公开(公告)号：US20050038459A1

公开(公告)日：2005-02-17

申请号：US10935967

申请日：2004-09-08

申请人： Charles Hart ,  Said Hilal

发明人： Charles Hart ,  Said Hilal

IPC分类号： A61B17/04 ,  A61B17/08

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0487 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488

摘要： A surgical clip having a sliding state and a crimped state is adapted for use in a surgical procedure initially to slide along suture ends to an operative position and ultimately to crimp the suture ends at the operative position. a sub straight, bendable between the sliding state and the crimped state carries at least one coating having either lubricious or traction enhancing properties. A second coating can be added to form a coating laminate with the outer coating having lubricious properties facilitating the sliding state and the inner coating having traction enhancing properties facilitating thee crimped state.

摘要翻译： 具有滑动状态和卷曲状态的手术夹具适于在外科手术过程中用于最初沿着缝合线端部滑动到操作位置，并且最终将缝线端部压缩在操作位置。 在滑动状态和卷曲状态之间可弯曲的副直线运送至少一个具有光滑或牵引增强特性的涂层。 可以添加第二涂层以形成涂层层压体，其中外涂层具有促进滑动状态的润滑性质，并且内涂层具有促进卷曲状态的牵引增强性质。

公开(公告)号：US20080091236A1

公开(公告)日：2008-04-17

申请号：US11954457

申请日：2007-12-12

申请人： Charles Hart ,  Said Hilal

发明人： Charles Hart ,  Said Hilal

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0467 ,  A61B17/0487 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/0488

摘要： A surgical clip having a sliding state and a crimped state is adapted for use in a surgical procedure initially to slide along suture ends to an operative position and ultimately to crimp the suture ends at the operative position. a sub straight, bendable between the sliding state and the crimped state carries at least one coating having either lubricious or traction enhancing properties. A second coating can be added to form a coating laminate with the outer coating having lubricious properties facilitating the sliding state and the inner coating having traction enhancing properties facilitating thee crimped state.

摘要翻译： 具有滑动状态和卷曲状态的手术夹具适于在外科手术过程中用于最初沿着缝合线端部滑动到操作位置，并且最终将缝线端部压缩在操作位置。 在滑动状态和卷曲状态之间可弯曲的副直线运送至少一个具有光滑或牵引增强特性的涂层。 可以添加第二涂层以形成涂层层压体，其中外涂层具有促进滑动状态的润滑性质，并且内涂层具有促进卷曲状态的牵引增强性质。

公开(公告)号：US20050165366A1

公开(公告)日：2005-07-28

申请号：US10766138

申请日：2004-01-28

申请人： John Brustad ,  Said Hilal ,  Nabil Hilal ,  Charles Hart ,  Gary Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald Gadberry ,  Edward Pingleton ,  Matthew Petrime ,  Payam Adlparvar ,  Carl Hadley ,  Kenneth Vu

发明人： John Brustad ,  Said Hilal ,  Nabil Hilal ,  Charles Hart ,  Gary Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald Gadberry ,  Edward Pingleton ,  Matthew Petrime ,  Payam Adlparvar ,  Carl Hadley ,  Kenneth Vu

IPC分类号： A61B17/00 ,  A61B17/34 ,  A61M25/00 ,  A61M5/00

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 be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. 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. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. 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. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along 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。 环形元件可以由热塑性材料或热固性材料形成。 环形元件可以包括沿着管状结构的长度组装的塑料环，金属环，未增强塑料环和/或金属增强塑料环，以提供可变的柔性和抗扭结性。 管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。 环形元件可以具有不同的弯曲模量。 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。 环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合，其中环形元件可以具有不同的长度，并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合 的管道。 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。 环形元件可以被截断以提供弯曲偏压。 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。 在本发明的另一方面，一些环形元件可以是不透射线的，或者环形元件可以包括不同颜色以作为沿着管状结构的指示器。

公开(公告)号：US20050165444A1

公开(公告)日：2005-07-28

申请号：US10504279

申请日：2003-01-16

申请人： Charles Hart ,  Gary Johnson ,  Said Hilal ,  John Brustad

发明人： Charles Hart ,  Gary Johnson ,  Said Hilal ,  John Brustad

IPC分类号： A61B17/12 ,  A61B20060101 ,  A61B17/00 ,  A61B17/08 ,  A61B17/32 ,  A61B18/04 ,  A61B18/12 ,  A61B18/14

CPC分类号： A61B17/12013 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1477 ,  A61B2017/320052 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1455

摘要： A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.

