公开(公告)号：US20090270686A1

公开(公告)日：2009-10-29

申请号：US12111425

申请日：2008-04-29

申请人： Daniel H. Duke ,  Mark J. Bookbinder ,  Randall Tanguay ,  Brian K. Farison ,  Daniel J. Mumaw ,  Cesar E. Moreno ,  Paul T. Franer ,  Thomas A. Gilker

发明人： Daniel H. Duke ,  Mark J. Bookbinder ,  Randall Tanguay ,  Brian K. Farison ,  Daniel J. Mumaw ,  Cesar E. Moreno ,  Paul T. Franer ,  Thomas A. Gilker

IPC分类号： A61B17/34

CPC分类号： A61B1/313 ,  A61B1/00135 ,  A61B1/122 ,  A61B1/126 ,  A61B1/127

摘要： Methods and devices are provided for maintaining visibility during surgical procedures. In general, the methods and devices can allow for a surgical instrument to maintain visibility during a surgical procedure using a protective element coupled to the surgical instrument. The protective element can protect a viewing element on the surgical instrument while the surgical instrument is being passed through an introducer device into or out of a body cavity (e.g., during insertion and/or withdrawal). The protective element can also optionally protect the surgical instrument's viewing element while at least a portion of the surgical instrument is disposed in a body cavity.

摘要翻译： 提供了用于在外科手术过程中保持可视性的方法和装置 通常，所述方法和装置可以允许手术器械在外科手术过程中使用耦合到外科器械的保护元件来保持可视性。 当外科器械穿过导引器装置进入或离开体腔（例如在插入和/或拔出）期间，保护元件可以保护外科器械上的观察元件。 保护元件还可以可选地保护手术器械的观察元件，同时将外科器械的至少一部分设置在体腔内。

公开(公告)号：US08579807B2

公开(公告)日：2013-11-12

申请号：US12110724

申请日：2008-04-28

申请人： Cesar E. Moreno, Jr. ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Paul T. Franer ,  Daniel H. Duke ,  Mark J. Bookbinder

发明人： Cesar E. Moreno, Jr. ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Paul T. Franer ,  Daniel H. Duke ,  Mark J. Bookbinder

IPC分类号： A61B1/32 ,  A61M5/00

CPC分类号： A61B17/3498 ,  A61B1/122 ,  A61B1/126 ,  A61B17/3462 ,  A61B2017/3437 ,  A61B2017/3464

摘要： The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.

摘要翻译： 本发明总体上提供了用于从外科器械中去除流体的方法和装置。 通常设置有外科进入装置和密封系统，其具有一个或多个阀或密封组件，以在外部环境和插入外科进入装置的环境之间形成封闭系统。 在一个实施例中，提供了密封组件，并且可以包括密封件，该密封件具有构造成容纳外科器械的开口，并且吸收元件，刮刀元件，芯吸元件或其任何组合的形式的流体移除器可以是 与所述密封件相关联并且构造成从所述开口和/或手术器械移除流体。

公开(公告)号：US20090270685A1

公开(公告)日：2009-10-29

申请号：US12110724

申请日：2008-04-28

申请人： Cesar E. Moreno ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Paul T. Franer ,  Daniel H. Duke ,  Mark J. Bookbinder

发明人： Cesar E. Moreno ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Paul T. Franer ,  Daniel H. Duke ,  Mark J. Bookbinder

IPC分类号： A61B17/34

CPC分类号： A61B17/3498 ,  A61B1/122 ,  A61B1/126 ,  A61B17/3462 ,  A61B2017/3437 ,  A61B2017/3464

摘要： The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.

摘要翻译： 本发明总体上提供了用于从外科器械中去除流体的方法和装置。 通常设置有外科进入装置和密封系统，其具有一个或多个阀或密封组件，以在外部环境和插入外科进入装置的环境之间形成封闭系统。 在一个实施例中，提供了密封组件，并且可以包括密封件，该密封件具有构造成容纳外科器械的开口，并且吸收元件，刮刀元件，芯吸元件或其任何组合的形式的流体移除器可以是 与所述密封件相关联并且构造成从所述开口和/或手术器械移除流体。

公开(公告)号：US20090270681A1

公开(公告)日：2009-10-29

申请号：US12110727

申请日：2008-04-28

申请人： Cesar E. Moreno ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Daniel H. Duke

发明人： Cesar E. Moreno ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Daniel H. Duke

IPC分类号： B08B1/00 ,  A61B1/018 ,  F16J15/32

CPC分类号： A61B17/3462 ,  A61B1/122 ,  A61B1/126 ,  A61B17/3498 ,  A61B2017/3437 ,  A61B2017/3464

摘要： The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.

