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1. 发明申请

US20050192483A1 Device 审中-公开
标题翻译：设备
公开(公告)号：US20050192483A1
公开(公告)日：2005-09-01
申请号：US10902440
申请日：2004-07-30
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Ronan McManus , Shane MacNally , Alan Reid , Alfred Cuschieri
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Ronan McManus , Shane MacNally , Alan Reid , Alfred Cuschieri
IPC分类号： A61B17/00 , A61B17/02 , A61B17/22 , A61B17/34 , A61F2/06 , A61F2/84 , A61M25/01 , A61M29/02 , A61M29/00
CPC分类号： A61B17/3462 , A61B17/00234 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3435 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492 , A61F2/958 , A61M25/0119 , A61M29/02 , A61M2025/0062 , A61M2025/109
摘要： An instrument access port comprises a retractor (811) for retracting the sides of an incision (813) and a valve (829) for sealing around an instrument (814) inserted through the retracted incision (813). The retractor (811) comprises a distal member for insertion into the incision (813), a proximal member for location externally of the incision (813) and a retracting member for extending between the distal member and the proximal member. The valve (829) is coupled to the retractor (811) to define a low profile sealed instrument access port.
摘要翻译：仪器进入端口包括用于缩回切口（813）的侧面的牵开器（811）和用于密封插入通过缩回切口（813）的器械周围的阀门（829）。牵开器（811）包括用于插入切口（813）的远端构件，用于在切口（813）外部定位的近端构件和用于在远侧构件和近端构件之间延伸的缩回构件。阀（829）联接到牵开器（811）以限定低剖面密封的仪器进入口。

2. 发明申请

US20070118175A1 Device 有权
标题翻译：设备
公开(公告)号：US20070118175A1
公开(公告)日：2007-05-24
申请号：US10635910
申请日：2003-08-07
申请人： John Butler , Frank Bonadio , Trevor Vaugh , Ronan McManus , Shane MacNally , Catherine Deegan , Alfred Cuschieri , Alan Reid
发明人： John Butler , Frank Bonadio , Trevor Vaugh , Ronan McManus , Shane MacNally , Catherine Deegan , Alfred Cuschieri , Alan Reid
IPC分类号： A61F13/00 , A61F15/00 , A61B17/08
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B90/40 , A61B2017/00265 , A61B2017/0225 , A61B2017/3419 , A61B2017/3429 , A61B2017/3441 , A61B2017/3447
摘要： A seal comprises a first sealing member and a second sealing member. The sealing members each have an accessway to facilitate access from one side of the sealing member to the other side of the sealing member. The accessways are offset to facilitate sealed access of an object through the sealing members.
摘要翻译：密封件包括第一密封构件和第二密封构件。密封构件各自具有便于从密封构件的一侧到密封构件的另一侧的通道。通道偏移以便于物体通过密封构件的密封通路。

