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1. 发明授权

US07112185B2 Anti-inversion trocar seal 有权
标题翻译：防反转套管针密封
公开(公告)号：US07112185B2
公开(公告)日：2006-09-26
申请号：US10948383
申请日：2004-09-23
申请人： Charles C. Hart , Henry Kahle , Scott V. Taylor
发明人： Charles C. Hart , Henry Kahle , Scott V. Taylor
IPC分类号： A61M31/00
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/3464
摘要： The invention is directed to a trocar seal adapted to form a seal around a surgical instrument, the trocar seal comprising a housing having an axis extending between a proximal end and a distal end and forming a working channel sized and configured to receive the surgical instrument; an elastomeric septum seal having a proximal face and a distal face, the septum seal being disposed in the housing and extending transverse to the axis of the housing across the working channel; portions of the septum seal defining a hole having a diameter less than or equal to the diameter of the surgical instrument so that during insertion of the instrument along the working channel the septum seal forms a seal with the instrument; and at least one structure formed integrally with or proximate to the septum seal to prevent inversion of the septum seal upon withdrawal of the surgical instrument. The septum seal or the housing may further comprise a sidewall to include the structure extending from the sidewall to the distal face of the seal to tether the seal distally. The structure may be integrally formed with the proximal face of the septum seal to reinforce the seal, or the structure may be integrally formed with the distal face of the septum seal to tether the seal distally. The structure may be an annular reinforcement or rib, and is formed so as to allow side-to-side movement or floatation of the seal. The trocar seal may further comprise a plurality of radially extending ribs formed on the proximal or distal face of the septum seal to reinforce the seal. The trocar seal may further comprise a tensile element formed on the distal face of the septum seal.
摘要翻译：本发明涉及适于在外科器械周围形成密封的套针针密封件，套管针密封件包括具有在近端和远端之间延伸的轴线的壳体，并形成尺寸和构造成接收外科器械的工作通道; 具有近端面和远侧面的弹性隔膜密封件，所述隔膜密封件设置在所述壳体中并横跨所述工作通道横向于所述壳体的轴线延伸; 隔膜密封件的部分限定了直径小于或等于外科器械直径的孔，使得在沿着工作通道插入器械期间，隔垫密封件与仪器形成密封; 以及与隔膜密封件一体地或靠近隔膜密封件形成的至少一个结构，以在外科器械撤回时防止隔垫密封件反转。隔垫密封件或外壳可以进一步包括侧壁，其包括从密封件的侧壁延伸到远端面的结构，以将密封件向远侧系绳。该结构可以与隔膜密封件的近侧面一体地形成，以加强密封，或者结构可以与隔膜密封件的远侧面一体地形成，以使密封件向远侧方向。该结构可以是环形加强件或肋，并且形成为允许密封件的侧面移动或浮动。套管针密封件还可以包括形成在隔膜密封件的近侧或远侧面上的多个径向延伸的肋条，以加强密封。套针针密封件还可以包括形成在隔膜密封件的远侧面上的拉伸元件。

2. 发明授权

US08721658B2 Tissue retrieval system 有权
标题翻译：组织检索系统
公开(公告)号：US08721658B2
公开(公告)日：2014-05-13
申请号：US11549971
申请日：2006-10-16
申请人： Henry Kahle , Gary M Johnson , Scott V. Taylor , Gregory I Bak-Boychuck
发明人： Henry Kahle , Gary M Johnson , Scott V. Taylor , Gregory I Bak-Boychuck
IPC分类号： A61B17/24
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。该袋由系统支撑，因为组织被放置在袋内并且被封闭以隔离所收集的组织，并允许袋和收集的组织从身体移除。可以通过使用导向珠和绳索根据需要重新打开并重新关闭该袋。珠也有助于去除收集的组织。

3. 发明授权

US08506520B2 Trocar system with laparoscope gas channel 有权
标题翻译：带腹腔镜气道的套管针系统
公开(公告)号：US08506520B2
公开(公告)日：2013-08-13
申请号：US12569652
申请日：2009-09-29
申请人： Henry Kahle , Arkadiusz Strokosz , Scott V. Taylor
发明人： Henry Kahle , Arkadiusz Strokosz , Scott V. Taylor
IPC分类号： A61M37/00
CPC分类号： A61B17/3474 , A61B1/00154 , A61B1/313 , A61B1/3132 , A61B17/00234 , A61B17/0218 , A61B17/3417 , A61B17/3423 , A61B17/3496 , A61B90/36 , A61B90/361 , A61B2017/00902 , A61B2017/00907 , A61B2017/3419 , A61B2017/3454
摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.
摘要翻译：手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。因此，接入系统适合作为第一入门手术进入系统。套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

