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1. 发明申请

WO2016077050A1 SYSTEMS AND METHODS FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织去除的系统和方法
公开(公告)号：WO2016077050A1
公开(公告)日：2016-05-19
申请号：PCT/US2015/056978
申请日：2015-10-22
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , BRESLIN, Tracy , KESSLER, Steven, C. , POULSEN, Nikolai , COLLINS, Nathan , DO, Alexandra , BOLANOS, Eduardo , PRAVONG, Boun , ELLIOTT, Patrick , WIXEY, Matthew, A. , YOUNG, Wayne , FILEK, Jacob , CASTELO, Kevin, B. , HOKE, Adam , HOFSTETTER, Greg , DEMARCHI, Jacqueline , GARCES, Amy , HOLMES, Heidi , SHEEHAN, Alexander
IPC分类号： A61B17/34 , A61B17/32 , A61B17/00 , A61B17/3211 , A61B17/02
CPC分类号： A61B17/3462 , A61B17/00234 , A61B17/0293 , A61B17/320016 , A61B17/3211 , A61B17/3423 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B90/50 , A61B2017/00287 , A61B2017/00557 , A61B2017/320024 , A61B2017/3466 , A61B2017/347 , A61B2017/349 , A61B2017/4216 , A61B2090/08021
摘要： Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.
摘要翻译：提供了用于防止在患者体内的组织标本脱毛期间癌细胞接种的系统和方法，并且通过向患者外部的微创身体从病人内部去除组织标本。一个系统包括可拆卸地插入到安全壳中的防切割组织护罩。组织样本被分离并包含在容纳袋内，并且保护罩被配置为保护容纳袋和周围组织免受与组织样本的脱毛和抽出期间使用的尖锐仪器的偶然接触。防护罩可调节，便于插入和拆卸，并构造成可靠地锚固在车身开口处。提供了用于组织去除的基于保护重点和基于遏制的系统，其能够安全有效地进行微创程序。

2. 发明申请

WO2015164591A1 SYSTEMS AND METHODS FOR TISSUE REMOVAL 审中-公开
标题翻译：用于组织去除的系统和方法
公开(公告)号：WO2015164591A1
公开(公告)日：2015-10-29
申请号：PCT/US2015/027274
申请日：2015-04-23
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： WACHLI, Serene , BRESLIN, Tracy , KESSLER, Steven , POULSEN, Nikolai , COLLINS, Nathan , DO, Alexandra , BOLANOS, Eduardo , PRAVONG, Boun , ELLIOTT, Patrick , WIXEY, Matthew , YOUNG, Wayne , FILEK, Jacob , CASTELO, Kevin , HOKE, Adam , HOFSTETTER, Greg , DeMARCHI, Jacqueline , GARCES, Amy , HOLMES, Heidi , SHEEHAN, Alexander
IPC分类号： A61B17/34 , A61B17/32 , A61B17/00 , A61B17/3211 , A61B17/02
CPC分类号： A61B17/3423 , A61B17/00234 , A61B17/0293 , A61B17/32002 , A61B17/3211 , A61B17/3439 , A61B2017/00287 , A61B2017/00557 , A61B2017/0225 , A61B2017/2926 , A61B2017/320024 , A61B2017/320028 , A61B2017/3429 , A61B2017/3449 , A61B2017/3464 , A61B2017/3466 , A61B2017/347 , A61B2017/3482 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2017/4216 , A61B2090/08021
摘要： Systems and methods for preventing the seeding of cancerous cells during morcellation of a tissue specimen inside a patient's body and removal of the tissue specimen from inside the patient through a minimally-invasive body opening to outside the patient are provided. One system includes a cut-resistant tissue guard removably insertable into a containment bag. The tissue specimen is isolated and contained within the containment bag and the guard is configured to protect the containment bag and surrounding tissue from incidental contact with sharp instrumentation used during morcellation and extraction of the tissue specimen. The guard is adjustable for easy insertion and removal and configured to securely anchor to the body opening. Protection-focused and containment-based systems for tissue removal are provided that enable minimally invasive procedures to be performed safely and efficiently.
摘要翻译：提供了用于防止在患者体内的组织标本脱毛期间癌细胞接种的系统和方法，并且通过向患者外部的微创身体从病人内部去除组织标本。一个系统包括可拆卸地插入到安全壳中的防切割组织护罩。组织样本被分离并包含在容纳袋内，并且保护罩被配置为保护容纳袋和周围组织免受与组织样本的脱毛和抽出期间使用的尖锐仪器的偶然接触。防护罩可调节，便于插入和拆卸，并构造成可靠地锚固在车身开口处。提供了用于组织去除的基于保护重点和基于遏制的系统，其能够安全有效地进行微创程序。

