公开(公告)号：WO2012044959A1

公开(公告)日：2012-04-05

申请号：PCT/US2011/054266

申请日：2011-09-30

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  DANG, Kevin, K. ,  ALBRECHT, Jeremy, J. ,  BROWN, Blaze ,  HOKE, Adam ,  FILEK, Jacob J. ,  JOHNSON, Gary M.

Inventor： DANG, Kevin, K. ,  ALBRECHT, Jeremy, J. ,  BROWN, Blaze ,  HOKE, Adam ,  FILEK, Jacob J. ,  JOHNSON, Gary M.

IPC: A61B17/02 ,  A61B17/34

CPC classification number: A61B17/3423 ,  A61B17/0218 ,  A61B17/0293 ,  A61B17/3431 ,  A61B17/3439 ,  A61B2017/3419 ,  A61B2017/3441 ,  A61B2017/3443 ,  A61B2017/3445 ,  A61B2017/345 ,  A61B2017/3452 ,  A61B2017/3456 ,  A61B2017/3484 ,  A61B2017/3492

Abstract: Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; and a funnel segment extending between and coupling the outer ring and the tubular body, wherein the funnel segment provides a diametric reduction between the relatively large diameter of the outer ring and the relatively smaller diameter of the tubular body, which is sized to fit within a natural orifice with minimal distention of the orifice.

Abstract translation: 描述了外科进入口系统的实施例，其包括适于联接到帽并且在自然孔口手术中特别有用的牵开器。 牵开器包括外环，其中所述外环被配置为邻近所述患者的天然孔并且基本上围绕所述孔; 管状体 以及在所述外环和所述管状体之间延伸并且联接所述外环和所述管状体之间的漏斗段，其中所述漏斗段在所述外环的相对较大直径和所述管状体的相对较小直径之间提供直径减小，所述径向尺寸适于安装在 自然孔口，孔口膨胀小。

公开(公告)号：WO2011044583A1

公开(公告)日：2011-04-14

申请号：PCT/US2010/052356

申请日：2010-10-12

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  ALBRECHT, Jeremy, J. ,  JOHNSON, Gary, M. ,  BECERRA, Matthew, M. ,  KING, Travis ,  GADBERRY, Donald, L. ,  SIMONS, Isabel

Inventor： ALBRECHT, Jeremy, J. ,  JOHNSON, Gary, M. ,  BECERRA, Matthew, M. ,  KING, Travis ,  GADBERRY, Donald, L. ,  SIMONS, Isabel

IPC: A61B17/34

CPC classification number: A61B17/3423 ,  A61B17/0218 ,  A61B17/3421 ,  A61B2017/3484 ,  A61B2017/349

Abstract: A trocar comprises a retention cannula comprising an inverted or incised retention pattern disposed thereon. Embodiments of the incised cannula exhibit reduced tissue trauma compared with screw-threaded cannula, improved fixation and/or retention compared with an unthreaded cannula, and good sealing between the cannula and the incision.

Abstract translation: 套针针包括保持套管，其包括设置在其上的反转或切开的保持图案。 与非螺纹套管相比，切开的套管的实施例显示与螺纹插管相比减少的组织创伤，以及插管和切口之间的良好密封。

公开(公告)号：WO2011011538A2

公开(公告)日：2011-01-27

申请号：PCT/US2010042781

申请日：2010-07-21

Applicant: APPLIED MED RESOURCES ,  HART CHARLES C ,  JOHNSON GARY M ,  NGUYEN ERIC ,  PINGLETON EDWARD D ,  PRAVONGVIENGKHAM KENNII ,  SAKAKINE GHASSAN ,  WACHLI SERENE ,  BRUSTAD JOHN R ,  TRAN OLIVIA J

Inventor： HART CHARLES C ,  JOHNSON GARY M ,  NGUYEN ERIC ,  PINGLETON EDWARD D ,  PRAVONGVIENGKHAM KENNII ,  SAKAKINE GHASSAN ,  WACHLI SERENE ,  BRUSTAD JOHN R ,  TRAN OLIVIA J

IPC: A61B17/34

CPC classification number: A61B17/0293 ,  A61B17/3423 ,  A61B2017/00265

Abstract: Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field Embodiments of the internal retractor are adjustable.

Abstract translation: 装置，方法和系统提供了一种外科进入装置，其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。 卷绕的收缩器将体壁中的开口缩回到体腔中，而内部牵开器允许使用者控制体腔内的内部结构的位置，从而允许使用者限定手术区域。内部牵开器的实施例是可调节的 。

公开(公告)号：WO2008141291A1

公开(公告)日：2008-11-20

申请号：PCT/US2008/063445

申请日：2008-05-12

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  ALBRECHT, Jeremy, J. ,  KO, Jennifer, T. ,  JOHNSON, Gary, M. ,  BRUSTAD, John, R. ,  DANG, Kevin, K.

Inventor： ALBRECHT, Jeremy, J. ,  KO, Jennifer, T. ,  JOHNSON, Gary, M. ,  BRUSTAD, John, R. ,  DANG, Kevin, K.

