through which treatment is carried out. A second inflatable retraction device has an inflatable retractor and a maintainer. The inflatable retractor retracts the organ and the maintainer maintains the organ in its retracted condition after the inflatable retractor is deflated. The maintainer can be inflatable, and can be inside or outside the inflatable retractor. A self-retracting endoscope has an optical assembly with an expandable retractor fitted to its distal end. The distal end of the endoscope is inserted into the body with the retractor in a collapsed condition. The retractor is then expanded to retract organs that would otherwise obstruct the view from the distal end of the optical assembly. After observations are complete, the retractor is returned to its collapsed condition. An insertion tube enables cylindrical objects, such as packaged inflatable retraction devices, to be pulled, instead of pushed, into the body. The additional chamber of an inflatable retraction device having two inflatable chambers is filled with a slurry of a particulate solid in a liquid. The liquid is removed and the additional chamber evacuated to consolidate the particulate solid. This increases the retracting strength of the additional chamber.

    摘要翻译： 第一可充气回缩装置具有在主室内的第一可充气室和非加压室。 非加压室通过使第二可膨胀室膨胀而膨胀。 当在主室的封套中切割孔口时，非加压室使得主室保持充气，通过该腔室进行处理。 第二可充气回缩装置具有可充气牵开器和维护器。 充气式收缩器缩回器官，并且保持器在充气式收缩器收缩后将器官保持在缩回状态。 维护者可以充气，并且可以在可充气牵开器的内部或外部。 自动回缩内窥镜具有安装在其远端的可扩张牵开器的光学组件。 将内窥镜的远端插入体内，牵开器处于折叠状态。 然后，收缩器被扩展以缩回否则将从光学组件的远端阻挡视图的器官。 观察完成后，牵开器返回到折叠状态。 插入管使圆柱形物体（例如包装的可充气回缩装置）被拉动而不是被推入身体。 具有两个可膨胀室的可充气回缩装置的附加室被填充有液体中的颗粒状固体的浆液。 除去液体，并且将附加的室抽真空以固结颗粒状固体。 这增加了附加室的回缩强度。

    Method and apparatus for extracting a cement mantle from a bone recess
    56.
    发明授权
    Method and apparatus for extracting a cement mantle from a bone recess 失效
    从骨凹处提取水泥地幔的方法和装置

    公开(公告)号：US5122143A

    公开(公告)日：1992-06-16

    申请号：US720656

    申请日：1991-06-25

    申请人： Milton B. McColl ,  Frederic H. Moll

    发明人： Milton B. McColl ,  Frederic H. Moll

    IPC分类号： A61F2/36 ,  A61F2/46

    CPC分类号： A61B17/8847

    摘要： A method and apparatus for removing a pre-placed prosthetic appliance anchored in place in a bone recess by a cement mantle and conditioning the recess for receipt of a replacement appliance. The preplaced appliance is first pulled from the mantle of hardened cement holding it within the recess, thus leaving a cavity within the mantle. A screw threaded post having nuts threadably engaged therewith at longitudinally spaced locations is then anchored within the cavity with a new mass of cement. Thereafter, the post is threadably disengaged from the nuts, leaving the nuts in place within the new mass of cement. A pulling tool is then successively engaged with the nuts and tensioned to incrementally remove the mantle from the recess.

    摘要翻译： 一种用于通过水泥罩去除锚定在骨凹槽中的预置假体器具的方法和装置，并且调节所述凹部以接收更换器具。 首先将预置的器具从硬化水泥套中拉出，将其保持在凹槽内，从而在地幔内留下空腔。 然后用新的水泥块将具有螺母与螺纹连接的螺纹柱在纵向间隔开的位置处固定在空腔内。 此后，柱与螺母螺纹脱开，将螺母留在新的水泥块内的适当位置。 然后拉动工具与螺母相继接合并张紧以逐渐从凹部移除地幔。

