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1. 发明授权

US08357085B2 Devices and methods for providing access into a body cavity 有权
标题翻译：用于提供进入体腔的装置和方法
公开(公告)号：US08357085B2
公开(公告)日：2013-01-22
申请号：US12479418
申请日：2009-06-05
申请人： Frederick E. Shelton, IV , Carl J. Shurtleff
发明人： Frederick E. Shelton, IV , Carl J. Shurtleff
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/3441 , A61B2017/3447 , A61B2017/3466
摘要： Methods and devices are provided for accessing a body cavity. In general, a surgical access device is provided that can include a retractor that forms a working channel through tissue, a seal housing for sealing the working channel and/or forming a seal around an instrument inserted therethrough, and a flexible suspension member that is configured to suspend the seal housing within the body cavity or allow the seal housing to extend beyond the distal end of the retractor.
摘要翻译：提供用于访问体腔的方法和装置。通常，提供外科进入装置，其可以包括通过组织形成工作通道的牵开器，用于密封工作通道的密封壳体和/或围绕插入穿过其中的器械形成密封件;以及柔性悬挂构件，其被配置将密封壳体悬挂在体腔内或允许密封壳体延伸超过牵开器的远端。

2. 发明申请

US20100249525A1 DEVICES AND METHODS FOR PROVIDING ACCESS INTO A BODY CAVITY 有权
标题翻译：用于提供进入体腔的装置和方法
公开(公告)号：US20100249525A1
公开(公告)日：2010-09-30
申请号：US12479418
申请日：2009-06-05
申请人： Frederick E. Shelton, IV , Carl J. Shurtleff
发明人： Frederick E. Shelton, IV , Carl J. Shurtleff
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/3441 , A61B2017/3447 , A61B2017/3466
摘要： Methods and devices are provided for accessing a body cavity. In general, a surgical access device is provided that can include a retractor that forms a working channel through tissue, a seal housing for sealing the working channel and/or forming a seal around an instrument inserted therethrough, and a flexible suspension member that is configured to suspend the seal housing within the body cavity or allow the seal housing to extend beyond the distal end of the retractor.
摘要翻译：提供用于访问体腔的方法和装置。通常，提供外科进入装置，其可以包括通过组织形成工作通道的牵开器，用于密封工作通道的密封壳体和/或围绕插入穿过其中的器械形成密封件;以及配置的柔性悬挂构件将密封壳体悬挂在体腔内或允许密封壳体延伸超过牵开器的远端。

3. 发明授权

US08465422B2 Retractor with integrated wound closure 有权
标题翻译：牵引器集成伤口闭合
公开(公告)号：US08465422B2
公开(公告)日：2013-06-18
申请号：US12479030
申请日：2009-06-05
申请人： William B. Weisenburgh, II , Jerome R. Morgan , Christopher J. Hess , Carl J. Shurtleff , Frederick E. Shelton, IV
发明人： William B. Weisenburgh, II , Jerome R. Morgan , Christopher J. Hess , Carl J. Shurtleff , Frederick E. Shelton, IV
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0057 , A61B17/3431 , A61B2017/00637 , A61B2017/3484
摘要： Methods and devices are provided to allow the same component used to access a surgical site to assist in closing the surgical opening in which it was disposed. In one exemplary embodiment a flexible retractor is provided that includes proximal and distal ends and a lumen extending therethrough. A wound closure component is associated with the flexible retractor and is configured to engage tissue adjacent to a surgical incision in which the retractor is disposed and move tissue from one side of the surgical incision toward a second side of the surgical incision to assist in closing the surgical incision. In one embodiment the wound closure component includes strands of suture having hooks disposed on a distal end. In another embodiment the wound closure component includes a ring having hooks disposed around a circumference of the ring. Exemplary methods for closing a surgical opening are also provided.
摘要翻译：提供方法和装置以允许用于接近外科手术部位的相同部件以帮助关闭其所处置的手术开口。在一个示例性实施例中，提供了柔性牵开器，其包括近端和远端以及从其延伸穿过的内腔。伤口闭合部件与柔性牵开器相关联，并且被构造成接合在其上设置牵开器的手术切口附近的组织，并且将组织从手术切口的一侧移动到手术切口的第二侧，以帮助关闭手术切口在一个实施例中，伤口闭合部件包括具有设置在远端上的钩的缝合线。在另一个实施例中，伤口闭合部件包括环，其环设置在环的圆周周围。还提供了用于闭合手术开口的示例性方法。