4. 发明申请

US20120316595A1 BLADELESS OPTICAL OBTURATOR 有权
标题翻译：无光学光学器件
公开(公告)号：US20120316595A1
公开(公告)日：2012-12-13
申请号：US13565972
申请日：2012-08-03
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/34
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： A surgical access device comprising a tissue separating obturator suitable for connection with a cannula is disclosed. The obturator includes an elongate shaft having a transparent distal tip. The elongate shaft extends along a longitudinal axis and defines a lumen. The transparent distal tip has a tapered configuration and includes an inner surface and an outer surface adapted for penetrating tissue. The lumen is sized and configured to receive an optical instrument such as a laparoscope. The surgical access device further includes a scope lock at the proximal end of the shaft portion. The lock includes a multi-fingered collet coaxial with the lumen. The inner diameter of the collet is smaller than an outer diameter of the optical instrument and the fingers of the collet provide frictional engagement with the outer diameter of the optical instrument that is inserted into the lumen of the obturator.
摘要翻译：公开了一种外科进入装置，其包括适于与套管连接的组织分离闭塞器。封闭器包括具有透明远端的细长轴。细长轴沿着纵向轴线延伸并且限定内腔。透明的远侧末端具有锥形构造并且包括适于穿透组织的内表面和外表面。管腔的尺寸和构造适于接收诸如腹腔镜的光学仪器。外科进入装置还包括在轴部分的近端处的镜架锁。锁包括与管腔同轴的多指夹头。夹头的内径小于光学仪器的外径，并且夹头的指状物提供与插入到填塞器的内腔中的光学仪器的外径的摩擦接合。

5. 发明申请

US20120179001A1 ACCESS SEALING APPARATUS AND METHOD 有权
标题翻译：访问密封装置和方法
公开(公告)号：US20120179001A1
公开(公告)日：2012-07-12
申请号：US13417950
申请日：2012-03-12
申请人： Scott V. Taylor , Henry Kahle
发明人： Scott V. Taylor , Henry Kahle
IPC分类号： A61B1/32
CPC分类号： A61M39/06 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , A61B2017/3441 , A61M2039/0626 , A61M2039/0673
摘要： A surgical access device includes a seal housing and a roller disposed in the housing and defining a working channel. The roller may be stationary or movable within the seal housing to form both a zero seal in the absence of an instrument, and an instrument seal in the presence of an instrument. Rotation of the roller is contemplated and low-friction surfaces are discussed to reduce instrument insertion forces. Multiple rollers, wiper elements, low-friction braid, pivoting elements and idler rollers are contemplated. The rollers will typically be formed of a gel material in order to facilitate the desired compliance, stretchability and elongation desired.
摘要翻译：手术进入装置包括密封壳体和设置在壳体中并限定工作通道的辊。辊子可以在密封壳体内是静止的或可移动的，以在没有仪器的情况下形成零密封，并且在存在仪器的情况下形成仪器密封件。考虑到辊的旋转，并且讨论低摩擦表面以减少仪器插入力。考虑到多个辊，刮水元件，低摩擦编织物，枢转元件和惰轮。辊通常由凝胶材料形成，以便于期望的顺应性，伸缩性和伸长率。

6. 发明授权

US08157835B2 Access sealing apparatus and method 有权
标题翻译：进出口密封装置及方法
公开(公告)号：US08157835B2
公开(公告)日：2012-04-17
申请号：US12791607
申请日：2010-06-01
申请人： Scott V. Taylor , Henry Kahle
发明人： Scott V. Taylor , Henry Kahle
IPC分类号： A61B17/28
CPC分类号： A61M39/06 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , A61B2017/3441 , A61M2039/0626 , A61M2039/0673
摘要： A surgical access device includes a seal housing and a roller disposed in the housing and defining a working channel. The roller may be stationary or moveable within the seal housing to form both a zero seal in the absence of an instrument, and an instrument seal in the presence of an instrument. Rotation of the roller is contemplated and low-friction surfaces are discussed to reduce instrument insertion forces. Multiple rollers, wiper elements, low-friction braid, pivoting elements and idler rollers are contemplated. The rollers will typically be formed of a gel material in order to facilitate the desired compliance, stretchability and elongation desired.
摘要翻译：手术进入装置包括密封壳体和设置在壳体中并限定工作通道的辊。辊可以在密封壳体内是静止的或可移动的，以在没有仪器的情况下形成零密封，并且在存在仪器的情况下可以进行仪器密封。考虑到辊的旋转，并且讨论低摩擦表面以减少仪器插入力。考虑到多个辊，刮水元件，低摩擦编织物，枢转元件和惰轮。辊通常由凝胶材料形成，以便于期望的顺应性，伸缩性和伸长率。