3. 发明申请

US20050090717A1 Wound retractor device 有权
标题翻译：伤口牵开装置
公开(公告)号：US20050090717A1
公开(公告)日：2005-04-28
申请号：US10678653
申请日：2003-10-06
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Shane MacNally , Alan Reid
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Shane MacNally , Alan Reid
IPC分类号： A61B17/00 , A61B17/02 , A61B17/34 , A61B1/32
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A wound protector and retractor device 1 comprises a sleeve 2, a distal member provided by a distal ring 3 of resilient material and a proximal member provided by a proximal ring 4. The sleeve 2 is led around the ring 3 and is free to move axially relative to the distal ring 3 somewhat in the manner of a pulley. The proximal ring 4 is fixed to the sleeve 2, in this case at the proximal inner end thereof. The sleeve 2 terminates in a handle or gripping portion which is reinforced by a gripping ring 15. The sleeve extends from the proximal ring 4 and the distal ring 3 is contained between inner and outer layers 2a, 2b of the sleeve 2. The resilient distal ring 3 is scrunched up and inserted through the incision 6. The sleeve 2 is then pulled upwardly. On pulling of the sleeve 2 upwardly the outer layer 2b is pulled up while the inner layer 2a is drawn around the proximal ring 3. This results in shortening the axial extent between the proximal ring 4 and the distal ring 3, tensioning the sleeve and applying a retraction force to the margins of the incision 6. As the incision is being retracted the margins are also protected by the sleeve. On retraction, an access port is provided, for example for a surgeon to insert his hand and/or an instrument to perform a procedure. The device may be used as a retractor in open surgery or as a base for a valve/seal to allow it to be used in hand assisted laparoscopic surgery or for instrument access or hand access generally.
摘要翻译：伤口保护器和收缩器装置1包括套筒2，由弹性材料的远端环3提供的远端构件和由近端环4提供的近端构件。套筒2围绕环3引导，并且以滑轮的方式相对于远端环3自由地轴向移动。近端环4固定到套筒2，在这种情况下，其在近端的内端。套筒2终止于由夹紧环15加强的手柄或夹持部分。套筒从近端环4延伸，并且远端环3容纳在套筒2的内层2a和外层2b之间。弹性远端环3被刮出并穿过切口6插入。然后将套筒2向上拉。当将套筒2向上拉时，外层2b被拉起，而内层2a围绕近端环3被拉出。这导致缩短近端环4和远端环3之间的轴向范围，张紧套管并向切口6的边缘施加缩回力。当切口正在缩回时，边缘也被套筒保护。在撤回时，提供进入端口，例如外科医生插入他的手和/或仪器以执行程序。该装置可以用作开放手术中的牵开器或用作阀/密封件的基座，以允许其用于手动辅助腹腔镜手术或通常用于仪器进入或手动进入。

4. 发明授权

US09271753B2 Surgical device 有权
标题翻译：手术装置
公开(公告)号：US09271753B2
公开(公告)日：2016-03-01
申请号：US10635910
申请日：2003-08-07
申请人： John Butler , Frank Bonadio , Trevor Vaugh , Ronan Bernard McManus , Shane Joseph MacNally , Catherine Deegan , Alfred Cuschieri , Alan Reid
发明人： John Butler , Frank Bonadio , Trevor Vaugh , Ronan Bernard McManus , Shane Joseph MacNally , Catherine Deegan , Alfred Cuschieri , Alan Reid
IPC分类号： A61B19/00 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B90/40 , A61B2017/00265 , A61B2017/0225 , A61B2017/3419 , A61B2017/3429 , A61B2017/3441 , A61B2017/3447
摘要： A seal comprises a first sealing member and a second sealing member. The sealing members each have an accessway to facilitate access from one side of the sealing member to the other side of the sealing member. The accessways are offset to facilitate sealed access of an object through the sealing members.
摘要翻译：密封件包括第一密封构件和第二密封构件。密封构件各自具有便于从密封构件的一侧到密封构件的另一侧的通道。通道偏移以便于物体通过密封构件的密封通路。

5. 发明申请

US20070049966A1 Surgical instrument 审中-公开
标题翻译：手术器械
公开(公告)号：US20070049966A1
公开(公告)日：2007-03-01
申请号：US11386103
申请日：2006-03-22
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Catherine Deegan , Shane MacNally
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Catherine Deegan , Shane MacNally
IPC分类号： A61B17/00
CPC分类号： A61B17/3417 , A61B17/00234 , A61B17/0469 , A61B17/068 , A61B17/29 , A61B17/2909 , A61B17/3421 , A61B17/3423 , A61B2017/003 , A61B2017/00424 , A61B2017/00464 , A61B2017/00738 , A61B2017/2901 , A61B2017/2902 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2931 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466
摘要： A surgical access system (100) comprises an access port (5), a rigid cannula having a shaft (11) and a laparoscopic surgical instrument (101). The access port (5) comprises a seal (6) and a retractor. The retractor comprises a distal O-ring (71), an outer proximal ring member (77), an inner proximal ring member (78) and a sleeve (72). The sleeve (72) extends distally from the inner proximal ring member (78) to the distal O-ring (71) in a first layer, is looped around the distal O-ring (71), and extends proximally in a second layer between the inner proximal ring member (78) and the outer proximal ring member (77). The instrument (101) comprises a shaft (103) with a rigid proximal region (104), a flexible intermediate region (105), and a rigid distal region (106). The instrument shaft (103) may be inserted through the cannula shaft (11). The instrument (101) has a rigid end effector (107) releasably coupled to the distal end (108) of the instrument shaft (103). An actuator (109) for actuating the end effector (107) is provided at the proximal end (110) of the instrument shaft (103). The actuator (109) is movable along the instrument shaft (103) parallel to the longitudinal axis of the instrument shaft (103).
摘要翻译：手术进入系统（100）包括进入口（5），具有轴（11）和腹腔镜手术器械（101）的刚性插管。进入口（5）包括密封件（6）和牵开器。牵开器包括远端O形环（71），外近端环构件（77），内近端环构件（78）和套筒（72）。套筒（72）从内侧近端环构件（78）向远端延伸到第一层中的远端O形环（71），围绕远端O形环（71）环绕，并且在第二层之间向近侧延伸内侧近端环构件（78）和外侧近端环构件（77）。仪器（101）包括具有刚性近端区域（104），柔性中间区域（105）和刚性远侧区域（106）的轴（103）。仪器轴（103）可以插入穿过套管轴（11）。仪器（101）具有可释放地联接到仪器轴（103）的远端（108）的刚性端部执行器（107）。用于致动末端执行器（107）的致动器（109）设置在仪器轴（103）的近端（110）处。致动器（109）可沿着仪器轴（103）平行于仪器轴（103）的纵向轴线移动。

