公开(公告)号：US08002786B2

公开(公告)日：2011-08-23

申请号：US11716029

申请日：2007-03-09

申请人： Andrew T. Beckman ,  Mark J. Reese ,  Michael D. Cronin

发明人： Andrew T. Beckman ,  Mark J. Reese ,  Michael D. Cronin

IPC分类号： A61B1/00

CPC分类号： A61B17/3423 ,  A61B17/3431

摘要： A seal assembly for permitting hand assisted laparoscopic procedures is disclosed. The seal assembly includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion. The seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. A ratchet mechanism is provided for controlling motion of the upper seal ring relative to the lower seal ring. The ratchet mechanism includes a deflection feature and a series of gear teeth, wherein the series of gear teeth are oriented to engage the deflection feature.

摘要翻译： 公开了一种用于允许手辅助腹腔镜手术的密封组件。 密封组件包括具有位于壳体内的密封件的密封帽。 壳体包括具有支撑用于相对旋转运动的上密封环的轨道的下密封环。 密封件支撑在上密封环和下密封环之间，用于在打开方向和闭合方向之间旋转。 提供棘轮机构用于控制上密封环相对于下密封环的运动。 棘轮机构包括偏转特征和一系列齿轮齿，其中一系列齿轮齿定向成接合偏转特征。

公开(公告)号：US07819800B2

公开(公告)日：2010-10-26

申请号：US11611193

申请日：2006-12-15

申请人： Andrew T. Beckman ,  Paul T. Franer ,  Michael D. Cronin

发明人： Andrew T. Beckman ,  Paul T. Franer ,  Michael D. Cronin

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B17/3462 ,  A61B2017/00265 ,  A61B2017/00398

摘要： A laparoscopic device assembly provides a tubular diaphragm twist seal that responds to a slight rotation of an actuating ring in a first direction by coupling a motor spring power assisted rotation of a bottom circumference of the twist seal achieves a pneumatic seal in an adjustable access channel defined by the state of the twist seal for maintaining an insufflated body cavity for a hand assisted laparoscopic surgical procedure. A slight rotation of the actuating ring in an opposite second direction releases compression spring energy and energy in the twisted state of the twist seal so that an upper circumference of the twist seal is allowed to open the adjustable access channel.

摘要翻译： 腹腔镜装置组件提供管状膜片扭转密封件，其通过联接电动机弹簧对扭转密封件的底部圆周的动力辅助旋转来响应致动环在第一方向上的轻微旋转，从而在限定的可调节进入通道中实现气动密封 通过扭转密封件的状态来维持用于手动辅助腹腔镜外科手术的吸入体腔。 致动环在相反的第二方向上的轻微旋转在扭转密封的扭转状态下释放压缩弹簧能量和能量，使得扭转密封件的上部周边被允许打开可调节进入通道。

公开(公告)号：US20080221483A1

公开(公告)日：2008-09-11

申请号：US11714267

申请日：2007-03-06

申请人： William J. White ,  Andrew T. Beckman

发明人： William J. White ,  Andrew T. Beckman

IPC分类号： A61M25/01

CPC分类号： G01M11/00 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/00265 ,  A61B2017/00477 ,  G01M11/0207

摘要： A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. The track includes an inner upstanding annular wall and an outer upstanding annular wall connected by a base member. A ratchet mechanism controls motion of the upper seal ring relative to the lower seal ring. The ratchet mechanism includes a ratchet arm oriented to engage a ratchet surface and the ratchet surface is positioned between the inner upstanding annular wall and the outer upstanding annular wall.