4. 发明申请

US20100312065A1 ACTIVE SEAL COMPONENTS 有权
标题翻译：主动密封组件
公开(公告)号：US20100312065A1
公开(公告)日：2010-12-09
申请号：US12479092
申请日：2009-06-05
申请人： Frederick E. Shelton, IV , Charles J. Scheib , Jerome R. Morgan , Carl J. Shurtleff
发明人： Frederick E. Shelton, IV , Charles J. Scheib , Jerome R. Morgan , Carl J. Shurtleff
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B90/98 , A61B2017/00398 , A61B2017/3445 , A61B2017/3466
摘要： Methods and devices are provided to allow for easy manipulation of a configuration and/or an orientation of seal elements of a surgical access device by an end user. In one exemplary embodiment a surgical access device is provided that includes a retractor configured to be positioned within a surgical incision to provide access to a body cavity, seal elements disposed within a lumen of the retractor, and adjustment mechanisms in communication with the seal elements and which are configured to manipulate an orientation of one or more of the seal elements. Types of adjustment mechanisms capable of manipulating the seal elements as desired include inflatable bladders and electroactive polymers. Exemplary methods for providing easy manipulation of the configuration and/or orientation of seal elements of a surgical access device on location are also provided.
摘要翻译：提供了方法和装置，以允许最终用户容易地操纵外科进入装置的构造和/或定向的密封元件。在一个示例性实施例中，提供了一种手术进入装置，其包括构造成定位在手术切口内的牵开器，以提供对体腔的通路，设置在牵开器的内腔内的密封元件，以及与密封元件连通的调节机构，其构造成操纵一个或多个密封元件的取向。能够根据需要操纵密封元件的调节机构的类型包括可膨胀气囊和电活性聚合物。还提供了用于提供对位置上的外科进入装置的密封元件的构造和/或取向的容易操作的示例性方法。

5. 发明授权

US08241209B2 Active seal components 有权
标题翻译：主动密封组件
公开(公告)号：US08241209B2
公开(公告)日：2012-08-14
申请号：US12479092
申请日：2009-06-05
申请人： Frederick E. Shelton, IV , Charles J. Scheib , Jerome R. Morgan , Carl J. Shurtleff
发明人： Frederick E. Shelton, IV , Charles J. Scheib , Jerome R. Morgan , Carl J. Shurtleff
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B90/98 , A61B2017/00398 , A61B2017/3445 , A61B2017/3466
摘要： Methods and devices are provided to allow for easy manipulation of a configuration and/or an orientation of seal elements of a surgical access device by an end user. In one exemplary embodiment a surgical access device is provided that includes a retractor configured to be positioned within a surgical incision to provide access to a body cavity, seal elements disposed within a lumen of the retractor, and adjustment mechanisms in communication with the seal elements and which are configured to manipulate an orientation of one or more of the seal elements. Types of adjustment mechanisms capable of manipulating the seal elements as desired include inflatable bladders and electroactive polymers. Exemplary methods for providing easy manipulation of the configuration and/or orientation of seal elements of a surgical access device on location are also provided.
摘要翻译：提供了方法和装置，以允许最终用户容易地操纵外科进入装置的构造和/或定向的密封元件。在一个示例性实施例中，提供了一种手术进入装置，其包括构造成定位在手术切口内的牵开器，以提供对体腔的通路，设置在牵开器的内腔内的密封元件，以及与密封元件连通的调节机构，其构造成操纵一个或多个密封元件的取向。能够根据需要操纵密封元件的调节机构的类型包括可膨胀气囊和电活性聚合物。还提供了用于提供对位置上的外科进入装置的密封元件的构造和/或取向的容易操作的示例性方法。

