公开(公告)号：US20050065543A1

公开(公告)日：2005-03-24

申请号：US10956167

申请日：2004-10-01

申请人： Henry Kahle ,  Arkadiusz Strokosz ,  Kimball McGinley ,  Scott Taylor ,  Gary Johnson ,  John Brustad

发明人： Henry Kahle ,  Arkadiusz Strokosz ,  Kimball McGinley ,  Scott Taylor ,  Gary Johnson ,  John Brustad

IPC分类号： A61B20060101 ,  A61B17/00 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00

CPC分类号： A61B17/3417 ,  A61B1/3132 ,  A61B17/3415 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3468 ,  A61B17/3474 ,  A61B17/3478 ,  A61B17/3496 ,  A61B90/361 ,  A61B90/92 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00907 ,  A61B2017/320044 ,  A61B2017/3425 ,  A61B2017/3445 ,  A61B2017/3456 ,  A61B2017/346 ,  A61B2017/3464 ,  A61B2017/347 ,  A61B2090/3937

摘要： The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.

摘要翻译： 本发明涉及一种无插管套管针闭塞器，用于在插入穿过体壁时分离或分离身体组织。 一方面，本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖，所述外表面向远侧延伸到钝点，一对侧部具有共同的形状并且被至少一个中间体 其中每个所述侧部分从所述钝点径向向外延伸，并具有沿所述轴向近端的渐进位置，并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。 通过这个方面，锥形配置便于分离身体组织的不同层，并提供顶层在层之间的适当对准。 侧部包括远端部分和近端部分，侧部分的远侧部分相对于侧部部分的近端部分径向扭转。 中间部分包括远端部分和近端部分，中间部分的远端部分在第一径向方向上扭转，并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。

公开(公告)号：US20100081988A1

公开(公告)日：2010-04-01

申请号：US12569652

申请日：2009-09-29

申请人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

发明人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

IPC分类号： A61M13/00 ,  A61B17/34

CPC分类号： A61B17/3474 ,  A61B1/00154 ,  A61B1/313 ,  A61B1/3132 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3423 ,  A61B17/3496 ,  A61B90/36 ,  A61B90/361 ,  A61B2017/00902 ,  A61B2017/00907 ,  A61B2017/3419 ,  A61B2017/3454

摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.

摘要翻译： 手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。 封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。 设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。 套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。 因此，接入系统适合作为第一入门手术进入系统。 套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

公开(公告)号：US08506520B2

公开(公告)日：2013-08-13

申请号：US12569652

申请日：2009-09-29

申请人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

发明人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

IPC分类号： A61M37/00

CPC分类号： A61B17/3474 ,  A61B1/00154 ,  A61B1/313 ,  A61B1/3132 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3423 ,  A61B17/3496 ,  A61B90/36 ,  A61B90/361 ,  A61B2017/00902 ,  A61B2017/00907 ,  A61B2017/3419 ,  A61B2017/3454

摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.

摘要翻译： 手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。 封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。 设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。 套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。 因此，接入系统适合作为第一入门手术进入系统。 套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

公开(公告)号：US20070116854A1

公开(公告)日：2007-05-24

申请号：US11549872

申请日：2006-10-16

申请人： Scott Taylor ,  Kimball McGinley ,  John Stout ,  Arkadiusz Strokosz

发明人： Scott Taylor ,  Kimball McGinley ,  John Stout ,  Arkadiusz Strokosz

IPC分类号： A61L33/00

CPC分类号： A61B17/3498 ,  A61B1/127 ,  A61B17/3423 ,  A61B2017/00265 ,  A61B2017/00845 ,  A61L31/06 ,  A61L31/14 ,  A61L31/145 ,  C08K5/01 ,  C08L53/02

摘要： Gel materials, and surgical devices containing gel materials, having reduced tackiness while retaining low durometer, high tear strength, high elongation, high compliance, and resistance to compression are described.

摘要翻译： 描述了凝胶材料和含有凝胶材料的手术装置，具有降低的粘性，同时保持低硬度，高撕裂强度，高伸长率，高柔顺性和抗压缩性。

公开(公告)号：US20130303848A1

公开(公告)日：2013-11-14

申请号：US13940707

申请日：2013-07-12

申请人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

发明人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

IPC分类号： A61B17/34 ,  A61B1/313

CPC分类号： A61B17/3474 ,  A61B1/00154 ,  A61B1/313 ,  A61B1/3132 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3423 ,  A61B17/3496 ,  A61B90/36 ,  A61B90/361 ,  A61B2017/00902 ,  A61B2017/00907 ,  A61B2017/3419 ,  A61B2017/3454

摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.

摘要翻译： 手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。 封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。 设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。 套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。 因此，接入系统适合作为第一入门手术进入系统。 套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

公开(公告)号：US09358040B2

公开(公告)日：2016-06-07

申请号：US13940707

申请日：2013-07-12

申请人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

发明人： Henry Kahle ,  Arkadiusz Strokosz ,  Scott V. Taylor

IPC分类号： A61B17/34 ,  A61B1/313 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/3474 ,  A61B1/00154 ,  A61B1/313 ,  A61B1/3132 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3423 ,  A61B17/3496 ,  A61B90/36 ,  A61B90/361 ,  A61B2017/00902 ,  A61B2017/00907 ,  A61B2017/3419 ,  A61B2017/3454

摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.

摘要翻译： 手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。 封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。 设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。 套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。 因此，接入系统适合作为第一入门手术进入系统。 套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

公开(公告)号：US20060161190A1

公开(公告)日：2006-07-20

申请号：US11334027

申请日：2006-01-18

申请人： Donald Gadberry ,  Gary Johnson ,  Jeremy Albrecht ,  David Okihisa ,  Said Hilal ,  Arkadiusz Strokosz

发明人： Donald Gadberry ,  Gary Johnson ,  Jeremy Albrecht ,  David Okihisa ,  Said Hilal ,  Arkadiusz Strokosz

IPC分类号： A61B17/32 ,  A61B17/28

CPC分类号： A61B17/29 ,  A61B10/06 ,  A61B17/1608 ,  A61B17/3201 ,  A61B18/1445 ,  A61B2017/0023 ,  A61B2017/2902 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/294 ,  A61B2017/2945 ,  A61B2018/1432

摘要： The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.

摘要翻译： 本发明涉及一种包括手柄组件和轴组件的手术器械。 手柄组件还包括固定手柄和枢转手柄。 轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。 轴组件包括可旋转旋钮以提供360度旋转。 致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。 外管由塑料制成，并配合在致动杆上，用作电绝缘体。