3. 发明申请

WO2018218175A1 LAPAROSCOPIC TRAINING SYSTEM 审中-公开
公开(公告)号：WO2018218175A1
公开(公告)日：2018-11-29
申请号：PCT/US2018/034705
申请日：2018-05-25
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： VELASCO, Joel B. , FILEK, Jacob J. , SLABBER, Nico , CHAN, Samantha , CARTER, Branden , MICHAELS, Zachary , LANDINO, Nathan , PERELES, Brandon , BOLANOS, Eduardo , HAGUE, Cory S. , HOFSTETTER, Gregory K. , KENNEDAY, Sean , McMORROW, Timothy , NORDMAN, Daniel, Austin , CHASE, Lindsey , SHAH, Jigar
IPC分类号： G09B23/28
CPC分类号： G09B23/285
摘要： A system for surgical training is provided. The system includes a laparoscopic surgical instrument with at least one retroreflective marker on its shaft. A typical box trainer is provided with two cameras and two accompanying infrared light sources. When the instrument is inserted through a top of the trainer to perform mock procedures or exercises, light from an infrared light source is reflected back by the retroreflective marker and captured by an adjacent video camera. The position of the instrument is calculated by triangulating the image data obtained from the two cameras. When the markers are obscured behind models or artificial organs disposed inside the trainer, an inertial measurement unit on the handle of the instrument provides data for calculating the instrument position to fill in the gap in useful image data. Instrument position data over time is provided for useful trainee feedback and performance assessment purposes.

4. 发明申请

WO2015013516A1 FIRST ENTRY MODEL 审中-公开
标题翻译：第一次进入模式
公开(公告)号：WO2015013516A1
公开(公告)日：2015-01-29
申请号：PCT/US2014/048027
申请日：2014-07-24
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BLACK, Katie , POULSEN, Nikolai , HOLMES, Heidi , FELSINGER, Natasha , BRESLIN, Tracy , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , BOLANOS, Eduardo , FALKENSTEIN, Zoran , HART, Charles, C. , TALWAR, Tina
IPC分类号： G09B23/28
CPC分类号： G09B23/285 , B29C39/026 , B29K2083/005 , B29L2031/7532 , G09B5/02
摘要： A simulated abdominal wall model that is ideal for practicing laparoscopic first entry surgical techniques is provided. The model includes a simulated abdominal wall portion captured between two frame elements of a support. The support is connectable to a surgical trainer. When connected to the trainer, the model provides a penetrable abdominal tissue portion for accessing an internal cavity of the trainer. The simulated abdominal wall includes a plurality of layers including a skin layer, a fabric posterior rectus sheath layer, a simulated fat layer of low-resilience polyurethane foam and at least two layers that provide distinctive haptic feedback upon penetration of the simulated transversalis fascia and muscle layers. The simulated abdominal wall includes a simulated umbilicus across several layers of simulated tissue.
摘要翻译：提供了一种实践腹腔镜第一入门手术技术的模拟腹壁模型。该模型包括在支撑体的两个框架元件之间捕获的模拟腹壁部分。支持可连接到外科教练。当连接到训练器时，模型提供用于进入训练器的内腔的可穿透的腹部组织部分。模拟的腹壁包括多个层，包括皮肤层，织物后直肌鞘层，低回弹性聚氨酯泡沫的模拟脂肪层和至少两层，其在穿透模拟的横向筋膜和肌肉时提供独特的触觉反馈层。模拟的腹壁包括跨越几层模拟组织的模拟脐带。

