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111. 发明授权

US06887194B2 Surgical access apparatus and method 有权
标题翻译：手术进入装置及方法
公开(公告)号：US06887194B2
公开(公告)日：2005-05-03
申请号：US10346846
申请日：2003-01-17
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61B1/313 , A61B17/32 , A61B17/34 , A61B19/00 , A61B1/00
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3474 , A61B90/30 , A61B2017/320044 , A61B2017/349 , A61B2090/08021 , A61B2090/373
摘要： A laparoscopic insufflation device is provided in the configuration of a coil with a blunt tip. The device is capable of passing through the abdominal wall without cutting tissue, and exiting the abdominal wall substantially parallel to the inner surface. While rotation of the coiled device results in forward movement through the abdominal wall, a counter force can be applied to the device to create a safety space between the wall and the interior organs. With the blunt distal tip, parallel exit angle, and safety space, there is substantially no threat to the interior organs during placement of the device. Further space can be generated with the use of pressured gas to produce an abdominal cavity for the subsequent placement of trocars. By rotatably attaching the coiled insufflation device to a trocar, the advantage of a counter force can be used not only to establish the safety space but also to pull the trocar into the abdominal wall with a counterforce which resists tenting.
摘要翻译：在具有钝头的线圈的构造中提供了腹腔镜吹气装置。该装置能够穿过腹壁而不切割组织，并且基本上平行于内表面离开腹壁。当卷绕装置的旋转导致通过腹壁的向前运动时，可以向装置施加反作用力以在壁和内部器官之间形成安全空间。使用钝的远端，平行的出口角度和安全空间，在设备放置期间对内部器官基本上没有威胁。可以通过使用加压气体产生进一步的空间以产生用于随后放置套管针的腹腔。通过可旋转地将卷绕的吹气装置连接到套管针上，反力的优点不仅可以用于建立安全空间，而且可以用抵抗帐篷的反作用力将套管针拉入腹壁。

112. 发明授权

US07942862B2 Surgical access apparatus and method 失效
标题翻译：手术进入装置及方法
公开(公告)号：US07942862B2
公开(公告)日：2011-05-17
申请号：US11383927
申请日：2006-05-17
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61M31/00
CPC分类号： A61B17/3421 , A61B1/3132 , A61B17/3417 , A61B17/3474 , A61B90/30 , A61B2017/00685 , A61B2017/320044 , A61B2017/3405 , A61B2017/3484 , A61B2017/349 , A61B2090/08021 , A61B2090/373 , A61M25/02 , A61M25/04 , A61M2025/0286
摘要： A trocar system for providing access across a body wall includes a trocar and an anchor provided in the form of a first helix. The anchor is adapted for placement in an operative position wherein the anchor extends at least partially through the body wall. A second helix formed on the trocar is size and configured to engage the first helix of the anchor so that rotation of the trocar relative to the anchor moves the second helix along the first helix. In this manner, the trocar is drawn into the anchor as it moves into the body wall. A proximal force applied to the anchor resists tenting of the abdominal wall. The anchor also holds the layers of the body wall together thereby resisting peritoneal separation.
摘要翻译：用于提供通过身体壁的通路的套针针系统包括以第一螺旋形式设置的套针针和锚。锚固件适于放置在操作位置，其中锚固件至少部分延伸穿过主体壁。形成在套针针上的第二螺旋是尺寸并且构造成接合锚固件的第一螺旋，使得套管针相对于锚的旋转沿着第一螺旋移动第二螺旋。以这种方式，套管针在移动到体壁时被拉入锚中。施加到锚的近侧力抵抗腹壁的隆起。锚固体还将体壁的层保持在一起，从而抵抗腹膜分离。

