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。

公开(公告)号：US20090131754A1

公开(公告)日：2009-05-21

申请号：US12360634

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.A method for making the surgical access device includes the combining of a gelling agent with an oil, preferably in a molding process. A method for using the device includes steps for creating an opening with the instrument. In a particular process, an organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity. The valve and method are particularly adapted for laparoscopic surgery wherein the abdominal cavity is insufflated with a gas thereby requiring the zero seal, the instrument seal, and the organ seal in various procedures.

公开(公告)号：US07473221B2

公开(公告)日：2009-01-06

申请号：US10381220

申请日：2001-09-21

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 forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and 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. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. An organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity.

Abstract translation: 手术进入装置包括单个阀，其与主体壁形成密封并且提供进入体腔的通道。 该阀具有在没有仪器和仪器密封的情况下产生零密封的特性。 阀可以包括由弹性体和油组成的凝胶，其提供大于1000％的伸长率和小于5肖氏A的硬度。单个阀可以用作手术口，其中仪器包括外科医生的手臂。 制造外科进入装置的方法包括将胶凝剂与油组合，优选在模制过程中。 使用该装置的方法包括用仪器创建开口。 器官可以通过单个阀从体腔中移除，以在器官在体腔外部寻址时产生器官密封。

公开(公告)号：US6117150A

公开(公告)日：2000-09-12

申请号：US115008

申请日：1998-07-14

Applicant: Edward D. Pingleton ,  Gary L. Butler ,  Neal E. Fearnot ,  Donald R. Hollinger ,  Timothy G. Vendrely ,  Ralph V. Clayman

Inventor： Edward D. Pingleton ,  Gary L. Butler ,  Neal E. Fearnot ,  Donald R. Hollinger ,  Timothy G. Vendrely ,  Ralph V. Clayman

IPC: A61B17/00 ,  A61B17/28 ,  A61B17/32 ,  A61B18/14 ,  A61B19/00 ,  A61M1/00 ,  A61M11/06

CPC classification number: A61B17/00234 ,  A61B17/00 ,  A61B17/3203 ,  A61B90/00 ,  A61B18/14 ,  A61B2017/00544 ,  A61B2017/2905 ,  A61B2017/320044 ,  A61B2017/32035 ,  A61B2090/306 ,  A61B2217/005 ,  A61B2217/007 ,  A61M1/0064 ,  A61M11/06

Abstract: A pneumatic tissue dissector 10 useful for cutting or dissecting living tissue during endoscopic or laparoscopic procedures includes a dissector tip 16 for exuding a flow of pressurized gas, an inlet arrangement 24 for controlling the flow of gas from the tip 16, and an exhaust system 30 for exhausting the gas exuded from the tip 16. The exhaust system includes an inlet 32 adjacent to the tip 16 and an outlet spaced from the inlet 32. The outlet 34 is operable in coordination with the inlet arrangement 24 and is capable of exhausting a flow of gas about equal to that exuded by the tip 16, ensuring that the pressure in the cavity in which the procedure is performed does not increase or fluctuate. The flow of pressurized gas from the tip 16 is preferably compatible with an insufflation cavity pressure of no more than about 15 mm Hg, and the inlet arrangement 24 preferably supplies gas to the tip 16 at a pressure of no more than about 50 psi. The dissector 10 preferably further includes a laparoscopic introducer sheath 68 which is shorter in length than the distance between the inlet 32 and the outlet 34.

Abstract translation: 在内窥镜或腹腔镜手术中可用于切割或解剖活体组织的气动组织剥离器10包括用于渗出加压气体流的分离器尖端16，用于控制来自尖端16的气体流动的入口装置24和排气系统30 用于排出从尖端16渗出的气体。排气系统包括与尖端16相邻的入口32和与入口32间隔开的出口。出口34可与入口装置24协调地操作并且能够排出流 大约等于由尖端16渗出的气体，确保执行该过程的空腔中的压力不增加或波动。 来自尖端16的加压气体的流动优选地与不超过约15mm Hg的吹入腔压力兼容，并且入口装置24优选以不超过约50psi的压力将气体供应到尖端16。 解剖器10优选地还包括腹腔镜引导器护套68，其长度小于入口32和出口34之间的距离。