摘要翻译： 组织焊接装置适于将第一片组织熔合到第二片组织中，所述第二片组织布置在表面邻近关系中。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。 热源耦合到穿透构件，用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二片组织的柱。 化学试剂可以用穿透构件携带到组织。

公开(公告)号：US20050149096A1

公开(公告)日：2005-07-07

申请号：US10745262

申请日：2003-12-23

申请人： Said Hilal ,  Matthew Petrime ,  Charles Hart

发明人： Said Hilal ,  Matthew Petrime ,  Charles Hart

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/34 ,  A61M25/00 ,  A61M25/01 ,  A61M29/00

CPC分类号： A61M25/0069 ,  A61B17/0218 ,  A61B17/3207 ,  A61B17/3478 ,  A61B2017/00473 ,  A61B2017/22094 ,  A61B2017/3454 ,  A61B2017/346 ,  A61M25/0068 ,  A61M25/01

摘要： A catheter facilitating traversal of restrictions in body conduits includes a shaft having a distal tip with a shape that is non-conical, radially twisted, and rectangular in radial cross section. An outer surface of the tip includes at least one side section extending from a blunt point radially outwardly with progressive positions proximally along an axis of the tip. The side section includes a proximal portion in proximity to the shaft, and a distal portion twisted radially with respect to the proximal portion. The catheter can be adapted for placement over a guidewire and can be made transparent thereby facilitating visualization through an endoscope in the catheter.

摘要翻译： 促进身体管道中的限制的穿透的导管包括具有远侧末端的轴，其具有非圆锥形，径向扭曲并且具有径向横截面矩形的形状。 尖端的外表面包括至少一个侧面部分，其从钝点径向向外延伸，并且沿着尖端的轴线向近侧延伸。 侧部包括靠近轴的近侧部分和相对于近端部分径向扭转的远端部分。 导管可以适于放置在导丝上并且可以制成透明的，从而便于通过导管中的内窥镜进行可视化。

公开(公告)号：US20050033342A1

公开(公告)日：2005-02-10

申请号：US10495671

申请日：2001-11-13

申请人： Charles Hart ,  John Brustad ,  Nabil Hilal ,  Said Hilal

发明人： Charles Hart ,  John Brustad ,  Nabil Hilal ,  Said Hilal

IPC分类号： A61B17/34

CPC分类号： A61B17/3462 ,  A61B2017/3464

摘要： A multi-seal trocar system (10) includes a plurality of co-axial sealing elements (30 60,80) adapted for forming a seal with either a large or small instrument. Small and large scaling elements (45,62) are disposed in an in-line arrangement such that a single port is provided for instrument insertion. A zero seal (80) is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted The small sealing element (45) is configured such that insertion of a large instrument automatically moves the small sealing element (45) out of its path, thereby avoiding contact with the large instrument

摘要翻译： 多密封套管针系统（10）包括适于与大型或小型仪器形成密封件的多个同轴密封元件（30,60,80）。 小型和大型缩放元件（45,62）以串联排列设置，使得提供用于仪器插入的单个端口。 零密封件（80）被设置在密封元件的远侧以密封系统的工作通道，并且当没有仪器被插入时防止回流。小密封元件（45）构造成使得大型仪器的插入自动地移动小型 密封元件（45）脱离其路径，从而避免与大型仪器接触

公开(公告)号：US20080108978A1

公开(公告)日：2008-05-08

申请号：US11970407

申请日：2008-01-07

申请人： Charles Hart ,  Raffi Pinedjian ,  Boun Pravong

发明人： Charles Hart ,  Raffi Pinedjian ,  Boun Pravong

IPC分类号： A61M27/00

CPC分类号： A61M25/0017 ,  A61M25/04 ,  A61M29/02 ,  A61M2025/0063 ,  A61M2210/1085 ,  A61M2210/1096

摘要： A drainage catheter is adapted to drain fluid from the body cavity through a body conduit and includes an elongate tube and a retention member disposed at the distal end of the elongate tube. The retention member is adapted for movement between a low-profile state facilitating insertion of the catheter and a high-profile state facilitating retention of the catheter in its operative position. A woven mesh forms at least a portion of one of the tube and the retention member. The woven mesh can be formed of filaments heat-settable so that the catheter automatically moves to the high-profile state. Insertion of the catheter can be facilitated using a stylet which can be removed after insertion to permit the catheter to automatically return to its high-profile state.

摘要翻译： 排水导管适于通过体导管从体腔排出流体，并且包括细长管和设置在细长管的远端处的保持构件。 保持构件适于在促进导管插入的低轮廓状态和促进导管保持在其操作位置的高轮廓状态之间移动。 编织网形成管和保持构件中的一个的至少一部分。 编织网可以由可热固化的细丝形成，使得导管自动移动到高轮廓状态。 可以使用导管插入导管，该探针可在插入之后被移除以允许导管自动返回到其高轮廓状态。

公开(公告)号：US20070118167A1

公开(公告)日：2007-05-24

申请号：US11624583

申请日：2007-01-18

申请人： Charles Hart ,  Edward Pingleton ,  John Brustad ,  Nabil Hilal ,  Raffi Pinedjian

