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1. 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。

2. 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。

3. 发明申请

WO2004075741A3 WOUND RETRACTOR FOR USE IN HAND ASSISTED LAPAROSCOPIC SURGERY 审中-公开
标题翻译：用于手部辅助手术的绕线器
公开(公告)号：WO2004075741A3
公开(公告)日：2004-10-14
申请号：PCT/US2004005487
申请日：2004-02-25
申请人： APPLIED MED RESOURCES , BRUSTAD JOHN , EWERS RICHARD , PINGLETON EDWARD D , HILAL NABIL , ADLPARVAR PAYAM , TAYLOR SCOTT V , DULAK GARY R , DUNN MICHAEL J , MORALES NORMAN L , HART CHARLES C , BOWES ROBERT R II
发明人： BRUSTAD JOHN , EWERS RICHARD , PINGLETON EDWARD D , HILAL NABIL , ADLPARVAR PAYAM , TAYLOR SCOTT V , DULAK GARY R , DUNN MICHAEL J , MORALES NORMAN L , HART CHARLES C , BOWES ROBERT R II
IPC分类号： A61B20060101 , A61B1/32 , A61B17/00 , A61B17/34 , A61B19/00 , A61L20060101
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3431 , A61B90/50 , A61B2017/00557 , A61B2017/0084 , A61B2017/00867 , A61B2017/3407 , A61B2017/3441 , A61B2017/3486 , A61B2017/3492
摘要： A surgical retractor (10) is adapted for use in opening an incision (12) in a body wall (14) to facilitate access into a body cavity. The retractor includes an interior anchor (16) that is disposed interiorly of the body wall and an exterior tensioning device (56) that is disposed exteriorly of the body wall. At least one tension element (21) is coupled to the interior anchor and adapted to pass through the incision to engage the exterior tensioning device. Engaging elements (59, 62) are provided on the exterior tensioning device to engage the tension element and to maintain a tensile force on the tension element as it passes through the incision. Multiple concentric rings can also be used to maintain a tensile force on the tension element.
摘要翻译：手术牵开器（10）适于用于打开体壁（14）中的切口（12），以便于进入体腔。牵开器包括设置在体壁内部的内部锚固件（16）和布置在体壁外部的外部张紧装置（56）。至少一个张力元件（21）联接到内部锚固件并且适于穿过切口以接合外部张紧装置。接合元件（59,62）设置在外部张紧装置上以接合张力元件并且当张紧元件通过切口时在张力元件上保持张力。也可以使用多个同心环来保持张力元件上的张力。

4. 发明申请

WO2008048808A3 METHOD FOR MANUFACTURING HIGH FLOW INSUFFLATION NEEDLE STYLET 审中-公开
标题翻译：用于制造高流动消除针头的方法
公开(公告)号：WO2008048808A3
公开(公告)日：2008-09-18
申请号：PCT/US2007080731
申请日：2007-10-08
申请人： APPLIED MED RESOURCES , TAYLOR SCOTT V , BALSCHWETT PAUL , WIXEY MATTHEW A
发明人： TAYLOR SCOTT V , BALSCHWETT PAUL , WIXEY MATTHEW A
IPC分类号： A61M5/32
CPC分类号： B21G1/08 , A61B17/3474 , A61B17/3496 , A61B2017/00526 , B21D28/06 , B21D31/02 , Y10T29/49995
摘要： A method for forming a high flow insufflation needle stylet having distal, intermediate and proximal sections includes providing a flat sheet of metal and forming pilot holes in the sheet proximate opposed edges of the sheet A profile of a fiat pattern of the stylet is formed The flat pattern has a proximal end, a distal end and a pair of substantially longitudinal edges At least one support tab is positioned between the flat pattern and the sheet The intermediate and the proximal sections of the stylet are progressively formed into a partial cylindrical shape with the proximal end being open and the longitudinal edges in the intermediate and proximal sections being positioned between about 90° and 180° apart The distal section is progressively formed into a substantially cylindrical shape having a closed distal end The stylet is trimmed from the sheet by cutting the at least one support tab.
摘要翻译：用于形成具有远端，中间和近端部分的高流量吹入针管的方法包括提供平坦的金属片，并且在片材的邻近片材的相对边缘处形成引导孔。形成通孔的平坦图案的轮廓。扁平图案具有近端，远端和一对基本上纵向的边缘。至少一个支撑突片定位在平坦图案和片之间。探针的中间部分和近侧部分逐渐形成为部分圆柱形，其中近端端部被打开并且中间和近侧部分中的纵向边缘定位在大约90°和180°之间。远端部分逐渐形成为具有封闭的远端的基本上圆柱形的形状。通过切割探针至少一个支持选项卡。

