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1. 发明授权

US09101354B2 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：US09101354B2
公开(公告)日：2015-08-11
申请号：US13598218
申请日：2012-08-29
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： A61B17/34 , A61B17/02 , A61B19/00 , A61B17/00 , A61B19/02
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。

2. 发明授权

US08945058B2 Trocar cannula with atraumatic tip 有权
标题翻译：套管套管与无创尖端
公开(公告)号：US08945058B2
公开(公告)日：2015-02-03
申请号：US12445263
申请日：2007-11-21
申请人： Kennii Pravongviengkham , Henry Kahle , Jeremy J. Albrecht , Scott V. Taylor
发明人： Kennii Pravongviengkham , Henry Kahle , Jeremy J. Albrecht , Scott V. Taylor
IPC分类号： A61B17/34 , A61B17/00 , A61B19/00
CPC分类号： A61B17/3421 , A61B17/3494 , A61B2017/00473 , A61B2017/3441 , A61B2017/3456 , A61B2090/08021
摘要： A surgical access port is provided with a trocar cannula having a substantially rigid portion and an atraumatic distal tip. The atraumatic distal tip is substantially compliant relative to the rigid portion of the cannula. The trocar cannula provides unobstructed surgical access into a body cavity allowing the insertion and removal of surgical instruments through the trocar cannula and into the body cavity using a minimal sized incision or entryway.
摘要翻译：外科进入口设置有具有基本刚性部分和无创伤的远端尖端的套针针套管。无创伤的远侧末端相对于套管的刚性部分基本上是柔顺的。套管针套管提供无障碍的外科手术进入体腔，允许通过套管针套管插入和移除手术器械，并使用最小尺寸的切口或入口进入体腔。

3. 发明授权

US08684975B2 Instrument seal 有权
标题翻译：仪表密封
公开(公告)号：US08684975B2
公开(公告)日：2014-04-01
申请号：US13419628
申请日：2012-03-14
申请人： Jeremy J. Albrecht , John R. Brustad , Gary M. Johnson , Matthew W. Becerra , Eric Nguyen
发明人： Jeremy J. Albrecht , John R. Brustad , Gary M. Johnson , Matthew W. Becerra , Eric Nguyen
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3421 , A61B2017/3464 , A61M2039/0633
摘要： A surgical access port comprises a valve or instrument seal that separates the instrument contact function from the instrument conforming function. Embodiments of the instrument seal comprise in instrument contact element that extends through an opening in a compression element, thereby defining an instrument orifice that seals with an instrument extending therethrough. Embodiments of the instrument contact element comprise a non-distensible membrane or film, for example, as a tube or cylinder.
摘要翻译：手术进入口包括将仪器接触功能与仪器符合功能分开的阀或仪器密封件。仪器密封件的实施例包括在通过压缩元件中的开口延伸的仪器接触元件中，从而限定与延伸穿过其中的仪器密封的仪器孔。仪器接触元件的实施例包括不可扩张的膜或膜，例如作为管或气缸。

4. 发明授权

US08597251B2 Pleated trocar shield 有权
标题翻译：褶皱套管针盾
公开(公告)号：US08597251B2
公开(公告)日：2013-12-03
申请号：US13591853
申请日：2012-08-22
申请人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

5. 发明申请

US20130245381A1 NATURAL ORIFICE SURGERY SYSTEM 有权
标题翻译：自然手术手术系统
公开(公告)号：US20130245381A1
公开(公告)日：2013-09-19
申请号：US13865854
申请日：2013-04-18
申请人： Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
发明人： Kevin K. Dang , Jeremy J. Albrecht , Blaze Brown , Adam Hoke , Adeeb Saiduddin , Gary M. Johnson , Jacob J. Filek
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B1/32 , A61B17/0218 , A61B17/0293 , A61B17/3421 , A61B17/3431 , A61B2017/00557 , A61B2017/00889 , A61B2017/00907 , A61B2017/0225 , A61B2017/3419 , A61B2017/3429 , A61B2017/3443 , A61B2017/3445 , A61B2017/345 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3482 , A61B2017/3486 , A61B2017/3492
摘要： Embodiments of a surgical access port system that comprises a retractor that is adapted for being coupled to a cap and that is particularly useful in natural orifice surgery are described. The retractor comprises an outer ring, wherein the outer ring is configured to be disposed proximate the natural orifice of the patient and substantially surround the orifice; a tubular body; a funnel segment extending between and coupling the outer ring and the tubular body, wherein the funnel segment provides a diametric reduction between the relatively large diameter of the outer ring and the relatively smaller diameter of the tubular body, which is sized to fit within a natural orifice with minimal distention of the orifice; and an inflatable member disposed around the distal end of the tubular body, the inflatable member sized and configured to fit snugly around the tubular body in the deflated condition and to expand against the wall of the natural orifice in the inflated state to thereby stabilize and retain the retractor within the orifice.
摘要翻译：描述了外科进入口系统的实施例，其包括适于联接到帽并且在自然孔口手术中特别有用的牵开器。牵开器包括外环，其中外环被配置成靠近患者的自然孔并且基本上围绕孔; 管状体漏斗段，其在所述外环和所述管状主体之间延伸并联接，其中所述漏斗段在所述外环的相对较大直径和所述管状体的相对较小直径之间提供直径减小，其尺寸设定成适合于自然界小孔膨胀小孔; 以及可膨胀构件，其围绕所述管状体的远端设置，所述可膨胀构件的尺寸和构造尺寸和构造成在所述放气状态下紧密地配合在所述管状体周围，并且在膨胀状态下抵靠所述自然孔的壁膨胀，从而稳定和保持收缩器在孔内。

