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1.发明授权公开(公告)号：US06361543B1
公开(公告)日：2002-03-26
申请号：US08828751
申请日：1997-03-18
IPC分类号： A61B1700
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/0225 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An apparatus and method for separating a first layer of tissue from a second layer of tissue. An inflatable balloon is mounted to a delivery device. The inflatable balloon has a first, inwardly-displaced portion which everts when the balloon is inflated. The balloon is inserted into a patient between the first and second tissue layers when the balloon is in the deflated state. The balloon is then inflated so that the first portion is everted thereby minimizing trauma to the tissue layers.
摘要翻译： 一种用于从第二层组织分离第一层组织的装置和方法。 可充气气囊安装在输送装置上。 充气气球具有当气囊膨胀时转动的第一，向内移位的部分。 当气囊处于放气状态时，将气囊插入到第一和第二组织层之间的患者体内。 然后将气囊充气，使得第一部分被转动，从而最小化对组织层的创伤。
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2.发明授权Endoscopic inflatable retraction devices for separating layers of tissue, and methods of using 失效用于分离组织层的内窥镜充气回缩装置及其使用方法
公开(公告)号：US5704372A
公开(公告)日：1998-01-06
申请号：US282287
申请日：1994-07-29
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/00
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An apparatus for separating a first layer of tissue, such as the peritoneum, from a second layer of tissue, such as the properitoneal fascia. The apparatus includes a main envelope that defines a main inflatable chamber. The apparatus also includes an introducing device that introduces the main envelope in a collapsed state between the first layer of tissue and the second layer of tissue. The introducing device also inflates the main envelope into an expanded state to separate the first layer of tissue from the second layer of tissue, and to create a working space between the two layers of tissue. Finally, the apparatus includes an insufflating device that introduces insufflation gas into the working space between the two layers of tissue. A method for separating a first layer of tissue from a second layer of tissue provides a main envelope and insufflation gas. The main envelope defines a main inflatable chamber. The main envelope is introduced in a collapsed state between the first layer of tissue and the second layer of tissue. The main envelope is inflated into an expanded state to separate the first layer of tissue from the second layer of tissue, and to create a working space between the two layers of tissue. Insufflation gas is then introduced into the working space between the layers of tissue.
摘要翻译： 一种用于从第二层组织（例如腹膜筋膜）分离第一层组织（例如腹膜）的装置。 该装置包括限定主充气室的主外壳。 该装置还包括引入装置，该引入装置将第一层组织和第二组织层之间的折叠状态引入主包络体。 导入装置还使主外壳膨胀成展开状态，以将第一层组织与第二层组织分开，并在两层组织之间形成工作空间。 最后，该装置包括将吹入气体引入两层组织之间的工作空间中的吹入装置。 从第二层组织分离组织的第一层的方法提供主包膜和吹入气体。 主要信封定义了一个主要的可充气室。 在第一组织层和第二组织层之间的折叠状态下引入主信封。 主包膜膨胀成膨胀状态以将第一层组织与第二层组织分开，并在两层组织之间产生工作空间。 然后将吹入气体引入组织层之间的工作空间。
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3.发明授权
公开(公告)号：US5632761A
公开(公告)日：1997-05-27
申请号：US405284
申请日：1995-03-16
IPC分类号： A61B1/12 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61F2/84 , A61M25/00 , A61M29/00
CPC分类号： A61B17/22032 , A61B1/00082 , A61B1/015 , A61B1/018 , A61B1/3132 , A61B17/0218 , A61B17/0281 , A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/22059 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , A61B90/361
摘要： An apparatus and method for separating tissue layers and providing a working space for performing a medical procedure. A first balloon is inserted between the tissue layers and inflated to dissect the tissue layers. A second balloon is also positioned between the tissue layers and inflated to retract the tissue layers. The first balloon is then deflated and punctured with a sharp instrument to created an opening in the first balloon. The second balloon is positioned to impede the escape of insufflation fluid from the working space and the working space is then insufflated. An instrument for performing the medical procedure may then be introduced into the working space through the opening in the first balloon.
