公开(公告)号：WO03033044A3

公开(公告)日：2003-10-09

申请号：PCT/US0218975

申请日：2002-06-14

Applicant: APPLIED MED RESOURCES ,  CLAYMAN RALPH V ,  HILAL NABIL ,  PINGLETON EDWARD D ,  EWERS RICHARD C

Inventor： CLAYMAN RALPH V ,  HILAL NABIL ,  PINGLETON EDWARD D ,  EWERS RICHARD C

IPC: A61B17/221 ,  A61B1/00 ,  A61B1/018 ,  A61B17/22 ,  A61M20060101 ,  A61M1/00

CPC classification number: A61B1/018 ,  A61B17/221 ,  A61B2017/22072 ,  A61B2017/2212

Abstract: A medical device for viewing inside a body and for retrieving an object from a location within the body, the medical device comprising an endoscope (32) having a tube defining a working channel (36) and a basket (48) engageable with the object. In one embodiment of the invention, the basket (48) does not require a sheath and is disposed through the working channel such that the endoscope operates to contain or activate the sheathless basket. In another embodiment of the invention, a single push wire (66) with a collar (64) at its end is used in place of a sheath to control the opening and closing of the basket. In another embodiment of the invention, a tapered and funnel-shaped sheath (70) surrounding the basket is used to contain or activate the basket. The invention minimizes the basket crossing profile so as to improve fluid flow in the working channel.

Abstract translation: 一种用于在体内观察并用于从身体内的位置检索物体的医疗装置，所述医疗装置包括内窥镜（32），所述内窥镜具有限定工作通道（36）的管和与物体接合的筐（48）。 在本发明的一个实施例中，筐（48）不需要护套并且通过工作通道设置，使得内窥镜操作以容纳或激活无鞘筐。 在本发明的另一个实施例中，使用在其端部具有套环（64）的单个推进线（66）代替护套来控制篮子的打开和关闭。 在本发明的另一个实施例中，围绕篮子的锥形和漏斗形护套（70）用于容纳或激活筐。 本发明使筐横向轮廓最小化，以便改善工作通道中的流体流动。

公开(公告)号：WO2003033044A2

公开(公告)日：2003-04-24

申请号：PCT/US2002/018975

申请日：2002-06-14

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  CLAYMAN, Ralph, V. ,  HILAL, Nabil ,  PINGLETON, Edward, D. ,  EWERS, Richard, C.

Inventor： CLAYMAN, Ralph, V. ,  HILAL, Nabil ,  PINGLETON, Edward, D. ,  EWERS, Richard, C.

IPC: A61M

CPC classification number: A61B1/018 ,  A61B17/221 ,  A61B2017/22072 ,  A61B2017/2212

Abstract: A medical device for viewing inside a body and for retrieving an object from a location within the body, the medical device comprising an endoscope having a tube defining a working channel and a basket engageable with the object. In one embodiment of the invention, the basket does not require a sheath and is disposed through the working channel such that the endoscope operates to contain or activate the sheathless basket. In another embodiment of the invention, a single push wire with a collar at its end is used in place of a sheath to control the opening and closing of the basket. In another embodiment of the invention, a tapered and funnel-shaped sheath surrounding the basket is used to contain or activate the basket. The invention minimizes the basket crossing profile so as to improve fluid flow in the working channel.

Abstract translation: 一种用于在体内观察并用于从身体内的位置检索物体的医疗装置，所述医疗装置包括具有限定工作通道的管和可与所述物体接合的篮的内窥镜。 在本发明的一个实施例中，篮子不需要护套并且通过工作通道设置，使得内窥镜操作以容纳或激活无鞘篮。 在本发明的另一个实施例中，使用在其端部具有套环的单个推动线代替护套来控制筐的打开和关闭。 在本发明的另一个实施例中，围绕篮子的锥形和漏斗形护套用于容纳或激活筐。 本发明使筐横向轮廓最小化，以便改善工作通道中的流体流动。

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：WO2005072806A3

公开(公告)日：2006-02-02

申请号：PCT/US2005001129

申请日：2005-01-12

Applicant: APPLIED MED RESOURCES ,  BRUSTAD JOHN R ,  HILAL SAID S ,  HILAL NABIL ,  HART CHARLES C ,  JOHNSON GARY M ,  HILAL SERENE ,  SAKAKINE GHASSAN ,  GADBERRY DONALD L ,  PINGLETON EDWARD D ,  PETRIME MATTHEW N ,  ADLPARVAR PAYAM ,  HADLEY CARL B ,  VU KENNETH K

Inventor： BRUSTAD JOHN R ,  HILAL SAID S ,  HILAL NABIL ,  HART CHARLES C ,  JOHNSON GARY M ,  HILAL SERENE ,  SAKAKINE GHASSAN ,  GADBERRY DONALD L ,  PINGLETON EDWARD D ,  PETRIME MATTHEW N ,  ADLPARVAR PAYAM ,  HADLEY CARL B ,  VU KENNETH K

IPC: A61B17/00 ,  A61B17/34 ,  A61M25/00

CPC classification number: A61M25/0012 ,  A61B1/0011 ,  A61B1/0055 ,  A61B17/3421 ,  A61B2017/003 ,  A61M25/0043

Abstract: A medical tubing (15) 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 (53). The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus and include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections (101). If may comprise a secondary lumen and a pull wire. They may vary in diameter and/or composition in different portions or sections of the tubular structure. Some of the ring-shaped elements may be radiopaque, or they may comprise different colors to operate as indicators.