6. 发明申请

US20060247499A1 Apparatus for inserting a surgical device at least partially through a wond opening 有权
标题翻译：用于至少部分地通过奇妙开口插入手术装置的装置
公开(公告)号：US20060247499A1
公开(公告)日：2006-11-02
申请号：US11347803
申请日：2006-02-06
申请人： John Butler , Trevor Vaugh , Frank Bonadio , Catherine Deegan , Shane MacNally
发明人： John Butler , Trevor Vaugh , Frank Bonadio , Catherine Deegan , Shane MacNally
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0293 , A61B17/06109 , A61B17/29 , A61B17/32093 , A61B17/3415 , A61B17/3417 , A61B17/3421 , A61B17/3423 , A61B17/3431 , A61B17/3468 , A61B17/3476 , A61B17/3496 , A61B18/04 , A61B18/1487 , A61B34/70 , A61B2017/00353 , A61B2017/00473 , A61B2017/0225 , A61B2017/06042 , A61B2017/320044 , A61B2017/3443 , A61B2017/3484 , A61B2017/3492 , A61B2090/036 , A61B2090/08021
摘要： An apparatus (650) for inserting a distal ring (9) of a wound retractor device (2) through a wound opening comprises a bladeless tip (641) for creating the wound opening by forcing tissue apart, and a conveying device (5) for conveying the distal ring (9) through the wound opening. The conveying device (5) comprises a hook element (6) for engaging the distal ring (9) to convey the distal ring (9) through the wound opening, and a receiver housing (651) for receiving a seal (652) and a proximal ring (653) of the wound retractor device (2) to hold the seal (652) and the proximal ring (653) externally of the wound opening, and thus maintain a sleeve portion of the wound retractor device (2) in tension, during conveying of the distal ring (9) through the wound opening.
摘要翻译：一种用于通过卷绕开口插入卷绕的卷收器装置（2）的远端环（9）的装置（650）包括用于通过迫使组织分开而产生卷绕开口的无叶尖（641），以及用于将所述远端环（9）输送通过所述开口。输送装置（5）包括用于接合远端环（9）以将远端环（9）输送通过卷绕开口的钩元件（6）和用于接收密封件（652）的接收器壳体（651）所述卷绕牵开装置（2）的近端环（653）用于将所述密封件（652）和所述近端环（653）保持在所述卷绕开口的外部，从而保持所述卷绕的牵开器装置（2）的套筒部分处于张紧状态，在远端环（9）通过卷绕开口传送期间。

