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    • 6. 发明授权
    • Cannula-based irrigation system and method
    • 基于插管的灌溉系统和方法
    • US06406425B1
    • 2002-06-18
    • US09634132
    • 2000-08-08
    • Albert K. ChinJohn P. LunsfordTenny ChangJeffrey W. Baxter
    • Albert K. ChinJohn P. LunsfordTenny ChangJeffrey W. Baxter
    • A61B1702
    • A61B17/0218A61B1/00091A61B1/015A61B1/018A61B1/126A61B17/00008
    • A retractor and a surgical tool are positioned within a cannula, and a dissection cradle of the retractor is positioned at the distal end of the cannula. The retractor includes a first portion with an axis approximately parallel to the axis of the cannula and a second portion with an axis skewed relative to the axis of the cannula. The dissection cradle may include two substantially parallel, spaced legs with the retractor shaped in a loop between and in a plane skewed relative to the axes of the legs, and with the loop directed away from the surgical tool. Thus, in operation, when a surgeon locates a vessel and side branch of interest, the surgeon extends the retractor to cradle the vessel in the dissection cradle. Once cradled, the retractor may be fully extended to urge the vessel away from the axis of the cannula to isolate the side branch for exposure to a surgical tool. One of the legs supporting the retractor is hollow and includes a spray nozzle disposed in the distal end of the retractor to form an irrigation system The proximal end of the hollow leg communicates with a fluid inlet which receives irrigation fluid under pressure for washing the endoscope lens. The spray nozzle on the retractor may be positioned to wash the endoscope lens, or upon selective extension of the retractor out of the cannula, the spray nozzle may be positioned to direct the spray of irrigation fluid at a remote surgical site.
    • 牵开器和手术工具定位在套管内,并且牵开器的解剖支架位于套管的远端。 牵开器包括具有大致平行于套管轴线的轴线的第一部分和具有相对于套管轴线倾斜的轴线的第二部分。 解剖支架可以包括两个基本上平行的间隔开的腿,其中牵开器成形为环绕在相对于腿的轴线倾斜的平面之间的环中,并且环路指向远离手术工具。 因此,在操作中,当外科医生定位感兴趣的血管和侧分支时,外科医生将牵开器延伸到将解剖支架中的血管摇动。 一旦收起,收缩器可以完全延伸以促使血管远离套管的轴线,以隔离侧分支以暴露于手术工具。 支撑牵开器的一个腿是中空的,并且包括设置在牵开器的远端中的喷嘴以形成冲洗系统。中空腿的近端与在压力下接收冲洗流体以洗涤内窥镜镜片的流体入口连通 。 牵开器上的喷嘴可以被定位成洗涤内窥镜镜片,或者在将牵开器选择性地延伸出套管之后,可以将喷嘴定位成将冲洗流体喷射在远程外科手术部位。
    • 8. 发明授权
    • Flexible lifting apparatus
    • 柔性起重设备
    • US5827314A
    • 1998-10-27
    • US867873
    • 1997-06-04
    • John P. LunsfordEdwin J. HlavkaEdmund J. RoschakDaniel T. WallaceCharles Gresl, Jr.David B. McCallumDana G. Mead
    • John P. LunsfordEdwin J. HlavkaEdmund J. RoschakDaniel T. WallaceCharles Gresl, Jr.David B. McCallumDana G. Mead
    • A61B17/00A61B17/02A61B19/02A61M29/00
    • A61B17/0281A61B17/0218A61B2017/00557A61B2050/314
    • A lifting apparatus for deployment through a laparoscopic incision in a body wall to apply an external lifting force over a large area of the body wall. The apparatus provides a broad lifting surface that is capable of applying a lifting force of at least 40 pounds (180 Newtons) to an area of a body wall sufficiently extensive to reduce the lifting pressure exerted on the body wall to well below that which could cause pressure trauma to the body wall, yet delivers this broad lifting surface through the body wall via an incision about 14 mm long. The apparatus comprises a body wall engaging element capable of passing in a packaged state through the laparoscopic incision, and being inflatable to an inflated state. In the inflated state, the body wall engaging element is substantially toroidal, provides a broad lifting face, and bounds a central hole. The body wall engaging element includes an equatorial portion facing into the central hole. The apparatus also includes a flexible lifting element that has a flexible portion capable of passing through the laparoscopic incision. The flexible portion is attached to the equatorial portion of the body wall engaging element and extends from the equatorial portion towards the broad lifting face. The flexible lifting element also includes an adapter, connected to part of the flexible portion remote from the equatorial portion of the body wall engaging element, that receives the external lifting force and transfers the external lifting force to the flexible portion.
    • 一种提升装置,用于通过体壁内的腹腔镜切口进行部署,以在身体壁的大面积上施加外部提升力。 该设备提供了一个宽大的提升表面,其能够将足够大的至少40磅(180牛顿)的提升力施加到足够广泛的体壁的区域,以减小施加在体壁上的提升压力,远低于可能导致 对身体壁的压力创伤,但通过大约14毫米长的切口将这个宽大的提升表面通过身体壁传递。 该装置包括能够通过腹腔镜切口穿过包装状态并且可充气至膨胀状态的体壁接合元件。 在充气状态下,身体壁接合元件基本上是环形的,提供宽的提升面,并限定中心孔。 身体壁接合元件包括面向中心孔的赤道部分。 该装置还包括具有能够通过腹腔镜切口的柔性部分的柔性提升元件。 柔性部分附接到体壁接合元件的赤道部分并且从赤道部分向着宽的提升面延伸。 柔性提升元件还包括适配器,其连接到远离体壁接合元件的赤道部分的柔性部分的一部分,其接收外部提升力并将外部提升力传递到柔性部分。