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61. 发明申请

US20140074015A1 System having multiple pneumatically sealed trocars 有权
标题翻译：具有多个气动套管的系统
公开(公告)号：US20140074015A1
公开(公告)日：2014-03-13
申请号：US13606824
申请日：2012-09-07
申请人： Dominick Mastri , Raymond Y. Tang , Ralph Stearns , Kenneth Blier
发明人： Dominick Mastri , Raymond Y. Tang , Ralph Stearns , Kenneth Blier
IPC分类号： A61M13/00 , A61M39/22
CPC分类号： A61M13/006 , A61B17/00234 , A61B17/3417 , A61B17/3474 , A61B17/3498 , A61B90/02 , A61B2017/3419 , A61M1/00 , A61M13/00 , A61M13/003 , A61M39/223 , A61M2202/0225 , A61M2205/07 , A61M2205/3344 , A61M2210/1021
摘要： A valve assembly and method are provided for selectively controlling a flow of pressurized fluid from a fluid source to trocar assemblies. The valve assembly includes a first coupling configured and adapted to couple to a primary trocar assembly for directing pressurized fluid and a second coupling to couple to a secondary trocar assembly. A third coupling is provided to couple to a source of pressurized fluid for directing pressurized fluid from the source to the first and second couplings. Also provided is at least one valve member adapted and configured to be operable in at least first and second operating positions.
摘要翻译：提供了一种阀组件和方法，用于选择性地控制加压流体从流体源到套管针组件的流动。阀组件包括构造并适于联接到主套管针组件以用于引导加压流体的第一联接件和第二联接器以耦合到次级套管针组件。提供第三联接器以耦合到加压流体源，用于将加压流体从源引导到第一和第二联接器。还提供了至少一个阀构件，其适于和构造成可在至少第一和第二操作位置中操作。

62. 发明申请

US20120245511A1 Trocar assembly with pneumatic sealing 有权
标题翻译：套管套装气动密封
公开(公告)号：US20120245511A1
公开(公告)日：2012-09-27
申请号：US13414186
申请日：2012-03-07
申请人： Ralph Stearns , Raymond Yue-Sing Tang , Dominick Mastri
发明人： Ralph Stearns , Raymond Yue-Sing Tang , Dominick Mastri
IPC分类号： A61B17/34 , A61M13/00
CPC分类号： A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/00477 , A61B2017/3445 , A61B2217/007
摘要： A trocar assembly for creating a pneumatic seal during a minimally-invasive surgical procedure. The trocar assembly including an elongated body having a lumen extending therethrough. The proximal end portion of the body defining a housing. A fluid supply plenum is defined in the housing configured to deliver pressurized insufflation fluid to a nozzle. The nozzle configured for directing pressurized fluid into the lumen and creating a pneumatic seal. A fluid return plenum is defined in the housing configured to collect spent insufflation fluid from as patient's abdominal cavity. The fluid return plenum including a plurality of axially and radially oriented elongate vanes configured to permit spent insufflation fluid to proceed between the vanes and direct spent insufflation fluid back to the fluid return plenum.
摘要翻译：一种用于在微创外科手术过程中创建气动密封的套管针组件。套管针组件包括具有延伸穿过其中的内腔的细长主体。本体的近端部分限定了壳体。流体供应气室限定在壳体中，构造成将加压吹气流体输送到喷嘴。所述喷嘴构造成用于将加压流体引导到内腔中并产生气动密封。液体回流室限定在壳体中，构造成从患者的腹腔收集用过的吹气液。流体回流通风室包括多个轴向和径向定向的细长叶片，其被配置成允许废气吹入流体在叶片之间进行并且直接用过的吹气流体返回到流体回流通风室。

