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1. 发明授权

US07913697B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US07913697B2
公开(公告)日：2011-03-29
申请号：US12693242
申请日：2010-01-25
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
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（100），具有直径大于所述伤口切口所需直径的第一环（102）。第二环（104），其具有环形轴线和直径大于所述伤口切口的期望直径。柔性套筒（106）以大致圆柱形的形式设置在第一和第二环（102,104）之间，第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基缩回力的套筒切口至所需直径。

2. 发明申请

US20110005661A1 Medical Tubing Having Variable Characteristics and Method of Making Same 有权
标题翻译：具有可变特性的医用管及其制作方法
公开(公告)号：US20110005661A1
公开(公告)日：2011-01-13
申请号：US12877245
申请日：2010-09-08
申请人： JOHN R. BRUSTAD , SAID S. HILAL , NABIL HILAL , CHARLES C. HART , GARY M. JOHNSON , SERENA HILAL , GHASSAN SAKAKINE , DONALD L. GADBERRY , EDWARD D. PINGLETON , MATTHEW N. PETRIME , PAYAM ADLPARVAR , CARL B. HADLEY , KENNETH K. VU
发明人： JOHN R. BRUSTAD , SAID S. HILAL , NABIL HILAL , CHARLES C. HART , GARY M. JOHNSON , SERENA HILAL , GHASSAN SAKAKINE , DONALD L. GADBERRY , EDWARD D. PINGLETON , MATTHEW N. PETRIME , PAYAM ADLPARVAR , CARL B. HADLEY , KENNETH K. VU
IPC分类号： B29D23/20
CPC分类号： A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要： The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.
摘要翻译：本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。管道包括多个单独的离散的大体环形元件，其串联布置并且熔合或粘合在一起形成连续的管状结构。环形元件可以由热塑性材料或热固性材料形成。环形元件可以包括沿着管状结构的长度组装的塑料环，金属环，未增强塑料环和/或金属增强塑料环，以提供可变的柔性和抗扭结性。管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。环形元件可以具有不同的弯曲模量。环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合，其中环形元件可以具有不同的长度，并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合的管道。在本发明的另一方面，医疗管道还可包括用于控制管状结构的次管腔和拉线。环形元件可以被截断以提供弯曲偏压。在本发明的另一方面，环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。在本发明的另一方面，一些环形元件可以是不透射线的，或者环形元件可以包括不同的颜色以作为沿着管状结构的指示器。

3. 发明授权

US07780688B2 Spring clip and method for assembling same 有权
标题翻译：弹簧夹和组装方法
公开(公告)号：US07780688B2
公开(公告)日：2010-08-24
申请号：US10543800
申请日：2004-02-17
申请人： Ghassan Sakakine , Donald L. Gadberry
发明人： Ghassan Sakakine , Donald L. Gadberry
IPC分类号： A61B17/08
CPC分类号： A61B17/1227 , A61B17/083 , A61B17/122
摘要： A surgical clip assembly is provided having two molded components and a tension spring. In one aspect, the spring clip includes a first molded portion having a first jaw and a first finger tab, a second molded portion coupled to the first molded portion and having a second jaw and a second finger tab, and a tension spring coupled to both the first and second molded portions. The first and second molded portions may be identical components. The tension spring is wound at least one turn forming a central coil and two extensions, and each of the molded portions is formed with a hinge area. Each of the hinge areas includes a hinge stud and a hinge cavity. The hinge areas align and snap-fit with one another to form the clip assembly. The extensions of the tension spring may be mounted into guide slots or ribs of the molded portions.
摘要翻译：提供具有两个模制部件和拉伸弹簧的手术夹子组件。在一个方面，弹簧夹包括具有第一钳口和第一指状突片的第一模制部分，耦合到第一模制部分并具有第二钳口和第二指状突片的第二模制部分，以及耦合到两者的拉伸弹簧第一和第二模制部分。第一和第二模制部分可以是相同的部件。拉伸弹簧至少缠绕形成中心线圈和两个延伸部，并且每个模制部分形成有铰链区域。每个铰链区域包括铰链柱和铰链腔。铰链区域彼此对准并卡扣配合以形成夹子组件。拉伸弹簧的延伸部可以安装在模制部分的引导槽或肋中。

