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51. 发明授权

EP2891463B1 Trocar system including cannula stabilization seal 有权转让
标题翻译： Trokarsystem mitKanülenstabilisierungsdichtung
公开(公告)号：EP2891463B1
公开(公告)日：2017-05-03
申请号：EP15156361
申请日：2007-03-21
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , AU GIGI , PRAVONGVIENGKHAM KENNII , ALBRECHT JEREMY J
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3421 , A61B2017/00557 , A61B2017/3419 , A61B2017/3482 , A61B2017/3486 , A61B2017/349 , A61B2017/3492

52. 发明公开

EP1601403A4 SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
标题翻译： VORRICHTUNG UND VERFAHRENFÜRCHIRURGISCHEN ZUGANG
公开(公告)号：EP1601403A4
公开(公告)日：2008-06-18
申请号：EP04712378
申请日：2004-02-18
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , BRUSTAD JOHN R
IPC分类号： A61B20060101 , A61B1/313 , A61B17/00 , A61B17/32 , A61B17/34 , A61B19/00 , A61M25/00 , A61M25/02
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 (20) for providing access across a body wall includes a trocar (20) and an anchor (101) provided in the form of a first helix (102). The anchor (101) is adapted for placement in an operative position wherein the anchor (101) extends at least partially through the body wall. A second helix (163) formed on the trocar (20) is sized and configured to engage the first helix (102) of the anchor (101) so that rotation of the trocar (20) relative to the anchor (101) moves the second helix (163) along the first helix (102). In this manner, the trocar is drawn into the anchor (101) as it moves into the body wall. A proximal force applied to the anchor (101) resists tenting of the abdominal wall. The anchor (101) also holds the layers of the body wall together thereby resisting peritoneal separation.
摘要翻译：用于穿过体壁提供通路的套管针系统（20）包括以第一螺旋（102）的形式提供的套管针（20）和锚（101）。锚（101）适于放置在操作位置，其中锚（101）至少部分地延伸穿过体壁。形成在套管针（20）上的第二螺旋（163）的尺寸和构造被设置成接合锚（101）的第一螺旋（102），使得套管针（20）相对于锚（101）的旋转将第二沿第一螺旋（102）的螺旋（163）。以这种方式，套管针在其移入体壁时被拉入锚固件（101）中。施加到锚（101）的近侧力抵抗腹壁的隆起。锚（101）还将体壁的层保持在一起，从而抵抗腹膜分离。

53. 发明公开

EP1663344A4 ANTI-INVERSION TROCAR SEAL 审中-公开
标题翻译： ANTI-序现象，TROKARDICHTUNG
公开(公告)号：EP1663344A4
公开(公告)日：2007-11-14
申请号：EP04789040
申请日：2004-09-23
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , KAHLE HENRY , TAYLOR SCOTT V
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/3464
摘要： The invention is directed to a trocar seal adapted to form a seal around a surgical instrument, the trocar seal comprising a housing having an axis extending between a proximal end and a distal end and forming a working channel sized and configured to receive the surgical instrument; an elastomeric septum seal having a proximal face and a distal face, the septum seal being disposed in the housing and extending transverse to the axis of the housing across the working channel.

54. 发明公开

EP1619996A4 STEERABLE KINK-RESISTANT SHEATH 有权
标题翻译：可操纵的抗扭结套筒
公开(公告)号：EP1619996A4
公开(公告)日：2006-11-15
申请号：EP04750825
申请日：2004-04-26
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , BRUSTAD JOHN R , HILAL NABIL , KAHLE HENRY , GADBERRY DONALD L
IPC分类号： A61M31/00 , A61B20060101 , A61B1/307 , A61B18/14 , A61M25/00 , A61M25/01 , A61M25/06 , A61M25/092 , A61M37/00
CPC分类号： A61M25/0136 , A61M25/0054 , A61M25/0138 , A61M25/0147 , A61M25/0662
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.

