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1. 发明公开

EP1571973A4 UNIVERSAL ACCESS SEAL 有权转让
标题翻译： UNIVERSAL-分流VERSCHLUSS
公开(公告)号：EP1571973A4
公开(公告)日：2009-03-25
申请号：EP03783708
申请日：2003-11-21
申请人： APPLIED MED RESOURCES , TAYLOR SCOTT V , BRUSTAD JOHN R , PRAVONG BOUN , HOWE BLAIR
发明人： TAYLOR SCOTT V , BRUSTAD JOHN R , PRAVONG BOUN , HOWE BLAIR
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device including a valve housing and an instrument receiving element mounted in the valve housing having an aperture for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube generally shaped like an hourglass. The surgical access device may include an access septum seal molded from a gel material. The surgical access device can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.
摘要翻译：一种外科进入装置，包括阀壳体和安装在阀壳体中的器械接收元件，所述器械接收元件具有用于灵活地接收和引导具有宽范围直径的器械的孔。器械接收元件包括通常形状像沙漏的编织物或网状物管。外科进入装置可以包括由凝胶材料模制而成的进入隔膜密封件。外科进入装置可以灵活地接合直径范围从约3.5mm至约12.9mm的器械。

2. 发明公开

EP1571973A2 UNIVERSAL ACCESS SEAL 有权转让
标题翻译：通用访问密封
公开(公告)号：EP1571973A2
公开(公告)日：2005-09-14
申请号：EP03783708.5
申请日：2003-11-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , Taylor, Scott V. , Brustad, John R. , Pravong, Boun , Howe, Blair
发明人： TAYLOR, Scott, V. , BRUSTAD, John, R. , PRAVONG, Boun , HOWE, Blair
IPC分类号： A61B1/00
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B2017/00845 , A61B2017/00853 , A61B2017/3464
摘要： A surgical access device (10) including a valve housing (14) and a receiving element (38) mounted in the valve housing (14) having an aperture (39) for flexibly receiving and directing instruments having a wide range of diameters. The instrument receiving element includes a braid or mesh tube (38) generally shaped like an hourglass. The surgical access device may include an access septum seal (36) molded from a gel material. The surgical access device (10) can flexibly engage instruments having diameters ranging from about 3.5 mm to about 12.9 mm.
摘要翻译：一种包括阀壳体（14）和安装在阀壳体（14）中的接收元件（38）的外科手术进入装置（10），其具有用于灵活地接收和引导具有宽范围直径的器械的孔（39）。器械接收元件包括通常形状类似沙漏的编织物或网状管（38）。外科进入装置可以包括由凝胶材料模制而成的进入隔膜密封件（36）。外科进入装置（10）可以灵活地接合直径范围从约3.5mm至约12.9mm的器械。

3. 发明申请

WO2009094644A1 INSUFFLATING ACCESS SYSTEM 审中-公开
标题翻译：消除访问系统
公开(公告)号：WO2009094644A1
公开(公告)日：2009-07-30
申请号：PCT/US2009/032026
申请日：2009-01-26
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BRUSTAD, John, R.
发明人： ALBRECHT, Jeremy, J. , JOHNSON, Gary, M. , BRUSTAD, John, R.
IPC分类号： A61M5/178
CPC分类号： A61M13/003 , A61B17/3439 , A61B17/3474 , A61B2017/00907 , A61B2017/3441 , A61B2017/3456 , A61B2017/347
摘要： Systems, devices, and methods permit insufflation of a body cavity prior to the insertion of a cannula into the body cavity. Some embodiments of an access system comprise an obturator, a trocar, and a fluid flow channel. The access system has a closed configuration, in which a distal end of the access system is fluidly isolated from the fluid flow channel, and an open configuration, in which the distal end of the access system is fluidly connected to the fluid flow channel, thereby permitting fluid flow, for example, an insufflation gas into a body cavity.
摘要翻译：系统，装置和方法允许在将插管插入体腔内之前吹入体腔。进入系统的一些实施例包括闭孔器，套管针和流体流动通道。进入系统具有闭合构造，其中进入系统的远端与流体流动通道流体隔离，并且打开构造，其中进入系统的远端流体地连接到流体流动通道，从而允许流体流动，例如，将吹入气体流入体腔。

