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1. 发明授权

US06605037B1 Endoscopic inflatable retraction device 失效
标题翻译：内窥镜充气回缩装置
公开(公告)号：US06605037B1
公开(公告)日：2003-08-12
申请号：US09179008
申请日：1998-10-26
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1702
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： An inflatable retraction apparatus is provided for retracing an organ inside a body to gain access to an adjacent tissue. The apparatus includes an able chamber formed from a single thin envelope, and capable of being collapsed for insertion through an incision and being expanded to a predetermined shape for retracing the organ. An inflation mechanism is adapted to selectively inflate the chamber to the predetermined shape. The inflation mechanism includes at least one inflation tube attached to the inflatable chamber in fluid communication theretween, and an inflatable maintaining lattice operatively enveloping the inflatable chamber and in operative association with the inflation mechanism. The inflatable maintaining lattice defines a plurality of single layered access windows around the inflatable chamber, and is configured and adapted to maintain the inflatable chamber in substantially the predetermined shape after an aperture is pierced in at least one of the plurality of access windows of the inflatable chamber.
摘要翻译：提供一种可充气的收缩装置，用于回收身体内的器官，以便进入邻近的组织。该装置包括由单个薄壳体形成的能力腔室，并且能够被塌缩以插入通过切口并且被扩展到预定形状以用于回退器官。膨胀机构适于选择性地将腔室充气至预定形状。膨胀机构包括至少一个连接到可膨胀室的充气管，其中流体连通，并且可膨胀的维持格子可操作地包围可充气室并与膨胀机构有效连接。可充气维护格架限定围绕可充气室的多个单层进入窗口，并且被配置和适于在可充气室的多个进入窗口中的至少一个穿孔之后将可充气室保持为基本上预定的形状房间。

2. 发明授权

US06524283B1 Method and apparatus for anchoring laparoscopic instruments 失效
标题翻译：腹腔镜手术的方法和装置
公开(公告)号：US06524283B1
公开(公告)日：2003-02-25
申请号：US08447794
申请日：1995-05-23
申请人： Philip K. Hopper , Tim J. Kovac , Edmund J. Roschak , Wilson Eng
发明人： Philip K. Hopper , Tim J. Kovac , Edmund J. Roschak , Wilson Eng
IPC分类号： A61M500
CPC分类号： A61M25/04 , A61B17/3421 , A61B2017/3486 , A61B2017/3492 , A61M2025/0233
摘要： A balloon anchor provides for the anchoring of a surgical instrument, such as conventional trocar sheath, within a puncture opening formed by a trocar. When used on a trocar sheath, the anchor is secured to the smooth outer surface of the sheath for extension through the puncture opening as the trocar within the sheath forms the opening. Adhesive or mechanical means are provided to secure the balloon the instrument. No modification to the structure of the instrument is required. Once in place within the opening, the balloon is inflated to the interior of the tissue to anchor the instrument in place. Certain embodiments also provide for inflation of the balloon within and/or to the exterior of the opening.
摘要翻译：气球锚定装置用于将诸如常规套管针护套的外科器械固定在由套管针形成的穿刺孔内。当用于套管针护套时，锚固件固定到护套的光滑的外表面，以便当护套内的套针针形成开口时通过穿刺孔延伸。提供粘合剂或机械装置以将气球固定在仪器上。不需要对仪器的结构进行修改。一旦在开口内的适当位置，气球就膨胀到组织的内部，以将仪器固定到位。某些实施例还提供气囊在开口的内部和/或外部的膨胀。

3. 发明授权

US5865728A Method of using an endoscopic inflatable lifting apparatus to create an anatomic working space 失效
标题翻译：使用内窥镜充气提升装置创建解剖工作空间的方法
公开(公告)号：US5865728A
公开(公告)日：1999-02-02
申请号：US561160
申请日：1995-11-21
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： A method of separating tissue layers using an inflatable balloon, in which endoscopic visualization may be carried out through the balloon during inflation.
摘要翻译：使用可膨胀气囊分离组织层的方法，其中可以在充气期间通过气囊进行内窥镜可视化。

