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91. 发明授权

US08109873B2 Surgical retractor with gel pad 有权
标题翻译：手术牵开器带有凝胶垫
公开(公告)号：US08109873B2
公开(公告)日：2012-02-07
申请号：US12119371
申请日：2008-05-12
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： 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.
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。

92. 发明申请

US20110190592A1 BLADELESS OPTICAL OBTURATOR 有权
标题翻译：无光学光学器件
公开(公告)号：US20110190592A1
公开(公告)日：2011-08-04
申请号：US13085194
申请日：2011-04-12
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B1/32 , A61B17/34
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要： The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译：本发明涉及一种无插管套管针闭塞器，用于在插入穿过体壁时分离或分离身体组织。一方面，本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖，所述外表面向远侧延伸到钝点，一对侧部具有共同的形状并且被至少一个中间体其中每个所述侧部分从所述钝点径向向外延伸，并具有沿所述轴向近端的渐进位置，并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。通过这个方面，锥形配置便于分离身体组织的不同层，并提供顶层在层之间的适当对准。侧部包括远端部分和近端部分，侧部分的远侧部分相对于侧部部分的近端部分径向扭转。中间部分包括远端部分和近端部分，中间部分的远端部分在第一径向方向上扭转，并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。

93. 发明授权

US08961410B2 Surgical retractor with gel pad 有权
标题翻译：手术牵开器带有凝胶垫
公开(公告)号：US08961410B2
公开(公告)日：2015-02-24
申请号：US13345279
申请日：2012-01-06
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
IPC分类号： A61B1/32 , A61B17/34 , A61B17/00
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： 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.
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。

94. 发明授权

US08608769B2 Bladeless optical obturator 有权
标题翻译：无光学光学闭孔器
公开(公告)号：US08608769B2
公开(公告)日：2013-12-17
申请号：US13565972
申请日：2012-08-03
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/00
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要： A surgical access device comprising a tissue separating obturator suitable for connection with a cannula is disclosed. The obturator includes an elongate shaft having a transparent distal tip. The elongate shaft extends along a longitudinal axis and defines a lumen. The transparent distal tip has a tapered configuration and includes an inner surface and an outer surface adapted for penetrating tissue. The lumen is sized and configured to receive an optical instrument such as a laparoscope. The surgical access device further includes a scope lock at the proximal end of the shaft portion. The lock includes a multi-fingered collet coaxial with the lumen. The inner diameter of the collet is smaller than an outer diameter of the optical instrument and the fingers of the collet provide frictional engagement with the outer diameter of the optical instrument that is inserted into the lumen of the obturator.
摘要翻译：公开了一种外科进入装置，其包括适于与套管连接的组织分离闭塞器。封闭器包括具有透明远端的细长轴。细长轴沿着纵向轴线延伸并且限定内腔。透明的远侧末端具有锥形构造并且包括适于穿透组织的内表面和外表面。管腔的尺寸和构造适于接收诸如腹腔镜的光学仪器。外科进入装置还包括在轴部分的近端处的镜架锁。锁包括与管腔同轴的多指夹头。夹头的内径小于光学仪器的外径，并且夹头的指状物提供与插入到填塞器的内腔中的光学仪器的外径的摩擦接合。

95. 发明授权

US08308639B2 Split hoop wound retractor with gel pad 有权
标题翻译：分体箍卷绕牵引器与凝胶垫
公开(公告)号：US08308639B2
公开(公告)日：2012-11-13
申请号：US13050042
申请日：2011-03-17
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Donald L. Gadberry
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Donald L. Gadberry
IPC分类号： A61B1/32
CPC分类号： 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
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