5. 发明申请

WO2013059575A1 SIMULATED TISSUE STRUCTURE FOR SURGICAL TRAINING 审中-公开
标题翻译：用于手术训练的模拟组织结构
公开(公告)号：WO2013059575A1
公开(公告)日：2013-04-25
申请号：PCT/US2012/060997
申请日：2012-10-19
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HOKE, Adam , BRESLIN, Tracy , HART, Charles, C. , BOLANOS, Eduardo
IPC分类号： G09B23/34
CPC分类号： G09B23/34 , G09B23/28 , G09B23/30
摘要： A simulated tissue structure for practicing surgical techniques is provided. In particular, a realistic organ model or tissue portion for practicing the removal of a tumor or other undesired tissue followed by suturing a remnant defect as part of the same surgical procedure is provided. The simulated tissue structure includes an artificial tumor disposed between layers of elastomeric material and mounted on a simulated organ wall or tissue portion. The simulated tissue structure is modular and interchangeable. At least one of the layers includes a mesh reinforcement. A defect comprising two juxtapositioned surfaces defining a gap between the surfaces is created in the simulated tissue structure and the trainee practices tumor removal and closure of the gap by suturing in a laparoscopic environment.
摘要翻译：提供了一种用于实践手术技术的模拟组织结构。特别地，提供了用于实践去除肿瘤或其它不需要的组织的实际器官模型或组织部分，随后缝合残余缺损作为相同外科手术的一部分。模拟的组织结构包括设置在弹性体材料层之间并安装在模拟器官壁或组织部分上的人造肿瘤。模拟的组织结构是模块化和可互换的。这些层中的至少一个包括网状加强件。在模拟的组织结构中产生包含限定表面之间的间隙的两个并置表面的缺陷，受训者通过在腹腔镜环境中缝合来实现肿瘤移除和间隙闭合。

6. 发明申请

WO2016183412A1 SYNTHETIC TISSUE STRUCTURES FOR ELECTROSURGICAL TRAINING AND SIMULATION 审中-公开
标题翻译：用于静电训练和模拟的合成组织结构
公开(公告)号：WO2016183412A1
公开(公告)日：2016-11-17
申请号：PCT/US2016/032292
申请日：2016-05-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： FELSINGER, Natasha , CHEHAYEB, Sam , BOLANOS, Eduardo
IPC分类号： A61B18/12 , G09B23/28
CPC分类号： C08L33/26 , A61B18/12 , B29C39/003 , B29K2005/00 , B29K2033/26 , C08J5/122 , C08J2333/26 , C08J2405/04 , G09B23/30
摘要： A surgical simulator for electrosurgical training and simulation is provided. The surgical simulator includes one or more simulated tissue structures made substantially of a hydrogel comprising a dual interpenetrating network of ionically cross-linked alginate and covalently cross-linked acrylamide. Combinations of different simulated tissue structures define procedural-based models for the practice of various electrosurgical procedures including laparoscopic total mesorectal excision, transanal total mesorectal excision, cholecystectomy and transanal minimally invasive surgery. Methods of making the simulated tissue structures are also provided.
摘要翻译：提供了一种用于电外科训练和模拟的手术模拟器。手术模拟器包括基本由水凝胶制成的一个或多个模拟组织结构，其包含离子交联的藻酸盐和共价交联的丙烯酰胺的双互穿网络。不同模拟组织结构的组合定义了用于各种电外科手术操作的基于程序的模型，包括腹腔镜全直肠切除术，经肛门全直肠切除术，胆囊切除术和经肛门微创手术。还提供了制作模拟组织结构的方法。

7. 发明申请

WO2016011286A1 GELS HAVING PERMANENT TACK FREE COATINGS AND METHOD OF MANUFACTURE 审中-公开
标题翻译：具有永久性无缝涂层的凝胶和制造方法
公开(公告)号：WO2016011286A1
公开(公告)日：2016-01-21
申请号：PCT/US2015/040798
申请日：2015-07-16
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： BOLANOS, Eduardo , BUI, Dennis , PRAVONG, Boun , PINEL, Carlos , CHEHAYEB, Sam
IPC分类号： B29C69/00 , B29C39/02 , B29C33/62 , A61B17/34 , A61L31/14
CPC分类号： A61B17/0293 , A61B17/3423 , A61B17/3462 , A61B2017/3492 , A61L31/048 , A61L31/145 , B29C33/56 , B29C33/62 , B29C39/02 , B29C45/1679 , B29C45/73 , B29K2025/08 , B29K2995/0037 , B29L2009/005 , C08L53/02
摘要： The present invention is directed to tack-free gels and to methods for manufacturing a tack-free gel pad, in which a discontinuous layer of fluorinated ultrahigh molecular weight polyethylene is permanently bonded to the gel pad to provide a tack-free coating. The gel pad may be incorporated into a gel cap to provide a surgical access device having a tack-free surface.
摘要翻译：本发明涉及无粘性凝胶和制造无粘性凝胶垫的方法，其中氟化超高分子量聚乙烯的不连续层永久地结合到凝胶垫上以提供无粘性涂层。凝胶垫可以结合到凝胶帽中以提供具有无粘性表面的手术进入装置。

