公开(公告)号：US07390315B2

公开(公告)日：2008-06-24

申请号：US10349524

申请日：2003-01-24

申请人： Gene Stellon ,  David C. Racenet ,  Ralph A. Stearns ,  Adam Lehman

发明人： Gene Stellon ,  David C. Racenet ,  Ralph A. Stearns ,  Adam Lehman

IPC分类号： A61M5/178

CPC分类号： A61B17/3496

摘要： A molded trocar latch apparatus for locking a safety shield in position is described. The molded latch includes a trocar housing and a shield. The housing has a first monolithically formed cap and a monolithically formed base. A latch mechanism, including a slider and a latch, may be monolithically formed with either the base or the cap of the housing. The slider and the latch are operatively connected to move the latch between a locked and an unlocked position. The latch in the locked position is configured to engage a ledge on the shield and at least stop further proximal movement of the shield that could unintentionally expose the blade of the trocar.

摘要翻译： 描述了一种用于将安全护罩锁定就位的模制套管针闩锁装置。 模制闩锁包括套管针壳体和护罩。 壳体具有第一整体形成的盖和整体形成的基部。 包括滑块和闩锁的闩锁机构可以与壳体的底座或盖子整体地形成。 滑动器和闩锁可操作地连接以在锁定位置和解锁位置之间移动闩锁。 处于锁定位置的闩锁被配置成接合护罩上的凸缘并且至少停止可能无意地暴露套管针的刀片的护罩的进一步的近侧运动。

公开(公告)号：US20110040308A1

公开(公告)日：2011-02-17

申请号：US12896364

申请日：2010-10-01

申请人： Ramiro Cabrera ,  Thomas Wingardner ,  David N. Fowler ,  Brian J. Creston ,  Dmitri Menn ,  Paul D. Richard ,  Gene Stellon

发明人： Ramiro Cabrera ,  Thomas Wingardner ,  David N. Fowler ,  Brian J. Creston ,  Dmitri Menn ,  Paul D. Richard ,  Gene Stellon

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B1/0008 ,  A61B1/0055 ,  A61B17/00234 ,  A61B17/0491 ,  A61B17/06166 ,  A61B17/062 ,  A61B17/0625 ,  A61B34/71 ,  A61B2017/003 ,  A61B2017/00367 ,  A61B2017/06047 ,  A61B2017/0608 ,  A61B2017/0609 ,  A61B2017/06176 ,  A61B2017/2905 ,  A61B2017/2912 ,  A61B2017/2929

摘要： The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof.

摘要翻译： 本公开涉及用于内窥镜缝合或通过接入管等缝合的装置，系统和方法。 提供内窥镜缝合装置并且包括手柄组件; 由所述手柄组件支撑并从所述手柄组件延伸的细长轴; 以及支撑在细长轴的远端上的端部执行器。 末端执行器包括颈部组件，颈部组件构造和适于在基本上线性构型和离轴构型之间的一个方向上铰接，以及一对枢转地相互联接的并置夹爪。 每个钳口限定形成在其组织接触表面中的缝合针容纳凹部。

公开(公告)号：US20070197972A1

公开(公告)日：2007-08-23

申请号：US11786251

申请日：2007-04-11

申请人： David Racenet ,  Gene Stellon ,  William Vumback ,  Joseph Pasqualucci

发明人： David Racenet ,  Gene Stellon ,  William Vumback ,  Joseph Pasqualucci

IPC分类号： A61M39/02 ,  F16K15/00

CPC分类号： A61B17/3498 ,  A61B17/3462 ,  A61B2017/00526 ,  A61B2017/3464 ,  A61M39/06 ,  A61M39/0606 ,  A61M39/0613 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0653 ,  A61M2039/0673 ,  A61M2039/0686 ,  F16K15/147 ,  Y10T137/788 ,  Y10T137/87804

摘要： A seal assembly is provided for reception of an elongated surgical instrument, which comprises a body having at least one opening configured and dimensioned to permit entry of an elongated surgical instrument and defining a central longitudinal axis; a seal member formed of a resilient material and defining an aperture therein, the aperture being configured and dimensioned such that insertion of the surgical instrument into the aperture causes the resilient material defining the aperture to resiliently contact the outer surface of the surgical instrument in a substantially fluid tight manner, the seal member further including a peripheral flange element which contacts a surface of the body to form a contact seal therewith; and a fabric layer juxtaposed relative to the resilient material. The seal assembly may further include a coating applied to the seal member to reduce friction between the seal member and surgical instrumentation inserted therein. The coating is preferably a hydrocyclosiloxane membrane prepared by plasma polymerization process.

