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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
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。
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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。
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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。
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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。
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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。
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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。
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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
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。
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公开(公告)号:US08562598B2
公开(公告)日:2013-10-22
申请号:US12416668
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要翻译: 电外科系统可以包括电外科发生器,反馈电路或控制器以及电外科手术工具。 反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。 电外科系统可以包括多个用于不同电外科手术的电外科工具,并且可以包括各种用户界面特征和音频/视觉性能指标。 电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。
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公开(公告)号:US20090248022A1
公开(公告)日:2009-10-01
申请号:US12416695
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated.
摘要翻译: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。
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公开(公告)号:US20090248020A1
公开(公告)日:2009-10-01
申请号:US12416751
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译: 可以使用电外科工具来熔合组织。 电外科手术工具可以包括钳口组件,细长轴和手柄组件。 手柄组件的致动可以致动钳口组件。 细长轴可以旋转而不中断与钳口组件的电连接。 电外科手术工具可以包括用于分离熔融组织的切割刀片。 电外科手术工具还可以包括钳口组件配置或外部切割电极,以利用该工具改善手术进入。
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