8. 发明申请

WO2014134597A1 ADVANCED SURGICAL SIMULATION CONSTRUCTIONS AND METHODS 审中-公开
标题翻译：高级手术模拟结构与方法
公开(公告)号：WO2014134597A1
公开(公告)日：2014-09-04
申请号：PCT/US2014/019840
申请日：2014-03-03
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HART, Charles, C. , BOLANOS, Eduardo , CHEHAYEB, Sam
IPC分类号： G09B23/28
CPC分类号： G09B23/30 , G09B23/28 , G09B23/285
摘要： A surgical simulation system is provided. The system includes at least one simulated body organ placed upon the base of an organ tray and at least one covering layer placed over the simulated body organ. At least one of the simulated body organ and covering layer includes electro-conductive gel that is operably severable under application of electrical current to simulate electrosurgery in a training environment. The training environment comprises a top cover connected to and spaced apart from a base to define an internal cavity that is partially obstructed from direct observation by a practitioner. The tray, simulated body organs and covering layer are placed inside the internal cavity for the practice of laparoscopic surgical procedures.
摘要翻译：提供了一种手术模拟系统。该系统包括放置在器官托盘的基部上的至少一个模拟身体器官和放置在模拟身体器官上的至少一个覆盖层。模拟的身体器官和覆盖层中的至少一个包括在施加电流下可操作地分离以在训练环境中模拟电外科手术的导电凝胶。训练环境包括连接到基座并与基座间隔开的顶盖，以限定被从业者直接观察部分阻碍的内部空腔。托盘，模拟的身体器官和覆盖层放置在内腔内用于腹腔镜手术的实践。

9. 发明申请

WO2018152122A1 LAPAROSCOPIC TRAINING SYSTEM 审中-公开
公开(公告)号：WO2018152122A1
公开(公告)日：2018-08-23
申请号：PCT/US2018/018036
申请日：2018-02-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： VELASCO, Joel B. , FILEK, Jacob J. , SLABBER, Nico , CHAN, Samantha , CARTER, Branden , MICHAELS, Zachary , LANDINO, Nathan , PERELES, Brandon , BOLANOS, Eduardo , HAGUE, Cory S. , HOFSTETTER, Gregory K. , KENNEDAY, Sean , MCMORROW, Timothy , SHAH, Jigar , HO, Jimmy , CHASE, Lindsey
IPC分类号： G09B23/28
摘要： A sensorized surgical instrument for training users laparoscopic surgical procedures is provided. The instrument includes at least one sensor selected from a group consisting of a strain gauge, accelerometer, magnetometer, and gyroscope. The sensor is attached directly to a handle of the instrument. A shaft assembly having a tool tip is interchangeably connectable to the handle. The sensor is connected to a computer configured to provide feedback useful to the user for improving the user's surgical skills. The feedback includes the time to complete a procedure, economy of motion, smoothness of motion and the force exerted at the tool tip.

10. 发明申请

WO2016085930A2 CIRCUMFERENTIAL WOUND RETRACTION WITH SUPPORT AND GUIDANCE STRUCTURES 审中-公开
标题翻译：具有支持和指导结构的圆周回波
公开(公告)号：WO2016085930A2
公开(公告)日：2016-06-02
申请号：PCT/US2015/062326
申请日：2015-11-24
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HART, Charles, C. , PRAVONG, Boun , PRAVONGVIENGKHAM, Kenni , BOLANOS, Eduardo , TALWAR, Tina , BRESLIN, Tracy
IPC分类号： A61B17/02 , A61B17/34 , A61B90/30 , A61B90/57
CPC分类号： A61B17/0218 , A61B1/0684 , A61B1/07 , A61B17/0293 , A61B17/3423 , A61B17/3474 , A61B2017/00477 , A61B2017/00557 , A61B2017/00796 , A61B2017/00862 , A61B2017/00871 , A61B2017/0225 , A61B2017/3429 , A61B2017/3441 , A61B2017/3445 , A61B2017/3466 , A61B2017/3486 , A61B2017/3492 , A61B2090/306 , A61B2090/309 , A61B2090/3618 , A61B2090/571
摘要： Embodiments of a circumferential retractor having an attached supporting, manipulating or positioning tool are described. The retractor optionally includes a sealing member associated with an external member of the retractor and an external support structure that may be used with the retractor and positioning tool as needed.
摘要翻译：描述具有附接的支撑，操作或定位工具的圆周牵开器的实施例。牵开器可选地包括与牵开器的外部构件相关联的密封构件和可以根据需要与牵开器和定位工具一起使用的外部支撑结构。

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