63. 发明授权

US07976598B2 Multi-flow filtration system 有权
标题翻译：多流量过滤系统
公开(公告)号：US07976598B2
公开(公告)日：2011-07-12
申请号：US12577188
申请日：2009-10-11
申请人： Paul A. Matula , Dominick Mastri , James R. Parys , Ralph Stearns , Johnnie H. Copley , Christopher Estkowski
发明人： Paul A. Matula , Dominick Mastri , James R. Parys , Ralph Stearns , Johnnie H. Copley , Christopher Estkowski
IPC分类号： B01D45/00
CPC分类号： B01D46/521 , A61M13/003 , A61M13/006 , A61M16/1055 , A61M2205/125 , B01D46/0008 , B01D46/0019 , B01D46/0086 , B01D46/009 , B01D46/106 , B01D46/2411 , B01D46/444 , B01D2265/025 , B01D2265/05
摘要： Disclosed is multi-flow filter cartridge assembly that includes an elongated housing that has axially opposed proximal and distal ends and defines an interior cavity and first, second and third flow paths which extend from the proximal end of the housing to the distal end. The cartridge assembly also includes first, second and third filter elements. The first filter element is disposed within the interior cavity of the housing and conditions fluid that traverses the first flow path from a first inlet port to a first outlet port. The second filter element is disposed within the interior cavity of the housing and conditions fluid that traverses the second flow path from a second inlet port to a second outlet port. Lastly, the third filter element is also disposed within the interior cavity of the housing and conditions fluid that traverses the third flow path from a third inlet port to a third outlet port. The first flow path is isolated from the second and third flow paths and the second flow path is isolated from the third flow path.
摘要翻译：公开了多流量过滤器滤芯组件，其包括细长壳体，其具有轴向相对的近端和远端并且限定内腔和从壳体的近端延伸到远端的第一，第二和第三流动路径。盒组件还包括第一，第二和第三过滤元件。第一过滤器元件设置在壳体的内部空腔内，并且将从第一入口端口流过第一流动路径的流体调节到第一出口端口。第二过滤器元件设置在壳体的内部空腔内，并且将从第二入口端口延伸到第二出口端口的流体流过第二流路。最后，第三过滤器元件也设置在壳体的内部空腔内，并且使从第三入口端口到第三出口端口穿过第三流动路径的流体进行调节。第一流路与第二和第三流动路径隔离，第二流动路径与第三流动路径隔离。

64. 发明申请

US20100174150A1 Internal Retraction Systems and Devices 有权
标题翻译：内部回缩系统和设备
公开(公告)号：US20100174150A1
公开(公告)日：2010-07-08
申请号：US12576827
申请日：2009-10-09
申请人： Adrian Edward Park , Charles F. Knapp , Patrick N. Gutelius , Ralph Stearns
发明人： Adrian Edward Park , Charles F. Knapp , Patrick N. Gutelius , Ralph Stearns
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/083 , A61B17/10 , A61B2017/00353 , A61B2017/0225
摘要： An internal retraction system for use in minimally-invasive surgical procedures includes, among other features, an elongated applicator that has proximal and distal ends. The distal end of the applicator includes a grasper and the proximal end includes a mechanism or actuator for moving the grasper from an open position to a closed position. A plurality of anchor clips are slidably mounted on the elongated applicator and are initially in a stored position. Each clip includes spring biased upper and lower jaws for grasping tissue. The internal retraction system also includes a structure associated with the applicator for deploying the anchor clips from the stored position to a deployed position at a desired location. Moreover, the internal retraction system includes a mechanism associated with the applicator for removing the anchor clips from the deployed position and returning the clips to the stored position.
摘要翻译：用于微创外科手术的内部缩回系统包括具有近端和远端的细长施用器以及其它特征。施放器的远端包括抓紧器，并且近端包括用于将抓紧器从打开位置移动到关闭位置的机构或致动器。多个锚定夹可滑动地安装在细长施加器上并且最初处于存储位置。每个夹子包括用于抓住组织的弹簧偏压的上下钳口。内部缩回系统还包括与施加器相关联的结构，用于将锚固夹从存储位置部署到期望位置处的展开位置。此外，内部缩回系统包括与施加器相关联的机构，用于从展开位置移除锚固夹并将夹子返回到存储位置。

65. 发明申请

US20080023522A1 Staple drive assembly 有权
标题翻译：装订驱动装置
公开(公告)号：US20080023522A1
公开(公告)日：2008-01-31
申请号：US11897447
申请日：2007-08-30
申请人： Lee Olson , Ralph Stearns
发明人： Lee Olson , Ralph Stearns
IPC分类号： A61B17/064 , A61B17/00
CPC分类号： A61B17/105 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B2017/0688 , A61B2017/07235 , A61B2017/07242 , A61B2017/07278
摘要： A staple drive assembly includes an actuation sled and at least one staple pusher. The staple drive assembly is adapted to fit within a staple cartridge having a plurality of staples and a corresponding number of retention slots. The at least one staple pusher includes at least one pusher plate for releasably engaging a backspan of a staple. The staple pusher may include a plurality of pusher plates that may be laterally and longitudinally spaced apart. An actuation member has at least one angled camming surface for engaging a complimentary angled surface of the at least one staple pusher. Camming engagement between the actuation member and the at least one staple pusher causes vertical movement of the at least one staple pusher. Lateral and longitudinal offset of the actuation member camming surfaces and the corresponding staple pusher following surfaces improves stability and control of the staple pusher during firing.
摘要翻译：钉驱动组件包括致动滑板和至少一个缝合钉推动器。钉驱动组件适于装配在具有多个钉和相应数量的保持槽的钉仓内。至少一个订书钉推动器包括至少一个推动板，用于可释放地接合订书钉的后跨。缝钉推动器可以包括可以横向和纵向间隔开的多个推动器板。致动构件具有至少一个倾斜的凸轮表面，用于接合至少一个缝合钉推动器的互补的成角度的表面。所述致动构件和所述至少一个缝合钉推动器之间的凸轮接合导致所述至少一个缝合钉推动器的垂直运动。致动构件凸轮表面和相应的钉子推动器跟随表面的横向和纵向偏移提高了在击发期间缝合钉推动器的稳定性和控制。

