公开(公告)号：US20110144437A1

公开(公告)日：2011-06-16

申请号：US12636174

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Jerome R. Morgan ,  Theodore R. Farrell ,  Frederick E. Shelton, IV

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Jerome R. Morgan ,  Theodore R. Farrell ,  Frederick E. Shelton, IV

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B17/3423 ,  A61B2017/003 ,  A61B2017/00327 ,  A61B2017/2905 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/349

摘要： Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.

摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 提供具有可调节纵向长度的外科进入口，例如通过被构造​​为相对于彼此移动的多个部分形成。 锚固件可以联接到外科进入口的远端，以通过接合组织的远侧侧面来帮助将外科进入端口固定在组织开口内。 可选地，锚固件可以可移除地联接到手术进入口的远端，从而允许多个锚定件中的任何一个选择性地联接到其上。

公开(公告)号：US08500633B2

公开(公告)日：2013-08-06

申请号：US12636174

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Jerome R. Morgan ,  Theodore R. Farrell ,  Frederick E. Shelton, IV

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Jerome R. Morgan ,  Theodore R. Farrell ,  Frederick E. Shelton, IV

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B17/3423 ,  A61B2017/003 ,  A61B2017/00327 ,  A61B2017/2905 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/349

摘要： Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.

摘要翻译： 提供了用于提供进入体腔的外科手术的方法和装置。 提供具有可调节纵向长度的外科进入口，例如通过被构造​​为相对于彼此移动的多个部分形成。 锚固件可以联接到外科进入口的远端，以通过接合组织的远侧侧面来帮助将外科进入端口固定在组织开口内。 可选地，锚固件可以可移除地联接到手术进入口的远端，从而允许多个锚定件中的任何一个选择性地联接到其上。

公开(公告)号：US08231570B2

公开(公告)日：2012-07-31

申请号：US12636020

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Frederick E. Shelton, IV ,  Jerome R. Morgan

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Frederick E. Shelton, IV ,  Jerome R. Morgan

IPC分类号： A61M29/00

CPC分类号： A61B17/3423 ,  A61B17/3439 ,  A61B17/3462 ,  A61B2017/3443 ,  A61B2017/3466

摘要： Access devices and related methods are disclosed that generally involve flexible or adjustable cannulas that have a substantially cylindrical insertion configuration and a substantially conical expanded configuration. Various methods and features are provided for transitioning the cannula from the insertion configuration to the expanded configuration while the access device is inserted through tissue to form a conical opening through the tissue. Examples include cables, biasing elements, retaining elements, bimodal rings, and coil springs. The devices and methods disclosed herein can allow for improved retention of the access device, improved angulation of instruments passed through the access device, and can increase the integrity of a seal formed between the access device and surrounding tissue.

摘要翻译： 公开了通常涉及具有基本上圆柱形的插入构型和基本圆锥形的膨胀构型的柔性或可调节插管的通路装置和相关方法。 提供了各种方法和特征，用于将插管从插入构型转换到扩展构型，同时将进入装置插入穿过组织以形成通过组织的锥形开口。 示例包括电缆，偏置元件，保持元件，双峰环和螺旋弹簧。 本文公开的装置和方法可以允许改进的存取装置的保持性，改善通过进入装置的装置的角度，并且可以增加形成在进入装置和周围组织之间的密封的完整性。

公开(公告)号：US20110144589A1

公开(公告)日：2011-06-16

申请号：US12636020

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Frederick E. Shelton, IV ,  Jerome R. Morgan

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Frederick E. Shelton, IV ,  Jerome R. Morgan

IPC分类号： A61B17/34

CPC分类号： A61B17/3423 ,  A61B17/3439 ,  A61B17/3462 ,  A61B2017/3443 ,  A61B2017/3466

摘要： Access devices and related methods are disclosed that generally involve flexible or adjustable cannulas that have a substantially cylindrical insertion configuration and a substantially conical expanded configuration. Various methods and features are provided for transitioning the cannula from the insertion configuration to the expanded configuration while the access device is inserted through tissue to form a conical opening through the tissue. Examples include cables, biasing elements, retaining elements, bimodal rings, and coil springs. The devices and methods disclosed herein can allow for improved retention of the access device, improved angulation of instruments passed through the access device, and can increase the integrity of a seal formed between the access device and surrounding tissue.

摘要翻译： 公开了通常涉及具有基本上圆柱形的插入构型和基本圆锥形的膨胀构型的柔性或可调节插管的通路装置和相关方法。 提供了各种方法和特征，用于将插管从插入构型转换到扩展构型，同时将进入装置插入穿过组织以形成通过组织的锥形开口。 示例包括电缆，偏置元件，保持元件，双峰环和螺旋弹簧。 本文公开的装置和方法可以允许改进的存取装置的保持性，改善通过进入装置的装置的角度，并且可以增加形成在进入装置和周围组织之间的密封的完整性。

公开(公告)号：US08460186B2

公开(公告)日：2013-06-11

申请号：US12636205

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B2017/2905 ,  A61B2017/2908 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3492 ,  A61B2090/037

摘要： Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length.

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。 通常，所述方法和装置允许调整手术进入口的纵向长度。 在一个实施例中，提供了一种外科进入口，其包括具有从其向远侧延伸的套管的壳体。 壳体可以构造成切割套管的近端部分，以调整套管的纵向长度并因此调整外科进入口的纵向长度。 在另一个实施例中，提供了一种外科进入口，其包括由可拆卸地联接在一起的多个模块段组成的套管。 可以将一个或多个部分构造成可从套管移除以改变套管的纵向长度。

公开(公告)号：US20110144449A1

公开(公告)日：2011-06-16

申请号：US12636205

申请日：2009-12-11

申请人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

发明人： Mark S. Ortiz ,  Brandon L. Livingston ,  Dhananjay V. Patil ,  Mark S. Zeiner ,  Theodore J. DiMagno ,  Edgar V. Menezes ,  Aron O. Zingman

IPC分类号： A61B1/32

CPC分类号： A61B17/3421 ,  A61B2017/2905 ,  A61B2017/2908 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3492 ,  A61B2090/037

摘要： Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length.

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。 通常，所述方法和装置允许调整手术进入口的纵向长度。 在一个实施例中，提供了一种外科进入口，其包括具有从其向远侧延伸的套管的壳体。 壳体可以构造成切割套管的近端部分，以调整套管的纵向长度并因此调整外科进入口的纵向长度。 在另一个实施例中，提供了一种外科进入口，其包括由可拆卸地联接在一起的多个模块段组成的套管。 可以将一个或多个部分构造成可从套管移除以改变套管的纵向长度。