4. 发明授权

US5562603A Endoscopic inflatable retraction device with fluid-tight elastomeric window 失效
标题翻译：具有流体密封弹性窗口的内窥镜充气回缩装置
公开(公告)号：US5562603A
公开(公告)日：1996-10-08
申请号：US461162
申请日：1995-06-05
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2090/306
摘要： An apparatus is described for laparoscopically retracting an organ inside the body to provide surgical access to adjacent tissue. The apparatus includes a thin, flexible envelope which encloses a chamber. The envelope is laparoscopically insertable in a collapsed state into a body cavity, and the chamber is inflatable to an expanded state following introduction of the envelope into the body. Inflation of the chamber causes retraction of adjacent tissue. An elastomeric seal is insertable into the chamber following inflation and is attachable to part of the envelope inside the chamber following inflation of the chamber. The seal provides a gas-tight seal to maintain the chamber in the expanded state, and to maintain the organ in the retracted state, notwithstanding the piercing of an aperture in the part of the envelope covered by the seal.
摘要翻译：描述了一种用于腹腔镜缩回身体内的器官以提供对相邻组织的手术进入的装置。该装置包括一个包围一个室的薄而柔软的封套。该信封被腹腔镜插入到塌陷状态进入体腔，并且在将信封引入体内之后，腔室可充气至扩张状态。腔室的充气导致相邻组织的收缩。弹性体密封件在充气之后可插入到腔室中，并且可以在室的充气之后附接到腔室内部的一部分信封。密封件提供气密密封以将腔室保持在膨胀状态，并且保持器官处于缩回状态，尽管刺穿了由密封件覆盖的信封部分中的孔。

5. 发明授权

US5402772A Endoscopic expandable retraction device 失效
标题翻译：内窥镜扩张收缩装置
公开(公告)号：US5402772A
公开(公告)日：1995-04-04
申请号：US106227
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： Apparatus for retracting an organ inside the body to gain access to an adjacent tissue. The apparatus comprises an expandable cage and an expansion element. The expandable cage is capable of being inserted into the body through a small incision or puncture in a collapsed state. The expansion element is for selectively expanding the expansible cage inside the body to an expanded state. The expansion element includes an envelope enclosing a fluid-inflatable chamber. The expansible cage includes an additional envelope mounted inside the inflatable chamber and enclosing an additional fluid-inflatable chamber. The expansible cage is additionally capable of maintaining the expanded state independently of the expansion element after the expansible cage has been expanded by the expansion element to the expanded state.
摘要翻译：用于缩回身体内的器官以进入邻近组织的装置。该装置包括可膨胀笼和膨胀元件。可膨胀笼能够通过小的切口或在折叠状态下穿刺而插入身体。膨胀元件用于将体内的可膨胀笼选择性地膨胀至膨胀状态。膨胀元件包括封闭流体可充气室的封套。可膨胀的笼子包括安装在可充气室内的附加的信封，并且包围另外的流体可充气室。另外，在可膨胀保持架已经被膨胀元件膨胀到膨胀状态之后，可膨胀保持架还能够独立于膨胀元件而保持膨胀状态。

