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1. 发明授权

US5827319A Radially expandable access system having disposable and reusable components 失效
标题翻译：具有一次性和可重复使用的部件的可径向扩展的接入系统
公开(公告)号：US5827319A
公开(公告)日：1998-10-27
申请号：US650387
申请日：1996-05-20
申请人： John E. Carlson , Robert K. Deckman , Steven P. Masterson , Thomas J. Palermo , Craig K. Tsuji
发明人： John E. Carlson , Robert K. Deckman , Steven P. Masterson , Thomas J. Palermo , Craig K. Tsuji
IPC分类号： A61B17/00 , A61B1/00 , A61B17/34 , A61B19/02 , A61M29/00
CPC分类号： A61B17/3439 , A61B50/30 , A61B17/3498
摘要： An access system comprises a radially expandable sleeve, a pneumoperitoneum needle, a cannula assembly, and an obturator. Methods for reconstructing and reusing the access system comprise replacing the radially expandable sleeve and cannula valve cap components of the system, both of which are disposable. All remaining system components may be sterilized and reused one or more times. The pneumoperitoneum needle can be separated into tubular needle body and needle stylet components, which may be separately replaced or sterilized and reused. Similarly the cannula comprises both a cannula hub and a cannula tube, where the hub and tube may be separately replaced or sterilized.
摘要翻译：进入系统包括径向可膨胀的套筒，气腹针，插管组件和闭孔器。用于重建和重复使用进入系统的方法包括更换系统的径向可膨胀套筒和插管阀盖部件，这两者都是一次性的。所有剩余的系统组件可以被灭菌并重新使用一次或多次。气腹针可以分为管状针体和针刺针组件，可以单独更换或消毒并重新使用。类似地，套管包括套管套管和套管管，其中轮毂和管可以单独更换或消毒。

2. 发明授权

US5814058A Method and apparatus employing conformable sleeve for providing percutaneous access 失效
标题翻译：采用适形套筒以提供经皮进入的方法和装置
公开(公告)号：US5814058A
公开(公告)日：1998-09-29
申请号：US696755
申请日：1996-08-14
申请人： John Carlson , Craig K. Tsuji , Steven P. Masterson , Michael J. Orth
发明人： John Carlson , Craig K. Tsuji , Steven P. Masterson , Michael J. Orth
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61F2/00 , A61M25/06
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61F2002/0072 , A61M2025/0025 , A61M25/0662
摘要： Methods and systems for introducing articles and surgical instruments to target body cavities utilize conformable sleeves which are percutaneously positioned within the cavity. Articles may then be passed directly through the conformable sleeve, without use of a rigid cannula, either by pushing the articles inwardly through the sleeve using an introducer or pulling the articles inwardly through the sleeve using a tapered carrier. Surgical instruments are also passed directly inwardly through the sleeve. Such systems and methods may be used in a variety of minimally invasive surgical procedures.
摘要翻译：用于将物品和手术器械引入目标体腔的方法和系统利用经皮定位在腔内的适形袖子。然后可以将物品直接通过适形的套筒，而不使用刚性插管，无论是使用导引器向内推动物品，还是使用锥形托架将物品向内穿过套筒。手术器械也通过套筒直接向内传递。这种系统和方法可以用于各种微创手术。

3. 发明申请

US20080243169A1 SYSTEM AND METHOD FOR ESTABLISHING VASCULAR ACCESS 审中-公开
标题翻译：用于建立血管通路的系统和方法
公开(公告)号：US20080243169A1
公开(公告)日：2008-10-02
申请号：US12136994
申请日：2008-06-11
申请人： John E. Carlson , Craig K. Tsuji , Scott L. Harris , Michael J. Orth
发明人： John E. Carlson , Craig K. Tsuji , Scott L. Harris , Michael J. Orth
IPC分类号： A61M29/00
CPC分类号： A61B17/3415 , A61B17/3421 , A61B17/3431 , A61B17/3439 , A61M25/0662
摘要： Systems, kits, and methods for establishing vascular access are described. A system typically includes a radially expandable sleeve, a dilator, and a guidewire. The methods comprise positioning the guidewire through an initial tissue tract, passing the radially expandable sleeve over the guidewire through the tissue tract to a target blood vessel, and thereafter passing the dilator over the guidewire and through the radially expandable sleeve to effect radial expansion of the sleeve. Use of the sleeve reduces the risk of injuring tissue surrounding the tissue tract by lessening the axial forces imparted to the tissue. Kits comprise at least the radially expandable sleeve together with instructions for use.
摘要翻译：描述了用于建立血管通路的系统，试剂盒和方法。系统通常包括径向可扩张的套筒，扩张器和导丝。所述方法包括将导丝定位穿过初始组织管道，使可径向扩张的套管穿过导丝穿过组织管道到达目标血管，然后使扩张器通过导丝并且通过可径向扩张的套管，以实现袖。套筒的使用通过减少施加到组织的轴向力来减少损伤组织管周围的组织的风险。套件至少包括可径向扩张的套筒以及使用说明书。

