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167 条记录 (耗时 0.043 秒)

    Surgical access apparatus and method
    62.
    发明授权
    Surgical access apparatus and method 失效
    手术进入装置及方法

    公开(公告)号：US07942862B2

    公开(公告)日：2011-05-17

    申请号：US11383927

    申请日：2006-05-17

    申请人： Charles C. Hart ,  John R. Brustad

    发明人： Charles C. Hart ,  John R. Brustad

    IPC分类号： A61M31/00

    CPC分类号： A61B17/3421 ,  A61B1/3132 ,  A61B17/3417 ,  A61B17/3474 ,  A61B90/30 ,  A61B2017/00685 ,  A61B2017/320044 ,  A61B2017/3405 ,  A61B2017/3484 ,  A61B2017/349 ,  A61B2090/08021 ,  A61B2090/373 ,  A61M25/02 ,  A61M25/04 ,  A61M2025/0286

    摘要： A trocar system for providing access across a body wall includes a trocar and an anchor provided in the form of a first helix. The anchor is adapted for placement in an operative position wherein the anchor extends at least partially through the body wall. A second helix formed on the trocar is size and configured to engage the first helix of the anchor so that rotation of the trocar relative to the anchor moves the second helix along the first helix. In this manner, the trocar is drawn into the anchor as it moves into the body wall. A proximal force applied to the anchor resists tenting of the abdominal wall. The anchor also holds the layers of the body wall together thereby resisting peritoneal separation.

    摘要翻译： 用于提供通过身体壁的通路的套针针系统包括以第一螺旋形式设置的套针针和锚。 锚固件适于放置在操作位置，其中锚固件至少部分延伸穿过主体壁。 形成在套针针上的第二螺旋是尺寸并且构造成接合锚固件的第一螺旋，使得套管针相对于锚的旋转沿着第一螺旋移动第二螺旋。 以这种方式，套管针在移动到体壁时被拉入锚中。 施加到锚的近侧力抵抗腹壁的隆起。 锚固体还将体壁的层保持在一起，从而抵抗腹膜分离。

    Circular surgical retractor
    63.
    发明授权
    Circular surgical retractor 有权
    圆形手术牵开器

    公开(公告)号：US07892172B2

    公开(公告)日：2011-02-22

    申请号：US12768328

    申请日：2010-04-27

    申请人： Jeremy J. Albrecht ,  Charles C Hart ,  John R. Brustad

    发明人： Jeremy J. Albrecht ,  Charles C Hart ,  John R. Brustad

    IPC分类号： A61B1/32

    CPC分类号： A61B17/0293 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3496 ,  A61B17/3498 ,  A61B90/40 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0225 ,  A61B2017/0287 ,  A61B2017/3419 ,  A61B2017/347 ,  A61B2050/005 ,  A61B2050/0051

    摘要： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.

    摘要翻译： 用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环，外环和可扩张套管。 外环包括彼此耦合的至少一对圆形管。 圆形管中的至少一个包括形成开放端的管腔和裂口。 其中分开的不合适的管状环位于内腔中。 管状环被定向成其开口端定位成远离圆形管的分割。 核心位于管状箍的内腔中。 芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。 圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。

    TAMPONADE TROCAR DEVICE AND METHOD
    65.
    发明申请
    TAMPONADE TROCAR DEVICE AND METHOD 有权
    TAMPONADE TROCAR设备和方法

    公开(公告)号：US20090264913A1

    公开(公告)日：2009-10-22

    申请号：US12106920

    申请日：2008-04-21

    申请人： Charles C. Hart ,  John R. Brustad

    发明人： Charles C. Hart ,  John R. Brustad

    IPC分类号： A61B17/34

    CPC分类号： A61M25/0662 ,  A61B17/3421 ,  A61B17/3431 ,  A61B2017/00557 ,  A61B2017/320048 ,  A61M25/0102 ,  A61M25/1002 ,  A61M25/10185 ,  A61M2025/0681 ,  A61M2025/1068

    摘要： A tamponade trocar includes an elongate balloon having a closed distal end and is adapted to expand from a small diameter to a large diameter. A cannula is positioned at a proximal portion within the balloon lumen. A rigid stylet is removably positioned within the balloon and cannula lumens. A distal end of the stylet supported balloon is inserted into a perforation in a body wall and advanced into a body cavity while the balloon is unexpanded. The balloon is expanded and the cannula is advanced to a distal portion of the balloon lumen and across the body wall. At this stage, the perforation is dilated and in compressive tamponade. The proximal portion of the balloon may be removed and a seal housing may be coupled to the proximal end of the cannula. The distal end of the balloon may be punctured and opened, making the trocar ready for use.