6. 发明授权

US5309896A Retraction methods using endoscopic inflatable retraction devices 失效
标题翻译：使用内窥镜充气回缩装置的收缩方法
公开(公告)号：US5309896A
公开(公告)日：1994-05-10
申请号：US794590
申请日：1991-11-19
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/14 , A61B19/00 , A61B19/02 , A61F2/958 , A61M1/00 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/320016 , A61B50/20 , A61B90/50 , A61B17/32002 , A61B17/3462 , A61B18/14 , A61B2017/00261 , A61B2017/00278 , A61B2017/00535 , A61B2017/00557 , A61B2017/22051 , A61B2017/306 , A61B2017/320048 , A61B2017/32113 , A61B2017/3486 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61M25/10 , A61M25/1006
摘要： A method for retracting an organ inside the body in the course of treating adjacent tissue. An inflatable retractor is provided. The inflatable retractor includes a flexible wall which may be expanded into place within the body, and which enclosed a main chamber. The inflatable retractor also includes an envelope attached to the flexible wall. The envelope and part of the flexible wall enclose an additional chamber. The inflatable retractor is placed in a collapsed state adjacent to the organ, and is inflated to expand the flexible wall and to retract the organ. Finally, an aperture is pierced in a part of the flexible wall of the retractor remote from the additional chamber to provide access to the tissue.
摘要翻译：一种在处理相邻组织的过程中收缩体内器官的方法。提供一种可充气牵开器。可膨胀牵开器包括柔性壁，该柔性壁可在体内膨胀到适当位置，并且封闭主室。可膨胀牵开器还包括附接到柔性壁的信封。信封和柔性壁的一部分包围一个附加的室。充气式收缩器被放置在与器官相邻的塌缩状态中，并且被充气以膨胀柔性壁并使器官收缩。最后，在远离附加室的牵开器的柔性壁的一部分中刺穿孔，以提供对组织的通路。

7. 发明授权

US5531856A Endoscopic inflatable retraction devices 失效
标题翻译：内窥镜充气回缩装置
公开(公告)号：US5531856A
公开(公告)日：1996-07-02
申请号：US106538
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , B32B3/10 , B32B27/00 , B32B31/26
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： An inflatable apparatus for organ retraction includes a main envelope which forms a main chamber. An additional chamber is formed by attaching the periphery of an additional envelope to the outside or the inside of the main envelope. The part of the surface of the main envelope that is not covered by the additional envelope provides a plurality of windows, which, after the additional chamber is inflated, may be at least partially removed to provide apertures through which treatment or observation can be carried out.
摘要翻译：用于器官收缩的可充气装置包括形成主室的主信封。通过将附加信封的周边附接到主信封的外部或内部来形成附加的室。主外壳的未被附加外壳覆盖的表面的部分提供了多个窗口，其在额外的腔室被充气之后可以被至少部分地移除以提供可以进行治疗或观察的孔。

8. 发明授权

US5465711A Surgical procedures using endoscopic inflatable retraction devices 失效
标题翻译：外科手术采用内窥镜充气回缩装置
公开(公告)号：US5465711A
公开(公告)日：1995-11-14
申请号：US106285
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： Retraction of an organ or tissue plane to be retracted is performed to gain access for a surgical instrument to treat an organ or tissue plane to be treated. An inflatable retractor, including a main envelope enclosing a main chamber, is provided with the main envelope in a collapsed state. The main envelope of the retractor is placed adjacent the organ or tissue plane to be retracted. The main chamber is inflated to an expanded state to retract the organ or tissue plane to be retracted. An aperture is pierced in the main envelope to provide access for the surgical instrument passed into the main chamber to contact an organ or tissue plane to be treated while the main chamber is maintained in the expanded state, notwithstanding the aperture pierced in the main envelope. The organ or tissue plane to be retracted and the organ or tissue plane to be treated may be different parts of the same organ or tissue plane. The method may be used in procedures including retracting the bowel to provide anterior access to organs, including the spinal column, the aorta and the kidneys, lying outside the peritoneum; retracting one part of the lung to provide access to another part of the lung; retracting the pericardium from the heart to provide access to the outer surface of the heart; retracting the liver to provide access to the gastro-esophagal junction; and retracting the brain from the dura mater to provide access to the brain.
摘要翻译：执行要缩回的器官或组织平面的缩回以获得外科器械的通路，以治疗待治疗的器官或组织平面。包括封闭主室的主要信封的可充气牵开器具有处于折叠状态的主信封。牵开器的主要信封放置在器官或组织平面附近以便缩回。主室被膨胀到膨胀状态以缩回器官或组织平面以缩回。当主室保持在膨胀状态时，尽管在主信封中刺穿了孔，但是在主信封中刺穿了孔，以便进入主室中的手术器械进入以接触待处理的器官或组织平面。待收缩的器官或组织平面和待治疗的器官或组织平面可以是相同器官或组织平面的不同部分。该方法可以用于包括缩回肠道以提供位于腹膜外侧的器官（包括脊柱，主动脉和肾脏）的前部通路的程序。缩回肺的一部分以提供对另一部分肺的通路; 从心脏收回心包以提供进入心脏外表面的通路; 缩回肝脏以进入胃食管结; 并从硬脑膜回缩大脑以提供对大脑的接触。