公开(公告)号：US20060041232A1

公开(公告)日：2006-02-23

申请号：US11184323

申请日：2005-07-19

申请人： Ralph Stearns ,  David Racenet ,  Gene Stellon

发明人： Ralph Stearns ,  David Racenet ,  Gene Stellon

IPC分类号： A61M5/178

CPC分类号： A61B17/3462 ,  A61B17/3421 ,  A61B17/3498 ,  A61B2017/3435 ,  A61B2017/3445 ,  A61M39/06 ,  A61M39/0606 ,  A61M2039/0626

摘要： A surgical access apparatus includes an access member dimensioned for insertion within tissue and having a longitudinal opening to permit introduction of a surgical object through the access member to perform a procedure on underlying tissue. A seal member is mounted across the longitudinal opening of the access member and has an internal portion defining an aperture for forming a substantial seal about the surgical object introduced through the longitudinal opening of the access member. The seal member includes a first seal portion extending from the internal portion and being mounted in suspended relation to the access member, and a second seal portion extending from the internal portion and disposed radially outward of the first seal portion, and being attached to the access member

摘要翻译： 手术进入装置包括入口构件，其尺寸适于插入组织内并且具有纵向开口，以允许外科对象通过访问构件引入以对下面的组织执行程序。 密封构件跨过通道构件的纵向开口安装，并且具有限定孔的内部部分，用于在通过进入构件的纵向开口引入的手术物体周围形成实质密封。 所述密封构件包括从所述内部部分延伸并且与所述进入构件悬挂安装的第一密封部分，以及从所述内部部分延伸并且设置在所述第一密封部分的径向外侧并且附接到所述通道的第二密封部分 会员

公开(公告)号：US08784305B2

公开(公告)日：2014-07-22

申请号：US12571905

申请日：2009-10-01

申请人： Robert J. DeSantis ,  Gene Stellon ,  Scott Depierro

发明人： Robert J. DeSantis ,  Gene Stellon ,  Scott Depierro

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B17/04 ,  A61B17/06 ,  A61B17/062

CPC分类号： A61B17/0401 ,  A61B1/32 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/062 ,  A61B2017/0417 ,  A61B2017/0472 ,  A61B2017/06028 ,  A61B2017/06176

摘要： A method of retracting and/or manipulating tissue is provided. The method includes providing access to a body cavity, providing a retractor including a elongated body portion, a needle formed on a proximal end of the elongated body portion and an anchor means formed on a distal end of the elongated body portion, directing the needle of the retractor through a section of tissue to be retracted, drawing the retractor though the tissue until the anchor means engages the tissue, and pulling the body portion of the retractor to manipulate the tissue.

摘要翻译： 提供了缩回和/或操纵组织的方法。 该方法包括提供对体腔的通路，提供包括细长主体部分的牵开器，形成在细长主体部分的近端上的针和形成在细长主体部分的远端上的锚定装置， 牵开器通过要缩回的组织的一部分，通过组织牵引牵开器，直到锚定装置接合组织，并拉动牵开器的主体部分以操纵组织。

公开(公告)号：US08652151B2

公开(公告)日：2014-02-18

申请号：US13006073

申请日：2011-01-13

申请人： Adam Lehman ,  Gene Stellon ,  Ramiro Cabrera ,  Ralph A. Stearns

发明人： Adam Lehman ,  Gene Stellon ,  Ramiro Cabrera ,  Ralph A. Stearns

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/0684 ,  A61B17/122 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2090/0814

摘要： A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.

摘要翻译： 一种直角夹具装置，包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆，用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动，其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用，并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。

公开(公告)号：US20110112552A1

公开(公告)日：2011-05-12

申请号：US13006073

申请日：2011-01-13

申请人： Adam Lehman ,  Gene Stellon ,  Ramiro Cabrera ,  Ralph A. Stearns

发明人： Adam Lehman ,  Gene Stellon ,  Ramiro Cabrera ,  Ralph A. Stearns

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/0684 ,  A61B17/122 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2090/0814

摘要： A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.

