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31. 发明申请

US20130217973A1 WOUND RETRACTION APPARATUS AND METHOD 审中-公开
标题翻译：回绕装置和方法
公开(公告)号：US20130217973A1
公开(公告)日：2013-08-22
申请号：US13765278
申请日：2013-02-12
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 through body cavities of varying thicknesses. 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 having a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound, and a sheath disposed between the two rings. Optionally, the second ring may be detachably attached to the sheath to adapt the retractor to body cavities of varying thickness. Additional rings may be disposed along the sheath to provide for adjustment of the distance between the first and second rings. The retractor may also include an expandable foam annulus that can adjust the distance between the first and second rings.
摘要翻译：外科伤口牵开器适于通过不同厚度的体腔将可伸展到期望直径的伤口扩张。牵开器包括第一环，其直径大于伤口所需的直径，并且适于在伤口内部配置，第二环的直径大于伤口所需的直径，并适于在伤口的外部进行配置;以及设置在两个环之间的护套。可选地，第二环可以可拆卸地附接到护套以使牵开器适应变化厚度的体腔。可以沿着护套设置附加的环以提供第一和第二环之间的距离的调整。牵开器还可以包括可调节第一和第二环之间距离的可膨胀泡沫环。

32. 发明申请

US20120149989A1 SURGICAL ACCESS APARATUS AND METHOD 有权
标题翻译：外科手术APARATUS和方法
公开(公告)号：US20120149989A1
公开(公告)日：2012-06-14
申请号：US13347897
申请日：2012-01-11
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 that forms a seal with the 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 with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an 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, thereby providing hand access into the cavity.
摘要翻译：外科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。该阀具有在没有仪器的情况下产生零密封的特性，以及具有仪器直径范围的仪器的仪器密封。该阀可以包括凝胶，优选地包括由弹性体和提供大于1000％的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口，其中仪器包括外科医生的手臂，从而提供手进入空腔。

33. 发明授权

US08187177B2 Surgical instrument access device 有权
标题翻译：手术器械进入装置
公开(公告)号：US08187177B2
公开(公告)日：2012-05-29
申请号：US11564409
申请日：2006-11-29
申请人： Henry Kahle , Payam Adlparvar , Gary M. Johnson
发明人： Henry Kahle , Payam Adlparvar , Gary M. Johnson
IPC分类号： A61B1/32
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期间提供伤口保护。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设置的至少一个支撑环和可操作地放置在中空空间中的卷绕牵开器。卷绕卷收器包括内环，外圈和连接内圈和外圈的柔性套管。

34. 发明授权

US08016755B2 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：US08016755B2
公开(公告)日：2011-09-13
申请号：US12960458
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： 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 an access seal adapted to be disposed within an incision within an abdominal wall. The access seal has an external flange adapted to be disposed external to the abdominal wall and an internal flange adapted to be disposed internal to the abdominal wall. The access seal with flanges is formed monolithically. There are access channels through the access seal. The access channels span the thickness of the abdominal wall and form working channels between a location external to the abdominal wall and a location internal to the abdominal wall. The access seal is formed of an elastomeric material adapted to conform to a surface of an instrument inserted through the working channel to form an instrument seal along a length spanning the thickness of the abdominal wall. The elastomeric material is adapted to form an abdominal seal within the abdominal wall.
摘要翻译：外科进入装置包括适于设置在腹壁内的切口内的进入密封件。进入密封件具有适于设置在腹壁外部的外部凸缘和适于设置在腹壁内部的内部凸缘。具有法兰的进入密封件整体形成。有通道通过访问密封。进入通道跨越腹壁的厚度，并在腹壁外部的位置与腹壁内部的位置之间形成工作通道。进入密封件由适于与穿过工作通道插入的仪器的表面一致的弹性体材料形成，以沿跨越腹壁厚度的长度形成仪器密封。弹性体材料适于在腹壁内形成腹部密封。

35. 发明申请

US20090137879A1 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：US20090137879A1
公开(公告)日：2009-05-28
申请号：US12360710
申请日：2009-01-27
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 that forms a seal with the 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 with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an 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, thereby providing hand access into the cavity.A method for making the surgical access device includes the combining of a gelling agent with an oil, preferably in a molding process. A method for using the device includes steps for creating an opening with the instrument. In a particular process, 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. The valve and method are particularly adapted for laparoscopic surgery wherein the abdominal cavity is insufflated with a gas thereby requiring the zero seal, the instrument seal, and the organ seal in various procedures.
摘要翻译：外科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。该阀具有在没有仪器的情况下产生零密封的特性，以及具有仪器直径范围的仪器的仪器密封。该阀可以包括凝胶，优选地包括由弹性体和提供大于1000％的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口，其中仪器包括外科医生的手臂，从而提供手进入空腔。用于制造外科进入装置的方法包括胶凝剂与油的组合，优选在模制过程中。一种使用该装置的方法包括用该仪器产生开口的步骤。在特定的过程中，器官可以通过单个阀从体腔中移除，以在器官在体腔外部寻址时产生器官密封。该阀和方法特别适用于腹腔镜手术，其中腹腔用气体吹入，因此需要零密封，器械密封和器官密封。