9. 发明授权

US5454367A Method of using endoscopic inflatable retraction device with fluid tight elastomeric window 失效
标题翻译：使用具有流体密封弹性体窗口的内窥镜充气回缩装置的方法
公开(公告)号：US5454367A
公开(公告)日：1995-10-03
申请号：US106915
申请日：1993-08-13
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/03 , A61B17/22 , A61B17/30 , A61B17/32 , A61B17/34 , A61B19/00 , A61B19/02 , A61M29/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B90/50 , A61B17/3462 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/306 , A61B2017/320048 , A61B2017/3486 , A61B2090/306 , Y10T156/1003
摘要： An inflatable retractor including a main envelope enclosing a main chamber is provided. The main envelope is provided in a collapsed state. An elastomeric window is also provided. The main envelope of the inflatable retractor is placed adjacent the organ inside the body, and the main chamber is expanded to an expanded state to retract the organ. Following inflation of the main chamber to the expanded state, the elastomeric window is attached to the main envelope inside the main chamber to cover part of the main envelope. The surgical instrument is passed into the main chamber. An aperture is pierced in the pan of the main envelope covered by the elastomeric window to provide access for the surgical instrument to contact the tissue. The elastomeric window provides a gas-tight seal to maintain the main chamber in the expanded state.
摘要翻译：提供了包括封闭主室的主信封的可充气牵开器。主信封处于折叠状态。还提供弹性窗口。可充气牵开器的主要包络体放置在身体内的器官附近，并将主腔扩张到扩张状态以收缩器官。在主室膨胀到膨胀状态之后，弹性窗口连接到主室内的主信封以覆盖主信封的一部分。手术器械进入主腔室。在由弹性体窗口覆盖的主信封的盘中刺穿孔，以提供用于外科器械接触组织的通路。弹性窗口提供气密密封以将主室保持在膨胀状态。

10. 发明授权

US07766823B2 Endoscopic inflatable retraction device, method of using, and method of making 有权
标题翻译：内窥镜充气回缩装置，使用方法及制作方法
公开(公告)号：US07766823B2
公开(公告)日：2010-08-03
申请号：US10638854
申请日：2003-08-11
申请人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
发明人： Frederic H. Moll , Charles Gresl, Jr. , Albert K. Chin , Philip K. Hopper
IPC分类号： A61M29/00
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/0281 , A61B17/22032 , A61B17/3462 , A61B90/50 , A61B2017/00261 , A61B2017/00535 , A61B2017/00557 , A61B2017/320048 , A61B2017/3486 , A61B2090/306
摘要： A method of providing access to tissue for a surgical instrument through a body wall is provided. The method includes providing an expandable retractor having a flexible sheath, the retractor being in a collapsed state; introducing the retractor into the body and placing the retractor adjacent the tissue; expanding the retractor; deploying the flexible sheath by engaging the flexible sheath with a tool and driving the flexible sheath through the body wall with the tool; and inserting the surgical instrument from outside the body through the flexible sheath to provide access to the tissue by the surgical instrument.
摘要翻译：提供了一种通过体壁提供对外科器械的组织接近的方法。该方法包括提供具有柔性护套的可膨胀牵开器，牵开器处于收缩状态; 将牵开器引入体内并将牵开器放置在组织附近; 扩大牵开器通过使柔性护套与工具接合来展开柔性护套，并用该工具通过身体壁驱动柔性护套; 以及通过所述柔性护套将所述外科器械从所述身体外部插入以通过所述手术器械进入所述组织。

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