66. 发明申请

US20060052670A1 Endoscopic retractor 审中-公开
标题翻译：内窥镜牵开器
公开(公告)号：US20060052670A1
公开(公告)日：2006-03-09
申请号：US10529566
申请日：2003-10-06
申请人： Ralph Stearns , Joseph Orban , Frank Viola
发明人： Ralph Stearns , Joseph Orban , Frank Viola
IPC分类号： A61B1/32
CPC分类号： A61B1/0056 , A61B1/313 , A61B17/0218 , A61B2017/003 , A61B2017/00309 , A61B2017/00867 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要： The present disclosure relates to endoscopic retractors including a shaft having at least a first section having a first mechanical interface and a second section having a second mechanical interface for engaging the first mechanical interface, the first section and the second section being selectively movable from a first, generally longitudinally-aligned configuration along an axis defined through the shaft and the first mechanical interface is disengaged from the second mechanical interface, to a second configuration wherein the second section is disposed at an angle relative to a longitudinal axis of the shaft and the first mechanical interface is engaged with the second mechanical interface. The retractor further includes at least one cable extending through the shaft and is operatively secured to the second section. The cable is remotely actuatable to move the second section from the first to the second configuration upon selective translation of the cable.
摘要翻译：本公开涉及内窥镜牵引器，其包括具有至少第一部分的轴的第一机械接口的轴和具有用于接合第一机械接口的第二机械接口的第二部分，第一部分和第二部分可选自第一部分沿着通过轴和第一机械接口限定的轴线的大致纵向对准的构造与第二机械接口脱离成第二构造，其中第二部分相对于轴的纵向轴线以一定角度设置，并且第一机械接口与第二机械接口接合。牵开器还包括延伸穿过轴并且可操作地固定到第二部分的至少一根电缆。电缆可以远程启动，以便通过选择性地平移电缆将第二部分从第一部分移动到第二个配置。

67. 发明申请

US20060041232A1 Introducer assembly with suspended seal 有权
标题翻译：导向组件带有悬挂密封
公开(公告)号：US20060041232A1
公开(公告)日：2006-02-23
申请号：US11184323
申请日：2005-07-19
申请人： Ralph Stearns , David Racenet , Gene Stellon
发明人： Ralph Stearns , David Racenet , Gene Stellon
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3421 , A61B17/3498 , A61B2017/3435 , A61B2017/3445 , A61M39/06 , A61M39/0606 , A61M2039/0626
摘要： A surgical access apparatus includes an access member dimensioned for insertion within tissue and having a longitudinal opening to permit introduction of a surgical object through the access member to perform a procedure on underlying tissue. A seal member is mounted across the longitudinal opening of the access member and has an internal portion defining an aperture for forming a substantial seal about the surgical object introduced through the longitudinal opening of the access member. The seal member includes a first seal portion extending from the internal portion and being mounted in suspended relation to the access member, and a second seal portion extending from the internal portion and disposed radially outward of the first seal portion, and being attached to the access member
摘要翻译：手术进入装置包括入口构件，其尺寸适于插入组织内并且具有纵向开口，以允许外科对象通过访问构件引入以对下面的组织执行程序。密封构件跨过通道构件的纵向开口安装，并且具有限定孔的内部部分，用于在通过进入构件的纵向开口引入的手术物体周围形成实质密封。所述密封构件包括从所述内部部分延伸并且与所述进入构件悬挂安装的第一密封部分，以及从所述内部部分延伸并且设置在所述第一密封部分的径向外侧并且附接到所述通道的第二密封部分会员