36. 发明授权

US07238154B2 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：US07238154B2
公开(公告)日：2007-07-03
申请号：US11218412
申请日：2005-09-01
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott 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 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 to a desired diameter. The retractor includes first and second rings, each having a diameter greater than that desired for the wound. The first and second rings are adapted for disposition interiorly and exteriorly of the wound, respectively. A plurality of retraction elements is disposed in a generally cylindrical relationship between the first and second rings and extends through the wound to exert a radial retraction force on the wound that is dependent on the distance separating the first and second rings. Retraction elements, both distensible and non-distensible, are contemplated with appropriate attachment elements 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.
摘要翻译：外科伤口牵开器适于将伤口扩张到期望的直径。牵开器包括第一和第二环，每个环的直径大于伤口所需的直径。第一和第二环分别适于在伤口的内部和外部设置。多个退回元件以第一和第二环之间的大致圆柱形的关系设置，并且延伸穿过伤口，以在伤口上施加径向缩回力，这取决于分隔第一和第二环的距离。可伸缩和不扩张的回缩元件可以考虑在环处的合适的附接元件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。

37. 发明申请

US20050059865A1 Surgical instrument access device 有权
标题翻译：手术器械进入装置
公开(公告)号：US20050059865A1
公开(公告)日：2005-03-17
申请号：US10666579
申请日：2003-09-17
申请人： Henry Kahle , Payam Adlparvar , Gary Johnson
发明人： Henry Kahle , Payam Adlparvar , Gary Johnson
IPC分类号： A61B17/00 , A61B17/34 , A61B1/32
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期间提供伤口保护。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设置的至少一个支撑环和可操作地放置在中空空间中的卷绕牵开器。卷绕卷收器包括内环，外圈和连接内圈和外圈的柔性套管。

38. 发明申请

US20050033246A1 Surgical device with tack-free gel and method of manufacture 审中-公开
标题翻译：具有无粘性凝胶的手术装置及其制造方法
公开(公告)号：US20050033246A1
公开(公告)日：2005-02-10
申请号：US10913565
申请日：2004-08-05
申请人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
发明人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
IPC分类号： A61B17/00 , A61B17/22 , A61B17/34 , B29C39/00 , B29C39/12 , A61M25/00
CPC分类号： A61M3/0279 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , B29C37/0067 , B29C39/006 , B29C39/025 , B29C39/123
摘要： A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
摘要翻译：公开了制造无粘性凝胶的方法，包括以下步骤：提供限定模腔的模具，所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。形成步骤还包括将凝胶从熔融状态冷却至固化状态。塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高，塑料材料的熔化越大，并且凝胶表面上的塑料材料层越厚。模具可以由低密度聚乙烯（LDPE）形成。通过本发明的方法，熔融凝胶在其成型温度下的热量转移到LDPE模具的表面，以熔化LDPE的薄层。模具可以包括具有形成多个模具腔的多个模具孔的模具基座，每个模具孔包括轴向销，以模制通过凝胶的中心的轴向孔，提供预定内径的LDPE圆筒，模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。该方法还可以包括在诸如聚四氟乙烯（PTFE）和润滑剂的低摩擦粉末中浸渍凝胶的步骤。模具还可包括设置在模具基座的轴向上的模具顶部，并且包括形成多个空腔的多个孔，每个模具顶部孔适于接纳LDPE圆筒，并且设置在第二LDPE圆盘的顶部模具顶部的每个模腔。

39. 发明授权

US08496581B2 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：US08496581B2
公开(公告)日：2013-07-30
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 includes an access port adapted to permit access of at least one surgical instrument into a patient. The access port includes 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 includes a proximal flange. The distal portion includes a distal flange. The intermediate portion includes 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手术器械进入患者的进入口。进入口包括近端部分，远端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。

40. 发明申请

US20120215070A1 SURGICAL INSTRUMENT ACCESS DEVICE 有权
标题翻译：手术仪器接入装置
公开(公告)号：US20120215070A1
公开(公告)日：2012-08-23
申请号：US13463161
申请日：2012-05-03
申请人： Henry Kahle , Payam Adlparvar , Gary M. Johnson
发明人： Henry Kahle , Payam Adlparvar , Gary M. Johnson
IPC分类号： A61B1/32
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 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. The valve can include a gel material and the access channel can include a protective shield 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.
摘要翻译：外科进入装置包括与主体壁形成密封并将进入通道提供到体腔中的阀。该阀具有在没有仪器的情况下产生零密封的特性以及用于仪器的仪器密封。阀可以包括凝胶材料，并且进入通道可以包括防护罩，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。

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