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91. 发明申请

US20120059324A1 SURGICAL ACCESS PORT AND METHOD OF USING SAME 有权
标题翻译：外科手术口及其使用方法
公开(公告)号：US20120059324A1
公开(公告)日：2012-03-08
申请号：US13209200
申请日：2011-08-12
申请人： Gary M. Johnson , John R. Brustad , Charles C. Hart
发明人： Gary M. Johnson , John R. Brustad , Charles C. Hart
IPC分类号： A61B17/34
CPC分类号： A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要： A surgical access port for insertion into a body cavity can have an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip moves from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip.
摘要翻译：用于插入体腔的外科进入口可以具有沿着近端和远端之间的轴延伸的细长管状体，以及在管状体的远端处的尖端，用于穿透体壁并进入体内腔。当身体壁已经穿过时，远端从第一穿透位置移动到第二保持位置。外科进入口还可以包括连接到管状体的近端的密封外壳，密封壳体具有进入端口，该进入口提供管状体的开口以允许手术器械通过。远侧尖端可以是尖锐的，尖的或叶片的。远侧末端也可以是基本上钝的或具有锥形表面。进入端口还可以包括用于连接管状体和远侧末端的保持构件。

92. 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。

93. 发明申请

US20110021879A1 SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR 有权
标题翻译：包括内部收缩器的外科手术装置
公开(公告)号：US20110021879A1
公开(公告)日：2011-01-27
申请号：US12840989
申请日：2010-07-21
申请人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
发明人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kenni Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia J. Tran
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/3423 , A61B2017/00265
摘要： 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.
摘要翻译：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外科手术领域。内部牵开器的实施例是可调节的。

94. 发明授权

US07625370B2 Tissue fusion/welder apparatus and method 有权
标题翻译：组织熔接设备和方法
公开(公告)号：US07625370B2
公开(公告)日：2009-12-01
申请号：US10504279
申请日：2003-01-16
申请人： Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
发明人： Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
IPC分类号： A61B18/18 , A61B17/08
CPC分类号： A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要： 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.
摘要翻译：组织焊接装置适于将第一片组织熔合到第二片组织中，所述第二片组织布置在表面邻近关系中。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穿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片组织的柱。化学试剂可以用穿透构件携带到组织。

95. 发明授权

US08597251B2 Pleated trocar shield 有权
标题翻译：褶皱套管针盾
公开(公告)号：US08597251B2
公开(公告)日：2013-12-03
申请号：US13591853
申请日：2012-08-22
申请人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

96. 发明申请

US20130245381A1 NATURAL ORIFICE SURGERY SYSTEM 有权
标题翻译：自然手术手术系统
公开(公告)号：US20130245381A1
公开(公告)日：2013-09-19
申请号：US13865854
申请日：2013-04-18
申请人： Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
发明人： Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B1/32 , A61B17/0218 , A61B17/0293 , A61B17/3421 , A61B17/3431 , A61B2017/00557 , A61B2017/00889 , A61B2017/00907 , A61B2017/0225 , A61B2017/3419 , A61B2017/3429 , A61B2017/3443 , A61B2017/3445 , A61B2017/345 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3482 , A61B2017/3486 , A61B2017/3492
摘要： 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; 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; and an inflatable member disposed around the distal end of the tubular body, the inflatable member sized and configured to fit snugly around the tubular body in the deflated condition and to expand against the wall of the natural orifice in the inflated state to thereby stabilize and retain the retractor within the orifice.
摘要翻译：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，其中外环被配置成靠近患者的自然孔并且基本上围绕孔; 管状体漏斗段，其在所述外环和所述管状主体之间延伸并联接，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，其尺寸设定成适合于自然界小孔膨胀小孔; 以及可膨胀构件，其围绕所述管状体的远端设置，所述可膨胀构件的尺寸和构造尺寸和构造成在所述放气状态下紧密地配合在所述管状体周围，并且在膨胀状态下抵靠所述自然孔的壁膨胀，从而稳定和保持收缩器在孔内。

97. 发明授权

US08257317B2 Pleated trocar shield 有权
标题翻译：褶皱套管针盾
公开(公告)号：US08257317B2
公开(公告)日：2012-09-04
申请号：US13165931
申请日：2011-06-22
申请人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

98. 发明申请

US20100179479A1 PLEATED TROCAR SHIELD 有权
公开(公告)号：US20100179479A1
公开(公告)日：2010-07-15
申请号：US12685541
申请日：2010-01-11
申请人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

99. 发明申请

US20080249475A1 TROCAR SEAL 审中-公开
公开(公告)号：US20080249475A1
公开(公告)日：2008-10-09
申请号：US11677994
申请日：2007-02-22
申请人： Jeremy J. Albrecht , Donald L. Gadberry , Gary M. Johnson
发明人： Jeremy J. Albrecht , Donald L. Gadberry , Gary M. Johnson
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B2017/3464
摘要： A trocar seal removably connected to a trocar cannula is provided that comprises an instrument seal and a zero seal with the zero seal connected to the instrument seal. A cover is connected to the instrument seal and a sleeve extends from the cover distally towards the end of the instrument seal.
摘要翻译：提供可拆卸地连接到套管针插管的套针针密封件，其包括仪器密封件和零密封件，零密封件连接到仪器密封件。盖子连接到仪器密封件上，并且套筒从盖子向远侧朝向仪器密封件的端部延伸。

100. 发明申请

US20090182282A1 TROCAR STABILITY ASSEMBLY 有权
标题翻译： TROCAR稳定装置
公开(公告)号：US20090182282A1
公开(公告)日：2009-07-16
申请号：US12354429
申请日：2009-01-15
申请人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
发明人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3421 , A61B2017/3407 , A61B2017/347 , A61B2017/349 , A61B2017/3492
摘要： A stability assembly for a trocar cannula includes a conical stability member, a base, and a cannula retention member. The base has a passage defining an inner surface, and a constriction in the passage. The cannula retention member is rotatable within the passage, and advancement of the cannula retention member over the constriction reduces the inner diameter of the passage to restrain a cannula in the passage. Various latch mechanisms including interface surfaces on the base and the cannula retention member can be used in the stability assembly to secure the stability assembly around a cannula. Various conical stability members can be used in the stability assembly.
摘要翻译：用于套管针套管的稳定性组件包括锥形稳定构件，基座和套管保持构件。基部具有限定内表面的通道和通道中的收缩部。套管保持构件可在通道内旋转，并且套管保持构件在收缩部之上的前进减小了通道的内径以限制通道中的套管。可以在稳定性组件中使用包括底座和插管保持构件上的界面的各种闭锁机构，以将稳定性组件固定在套管周围。在稳定性组件中可以使用各种锥形稳定性构件。

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