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11. 发明申请

WO2005032348A2 BLADELESS OPTICAL OBTURATOR 审中-公开
标题翻译：无光学光学器件
公开(公告)号：WO2005032348A2
公开(公告)日：2005-04-14
申请号：PCT/US2004032346
申请日：2004-10-01
申请人： APPLIED MED RESOURCES , KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
发明人： KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
IPC分类号： A61B20060101 , A61B17/00 , A61B17/32 , A61B17/34 , A61B19/00 , A61B
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。

12. 发明申请

WO2005032331A3 SURGICAL INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：手术仪器访问装置
公开(公告)号：WO2005032331A3
公开(公告)日：2006-09-08
申请号：PCT/US2004028250
申请日：2004-08-30
申请人： APPLIED MED RESOURCES , KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
发明人： KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
IPC分类号： A61B1/32 , A61B17/00 , A61B17/34
CPC分类号： A61B17/3423 , A61B5/024 , A61B5/0507 , A61B5/08 , A61B5/6889 , A61B5/6898 , A61B17/0293 , A61B17/3431 , A61B17/3498 , A61B2017/00526
摘要： A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
摘要翻译：手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。该阀具有用于在不存在仪器的情况下产生零密封的特性，以及用于具有高达约37mm直径的仪器的仪器密封件。阀可以包括凝胶材料，并且进入通道可以包括保护套筒，以在插入和抽出锋利的外科器械时提供伤口保护。阀还包括可以用凝胶材料插入或模制的盖环。保护套可以围绕盖环的内径粘合或模制。保护套筒可以是单个管状构件，或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。保护套和盖环可以由相同或不同的材料组成。外科进入装置还包括形成中空空间的阀周向布置的至少一个支撑环和可操作地放置在中空空间中的缠绕牵开器。卷绕卷收器包括内圈，外圈和连接内圈和外圈的柔性套管。

13. 发明申请

WO2005062750A3 MULTIPLE-ANGLE SCISSOR BLADE 审中-公开
标题翻译：多角度锯片
公开(公告)号：WO2005062750A3
公开(公告)日：2006-03-30
申请号：PCT/US2004036024
申请日：2004-10-29
申请人： APPLIED MED RESOURCES , AHLBERG RUSSELL E , JOHNSON GARY M , OKIHISA DAVID
发明人： AHLBERG RUSSELL E , JOHNSON GARY M , OKIHISA DAVID
IPC分类号： A61B17/32
CPC分类号： A61B17/3201 , A61B17/320016 , B24B3/52 , B26B13/06 , B26B13/08
摘要： The invention is directed to a pair of laparoscopic scissors, comprising a pair of blades connected at a pivot, where the cutting edge forms an angle with the outer surface along the length of the blade such that tension during a cutting operation at the tip portion is about the same as tension at the body portion during the cutting operation. In one aspect of the invention, the angle formed is continuously changing over the length of the blade. In another aspect, the angle at the tip portion is greater than at the body portion, and the angle progressively decreases from the tip portion to the body portion. In yet another aspect, the blade may comprise a proximal portion proximal to the body portion having a third body thickness, where the second body thickness is thicker than the first and third body thicknesses.
摘要翻译：本发明涉及一对腹腔镜剪刀，包括一对在枢轴处连接的刀片，其中切割刃沿着刀片的长度与外表面形成一角度，使得在尖端部分的切割操作期间的张力为在切割操作期间与身体部分处的张力大致相同。在本发明的一个方面，所形成的角度在叶片的长度上不断变化。在另一方面，尖端部分处的角度大于主体部分处的角度，并且角度从尖端部分向身体部分逐渐减小。在另一方面，刀片可以包括靠近主体部分的近端部分，其具有第三主体厚度，其中第二主体厚度比第一和第三主体厚度厚。

14. 发明申请

WO2011011538A2 SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR 审中-公开
标题翻译：包括内部收缩器的外科手术装置
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
申请人： 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
发明人： HART CHARLES C , JOHNSON GARY M , NGUYEN ERIC , PINGLETON EDWARD D , PRAVONGVIENGKHAM KENNII , SAKAKINE GHASSAN , WACHLI SERENE , BRUSTAD JOHN R , TRAN OLIVIA J
IPC分类号： A61B17/34
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手术区域。内部牵开器的实施例是可调节的。

15. 发明申请

WO2007137243A2 SURGICAL STAPLER 审中-公开
标题翻译：外科手术
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
申请人： APPLIED MED RESOURCES , WIXEY MATTHEW A , JOHNSON GARY M
发明人： WIXEY MATTHEW A , JOHNSON GARY M
IPC分类号： A61B17/04
CPC分类号： A61B17/0686 , A61B17/072 , A61B17/105 , A61B2090/0814
摘要： 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.
摘要翻译：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。

16. 发明申请

WO2005042646A3 SURFACE TREATMENTS AND MODIFICATIONS USING NANOSTRUCTURE MATERIALS 审中-公开
标题翻译：表面处理和使用纳米结构材料的改性
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
申请人： APPLIED MED RESOURCES , BRUSTAD JOHN R , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
发明人： BRUSTAD JOHN R , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
IPC分类号： A61F2/04 , A61B17/00 , A61B17/02 , A61B17/06 , A61B17/064 , A61B17/122 , A61F2/00 , A61F2/02 , A61F2/06 , A61F2/24 , B05D3/00 , C09D20060101
CPC分类号： A61B17/064 , A61B17/02 , A61B17/06166 , A61B17/122 , A61B2017/00345 , A61B2017/00858 , A61F2002/0086 , A61L27/30 , A61L31/082 , A61L2400/12 , A61L2400/18
摘要： 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.
摘要翻译：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。

