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    Surgical access apparatus and method
    54.
    发明授权
    Surgical access apparatus and method 有权
    手术进入装置及方法

    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。

    Pneumatic tissue dissector with exhaust system
    55.
    发明授权
    Pneumatic tissue dissector with exhaust system 失效
    带排气系统的气动组织分离器

    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。

    Surgical tissue bag and method for percutaneously debulking tissue
    56.
    发明授权
    Surgical tissue bag and method for percutaneously debulking tissue 失效
    手术组织袋和经皮减脂组织的方法

    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.

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