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    • 51. 发明申请
    • LAPAROSCOPIC TISSUE RETRIEVAL SYSTEM
    • LAPAROSCOPIC组织检索系统
    • US20120089151A1
    • 2012-04-12
    • US13252110
    • 2011-10-03
    • Scott V. TaylorHenry Kahle
    • Scott V. TaylorHenry Kahle
    • A61B17/00
    • A61B17/221A61B17/00234A61B2017/00287A61B2017/00292
    • A tissue retrieval system can contain and withdraw excised tissue specimens from within a body cavity. The tissue retrieval system can include a tissue retrieval bag, a foldable actuator, and an introducer. The foldable actuator can be foldable between an insertion configuration for placement through an access device without the aid of a grasper or applicator, and a deployed configuration for supporting the tissue retrieval bag in an open state. The actuator can have a foldable handle to facilitate withdrawal from the body cavity. After insertion of the tissue specimens into the retrieval bag, the retrieval bag is then cinched closed to prevent spillage of its contents and to prevent contamination of the body cavity and body cavity wall during withdrawal of the retrieval bag from within the body cavity.
    • 组织检索系统可以从体腔内容纳和抽出切除的组织标本。 组织检索系统可以包括组织取回袋,可折叠致动器和导引器。 可折叠致动器可以在插入构造之间折叠,以便借助于抓紧器或涂抹器而不经由进入装置进行放置,以及用于在打开状态下支撑组织取出袋的展开构造。 致动器可以具有可折叠的手柄以便于从体腔排出。 在将组织标本插入取回袋中之后,取出袋被关闭以防止其内容物溢出,并且在将取出袋从体腔内取出期间防止体腔和体腔壁被污染。
    • 53. 发明申请
    • BLADELESS OPTICAL OBTURATOR
    • 无光学光学器件
    • US20110190592A1
    • 2011-08-04
    • US13085194
    • 2011-04-12
    • Henry KahleArkadiusz A. StrokoszKimball B. McGinleyScott V. TaylorGary M. JohnsonJohn R. Brustad
    • Henry KahleArkadiusz A. StrokoszKimball B. McGinleyScott V. TaylorGary M. JohnsonJohn R. Brustad
    • A61B1/32A61B17/34
    • A61B17/3417A61B1/3132A61B17/3415A61B17/3421A61B17/3423A61B17/3462A61B17/3468A61B17/3474A61B17/3478A61B17/3496A61B90/361A61B90/92A61B2017/0046A61B2017/00477A61B2017/00907A61B2017/320044A61B2017/3425A61B2017/3445A61B2017/3456A61B2017/346A61B2017/3464A61B2017/347A61B2090/3937
    • 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.
    • 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。
    • 56. 发明申请
    • ANTI-INVERSION TROCAR SEAL
    • 防反射密封
    • US20070027453A1
    • 2007-02-01
    • US11465686
    • 2006-08-18
    • Charles HartHenry KahleScott Taylor
    • Charles HartHenry KahleScott Taylor
    • A61F11/00
    • A61B17/3498A61B17/3462A61B2017/3464
    • 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; portions of the septum seal defining a hole having a diameter less than or equal to the diameter of the surgical instrument so that during insertion of the instrument along the working channel the septum seal forms a seal with the instrument; and at least one structure formed integrally with or proximate to the septum seal to prevent inversion of the septum seal upon withdrawal of the surgical instrument. The septum seal or the housing may further comprise a sidewall to include the structure extending from the sidewall to the distal face of the seal to tether the seal distally. The structure may be integrally formed with the proximal face of the septum seal to reinforce the seal, or the structure may be integrally formed with the distal face of the septum seal to tether the seal distally The structure may be an annular reinforcement or rib, and is formed so as to allow side-to-side movement or floatation of the seal. The trocar seal may further comprise a plurality of radially extending ribs formed on the proximal or distal face of the septum seal to reinforce the seal. The trocar seal may further comprise a tensile element formed on the distal face of the septum seal.
    • 本发明涉及适于在外科器械周围形成密封的套针针密封件,套管针密封件包括具有在近端和远端之间延伸的轴线的壳体,并形成尺寸和构造成接收外科器械的工作通道; 具有近端面和远侧面的弹性隔膜密封件,所述隔膜密封件设置在所述壳体中并横跨所述工作通道横向于所述壳体的轴线延伸; 隔膜密封件的部分限定了直径小于或等于外科器械直径的孔,使得在沿着工作通道插入器械期间,隔垫密封件与仪器形成密封; 以及与隔膜密封件一体地或靠近隔膜密封件形成的至少一个结构,以在外科器械撤回时防止隔垫密封件反转。 隔垫密封件或外壳可以进一步包括侧壁,其包括从密封件的侧壁延伸到远端面的结构,以将密封件向远侧系绳。 该结构可以与隔膜密封件的近侧面一体地形成以加强密封,或者结构可以与隔膜密封件的远侧面一体地形成,以使密封件向远侧系绳。该结构可以是环形加强件或肋,以及 形成为允许密封件的侧面移动或浮动。 套管针密封件还可以包括形成在隔膜密封件的近侧或远侧面上的多个径向延伸的肋条,以加强密封。 套针针密封件还可以包括形成在隔膜密封件的远侧面上的拉伸元件。
    • 58. 发明申请
    • Shielded septum trocar seal
    • 屏蔽隔离套管针密封
    • US20050131349A1
    • 2005-06-16
    • US11000123
    • 2004-11-30
    • Jeremy AlbrechtGary JohnsonHenry Kahle
    • Jeremy AlbrechtGary JohnsonHenry Kahle
    • A61B17/34A61M39/06A61M5/178
    • A61B17/34A61B17/3496A61B17/3498
    • The invention is directed to a trocar assembly having a channel defined along an elongate axis, the trocar assembly being adapted to receive a surgical instrument, the trocar assembly comprising a septum seal disposed in the channel including a seal tip having a proximal facing surface, the seal tip including portions defining an orifice; and a septum shield including a tubular member having a proximal end and a distal end, and a plurality of blades or leaflets protruding distally from the distal end of the tubular member, the septum shield being placed inside the septum seal such that the blades engage the proximal facing surface of the seal tip. The trocar assembly may further comprise a zero closure seal such as a double duckbill valve disposed in the channel outside of the septum seal. The septum shield operates to reduce the drag force and to minimize axial movement of the septum shield and the instrument during insertion and removal of the instrument through the septum seal. The septum shield may be formed from a rigid plastic material, and the septum seal may be formed of an elastomeric material. The blades or leaflets may overlap or offset one another. The orifice may be expandable to accommodate the instrument having a diameter of about 5-15 mm. The blades or leaflets have distal tips that glide or roll against the instrument during placement of the instrument. The distal tips may comprise of a combination of material, durometer and shield geometry to control the behavior of the septum shield. The trocar assembly may further comprise a second septum shield disposed outside of the septum seal.