55. 发明公开

EP1019139A4 ACCESS DEVICE WITH EXPANDABLE CONTAINMENT MEMBER 失效转让
标题翻译：与收集膨胀元件接入设备
公开(公告)号：EP1019139A4
公开(公告)日：2005-08-03
申请号：EP98902428
申请日：1998-01-09
申请人： APPLIED MED RESOURCES
发明人： CHI-SING EDUARDO , ASHBY MARK P , LEE ERIC , HART CHARLES C
IPC分类号： A61F2/82 , A61B17/22 , A61M29/00
CPC分类号： A61B17/22032 , A61B17/221 , A61B2017/2215

56. 发明公开

EP1009292A4 SURGICAL CLAMP WITH IMPROVED TRACTION 审中-公开
标题翻译：具有增强的抗张能力手术夹子
公开(公告)号：EP1009292A4
公开(公告)日：2004-07-21
申请号：EP98945856
申请日：1998-09-03
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , YAWATA HARUYASU , FISHBURN ROBERT , GADBERRY DONALD L , CHI-SING EDUARDO
IPC分类号： A61B17/12 , A61B17/02 , A61B17/122 , A61B17/28 , A61B17/08
CPC分类号： A61B17/02 , A61B17/122 , A61B17/1227 , A61B2017/2825 , A61B2017/2829
摘要： A surgical clamp (10) includes opposing jaws (14, 16), a covering (50) enhancing traction between the jaws, and a body conduit (12). A multiplicity of fibers (101) oriented to extend longitudinally between the clamp and conduit may be composed of filaments (121), and either woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material adding its own characteristics to the resulting fabric insert or clamp.

57. 发明公开

EP1011462A4 SURGICAL INSTRUMENTS WITH IMPROVED TRACTION 失效转让
标题翻译：具有改进的抗张能力SURGICAL INSTRUMENTS
公开(公告)号：EP1011462A4
公开(公告)日：2001-06-13
申请号：EP98904963
申请日：1998-02-03
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , GADBERRY DONALD L , CHI-SING EDUARDO , ASHBY MARK P , URQUIDI LUIS , JONES ROBERT T
IPC分类号： A61B17/00 , A61B17/02 , A61B17/122 , A61B17/28
CPC分类号： A61B17/02 , A61B17/122 , A61B17/1227 , A61B2017/00858 , A61B2017/00862 , A61B2017/0243 , A61B2017/2825
摘要： A surgical instrument (10) is adapted to contact tissue of a patient, and to provide traction with the tissue in order to inhibit migration of the instrument relative to the tissue. The instrument may include a pair of opposing jaws (16, 18) with at least one of the jaws (16, 18) comprising a substrate having a particular surface facing the tissue, and a plurality of discrete elements (26, 28) disposed on the particular surface for increasing the traction of the instrument relative to the tissue. These discrete elements (26, 28) may include a multiplicity of granules, bristles, or projections, and may be formed of materials having various properties such as hydrophilic characteristics. The discrete elements in the form of bristles can be oriented too so that the column strength of each bristle provides increased traction in a predetermined direction.

58. 发明公开

EP0855879A4 APPARATUS AND METHOD FOR DISRUPTING VEIN VALVES 失效
标题翻译： VORRICHTUNG UND VERFAHREN ZUM UNTERBRECHEN VON VENENKLAPPEN
公开(公告)号：EP0855879A4
公开(公告)日：1999-03-10
申请号：EP96936723
申请日：1996-10-17
申请人： APPLIED MED RESOURCES
发明人： HART CHARLES C , CHI SING EDUARDO , ASHBY MARK P
IPC分类号： A61B17/22
CPC分类号： A61B17/32075 , A61B2017/22097
摘要： A valvulotome for disrupting valve cusps in the vein of a patient includes a shaft (14) and a cutting member (12) which extends along an axis that defines an axial direction as well as an angular direction. First and second portions of the cutting member define respective cutting edges which extend outwardly of the axis in an angular relationship and an axial relationship with each other. The first and second cutting edges engage and disrupt different cusps of the valve when the shaft is withdrawn axially from the vein. Each of the cutting edges is protected by a proximate shoulder (123) which inhibits the engagement of side branches by the associated cutting edge. The cutting member may be formed as a helical blade, a wire or a cylinder and may be provided with a swivel coupling (158) as well as a sheath (131) operable to cover or expose the cutting member.
摘要翻译：用于破坏患者静脉中的瓣膜瓣膜的瓣膜刀包括轴（14）和沿限定轴向和角度方向的轴延伸的切割构件（12）。切割构件的第一部分和第二部分限定相应的切割边缘，所述切割边缘以彼此成角度关系和轴向关系的方式从所述轴线向外延伸。当轴从静脉轴向抽出时，第一和第二切割边缘接合并破坏瓣膜的不同尖端。每个切割边缘由一个邻近的肩部（123）保护，该肩部阻止相关切割边缘与侧分支的接合。切割构件可以形成为螺旋叶片，线或圆柱体并且可以设置有旋转接头（158）以及可操作以覆盖或暴露切割构件的护套（131）。