5. 发明申请

WO2005032348A2 BLADELESS OPTICAL OBTURATOR 审中-公开
标题翻译：无光学光学器件
公开(公告)号：WO2005032348A2
公开(公告)日：2005-04-14
申请号：PCT/US2004032346
申请日：2004-10-01
申请人： APPLIED MED RESOURCES , KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
发明人： KAHLE HENRY , STROKOSZ ARKADIUSZ A , MCGINLEY KIMBALL B , TAYLOR SCOTT V , JOHNSON GARY M , BRUSTAD JOHN R
IPC分类号： A61B20060101 , A61B17/00 , A61B17/32 , A61B17/34 , A61B19/00 , A61B
CPC分类号： A61B17/3417 , A61B1/3132 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3468 , A61B17/3474 , A61B17/3478 , A61B17/3496 , A61B90/361 , A61B90/92 , A61B2017/0046 , A61B2017/00477 , A61B2017/00907 , A61B2017/320044 , A61B2017/3425 , A61B2017/3445 , A61B2017/3456 , A61B2017/346 , A61B2017/3464 , A61B2017/347 , A61B2090/3937
摘要： The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
摘要翻译：本发明涉及一种无插管套管针闭塞器，用于在插入穿过体壁时分离或分离身体组织。一方面，本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖，所述外表面向远侧延伸到钝点，一对侧部具有共同的形状并且被至少一个中间体其中每个所述侧部分从所述钝点径向向外延伸，并具有沿所述轴向近端的渐进位置，并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。通过这个方面，锥形配置便于分离身体组织的不同层，并提供顶层在层之间的适当对准。侧部包括远端部分和近端部分，侧部分的远侧部分相对于侧部部分的近端部分径向扭转。中间部分包括远端部分和近端部分，中间部分的远端部分在第一径向方向上扭转，并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。

6. 发明申请

WO2004049902A3 UNIVERSAL ACCESS SEAL 审中-公开
标题翻译：通用密码
公开(公告)号：WO2004049902A3
公开(公告)日：2004-10-28
申请号：PCT/US0337148
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 , A61B17/00
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：一种外科进入装置（10），其包括安装在所述阀壳体（14）中的阀壳体（14）和接收元件（38），所述接纳元件具有孔（39），用于柔性地接收和引导具有宽范围直径的仪器。仪器接收元件包括通常形成为沙漏的编织物或网管（38）。外科进入装置可以包括由凝胶材料模制的进入隔膜密封件（36）。手术进入装置（10）可以柔性地接合直径范围为约3.5mm至约12.9mm的仪器。

7. 发明申请

WO2007048085A2 TISSUE RETRIEVAL SYSTEM 审中-公开
标题翻译：组织检索系统
公开(公告)号：WO2007048085A2
公开(公告)日：2007-04-26
申请号：PCT/US2006060022
申请日：2006-10-16
申请人： APPLIED MED RESOURCES , KAHLE HENRY , JOHNSON GARY M , TAYLOR SCOTT V , BAK-BOYCHUCK GREGORY I
发明人： KAHLE HENRY , JOHNSON GARY M , TAYLOR SCOTT V , BAK-BOYCHUCK GREGORY I
IPC分类号： A61B17/00
CPC分类号： A61B17/221 , A61B17/00234 , A61B2017/00287 , A61B2017/00477
摘要： The tissue retrieval system deploys a tissue bag at the surgical site. The bag is supported by the system as tissue is placed within the bag and is closed to isolate the collected tissue and allow the bag and collected tissue to be removed from the body. The bag can be reopened and re-closed as desired through use of a guide bead and cord. The bead also facilitates removal of the collected tissue.
摘要翻译：组织检索系统在手术部位部署组织袋。由于组织被放置在袋内并被封闭以隔离收集的组织并允许袋和收集的组织从身体移除，所以袋被系统支撑。通过使用导向珠和绳索，可以根据需要重新打开袋子并重新关闭袋子。珠子还有利于去除收集的组织。