6. 发明申请

US20110087159A1 Trocar Assembly 审中-公开
标题翻译：套管套装
公开(公告)号：US20110087159A1
公开(公告)日：2011-04-14
申请号：US12575537
申请日：2009-10-08
申请人： Shailendra K. Parihar , Haresh Patil , Michael D. Cronin , Michael S. Cropper , Frederick E. Shelton, IV , Daniel H. Duke , Gregory W. Johnson , Carl J. Shurtleff , Andrew T. Beckman , Wells Daniel Haberstich
发明人： Shailendra K. Parihar , Haresh Patil , Michael D. Cronin , Michael S. Cropper , Frederick E. Shelton, IV , Daniel H. Duke , Gregory W. Johnson , Carl J. Shurtleff , Andrew T. Beckman , Wells Daniel Haberstich
IPC分类号： A61B17/34 , A61M13/00
CPC分类号： A61B17/34 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B17/3498 , A61B2017/3454 , A61B2017/347 , A61B2017/349
摘要： A trocar assembly including a sleeve assembly having a cannula connected to a housing and an obturator assembly including a handle connected to an obturator, wherein the obturator assembly is receivable in the sleeve assembly to define a gripping portion that includes the housing and the handle, the gripping portion having an axial length and a maximum width, and wherein a ratio of the axial length to the maximum width ranges from about 2.5 to about 3.5.
摘要翻译：一种套管针组件，其包括具有连接到壳体的插管的套管组件和包括连接到闭塞器的手柄的闭塞器组件，其中所述闭塞器组件可接收在所述套筒组件中以限定包括所述壳体和所述手柄的夹持部分，夹持部分具有轴向长度和最大宽度，并且其中轴向长度与最大宽度的比率为约2.5至约3.5。

7. 发明申请

US20100312064A1 RETRACTOR WITH INTEGRATED WOUND CLOSURE 有权
标题翻译：具有集成封闭的延迟器
公开(公告)号：US20100312064A1
公开(公告)日：2010-12-09
申请号：US12479030
申请日：2009-06-05
申请人： William B. Weisenburgh, II , Jerome R. Morgan , Christopher J. Hess , Carl J. Shurtleff , Frederick E. Shelton, IV
发明人： William B. Weisenburgh, II , Jerome R. Morgan , Christopher J. Hess , Carl J. Shurtleff , Frederick E. Shelton, IV
IPC分类号： A61B17/04 , A61B1/32
CPC分类号： A61B17/3423 , A61B17/0057 , A61B17/3431 , A61B2017/00637 , A61B2017/3484
摘要： Methods and devices are provided to allow the same component used to access a surgical site to assist in closing the surgical opening in which it was disposed. In one exemplary embodiment a flexible retractor is provided that includes proximal and distal ends and a lumen extending therethrough. A wound closure component is associated with the flexible retractor and is configured to engage tissue adjacent to a surgical incision in which the retractor is disposed and move tissue from one side of the surgical incision toward a second side of the surgical incision to assist in closing the surgical incision. In one embodiment the wound closure component includes strands of suture having hooks disposed on a distal end. In another embodiment the wound closure component includes a ring having hooks disposed around a circumference of the ring. Exemplary methods for closing a surgical opening are also provided.
摘要翻译：提供方法和装置以允许用于接近外科手术部位的相同部件以帮助关闭其所处置的手术开口。在一个示例性实施例中，提供了柔性牵开器，其包括近端和远端以及从其延伸穿过的内腔。伤口闭合部件与柔性牵开器相关联，并且构造成接合附接到手术切口的组织，其中牵开器被设置在其中，并且将组织从手术切口的一侧移动到手术切口的第二侧，以帮助关闭手术切口在一个实施例中，伤口闭合部件包括具有设置在远端上的钩的缝合线。在另一个实施例中，伤口闭合部件包括环，其环设置在环的圆周周围。还提供了用于闭合手术开口的示例性方法。

8. 发明授权

US09603599B2 Feature to reengage safety switch of tissue stapler 有权
公开(公告)号：US09603599B2
公开(公告)日：2017-03-28
申请号：US13328344
申请日：2011-12-16
申请人： Christopher C. Miller , Edward G. Chekan , Johnny H. Alexander, III , John F. Cummings , Carl J. Shurtleff , Adam R. Dunki-Jacobs , Barry T. Jamison , Joseph E. Young , Cortney E. Henderson
发明人： Christopher C. Miller , Edward G. Chekan , Johnny H. Alexander, III , John F. Cummings , Carl J. Shurtleff , Adam R. Dunki-Jacobs , Barry T. Jamison , Joseph E. Young , Cortney E. Henderson
IPC分类号： A61B17/068 , A61B17/115
CPC分类号： A61B17/1155 , A61B17/115 , A61B2017/00367 , A61B2017/00407 , A61B2017/00862 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