IPC: A61B17/02

CPC classification number: A61B1/32 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3462 ,  A61B2017/00477 ,  A61B2017/3435

Abstract: A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.

Abstract translation: 外科进入装置具有手术牵开器，该手术牵开器具有不具有环形轴线的不合适的外环，内环和将外环连接到内环的套筒。不合规的外环适于围绕环形轴线自我滚动以滚动 围绕所述外环缩回和密封生物体壁中的开口。所述进入装置可以包括适于联接到所述外科牵开器的不合规外环的盖。所述外科牵开器的外环具有横截面形状， 禁止盖部分地或不正确地联接到手术牵开器的外环。

公开(公告)号：WO2007137243A2

公开(公告)日：2007-11-29

申请号：PCT/US2007069405

申请日：2007-05-21

Applicant: APPLIED MED RESOURCES ,  WIXEY MATTHEW A ,  JOHNSON GARY M

Inventor： WIXEY MATTHEW A ,  JOHNSON GARY M

IPC: A61B17/04

CPC classification number: A61B17/0686 ,  A61B17/072 ,  A61B17/105 ,  A61B2090/0814

Abstract: A surgical stapler is provided that maintains the jaws of the stapler in an open position and prevents firing of staples when a cartridge is not loaded in one of the jaws. Distinct positioning and sequencing of the jaws, capture pin and firing of the staples are provided by a latch mechanism. Such locking and latching mechanisms ensure proper operation of the stapler.

Abstract translation: 提供了一种手术吻合器，其将缝合器的钳口保持在打开位置，并且当药筒没有装载在其中一个钳口中时防止订书钉发射。 爪的独特定位和顺序，钉的捕获销和击发由闩锁机构提供。 这种锁定和锁定机构确保吻合器的正确操作。

公开(公告)号：WO2007047333A3

公开(公告)日：2007-06-07

申请号：PCT/US2006039800

申请日：2006-10-12

Applicant: APPLIED MED RESOURCES ,  BRUSTAD JOHN R ,  ALBRECHT JEREMY J ,  HILAL NABIL ,  JOHNSON GARY M ,  HART CHARLES C

Inventor： BRUSTAD JOHN R ,  ALBRECHT JEREMY J ,  HILAL NABIL ,  JOHNSON GARY M ,  HART CHARLES C

IPC: A61B17/34

CPC classification number: A61B17/0293 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3496 ,  A61B17/3498 ,  A61B90/40 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0225 ,  A61B2017/0287 ,  A61B2017/3419 ,  A61B2017/347 ,  A61B2050/005 ,  A61B2050/0051

Abstract: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical Wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the "doming" phenomenon produced by insufflation of a patient's abdomen is reduced.

Abstract translation: 本发明涉及一种具有软胶囊，保持器，套筒和保持环的手访腹腔镜装置。 胶囊包括结合到盖的凝胶。 帽包括内部圆柱形壁，凝胶粘合在内部圆柱形壁上，由此在器具和体壁中的伤口之间提供密封区域。 通过将凝胶固定到内圆柱壁上，凝胶和相应盖的厚度随着装置的整体占地面积而最小化。 随着凝胶厚度减小并且能够基本齐平，由患者腹部的吹气产生的“隆起”现象减少。

公开(公告)号：WO2007048083A2

公开(公告)日：2007-04-26

申请号：PCT/US2006/060019

申请日：2006-10-16

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  MCGINLEY, Kimball, B. ,  KAHLE, Henry ,  TAYLOR, Scott, V. ,  JOHNSON, Gary, M.

Inventor： MCGINLEY, Kimball, B. ,  KAHLE, Henry ,  TAYLOR, Scott, V. ,  JOHNSON, Gary, M.

IPC: A61B17/34 ,  A61B17/00

CPC classification number: A61B17/3423 ,  A61B17/0218 ,  A61B17/3417 ,  A61B17/3462 ,  A61B17/3474 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/3419 ,  A61B2017/3464 ,  A61B2017/347 ,  A61M13/003 ,  A61M39/223 ,  A61M2039/229

Abstract: A surgical access port or trocar is provided, The trocar has a trocar seal housing and a trocar cannula with an optical obturator insertable through the trocar seal housing and the trocar cannula. The trocar is configured to access a body cavity, to maintain positive pressure and to prevent foss of surgical insufflation gas used in laparoscopic procedures, The trocar seal housing can be releasably attached to the trocar cannula.. The trocar seal housing may also have a shield and/or alignment channel that provide protection or assist in operation of instrument and zero seals housed in the trocar seal housing.

Abstract translation: 提供外科进入口或套管针。套管针具有套管针密封件外壳和套管针套管，其具有通过套管针密封件壳体和套针套管插入的光学闭塞器。 套针针被配置成进入体腔，以保持正压力并防止在腹腔镜手术中使用的手术放气气体的毛孔。套管针密封件壳体可以可释放地附接到套管针套管。套管针密封件壳体也可以具有屏蔽 和/或对准通道，其提供保护或协助操作装在套管针密封壳体中的仪器和零密封。

公开(公告)号：WO2007044911A1

公开(公告)日：2007-04-19

申请号：PCT/US2006/040154

申请日：2006-10-12

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  BRUSTAD, John, R. ,  ALBRECHT, Jeremy, J. ,  HILAL, Nabil ,  JOHNSON, Gary, M. ,  HART, Charles, C.