6. 发明申请

US20130006184A1 SINGLE PORT ACCESS SYSTEM 有权
公开(公告)号：US20130006184A1
公开(公告)日：2013-01-03
申请号：US13596361
申请日：2012-08-28
申请人： Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
发明人： Jeremy J. Albrecht , Matthew M. Becerra , John R. Brustad , Juan Lechuga , Donald L. Gadberry , Gary M. Johnson , Aries E. Gatus , Kennii Pravongviengkham
IPC分类号： A61B17/34
CPC分类号： A61B17/02 , A61B17/0293 , A61B17/3421 , A61B17/3423 , A61B2017/3447 , A61B2017/3452 , A61B2017/3466 , A61B2017/347 , A61B2017/3484 , A61B2017/3492
摘要： Embodiments of a surgical access system useful for single or limited port procedures comprise a trocar comprising a fixation cannula, a retractor, and a gel cap removably coupled to the retractor. The gel cap comprises a gel pad that acts as an artificial body wall, through which instruments may be inserted into a body cavity, either directly or through one or more trocars. The fixation cannula comprises a retainer and a bolster, which together, capture the artificial body wall therebetween, thereby fixing the trocar thereto. The gel pad permits flexible instrument placement, as well as translational and angular degrees of freedom for the instruments while maintaining a gas tight seal.

7. 发明授权

US08257317B2 Pleated trocar shield 有权
标题翻译：褶皱套管针盾
公开(公告)号：US08257317B2
公开(公告)日：2012-09-04
申请号：US13165931
申请日：2011-06-22
申请人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

8. 发明申请

US20120215247A1 TROCAR WITH RETENTION CANNULA 有权
标题翻译：保留肛门的保留
公开(公告)号：US20120215247A1
公开(公告)日：2012-08-23
申请号：US13460993
申请日：2012-05-01
申请人： Jeremy J. Albrecht , Gary M. Johnson , Matthew M. Becerra , Travis King , Donald L. Gadberry , Isabel Simons
发明人： Jeremy J. Albrecht , Gary M. Johnson , Matthew M. Becerra , Travis King , Donald L. Gadberry , Isabel Simons
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar comprises a retention cannula comprising an inverted or incised retention pattern disposed thereon. Embodiments of the incised cannula exhibit reduced tissue trauma compared with screw-threaded cannula, improved fixation and/or retention compared with an unthreaded cannula, and good sealing between the cannula and the incision.
摘要翻译：套针针包括保持套管，其包括设置在其上的反转或切开的保持图案。与非螺纹套管相比，切开的套管的实施例显示与螺纹插管相比减少的组织创伤，以及套管和切口之间的良好密封。

9. 发明申请

US20120203261A1 TROCARS WITH ADVANCED FIXATION 有权
标题翻译：具有高级固定的TROCARS
公开(公告)号：US20120203261A1
公开(公告)日：2012-08-09
申请号：US13449017
申请日：2012-04-17
申请人： Gigi Au , Jeremy J. Albrecht , Charles C. Hart , Gary M. Johnson , John R. Brustad
发明人： Gigi Au , Jeremy J. Albrecht , Charles C. Hart , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar fixation device includes a cannula and an elongate tube mounted onto and coupled to the exterior surface of the cannula with the distal end of the cannula extending distally beyond the distal end of the elongate tube. The elongate tube includes a plurality of slits cut at an angle to a longitudinal axis of the elongate tube. The trocar fixation device is activated by rotating the proximal-end region of the elongate tube in a first direction and is deactivated by rotating the proximal-end region of the elongate tube in a second direction, opposite to the first direction. Activation of the trocar fixation device compresses the material positioned between adjacent slits and forces the material radially outwardly, away from the exterior surface of the cannula, thereby forming ridges. Deactivation of the trocar fixation device returns the exterior surface of the elongate tube to a substantially smooth condition.
摘要翻译：套管针固定装置包括插管和安装到套管的外表面上并连接到套管的外表面的细长管，套管的远端向远侧延伸超过细长管的远端。细长管包括与细长管的纵向轴线成一定角度切割的多个切口。套管针固定装置通过沿着第一方向旋转细长管的近端区域而被激活，并且通过沿与第一方向相反的第二方向旋转细长管的近端区域来停用。套针针固定装置的激活压缩位于相邻狭缝之间的材料，并迫使材料径向向外，远离插管的外表面，从而形成脊。套针针固定装置的停用将细长管的外表面返回到基本平滑的状态。

10. 发明授权

US08235054B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US08235054B2
公开(公告)日：2012-08-07
申请号：US13031892
申请日：2011-02-22
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回缩力的套筒切口至所需直径。

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