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1. 发明申请

WO2011011538A2 SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR 审中-公开
标题翻译：包括内部收缩器的外科手术装置
公开(公告)号：WO2011011538A2
公开(公告)日：2011-01-27
申请号：PCT/US2010042781
申请日：2010-07-21
申请人： APPLIED MED RESOURCES , HART CHARLES C , JOHNSON GARY M , NGUYEN ERIC , PINGLETON EDWARD D , PRAVONGVIENGKHAM KENNII , SAKAKINE GHASSAN , WACHLI SERENE , BRUSTAD JOHN R , TRAN OLIVIA J
发明人： HART CHARLES C , JOHNSON GARY M , NGUYEN ERIC , PINGLETON EDWARD D , PRAVONGVIENGKHAM KENNII , SAKAKINE GHASSAN , WACHLI SERENE , BRUSTAD JOHN R , TRAN OLIVIA J
IPC分类号： A61B17/34
CPC分类号： A61B17/0293 , A61B17/3423 , A61B2017/00265
摘要： Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field Embodiments of the internal retractor are adjustable.
摘要翻译：装置，方法和系统提供了一种外科进入装置，其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。卷绕的收缩器将体壁中的开口缩回到体腔中，而内部牵开器允许使用者控制体腔内的内部结构的位置，从而允许使用者限定手术区域。内部牵开器的实施例是可调节的。

2. 发明申请

WO2005072806A3 MEDICAL TUBING HAVING VARIABLE CHARACTERISTICS AND METHOD OF MAKING SAME 审中-公开
标题翻译：具有可变特性的医疗管道及其制造方法
公开(公告)号：WO2005072806A3
公开(公告)日：2006-02-02
申请号：PCT/US2005001129
申请日：2005-01-12
申请人： APPLIED MED RESOURCES , BRUSTAD JOHN R , HILAL SAID S , HILAL NABIL , HART CHARLES C , JOHNSON GARY M , HILAL SERENE , SAKAKINE GHASSAN , GADBERRY DONALD L , PINGLETON EDWARD D , PETRIME MATTHEW N , ADLPARVAR PAYAM , HADLEY CARL B , VU KENNETH K
发明人： BRUSTAD JOHN R , HILAL SAID S , HILAL NABIL , HART CHARLES C , JOHNSON GARY M , HILAL SERENE , SAKAKINE GHASSAN , GADBERRY DONALD L , PINGLETON EDWARD D , PETRIME MATTHEW N , ADLPARVAR PAYAM , HADLEY CARL B , VU KENNETH K
IPC分类号： A61B17/00 , A61B17/34 , A61M25/00
CPC分类号： A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要： A medical tubing (15) 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 (53). 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 and include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections (101). If may comprise a secondary lumen and a pull wire. They may vary in diameter and/or composition in different portions or sections of the tubular structure. Some of the ring-shaped elements may be radiopaque, or they may comprise different colors to operate as indicators.
摘要翻译：适于插入身体组织或空腔的医用管道（15）以及沿管道长度制造管道的不同变化的方法。管道包括多个独立的，分立的，大致环形的元件，其串联布置并且熔合或粘结在一起，形成连续的管状结构（53）。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，并且包括沿不同部分或部分（101）组装的柔性和刚性环形元件的组合。如果可以包括第二内腔和拉线。它们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。一些环形元件可能是不透射线的，或者它们可以包括用作指示器的不同颜色。

3. 发明申请

WO2008112364A3 BALLOON TROCAR 审中-公开
标题翻译：巴洛克TROCAR
公开(公告)号：WO2008112364A3
公开(公告)日：2008-11-06
申请号：PCT/US2008053298
申请日：2008-02-07
申请人： APPLIED MED RESOURCES , ALBRECHT JEREMY J , AU GIGI , NGUYEN ERIC , GADBERRY DONALD L , BRUSTAD JOHN R , JOHNSON GARY M , HART CHARLES C , MICHAUD MICHAEL L , BERCERRA MATTHEW M , PRAVONGVIENGKHAM KENNII
发明人： ALBRECHT JEREMY J , AU GIGI , NGUYEN ERIC , GADBERRY DONALD L , BRUSTAD JOHN R , JOHNSON GARY M , HART CHARLES C , MICHAUD MICHAEL L , BERCERRA MATTHEW M , PRAVONGVIENGKHAM KENNII
IPC分类号： A61M29/00 , A61M5/00 , A61M25/00
CPC分类号： A61B17/3421 , A61B2017/3482 , A61B2017/3486 , A61B2017/3492
摘要： A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula. The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position In use, the trocar is inserted into an incision through a body wall and into a body cavity. The balloon is inflated and the cannula assembly pulled proximaliy against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译：气球套管针包括插管组件，其包括套管和套管上套管的外套管。外套筒的远端靠近套管的远端。气囊联接到套管的远端部分和套管的远端部分。套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道。在其远端部分具有凝胶垫的枕头可滑动地安装到插管组件上并且可以锁定在期望的位置。在使用中，套针针被插入穿过体壁的切口并进入体腔。气囊膨胀，并且套管组件靠近切口被拉近，同时将垫片向远侧滑动到体壁并锁定在适当位置以用压缩气囊密封切口。