7. 发明授权

US08267952B2 Bladeless optical obturator 有权
标题翻译：无光学光学闭孔器
公开(公告)号：US08267952B2
公开(公告)日：2012-09-18
申请号：US13085194
申请日：2011-04-12
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/00
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 and obturator combination configured to separate body tissue. In one aspect, the obturator of the invention includes a rigid shaft extending along an axis between a proximal end and a closed, tapered distal end. The bladeless, closed and tapered tip is adapted to penetrate tissue. The shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. The shaft includes an ledge on the inner surface to provide proper positioning of the distal end of the optical instrument. The tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers.
摘要翻译：本发明涉及构造成分离身体组织的无叶套管针和闭孔器组合。在一个方面，本发明的闭孔器包括沿着近端和闭合的锥形远端之间的轴延伸的刚性轴。无叶，封闭和锥形尖端适于穿透组织。轴的尺寸和构造适于接收具有远端的光学仪器以接收身体组织的图像。该轴包括在内表面上的凸缘，以提供光学仪器的远端的适当定位。锥形构造便于分离身体组织的不同层并且提供顶层在层之间的适当对准。

8. 发明授权

US08608769B2 Bladeless optical obturator 有权
标题翻译：无光学光学闭孔器
公开(公告)号：US08608769B2
公开(公告)日：2013-12-17
申请号：US13565972
申请日：2012-08-03
申请人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
发明人： Henry Kahle , Arkadiusz A. Strokosz , Kimball B. McGinley , Scott V. Taylor , Gary M. Johnson , John R. Brustad
IPC分类号： A61B17/00
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： A surgical access device comprising a tissue separating obturator suitable for connection with a cannula is disclosed. The obturator includes an elongate shaft having a transparent distal tip. The elongate shaft extends along a longitudinal axis and defines a lumen. The transparent distal tip has a tapered configuration and includes an inner surface and an outer surface adapted for penetrating tissue. The lumen is sized and configured to receive an optical instrument such as a laparoscope. The surgical access device further includes a scope lock at the proximal end of the shaft portion. The lock includes a multi-fingered collet coaxial with the lumen. The inner diameter of the collet is smaller than an outer diameter of the optical instrument and the fingers of the collet provide frictional engagement with the outer diameter of the optical instrument that is inserted into the lumen of the obturator.
摘要翻译：公开了一种外科进入装置，其包括适于与套管连接的组织分离闭塞器。封闭器包括具有透明远端的细长轴。细长轴沿着纵向轴线延伸并且限定内腔。透明的远侧末端具有锥形构造并且包括适于穿透组织的内表面和外表面。管腔的尺寸和构造适于接收诸如腹腔镜的光学仪器。外科进入装置还包括在轴部分的近端处的镜架锁。锁包括与管腔同轴的多指夹头。夹头的内径小于光学仪器的外径，并且夹头的指状物提供与插入到填塞器的内腔中的光学仪器的外径的摩擦接合。

9. 发明申请

US20120316501A1 PLEATED TROCAR SHIELD 有权
公开(公告)号：US20120316501A1
公开(公告)日：2012-12-13
申请号：US13591853
申请日：2012-08-22
申请人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器存在的情况下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

10. 发明申请

US20110251560A1 PLEATED TROCAR SHIELD 有权
公开(公告)号：US20110251560A1
公开(公告)日：2011-10-13
申请号：US13165931
申请日：2011-06-22
申请人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
发明人： Jeremy J. Albrecht , Gary M. Johnson , Donald L. Gadberry , Henry Kahle , Scott V. Taylor , Kimball B. McGinley
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3462 , A61B2017/00862 , A61B2017/3464
摘要： A surgical access device or trocar defines an access channel for instruments extending from a proximal end to the distal end thereof. The trocar comprises a cannula and a seal assembly disposed at the proximal end of the cannula. The seal assembly comprises a first or zero seal, a second or instrument seal, and a trocar shield disposed proximally of the first seal and the second seal. The first seal seals the access channel in the absence of an instrument extending therethrough. The second seal seals the access channel in the presence of an instrument extending therethrough. The trocar shield protects the first seal and second seal from damage as an instrument is advanced through the access channel. The trocar shield comprises an open proximal end and a tapered distal end comprising a plurality of longitudinal pleats, converging in an opening.
摘要翻译：手术进入装置或套针针定义用于从近端延伸到其远端的器械的通道。套管针包括设置在套管近端的插管和密封组件。密封组件包括第一或零密封件，第二或仪器密封件以及设置在第一密封件和第二密封件的近侧的套管针护罩。在没有延伸穿过其的仪器的情况下，第一密封件密封通道。在延伸穿过其中的仪器的存在下，第二密封件密封通道。套管针护盾可保护第一密封和第二密封免受器械通过进入通道的侵害。套管针罩包括敞开的近端和包括多个纵向褶皱的锥形远端，其在开口中会聚。

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