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公开(公告)号:US5853374A
公开(公告)日:1998-12-29
申请号:US540795
申请日:1995-10-11
CPC分类号: A61B17/00234 , A61B2017/00287
摘要: A tissue collection apparatus is adapted for use in capturing and removing tissue through a hole in a body wall defining a body cavity. The apparatus includes an elongate flexible enclosure sized and configured to extend through the hole with a first end of the enclosure positioned within the body cavity and a second end of the enclosure positioned outside the body cavity. Portions of the distal end define opposing first and second edges which define an opening into the enclosure. A flap extends through the opening and distally of the apparatus to form a lip facilitating placement of tissue through the opening and into the enclosure. The coupling attaches a tension member to the enclosure along at least a point disposed not more distally than the flap. The tension member can be pulled proximally through the hole in the body wall to invert the apparatus without inverting the flap so that the flap covers the second edge of the opening in order to substantially close the opening with the tissue disposed within the enclosure. A method of use includes the steps of pulling the tension member to invert the enclosure and during the pulling step covering the opening with the flap.
摘要翻译: 组织收集装置适用于通过限定体腔的体壁中的孔捕获和去除组织。 该装置包括细长的柔性外壳,其大小和构造成延伸穿过孔,外壳的第一端定位在体腔内,外壳的第二端位于体腔外部。 远端的部分限定相对的第一和第二边缘,其限定到外壳中的开口。 翼片延伸穿过开口并且远离装置以形成唇缘,促进组织穿过开口并进入外壳中。 联接器将张紧构件沿着不比翼片更远端设置的至少一个点附接到外壳。 张紧构件可以被向近侧拉动穿过体壁中的孔,以反转设备而不翻转翼片,使得翼片覆盖开口的第二边缘,以便基本上用布置在外壳内的组织封闭开口。 一种使用方法包括以下步骤:拉动张紧构件以反转外壳,并且在用翼片覆盖开口的拉伸步骤期间。
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公开(公告)号:US09326776B2
公开(公告)日:2016-05-03
申请号:US11536467
申请日:2006-09-28
IPC分类号: A61B17/128 , A61B17/04 , A61B17/00
CPC分类号: A61B17/128 , A61B17/1285 , A61B2017/0046 , A61B2017/0488
摘要: A surgical clip applier is provided having a cartridge carrying multiple surgical clips with a manual graspable actuator configured to sequentially deliver clips to the jaws of the clip applier. Both the cartridge and the jaws are connectable to a scissors-like handle assembly arranged to translate motion from finger loops to the jaws to open and close the jaws and thus close or crimp a delivered clip between the jaws.
摘要翻译: 提供了一种手术夹具,其具有带有多个外科夹具的药筒,手动夹持致动器构造成将夹子顺序地递送到施夹器的钳口。 卡盘和卡爪均可连接到剪刀状手柄组件,该手柄组件被布置成将手指环的运动转移到夹爪,以打开和关闭卡爪,从而封闭或夹紧卡爪之间的卡扣。
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公开(公告)号:US08715441B2
公开(公告)日:2014-05-06
申请号:US12877245
申请日:2010-09-08
申请人: John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
发明人: John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
IPC分类号: B29C65/02
CPC分类号: A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要: The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure.
摘要翻译: 本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。 管道包括多个单独的离散的大体环形元件,其串联布置并且熔合或粘合在一起形成连续的管状结构。 环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。 在本发明的另一方面,医疗管道还可包括用于控制管状结构的次管腔和拉线。 在本发明的另一方面,环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。
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公开(公告)号:US08652147B2
公开(公告)日:2014-02-18
申请号:US11549701
申请日:2006-10-16
申请人: Charles C. Hart
发明人: Charles C. Hart
IPC分类号: A61B17/24
CPC分类号: A61B17/00234 , A61B2017/00287
摘要: A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.
摘要翻译: 组织隔离和去除装置具有由装置打开和支撑的容纳袋。 该袋具有两个打开/关闭部分,能够关闭并重新打开。 位于远离组织的一部分被插入袋中并覆盖另一部分以包围或隔离在另一部分中捕获的任何组织。
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公开(公告)号:US08414487B2
公开(公告)日:2013-04-09
申请号:US13023334
申请日:2011-02-08
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.
摘要翻译: 用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环,外环和可扩张套管。 外环包括彼此耦合的至少一对圆形管。 圆形管中的至少一个包括形成开放端的管腔和裂口。 其中分开的不合适的管状环位于内腔中。 管状环被定向成其开口端定位成远离圆形管的分割。 核心位于管状箍的内腔中。 芯具有第一端和第二端,并且其端部定位成远离管状箍中的裂缝。 圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。
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公开(公告)号:US08388526B2
公开(公告)日:2013-03-05
申请号:US12108400
申请日:2008-04-23
申请人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人: Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号: A61B17/02
CPC分类号: A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要: A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译: 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离。 缩回元件,可扩张和不扩张两者都可以在环上使用适当的附接装置来设计,以提供收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。
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公开(公告)号:US20120330105A1
公开(公告)日:2012-12-27
申请号:US13598218
申请日:2012-08-29
申请人: Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
发明人: Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译: 提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环,具有环形轴线的外环和直径大于伤口切口的期望直径的内环 以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。 外环包括轴向间隔开的第一和第二圆形管,其中每个包括具有定位在其中的刚性的,不一致的分割箍的内腔。 外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。 凝胶帽密封件可以联接到生物体外部的外环,以密封由卷绕牵开器在体腔和体腔外部产生的开口。
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公开(公告)号:US08313431B2
公开(公告)日:2012-11-20
申请号:US12905932
申请日:2010-10-15
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要: An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译: 提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环,具有环形轴线的外环和直径大于伤口切口的期望直径的内环 以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。 外环包括轴向间隔开的第一和第二圆形管,每个包括内腔,其具有放置在其中的刚性,不一致的分割箍。 外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。 凝胶帽密封件可以联接到生物体外部的外环,以密封由卷绕牵开器在体腔和体腔外部产生的开口。
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公开(公告)号:US20120289785A1
公开(公告)日:2012-11-15
申请号:US13467825
申请日:2012-05-09
IPC分类号: A61B1/32
CPC分类号: A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要: A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译: 用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。 缩回装置可以包括可展开的可调节框架,其支撑护套,并且与护套一起缩回切口。 缩回装置可以包括外环和耦合到护套的相对端的内环,并且还包括用于将护套放置在内环和外环之间的张力的装置,从而缩回切口。
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公开(公告)号:US08308746B2
公开(公告)日:2012-11-13
申请号:US12102719
申请日:2008-04-14
申请人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
发明人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
IPC分类号: A61B17/32
CPC分类号: A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要: The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device. A tenaculum used with the morcellation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译: 本发明涉及用于微创手术的组织移植器。 旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环,其与视觉上透明的外部致动器管结合,使得外科医生能够将morcellator轴的内部可视化,以检测装置中松散的组织碎片。 与切割装置一起使用的搭扣具有用于防止与叶片接触的间隔件。 切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件,用于防止组织沿着morcellator管的纵向轴线旋转。 这允许组织连续地旋转到morcellator装置中用于连续剥离。 组织引导件也可以完全缩回以允许大块组织的取芯。
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