4. 发明申请

WO03103548A8 WOUND RETRACTOR 审中-公开
标题翻译：绕线器
公开(公告)号：WO03103548A8
公开(公告)日：2005-02-03
申请号：PCT/US0317389
申请日：2003-06-03
申请人： APPLIED MED RESOURCES , NGUYEN ERIC , GADBERRY DONALD L , JOHNSON GARY M , HART CHARLES C , BRUSTAD JOHN R , BOWES ROBERT R II , ALBRECHT JEREMY J , SAKAKINE GHASSAN , KALE HENRY
发明人： NGUYEN ERIC , GADBERRY DONALD L , JOHNSON GARY M , HART CHARLES C , BRUSTAD JOHN R , BOWES ROBERT R II , ALBRECHT JEREMY J , SAKAKINE GHASSAN , KALE HENRY
IPC分类号： A61B17/02 , A61B17/34 , A61B19/08 , A61F13/00 , A61L31/00
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 the 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，第二环可以自身滚动并围绕环形轴线，以提供具有足够的自由基回缩力的套筒将切口拉伸至所需的直径。

5. 发明申请

WO2007106750A3 BALLOON TROCAR 审中-公开
标题翻译：巴洛克TROCAR
公开(公告)号：WO2007106750A3
公开(公告)日：2007-11-01
申请号：PCT/US2007063728
申请日：2007-03-09
申请人： APPLIED MED RESOURCES , ALBRECHT JEREMY J , AU GIGI , NGUYEN ERIC , GADBERRY DONALD L , BRUSTAD JOHN R , HART CHARLES C , JOHNSON GARY M
发明人： ALBRECHT JEREMY J , AU GIGI , NGUYEN ERIC , GADBERRY DONALD L , BRUSTAD JOHN R , HART CHARLES C , JOHNSON GARY M
IPC分类号： A61B17/34 , A61B17/00 , A61B17/02
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3419 , A61B2017/3433 , A61B2017/3445 , A61B2017/347 , A61B2017/3486 , A61B2017/3488 , A61B2017/349 , A61J15/0053 , A61M25/04 , A61M39/0247 , A61M39/06 , A61M2039/0261 , A61M2039/0273 , A61M2039/0279 , A61M2039/0294 , A61M2039/062 , A61M2039/0626 , A61M2039/0686
摘要： A balloon trocar (200) includes a cannula assembly (210) including a cannula (250) and an outer sleeve (300) fitting over the cannula. The distal end (306) of the outer sleeve is proximal to the distal end (256) of the cannula. A balloon (400) is coupled to a distal portion (312) of the sleeve and a distal portion (260) of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels (268) for transmitting gas or fluid to the balloon. A bolster (410) having a gel pad (530) at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译：球囊套管针（200）包括套管组件（210），套管组件（210）包括套管（250）和外套筒（300），套管套在套管上。外套筒的远端（306）靠近套管的远端（256）。球囊（400）联接到套管的远端部分（312）和套管的远端部分（260）。套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道（268）。在其远侧部分具有凝胶垫（530）的垫子（410）可滑动地安装到套管组件上并且可被锁定在期望的位置。在使用中，套针针通过体壁插入到切口中并进入体腔。气囊膨胀，并且套管组件向近侧拉近抵靠切口，同时将垫片向远侧滑动到体壁并锁定到位以密封切口与压缩气球。

6. 发明申请

WO2007047333A3 HAND ACCESS LAPAROSCOPIC DEVICE 审中-公开
标题翻译：手部腹腔镜装置
公开(公告)号：WO2007047333A3
公开(公告)日：2007-06-07
申请号：PCT/US2006039800
申请日：2006-10-12
申请人： APPLIED MED RESOURCES , BRUSTAD JOHN R , ALBRECHT JEREMY J , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
发明人： BRUSTAD JOHN R , ALBRECHT JEREMY J , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
IPC分类号： A61B17/34
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical Wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the "doming" phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译：本发明涉及一种具有软胶囊，保持器，套筒和保持环的手访腹腔镜装置。胶囊包括结合到盖的凝胶。帽包括内部圆柱形壁，凝胶粘合在内部圆柱形壁上，由此在器具和体壁中的伤口之间提供密封区域。通过将凝胶固定到内圆柱壁上，凝胶和相应盖的厚度随着装置的整体占地面积而最小化。随着凝胶厚度减小并且能够基本齐平，由患者腹部的吹气产生的“隆起”现象减少。