59. 发明公开

EP1567208A4 KINK-RESISTANT ACCESS SHEATH AND METHOD OF MAKING SAME 有权
标题翻译： BREAK用于生产固定接入锁和过程
公开(公告)号：EP1567208A4
公开(公告)日：2009-04-08
申请号：EP03796398
申请日：2003-11-12
申请人： APPLIED MED RESOURCES
发明人： BRUSTAD JOHN R , ADLPARVAR PAYAM , ALIAHMAD WASSIM R , TRAN CANH T , HILAL NABIL , PRAVONG BOUN , PINEDJIAN RAFFI S , HART CHARLES C
IPC分类号： A61B17/00 , A61B17/34 , A61M25/00 , A61M25/06
CPC分类号： A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要： A releasable mechanism such as a cap is adapted for use with an access sheath having an elongate tube and a handle structure disposed at a proximal end of the tube. The releasable mechanism is sized and configured to fit the handle structure, which is shaped like the bell of a horn, to further facilitate use with surgical instrumentation. The releasable mechanism may operate as a separate cap that snaps onto the handle structure to provide access pathways to the sheath. The releasable mechanism may also be disposed at a proximal end of a surgical instrument to be introduced into the access sheath such that it may be interlocked with the sheath. In a method of manufacturing a kink-resistant sheath, a wire is initially coated with a plastic material, the coated wire is then wrapped around a mandrel forming a plurality of windings, and the wound coated wire is heated until the plastic material melts and bonds the windings to form a wire-reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, a thermoset or any plastic material having hard and/or soft durometer. The wound coated wire may be heated by capturing the windings within a shrink tube or compressing the windings in a mold and heating the windings until the sheath is formed. In another aspect of the invention, a mandrel is used as part of an extrusion process. In another aspect of the invention, another coating or outside layer could be formed over the spring reinforcement by dipping in a solvent based solution. In yet another embodiment of the invention, a braid such as a polyester braid may be used instead of or in addition to the coil spring to form a kink-resistant sheath.

60. 发明公开

EP1534201A4 WOUND RETRACTOR 有权
标题翻译： WUNDHAKEN
公开(公告)号：EP1534201A4
公开(公告)日：2009-03-04
申请号：EP03757319
申请日：2003-06-03
申请人： APPLIED MED RESOURCES
发明人： NGUYEN ERIC , GADBERRY DONALD L , JOHNSON GARY M , HART CHARLES C , BRUSTAD JOHN R , BOWES ROBERT R II , SAKAKINE GHASSAN , KALE HENRY , ALBRECHT JEREMY J
IPC分类号： A61B17/02 , A61B17/34 , A61B19/08 , A61F13/00 , A61L31/00
CPC分类号： A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B17/3498 , A61B2017/00889 , A61B2017/00938 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435
摘要： An incrementally adjustable wound retractor (100), having a first ring (102) with a diameter greater than the desired diameter of the wound incision. A second ring (104) , having an annular axis and a diameter greater than the desired diameter of the wound incision. A flexible sleeve (106), disposed in a generally cylindrical form between the first and second rings (102, 104), the second ring may be rolled over itself and around the annular axis to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译：一种增量可调的伤口牵开器（199），具有直径大于伤口切口的期望直径的第一环（102）。第二环（104），其具有环形轴线并且直径大于伤口切口的期望直径。在第一环和第二环（012,104）之间以大体圆柱形形式设置的柔性套筒（106），第二环可以自身卷绕并围绕环形轴线卷绕以提供具有足以达到基本收缩力的套筒将切口拉伸至所需的直径。

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