8. 发明申请

WO2009117694A3 INSTRUMENT SEAL WITH INVERTING SHROUD 审中-公开
标题翻译： INSTRUMENT SEAL WITH INVERLY SHROUD
公开(公告)号：WO2009117694A3
公开(公告)日：2010-03-18
申请号：PCT/US2009037863
申请日：2009-03-20
申请人： APPLIED MED RESOURCES , TAYLOR SCOTT V , MCGINLEY KIMBALL B , KAHLE HENRY
发明人： TAYLOR SCOTT V , MCGINLEY KIMBALL B , KAHLE HENRY
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3474 , A61B2017/3435 , A61B2017/3464
摘要： A surgical access device comprising an instrument access channel extending through an instrument seal and a shroud comprising an inverting region disposed distally of the instrument seal exhibits improved tear-resistance of the instrument seal from instrument manipulation, for example, instrument withdrawals. Some embodiments of the inverting region invert through the instrument seal on instrument withdrawal. Some embodiments of the inverting region induce at least a portion of the instrument seal itself to invert on instrument withdrawal.
摘要翻译：手术进入装置包括延伸穿过仪器密封件的器械进入通道和包括设置在仪器密封件远端的反转区域的护罩，其显示出仪器密封件与仪器操纵（例如仪器取出）的改进的抗撕裂性。翻转区的一些实施例在仪器取出时反转通过仪器密封。反转区域的一些实施例引起仪器密封件本身的至少一部分在仪器取出时反转。

9. 发明申请

WO2011044560A3 SINGLE PORT INSTRUMENTS 审中-公开
标题翻译：单端口仪器
公开(公告)号：WO2011044560A3
公开(公告)日：2011-07-21
申请号：PCT/US2010052187
申请日：2010-10-11
申请人： APPLIED MED RESOURCES , STROKOSZ ARKADIUSZ , OKIHISA DAVID T , DECKER STEVEN E , DEALDAY PHILLIP , TAYLOR SCOTT V , KAHLE HENRY
发明人： STROKOSZ ARKADIUSZ , OKIHISA DAVID T , DECKER STEVEN E , DEALDAY PHILLIP , TAYLOR SCOTT V , KAHLE HENRY
IPC分类号： A61B17/29 , A61B17/00 , A61B17/28 , A61B17/44 , A61B19/00
CPC分类号： A61B17/2909 , A61B90/03 , A61B2017/00407 , A61B2017/00424 , A61B2017/00539 , A61B2017/2837 , A61B2017/2904 , A61B2017/291 , A61B2017/2922 , A61B2017/2926 , A61B2017/2929 , A61B2017/2946 , A61B2017/447 , A61B2090/0811
摘要： Surgical tools that can be used in single port laparoscopic procedures can include a low-profile handle assembly to minimize tool interference adjacent the incision site. For example, a handle assembly for a surgical instrument can have a generally in-line configuration extending linearly along a central longitudinal axis of an elongate shaft of the instrument. A linkage mechanism including a trigger ( 20 ), an actuation link ( 24 ), and an actuation shaft ( 26 ) can be positioned within the in-line handle. The linkage mechanism can be pivoted between an open position in which end effectors of the instrument are open and a toggle position in which the end effectors are locked closed. A locking mechanism such as a ratchet mechanism can also be used to lock the end effectors. A surgical dissector can include gripping jaws having a curved profile or an angled elongate shaft to minimize tool interference and maximize visibility within a procedure site.
摘要翻译：可用于单端口腹腔镜手术的外科手术工具可包括一个小型手柄组件，以最小化切口部位附近的刀具干扰。例如，用于外科器械的手柄组件可以具有沿着仪器的细长轴的中心纵向轴线线性延伸的大致直列构型。包括触发器（20），致动连杆（24）和致动轴（26）的联动机构可以定位在线内把手内。联动机构可以在打开位置，其中仪器的末端执行器打开的打开位置和端部执行器锁定在其中的肘节位置之间枢转。诸如棘轮机构的锁定机构也可用于锁定末端执行器。外科解剖器可以包括具有弯曲轮廓或成角度细长轴的夹爪，以最小化工具干涉并使程序部位内的可视性最大化。

10. 发明申请

WO2008064344A3 TROCAR CANNULA WITH ATRAUMATIC TIP 审中-公开
标题翻译：带有ATRAUMATIC TIP的TROCAR肛门
公开(公告)号：WO2008064344A3
公开(公告)日：2009-04-23
申请号：PCT/US2007085444
申请日：2007-11-21
申请人： APPLIED MED RESOURCES , PRAVONGVIENGKHAM KENNII , KAHLE HENRY , ALBRECHT JEREMY J , TAYLOR SCOTT V
发明人： PRAVONGVIENGKHAM KENNII , KAHLE HENRY , ALBRECHT JEREMY J , TAYLOR SCOTT V
IPC分类号： A61B17/34
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。

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