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公开(公告)号：US09259240B2
公开(公告)日：2016-02-16
申请号：US13412079
申请日：2012-03-05
CPC分类号： A61B34/71 , A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B17/3431 , A61B34/30 , A61B2017/00314 , A61B2017/00327 , A61B2017/2906 , A61B2017/2908 , A61B2017/3445 , A61B2017/3447 , A61B2017/347 , A61B2034/302 , A61B2034/306
摘要： A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient's body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration.
摘要翻译： 手术系统包括限定穿过其中的通道的一个或多个臂。 臂包括构造成用于定位在患者身体外部的近端部分和被配置为定位在内部体腔内的远端部分。 远端部分包括彼此间隔开的第一和第二可铰接部分，并且能够在基本上直的构型和铰接构型之间独立地铰接。 第一关节运动组件联接到一个臂的近端部分，并且在第一状态和第二状态之间可转换，用于在基本上直的构型和铰接构型之间铰接第一可铰接节段。 第二关节组件联接到臂的近端部分并且构造成在多个位置之间移动，用于在基本上直的构型和铰接构型之间铰接第二可铰接节段。
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公开(公告)号：US20120253131A1
公开(公告)日：2012-10-04
申请号：US13412079
申请日：2012-03-05
CPC分类号： A61B34/71 , A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B17/3431 , A61B34/30 , A61B2017/00314 , A61B2017/00327 , A61B2017/2906 , A61B2017/2908 , A61B2017/3445 , A61B2017/3447 , A61B2017/347 , A61B2034/302 , A61B2034/306
摘要： A surgical system includes one or more arms defining a passageway therethrough. The arm includes a proximal portion configured for positioning externally of a patient's body and a distal portion configured for positioning within an internal body cavity. The distal portion includes first and second articulatable segments spaced apart from one another and capable of independent articulation between a substantially straight configuration and an articulated configuration. A first articulation assembly is coupled to the proximal portion of the one arm and is transitionable between a first state and a second state for articulating the first articulatable segment between the substantially straight configuration and the articulated configuration. A second articulation assembly is coupled to the proximal portion of the arm and is configured to move between a plurality of positions for articulating the second articulatable segment between the substantially straight configuration and the articulated configuration.
摘要翻译： 手术系统包括限定穿过其中的通道的一个或多个臂。 臂包括构造成用于定位在患者身体外部的近端部分和被配置为定位在内部体腔内的远端部分。 远端部分包括彼此间隔开的第一和第二可铰接部分，并且能够在基本上直的构型和铰接构型之间独立地铰接。 第一关节运动组件联接到一个臂的近端部分，并且在第一状态和第二状态之间可转换，用于在基本上直的构型和铰接构型之间铰接第一可铰接节段。 第二关节组件联接到臂的近端部分并且构造成在多个位置之间移动，用于在基本上直的构型和铰接构型之间铰接第二可铰接节段。
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公开(公告)号：US08968187B2
公开(公告)日：2015-03-03
申请号：US13467406
申请日：2012-05-09
申请人： Gennady Kleyman , Eric Taylor
发明人： Gennady Kleyman , Eric Taylor
CPC分类号： A61B1/00149 , A61B1/3132
摘要： A surgical instrument includes proximal and distal shaft components, an articulation assembly, and an outer sleeve. The shaft components are pivotably coupled to one another. The distal shaft component is articulatable relative to the proximal shaft component between a substantially aligned configuration and an articulated configuration. The articulation assembly includes a rack and a pinion gear engaged with one another. The rack and the pinion gear cooperate to permit incremental articulation of the distal shaft component relative to the proximal shaft component between the substantially aligned and articulated configurations. The outer sleeve is disposed about the proximal shaft component and is manipulatable relative to the proximal shaft component between a first position and a second position for articulating the distal shaft component between the substantially aligned configuration and the articulated configuration.
