公开(公告)号：US07005026B2

公开(公告)日：2006-02-28

申请号：US10298116

申请日：2002-11-15

申请人： John R Brustad ,  Payam Adlparvar ,  Wassim R. Aliahmad ,  Canh T. Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi S. Pinedjian ,  Charles C Hart

发明人： John R Brustad ,  Payam Adlparvar ,  Wassim R. Aliahmad ,  Canh T. Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi S. Pinedjian ,  Charles C Hart

IPC分类号： B65H81/00

CPC分类号： A61M25/0012 ,  A61B17/3415 ,  A61B2017/00526 ,  A61M25/0045 ,  A61M25/005 ,  A61M25/0662 ,  B29C47/0023 ,  B29C47/004 ,  B29C47/0064 ,  B29C47/025 ,  B29C47/027 ,  B29C53/60 ,  B29C61/006 ,  B29L2023/00

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.

公开(公告)号：US07534317B2

公开(公告)日：2009-05-19

申请号：US11319870

申请日：2005-12-28

申请人： John R. Brustad ,  Payam Adlparvar ,  Wassim R. Aliahmad ,  Canh T. Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi S. Pinedjian ,  Charles C. Hart

发明人： John R. Brustad ,  Payam Adlparvar ,  Wassim R. Aliahmad ,  Canh T. Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi S. Pinedjian ,  Charles C. Hart

IPC分类号： B65H81/00 ,  B32B37/00

CPC分类号： A61M25/0012 ,  A61B17/3415 ,  A61B2017/00526 ,  A61M25/0045 ,  A61M25/005 ,  A61M25/0662 ,  B29C47/0023 ,  B29C47/004 ,  B29C47/0064 ,  B29C47/025 ,  B29C47/027 ,  B29C53/60 ,  B29C61/006 ,  B29L2023/00

摘要： A method of manufacturing a kink resistant sheath includes the steps of coating a wire with a plastic material to form an inner tube, placing a braid over the inner tube, applying a spring reinforcement over the braid and applying a second layer of plastic material over the assembly to form an outer tube of a braided reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, thermoset or any plastic material having hard and/or soft durometer.

摘要翻译： 制造耐扭结护套的方法包括以下步骤：用塑料材料涂覆线以形成内管，将编织物放置在内管上方，在编织物上施加弹簧加强件，并将第二层塑料材料施加在 组装形成编织增强护套的外管。 塑料材料优选为聚氨酯，但可以是热塑性，热固性或具有硬和/或软硬度的任何塑料材料。

公开(公告)号：US07377898B2

公开(公告)日：2008-05-27

申请号：US11755305

申请日：2007-05-30

申请人： Richard C Ewers ,  John R Brustad ,  Edward D Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V Taylor ,  Gary R Dulak ,  Michael J Dunn ,  Norman L Morales ,  Charles C Hart ,  Robert R Bowes

发明人： Richard C Ewers ,  John R Brustad ,  Edward D Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V Taylor ,  Gary R Dulak ,  Michael J Dunn ,  Norman L Morales ,  Charles C Hart ,  Robert R Bowes

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离，缩回元件是可伸长的和不可扩张的，在环处有合适的附接装置，以提供 收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

公开(公告)号：US08715441B2

公开(公告)日：2014-05-06

申请号：US12877245

申请日：2010-09-08

申请人： John R. Brustad ,  Said S. Hilal ,  Nabil Hilal ,  Charles C. Hart ,  Gary M. Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald L. Gadberry ,  Edward D. Pingleton ,  Matthew N. Petrime ,  Payam Adlparvar ,  Carl B. Hadley ,  Kenneth K. Vu

发明人： John R. Brustad ,  Said S. Hilal ,  Nabil Hilal ,  Charles C. Hart ,  Gary M. Johnson ,  Serene Hilal ,  Ghassan Sakakine ,  Donald L. Gadberry ,  Edward D. Pingleton ,  Matthew N. Petrime ,  Payam Adlparvar ,  Carl B. Hadley ,  Kenneth K. Vu

IPC分类号： B29C65/02

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 include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. 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.

