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公开(公告)号：US09125555B2
公开(公告)日：2015-09-08
申请号：US13591958
申请日：2012-08-22
Applicant: Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
Inventor： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
CPC classification number: A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
Abstract: A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
Abstract translation: 手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。 密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。 提供远端引导管以便于手术器械逆行插入到密封材料中。 在组装期间，通过壳体部分将压力施加到密封材料上，以形成周向密封并封闭仪器通道。 可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。 设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。 可以提供限位突片以便于该锁定力的控制。
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公开(公告)号：US08777965B2
公开(公告)日：2014-07-15
申请号：US13103936
申请日：2011-05-09
Applicant: Eugene G. Chen , Tracy D. Maahs , Richard C. Ewers , Lee L. Swanstrom
Inventor： Eugene G. Chen , Tracy D. Maahs , Richard C. Ewers , Lee L. Swanstrom
CPC classification number: A61B17/0401 , A61B17/0057 , A61B17/0469 , A61B17/0487 , A61B2017/00575 , A61B2017/00637 , A61B2017/00818 , A61B2017/00867 , A61B2017/0409 , A61B2017/0419 , A61B2017/0462 , A61B2017/0464 , A61B2017/06052
Abstract: Devices and methods for laparoscopically repairing a hernia are described. In some embodiments, a laparoscopic instrument is used to deploy one or more tissue anchor assemblies into the edges of the fascia tissue surrounding or adjacent to the hernia defect. The tissue anchor assemblies are used to cause the fascia tissue to be approximated to facilitate the repair procedure, to improve healing, and to reduce the incidence of recurrence.
Abstract translation: 描述了用于腹腔镜修复疝气的装置和方法。 在一些实施例中，使用腹腔镜器械将一个或多个组织锚固组件部署到围绕或邻近疝缺损的筋膜组织的边缘。 组织锚固组件用于使筋膜组织近似以便于修复过程，以改善愈合并降低复发的发生率。
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公开(公告)号：US08740940B2
公开(公告)日：2014-06-03
申请号：US13748302
申请日：2013-01-23
Applicant: Tracy D. Maahs , Marvin C. Elmer , Richard C. Ewers
Inventor： Tracy D. Maahs , Marvin C. Elmer , Richard C. Ewers
IPC: A61B17/04
CPC classification number: A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0644 , A61B2017/00827 , A61B2017/00867 , A61B2017/0409 , A61B2017/0419 , A61B2017/0454 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2090/037
Abstract: Apparatus and methods optimize anchoring force in securing tissue folds. Over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable designs configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue.
Abstract translation: 装置和方法优化固定组织褶皱的锚固力。 通过使用具有可扩展设计的组织锚来避免直接位于锚固器下面的组织的过度压缩，所述组织锚定构造成使锚和组织之间的接触面积最小化。 当锚固件处于其膨胀构型时，将负载施加到锚固件，直到其被最佳地构造成适应一定范围的偏转，同时锚固件本身对组织施加基本恒定的力。
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公开(公告)号：US20120313325A1
公开(公告)日：2012-12-13
申请号：US13591958
申请日：2012-08-22
Applicant: Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
Inventor： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
IPC: F16J15/14
CPC classification number: A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
Abstract: A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
Abstract translation: 手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。 密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。 提供远端引导管以便于手术器械逆行插入到密封材料中。 在组装期间，通过壳体部分将压力施加到密封材料上，以形成周向密封并封闭仪器通道。 可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。 设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。 可以提供限位突片以便于该锁定力的控制。
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公开(公告)号：US08262622B2
公开(公告)日：2012-09-11
申请号：US10695295
申请日：2003-10-28
Applicant: Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
Inventor： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
CPC classification number: A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
Abstract: A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
Abstract translation: 手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。 密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。 提供远端引导管以便于手术器械逆行插入到密封材料中。 在组装期间，通过壳体部分将压力施加到密封材料上，以便形成周向密封并封闭器械通道。 可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。 设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。 可以提供限位突片以便于该锁定力的控制。
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Patent Agency Ranking
公开(公告)号：US20120226105A1
公开(公告)日：2012-09-06
申请号：US13312393
申请日：2011-12-06
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 is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device comprises an access seal. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal conforms to a surface of an instrument inserted through the working channel.