摘要翻译： 一种用于分离组织层并提供用于执行医疗程序的工作空间的装置和方法。 将第一气囊插入组织层之间并充气以解剖组织层。 第二球囊也位于组织层之间并且被充气以使组织层缩回。 然后第一个气球用尖锐的仪器放气并刺穿，以在第一个气球中形成一个开口。 定位第二个气球以阻止吹入流体从工作空间逸出，然后吹扫工作空间。 然后可以通过第一气囊中的开口将用于执行医疗程序的仪器引入工作空间。
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4.发明授权
公开(公告)号：US5722986A
公开(公告)日：1998-03-03
申请号：US685744
申请日：1996-07-24
IPC分类号： A61B1/12 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61F2/84 , A61M25/00 , A61B29/00
CPC分类号： A61B17/22032 , A61B1/00082 , A61B1/015 , A61B1/018 , A61B1/3132 , A61B17/0218 , A61B17/0281 , A61B17/3417 , A61B17/3421 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/22059 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , A61B90/361
摘要： An apparatus and method for separating tissue layers and providing a working space for performing a medical procedure. A first balloon is inserted between the tissue layers and inflated to dissect the tissue layers. A second balloon is also positioned between the tissue layers and inflated to retract the tissue layers. The first balloon is then deflated and punctured with a sharp instrument to created an opening in the first balloon. The second balloon is positioned to impeded the escape of insufflation fluid from the working space and the working space is then insufflated. An instrument for performing the medical procedure may then be introduced into the working space through the opening in the first balloon.
摘要翻译： 一种用于分离组织层并提供用于执行医疗程序的工作空间的装置和方法。 将第一气囊插入组织层之间并充气以解剖组织层。 第二球囊也位于组织层之间并且被充气以使组织层缩回。 然后第一个气球用尖锐的仪器放气并刺穿，以在第一个气球中形成一个开口。 定位第二个气球以阻止吹入流体从工作空间逸出，然后吹扫工作空间。 然后可以通过第一气囊中的开口将用于执行医疗程序的仪器引入工作空间。
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公开(公告)号：US5575759A
公开(公告)日：1996-11-19
申请号：US457396
申请日：1995-06-01
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： Apparatus for retracting an organ to gain access to treat a tissue. The apparatus has a main envelope, a second envelope, a first inflation device and a second inflation device. The main envelope encloses a main chamber, and includes a window and a removable window. The second envelope covers substantially all the main envelope, except the window and the removable window. The second envelope and the main envelope enclose a second chamber outside the main chamber. The first inflation device passes a fluid into the main chamber to expand the main chamber and the second chamber from a compacted state to retract the organ. The second inflation device passes a fluid into the second chamber to further expand the second chamber to maintain the organ in its retracted state after fluid has been released from the main chamber.
摘要翻译： 用于收回器官以获得治疗组织的装置。 该装置具有主信封，第二信封，第一充气装置和第二充气装置。 主信封包围一个主室，并包括一个窗口和一个可拆卸的窗户。 除了窗户和可拆卸的窗户之外，第二个信封基本覆盖了所有的主信封。 第二信封和主信封包围主室外的第二室。 第一充气装置将流体传递到主室中以使主室和第二室从压实状态扩展以收缩器官。 第二充气装置将流体传递到第二腔室中以进一步扩张第二腔室，以在液体已经从主腔室释放之后保持器官处于其缩回状态。
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公开(公告)号：US5425357A
公开(公告)日：1995-06-20
申请号：US134573
申请日：1993-10-08
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： An apparatus for retracting an organ to gain access to treat a tissue. The apparatus has a main envelope, a second envelope, a first inflation device and a second inflation device. The main envelope encloses a main chamber, and includes a window and a removable window. The second envelope covers substantially all the main envelope, except the window and the removable window. The second envelope and the main envelope enclose a second chamber outside the main chamber. The first inflation device passes a fluid into the main chamber to expand the main chamber and the second chamber from a compacted state to retract the organ. The second inflation device passes a fluid into the second chamber to further expand the second chamber to maintain the organ in its retracted state after fluid has been released from the main chamber.
摘要翻译： 一种用于收回器官以获得治疗组织的装置。 该装置具有主信封，第二信封，第一充气装置和第二充气装置。 主信封包围一个主室，并包括一个窗口和一个可拆卸的窗户。 除了窗户和可拆卸的窗户之外，第二个信封基本覆盖了所有的主信封。 第二信封和主信封包围主室外的第二室。 第一充气装置将流体传递到主室中以使主室和第二室从压实状态扩展以收缩器官。 第二充气装置将流体传递到第二腔室中以进一步扩张第二腔室，以在液体已经从主腔室释放之后保持器官处于其缩回状态。
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公开(公告)号：US06605037B1
公开(公告)日：2003-08-12
申请号：US09179008
申请日：1998-10-26
IPC分类号： A61B1702
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism. The inflatable maintaining lattice defines a plurality of single layered access windows around the inflatable chamber, and is configured and adapted to maintain the inflatable chamber in substantially the predetermined shape after an aperture is pierced in at least one of the plurality of access windows of the inflatable chamber.