    • 本发明涉及具有沿着细长轴线限定的通道的套管针组件,所述套管针组件适于接纳外科器械,所述套管针组件包括设置在所述通道中的隔垫密封件,所述隔膜密封件包括具有近端面的表面的密封末端, 密封尖端包括限定孔口的部分; 以及隔膜,其包括具有近端和远端的管状构件,以及从所述管状构件的远端向远侧突出的多个叶片或小叶,所述隔垫被放置在所述隔膜密封件的内部,使得所述叶片接合 密封尖端的面向近侧的表面。 套管针组件还可以包括零封闭密封件,例如设置在隔膜密封件外部的通道中的双鸭嘴阀。 隔垫屏蔽件用于减小阻力并且在通过隔膜密封件插入和移除仪器期间最小化隔膜屏蔽件和仪器的轴向移动。 隔垫可以由刚性塑料材料形成,并且隔垫密封件可以由弹性体材料形成。 叶片或传单可能彼此重叠或相互抵消。 孔口可以是可扩张的,以容纳具有大约5-15mm直径的仪器。 叶片或小叶具有在放置仪器期间滑动或滚动仪器的远端尖端。 远端尖端可以由材料,硬度和屏蔽几何组合组成,以控制隔膜屏蔽的行为。 套管针组件还可以包括设置在隔膜密封件外部的第二隔垫。
    • 59. 发明申请
    • Anti-inversion trocar seal
    • 防反转套管针密封
    • US20050065475A1
    • 2005-03-24
    • US10948383
    • 2004-09-23
    • Charles HartHenry KahleScott Taylor
    • Charles HartHenry KahleScott Taylor
    • A61B17/34A61M5/178
    • A61B17/3498A61B17/3462A61B2017/3464
    • 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; portions of the septum seal defining a hole having a diameter less than or equal to the diameter of the surgical instrument so that during insertion of the instrument along the working channel the septum seal forms a seal with the instrument; and at least one structure formed integrally with or proximate to the septum seal to prevent inversion of the septum seal upon withdrawal of the surgical instrument. The septum seal or the housing may further comprise a sidewall to include the structure extending from the sidewall to the distal face of the seal to tether the seal distally. The structure may be integrally formed with the proximal face of the septum seal to reinforce the seal, or the structure may be integrally formed with the distal face of the septum seal to tether the seal distally. The structure may be an annular reinforcement or rib, and is formed so as to allow side-to-side movement or floatation of the seal. The trocar seal may further comprise a plurality of radially extending ribs formed on the proximal or distal face of the septum seal to reinforce the seal. The trocar seal may further comprise a tensile element formed on the distal face of the septum seal.
    • 本发明涉及适于在外科器械周围形成密封的套针针密封件,套管针密封件包括具有在近端和远端之间延伸的轴线的壳体,并形成尺寸和构造成接收外科器械的工作通道; 具有近端面和远侧面的弹性隔膜密封件,所述隔膜密封件设置在所述壳体中并横跨所述工作通道横向于所述壳体的轴线延伸; 隔膜密封件的部分限定了直径小于或等于外科器械直径的孔,使得在沿着工作通道插入器械期间,隔垫密封件与仪器形成密封; 以及与隔膜密封件一体地或靠近隔膜密封件形成的至少一个结构,以在外科器械撤回时防止隔垫密封件反转。 隔垫密封件或外壳可以进一步包括侧壁,其包括从密封件的侧壁延伸到远端面的结构,以将密封件向远侧系绳。 该结构可以与隔膜密封件的近侧面一体地形成,以加强密封,或者结构可以与隔膜密封件的远侧面一体地形成,以使密封件向远侧方向。 该结构可以是环形加强件或肋,并且形成为允许密封件的侧面移动或浮动。 套管针密封件还可以包括形成在隔膜密封件的近侧或远侧面上的多个径向延伸的肋条,以加强密封。 套针针密封件还可以包括形成在隔膜密封件的远侧面上的拉伸元件。
    • 60. 发明申请
    • Surgical instrument access device
    • 手术器械进入装置
    • US20050059865A1
    • 2005-03-17
    • US10666579
    • 2003-09-17
    • Henry KahlePayam AdlparvarGary Johnson
    • Henry KahlePayam AdlparvarGary Johnson
    • A61B17/00A61B17/34A61B1/32
    • A61B17/3423A61B5/024A61B5/0507A61B5/08A61B5/6889A61B5/6898A61B17/0293A61B17/3431A61B17/3498A61B2017/00526
    • 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.
    • 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。