摘要翻译： 本发明总体上提供了用于从外科器械中去除流体的方法和装置。 通常设置有外科进入装置和密封系统，其具有一个或多个阀或密封组件，以在外部环境和插入外科进入装置的环境之间形成封闭系统。 在一个实施例中，提供了密封组件，并且可以包括密封件，该密封件具有构造成容纳外科器械的开口，并且吸收元件，刮刀元件，芯吸元件或其任何组合的形式的流体移除器可以是 与所述密封件相关联并且构造成从所述开口和/或手术器械移除流体。

公开(公告)号：US08870747B2

公开(公告)日：2014-10-28

申请号：US12110727

申请日：2008-04-28

申请人： Cesar E. Moreno, Jr. ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Daniel H. Duke ,  Paul H. Kistler

发明人： Cesar E. Moreno, Jr. ,  Patrick J. Minnelli ,  Thomas A. Gilker ,  Daniel J. Mumaw ,  Rebecca J. Mollere ,  Randall Tanguay ,  Daniel H. Duke ,  Paul H. Kistler

IPC分类号： A61B1/00 ,  A61M5/178 ,  A61B1/12 ,  A61B17/34

CPC分类号： A61B17/3462 ,  A61B1/122 ,  A61B1/126 ,  A61B17/3498 ,  A61B2017/3437 ,  A61B2017/3464

摘要： The present invention generally provides methods and devices for removing fluid from a surgical instrument. Surgical access devices and seal systems are generally provided having one or more valves or seal assemblies to create a closed system between the outside environment and the environment in which the surgical access device is being inserted. In one embodiment, a seal assembly is provided and can include a seal having an opening configured to receive a surgical instrument therethrough and a fluid remover in the form of an absorbent element, a scraper element, a wicking element, or any combination thereof can be associated with the seal and configured to remove fluid from the opening and/or a surgical instrument.

摘要翻译： 本发明总体上提供了用于从外科器械中去除流体的方法和装置。 通常设置有外科进入装置和密封系统，其具有一个或多个阀或密封组件，以在外部环境和插入外科进入装置的环境之间形成封闭系统。 在一个实施例中，提供了密封组件，并且可以包括密封件，该密封件具有构造成容纳外科器械的开口，并且吸收元件，刮刀元件，芯吸元件或其任何组合的形式的流体移除器可以是 与所述密封件相关联并且构造成从所述开口和/或手术器械移除流体。

公开(公告)号：US20100312063A1

公开(公告)日：2010-12-09

申请号：US12479395

申请日：2009-06-05

申请人： Christopher J. Hess ,  Kyle P. Moore ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Michael S. Cropper ,  Jeffrey D. Messerly ,  William B. Weisenburgh, II ,  Jerome R. Morgan ,  Michael D. Cronin ,  Denzel Z. Herrera-Davis ,  Gregory W. Johnson ,  Kevin L. Houser ,  Frederick E. Shelton, IV

发明人： Christopher J. Hess ,  Kyle P. Moore ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Michael S. Cropper ,  Jeffrey D. Messerly ,  William B. Weisenburgh, II ,  Jerome R. Morgan ,  Michael D. Cronin ,  Denzel Z. Herrera-Davis ,  Gregory W. Johnson ,  Kevin L. Houser ,  Frederick E. Shelton, IV

IPC分类号： A61M29/00

CPC分类号： A61B17/3423 ,  A61B17/3462 ,  A61B2017/00287 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466 ,  A61B2017/3484 ,  A61B2017/3488

摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 在一个实施例中，外科进入装置可以包括中空管状构件和模块化密封构件。 模块化密封构件可以构造成径向跨越管状构件的内腔，并且可拆卸地且可更换地配合到管状构件的一部分。 接入设备还可以包括多个接入端口，每个接入端口可被配置为在相应的期望位置处与模块化密封构件配合。

公开(公告)号：US20100312061A1

公开(公告)日：2010-12-09

申请号：US12479293

申请日：2009-06-05

申请人： Christopher J. Hess ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Christopher W. Widenhouse ,  Frederick E. Shelton, IV

发明人： Christopher J. Hess ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Christopher W. Widenhouse ,  Frederick E. Shelton, IV