4. 发明授权

US07731725B2 Surgical instrument with improved handle assembly 有权
标题翻译：具有改进手柄组合的手术器械
公开(公告)号：US07731725B2
公开(公告)日：2010-06-08
申请号：US11021852
申请日：2004-12-23
申请人： Donald L. Gadberry , Hank Kahle , Gary M. Johnson , Steven R. Anderson
发明人： Donald L. Gadberry , Hank Kahle , Gary M. Johnson , Steven R. Anderson
IPC分类号： A61B17/10
CPC分类号： A61B17/128 , A61B2017/2916
摘要： A modular clip applier includes a cartridge containing multiple surgical clips, and a handle assembly for operating the cartridge to crimp one of the clips onto body tissue of a patient. The handle assembly has a scissors configuration with a bayonet coupling, and flange pairs widely separated to provide a high degree of stability. The bayonet coupling enables the handles of the assembly to be fully separated for cleaning. Snap fittings between the cartridge and handle assembly are provided at the fulcrum and also at a spaced location where an operating pin of the cartridge engages intersecting slots in the flanges. Overdrive protection of three different types is contemplated along with a structure facilitating operation of the handle assembly by palming a pair of handle bars.
摘要翻译：模块化夹具包括包含多个手术夹的盒，以及用于操作所述盒以将一个夹子压接到患者的身体组织上的手柄组件。手柄组件具有剪刀结构，其具有卡口联接件，并且凸缘对被广泛地分离以提供高度的稳定性。卡口式联轴器可使组件的手柄完全分离以进行清洁。墨盒和手柄组件之间的卡扣配件设置在支点处以及间隔开的位置，其中墨盒的操作销接合凸缘中的相交槽。考虑到三种不同类型的过驱动保护以及便于通过调节一对把手来操作手柄组件的结构。

5. 发明授权

US07727146B2 Wound retractor with gel cap 有权
标题翻译：带有胶帽的伤口牵开器
公开(公告)号：US07727146B2
公开(公告)日：2010-06-01
申请号：US11548781
申请日：2006-10-12
申请人： Jeremy J Albrecht , Charles C Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L Gadberry
发明人： Jeremy J Albrecht , Charles C Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L Gadberry
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，其中每个包括具有定位在其中的刚性的，不一致的分割箍的内腔。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

6. 发明授权

US07650887B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US07650887B2
公开(公告)日：2010-01-26
申请号：US10516198
申请日：2003-06-03
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes, II , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes, II , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
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（100），具有直径大于所述伤口切口所需直径的第一环（102）。第二环（104），其具有环形轴线和直径大于所述伤口切口的期望直径。柔性套筒（106）以大致圆柱形的形式设置在第一和第二环（102,104）之间，第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基缩回力的套筒切口至所需直径。

7. 发明授权

US06896683B1 Surgical instrument with improved handle assembly 有权
标题翻译：具有改进手柄组合的手术器械
公开(公告)号：US06896683B1
公开(公告)日：2005-05-24
申请号：US09675851
申请日：2000-09-28
申请人： Donald L. Gadberry , Hank Kahle , Gary M. Johnson , Steven R. Anderson
发明人： Donald L. Gadberry , Hank Kahle , Gary M. Johnson , Steven R. Anderson
IPC分类号： A61B17/128 , A61B17/28 , A61B17/10
CPC分类号： A61B17/128 , A61B2017/2916
摘要： A modulator clip applier includes a cartridge containing multiple surgical clips, and a handle assembly for operating the cartridge to crimp one of the clips onto body tissue of a patient. The handle assembly has a scissors configuration with a bayonet coupling, and flange pairs widely separated to provide a high degree of stability. The bayonet coupling enables the handles of the assembly to be fully separated for cleaning. Snap fittings between the cartridge and handle assembly are provided at the fulcrum and also at a spaced location where an operating pin of the cartridge engages intersecting slots in the flanges. Overdrive protection of three different types is contemplated along with a structure facilitating operation of the handle assembly by palming a pair of handle bars.
摘要翻译：一种调制器夹具包括一个包含多个外科夹子的药筒，以及一个手柄组件，用于操作药筒以使夹子中的一个夹在患者的身体组织上。手柄组件具有剪刀结构，其具有卡口联接件，并且凸缘对被广泛地分离以提供高度的稳定性。卡口式联轴器可使组件的手柄完全分离以进行清洁。墨盒和手柄组件之间的卡扣配件设置在支点处以及间隔开的位置，其中墨盒的操作销接合凸缘中的相交槽。考虑到三种不同类型的过驱动保护以及便于通过调节一对把手来操作手柄组件的结构。

