-
1.发明授权Method and system for enclosing, manipulating, debulking and removing tissue through minimal access incisions 失效通过最少的切口进行包封，操纵，减压和去除组织的方法和系统
公开(公告)号：US5312416A
公开(公告)日：1994-05-17
申请号：US779443
申请日：1991-10-18
IPC分类号： A61B17/00
CPC分类号： A61B17/00234 , A61B2017/00287
摘要： The present invention pertains to a device for deploying and retrieving a flexible tissue containment sac within a body cavity, through a minimal access incision. The device generally includes a tubular introducer having a flexible tissue containment sac disposable in a compressed configuration within the lumen of such tubular introducer. An elongate plunger shaft or pushing member is insertable or passable through at least a portion of the introducer lumen to push the containment sac out of the distal end of the lumen. Attached to the containment sac and extending through the lumen of the introducer is a tether. A portion of the tether may extend out of the proximal end of the introducer. The proximal end of the tether may be grasped and pulled in a proximal direction to pull the containment sac to a retrieved position on the end of an extractable shaft or, in embodiments absent such extractable shaft, to pull at least a portion of the containment sac into the introducer lumen.
摘要翻译： 本发明涉及一种用于通过最小的进入切口在身体腔内部署和检索柔性组织容纳囊的装置。 该装置通常包括管状导引器，其具有柔性组织容纳囊，所述柔性组织容纳囊在该管状导引器的内腔内处于压缩构型中。 细长柱塞轴或推动构件可插入或穿过导引器内腔的至少一部分，以将容纳囊推出管腔的远端。 连接到容纳囊并延伸通过导引器的内腔是系绳。 系绳的一部分可以延伸出导引器的近端。 系绳的近端可以在近端方向被抓住并拉动，以将容纳囊拉到提取的轴的端部上的取回位置，或者在不存在这种可提取的轴的实施例中，以拉动容纳囊的至少一部分 进入导管腔。
-
公开(公告)号：US5167239A
公开(公告)日：1992-12-01
申请号：US708251
申请日：1991-05-30
CPC分类号： A61B17/22032 , A61M25/09 , A61B2017/00783 , A61M2025/09008 , A61M2025/09091 , A61M2025/09175 , A61M25/10
摘要： An anchorable guidewire for use in various medical applications, said guidewire comprising an elongate guidewire body with at least one inflatable anchoring member or balloon positioned thereon and a deactuatable check valve operative to maintain inflation of the inflatable anchoring member or balloon until such time as the check valve is volitionally deactuated by a human operator. The inflatable anchoring member or balloon is preferably sized, constructed and configured such that, when fully deflated, the anchoring member or balloon will fully collapse against the outer surface of the guidewire without substantial protrusion or extension therebeyond.
摘要翻译： 一种用于各种医疗应用的可固定导丝，所述导丝包括细长导丝主体，其具有至少一个位于其上的可充气锚固构件或气囊，以及可操作的止回阀，其可操作地保持可充气锚定构件或气囊的充气，直到检查 阀门由人操作者静态地停用。 优选地，可充气锚固构件或气囊的尺寸，构造和构造使得当完全放气时，锚固构件或气囊将完全塌陷在导丝的外表面上，而不会在其上大量突出或延伸。
-
公开(公告)号：US3965901A
公开(公告)日：1976-06-29
申请号：US511622
申请日：1974-10-03
CPC分类号： A61M25/007 , A61M1/008
摘要： An improved flexible catheter for suctioning of tracheobronchial passages. In one form, the catheter is provided with side openings which are elongated in a direction generally parallel to the end surface of the tubular member, and are located adjacent thereto. The catheter may be provided with a beveled tip, in which case a second form of the invention is advantageously provided with side openings which are elongated longitudinally of the catheter, and located adjacent the top portion thereof. In a third form of the invention, the catheter has triangular side openings which combine the advantages of both of the foregoing forms of the invention. Effectiveness of the catheter is further improved by restricting the area of the end openings so that the total area of the side openings is from 1.5 to 6 times the area of the end opening. Longitudinal slots along the outer surface of the catheter, adjacent to the side holes relieve the suction and reduce tissue trauma when openings are blocked.
摘要翻译： 用于抽吸气管支气管通道的改进的柔性导管。 在一种形式中，导管设置有侧开口，该侧开口在大致平行于管状构件的端面的方向上伸长，并且与其相邻。 导管可以设置有斜面尖端，在这种情况下，本发明的第二形式有利地设置有沿导管的纵向延伸并且位于其顶部附近的侧开口。 在本发明的第三种形式中，导管具有三角形侧开口，其结合了本发明的上述两种形式的优点。 通过限制端部开口的面积使得侧面开口的总面积为端部开口面积的1.5至6倍，进一步提高了导管的有效性。 沿着导管的外表面的纵向狭缝，邻近侧孔释放吸力并减少开口被阻塞时的组织损伤。
-
4.发明授权Surgical access device having variable post-insertion cross-sectional geometry 失效具有可变后插入交叉分段几何的手术访问装置
公开(公告)号：US5209741A
公开(公告)日：1993-05-11
申请号：US726496
申请日：1991-07-08
申请人： Edmund E. Spaeth
发明人： Edmund E. Spaeth
CPC分类号： A61M25/0023 , A61B17/3439 , A61B2017/22072 , A61M25/005
摘要： Surgical access devices are provided having axially stiff but radially deformable tubular members for insertion into body cavities, organs or blood vessels. The tubular members include inlet sleeves at their proximal ends for facilitating the introduction of surgical throughput devices. The tubular member is axially stiff to permit non-buckling rotation when it is inserted into the patient's body, and is radially deformable, with a substantially constant circumference, so that it conforms to the outer surface configuration of the inserted throughput devices. This minimizes the size of the insertion opening through which the access devices extend and thereby reduces trauma to the patient when the devices are introduced and used.