7. 发明申请

WO2005042646A3 SURFACE TREATMENTS AND MODIFICATIONS USING NANOSTRUCTURE MATERIALS 审中-公开
标题翻译：表面处理和使用纳米结构材料的改性
公开(公告)号：WO2005042646A3
公开(公告)日：2007-04-19
申请号：PCT/US2004036166
申请日：2004-10-29
申请人： APPLIED MED RESOURCES , BRUSTAD JOHN R , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
发明人： BRUSTAD JOHN R , HILAL NABIL , JOHNSON GARY M , HART CHARLES C
IPC分类号： A61F2/04 , A61B17/00 , A61B17/02 , A61B17/06 , A61B17/064 , A61B17/122 , A61F2/00 , A61F2/02 , A61F2/06 , A61F2/24 , B05D3/00 , C09D20060101
CPC分类号： A61B17/064 , A61B17/02 , A61B17/06166 , A61B17/122 , A61B2017/00345 , A61B2017/00858 , A61F2002/0086 , A61L27/30 , A61L31/082 , A61L2400/12 , A61L2400/18
摘要： The invention is directed to nanostructure surface treatments or coatings formed from nanoscale building blocks. The nanostructure surface treatments or coatings have hydrophobic, hydrophilic and surface adherence properties. The nanoscale building blocks have orientation, geometry, packing density and composition that may be adjusted to control the unique surface characteristics of the desired treatment or coating. Applications of this nanostructure surface treatment or coating include surgical clips and clamps to improve retention without relying on material deformation and high pressure to assure adherence. In one aspect, a nanostructure surface treatment for a medical device having an external surface to provide a hydrophobic or a hydrophilic surface.
摘要翻译：本发明涉及由纳米级结构单元形成的纳米结构表面处理或涂层。纳米结构表面处理或涂层具有疏水性，亲水性和表面粘附性。纳米尺度的结构单元具有取向，几何形状，填充密度和组成，可以调节以控制所需处理或涂层的独特表面特性。该纳米结构表面处理或涂层的应用包括手术夹和夹具以改善保留性，而不依赖于材料变形和高压力以确保附着。在一个方面，用于具有外表面以提供疏水或亲水表面的医疗装置的纳米结构表面处理。

8. 发明申请

WO2008141291A4 SURGICAL RETRACTOR WITH GEL PAD 审中-公开
标题翻译：带胶垫的手术牵引器
公开(公告)号：WO2008141291A4
公开(公告)日：2008-12-31
申请号：PCT/US2008063445
申请日：2008-05-12
申请人： APPLIED MED RESOURCES , ALBRECHT JEREMY J , KO JENNIFER T , JOHNSON GARY M , BRUSTAD JOHN R , DANG KEVIN K
发明人： ALBRECHT JEREMY J , KO JENNIFER T , JOHNSON GARY M , BRUSTAD JOHN R , DANG KEVIN K
IPC分类号： A61B17/02
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译：外科手术进入装置具有外科手术牵开器，该外科手术牵开器具有带环形轴线的不顺应性外环，内环以及将外环连接至内环的套筒。非顺从性外环适于围绕环形轴线自身翻转以卷绕套筒围绕外环缩回并密封生物体壁中的开口。进入装置可包括适合于联接到手术牵开器的不顺从的外环的盖子。手术牵开器的外环的横截面形状为禁止盖子部分地或不正确地联接到手术牵开器的外环。

9. 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。

10. 发明申请

WO2005032331A3 SURGICAL INSTRUMENT ACCESS DEVICE 审中-公开
标题翻译：手术仪器访问装置
公开(公告)号：WO2005032331A3
公开(公告)日：2006-09-08
申请号：PCT/US2004028250
申请日：2004-08-30
申请人： APPLIED MED RESOURCES , KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
发明人： KAHLE HENRY , ADLPARVAR PAYAM , JOHNSON GARY M
IPC分类号： A61B1/32 , A61B17/00 , A61B17/34
CPC分类号： A61B17/3423 , A61B5/024 , A61B5/0507 , A61B5/08 , A61B5/6889 , A61B5/6898 , A61B17/0293 , A61B17/3431 , A61B17/3498 , A61B2017/00526
摘要： A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
摘要翻译：手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。该阀具有用于在不存在仪器的情况下产生零密封的特性，以及用于具有高达约37mm直径的仪器的仪器密封件。阀可以包括凝胶材料，并且进入通道可以包括保护套筒，以在插入和抽出锋利的外科器械时提供伤口保护。阀还包括可以用凝胶材料插入或模制的盖环。保护套可以围绕盖环的内径粘合或模制。保护套筒可以是单个管状构件，或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。保护套和盖环可以由相同或不同的材料组成。外科进入装置还包括形成中空空间的阀周向布置的至少一个支撑环和可操作地放置在中空空间中的缠绕牵开器。卷绕卷收器包括内圈，外圈和连接内圈和外圈的柔性套管。

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