    摘要翻译： 填塞套管针包括具有封闭的远端的细长气囊，并适于从小直径膨胀到大直径。 套管定位在气囊腔内的近端部分。 刚性探针可拆卸地定位在球囊和套管内腔内。 探针支撑球囊的远端插入体壁上的穿孔中，并且当气囊未膨胀时进入体腔。 气囊膨胀并且套管前进到气囊腔的远端部分并穿过身体壁。 在这个阶段，穿孔被扩张和压缩填塞。 球囊的近端部分可以被移除，并且密封壳体可以联接到套管的近端。 气囊的远端可以被刺穿和打开，使套管针准备使用。

    Traction trocar apparatus and method
    66.
    发明授权
    Traction trocar apparatus and method 失效
    牵引套管针装置及方法

    公开(公告)号：US07189249B2

    公开(公告)日：2007-03-13

    申请号：US10477330

    申请日：2001-05-11

    申请人： Charles C. Hart ,  Edward D. Pingleton ,  John R. Brustad ,  Nabil Hilal ,  Raffi Pinedjian

    发明人： Charles C. Hart ,  Edward D. Pingleton ,  John R. Brustad ,  Nabil Hilal ,  Raffi Pinedjian

    IPC分类号： A61B17/34

    CPC分类号： A61B17/34 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3431 ,  A61B17/3476 ,  A61B17/3496 ,  A61B2017/32006 ,  A61B2017/3454 ,  A61B2090/08021

    摘要： The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue. Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs. The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface.

    摘要翻译： 套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。 设置在封闭器内部的牵引踏板在远端顶端反转，并沿闭塞器或插管的外表面向近侧延伸。 在远端，胎面可以促进分离而不是切割组织。 沿着外表面，胎面可以接合组织以沿着前进的闭孔向近侧拉。 这产生反作用力，其可导致净近端力促进腹壁的膨胀和腹壁与内部器官的分离。 牵引踏板可以是轴向和/或径向连续的。 相关联的操作方法包括以下步骤：使身体壁与远侧末端处的牵引踏板相接触，并且沿着面向外表面的壁部分与身体壁与牵引踏板接合。

    Perfusion-isolation catheter apparatus and method
    67.
    发明授权
    Perfusion-isolation catheter apparatus and method 有权
    灌注隔离导管装置及方法

    公开(公告)号：US06183492B2

    公开(公告)日：2001-02-06

    申请号：US09141196

    申请日：1998-08-27

    申请人： Charles C. Hart ,  Paul D. Hansen ,  Said Hilal ,  Mark Ashby ,  Lee L. Swanstrom ,  Bounsavanh Pravongviengkham ,  John R. Brustad

    发明人： Charles C. Hart ,  Paul D. Hansen ,  Said Hilal ,  Mark Ashby ,  Lee L. Swanstrom ,  Bounsavanh Pravongviengkham ,  John R. Brustad

    IPC分类号： A61M2900

    CPC分类号： A61M25/104 ,  A61B17/12022 ,  A61B17/12036 ,  A61B17/12109 ,  A61B17/12118 ,  A61B17/12136 ,  A61B17/12172 ,  A61M25/005 ,  A61M25/0052 ,  A61M25/1006 ,  A61M2025/1052 ,  A61M2025/1095 ,  A61M2025/1097

    摘要： A catheter includes an introducer and a flow isolator adapted for disposition in a primary conduit to facilitate flow in the primary conduit while inhibiting flow and intersecting secondary conduits. The flow isolator may include a tubular mesh and surrounding balloon structure. Alternatively, a sleeve can be provided with a primary opening and a secondary opening which are sized to inflate the sleeve with the body fluid. Structures for deploying the sleeve between a low-profile state and high-profile state may include expandable fingers, or pneumatic chambers inflatable from an external source. In operation the sleeve can be forced by the body fluid against the intersection with the secondary conduits to achieve isolation. Alternatively, the pneumatic chambers can be inflated to form seals with the primary conduit. A blood filter or snare is contemplated to filter any blood clots which may develop around the flow isolator.

