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公开(公告)号：US08167895B2
公开(公告)日：2012-05-01
申请号：US13080966
申请日：2011-04-06
CPC分类号： A61B17/115 , A61B17/00491 , A61B17/072 , A61B17/07292 , A61B17/1114 , A61B17/1155
摘要： The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.
摘要翻译： 本公开提供了用于在吻合过程中在相邻肠段之间沉积的结构和/或垫圈。 该结构至少具有第一材料的内圈和第二材料的中间环。 第一材料和第二材料包括由粘合剂，密封剂和/或药物中的至少一种组成的伤口治疗材料。 第一种材料与第二种材料不同。
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62.发明授权Powered variable seal diameter trocar employing a longitudinal displacement mechanism 失效动力可变密封直径套管针采用纵向排列机构公开(公告)号：US08025642B2
公开(公告)日：2011-09-27
申请号：US12715682
申请日：2010-03-02
申请人： Kenneth Blier , Michael Bettuchi
发明人： Kenneth Blier , Michael Bettuchi
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3439
摘要： An apparatus for sealing a passageway through an access assembly includes a variable seal member having an orifice for reception of an instrument therethrough. Each of a pair of compression members has a pressure face for contacting the variable seal member, each pressure face opposing the variable seal member from an opposite longitudinal side, and each compression member moveable with respect to the other compression member in a longitudinal direction transverse to the pressure faces. The compression members may be moved in the longitudinal direction to adjust the degree of compressive force exerted on the portal seal member and thus adjust a diameter of the orifice to effectively interface with the instrument to form a fluid tight relation therewith.
摘要翻译： 用于通过进入组件密封通道的装置包括可变密封构件，其具有用于接收仪器的孔口。 一对压缩构件中的每一个具有用于与可变密封构件接触的压力面，与可变密封构件相对的纵向侧相对的每个压力面，并且每个压缩构件在横向于纵向方向的纵向方向上相对于另一个压缩构件移动 压力面。 压缩构件可以在纵向方向上移动以调节施加在门静密封构件上的压缩力的程度，从而调整孔口的直径以有效地与仪器接触以形成与其的流体密封关系。
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公开(公告)号：US08012129B2
公开(公告)日：2011-09-06
申请号：US12468133
申请日：2009-05-19
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/00234 , A61B17/3421 , A61B17/3462 , A61B2017/00862
摘要： A surgical portal apparatus includes a portal housing, an elongated portal member connected to the portal housing and depending therefrom, and a seal member comprising a resilient material and being mounted to the portal housing. The portal housing and the portal member have an axial bore for reception and passage of a surgical object. The seal member includes leading and trailing faces and has inner portions defining a passage to permit passage of a surgical object. One of the leading and trailing faces defines a plurality of recessed cells formed within interconnected struts. The interconnected struts are relatively flexible to flex upon radial offset manipulation of the object to permit corresponding movement of the passage while substantially maintaining a seal about the surgical object. At least some of the recessed cells define a generally rectangular arrangement. Preferably, the leading end face of the seal member has the recessed cells.
摘要翻译： 手术入口装置包括入口壳体，连接到入口壳体并从其中悬挂的细长入口构件，以及密封构件，其包括弹性材料并且安装到入口壳体。 入口外壳和入口构件具有用于接收和通过手术物体的轴向孔。 密封构件包括前缘和后表面，并且具有限定通道以允许手术物体通过的内部部分。 前后面之一限定了形成在互连支柱内的多个凹槽。 相互连接的支柱相对柔性，以在对象的径向偏移操作时弯曲以允许通道的相应移动，同时基本上保持围绕手术对象的密封。 至少一些凹进的单元限定了大致矩形的布置。 优选地，密封构件的前端面具有凹槽。
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公开(公告)号：US20110184444A1
公开(公告)日：2011-07-28
申请号：US13080966
申请日：2011-04-06
IPC分类号： A61B17/11
CPC分类号： A61B17/115 , A61B17/00491 , A61B17/072 , A61B17/07292 , A61B17/1114 , A61B17/1155
摘要： The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.