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。 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。 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。

公开(公告)号：US08388526B2

公开(公告)日：2013-03-05

申请号：US12108400

申请日：2008-04-23

申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

IPC分类号： A61B17/02

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。 缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

公开(公告)号：US20080200767A1

公开(公告)日：2008-08-21

申请号：US12108400

申请日：2008-04-23

申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。 缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

公开(公告)号：US06958037B2

公开(公告)日：2005-10-25

申请号：US10399209

申请日：2001-10-20

申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

IPC分类号： A61B17/02 ,  A61B17/34

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment elements at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.

摘要翻译： 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。 第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。 缩回元件，既可扩张也不可扩张，可以考虑在环处的适当的附接元件，以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。 相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

公开(公告)号：US20130217973A1

公开(公告)日：2013-08-22

申请号：US13765278

申请日：2013-02-12

申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott V. Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

IPC分类号： A61B1/32

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter through body cavities of varying thicknesses. The retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound, a second ring having a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound, and a sheath disposed between the two rings. Optionally, the second ring may be detachably attached to the sheath to adapt the retractor to body cavities of varying thickness. Additional rings may be disposed along the sheath to provide for adjustment of the distance between the first and second rings. The retractor may also include an expandable foam annulus that can adjust the distance between the first and second rings.

摘要翻译： 外科伤口牵开器适于通过不同厚度的体腔将可伸展到期望直径的伤口扩张。 牵开器包括第一环，其直径大于伤口所需的直径，并且适于在伤口内部配置，第二环的直径大于伤口所需的直径，并适于在伤口的外部进行配置;以及 设置在两个环之间的护套。 可选地，第二环可以可拆卸地附接到护套以使牵开器适应变化厚度的体腔。 可以沿着护套设置附加的环以提供第一和第二环之间的距离的调整。 牵开器还可以包括可调节第一和第二环之间距离的可膨胀泡沫环。

公开(公告)号：US07238154B2

公开(公告)日：2007-07-03

申请号：US11218412

申请日：2005-09-01

申请人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

发明人： Richard C. Ewers ,  John R. Brustad ,  Edward D. Pingleton ,  Nabil Hilal ,  Payam Adlparvar ,  Scott Taylor ,  Gary R. Dulak ,  Michael J. Dunn ,  Norman L. Morales ,  Charles C. Hart ,  Robert R. Bowes

IPC分类号： A61B17/02

CPC分类号： A61B1/32 ,  A61B17/0293 ,  A61B17/3423 ,  A61B17/3431 ,  A61B2017/3484

摘要： A surgical wound retractor is adapted to dilate a wound to a desired diameter. The retractor includes first and second rings, each having a diameter greater than that desired for the wound. The first and second rings are adapted for disposition interiorly and exteriorly of the wound, respectively. A plurality of retraction elements is disposed in a generally cylindrical relationship between the first and second rings and extends through the wound to exert a radial retraction force on the wound that is dependent on the distance separating the first and second rings. Retraction elements, both distensible and non-distensible, are contemplated with appropriate attachment elements at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force.

摘要翻译： 外科伤口牵开器适于将伤口扩张到期望的直径。 牵开器包括第一和第二环，每个环的直径大于伤口所需的直径。 第一和第二环分别适于在伤口的内部和外部设置。 多个退回元件以第一和第二环之间的大致圆柱形的关系设置，并且延伸穿过伤口，以在伤口上施加径向缩回力，这取决于分隔第一和第二环的距离。 可伸缩和不扩张的回缩元件可以考虑在环处的合适的附接元件以提供收缩力的变化。 利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。

公开(公告)号：US20060144501A1

公开(公告)日：2006-07-06

申请号：US11319870

申请日：2005-12-28

申请人： John Brustad ,  Payam Adlparvar ,  Wassim Aliahmad ,  Canh Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi Pinedjian ,  Charles Hart

发明人： John Brustad ,  Payam Adlparvar ,  Wassim Aliahmad ,  Canh Tran ,  Nabil Hilal ,  Boun Pravong ,  Raffi Pinedjian ,  Charles Hart

IPC分类号： B65H81/00

CPC分类号： A61M25/0012 ,  A61B17/3415 ,  A61B2017/00526 ,  A61M25/0045 ,  A61M25/005 ,  A61M25/0662 ,  B29C47/0023 ,  B29C47/004 ,  B29C47/0064 ,  B29C47/025 ,  B29C47/027 ,  B29C53/60 ,  B29C61/006 ,  B29L2023/00

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。