摘要翻译： 用于允许手辅助腹腔镜手术的密封组件包括具有位于壳体内的密封件的密封帽。 壳体包括下密封环，下密封环具有支撑用于相对旋转运动的上密封环的轨道，其中密封件被支撑在上密封环和下密封环之间，用于在打开定向和闭合取向之间旋转。 轨道包括内部直立的环形壁和由基座构件连接的外部直立的环形壁。 棘轮机构控制上密封环相对于下密封环的运动。 棘轮机构包括定位成接合棘轮表面的棘轮臂，棘轮表面位于内直立环形壁和外直立环形壁之间。

公开(公告)号：US20080146883A1

公开(公告)日：2008-06-19

申请号：US11611167

申请日：2006-12-15

申请人： Paul H. Kistler ,  Andrew T. Beckman

发明人： Paul H. Kistler ,  Andrew T. Beckman

IPC分类号： A61B17/00

CPC分类号： A61B17/3423 ,  A61B17/0293 ,  A61B2017/00265 ,  A61B2017/3419

摘要： A laparoscopic disk assembly for a Hand Assisted Laparoscopic Surgery (HALS) procedure includes an exteriorly visible laparoscopic disk (seal cap) attached to a retractor skirt. The laparoscopic disk provides an adjustable exterior opening. A downward annular surface is supported by an attached flexible or resilient (“soft) support member that in turn forms an annular contact upon a patient's abdomen wall surrounding an incision to form a sealing connection, to facilitate improved manipulation or degrees of freedom through the laparoscopic disk without loss of insufflation pressure, to minimize, if not eliminate, bruising, to prevent rotation movement of a retractor skirt in the incision, and to reduce fatigue. Versions include a resilient pad, a resilient skirt that adheres to the patient's skin, a skirt with horizontal pleats, and a toroidal bladder that comfortably depresses into the skin.

摘要翻译： 用于手辅助腹腔镜手术（HALS）的腹腔镜盘组件包括附接到牵开器裙部的外部可见的腹腔镜盘（密封帽）。 腹腔镜盘提供可调节的外部开口。 向下的环形表面由附接的柔性或弹性（“柔性”）支撑构件支撑，该支撑构件又在围绕切口的患者腹壁上形成环形接触以形成密封连接，以便于通过腹腔镜改善操作或自由度 在不损失吹气压力的情况下，尽量减少（如果不消除）瘀伤，以防止牵开器裙部在切口中的旋转运动，并减少疲劳，版本包括弹性垫，粘附于患者皮肤的弹性裙部， 具有水平褶皱的裙子和舒适地压入皮肤的环形膀胱。

公开(公告)号：US20080132765A1

公开(公告)日：2008-06-05

申请号：US11607118

申请日：2006-12-01

申请人： Andrew T. Beckman ,  Carrie I. Fihe ,  William J. White

发明人： Andrew T. Beckman ,  Carrie I. Fihe ,  William J. White

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/00265

摘要： A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having an iris seal positioned within a housing. The housing includes a lower seal ring having a track which supports an upper seal ring for relative rotational motion, wherein the iris seal is supported between the upper seal ring and the lower seal ring for rotation between an open orientation and a closed orientation. The seal assembly also includes a retractor extending from the seal cap.

摘要翻译： 用于允许手辅助腹腔镜手术的密封组件包括具有定位在壳体内的虹膜密封件的密封帽。 该壳体包括一个下密封环，该密封环具有支撑用于相对旋转运动的上密封环的轨道，其中虹膜密封件被支撑在上密封环和下密封环之间，用于在打开取向和闭合取向之间旋转。 密封组件还包括从密封帽延伸的牵开器。

公开(公告)号：US20080011307A1

公开(公告)日：2008-01-17

申请号：US11484846

申请日：2006-07-12

申请人： Andrew T. Beckman ,  Michael D. Cronin

发明人： Andrew T. Beckman ,  Michael D. Cronin

IPC分类号： A61B19/08

CPC分类号： A61B17/3423 ,  A61B17/02 ,  A61B17/3431 ,  A61B17/3498 ,  A61B2017/00526 ,  A61B2017/0084

摘要： A hand assisted laparoscopic seal apparatus includes an outer seal, an inner seal and a housing supporting the outer seal relative to the inner seal, wherein one of the outer seal or the inner seal is shaped and dimensioned for engaging and sealing around an arm of a medical practitioner and the other seal is shaped and dimensioned for sealing a body cavity from an external environment.

摘要翻译： 手辅助腹腔镜密封装置包括外密封件，内密封件和相对于内密封件支撑外密封件的外壳，其中外密封件或内密封件中的一个形状和尺寸用于接合和密封环 医生和其他密封件的形状和尺寸用于将体腔与外部环境密封。