摘要翻译： 本公开提供了用于在吻合过程中在相邻肠段之间沉积的结构和/或垫圈。 该结构至少具有第一材料的内圈和第二材料的中间环。 第一材料和第二材料包括由粘合剂，密封剂和/或药物中的至少一种组成的伤口治疗材料。 第一种材料与第二种材料不同。
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65.发明申请公开(公告)号：US20110152777A1
公开(公告)日：2011-06-23
申请号：US12957573
申请日：2010-12-01
申请人： Michael Bettuchi
发明人： Michael Bettuchi
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B2017/00398 , A61B2017/3464 , A61B2090/0805
摘要： A surgical access apparatus includes an access member having a longitudinal passageway providing access to a tissue site. An elongated seal member mounted to the access member has an orifice with a variable inner dimension. The elongated seal member establishes a sealing relation about an instrument and is associated with a powered adjustment mechanism for adjusting the variable inner dimension of the orifice. The powered adjustment mechanism includes trailing and leading hubs longitudinally spaced and adapted for relative rotation about an axis defined by the access member. A plurality of spokes extends between the hubs and defines first and second minimum internal dimensions when in first and second conditions respectively upon relative rotation of the hubs. The spokes are arranged about the elongated seal member to adjust the variable inner dimension of the orifice upon relative rotation of the hubs. A powered motion generator effects relative rotation between the hubs.
摘要翻译： 外科进入装置包括具有提供对组织部位的通路的纵向通道的进入构件。 安装到进入构件的细长密封构件具有具有可变内部尺寸的孔口。 细长密封构件建立关于仪器的密封关系，并且与用于调节孔的可变内部尺寸的动力调节机构相关联。 动力调节机构包括纵向间隔开的并且适于围绕由接入构件限定的轴线的相对旋转的后缘和前导轮毂。 多个轮辐在轮毂之间延伸并且当在轮毂的相对旋转时分别在第一和第二条件下限定第一和第二最小内部尺寸。 轮辐围绕细长密封构件设置，以在毂的相对旋转时调节孔口的可变内部尺寸。 动力运动发生器影响轮毂之间的相对旋转。
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公开(公告)号：US07942890B2
公开(公告)日：2011-05-17
申请号：US11080854
申请日：2005-03-15
IPC分类号： A61B17/08
CPC分类号： A61B17/115 , A61B17/00491 , A61B17/072 , A61B17/07292 , A61B17/1114 , A61B17/1155
摘要： The present disclosure provides structures and/or gaskets for deposition between adjacent intestinal sections in an anastomosis procedure. The structure possesses at least an inner ring of a first material, and a middle ring of a second material. The first material and the second material include a wound treatment material consisting of at least one of an adhesive, a sealant and/or a medicament. The first material is different from the second material.
摘要翻译： 本公开提供了用于在吻合过程中在相邻肠段之间沉积的结构和/或垫圈。 该结构至少具有第一材料的内圈和第二材料的中间环。 第一材料和第二材料包括由粘合剂，密封剂和/或药物中的至少一种组成的伤口治疗材料。 第一种材料与第二种材料不同。
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公开(公告)号：US20110087272A1
公开(公告)日：2011-04-14
申请号：US12897011
申请日：2010-10-04
申请人： Timothy Sargeant , Joshua Stopek , Michael Bettuchi , Arpan Desai , Atu Agawu , Saumya Banerjee
发明人： Timothy Sargeant , Joshua Stopek , Michael Bettuchi , Arpan Desai , Atu Agawu , Saumya Banerjee
IPC分类号： A61B17/03
CPC分类号： A61B17/0057 , A61B2017/00588 , A61B2017/00592 , A61B2017/00597 , A61B2017/0061 , A61B2017/00628 , A61B2017/00637 , A61B2017/00641 , A61B2017/0065 , A61L31/04 , A61L31/14
摘要： Biocompatible wound closure devices including an elongate body and a plug member are useful for wound repair.