Abstract translation: 适于插入身体组织或空腔的医用管道（15）以及沿管道长度制造管道的不同变化的方法。 管道包括多个独立的，分立的，大致环形的元件，其串联布置并且熔合或粘结在一起，形成连续的管状结构（53）。 管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。 环形元件可以具有不同的弯曲模量，并且包括沿不同部分或部分（101）组装的柔性和刚性环形元件的组合。 如果可以包括第二内腔和拉线。 它们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。 一些环形元件可能是不透射线的，或者它们可以包括用作指示器的不同颜色。

公开(公告)号：WO2003068046A3

公开(公告)日：2003-08-21

申请号：PCT/US2003/001586

申请日：2003-01-16

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  BRUSTAD, John, R. ,  HART, Charles, C. ,  JOHNSON, Gary, M. ,  HILAL, Said, S. ,  PINGLETON, Edward, D.

Inventor： HART, Charles, C. ,  JOHNSON, Gary, M. ,  HILAL, Said, S. ,  PINGLETON, Edward, D.

IPC: A61B17/08

Abstract: A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.

公开(公告)号：WO2002091930A1

公开(公告)日：2002-11-21

申请号：PCT/US2001/015390

申请日：2001-05-11

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  HART, Charles, C. ,  PINGLETON, Edward, D. ,  BRUSTAD, John, R. ,  HILAL, Nabil ,  PINEDJIAN, Raffi, S.

Inventor： HART, Charles, C. ,  PINGLETON, Edward, D. ,  BRUSTAD, John, R. ,  HILAL, Nabil ,  PINEDJIAN, Raffi, S.

IPC: A61B17/34

CPC classification number: A61B17/34 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3431 ,  A61B17/3476 ,  A61B17/3496 ,  A61B2017/32006 ,  A61B2017/3454 ,  A61B2090/08021

Abstract: The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue. Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs. The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface.

Abstract translation: 套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。 设置在封闭器内部的牵引踏板在远端顶端反转，并沿闭塞器或插管的外表面向近侧延伸。 在远端，胎面可以促进分离而不是切割组织。 沿着外表面，胎面可以接合组织以沿着前进的闭孔向近侧拉。 这产生反作用力，其可导致净近端力促进腹壁的膨胀和腹壁与内脏的分离。 牵引踏板可以是轴向和/或径向连续的。 相关联的操作方法包括以下步骤：使身体壁与远侧末端处的牵引踏板相接触，并且沿着面向外表面的壁部分与身体壁与牵引踏板接合。

公开(公告)号：WO2012129316A1

公开(公告)日：2012-09-27

申请号：PCT/US2012/029964

申请日：2012-03-21

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  PINGLETON, Edward, D. ,  SAKAKINE, Ghassan ,  PRAVONG, Boun ,  PALERMO, Michael ,  RAAD, Nathalie

Inventor： PINGLETON, Edward, D. ,  SAKAKINE, Ghassan ,  PRAVONG, Boun ,  PALERMO, Michael ,  RAAD, Nathalie

IPC: B29D23/00 ,  F16L11/10 ,  A61M25/00

CPC classification number: A61M25/0012 ,  A61M25/0015 ,  B29C53/60 ,  B29C2793/0045 ,  B29L2031/753

Abstract: A method for manufacturing a kink- resistant tube having drainage holes is provided. A wire (2) is coated with plastic material (4) and wound around a mandrel (6) forming a plurality of windings. The wound coated wire is heated until the plastic coating material melts and bonds the wire windings to form a wire - reinforced sheath having wire- containing sections and non-wire containing sections. Alternatively, a coated or non- coated wire is wound around a mandrel together with separate polymer filament material and then heated. A filament having an elongated cross - section may be employed with the major axis of the elongated cross - section substantially parallel to the longitudinal axis of the sheath. At least one non-wire containing section is identified by passing light through at least one wall of the wire - reinforced sheath. Image capture and analysis via an optical system and microprocessor automatically identify regions to target a drill for forming holes in the non-wire containing sections.