摘要翻译： 一种直角夹具装置，包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆，用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动，其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用，并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。

公开(公告)号：US20100094094A1

公开(公告)日：2010-04-15

申请号：US12571905

申请日：2009-10-01

申请人： Robert J. DeSantis ,  Gene Stellon ,  Scott Depierro

发明人： Robert J. DeSantis ,  Gene Stellon ,  Scott Depierro

IPC分类号： A61B1/32

CPC分类号： A61B17/0401 ,  A61B1/32 ,  A61B17/0218 ,  A61B17/0469 ,  A61B17/062 ,  A61B2017/0417 ,  A61B2017/0472 ,  A61B2017/06028 ,  A61B2017/06176

摘要： A method of retracting and/or manipulating tissue is provided. The method includes providing access to a body cavity, providing a retractor including a elongated body portion, a needle formed on a proximal end of the elongated body portion and an anchor means formed on a distal end of the elongated body portion, directing the needle of the retractor through a section of tissue to be retracted, drawing the retractor though the tissue until the anchor means engages the tissue, and pulling the body portion of the retractor to manipulate the tissue.

摘要翻译： 提供了缩回和/或操纵组织的方法。 该方法包括提供对体腔的通路，提供包括细长主体部分的牵开器，形成在细长主体部分的近端上的针和形成在细长主体部分的远端上的锚定装置， 牵开器通过要缩回的组织的一部分，通过组织牵引牵开器，直到锚定装置接合组织，并拉动牵开器的主体部分以操纵组织。

公开(公告)号：US07367960B2

公开(公告)日：2008-05-06

申请号：US09981178

申请日：2001-10-16

申请人： Gene Stellon ,  David C. Racenet ,  Ralph A. Stearns ,  Adam Lehman

发明人： Gene Stellon ,  David C. Racenet ,  Ralph A. Stearns ,  Adam Lehman

IPC分类号： A61M5/178 ,  A61M5/00 ,  A61M25/00 ,  A61B17/32

CPC分类号： A61B17/3496 ,  A61B17/3417 ,  A61B17/3474 ,  A61B2017/0046

摘要： A trocar system including a cannula and an obturator assembly being at least partially insertable through the cannula. The obturator assembly including a housing, a penetrating tip disposed at a distal end, an elongated shield including a guard extending from a shaft are movable relative to the penetrating tip, and a latch mechanism disposed generally within the housing. The latch mechanism facilitates changing the configuration of the obturator assembly between a fixed-shield orientation, wherein at least a portion of the guard is maintained to extend at least partially distal of the penetrating tip to prevent puncturing of tissue by the penetrating tip, to a non-fixed shield orientation whereby upon application of force to the distal end of the obturator assembly, the guard and penetrating tip are permitted to move relative one another to facilitate puncturing of tissue by the penetrating tip.

摘要翻译： 一种套管针系统，其包括至少部分地通过插管插入的插管和闭塞器组件。 封闭器组件包括壳体，设置在远端的穿透尖端，包括从轴延伸的护罩的细长屏蔽件可相对于穿透尖端移动，以及大致设置在壳体内的闩锁机构。 闩锁机构有助于在固定屏蔽取向之间改变封闭器组件的构造，其中保护器的至少一部分被保持以至少部分地延伸穿透尖端的远端，以防止穿透尖端刺穿组织到 非固定屏蔽取向，其中当向闭塞器组件的远端施加力时，允许保护和穿透尖端相对于彼此移动以便于穿透尖端刺穿组织。

公开(公告)号：US20080009797A1

公开(公告)日：2008-01-10

申请号：US11900459

申请日：2007-09-12

申请人： Gene Stellon ,  David Racenet ,  Ralph Stearns ,  Adam Lehman

发明人： Gene Stellon ,  David Racenet ,  Ralph Stearns ,  Adam Lehman

IPC分类号： A61B17/34

CPC分类号： A61B17/3496 ,  A61B17/3417 ,  A61B17/3474 ,  A61B2017/0046

摘要： A trocar system including a cannula and an obturator assembly being at least partially insertable through the cannula. The obturator assembly including a housing, a penetrating tip disposed at a distal end, an elongated shield including a guard extending from a shaft are movable relative to the penetrating tip, and a latch mechanism disposed generally within the housing. The latch mechanism facilitates changing the configuration of the obturator assembly between a fixed-shield orientation, wherein at least a portion of the guard is maintained to extend at least partially distal of the penetrating tip to prevent puncturing of tissue by the penetrating tip, to a non-fixed shield orientation whereby upon application of force to the distal end of the obturator assembly, the guard and penetrating tip are permitted to move relative one another to facilitate puncturing of tissue by the penetrating tip.