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公开(公告)号：US20100324489A1
公开(公告)日：2010-12-23
申请号：US12774169
申请日：2010-05-05
申请人： Russell Heinrich , Michael Bettuchi
发明人： Russell Heinrich , Michael Bettuchi
IPC分类号： A61B17/34
CPC分类号： A61B17/3462
摘要： An access assembly includes a housing defining a longitudinal axis and having a longitudinal opening therethrough, a cannula extending distally from the housing and in fluid communication with the longitudinal opening and a seal member mounted within the longitudinal opening of the housing. The seal member is configured to receive an instrument therethrough in substantial sealed relation therewith. The housing is adapted to move in at least a radial direction with respect to the longitudinal axis whereby the seal member maintains the substantial sealed relation relative to the instrument as the instrument in manipulated. The housing may be flexible and capable of deflection relative to the longitudinal axis. The housing may comprise an elastomeric material in whole or in part. The seal member may be integrally formed with the housing. The housing may include at least one flexible ring portion and possibly a plurality of ring portions.
摘要翻译： 入口组件包括限定纵向轴线并具有穿过其中的纵向开口的壳体，从壳体向远侧延伸并与纵向开口流体连通的套管和安装在壳体的纵向开口内的密封构件。 密封构件被构造成以与其实质密封的关系接收穿过其中的器械。 壳体适于相对于纵向轴线至少沿径向方向移动，由此密封构件在操纵的仪器时保持相对于仪器的实质密封关系。 壳体可以是柔性的并且能够相对于纵向轴线偏转。 壳体可以全部或部分地包括弹性体材料。 密封构件可以与壳体一体形成。 壳体可以包括至少一个柔性环部分和可能的多个环部分。
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公开(公告)号：US07744624B2
公开(公告)日：2010-06-29
申请号：US11251118
申请日：2005-10-14
申请人： Michael Bettuchi
发明人： Michael Bettuchi
IPC分类号： A61B17/08
CPC分类号： A61B17/00491 , A61B17/064 , A61B17/08 , A61B17/11 , A61B2017/1125
摘要： An apparatus for applying sealant to a target tissue of a surgical site is provided. The apparatus includes a handle, conduit and an end effector. The handle has means configured and adapted for operating the end effector and dispensing biological sealant to the surgical site via the end effector. The conduit stores and/or carries sealant towards the end effector. The end effector is configured to clamp around a body organ or tissue and apply and confine biological sealant in a substantially uniform manner thereto.
摘要翻译： 提供了一种用于向外科手术部位的靶组织施加密封剂的装置。 该装置包括手柄，导管和端部执行器。 手柄具有构造和适于操作末端执行器并且经由末端执行器将生物密封剂分配到手术部位的装置。 导管存储和/或携带密封剂朝向末端执行器。 端部执行器构造成围绕身体器官或组织夹持，并以基本均匀的方式施加和限制生物密封剂。
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公开(公告)号：US20090076465A1
公开(公告)日：2009-03-19
申请号：US12174736
申请日：2008-07-17
CPC分类号： A61B17/3498 , A61B2017/00526 , A61B2017/0084 , A61B2017/00853 , A61B2017/3464 , Y10T29/49888
摘要： The present disclosure provides a composite surgical seal for use in a surgical access device which defines an access channel through it and includes a seal member configured and dimensioned to form a seal with a housing interior wall of a surgical access device. The seal member includes a layer defining an orifice therethrough and a fabric layer substantially encapsulating the resilient layer such that a surface of the resilient layer which defines the orifice is covered by the fabric layer. The access channel is configured and dimensioned such that insertion of a surgical instrument into the access channel causes the seal member to form a substantial sealing relation with the surgical instrument inserted therethrough. A method of forming a composite surgical seal in accordance with the present disclosure is also provided herewith.
摘要翻译： 本公开提供了一种用于外科进入装置的复合手术密封件，其限定通过其的通道，并且包括密封构件，所述密封构件构造和尺寸设计成与外科进入装置的壳体内壁形成密封。 密封构件包括限定穿过其中的孔的层和基本上密封弹性层的织物层，使得限定孔的弹性层的表面被织物层覆盖。 进入通道的构造和尺寸使得外科器械插入进入通道中导致密封构件与插入其中的外科器械形成实质的密封关系。 本文还提供了形成根据本公开的复合外科用密封件的方法。
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