摘要翻译： 手术器械包括近端和远端轴部件，关节运动组件和外套筒。 轴组件可枢转地彼此联接。 远侧轴部件在基本上对齐的构造和铰接构型之间相对于近侧轴部件可铰接。 铰接组件包括彼此啮合的齿条和小齿轮。 齿条和小齿轮协作以允许远侧轴部件相对于近端轴部件在基本上对准和铰接构型之间进行增量关节连接。 外套筒围绕近侧轴部件设置，并且在第一位置和第二位置之间相对于近端轴部件可操纵，用于在基本上对齐的构造和铰接构型之间铰接远侧轴部件。
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公开(公告)号：US20120296169A1
公开(公告)日：2012-11-22
申请号：US13467406
申请日：2012-05-09
申请人： Gennady Kleyman , Eric Taylor
发明人： Gennady Kleyman , Eric Taylor
IPC分类号： A61B1/32
CPC分类号： A61B1/00149 , A61B1/3132
摘要： A surgical instrument includes proximal and distal shaft components, an articulation assembly, and an outer sleeve. The shaft components are pivotably coupled to one another. The distal shaft component is articulatable relative to the proximal shaft component between a substantially aligned configuration and an articulated configuration. The articulation assembly includes a rack and a pinion gear engaged with one another. The rack and the pinion gear cooperate to permit incremental articulation of the distal shaft component relative to the proximal shaft component between the substantially aligned and articulated configurations. The outer sleeve is disposed about the proximal shaft component and is manipulatable relative to the proximal shaft component between a first position and a second position for articulating the distal shaft component between the substantially aligned configuration and the articulated configuration.
摘要翻译： 手术器械包括近端和远端轴部件，关节运动组件和外套筒。 轴组件可枢转地彼此联接。 远侧轴部件在基本上对齐的构造和铰接构型之间相对于近侧轴部件可铰接。 铰接组件包括彼此啮合的齿条和小齿轮。 齿条和小齿轮协作以允许远侧轴部件相对于近端轴部件在基本上对准和铰接构型之间进行增量关节连接。 外套筒围绕近侧轴部件设置，并且在第一位置和第二位置之间相对于近端轴部件可操纵，用于在基本上对齐的构造和铰接构型之间铰接远侧轴部件。
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公开(公告)号：US20200147319A1
公开(公告)日：2020-05-14
申请号：US16728212
申请日：2019-12-27
申请人： Gennady Kleyman , Alexander Merson , Oleg Shikhman
发明人： Gennady Kleyman , Alexander Merson , Oleg Shikhman
IPC分类号： A61M5/315
摘要： A fluid dispensing device having a barrel having a lumen for containing a fluid therein and a flexible structure extending from the barrel. A plunger is axially slidable within the lumen to dispense fluid from the barrel, the plunger having a first set of grooves spaced apart a first distance and a second set of grooves spaced apart a second distance. The flexible structure includes a flexible arm extending transversely with respect to the barrel and configured to engage the grooves.
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公开(公告)号：US08821390B2
公开(公告)日：2014-09-02
申请号：US13030178
申请日：2011-02-18
申请人： Gennady Kleyman
发明人： Gennady Kleyman
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B2017/0225 , A61B2017/3429 , A61B2017/3445 , A61B2017/3466 , A61B2017/347
摘要： A surgical access assembly includes a sleeve and a port. The sleeve is adapted for insertion within tissue to access an underlying tissue site. The sleeve defines a first passage therethrough. The first passage has a first diameter. The port defines one or more second passages extending therethrough. The port is adapted for insertion within the first passage of the sleeve in a substantially sealed relationship therewith. The one or more second passages are adapted for a substantially sealed reception of a surgical object therethrough. The one or more second passages have one or more second diameters. The port is selectively removably positionable within the first passage of the sleeve. The first diameter is greater than the one or more second diameters.
摘要翻译： 外科进入组件包括套筒和端口。 套筒适于插入组织内以进入下面的组织部位。 套筒限定穿过其中的第一通道。 第一通道具有第一直径。 该端口限定了一个或多个延伸穿过其中的第二通道。 端口适于以与其基本密封的关系插入到套筒的第一通道内。 一个或多个第二通道适于基本上密封地接收通过其中的手术物体。 一个或多个第二通道具有一个或多个第二直径。 端口可选择性地可拆卸地定位在套筒的第一通道内。 第一直径大于一个或多个第二直径。
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公开(公告)号：US08454502B2
公开(公告)日：2013-06-04
申请号：US12813817
申请日：2010-06-11
申请人： Gennady Kleyman
发明人： Gennady Kleyman
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B2017/00862 , A61B2017/3445 , A61M29/00
摘要： A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity. The apparatus may include a seal anchor member comprising a compressible material. The seal anchor member may be adapted to transition between a first condition for insertion of at least a portion of the seal anchor member within a tissue tract and a second condition to facilitate a securing of the seal anchor member within a tissue tract and in substantial sealed relation with tissue surfaces defining a tissue tract. The seal anchor member may have proximal and distal ends and may define at least one port extending between the proximal and distal ends, the at least one port being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The at least one port may include an undercut to reduce the likelihood of leaks therethrough.