96. 发明授权

US07947058B2 Bladeless optical obturator 有权
标题翻译：无光学光学闭孔器
公开(公告)号：US07947058B2
公开(公告)日：2011-05-24
申请号：US10956167
申请日：2004-10-01
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/00
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要： The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译：本发明涉及一种无插管套管针闭塞器，用于在插入穿过体壁时分离或分离身体组织。一方面，本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖，所述外表面向远侧延伸到钝点，一对侧部具有共同的形状并且被至少一个中间体其中每个所述侧部分从所述钝点径向向外延伸，并具有沿所述轴向近端的渐进位置，并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。通过这个方面，锥形配置便于分离身体组织的不同层，并提供顶层在层之间的适当对准。侧部包括远端部分和近端部分，侧部分的远侧部分相对于侧部部分的近端部分径向扭转。中间部分包括远端部分和近端部分，中间部分的远端部分在第一径向方向上扭转，并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。

97. 发明申请

US20090234293A1 INSTRUMENT SEAL 有权
标题翻译：仪器密封
公开(公告)号：US20090234293A1
公开(公告)日：2009-09-17
申请号：US12405040
申请日：2009-03-16
申请人： Jeremy J. Albrecht , John R. Brustad , Gary M. Johnson , Matthew W. Becerra , Eric Nguyen
发明人： Jeremy J. Albrecht , John R. Brustad , Gary M. Johnson , Matthew W. Becerra , Eric Nguyen
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/3421 , A61B2017/3464 , A61M2039/0633
摘要： A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder. Some embodiments of the instrument contact element have an hourglass configuration with a first end proximal of the opening of the compression element and a second end distal of the opening of the compression element. Other embodiments of the instrument contact element “wrap around” the opening in the compression element, with the first end and the second end secured to the same side of the opening, for example, proximal of the opening. Embodiments of the compression element comprise an elastomeric seal, for example, a septum seal and/or a gel seal.
摘要翻译：手术进入口包括将仪器接触功能与仪器符合功能分开的阀或仪器密封件。仪器密封件的实施例包括在通过压缩元件中的开口延伸的仪器接触元件中，从而限定与延伸穿过其中的仪器密封的仪器孔。仪器接触元件的实施例包括不可扩张的膜或膜，例如作为管或气缸。仪器接触元件的一些实施例具有沙漏构造，其具有靠近压缩元件的开口的第一端和压缩元件的开口的远端的第二端。仪器接触元件的其他实施例“包裹”压缩元件中的开口，其中第一端和第二端固定到开口的相同侧，例如开口的近侧。压缩元件的实施例包括弹性体密封件，例如隔膜密封件和/或凝胶密封件。

98. 发明申请

US20080281162A1 SURGICAL RETRACTOR 有权
标题翻译：外科手术
公开(公告)号：US20080281162A1
公开(公告)日：2008-11-13
申请号：US12119414
申请日：2008-05-12
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
IPC分类号： A61B1/32
CPC分类号： A61B17/3423
摘要： 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.
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回并密封生物体壁中的开口。进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。