7. 发明申请

US20070255219A1 Instrument access device 审中-公开
标题翻译：仪器进入设备
公开(公告)号：US20070255219A1
公开(公告)日：2007-11-01
申请号：US11785752
申请日：2007-04-19
申请人： Trevor Vaugh , John Butler , Shane MacNally , Frank Bonadio
发明人： Trevor Vaugh , John Butler , Shane MacNally , Frank Bonadio
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B1/00137 , A61B17/0293 , A61B17/3423 , A61B17/3498 , A61B2017/3464
摘要： An instrument access device (1) comprises an instrument seal, a wound retractor for retracting a wound opening (2), and an opening element for at least partially opening the seal to facilitate insertion of an instrument (6) through the seal. The instrument seal comprises a gelatinous elastomeric seal (3) with a pinhole opening (4) extending therethrough, and a housing (5) around the seal (3). The opening element may be employed to at least partially open the pinhole opening (4) to facilitate insertion of the instrument (6) through the pinhole opening (4). The opening element comprises a sheet (11) of flexible material. The sheet (11) is movable distally relative to the seal (3) between a rest configuration and an opening configuration. In the rest configuration the sheet (11) is substantially planar. In the opening configuration, the pointed, the leading end (16) of the sheet (11) enters the pinhole opening (4) and moves distally through the pinhole opening (4) to at least partially open the pinhole opening (4).
摘要翻译：仪器进入装置（1）包括仪器密封件，用于缩回伤口（2）的缠绕牵开器和用于至少部分地打开密封件以便于将器械（6）穿过密封件插入的开口元件。仪器密封件包括具有延伸穿过其中的针孔开口（4）的凝胶状弹性体密封件（3）和围绕密封件（3）的壳体（5）。开口元件可以用于至少部分地打开针孔开口（4），以便于器械（6）穿过针孔开口（4）插入。开口元件包括柔性材料的片材（11）。片材（11）可在静止构型和打开构型之间相对于密封件（3）向远侧移动。在其余构型中，片材（11）基本上是平面的。在打开构造中，片状物（11）的尖端（16）进入针孔开口（4），并通过针孔开口（4）向远侧移动，至少部分地打开针孔开口（4）。

8. 发明授权

US08317691B2 Wound retractor device 有权
标题翻译：伤口牵开装置
公开(公告)号：US08317691B2
公开(公告)日：2012-11-27
申请号：US12426438
申请日：2009-04-20
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A wound protector and retractor device comprising a longitudinal axis, a distal member, a proximal member, and a sleeve extending at least between the distal member and the proximal member. The sleeve has a proximal gripping portion for pulling the sleeve upwardly to shorten an axial extent located between the distal member and the proximal member.
摘要翻译：包括纵向轴线，远端构件，近端构件和至少在远侧构件和近端构件之间延伸的套筒的伤口保护器和牵开器装置。套筒具有用于将套筒向上拉以缩短位于远端构件和近端构件之间的轴向范围的近侧把持部分。

9. 发明授权

US07559893B2 Wound retractor device 有权
标题翻译：伤口牵开装置
公开(公告)号：US07559893B2
公开(公告)日：2009-07-14
申请号：US10678653
申请日：2003-10-06
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A wound protector and retractor device comprising a longitudinal axis, a distal member, a proximal member, and a sleeve extending at least between the distal member and the proximal member. The sleeve has a proximal gripping portion for pulling the sleeve upwardly to shorten an axial extent located between the distal member and the proximal member.
摘要翻译：包括纵向轴线，远端构件，近端构件和至少在远侧构件和近端构件之间延伸的套筒的伤口保护器和牵开器装置。套筒具有用于将套筒向上拉以缩短位于远端构件和近端构件之间的轴向范围的近侧把持部分。

10. 发明申请

US20100063362A1 WOUND RETRACTOR DEVICE 有权
标题翻译：绕线器
公开(公告)号：US20100063362A1
公开(公告)日：2010-03-11
申请号：US12426438
申请日：2009-04-20
申请人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A wound protector and retractor device comprising a longitudinal axis, a distal member, a proximal member, and a sleeve extending at least between the distal member and the proximal member. The sleeve has a proximal gripping portion for pulling the sleeve upwardly to shorten an axial extent located between the distal member and the proximal member.
摘要翻译：包括纵向轴线，远端构件，近端构件和至少在远侧构件和近端构件之间延伸的套筒的伤口保护器和牵开器装置。套筒具有用于将套筒向上拉以缩短位于远端构件和近端构件之间的轴向范围的近侧把持部分。

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