发明人： Charles Hart ,  Edward Pingleton ,  John Brustad ,  Nabil Hilal ,  Raffi Pinedjian

IPC分类号： A61B17/34

CPC分类号： A61B17/34 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3431 ,  A61B17/3476 ,  A61B17/3496 ,  A61B2017/32006 ,  A61B2017/3454 ,  A61B2090/08021

摘要： The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface

摘要翻译： 套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。 设置在封闭器内部的牵引踏板在远端顶端反转，并沿闭塞器或插管的外表面向近侧延伸。 在远侧末端，胎面可以促进分离而不是切割组织。沿着外表面，胎面可以接合组织以沿前进的闭孔向近侧拉动。 这产生反作用力，其可导致净近侧力促进腹壁的膨胀并使腹壁与内部器官分离。牵引踏板可以轴向和/或径向连续。 相关联的操作方法包括以下步骤：使身体壁与远侧末端处的牵引踏板接触，并且使其与牵引踏板接合，沿着面向外表面的壁部分

公开(公告)号：US20070027453A1

公开(公告)日：2007-02-01

申请号：US11465686

申请日：2006-08-18

申请人： Charles Hart ,  Henry Kahle ,  Scott Taylor

发明人： Charles Hart ,  Henry Kahle ,  Scott Taylor

IPC分类号： A61F11/00

CPC分类号： A61B17/3498 ,  A61B17/3462 ,  A61B2017/3464

摘要： The invention is directed to a trocar seal adapted to form a seal around a surgical instrument, the trocar seal comprising a housing having an axis extending between a proximal end and a distal end and forming a working channel sized and configured to receive the surgical instrument; an elastomeric septum seal having a proximal face and a distal face, the septum seal being disposed in the housing and extending transverse to the axis of the housing across the working channel; portions of the septum seal defining a hole having a diameter less than or equal to the diameter of the surgical instrument so that during insertion of the instrument along the working channel the septum seal forms a seal with the instrument; and at least one structure formed integrally with or proximate to the septum seal to prevent inversion of the septum seal upon withdrawal of the surgical instrument. The septum seal or the housing may further comprise a sidewall to include the structure extending from the sidewall to the distal face of the seal to tether the seal distally. The structure may be integrally formed with the proximal face of the septum seal to reinforce the seal, or the structure may be integrally formed with the distal face of the septum seal to tether the seal distally The structure may be an annular reinforcement or rib, and is formed so as to allow side-to-side movement or floatation of the seal. The trocar seal may further comprise a plurality of radially extending ribs formed on the proximal or distal face of the septum seal to reinforce the seal. The trocar seal may further comprise a tensile element formed on the distal face of the septum seal.

摘要翻译： 本发明涉及适于在外科器械周围形成密封的套针针密封件，套管针密封件包括具有在近端和远端之间延伸的轴线的壳体，并形成尺寸和构造成接收外科器械的工作通道; 具有近端面和远侧面的弹性隔膜密封件，所述隔膜密封件设置在所述壳体中并横跨所述工作通道横向于所述壳体的轴线延伸; 隔膜密封件的部分限定了直径小于或等于外科器械直径的孔，使得在沿着工作通道插入器械期间，隔垫密封件与仪器形成密封; 以及与隔膜密封件一体地或靠近隔膜密封件形成的至少一个结构，以在外科器械撤回时防止隔垫密封件反转。 隔垫密封件或外壳可以进一步包括侧壁，其包括从密封件的侧壁延伸到远端面的结构，以将密封件向远侧系绳。 该结构可以与隔膜密封件的近侧面一体地形成以加强密封，或者结构可以与隔膜密封件的远侧面一体地形成，以使密封件向远侧系绳。该结构可以是环形加强件或肋，以及 形成为允许密封件的侧面移动或浮动。 套管针密封件还可以包括形成在隔膜密封件的近侧或远侧面上的多个径向延伸的肋条，以加强密封。 套针针密封件还可以包括形成在隔膜密封件的远侧面上的拉伸元件。

公开(公告)号：US20060224121A1

公开(公告)日：2006-10-05

申请号：US11423801

申请日：2006-06-13

申请人： Charles Hart ,  John Brustad ,  Nabil Hilal ,  Henry Kahle

发明人： Charles Hart ,  John Brustad ,  Nabil Hilal ,  Henry Kahle

IPC分类号： A61M5/178

CPC分类号： A61B17/3498 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/3464

摘要： A surgical access device, such as a trocar, includes a pendent valve having an elongate structure extending from a proximal end to a septum valve disposed at a distal end. In operation, the elongate structure follows the angle of the instrument to pre-position the septum valve into the path of the instrument where it is not significantly challenged during instrument insertion or manipulation. The pendant valve can be made to float at both the proximal end and the distal end of the elongate structure, to further reduce the vulnerability of the septum valve. Since the valve is less vulnerable to instrument insertion, it can be formed to minimize friction and maximize the functional range of the access device.