    摘要翻译： 导管包括导引器和流动隔离器，其适于配置在主导管中，以促进主导管中的流动，同时抑制流动和相交的次级导管。 流动隔离器可以包括管状网和周围的球囊结构。 或者，套筒可以设置有初级开口和次级开口，其尺寸设置成使套筒与体液充气。 用于在低轮廓状态和高轮廓状态之间展开套筒的结构可以包括从外部源充气的可膨胀手指或气动室。 在操作中，套筒可以被身体流体压迫与次级管道的交叉点，以实现隔离。 或者，气动室可以被充气以与主管道形成密封。 预期血液过滤器或圈套可以过滤可能围绕流动隔离器发展的任何血块。

    Trocars with advanced fixation
    68.
    发明授权
    Trocars with advanced fixation 有权

    公开(公告)号：US09700348B2

    公开(公告)日：2017-07-11

    申请号：US13449017

    申请日：2012-04-17

    申请人： Gigi Au ,  Jeremy J. Albrecht ,  Charles C. Hart ,  Gary M. Johnson ,  John R. Brustad

    发明人： Gigi Au ,  Jeremy J. Albrecht ,  Charles C. Hart ,  Gary M. Johnson ,  John R. Brustad

    IPC分类号： A61B17/34

    CPC分类号： A61B17/34 ,  A61B17/3421 ,  A61B2017/3484 ,  A61B2017/349

    摘要： A trocar fixation device can comprise a cannula, at least one flap coupled to an exterior surface of the cannula within a central region of the cannula, and an elongate tube rotatably mounted onto the cannula and over the at least one flap. The elongate tube has at least one opening extending between an interior surface and an exterior surface of the elongate tube. In a free, activated state, the flap biases radially outwardly from the cannula. In a constrained, deactivated state, the at least one flap is positioned between the cannula and the elongate tube and maintained substantially parallel to the exterior surface of the cannula. The at least one opening in the elongate tube is sized and positioned such that rotation of the elongate tube in a first direction about the cannula exposes the flap in its entirety through the opening and allows the flap to activate.

    SURGICAL ACCESS PORT AND METHOD OF USING SAME
    70.
    发明申请
    SURGICAL ACCESS PORT AND METHOD OF USING SAME 有权
    外科手术口及其使用方法

    公开(公告)号：US20120059324A1

    公开(公告)日：2012-03-08

    申请号：US13209200

    申请日：2011-08-12

    申请人： Gary M. Johnson ,  John R. Brustad ,  Charles C. Hart

    发明人： Gary M. Johnson ,  John R. Brustad ,  Charles C. Hart

    IPC分类号： A61B17/34

    CPC分类号： A61B17/3417 ,  A61B17/34 ,  A61B2017/00473 ,  A61B2017/3482 ,  A61B2017/3484 ,  A61M39/02

    摘要： A surgical access port for insertion into a body cavity can have an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip moves from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip.

    摘要翻译： 用于插入体腔的外科进入口可以具有沿着近端和远端之间的轴延伸的细长管状体，以及在管状体的远端处的尖端，用于穿透体壁并进入体内 腔。 当身体壁已经穿过时，远端从第一穿透位置移动到第二保持位置。 外科进入口还可以包括连接到管状体的近端的密封外壳，密封壳体具有进入端口，该进入口提供管状体的开口以允许手术器械通过。 远侧尖端可以是尖锐的，尖的或叶片的。 远侧末端也可以是基本上钝的或具有锥形表面。 进入端口还可以包括用于连接管状体和远侧末端的保持构件。