113. 发明申请

US20090264913A1 TAMPONADE TROCAR DEVICE AND METHOD 有权
标题翻译： TAMPONADE TROCAR设备和方法
公开(公告)号：US20090264913A1
公开(公告)日：2009-10-22
申请号：US12106920
申请日：2008-04-21
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61B17/34
CPC分类号： A61M25/0662 , A61B17/3421 , A61B17/3431 , A61B2017/00557 , A61B2017/320048 , A61M25/0102 , A61M25/1002 , A61M25/10185 , A61M2025/0681 , A61M2025/1068
摘要： A tamponade trocar includes an elongate balloon having a closed distal end and is adapted to expand from a small diameter to a large diameter. A cannula is positioned at a proximal portion within the balloon lumen. A rigid stylet is removably positioned within the balloon and cannula lumens. A distal end of the stylet supported balloon is inserted into a perforation in a body wall and advanced into a body cavity while the balloon is unexpanded. The balloon is expanded and the cannula is advanced to a distal portion of the balloon lumen and across the body wall. At this stage, the perforation is dilated and in compressive tamponade. The proximal portion of the balloon may be removed and a seal housing may be coupled to the proximal end of the cannula. The distal end of the balloon may be punctured and opened, making the trocar ready for use.
摘要翻译：填塞套管针包括具有封闭的远端的细长气囊，并适于从小直径膨胀到大直径。套管定位在气囊腔内的近端部分。刚性探针可拆卸地定位在球囊和套管内腔内。探针支撑球囊的远端插入体壁上的穿孔中，并且当气囊未膨胀时进入体腔。气囊膨胀并且套管前进到气囊腔的远端部分并穿过身体壁。在这个阶段，穿孔被扩张和压缩填塞。球囊的近端部分可以被移除，并且密封壳体可以联接到套管的近端。气囊的远端可以被刺穿和打开，使套管针准备使用。

114. 发明授权

US06183492B2 Perfusion-isolation catheter apparatus and method 有权
标题翻译：灌注隔离导管装置及方法
公开(公告)号：US06183492B2
公开(公告)日：2001-02-06
申请号：US09141196
申请日：1998-08-27
申请人： Charles C. Hart , Paul D. Hansen , Said Hilal , Mark Ashby , Lee L. Swanstrom , Bounsavanh Pravongviengkham , John R. Brustad
发明人： Charles C. Hart , Paul D. Hansen , Said Hilal , Mark Ashby , Lee L. Swanstrom , Bounsavanh Pravongviengkham , John R. Brustad
IPC分类号： A61M2900
CPC分类号： A61M25/104 , A61B17/12022 , A61B17/12036 , A61B17/12109 , A61B17/12118 , A61B17/12136 , A61B17/12172 , A61M25/005 , A61M25/0052 , A61M25/1006 , A61M2025/1052 , A61M2025/1095 , A61M2025/1097
摘要： A catheter includes an introducer and a flow isolator adapted for disposition in a primary conduit to facilitate flow in the primary conduit while inhibiting flow and intersecting secondary conduits. The flow isolator may include a tubular mesh and surrounding balloon structure. Alternatively, a sleeve can be provided with a primary opening and a secondary opening which are sized to inflate the sleeve with the body fluid. Structures for deploying the sleeve between a low-profile state and high-profile state may include expandable fingers, or pneumatic chambers inflatable from an external source. In operation the sleeve can be forced by the body fluid against the intersection with the secondary conduits to achieve isolation. Alternatively, the pneumatic chambers can be inflated to form seals with the primary conduit. A blood filter or snare is contemplated to filter any blood clots which may develop around the flow isolator.
摘要翻译：导管包括导引器和流动隔离器，其适于配置在主导管中，以促进主导管中的流动，同时抑制流动和相交的次级导管。流动隔离器可以包括管状网和周围的球囊结构。或者，套筒可以设置有初级开口和次级开口，其尺寸设置成使套筒与体液充气。用于在低轮廓状态和高轮廓状态之间展开套筒的结构可以包括从外部源充气的可膨胀手指或气动室。在操作中，套筒可以被身体流体压迫与次级管道的交叉点，以实现隔离。或者，气动室可以被充气以与主管道形成密封。预期血液过滤器或圈套可以过滤可能围绕流动隔离器发展的任何血块。