摘要翻译： 提供了具有轴向刚性但可径向变形的管状构件用于插入体腔，器官或血管的手术进入装置。 管状构件在其近端处包括入口套筒，以便于引入手术通过装置。 管状构件在其被插入到患者身体中时可轴向刚性地允许非弯曲旋转，并且具有基本恒定的圆周径向可变形，使得其符合所插入的吞吐量装置的外表面构型。 这使得接入装置延伸的插入开口的尺寸最小化，从而在引入和使用装置时减少对患者的创伤。
-
5.发明授权
公开(公告)号：US5320627A
公开(公告)日：1994-06-14
申请号：US32756
申请日：1993-03-17
CPC分类号： A61B17/32002 , A61B17/00234 , A61B2017/00287 , A61B2017/320775 , A61B2090/08021
摘要： A method and device for reducing the size of tissues and/or other materials contained within an intracorporeally positioned organ or artificial containment sac. In one embodiment, the device comprises an elongate cutting tool having a rotatable cutting head or impactor positioned on the distal end of the tool and, optionally, having one or more aspiration/infusion lumens extending longitudinally through the elongate shaft of the tool. In a second embodiment, the device may comprise (a) a separate guide/aspiration/infusion cannula initially insertable into the organ or sac and (b) a separate elongate cutting device which is insertable through and extractable from the prepositioned guide/aspiration/infusion cannula. An automatically deployable protective assembly may be positioned at the distal tip of either embodiment of the device so as to form a protective cage around the rotatable cutting head or impactor. Such protective cage is configured to prevent the cutting head or impactor from causing damage to the surrounding organ or sac. This invention also includes an artificial containment sac which may be inserted into a body cavity through a natural opening or small incision and which may subsequently be utilized as a bag-like container for tissues, organs, tumors, calculi or other materials which are to be treated by the device of the invention and removed from the body.
摘要翻译： 一种用于减小包含在体内定位的器官或人造遏制囊内的组织和/或其他材料的尺寸的方法和装置。 在一个实施例中，该装置包括细长的切割工具，其具有定位在工具的远端上的可旋转的切割头或冲击器，并且可选地具有一个或多个纵向延伸穿过工具的细长轴的抽吸/输注腔。 在第二实施例中，装置可以包括（a）初始可插入到器官或囊中的单独的引导/吸入/输注套管和（b）单独的细长切割装置，其可插入并可从预定位导向件/抽吸/输注 套管。 可自动展开的保护组件可以位于装置的任一实施例的远侧末端，以便围绕可旋转切割头或冲击器形成保护笼。 这种保护架构造成防止切割头或冲击器对周围的器官或囊造成伤害。 本发明还包括人造容纳囊，其可以通过天然开口或小切口插入体腔中，并且随后可以用作用于组织，器官，肿瘤，结石或其他材料的袋状容器 由本发明的装置处理并从身体移除。
-
6.发明授权Trocar system for facilitating passage of instruments into a body cavity through a minimal access incision 失效套管针系统，便于通过最小的进入切口将器械通入体腔
公开(公告)号：US5224930A
公开(公告)日：1993-07-06
申请号：US836080
申请日：1992-02-14
CPC分类号： A61B17/32002 , A61B17/00234 , A61B17/0218 , A61B17/34 , A61B2017/00287 , A61B2017/320775 , A61B2090/08021
摘要： Devices and a system for passing instruments into a body cavity and/or for containing, manipulating, treating and removing matter from the body cavity, through a minimal access incision typically no greater than 1 cm in length. In one embodiment, the device of the invention includes an upper valving member with a plurality of interchangeable lower trocar members such as a) a short trocar member of 0.5-0.3 inches in length, b) a long trocar member greater than 3.0 inches in length and/or c) a trocar member having a protective cage disposed about its distal end attachable thereto. The lower trocar members are insertable into the body cavity. Further, in accordance with the system of the present invention, various instruments are independently insertable through the upper valving member and lower trocar portions of the device to perform various functions. The instruments which are independently insertable through the upper valving portion and lower trocar portions of the device include (a) a piercing stylet, (b) a tissue containment sac and/or containment sac introducer device and (c) a debulking or morcellizing instrument.