公开(公告)号：US5290249A

公开(公告)日：1994-03-01

申请号：US947095

申请日：1992-09-17

Applicant: Thomas L. Foster ,  John S. Lyttle ,  Edward D. Pingleton ,  Paul G. Thomson

Inventor： Thomas L. Foster ,  John S. Lyttle ,  Edward D. Pingleton ,  Paul G. Thomson

IPC: A61B1/00 ,  A61B17/34 ,  A61B19/00 ,  A61M25/00 ,  A61M25/04

CPC classification number: A61B17/34 ,  A61B2017/00986 ,  A61B2017/3486 ,  A61B2090/036 ,  A61M2025/0233

Abstract: A surgical trocar access sheath having a laterally expandable retention mechanism for percutaneous insertion through a body cavity wall. The expandable retention mechanism is positioned about the distal end of the sheath for retaining the access sheath within the body cavity. The access sheath has an inner elongated member cannula and an outer elongated member tube having a slick surface for ready insertion through a puncture site. The laterally expandable retention mechanism includes a plurality of strips extending and formed longitudinally in the outer tube. The retention mechanism has an expanded state and a retracted state. In the expanded state, the longitudinal strips extend radially from the outer elongated member tube to engage the interior surface of the body cavity wall. The expandable retention mechanism is actuated by sliding an actuating mechanism hub attached to the distal end of the outer elongated member tube against another hub fixedly attached to the inner elongated member cannula. To insert or retract the access sheath through the cavity wall of a patient, the physician squeezes the actuating mechanism hub against the fixed hub to collapse the longitudinal strips against the surface of the inner elongated member cannula. Once inserted, the actuating mechanism is released to expand the retention mechanism.

Abstract translation: 一种具有横向可扩张的保持机构的手术套管针存取护套，用于通过体腔壁经皮插入。 可扩张保持机构围绕护套的远端定位，以将进入护套保持在体腔内。 进入护套具有内部细长构件插管和具有光滑表面的外部细长构件管，用于通过穿刺部位准备插入。 横向可扩张的保持机构包括在外管中纵向延伸和形成的多个条。 保持机构具有展开状态和缩回状态。 在展开状态下，纵向条带从外部细长构件管径向延伸，以接合体腔壁的内表面。 通过将连接到外细长构件管的远端的致动机构毂滑动到固定地连接到内部细长构件插管的另一轮毂上来致动可扩张保持机构。 为了通过患者的腔壁插入或缩回通路护套，医师将致动机构毂挤压在固定轮毂上，以使纵向条带抵靠内部细长构件套管的表面。 一旦插入，释放致动机构以扩大保持机构。

公开(公告)号：US5037379A

公开(公告)日：1991-08-06

申请号：US543680

申请日：1990-06-22

Applicant: Ralph V. Clayman ,  Edward D. Pingleton

Inventor： Ralph V. Clayman ,  Edward D. Pingleton

IPC: A61B17/22 ,  A61B17/00 ,  A61L33/00

CPC classification number: A61B17/00234 ,  A61B2017/00287 ,  Y10S128/24

Abstract: A surgical tissue bag for percutaneously debulking large volumes of tissue contained within the bag. The tissue bag comprises two layers of material, an inner layer of a puncture-resistant material and an outer layer of moisture-proof material for containing cells and fluid therein. The bag material is foldable and flexible for insertion through an access sheath into the surgical site and for forming a gas-tight seal when extended through the access sheath or puncture site. A drawstring is attached to the open end of the bag to close the bag when the tissue is contained therein and pulled through the puncture site in the outer surface of the skin. After the closed open end of the bag is pulled through the puncture site, the closed end is fanned out against the outer layer of the skin, and a morcellator is inserted into the bag for debulking the large volume of tissue. The open end of the bag is continually fanned out to maintain a compact and tight containment of the tissue and fluid remaining in the bag. The morcellation process is continued until the entire volume of tissue is removed at which time the remaining portion of the bag is completely removed from the surgical site area.