Abstract translation: 提供一种制造具有排水孔的耐扭管的方法。 电线（2）涂覆有塑料材料（4）并围绕形成多个绕组的心轴（6）缠绕。 缠绕涂覆的线被加热直到塑料涂层材料熔化并结合线绕组，以形成具有线材包含部分和无线包含部分的线增强护套。 或者，将涂覆的或未涂覆的线与单独的聚合物长丝材料一起卷绕在心轴上，然后加热。 可以使用具有细长横截面的细丝，其中细长横截面的长轴基本上平行于护套的纵向轴线。 通过使光通过电线增强护套的至少一个壁来识别至少一个非线容纳部分。 通过光学系统和微处理器的图像捕获和分析自动识别区域以瞄准钻孔，以在非线包含部分中形成孔。

公开(公告)号：WO2007137184A3

公开(公告)日：2008-03-13

申请号：PCT/US2007069282

申请日：2007-05-18

Applicant: APPLIED MED RESOURCES ,  PINGLETON EDWARD D ,  PETRIME MATTHEW N ,  SAKAKINE GHASSAN ,  ALBRECHT JEREMY J ,  HILAL NABIL

Inventor： PINGLETON EDWARD D ,  PETRIME MATTHEW N ,  SAKAKINE GHASSAN ,  ALBRECHT JEREMY J ,  HILAL NABIL

IPC: B65H81/06

CPC classification number: B29D23/001 ,  A61M25/0009 ,  A61M25/0045 ,  A61M25/005 ,  A61M25/0662 ,  F16L11/24

Abstract: An efficient and cost-effective method of manufacturing a kink-resistant tube, wherein a coated wire is wound around a mandrel while simultaneously being heated to melt the coating, is provided.

Abstract translation: 提供了一种制造耐扭结管的有效且成本有效的方法，其中涂覆的线缠绕在心轴上同时被加热以熔化涂层。

公开(公告)号：WO2004075741A3

公开(公告)日：2004-10-14

申请号：PCT/US2004005487

申请日：2004-02-25

Applicant: APPLIED MED RESOURCES ,  BRUSTAD JOHN ,  EWERS RICHARD ,  PINGLETON EDWARD D ,  HILAL NABIL ,  ADLPARVAR PAYAM ,  TAYLOR SCOTT V ,  DULAK GARY R ,  DUNN MICHAEL J ,  MORALES NORMAN L ,  HART CHARLES C ,  BOWES ROBERT R II

Inventor： BRUSTAD JOHN ,  EWERS RICHARD ,  PINGLETON EDWARD D ,  HILAL NABIL ,  ADLPARVAR PAYAM ,  TAYLOR SCOTT V ,  DULAK GARY R ,  DUNN MICHAEL J ,  MORALES NORMAN L ,  HART CHARLES C ,  BOWES ROBERT R II

IPC: A61B20060101 ,  A61B1/32 ,  A61B17/00 ,  A61B17/34 ,  A61B19/00 ,  A61L20060101

CPC classification number: A61B17/3423 ,  A61B17/0293 ,  A61B17/3431 ,  A61B90/50 ,  A61B2017/00557 ,  A61B2017/0084 ,  A61B2017/00867 ,  A61B2017/3407 ,  A61B2017/3441 ,  A61B2017/3486 ,  A61B2017/3492

Abstract: A surgical retractor (10) is adapted for use in opening an incision (12) in a body wall (14) to facilitate access into a body cavity. The retractor includes an interior anchor (16) that is disposed interiorly of the body wall and an exterior tensioning device (56) that is disposed exteriorly of the body wall. At least one tension element (21) is coupled to the interior anchor and adapted to pass through the incision to engage the exterior tensioning device. Engaging elements (59, 62) are provided on the exterior tensioning device to engage the tension element and to maintain a tensile force on the tension element as it passes through the incision. Multiple concentric rings can also be used to maintain a tensile force on the tension element.

Abstract translation: 手术牵开器（10）适于用于打开体壁（14）中的切口（12），以便于进入体腔。 牵开器包括设置在体壁内部的内部锚固件（16）和布置在体壁外部的外部张紧装置（56）。 至少一个张力元件（21）联接到内部锚固件并且适于穿过切口以接合外部张紧装置。 接合元件（59,62）设置在外部张紧装置上以接合张力元件并且当张紧元件通过切口时在张力元件上保持张力。 也可以使用多个同心环来保持张力元件上的张力。

公开(公告)号：WO2003068046A2

公开(公告)日：2003-08-21

申请号：PCT/US2003/001586

申请日：2003-01-16

Applicant: APPLIED MEDICAL RESOURCES CORPORATION ,  BRUSTAD, John, R. ,  HART, Charles, C. ,  JOHNSON, Gary, M. ,  HILAL, Said, S. ,  PINGLETON, Edward, D.

Inventor： HART, Charles, C. ,  JOHNSON, Gary, M. ,  HILAL, Said, S. ,  PINGLETON, Edward, D.

IPC: A61B

CPC classification number: A61B17/12013 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1477 ,  A61B2017/320052 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1455

Abstract: A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piec of tissue. A chemical agent can be carried to the tissue with the penetrating member.

Abstract translation: 组织焊接装置适于将第一片组织熔合到布置在表面邻近关系中的第二片组织上。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成通过第一块材料和第二块材料的通道。 热源耦合到穿透构件，用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二组织组织的柱。 化学试剂可以用穿透构件携带到组织。