115. 发明授权

US09326776B2 Manually actuated surgical clip applier 有权
标题翻译：手动手术夹具
公开(公告)号：US09326776B2
公开(公告)日：2016-05-03
申请号：US11536467
申请日：2006-09-28
申请人： Donald L. Gadberry , Frans Vandenbroek , Gary M Johnson , Charles C. Hart , David Hearn
发明人： Donald L. Gadberry , Frans Vandenbroek , Gary M Johnson , Charles C. Hart , David Hearn
IPC分类号： A61B17/128 , A61B17/04 , A61B17/00
CPC分类号： A61B17/128 , A61B17/1285 , A61B2017/0046 , A61B2017/0488
摘要： A surgical clip applier is provided having a cartridge carrying multiple surgical clips with a manual graspable actuator configured to sequentially deliver clips to the jaws of the clip applier. Both the cartridge and the jaws are connectable to a scissors-like handle assembly arranged to translate motion from finger loops to the jaws to open and close the jaws and thus close or crimp a delivered clip between the jaws.
摘要翻译：提供了一种手术夹具，其具有带有多个外科夹具的药筒，手动夹持致动器构造成将夹子顺序地递送到施夹器的钳口。卡盘和卡爪均可连接到剪刀状手柄组件，该手柄组件被布置成将手指环的运动转移到夹爪，以打开和关闭卡爪，从而封闭或夹紧卡爪之间的卡扣。

116. 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。

117. 发明授权

US08652147B2 Device for isolating and removing tissue from a body cavity 有权
标题翻译：用于从体腔隔离和去除组织的装置
公开(公告)号：US08652147B2
公开(公告)日：2014-02-18
申请号：US11549701
申请日：2006-10-16
申请人： Charles C. Hart
发明人： Charles C. Hart
IPC分类号： A61B17/24
CPC分类号： A61B17/00234 , A61B2017/00287
摘要： A tissue isolation and removal device has a containment pouch that is opened and supported by the device. The pouch has two open/close portions both able to be closed and reopened. One portion positioned away from tissue being inserted in the pouch and covering the other portion to enclose or isolate any tissue captured in the other portion.
摘要翻译：组织隔离和去除装置具有由装置打开和支撑的容纳袋。该袋具有两个打开/关闭部分，能够关闭并重新打开。位于远离组织的一部分被插入袋中并覆盖另一部分以包围或隔离在另一部分中捕获的任何组织。

118. 发明授权

US06217555B1 Multiport trocar 失效
标题翻译：多端口套管针
公开(公告)号：US06217555B1
公开(公告)日：2001-04-17
申请号：US08793494
申请日：1996-01-14
申请人： Charles C. Hart , Vincent C. Tangherlini
发明人： Charles C. Hart , Vincent C. Tangherlini
IPC分类号： A61M5178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , Y10S128/26
摘要： A trocar adapted to extend across the body wall into a body cavity, forming a seal around an instrument inserted through the trocar, comprises a cannula having a first axis extending between proximal and distal ends. A valve housing attached to the proximal end of the cannula forms a working channel with the cannula and includes a rigid housing portion and a flexible housing portion. First and second septum valves are formed in an end wall of the flexible housing portion and form separate valve sets with associated zero closure valves disposed within the valve housing. The valve sets are sized and configured accommodating different ranges of instrument diameters. The first and second septum valves are offset from the axis of the cannula in normal positions but are movable to positions more aligned with the axis of the cannula, due to elastomeric characteristics of the flexible housing.
摘要翻译：套管针适于延伸穿过身体壁进入体腔，在穿过套管针插入的器械周围形成密封件，包括具有在近端和远端之间延伸的第一轴线的插管。附接到套管的近端的阀壳体与套管形成工作通道，并且包括刚性壳体部分和柔性壳体部分。第一和第二隔膜阀形成在柔性壳体部分的端壁中并且形成分离的阀组，其具有设置在阀壳体内的相关联的零关闭阀。阀组的尺寸和配置适应不同范围的仪器直径。第一和第二隔膜阀在正常位置偏离套管的轴线，但是由于柔性壳体的弹性特性，它们可移动到与插管的轴线更为对准的位置。