4. 发明申请

WO2007103715A3 GAS INSUFFLATION AND SUCTION/IRRIGATION TUBING 审中-公开
标题翻译：气体消除和吸入/灌溉管道
公开(公告)号：WO2007103715A3
公开(公告)日：2008-03-06
申请号：PCT/US2007063049
申请日：2007-03-01
申请人： APPLIED MED RESOURCES , PRAVONG BOUN , PRAVONGVIENGKHAM KENNII , HILAL NABIL , BRUSTAD JOHN R , FALKENSTEIN ZORAN
发明人： PRAVONG BOUN , PRAVONGVIENGKHAM KENNII , HILAL NABIL , BRUSTAD JOHN R , FALKENSTEIN ZORAN
IPC分类号： A61M25/00
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided The tubing is lightweight and thin-walled The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement
摘要翻译：一种医用管道是柔性的并且无气体作为气体吹入管道，并且不可折叠地作为抽吸/冲洗管道。管道是轻质的和薄壁的。管道具有通常刚性但薄壁的结构形状或通常是软的，薄壁管道硬重新执行

5. 发明申请

WO2007106750A2 BALLOON TROCAR 审中-公开
标题翻译：巴洛克TROCAR
公开(公告)号：WO2007106750A2
公开(公告)日：2007-09-20
申请号：PCT/US2007/063728
申请日：2007-03-09
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , HART, Charles, C. , JOHNSON, Gary, M.
发明人： ALBRECHT, Jeremy, J. , AU, Gigi , NGUYEN, Eric , GADBERRY, Donald, L. , BRUSTAD, John, R. , HART, Charles, C. , JOHNSON, Gary, M.
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3419 , A61B2017/3433 , A61B2017/3445 , A61B2017/347 , A61B2017/3486 , A61B2017/3488 , A61B2017/349 , A61J15/0053 , A61M25/04 , A61M39/0247 , A61M39/06 , A61M2039/0261 , A61M2039/0273 , A61M2039/0279 , A61M2039/0294 , A61M2039/062 , A61M2039/0626 , A61M2039/0686
摘要： A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译：球囊套管针包括套管组件，其包括插管和套管上的外套筒。外套管的远端靠近套管的远端。气囊联接到套管的远端部分和套管的远端部分。套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道。在其远端部分具有凝胶垫的枕头可滑动地安装到套管组件上并且可以锁定在期望的位置。在使用中，套针针通过体壁插入到切口中并进入体腔。气囊膨胀，并且套管组件向近侧拉近抵靠切口，同时将垫片向远侧滑动到体壁并锁定到位以密封切口与压缩气球。

6. 发明申请

WO2007103715A2 GAS INSUFFLATION AND SUCTION/IRRIGATION TUBING 审中-公开
标题翻译：气体消除和吸入/灌溉管道
公开(公告)号：WO2007103715A2
公开(公告)日：2007-09-13
申请号：PCT/US2007/063049
申请日：2007-03-01
申请人： APPLIED MEDICAL RESOURCES CORPORATION , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , HILAL, Nabil , BRUSTAD, John, R. , FALKENSTEIN, Zoran
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , HILAL, Nabil , BRUSTAD, John, R. , FALKENSTEIN, Zoran
IPC分类号： A61M29/00 , A61M25/00
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided The tubing is lightweight and thin-walled The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement
摘要翻译：一种医用管道是柔性的并且无气体作为气体吹入管道，并且不可折叠地作为抽吸/冲洗管道。管道是轻质的和薄壁的。管道具有通常刚性但薄壁的结构形状或通常是软的，薄壁管道硬重新执行