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/3429

摘要： Methods and devices are provided for providing access through tissue to a surgical site. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the access device to a body cavity underlying the tissue. The access device can include a sealing element positioned at least partially within the working channel. The sealing element can be formed of a puncturable self-sealing material such as a gel and/or a foam configured to provide a channel seal that seals the working channel when no instrument is inserted through the sealing element and configured to provide an instrument seal that provides a seal around one or more surgical instruments inserted through the sealing element.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 外科进入装置可以被配置为定位在组织中以提供通过进入装置的工作通道到组织下方的体腔的通路。 进入装置可以包括至少部分地定位在工作通道内的密封元件。 密封元件可以由诸如凝胶和/或泡沫的可刺破的自密封材料形成，其被配置成提供通道密封件，当通过密封元件插入仪器时，通道密封件可密封工作通道，并且构造成提供仪器密封件， 围绕通过密封元件插入的一个或多个手术器械提供密封。

公开(公告)号：US09078695B2

公开(公告)日：2015-07-14

申请号：US12479395

申请日：2009-06-05

申请人： Christopher J. Hess ,  Kyle P. Moore ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Michael S. Cropper ,  Jeffrey David Messerly ,  William Bruce Weisenburgh, II ,  Jerome R. Morgan ,  Michael D. Cronin ,  Denzel Z. Herrera-Davis ,  Gregory W. Johnson ,  Kevin L. Houser ,  Frederick E. Shelton, IV

发明人： Christopher J. Hess ,  Kyle P. Moore ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Michael S. Cropper ,  Jeffrey David Messerly ,  William Bruce Weisenburgh, II ,  Jerome R. Morgan ,  Michael D. Cronin ,  Denzel Z. Herrera-Davis ,  Gregory W. Johnson ,  Kevin L. Houser ,  Frederick E. Shelton, IV

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

CPC分类号： A61B17/3423 ,  A61B17/3462 ,  A61B2017/00287 ,  A61B2017/3445 ,  A61B2017/3449 ,  A61B2017/3466 ,  A61B2017/3484 ,  A61B2017/3488

摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 在一个实施例中，外科进入装置可以包括中空管状构件和模块化密封构件。 模块化密封构件可以构造成径向跨越管状构件的内腔，并且可拆卸地且可更换地配合到管状构件的一部分。 接入设备还可以包括多个接入端口，每个接入端口可被配置为在相应的期望位置处与模块化密封构件配合。

公开(公告)号：US08961406B2

公开(公告)日：2015-02-24

申请号：US12399656

申请日：2009-03-06

申请人： Mark S. Ortiz ,  David T. Martin ,  Matthew C. Miller ,  Mark J. Reese ,  Wells D. Haberstich ,  Carl Shurtleff ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Jerome R. Morgan ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Gregory Johnson ,  Kevin L. Houser

发明人： Mark S. Ortiz ,  David T. Martin ,  Matthew C. Miller ,  Mark J. Reese ,  Wells D. Haberstich ,  Carl Shurtleff ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Jerome R. Morgan ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Gregory Johnson ,  Kevin L. Houser

IPC分类号： A61B1/32 ,  A61B17/34 ,  A61B17/02

CPC分类号： A61B17/0293 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/0225 ,  A61B2017/3419 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61M13/003

摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.

摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。

公开(公告)号：US08475490B2

公开(公告)日：2013-07-02

申请号：US12479293

申请日：2009-06-05

申请人： Christopher J. Hess ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Christopher W. Widenhouse ,  Frederick E. Shelton, IV

发明人： Christopher J. Hess ,  Daniel H. Duke ,  Daniel J. Mumaw ,  Katherine J. Schmid ,  Christopher W. Widenhouse ,  Frederick E. Shelton, IV

IPC分类号： A61B17/02

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3462 ,  A61B2017/3429

摘要： Methods and devices are provided for providing access through tissue to a surgical site. A surgical access device can be configured to be positioned in tissue to provide access through a working channel of the access device to a body cavity underlying the tissue. The access device can include a sealing element positioned at least partially within the working channel. The sealing element can be formed of a puncturable self-sealing material such as a gel and/or a foam configured to provide a channel seal that seals the working channel when no instrument is inserted through the sealing element and configured to provide an instrument seal that provides a seal around one or more surgical instruments inserted through the sealing element.

摘要翻译： 提供了用于提供通过组织进入外科手术部位的方法和装置。 外科进入装置可以被配置为定位在组织中以提供通过进入装置的工作通道到组织下方的体腔的通路。 进入装置可以包括至少部分地定位在工作通道内的密封元件。 密封元件可以由诸如凝胶和/或泡沫的可刺破的自密封材料形成，其被配置成提供通道密封件，当通过密封元件插入仪器时，通道密封件可密封工作通道，并且构造成提供仪器密封件， 围绕通过密封元件插入的一个或多个手术器械提供密封。