摘要翻译： 提供一种可充气的收缩装置，用于回收身体内的器官，以便进入邻近的组织。 该装置包括由单个薄壳体形成的能力腔室，并且能够被塌缩以插入通过切口并且被扩展到预定形状以用于回退器官。 膨胀机构适于选择性地将腔室充气至预定形状。 膨胀机构包括至少一个连接到可膨胀室的充气管，其中流体连通，并且可膨胀的维持格子可操作地包围可充气室并与膨胀机构有效连接。 可充气维护格架限定围绕可充气室的多个单层进入窗口，并且被配置和适于在可充气室的多个进入窗口中的至少一个穿孔之后将可充气室保持为基本上预定的形状 房间。
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8.发明授权Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space 失效使用内窥镜充气提升装置创建解剖工作空间的方法
公开(公告)号：US5865728A
公开(公告)日：1999-02-02
申请号：US561160
申请日：1995-11-21
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： A method of separating tissue layers using an inflatable balloon, in which endoscopic visualization may be carried out through the balloon during inflation.
摘要翻译： 使用可膨胀气囊分离组织层的方法，其中可以在充气期间通过气囊进行内窥镜可视化。
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公开(公告)号：US5643178A
公开(公告)日：1997-07-01
申请号：US452066
申请日：1995-05-26
申请人： Frederic H. Moll , Albert K. Chin
发明人： Frederic H. Moll , Albert K. Chin
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/14 , A61B19/00 , A61B19/02 , A61F2/958 , A61M1/00 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/320016 , A61B50/20 , A61B90/50 , A61B17/32002 , A61B17/3462 , A61B18/14 , A61B2017/00261 , A61B2017/00278 , A61B2017/00535 , A61B2017/00557 , A61B2017/22051 , A61B2017/306 , A61B2017/320048 , A61B2017/32113 , A61B2017/3486 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M25/10 , A61M25/1006
摘要： A method and apparatus for mechanically lifting the abdominal wall away from underlying abdominal organs for laparoscopic surgery without insufflation. In the method an expansible device is inserted in the abdominal cavity through a small incision in a collapsed state and then expanded into engagement with an extensive area of the abdominal wall. Lifting force is then applied to the device for peritoneal retraction. The device takes the form of mechanical rods or arms and/or balloons. In the balloon embodiments lifting force may be applied externally of the abdominal cavity, or internally of the cavity by balloon inflation. Certain of the balloon embodiments are of an annular or U-shaped configuration and include a membrane for draping the internal organs and/or a centrally located balloon for lateral expansion. The balloons may be provided with an internal endoscope for viewing. The method also provides for laparoscopic gallbladder removal, either to the interior or exterior of the balloons. A needle is provided to laparoscopically pierce and drain the gallbladder. The needle carries a balloon inflatable to grip the gallbladder for retraction and removal.
摘要翻译： 一种用于机械地将腹壁远离腹腔镜手术的方法和装置，用于腹腔镜手术而不吹气。 在该方法中，可膨胀装置通过处于塌缩状态的小切口插入腹腔中，然后膨胀成与腹壁的广泛区域接合。 然后将牵引力施加到装置上用于腹膜收缩。 该装置采取机械杆或手臂和/或气球的形式。 在气囊实施例中，可以通过球囊充气在腹腔外部或腔内部施加提升力。 气囊实施例中的某些具有环形或U形构造，并且包括用于悬垂内部器件的膜和/或用于侧向膨胀的位于中心的球囊。 气囊可以设置有用于观察的内部内窥镜。 该方法还提供了到气囊的内部或外部的腹腔镜胆囊去除。 提供一个针以腹腔镜刺穿并排出胆囊。 针携带一个充气的气球，以抓住胆囊进行收缩和移除。
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10.发明授权
公开(公告)号：US5562603A
公开(公告)日：1996-10-08
申请号：US461162
申请日：1995-06-05
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2090/306
摘要： An apparatus is described for laparoscopically retracting an organ inside the body to provide surgical access to adjacent tissue. The apparatus includes a thin, flexible envelope which encloses a chamber. The envelope is laparoscopically insertable in a collapsed state into a body cavity, and the chamber is inflatable to an expanded state following introduction of the envelope into the body. Inflation of the chamber causes retraction of adjacent tissue. An elastomeric seal is insertable into the chamber following inflation and is attachable to part of the envelope inside the chamber following inflation of the chamber. The seal provides a gas-tight seal to maintain the chamber in the expanded state, and to maintain the organ in the retracted state, notwithstanding the piercing of an aperture in the part of the envelope covered by the seal.
摘要翻译： 描述了一种用于腹腔镜缩回身体内的器官以提供对相邻组织的手术进入的装置。 该装置包括一个包围一个室的薄而柔软的封套。 该信封被腹腔镜插入到塌陷状态进入体腔，并且在将信封引入体内之后，腔室可充气至扩张状态。 腔室的充气导致相邻组织的收缩。 弹性体密封件在充气之后可插入到腔室中，并且可以在室的充气之后附接到腔室内部的一部分信封。 密封件提供气密密封以将腔室保持在膨胀状态，并且保持器官处于缩回状态，尽管刺穿了由密封件覆盖的信封部分中的孔。
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