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11. 发明授权

US07377898B2 Wound retraction apparatus and method 有权
标题翻译：伤口收缩装置及方法
公开(公告)号：US07377898B2
公开(公告)日：2008-05-27
申请号：US11755305
申请日：2007-05-30
申请人： Richard C Ewers , John R Brustad , Edward D Pingleton , Nabil Hilal , Payam Adlparvar , Scott V Taylor , Gary R Dulak , Michael J Dunn , Norman L Morales , Charles C Hart , Robert R Bowes
发明人： Richard C Ewers , John R Brustad , Edward D Pingleton , Nabil Hilal , Payam Adlparvar , Scott V Taylor , Gary R Dulak , Michael J Dunn , Norman L Morales , Charles C Hart , Robert R Bowes
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译：外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离，缩回元件是可伸长的和不可扩张的，在环处有合适的附接装置，以提供收缩力的变化。利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

12. 发明申请

US20120226105A1 SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
标题翻译：外科手术设备及方法
公开(公告)号：US20120226105A1
公开(公告)日：2012-09-06
申请号：US13312393
申请日：2011-12-06
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A surgical access device is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device comprises an access seal. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal conforms to a surface of an instrument inserted through the working channel.
摘要翻译：外科进入装置适于执行腹腔镜外科手术，其中至少一个器械通过外科进入装置，并通过患有腹部腔的切口在腹腔内用吹入气体加压。手术进入装置包括进入密封件。进入密封件的材料适于形成密封件，以通常维持腹腔内的注入压力。通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。当操作性地设置时，所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。进入密封件的材料符合通过工作通道插入的仪器的表面。

13. 发明授权

US07481765B2 Surgical access apparatus and method 有权
公开(公告)号：US07481765B2
公开(公告)日：2009-01-27
申请号：US11244647
申请日：2005-10-05
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A surgical access device includes a single valve forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. An organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity.

14. 发明授权

US08715441B2 Medical tubing having variable characteristics and method of making same 有权
标题翻译：具有可变特性的医用管及其制造方法
公开(公告)号：US08715441B2
公开(公告)日：2014-05-06
申请号：US12877245
申请日：2010-09-08
申请人： John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
发明人： John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
IPC分类号： B29C65/02
CPC分类号： A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要： The invention primarily is directed to a medical tubing 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. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure.
摘要翻译：本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。管道包括多个单独的离散的大体环形元件，其串联布置并且熔合或粘合在一起形成连续的管状结构。环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。在本发明的另一方面，医疗管道还可包括用于控制管状结构的次管腔和拉线。在本发明的另一方面，环形元件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。

15. 发明授权

US08672839B2 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：US08672839B2
公开(公告)日：2014-03-18
申请号：US13231348
申请日：2011-09-13
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： An access system comprises an access device. The access device is adapted to be disposed within an opening in a body wall. The access device has an external flange adapted to be disposed external to the body wall and an internal flange adapted to be disposed internal to the body wall. Holes extend through the access device between an external surface and an internal surface of the access device. The holes span the thickness of the body wall between a location external to the body wall and a location internal to the body wall. The access device is formed of an elastomeric material adapted to conform to surfaces of instruments inserted through the holes to form instrument seals along at least a portion of a length spanning the thickness of the body wall. The elastomeric material is compressible and adapted to form a seal with the body wall.
摘要翻译：访问系统包括访问设备。进入装置适于设置在体壁的开口内。进入装置具有适于设置在主体壁外部的外部凸缘和适于设置在主体壁内部的内部凸缘。孔在进入装置的外表面和内表面之间延伸通过进入装置。孔跨越体壁外部位置与体壁内部的位置之间的体壁厚度。进入装置由弹性体材料形成，弹性体材料适于与穿过孔插入的仪器的表面一致，以沿跨越体壁厚度的至少一部分长度形成仪器密封。弹性体材料是可压缩的并且适于与主体壁形成密封。

16. 发明授权

US08388526B2 Wound retraction apparatus and method 有权
标题翻译：伤口收缩装置及方法
公开(公告)号：US08388526B2
公开(公告)日：2013-03-05
申请号：US12108400
申请日：2008-04-23
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号： A61B17/02
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译：外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