17. 发明申请

WO2004035108A3 ACCESS DEVICE MAINTENANCE APPARATUS AND METHOD 审中-公开
标题翻译：访问设备维护设备和方法
公开(公告)号：WO2004035108A3
公开(公告)日：2004-10-28
申请号：PCT/US0330153
申请日：2003-09-24
申请人： APPLIED MED RESOURCES
发明人： JOHNSON GARY M , AHLBERG RUSSELL E
IPC分类号： A61B17/28 , A61B17/32 , A61B17/34 , A61M20060101 , A61M5/00
CPC分类号： A61B17/3498
摘要： A trocar (10) includes a valve housing (25) and cannula (16) which define a working channel. A valve (36) disposed in the valve housing (25) along the working channel includes a gel material which defines a slit (75) that functions as a zero seal in the absence of an instrument, and an instrument seal in the presence of an instrument. The slit (75) is formed by mating gel components (38, 41) which are preferably separated during storage of the device. This separation can be facilitated by a pull strip (90) which can be pre-lubricated and inserted into the slit (75) for ultimate removal prior to activation of the trocar (10).
摘要翻译：套管针（10）包括限定工作通道的阀壳体（25）和套管（16）。沿着工作通道设置在阀壳体（25）中的阀（36）包括凝胶材料，其限定在没有仪器的情况下用作零密封的狭缝（75），以及在存在仪器。狭缝（75）通过配合凝胶组分（38,41）而形成，凝胶组分优选在装置储存期间被分离。这种分离可以通过拉带（90）来促进，该拉条（90）可以预先润滑并插入狭缝（75）中，以在启动套管针（10）之前最终去除。

18. 发明公开

EP2018248A4 SURGICAL STAPLER 有权
标题翻译：手术克莱尔
公开(公告)号：EP2018248A4
公开(公告)日：2012-07-18
申请号：EP07784007
申请日：2007-05-21
申请人： APPLIED MED RESOURCES
发明人： WIXEY MATTHEW A , JOHNSON GARY M
IPC分类号： A61B17/072
CPC分类号： A61B17/0686 , A61B17/072 , A61B17/105 , A61B2090/0814

19. 发明公开

EP1146823A4 MODULAR LIGATING APPARATUS AND METHOD 有权转让
标题翻译：模块化结扎装置及方法
公开(公告)号：EP1146823A4
公开(公告)日：2003-03-05
申请号：EP00908314
申请日：2000-01-19
申请人： APPLIED MED RESOURCES
发明人： JOHNSON GARY M , AHLBERG RUSSELL E
IPC分类号： A61B17/12 , A61B17/128 , A61B17/28 , A61B17/10
CPC分类号： A61B17/128 , A61B2017/2916
摘要： A clip applier (10) is adapted for use in positioning, and actuating a surgical clip (78) relative to body tissue. The applier includes a pair of handles (47, 50) operable by a user, and a cartridge (23) containing a plurality of clips removably attached to the handles. A pair of jaws (74, 76) are carried by the cartridge, adapted to receive, and actuate the clips by operation of the handles. An anti-scissoring mechanism (94) maintains the alignment of the jaws. Within the cartridge ultimate (112), the penultimate (114) clips are moved along a clip path by an active pusher (98), and a passive gate structure (147). As the pusher moves the ultimate clip to its operative position, a spacer (141) of variable length moves the penultimate clip into the gate structure.

20. 发明公开

EP2967559A4 SURGICAL STAPLER WITH EXPANDABLE JAW 有权
标题翻译： CHIRURGISCHE KLAMMERVORRICHTUNG MIT EXPANDIERBARER BACKE
公开(公告)号：EP2967559A4
公开(公告)日：2017-08-23
申请号：EP14762896
申请日：2014-03-14
申请人： APPLIED MED RESOURCES
发明人： COVACH JONATHAN , BECERRA MATTHEW M , JOHNSON GARY M
IPC分类号： A61B17/072 , A61B17/00
CPC分类号： A61B17/07207 , A61B2017/0046 , A61B2017/00477 , A61B2017/07257
摘要： Jaw assemblies for a surgical stapler are provided. The jaw assemblies comprise a first jaw having a first clamping surface and a plurality of staples disposed therein and second jaw assembly having a second clamping surface. The jaw assemblies can be actuated from a closed configuration in which the first clamping surface contacts or is adjacent to the second clamping surface to an open configuration in which the second jaw is pivoted away from the first jaw to a stapling position in which the second clamping surface is parallel to the first clamping surface and spaced apart from the first clamping surface. A pivoting link or sliding pivot joint can couple the second jaw to the first jaw to facilitate motion between the closed position, the open position, and the stapling position.
摘要翻译：提供了用于外科缝合器的颌组件。钳口组件包括具有第一夹紧表面和设置在其中的多个钉的第一钳口，以及具有第二钳位表面的第二钳口组件。爪组件可以从其中第一夹紧表面接触或接近第二夹紧表面的闭合构型致动到打开构型，在该打开构型中，第二爪从第一爪枢转离开到第二夹紧位置的吻合位置表面平行于第一夹紧表面并与第一夹紧表面间隔开。枢转连杆或滑动枢转关节可以将第二钳口联接到第一钳口以促进闭合位置，打开位置和装订位置之间的运动。

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