摘要翻译： 装置和用于将器械通过体积腔和/或用于通过不超过1cm长度的最小进入切口将体内通过体腔传送，操纵，处理和移除物体的系统。 在一个实施例中，本发明的装置包括具有多个可互换的下套管针构件的上阀构件，所述多个可更换的下套管针构件，例如a）长度为0.5-0.3英寸的短套管针构件，b）长度大于3.0英寸的长套管针构件 和/或c）具有围绕其可附接到其的远端设置的保护笼的套针针构件。 下套针头构件可插入体腔。 此外，根据本发明的系统，各种仪器可以通过装置的上阀构件和下套管针部分独立地插入以执行各种功能。 可以通过装置的上部阀部分和下部套管针部分独立地插入的器械包括（a）穿刺探针，（b）组织容纳囊和/或容纳囊导入装置，以及（c）减压或脱毛装置。
-
公开(公告)号：US4898584A
公开(公告)日：1990-02-06
申请号：US195702
申请日：1988-05-18
CPC分类号： A61M5/1428
摘要： An implantable fluid delivery device for dispensing metered aliquots of liquid medication upon finger-pressure activation of the device by a patient. The device includes a soft, deformable needle-piercable casing having a fluid reservoir in which is located a relatively-rigid, apertured support plate that divides the reservoir into upper and lower chambers. A compressible, positive displacement pump chamber or housing is mounted upon the plate within the upper chamber and includes passages communicating with both the lower chamber and an outlet port. Force applied to a central target zone of the top wall causes compression of the pump housing and delivery through the outlet port of an amount of fluid equal to the displacement of the pump housing. The same target zone of the top wall serves as a self-sealing injection site for replenishing the fluid supply of the reservoir. A rigid, protective needle guard is disposed within the upper chamber above the pump housing to shield that housing against contact by an injection needle when the fluid supply is being replenished. The rigid plate that supports the pump housing also distributes applied pumping forces and provides a platform for supporting other elements of the device, including a fluid filter and surge protector located in the lower chamber of the reservoir at the inlet to the pump housing.
-
8.发明授权Devices for enclosing, manipulating, debulking and removing tissue through minimal incisions 失效用于通过最小切口封闭，操纵，减压和去除组织的装置
公开(公告)号：US5354303A
公开(公告)日：1994-10-11
申请号：US836087
申请日：1992-02-14
CPC分类号： A61B17/32002 , A61B17/00234 , A61B2017/00287 , A61B2017/320775 , A61B2090/08021
摘要： Containment sacs insertable into a body cavity through a minimal access incision for purposes of containing, manipulating, treating and/or extracting material from the body cavity. The sac may comprise a flexible sac body having at least one opening thereinto and a resilient or spring loaded rim member disposed about the opening to urge the opening to an open configuration when deployed in the body cavity. The containment sac may be further utilized in combination with a dedicated introducer sheath through which the containment sac may be inserted and extracted. A valving member may be positioned on the introducer sheath to prevent escape of gas from a pressurized body cavity such as a pneumoperitoneal. The containment sac may incorporate a grasping member whereby the containment sac may be grasped and inserted using a standard forecep/grasper instrument. Alternatively, the containment sac may be attached to an elongate rod member usable to insert and extract the containment sac. Additionally disclosed is an expandable embodiment of the containment sac which may be selectively expanded through the use of a separate expansion instrument or balloon.
摘要翻译： 容纳囊通过最小的进入切口可插入体腔，用于从体腔容纳，操作，处理和/或提取材料。 囊可以包括具有至少一个开口的柔性囊主体和围绕开口设置的弹性或弹簧加载的边缘构件，以在展开在体腔中时将开口推动到打开构型。 容纳囊可以进一步与专用导引鞘组合使用，通过其可以插入和抽出容纳囊。 阀构件可以定位在导引器护套上，以防止气体从诸如气腹的加压体腔逸出。 容纳囊可以包括抓握构件，由此可以使用标准的前脑/抓紧器械来抓住并插入容纳囊。 或者，容纳囊可以附接到可用于插入和提取容纳囊的细长杆构件。 另外公开的是可以通过使用单独的膨胀仪器或气囊来选择性地膨胀的容纳囊的可膨胀的实施例。
-
公开(公告)号：US4133314A
公开(公告)日：1979-01-09
申请号：US747418
申请日：1976-12-06
CPC分类号： A61J1/2096 , A61J1/201 , A61J1/2037 , A61J1/2075 , A61J1/2086
摘要： A flexible transfer set for filling multiple syringes from a single bottle of medical liquid, as in a hospital pharmacy. The transfer set includes a flexible tube with a bottle connecting spike at one end and a syringe coupler at an opposite end. This syringe coupler includes a longitudinally collapsible valve that opens upon insertion of a blunt syringe tip and closes upon removal of such syringe tip. An external skirt on the coupler protects an entrance to the valve area.
摘要翻译： 一个灵活的转移套件，用于从一瓶医用液体填充多个注射器，如医院药房。 传送组包括一个柔性管，一个瓶子在一端连接尖峰，另一端是一个注射器连接器。 该注射器联接器包括纵向可折叠的阀，其在插入钝嘴注射器末端时打开，并且在移除该注射器末端时关闭。 耦合器上的外部裙部保护阀门入口。
-
-
-
-
-
-
-
-
搜索结果
9 条记录 (耗时 0.021 秒)