17. 发明申请

US20120184821A1 SURGICAL ACCESS APPARATUS AND METHOD 有权
标题翻译：外科手术设备及方法
公开(公告)号：US20120184821A1
公开(公告)日：2012-07-19
申请号：US13421730
申请日：2012-03-15
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A device comprises an access port adapted to permit access of at least one surgical instrument into a patient. The access port comprises a proximal portion, a distal portion, and an intermediate portion monolithically formed of a flexible material. At least one opening extends through the access port. The proximal portion comprises a proximal flange. The distal portion comprises a distal flange. The intermediate portion comprises an outer surface and at least one inner surface. The access port is adapted to form a perimeter seal when the proximal flange is disposed exteriorly and the distal flange is disposed interiorly. The access port is adapted to form a seal with the at least one surgical instrument positioned through the access port. The intermediate portion conforms to the surface of the surgical instrument positioned through the at least one opening and forms the seal between the inner surface and the surgical instrument.
摘要翻译：一种装置包括适于允许至少一个外科器械进入患者的进入口。进入口包括近端部分，远侧部分和由柔性材料整体形成的中间部分。至少一个开口延伸穿过进入端口。近端部分包括近侧凸缘。远侧部分包括远端凸缘。中间部分包括外表面和至少一个内表面。当近侧凸缘设置在外部并且远侧凸缘位于内部时，进入口适于形成周边密封。进入端口适于与通过进入端口定位的至少一个外科器械形成密封。中间部分符合通过至少一个开口定位的外科器械的表面，并在内表面和外科器械之间形成密封。

18. 发明申请

US20120004510A1 SURGICAL ACCESS APPARATUS AND METHOD 有权
标题翻译：外科手术设备及方法
公开(公告)号：US20120004510A1
公开(公告)日：2012-01-05
申请号：US13231348
申请日：2011-09-13
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： An access system comprises an access device. The access device is adapted to be disposed within an opening in a body wall. The access device has an external flange adapted to be disposed external to the body wall and an internal flange adapted to be disposed internal to the body wall. Holes extend through the access device between an external surface and an internal surface of the access device. The holes span the thickness of the body wall between a location external to the body wall and a location internal to the body wall. The access device is formed of an elastomeric material adapted to conform to surfaces of instruments inserted through the holes to form instrument seals along at least a portion of a length spanning the thickness of the body wall. The elastomeric material is compressible and adapted to form a seal with the body wall.
摘要翻译：访问系统包括访问设备。进入装置适于设置在体壁的开口内。进入装置具有适于设置在主体壁外部的外部凸缘和适于设置在主体壁内部的内部凸缘。孔在进入装置的外表面和内表面之间延伸通过进入装置。孔跨越体壁外部位置与体壁内部的位置之间的体壁厚度。进入装置由弹性体材料形成，弹性体材料适于与穿过孔插入的仪器的表面一致，以沿跨越体壁厚度的至少一部分长度形成仪器密封。弹性体材料是可压缩的并且适于与主体壁形成密封。

19. 发明申请

US20110071462A1 SURGICAL ACCESS APPARATUS AND METHOD 有权
标题翻译：外科手术设备及方法
公开(公告)号：US20110071462A1
公开(公告)日：2011-03-24
申请号：US12960449
申请日：2010-12-03
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61M13/00
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A surgical access device is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device is adapted to provide instrument access to the abdominal cavity for surgical procedures while generally maintaining insufflation pressure in the abdominal cavity. The surgical access device comprises an access seal. The access seal comprises a material formed of a mixture comprising a triblock copolymer and an oil. The access seal is adapted to be disposed relative to the abdominal wall in an operative position. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal is adapted to conform to a surface of an instrument inserted through the working channel.
摘要翻译：外科进入装置适于执行腹腔镜外科手术，其中至少一个器械通过外科进入装置，并通过患有腹部腔的切口在腹腔内用吹入气体加压。外科进入装置适于提供仪器进入腹腔以进行外科手术，同时通常维持腹腔内的注射压力。手术进入装置包括进入密封件。进入密封件包括由包含三嵌段共聚物和油的混合物形成的材料。进入密封件适于在操作位置相对于腹壁布置。进入密封件的材料适于形成密封件，以通常维持腹腔内的注入压力。通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。当操作性地设置时，所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。进入密封件的材料适于符合通过工作通道插入的仪器的表面。

20. 发明申请

US20080200767A1 WOUND RETRACTION APPARATUS AND METHOD 有权
标题翻译：回绕装置和方法
公开(公告)号：US20080200767A1
公开(公告)日：2008-08-21
申请号：US12108400
申请日：2008-04-23
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott V. Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
摘要翻译：外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。缩回元件，可扩张和不扩张两者都可以在环上使用适当的附接装置来设计，以提供收缩力的变化。利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

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