68. 发明授权

US09775642B2 Devices and methods for automated surgery 有权
公开(公告)号：US09775642B2
公开(公告)日：2017-10-03
申请号：US13704411
申请日：2011-05-24
申请人： Kurt Azarbarzin , Ralph Stearns
发明人： Kurt Azarbarzin , Ralph Stearns
IPC分类号： A61B17/34 , A61B17/00 , A61B34/30 , A61B90/00
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B34/30 , A61B2017/00544 , A61B2017/3445 , A61B2034/302 , A61B2090/064
摘要： The disclosure includes systems and methods for performing surgery. In a first aspect, the system includes a trocar having in a nested configuration, an outer cannula, an inner cannula disposed within the outer cannula, the inner cannula defining the central longitudinal lumen at least in part to provide access through the trocar, a tube center component disposed within the outer cannula, and a ring jet assembly disposed within the outer cannula. In a further aspect, the system includes an instrument guide disposed in the central longitudinal lumen of the trocar. The instrument guide has a proximal end, a distal end, and a plurality of channels defined through the instrument guide from the proximal end to the distal end, each channel being adapted and configured to receive a surgical instrument.

69. 发明授权

US09017281B2 System having multiple pneumatically sealed trocars 有权
标题翻译：具有多个气动套管的系统
公开(公告)号：US09017281B2
公开(公告)日：2015-04-28
申请号：US13606824
申请日：2012-09-07
申请人： Dominick Mastri , Raymond Y. Tang , Ralph Stearns , Kenneth Blier
发明人： Dominick Mastri , Raymond Y. Tang , Ralph Stearns , Kenneth Blier
IPC分类号： A61M13/00 , A61M39/22 , A61M1/00
CPC分类号： A61M13/006 , A61B17/00234 , A61B17/3417 , A61B17/3474 , A61B17/3498 , A61B90/02 , A61B2017/3419 , A61M1/00 , A61M13/00 , A61M13/003 , A61M39/223 , A61M2202/0225 , A61M2205/07 , A61M2205/3344 , A61M2210/1021
摘要： A valve assembly and method are provided for selectively controlling a flow of pressurized fluid from a fluid source to trocar assemblies. The valve assembly includes a first coupling configured and adapted to couple to a primary trocar assembly for directing pressurized fluid and a second coupling to couple to a secondary trocar assembly. A third coupling is provided to couple to a source of pressurized fluid for directing pressurized fluid from the source to the first and second couplings. Also provided is at least one valve member adapted and configured to be operable in at least first and second operating positions.
摘要翻译：提供了一种阀组件和方法，用于选择性地控制加压流体从流体源到套管针组件的流动。阀组件包括构造并适于联接到主套管针组件以用于引导加压流体的第一联接件和第二联接器以耦合到次级套管针组件。提供第三联接器以耦合到加压流体源，用于将加压流体从源引导到第一和第二联接器。还提供了至少一个阀构件，其适于和构造成可在至少第一和第二操作位置中操作。

70. 发明授权

US08961451B2 System for surgical insufflation and gas recirculation 有权
标题翻译：手术吹气和气体再循环系统
公开(公告)号：US08961451B2
公开(公告)日：2015-02-24
申请号：US11960701
申请日：2007-12-20
申请人： Ralph Stearns , Kurt Azarbarzin , Timothy J. Nolan
发明人： Ralph Stearns , Kurt Azarbarzin , Timothy J. Nolan
IPC分类号： A61M37/00 , A61B17/34 , A61M13/00
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61M13/003 , A61M13/006 , A61M2202/02 , A61M2205/3337 , A61M2205/3344
摘要： A system for insufflation and recirculation of insufflation fluid in a surgical procedure. The system includes a control unit having a fluid pump, a supply conduit, a return fluid conduit and a pressure-controlled valve. The fluid pump is adapted and configured to circulate insufflation fluid through the system. The supply conduit is in fluid communication with an output of the fluid pump and configured and adapted for delivering pressurized insufflation fluid to an output port of the control unit. The return conduit is in fluid communication with an input of the fluid pump for delivering insufflation fluid to the fluid pump and is configured and adapted for returning insufflation fluid from an input port of the control unit. The pressure-controlled valve is in fluid communication with the supply conduit and the return conduit, and is adapted and configured to receive a control signal and respond to the control signal by opening, thereby fluidly connecting the supply conduit and the return conduit with one another.
摘要翻译：一种在外科手术中吹入和再循环注射液的系统。该系统包括具有流体泵，供应管道，回流流体管道和压力控制阀的控制单元。流体泵被适配和配置成使吹入流体循环通过系统。供应管道与流体泵的输出端流体连通，并被配置和适于将加压吹气流体输送到控制单元的输出端口。返回管道与流体泵的输入端流体连通，用于将流体泵输送吹入流体，并被构造和适于从控制单元的输入端口返回吹入流体。压力控制阀与供应管道和返回管道流体连通，并被适配和配置为接收控制信号并通过打开对控制信号作出响应，从而将供应管道和返回管道彼此流畅连接。

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