Inventor： BRUSTAD, John, R. ,  ALBRECHT, Jeremy, J. ,  HILAL, Nabil ,  JOHNSON, Gary, M. ,  HART, Charles, C.

IPC: B29C39/18 ,  B29C39/42 ,  A61B17/34

CPC classification number: A61B17/0293 ,  A61B17/02 ,  A61B17/0218 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B17/3496 ,  A61B17/3498 ,  A61B90/40 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0225 ,  A61B2017/0287 ,  A61B2017/3419 ,  A61B2017/347 ,  A61B2050/005 ,  A61B2050/0051

Abstract: The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the "doming" phenomenon produced by insufflation of a patient's abdomen is reduced.

Abstract translation: 本发明涉及一种具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。 凝胶帽包括粘合到盖子上的凝胶。 盖包括内部圆柱形壁，凝胶粘合到该内部圆柱形壁上，从而在装置和身体壁上的伤口之间提供密封区域。 通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体尺寸一起被最小化。 随着凝胶厚度降低并且能够基本上齐平，通过吹入患者腹部产生的“隆起”现象减少。

公开(公告)号：WO2005042646A3

公开(公告)日：2007-04-19

申请号：PCT/US2004036166

申请日：2004-10-29

Applicant: APPLIED MED RESOURCES ,  BRUSTAD JOHN R ,  HILAL NABIL ,  JOHNSON GARY M ,  HART CHARLES C

Inventor： BRUSTAD JOHN R ,  HILAL NABIL ,  JOHNSON GARY M ,  HART CHARLES C

IPC: A61F2/04 ,  A61B17/00 ,  A61B17/02 ,  A61B17/06 ,  A61B17/064 ,  A61B17/122 ,  A61F2/00 ,  A61F2/02 ,  A61F2/06 ,  A61F2/24 ,  B05D3/00 ,  C09D20060101

CPC classification number: A61B17/064 ,  A61B17/02 ,  A61B17/06166 ,  A61B17/122 ,  A61B2017/00345 ,  A61B2017/00858 ,  A61F2002/0086 ,  A61L27/30 ,  A61L31/082 ,  A61L2400/12 ,  A61L2400/18

Abstract: The invention is directed to nanostructure surface treatments or coatings formed from nanoscale building blocks. The nanostructure surface treatments or coatings have hydrophobic, hydrophilic and surface adherence properties. The nanoscale building blocks have orientation, geometry, packing density and composition that may be adjusted to control the unique surface characteristics of the desired treatment or coating. Applications of this nanostructure surface treatment or coating include surgical clips and clamps to improve retention without relying on material deformation and high pressure to assure adherence. In one aspect, a nanostructure surface treatment for a medical device having an external surface to provide a hydrophobic or a hydrophilic surface.

Abstract translation: 本发明涉及由纳米级结构单元形成的纳米结构表面处理或涂层。 纳米结构表面处理或涂层具有疏水性，亲水性和表面粘附性。 纳米尺度的结构单元具有取向，几何形状，填充密度和组成，可以调节以控制所需处理或涂层的独特表面特性。 该纳米结构表面处理或涂层的应用包括手术夹和夹具以改善保留性，而不依赖于材料变形和高压力以确保附着。 在一个方面，用于具有外表面以提供疏水或亲水表面的医疗装置的纳米结构表面处理。

公开(公告)号：WO2006078661A1

公开(公告)日：2006-07-27

申请号：PCT/US2006/001628

申请日：2006-01-18

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  GADBERRY, Donald, L. ,  JOHNSON, Gary, M. ,  ALBRECHT, Jeremy, L. ,  OKIHISA, David ,  HILAL, Said, S. ,  STROKOSZ, Arkadiusz, A.

Inventor： GADBERRY, Donald, L. ,  JOHNSON, Gary, M. ,  ALBRECHT, Jeremy, L. ,  OKIHISA, David ,  HILAL, Said, S. ,  STROKOSZ, Arkadiusz, A.

IPC: A61B17/28 ,  A61B17/32 ,  A61B18/08 ,  A61B10/00

CPC classification number: A61B17/29 ,  A61B10/06 ,  A61B17/1608 ,  A61B17/3201 ,  A61B18/1445 ,  A61B2017/0023 ,  A61B2017/2902 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/294 ,  A61B2017/2945 ,  A61B2018/1432

Abstract: The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.

Abstract translation: 本发明涉及一种包括手柄组件和轴组件的手术器械。 手柄组件还包括固定手柄和枢转手柄。 轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。 轴组件包括可旋转旋钮以提供360度旋转。 致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。 外管由塑料制成，并配合在致动杆上，用作电绝缘体。