Kink-resistant access sheath and method of making same
    3.
    发明申请
    Kink-resistant access sheath and method of making same 有权
    抗折接线护套及其制作方法

    公开(公告)号:US20060144501A1

    公开(公告)日:2006-07-06

    申请号:US11319870

    申请日:2005-12-28

    IPC分类号: B65H81/00

    摘要: A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.

    摘要翻译: 诸如盖的可释放机构适于与具有设置在管的近端处的细长管和手柄结构的进入护套一起使用。 所述可释放机构的尺寸和构造适合于将手柄结构(其形状像喇叭的钟形)配合,以进一步便于手术器械的使用。 可释放机构可以作为单独的盖子操作,该盖子卡扣在手柄结构上以提供到护套的通路。 可释放机构还可以设置在外科器械的近端处以被引入入口护套中,使得其可以与护套互锁。 在制造耐扭结护套的方法中,最初用塑料材料涂覆线,然后将涂覆的线缠绕在形成多个绕组的心轴上,并且加热伤口涂覆的线,直到塑料材料熔化并结合 绕组形成电线增强护套。 塑料材料优选为聚氨酯,但可以是热塑性塑料,热固性材料或具有硬和/或软硬度的任何塑料材料。 可以通过将收缩管内的绕组捕获或压缩模具中的绕组并加热绕组直到形成护套来加热伤口涂覆的线。 在本发明的另一方面,使用心轴作为挤出工艺的一部分。 在本发明的另一方面,可以通过浸渍在基于溶剂的溶液中在弹簧加强件上形成另一涂层或外层。 在本发明的另一个实施例中,可以使用诸如聚酯编织物的编织物代替螺旋弹簧或除了螺旋弹簧以外以形成扭结护套。

    Medical tubing having variable characteristics and method of making same
    4.
    发明申请
    Medical tubing having variable characteristics and method of making same 审中-公开
    具有可变特性的医用管及其制造方法

    公开(公告)号:US20050165366A1

    公开(公告)日:2005-07-28

    申请号:US10766138

    申请日:2004-01-28

    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。

    STEERABLE KINK-RESISTANT SHEATH
    7.
    发明申请
    STEERABLE KINK-RESISTANT SHEATH 有权
    可转换的耐酸洗

    公开(公告)号:US20070277921A1

    公开(公告)日:2007-12-06

    申请号:US11695449

    申请日:2007-04-02

    IPC分类号: B29D23/18

    摘要: A steerable kink resistant access device is provided having an elongated body and a steerable portion. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.

    摘要翻译: 提供了一种具有细长主体和可转向部分的可转向扭结接近装置。 进入护套具有足够小的外径,使得其可以插入体腔或管道中。 进入护套通常具有两个内腔,第一腔的尺寸和构造为进入手术部位,第二腔具有尺寸和构造成容纳张紧装置,所述张紧装置在作用时将使可转向部分偏转。 张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。

    TRACTION TROCAR APPARATUS AND METHOD
    9.
    发明申请
    TRACTION TROCAR APPARATUS AND METHOD 审中-公开
    TRACTION TROCAR设备和方法

    公开(公告)号:US20070118167A1

    公开(公告)日:2007-05-24

    申请号:US11624583

    申请日:2007-01-18

    IPC分类号: A61B17/34

    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

    SURGICAL ACCESS DEVICE WITH PENDENT VALVE

    公开(公告)号:US20060224121A1

    公开(公告)日:2006-10-05

    申请号:US11423801

    申请日:2006-06-13

    IPC分类号: A61M5/178

    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.