9. 发明授权

US09247938B2 Suture fastening device 有权
标题翻译：缝合紧固装置
公开(公告)号：US09247938B2
公开(公告)日：2016-02-02
申请号：US13467333
申请日：2012-05-09
申请人： David T. Martin , James A. Woodard, Jr. , Carl J. Shurtleff , Kevin A. Larson , Mark J. Bookbinder , John L. Stammen
发明人： David T. Martin , James A. Woodard, Jr. , Carl J. Shurtleff , Kevin A. Larson , Mark J. Bookbinder , John L. Stammen
IPC分类号： A61B17/04 , A61B17/062 , A61B17/29
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0483 , A61B2017/2926
摘要： An apparatus is operable to secure suture fasteners to sutures to eliminate the need to tie knots in the sutures. The apparatus comprises a shaft, an end effector disposed at the distal end of the shaft, and a suture fastener removably secured to the end effector. The end effector may include a pivoting jaw or a suture cutter. The suture fastener may be secured to one, two, or more strands of suture. The apparatus may include several suture fasteners and may secure those fasteners to one or more sutures in a serial fashion without having to remove the apparatus from the patient for reloading. A plurality of fasteners may be arranged within the apparatus in an end-to-end configuration. The suture fastener may include an inner fastener member and an outer fastener member, and may capture one or more strands of suture between the inner and outer fastener members.
摘要翻译：一种可操作的装置可将缝合线紧固件固定到缝合线上，以消除将缝结在缝合线上的需要。该装置包括轴，设置在轴的远端处的末端执行器和可拆卸地固定到端部执行器的缝合线紧固件。端部执行器可以包括枢转钳口或缝合线切割器。缝线紧固件可以固定到一条，两条或更多条缝合线。该装置可以包括多个缝合紧固件，并且可以将这些紧固件以串联的方式固定到一个或多个缝合线上，而不必从患者中移除装置以便重新加载。多个紧固件可以以端对端配置布置在设备内。缝合紧固件可以包括内部紧固件构件和外部紧固件构件，并且可以在内部和外部紧固件构件之间捕获一根或多根缝合线。

10. 发明授权

US08239007B2 Biocompatible nanoparticle compositions and methods 有权
标题翻译：生物相容性纳米颗粒组合物和方法
公开(公告)号：US08239007B2
公开(公告)日：2012-08-07
申请号：US11771384
申请日：2007-06-29
申请人： James W. Voegele , Robert P. Gill , Carl J. Shurtleff
发明人： James W. Voegele , Robert P. Gill , Carl J. Shurtleff
IPC分类号： A61B1/06
CPC分类号： A61K41/0052 , A61B1/043 , A61B1/3132 , A61B5/0071 , A61B5/0075 , A61B5/0084 , A61B5/415 , A61B5/418 , A61K49/0017 , A61K49/0093
摘要： Various compositions, methods, and devices are provided that use fluorescent nanoparticles, which can function as markers, indicators, and light sources. The fluorescent nanoparticles can be formed from a fluorophore core surrounded by a biocompatible shell, such as a silica shell. In one embodiment, the fluorescent nanoparticles can be delivered to tissue to mark the tissue, enable identification and location of the tissue, and/or illuminate an area surrounding the tissue. In another embodiment, the fluorescent nanoparticles can be used on a device or implant to locate the device or implant in the body, indicate an orientation of the device or implant, and/or illuminate an area surrounding the device or implant. The fluorescent nanoparticles can also be used to provide a therapeutic effect.
摘要翻译：提供使用可用作标记物，指示剂和光源的荧光纳米颗粒的各种组合物，方法和装置。荧光纳米颗粒可以由包围生物相容的外壳如二氧化硅壳的荧光团芯形成。在一个实施方案中，荧光纳米颗粒可以被递送到组织以标记组织，使得能够识别和定位组织，和/或照亮组织周围的区域。在另一个实施方案中，荧光纳米颗粒可用于装置或植入物以将装置或植入物定位在体内，指示装置或植入物的取向，和/或照亮装置或植入物周围的区域。荧光纳米颗粒也可用于提供治疗效果。

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