7. 发明申请

WO2006062644A3 INSUFFLATION GAS WARMER AND HUMIDIFIER 审中-公开
标题翻译：内置气体加温器和加湿器
公开(公告)号：WO2006062644A3
公开(公告)日：2006-08-03
申请号：PCT/US2005040199
申请日：2005-11-07
申请人： APPLIED MED RESOURCES , HART CHARLES C , BRUSTAD JOHN R , FALKENSTEIN ZORAN
发明人： HART CHARLES C , BRUSTAD JOHN R , FALKENSTEIN ZORAN
IPC分类号： A61M16/10 , A62B9/00
CPC分类号： A61M13/003 , A61B17/3474
摘要： An insufflation gas warmer and humidifier apparatus and methods are provided. Insufflation gas is received from a bulky insufflation tubing. Insufflation gas received travels through, in one aspect, a channel or winding flow path, in a passage. The configuration of the passage ensures that the insufflation gas, which travels through the passage, receives sufficient heat and moisture. A humidifying reservoir humidifies the insufflation gas as the insufflation gas is passed to the passage. In one aspect, an oxygenator introduces slight amounts of oxygen into the insufflation gas. A warmer connected to the passage warms the gas in the passage. The warmer, in one aspect, contains a reactive agent that when exposed to air produces heat that is transferred to the passage to warm the insufflation gas within the passage.
摘要翻译：提供吹气加温器和加湿器设备和方法。呼吸气体从大体积的吹气管接收。在一个方面，接收的吹入气体在通道中行进通过通道或弯曲流动路径。通道的构造确保了通过通道的吹入气体接收足够的热量和湿气。当注入气体通过通道时，加湿储存器加湿注入气体。一方面，氧合器将少量氧气引入吹入气体中。连接到通道的温暖器会加热通道中的气体。在一个方面中，温热器含有反应剂，当暴露于空气时产生热量，该热量被传递至通道以加热通道内的吹入气体。

8. 发明申请

WO2005094702A1 SURGICAL ACCESS PORT AND METHOD OF USING 审中-公开
标题翻译：手术通道和使用方法
公开(公告)号：WO2005094702A1
公开(公告)日：2005-10-13
申请号：PCT/US2005/006763
申请日：2005-03-02
申请人： APPLIED MEDICAL RESOURCES CORPORATION , JOHNSON, Gary, M. , BRUSTAD, John, R. , HART, Charles, C.
发明人： JOHNSON, Gary, M. , BRUSTAD, John, R. , HART, Charles, C.
IPC分类号： A61B17/34
CPC分类号： A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要： The present invention relates to a surgical access port for insertion into a body cavity having an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip disposed at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip operates to move from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing operably connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or faded. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip. The retention member may be biased t~ hold the distal tip in an off-axis position when there is no axial load, or it may be lightly held in axial alignment and subsequently deflected in the presence of an instrument within the tubular body. The distal tip, which may comprise one or more parts or petals, may reposition to the side of the tubular body in a substantially right-angled condition in the second, retaining position. The repositioned tip remains in an off-axis condition until removal of the access port, at which time the distal tip automatically realigns with the axis of the tubular body as the access @>rt is withdrawn from the body wall. The tubular body may be a thin walled tube. The distal tip may comprise a conical, tapered or rounded shape to separate tissue layers. The distal tip may be solid or hollow, which may act as a specimen bag by closing on a specimen and pulled inside the tip during removal of the access @>rt. The distal tip may be formed from a clear material to allow viewing through an endoscope during placement of the surgical access @>rt.
摘要翻译：本发明涉及一种用于插入体腔内的外科进入口，其具有沿着近端和远端之间的轴线延伸的细长管状体，以及设置在管状体的远端处以穿透身体的尖端墙体进入体腔。当身体壁已经穿过时，远侧末端操作以从第一穿透位置移动到第二保持位置。外科进入口还可以包括可操作地连接到管状体的近端的密封外壳，密封壳体具有进入端口，该进入口提供到管状体中的开口以允许手术器械通过。远侧尖端可能是锋利的，尖的或褪色的。远侧末端也可以是基本上钝的或具有锥形表面。进入端口还可以包括用于连接管状体和远侧末端的保持构件。当不存在轴向负载时，保持构件可以被偏压保持远离位置，或者可以轻轻地保持轴向对准并随后在管状体内存在仪器的情况下偏转。可以包括一个或多个部分或瓣的远侧末端可以在第二保持位置中以基本上直角的状态重新定位到管状体的侧面。重新定位的尖端保持在离轴状态，直到移除进入端口，此时当远端从体壁撤出时，远端尖端与管状体的轴线自动重新对准。管状体可以是薄壁管。远侧末端可以包括锥形，锥形或圆形以分离组织层。远侧末端可以是实心的或中空的，其可以通过在样本移除期间关闭样本并在尖端内拉动而用作样本袋。远侧末端可以由透明材料形成，以允许在放置外科手术入口期间通过内窥镜观察。