119. 发明授权

US6139555A Grasping clip applier 有权
标题翻译：抓握施压器
公开(公告)号：US6139555A
公开(公告)日：2000-10-31
申请号：US171273
申请日：1998-10-15
申请人： Charles C. Hart , Donald L. Gadberry
发明人： Charles C. Hart , Donald L. Gadberry
IPC分类号： A61B17/128 , A61B17/10
CPC分类号： A61B17/1285
摘要： A surgical clip applier for use in applying ligation as well as fixation surgical clips or fasteners to a vessel or other tissue at a surgical site. The clip applier includes an elongated hollow outer body having a proximal end attached to an actuating mechanism and a distal end. A pair of generally opposing jaws are coupled to the distal end of the outer body and are configured with guide slots for receiving a surgical clip. Means are provided for advancing a clip from within the outer body into the guide slots. Movement of the actuating mechanism moves the jaws between an open position, a first closed position and a second and fully closed position. The jaws are placed over a section of tissue and closed to the first closed position such that the tissue is compressed. The clip site is tested for proper ligation, and if acceptable, a clip is advanced into the jaw members. A pair of shims are moved distally within the elongated outer body and inserted between the guide slots and the clip such that the clip is compressed over the tissue. The jaws are then moved to the second closed position to fully compress the clip over the tissue and the shims withdrawn. A V-shaped surgical clip of the present invention is provided in a semi-closed configuration to minimize the required overall outer diameter or width of the surgical clip applier.
摘要翻译： PCT No.PCT / US97 / 06537 371日期：1998年10月15日 102（e）日期1998年10月15日PCT 1997年4月17日PCT公布。公开号WO97 / 39689 日期1997年10月30日一种外科手术夹具用于结扎术，以及将手术夹子或紧固件固定在手术部位的血管或其他组织上。施夹器包括细长的中空外体，其具有附接到致动机构和远端的近端。一对大致相对的夹爪联接到外部主体的远端并且被配置有用于接收外科夹具的导槽。提供了用于将夹子从外体内推进到引导槽中的装置。致动机构的移动使钳口在打开位置，第一关闭位置和第二和完全关闭位置之间移动。将钳口放置在组织的一部分上并且闭合到第一关闭位置，使得组织被压缩。测试剪辑位置进行适当的连接，如果可以接受，则将夹子推进到钳口构件中。一对垫片在细长的外部本体内向远侧移动并插入在引导狭槽和夹子之间，使夹子压在组织上。然后将钳口移动到第二关闭位置以将夹子完全压缩在组织上并且将垫片拉出。本发明的V形手术夹具以半封闭构造提供，以最小化外科夹子施放器的所需整体外径或宽度。

120. 发明授权

US5904698A Surgical shaving device for use within body conduits 失效
标题翻译：用于体内管道的外科剃须装置
公开(公告)号：US5904698A
公开(公告)日：1999-05-18
申请号：US872206
申请日：1997-06-10
申请人： Thomas P. Thomas , Charles C. Hart , Said Hilal
发明人： Thomas P. Thomas , Charles C. Hart , Said Hilal
IPC分类号： A61B17/22 , A61B17/32 , A61B18/14
CPC分类号： A61B17/3207 , A61B17/221 , A61B18/1492 , A61B17/320725 , A61B2017/22061 , A61B2017/2212 , A61B2017/320004 , A61B2018/00214
摘要： A surgical device is disclosed for treating and removing obstructing material from within a vascular conduit or other body passageway. The device comprises a catheter device having an expandable and collapsible outer mesh sleeve disposed at a distal end. The outer mesh sleeve is configured such that when expanded in the obstructed conduit or passageway, a portion of the obstructing material is forced through a plurality of openings in its outer surface and thus, into the outer mesh sleeve. An inflatable and deflatable balloon may be coupled to the catheter and used to radially expand the outer mesh sleeve into the obstructing material. A treatment element disposed within the catheter device is moved against the inner surface of the outer mesh sleeve to treat and remove any obstructing material with which it contacts. The treatment element may be configured as a blade for physically removing the obstructing material, or as an electrode for electrosurgical treatment. After treatment or removal of the obstructing material, the outer mesh sleeve is collapsed and the catheter device removed from the body conduit.
摘要翻译：公开了用于从血管导管或其他身体通道内处理和移除阻塞材料的手术装置。该装置包括导管装置，其具有设置在远端的可扩张和可折叠的外网套筒。外网套筒被构造成使得当在阻塞的导管或通道中膨胀时，阻挡材料的一部分被迫穿过其外表面中的多个开口，并因此被压入外网套筒中。可膨胀和可放气的气囊可以联接到导管并用于将外网套径向膨胀成阻塞材料。设置在导管装置内的处理元件抵靠外网套的内表面移动，以处理和移除与其接触的任何障碍材料。处理元件可以被构造为用于物理去除阻塞材料的刀片，或者用作用于电外科治疗的电极。在处理或去除阻塞材料之后，外网套筒被折叠并且导管装置从主体管道移除。

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