8. 发明授权

US06626922B1 Surgical instruments with improved traction 有权
标题翻译：外科手术具有改善的牵引力
公开(公告)号：US06626922B1
公开(公告)日：2003-09-30
申请号：US09355679
申请日：1999-08-09
申请人： Charles C. Hart , Donald L. Gadberry , Eduardo Chi-Sing , Mark P. Ashby , Luis Urquidi , Robert T. Jones
发明人： Charles C. Hart , Donald L. Gadberry , Eduardo Chi-Sing , Mark P. Ashby , Luis Urquidi , Robert T. Jones
IPC分类号： A61B17122
CPC分类号： A61B17/02 , A61B17/122 , A61B17/1227 , A61B2017/00858 , A61B2017/00862 , A61B2017/0243 , A61B2017/2825
摘要： A surgical instrument 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 with at least one of the jaws comprising a substrate having a particular surface facing the tissue, and a plurality of discrete elements disposed on the particular surface for increasing the traction of the instrument relative to the tissue. These discrete elements 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.
摘要翻译：外科器械适于接触患者的组织并提供与组织的牵引力，以便抑制器械相对于组织的移动。仪器可以包括一对相对的钳口，其中至少一个钳口包括具有面向组织的特定表面的衬底，以及设置在特定表面上的多个分立元件，用于增加器械相对于组织的牵引力。这些离散元件可以包括多个颗粒，刷毛或凸起，并且可以由具有各种性质的材料形成，例如亲水特性。刷毛形式的离散元件也可以被定向，使得每个刷毛的柱强度在预定方向上提供增加的牵引力。

9. 发明授权

US06267773B1 Low profile surgical clip 有权
标题翻译：低调手术夹
公开(公告)号：US06267773B1
公开(公告)日：2001-07-31
申请号：US09353413
申请日：1999-07-15
申请人： Donald L. Gadberry , Eric Lee
发明人： Donald L. Gadberry , Eric Lee
IPC分类号： A61B1708
CPC分类号： A61B17/1227
摘要： A surgical spring clip includes a first molded component having a first jaw and a first finger tab. A second component having a second jaw and a second finger tab comprises the only other molded component. The first component has a telescoping relationship with the second component and is moveable by operation of the finger tab between a first position wherein the jaws are generally closed and a second position wherein the jaws are generally open. A spring disposed between the tabs and the jaws biases the first and second components toward the first position. The clip has a telescoping barrel with the general shape of a polygon in radial cross-section. An increased guidance link provides the clip with a guidance ratio of about 1.5 ratio. Alignment of the components is further enhanced by the provision of ramped projections and the accommodation of tolerances only along one side of the telescoping barrel. A simplified method of assembly requires movement of the second component through a window in the first component.
摘要翻译：手术弹簧夹包括具有第一钳口和第一指状突片的第一模制部件。具有第二钳口和第二指状突片的第二部件仅包括其它模制部件。第一部件与第二部件具有伸缩关系，并且可以通过手指突片的操作在第一位置和第二位置之间移动，所述第一位置通常是闭合的，而第二位置其中钳口通常是敞开的。设置在突片和夹爪之间的弹簧将第一和第二部件偏向第一位置。该夹具具有一个具有径向横截面的多边形的大致形状的伸缩筒。增加的引导链接为夹具提供约1.5比率的引导比。通过提供斜坡突起和仅在伸缩筒的一侧容纳公差，进一步增强了部件的对准。简化的组装方法需要第二部件通过第一部件中的窗口的移动。

10. 发明授权

US5456284A Elastomeric valve assembly 失效
标题翻译：弹性阀组件
公开(公告)号：US5456284A
公开(公告)日：1995-10-10
申请号：US59804
申请日：1993-05-10
申请人： Timothy C. Ryan , Charles C. Hart , Mark A. Ritchart , Donald L. Gadberry
发明人： Timothy C. Ryan , Charles C. Hart , Mark A. Ritchart , Donald L. Gadberry
IPC分类号： A61M39/06 , F16K15/14 , A61B1/01
CPC分类号： A61B1/018 , A61B1/00137 , A61M39/0606 , F16K15/147 , A61M2039/0633 , A61M2039/0646 , Y10T137/7876
摘要： A medical access device is adapted to receive an instrument and comprises a housing defining an inner channel and a valve disposed in the channel to form a seal with the housing. The valve includes an outer wall and a pair of inner walls extending in distally converging relationship to define a slot. At least one compression member extends between the outer wall and an associated one of the inner walls. The compression member is compressed in response to insertion of the instrument and exerts a force on the associated inner wall when compressed to reduce leakage of the valve when the instrument is inserted. A funnel is provided at the distal end of the valve to facilitate backloading of the instrument.
摘要翻译：医疗接入装置适于接收仪器并且包括限定内部通道的壳体和设置在通道中的阀，以与壳体形成密封。该阀包括一个外壁和一对内壁，该内壁以远端会聚的关系延伸以限定槽。至少一个压缩构件在外壁和相关联的一个内壁之间延伸。压缩构件被响应于仪器的插入而被压缩，并在压缩时对相关联的内壁施加力，以减少当仪器被插入时阀的泄漏。在阀的远端处提供漏斗以便于仪器的背负。

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