摘要翻译： 一种用于在组织道内定位的手术装置，其进入下面的体腔。 该装置可以包括包括可压缩材料的密封锚固构件。 密封锚固构件可以适于在用于将密封锚定构件的至少一部分插入组织管道内的第一状态和第二状态之间转变，以便于将密封锚固构件固定在组织管道内并且基本上密封 与限定组织道的组织表面的关系。 密封锚定构件可以具有近端和远端并且可以限定在近端和远端之间延伸的至少一个端口，所述至少一个端口适于接收物体，由此限定至少一个端口的可压缩材料适于 变形以与物体建立实质的密封关系。 至少一个端口可以包括底切以减少通过其渗漏的可能性。
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公开(公告)号：US20120157785A1
公开(公告)日：2012-06-21
申请号：US13224353
申请日：2011-09-02
申请人： Gennady Kleyman
发明人： Gennady Kleyman
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B17/3462 , A61B2017/3447 , A61B2017/3466
摘要： An assembly for accessing a body cavity is provided. The access assembly includes a flexible outer sleeve configured to be received through an opening in tissue. The outer sleeve defines a passageway therethrough and a notch formed about an inner surface thereof. The access assembly further includes a support plate configured for selective reception through the passageway of the outer sleeve and within the notch formed in the inner surface. The support plate defines at least a first opening configured to receive a surgical instrument therethrough.
摘要翻译： 提供一种用于进入体腔的组件。 进入组件包括构造成通过组织中的开口容纳的柔性外套筒。 外套筒限定穿过其中的通道和围绕其内表面形成的凹口。 进出组件还包括支撑板，该支撑板构造成用于通过外套筒的通道以及形成在内表面中的切口内的选择性接收。 支撑板限定至少一个第一开口，该第一开口构造成接纳通过其中的外科器械。
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公开(公告)号：US20120130189A1
公开(公告)日：2012-05-24
申请号：US13223332
申请日：2011-09-01
申请人： Gennady Kleyman
发明人： Gennady Kleyman
IPC分类号： A61B1/32
CPC分类号： A61B19/34 , A61B1/126 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B90/70 , A61B2017/3429 , A61B2017/3433 , A61B2017/3437 , A61B2017/3441 , A61B2017/345 , A61B2017/3466 , A61B2090/701 , A61M13/003
摘要： A surgical apparatus includes a housing member having leading and trailing ends that define a longitudinal axis. One or more ports longitudinally extend between the leading and trailing ends, and are configured and adapted to receive a surgical instrument therein in a substantially sealed relation. At least one cleaning port longitudinally extends between the leading and trailing ends, and is configured and adapted to receive a cleaning device therein. The cleaning device is configured and adapted to clean surgical instruments positioned within the one or more ports without necessitating removal of the surgical instruments from the one or more ports.
摘要翻译： 手术装置包括具有限定纵向轴线的前端和后端的壳体构件。 一个或多个端口在前端和后端之间纵向延伸，并且构造和适于以基本上密封的关系接收其中的外科器械。 至少一个清洁端口在前端和后端之间纵向延伸，并且被配置和适于在其中容纳清洁装置。 清洁装置被构造和适于清洁位于一个或多个端口内的外科器械，而不需要从一个或多个端口移除外科器械。
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公开(公告)号：US20110034935A1
公开(公告)日：2011-02-10
申请号：US12813838
申请日：2010-06-11
申请人： Gennady Kleyman
发明人： Gennady Kleyman
IPC分类号： A61B19/00
CPC分类号： A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/3427 , A61B2017/3445 , A61B2017/3466 , A61B2017/3484
摘要： A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity. The apparatus may include a seal anchor member comprising a compressible material. The seal anchor member may be adapted to transition between a first condition for insertion of at least a portion of the seal anchor member within a tissue tract and a second condition to facilitate a securing of the seal anchor member within a tissue tract and in substantial scaled relation with tissue surfaces defining a tissue tract. The seal anchor member may have proximal and distal ends and may define at least one port extending between the proximal and distal ends, the at least one port being adapted for the reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial scaled relation with the object. The seal anchor member may have a non-circular cross-section.
摘要翻译： 一种用于在组织道内定位的手术装置，其进入下面的体腔。 该装置可以包括包括可压缩材料的密封锚固构件。 密封锚固构件可以适于在用于将密封锚定构件的至少一部分插入组织管道内的第一状态和第二状态之间转变，以便于将密封锚定构件固定在组织管道内并以大体积的尺寸 与限定组织道的组织表面的关系。 密封锚定构件可以具有近端和远端并且可以限定在近端和远端之间延伸的至少一个端口，所述至少一个端口适于接收物体，由此限定至少一个端口的可压缩材料适于 变形以与物体建立实质的比例关系。 密封锚固构件可以具有非圆形横截面。
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