9. 发明申请

WO2005013803A9 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设备和制造方法
公开(公告)号：WO2005013803A9
公开(公告)日：2005-06-02
申请号：PCT/US2004025511
申请日：2004-08-05
申请人： APPLIED MED RESOURCES , AHLBERG RUSSELL E , ADLPARVAR PAYAM , TAYLOR SCOTT V , WIXEY MATTHEW A , MARTINEZ DANIEL , BRUSTAD JOHN R
发明人： AHLBERG RUSSELL E , ADLPARVAR PAYAM , TAYLOR SCOTT V , WIXEY MATTHEW A , MARTINEZ DANIEL , BRUSTAD JOHN R
IPC分类号： A61B17/00 , A61B17/22 , A61B17/34 , B29C39/00 , B29C39/12 , A61B
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：公开了一种制作无粘性凝胶的方法，包括以下步骤：提供限定模腔的模具，所述模腔包含塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且形成不粘性凝胶作为模腔的塑料薄层在熔体上熔化。成型步骤还包括将凝胶从熔融状态冷却到固化状态。塑料材料的熔化温度低于凝胶的模塑温度; 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。采用本发明的方法，将熔融凝胶在其模塑温度下的热量传递到LDPE模具的表面上，以熔化薄层LDPE。模具可以包括具有形成多个模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穿过凝胶中心的轴向孔，LDPE缸提供预定内径用于模具和安装在轴向销上并设置在模具基座中的每个模腔的底部的LDPE盘。该方法可以进一步包括在低摩擦粉末例如聚四氟乙烯（PTFE）和润滑剂中蘸取凝胶的步骤。所述模具还可以包括模具顶部，所述模具顶部设置在所述模具基部的轴向上并且包括形成多个腔体的多个孔，每个所述模具顶部孔适于接收所述LDPE圆筒，并且第二LDPE圆盘设置在所述顶部模具顶部的每个模腔。

10. 发明申请

WO2004078026A3 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：WO2004078026A3
公开(公告)日：2005-05-19
申请号：PCT/US2004004883
申请日：2004-02-18
申请人： APPLIED MED RESOURCES , HART CHARLES C , BRUSTAD JOHN R
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：用于提供穿过身体壁的通路的套针针系统（20）包括套管针（20）和以第一螺旋（102）形式设置的锚固件（101）。锚（101）适于放置在操作位置，其中锚（101）至少部分延伸穿过身体壁。形成在套针针（20）上的第二螺旋（163）的尺寸和构造成与锚固件（101）的第一螺旋（102）接合，使得套管针（20）相对于锚固件（101）的旋转使第二螺旋沿着第一螺旋（102）的螺旋（163）。以这种方式，套管针在移动到体壁中时被拉入锚（101）。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。

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