    Trocar
    57.
    发明授权
    Trocar 失效
    套管针

    公开(公告)号：US4654030A

    公开(公告)日：1987-03-31

    申请号：US832742

    申请日：1986-02-24

    申请人： Frederic H. Moll ,  Alex T. Roth ,  Peter F. Costa ,  William A. Holmes

    发明人： Frederic H. Moll ,  Alex T. Roth ,  Peter F. Costa ,  William A. Holmes

    IPC分类号： A61B17/34 ,  A61B19/00 ,  A61M5/18

    CPC分类号： A61B17/3496 ,  A61B17/3474 ,  A61B2090/08021

    摘要： A trocar assembly consisting of a trocar tube subassembly and a separable, interfitting trocar subassembly is described. The trocar tube assembly includes a hollow body having a first front opening in which a trocar tube is mounted, a second rear opening for receiving the trocar subassembly, and a manually pivotable flap valve mechanism mounted within the body. The trocar subassembly includes a head having a central bore in which are mounted the (1) rear ends of an elongated obturator having a pyramidal-shaped piercing head with a triangular-shaped base, and a concentric tubular shield having a triangular shaped front opening for the piercing head that is formed by bevels in its leading edge that have approximately the same slope as the surfaces that define the three sides of the piercing head, and (2) a coil spring backing the shield for biasing the shield between retracted and extended positions. When the two subassemblies are fit together, the obturator and concentric shield extend through the hollow body with the front wall of the head fitting within a recess in the rear wall of the hollow body such that the trocar assembly cannot be rotated without disengaging the two subassemblies. The shield has a slot in its outer wall that is engaged by the flap valve to lock the shield in its extended position. The shield may be unlocked by pivoting the flap valve out of the slot, sliding the trocar assembly rearwardly so that the front wall of the head is clear of the recess in the rear wall of the hollow body, rotating the trocar subassembly to a position in which the flap valve and slot are not aligned and sliding the front wall of the trocar assembly back into the recess in the rear wall of the hollow body.

    摘要翻译： 描述了一种套管针组件，其由套管针管子组件和可分离的配合套管针组件组成。 套管针管组件包括具有第一前开口的套管针组件，其中安装有套管针管，用于容纳套管针组件的第二后开口，以及安装在主体内的可手动枢转的瓣阀机构。 套管针组件包括具有中心孔的头部，其中安装有（1）细长闭塞器的后端，其具有三角形基部的金字塔状刺穿头部，以及具有三角形前开口的同心管状护罩， 穿刺头由其前缘中的斜面形成，其具有与限定穿刺头的三个侧面的表面大致相同的倾斜度，以及（2）螺旋弹簧，用于将护罩偏压在缩回位置和伸出位置之间 。 当两个子组件装配在一起时，闭塞器和同心屏蔽件延伸穿过中空本体，头部的前壁装配在中空本体的后壁中的凹部内，使得套管针组件不能在不分离两个子组件的情况下旋转 。 屏蔽件在其外壁上具有狭槽，其通过瓣阀接合以将屏蔽件锁定在其延伸位置。 可以通过将瓣阀枢转离开槽来解除屏蔽，使套管针组件向后滑动，使得头部的前壁远离中空体的后壁中的凹部，将套管针组件旋转到 其中瓣阀和狭槽未对准并且将套管针组件的前壁滑回到中空体的后壁中的凹部中。

    Trocar assembly
    58.
    发明授权
    Trocar assembly 失效
    套管套装

    公开(公告)号：US4601710A

    公开(公告)日：1986-07-22

    申请号：US638048

    申请日：1984-08-06

    申请人： Frederic H. Moll

    发明人： Frederic H. Moll

    IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/34 ,  A61B19/00 ,  A61M5/18

    CPC分类号： A61B17/3496 ,  A61B17/3474 ,  A61B2017/00473 ,  A61B2017/346 ,  A61B2090/08021

    摘要： A trocar assembly (70) formed from a trocar tube subassembly (74) and a separable, interfitting trocar subassembly (72). The trocar tube assembly includes a head (112) having a bore (120) into which a trocar tube (116) is fitted and a manually operated slide valve assembly (118) mounted transversely of the bore in the head. The valve has a bore (134) through it that may be aligned with the bore in the head by movement of the valve. The trocar subassembly includes a head (76) that has a bore (92) extending partly through it in which a trocar obturator (82) and a concentric tubular shield (86) are mounted such that the shield is capable of limited axial movement relative to the obturator between a normal, extended position in which the shield effectively covers the piercing tip (84) of the obturator and a retracted position in which the tip is exposed. The obturator and shield are inserted through the bore in the trocar tube subassembly head, the slide valve bore and the trocar tube. The bore in the slide valve has a radial tooth (136) in it that engages a slot (138) in the shield to reversibly lock the shield in its extended position when the slide valve is in its normal position. The valve is depressed manually to disengage the tooth to allow axial movement of the shield or separation of the trocar subassembly from the trocar tube subassembly.

    摘要翻译： 由套针管子组件（74）和可分离的相互配合的套管针组件（72）形成的套管针组件（70）。 套管针管组件包括具有孔（120）的头部（112），套管针（116）装配到所述孔中，以及手动操作的滑阀组件（118），横向安装在头部中的孔中。 阀具有穿过其的孔（134），其可以通过阀的移动与头部中的孔对准。 所述套管针组件包括头部（76），所述头部（76）具有部分延伸穿过所述孔（92），所述孔（92）安装在所述孔中，套管针闭塞器（82）和同心管状护罩（86）安装成使得所述护罩能够相对于 在其中屏蔽件有效地覆盖封闭器的刺穿尖端（84）的正常延伸位置和尖端暴露在其中的缩回位置之间的闭塞器。 闭塞器和护罩插入穿过套管针组件头部的孔中，滑阀孔和套管针管。 滑阀中的孔具有在其中的径向齿（136），其接合屏蔽件中的狭槽（138），以在滑阀处于其正常位置时将屏蔽件可逆地锁定在其延伸位置。 阀被手动地压下以使齿脱离以允许护罩的轴向运动或套管针子组件与套管针组件的分离。