99. 发明授权

US07591802B2 Seal housing having anti-inversion features 有权
标题翻译：密封外壳具有防反转功能
公开(公告)号：US07591802B2
公开(公告)日：2009-09-22
申请号：US11119189
申请日：2005-04-29
申请人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
发明人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/34 , A61B17/3417 , A61B17/3462 , A61B2017/3464 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/0646 , A61M2039/0653
摘要： The invention is directed to a trocar adapted to form a seal around a surgical instrument, the trocar comprising a cannula having an axis extending between a proximal end and a distal end; a housing having a proximal wall and forming with the cannula a working channel sized and configured to receive the instrument; a septum seal disposed in the housing and extending transverse to the axis of the cannula across the working channel, the septum seal having a normal state when the instrument is absent from the working channel and a stretched state when the instrument is being withdrawn from the working channel; portions of the proximal wall of the housing defining an orifice sized and configured to receive the instrument into the working channel; and an elastomeric ring-shaped projection extending axially distally between the proximal wall and the septum seal, the ring-shaped projection having an axial length adapted to deform to prevent inversion and binding of the septum seal and the orifice upon withdrawal of the surgical instrument. In particular, the septum seal is prevented from reaching the orifice in the proximal wall of the housing when the instrument is withdrawn. The projection may be bonded, insert-molded, or compressively fitted to the proximal wall of the housing. The projection may be formed of an elastomeric material such as natural or synthetic rubber. The projection may further comprise a plurality of portions or fingers extending axially distally from the proximal wall, each of the extending portions or fingers may further include a living hinge. In another aspect, the ring-shaped projection may be formed on the surface of the septum seal instead of the proximal wall of the housing. That is, the ring-shaped projection may be formed to extend axially proximally from the surface of the septum seal toward the proximal wall of the housing.
摘要翻译：本发明涉及适于在外科器械周围形成密封的套针针，套管针包括具有在近端和远端之间延伸的轴线的插管; 壳体，其具有近侧壁并与套管形成工作通道，工作通道的尺寸和构造用于接收仪器; 隔膜密封件，其设置在壳体中并且跨过工作通道横向于套管的轴线延伸，当仪器不在工作通道中时，隔膜密封件具有正常状态，并且当仪器从工作通道中撤出时的拉伸状态渠道; 壳体的近侧壁的部分限定了尺寸和构造成将仪器接纳到工作通道中的孔口; 以及在近端壁和隔膜密封件之间沿轴向向远侧延伸的弹性环形突起，所述环形突起具有适于变形的轴向长度，以防止在外科器械撤回时隔垫密封件和孔口的反转和结合。特别地，当取出仪器时，防止隔垫密封件到达外壳近端的孔口。突起可以被接合，嵌入成型或压缩地装配到壳体的近侧壁。突起可以由弹性体材料形成，例如天然或合成橡胶。突出部还可以包括从近侧壁向轴向延伸的多个部分或手指，每个延伸部分或手指还可包括活动铰链。另一方面，环形突起可以形成在隔膜密封件的表面上而不是壳体的近侧壁上。也就是说，环形突起可以形成为从隔膜密封件的表面朝向壳体的近侧壁的轴向向近侧延伸。

100. 发明授权

US5792112A Trocar with electrical discharge path 失效
标题翻译：套管带放电路径
公开(公告)号：US5792112A
公开(公告)日：1998-08-11
申请号：US546281
申请日：1995-10-20
申请人： Charles C. Hart , Gary M. Johnson , Matthew N. Petrime , Mark P. Ashby , Vincent C. Tangherlini
发明人： Charles C. Hart , Gary M. Johnson , Matthew N. Petrime , Mark P. Ashby , Vincent C. Tangherlini
IPC分类号： A61B17/00 , A61B17/34 , A61B18/00 , A61M5/178
CPC分类号： A61B17/3417 , A61B2017/00469 , A61B2017/347 , A61B2017/349 , A61B2017/3492 , A61B2018/00077
摘要： An adjustable surgical clamp having an axis that is adapted to releasably engage the outer surface of a cylindrical instrument such as a trocar. An elastomeric sleeve has an outer surface and an inner surface which is sized to frictionally engage the instrument. A constriction member forming a ring around the sleeve is operable between a first position wherein the ring has a first diameter and a second position wherein the ring has a second diameter. A pair of tabs attached to the constriction member are movable relative to each other to operate the constriction member between the first and second positions. A tube extending axially of the constriction member includes a protrusion which may be in the form of a helix, a plurality of annuli or an inflatable balloon enhances the fixed relationship with a body wall.
摘要翻译：一种可调整的手术夹具，其具有适于可释放地接合圆柱形器械（例如套管针）的外表面的轴线。弹性体套筒具有外表面和内表面，其尺寸设计成摩擦地接合仪器。形成围绕套筒的环的收缩构件可在第一位置和第二位置之间操作，其中环具有第一直径和第二位置，其中环具有第二直径。附接到收缩构件的一对突片可相对于彼此移动以在第一和第二位置之间操作收缩构件。沿收缩构件的轴向延伸的管包括可以是螺旋形的突起，多个环或可充气气球增强与体壁的固定关系。

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