Abstract translation: 外科进入装置适于执行腹腔镜外科手术，其中至少一个器械通过外科进入装置，并通过患有腹部腔的切口在腹腔内用吹入气体加压。 手术进入装置包括进入密封件。 进入密封件的材料适于形成密封件，以通常维持腹腔内的注入压力。 通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。 当操作性地设置时，所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。 进入密封件的材料符合通过工作通道插入的仪器的表面。
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公开(公告)号：US07678135B2
公开(公告)日：2010-03-16
申请号：US11404423
申请日：2006-04-14
Applicant: Tracy D. Maahs , Marvin C. Elmer , Richard C. Ewers
Inventor： Tracy D. Maahs , Marvin C. Elmer , Richard C. Ewers
IPC: A61J17/00
CPC classification number: A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0644 , A61B2017/00827 , A61B2017/00867 , A61B2017/0409 , A61B2017/0419 , A61B2017/0454 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2090/037
Abstract: Apparatus & methods for optimizing anchoring force are described herein. In securing tissue folds, over-compression of the tissue directly underlying the anchors is avoided by utilizing tissue anchors having expandable arms configured to minimize contact area between the anchor and tissue. When the anchor is in its expanded configuration, a load is applied to the anchor until it is optimally configured to accommodate a range of deflections while the anchor itself exerts a substantially constant force against the tissue. Various devices, e.g., stops, spring members, fuses, strain gauges, etc., can be used to indicate when the anchor has been deflected to a predetermined level within the optimal range. Moreover, other factors to affect the anchor characteristics include, e.g., varying the number of arms or struts of the anchor, positioning of the arms, configuration of the arms, the length of the collars, etc.
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88.发明授权公开(公告)号：US07618426B2
公开(公告)日：2009-11-17
申请号：US10639162
申请日：2003-08-11
Applicant: Richard C. Ewers , Boris Reydel , Cang Lam , Eugene Chen , Brent D. Seybold , Rodney Brenneman , Vahid C. Saadat
Inventor： Richard C. Ewers , Boris Reydel , Cang Lam , Eugene Chen , Brent D. Seybold , Rodney Brenneman , Vahid C. Saadat
IPC: A61B17/00 , A61B17/10 , A61B17/12 , A61B17/125
CPC classification number: A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/0644 , A61B17/29 , A61B17/3421 , A61B17/3468 , A61B17/3478 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2017/061 , A61B2017/3445 , A61B2017/3488
Abstract: Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.
Abstract translation: 提供了设备和方法，用于通过在第一组织接触点处接合组织来形成胃肠组织折叠，将第一组织接触点从最初远端到第二组织接触点的位置移动到第二接触点的近侧的位置，以形成 组织折叠，并且使锚固组件穿过第二组织接触点附近的组织褶皱延伸。
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公开(公告)号：US07481765B2
公开(公告)日：2009-01-27
申请号：US11244647
申请日：2005-10-05
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.
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公开(公告)号：US5971938A
公开(公告)日：1999-10-26
申请号：US974300
申请日：1997-11-19
Applicant: Charles C. Hart , Richard C. Ewers
Inventor： Charles C. Hart , Richard C. Ewers
CPC classification number: A61B17/22031
Abstract: An access device has a distal, expandable member with a low-profile state facilitating insertion and a high-profile state facilitating operation of the device. An obturator can be used to move the expandable member between its two states. Alternatively, the device can have an outer tube and an inner tube connected to respective ends of a cylindrical expansion member, so that co-axial movement of the tubes changes the state of the member. An actuator slideable on a handle facilitates the co-axial movement of the tubes, and a resulting formation of the expandable member in a funnel configuration.
Abstract translation: 进入装置具有远侧可扩张构件，其具有便于插入的低轮廓状态和便于操作装置的高轮廓状态。 可以使用闭孔器在可伸缩构件的两个状态之间移动。 或者，装置可以具有连接到圆柱形膨胀构件的相应端部的外管和内管，使得管的同轴运动改变构件的状态。 可滑动在手柄上的致动器有助于管的同轴运动，并且可扩展构件的结果形成为漏斗构型。
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