4. 发明授权

US07294136B2 Trocar system having expandable port 有权
标题翻译：具有可扩展端口的套管针系统
公开(公告)号：US07294136B2
公开(公告)日：2007-11-13
申请号：US10246081
申请日：2002-09-17
申请人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
发明人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M25/0662 , A61M2025/0025
摘要： An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens. Trocar valves may be removably attached to the proximal end of the expansion member to permit the apparatus to be used as a trocar system in laparoscopic procedures where the patient's abdomen has been insufflated. An anchoring means may optionally be provided at the distal end of the expansion member.
摘要翻译：用于形成和扩大经皮穿透的装置和方法包括在其轴向腔内容纳细长膨胀构件的细长扩张构件。膨胀管包括管状编织物，其通常包括非弹性细丝网，其可从小直径构型径向扩展为大直径构造，并且可选地被可移除护套覆盖。扩张管经腹腔镜手术经皮导入患者体内的目标部位，通常在腹部。然后去除护套（如果存在），然后管状编织物通过膨胀构件通过其内腔的轴向插入而径向膨胀。管状编织物通过网状物的轴向缩短而锚定并保持在适当位置，以允许随后更换膨胀构件以提供不同直径的入口腔。套管针阀可以可移除地附接到膨胀构件的近端，以允许该装置在腹腔镜手术中用作套管针系统，其中患者的腹部已被吹入。可以可选地在扩张构件的远端设置锚固装置。

5. 发明授权

US06494893B2 Trocar system having expandable port 有权
标题翻译：具有可扩展端口的套管针系统
公开(公告)号：US06494893B2
公开(公告)日：2002-12-17
申请号：US09879778
申请日：2001-06-12
申请人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
发明人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
IPC分类号： A61B1734
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M25/0662 , A61M2025/0025
摘要： An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens. Trocar valves may be removably attached to the proximal end of the expansion member to permit the apparatus to be used as a trocar system in laparoscopic. procedures where the patient's abdomen has been insufflated. An anchoring means may optionally be provided at the distal end of the expansion member.
摘要翻译：用于形成和扩大经皮穿透的装置和方法包括在其轴向腔内容纳细长膨胀构件的细长扩张构件。膨胀管包括管状编织物，其通常包括非弹性细丝网，其可从小直径构型径向扩展为大直径构造，并且可选地被可移除护套覆盖。扩张管经腹腔镜手术经皮导入患者体内的目标部位，通常在腹部。然后去除护套（如果存在），然后管状编织物通过膨胀构件通过其内腔的轴向插入而径向膨胀。管状编织物通过网状物的轴向缩短而锚定并保持在适当位置，以允许随后更换膨胀构件以提供不同直径的入口腔。套管阀可以可移除地附接到膨胀构件的近端，以允许该装置用作腹腔镜的套管针系统。患者腹部已被吹入的手术。可以可选地在扩张构件的远端设置锚固装置。

6. 发明授权

US07981132B2 Self-conforming surgical seal 失效
标题翻译：自我符合的手术密封
公开(公告)号：US07981132B2
公开(公告)日：2011-07-19
申请号：US11936893
申请日：2007-11-08
申请人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
发明人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M25/0662 , A61M2025/0025
摘要： The present disclosure relates to surgical seal, or valve, of the type adapted to releasably receive a surgical object. The seal disclosed herein defines an aperture that is configured to maintain a substantially fluid-tight seal with the surgical object upon its insertion, and includes at least one cable member connected to the seal that facilitates maintenance of the substantially fluid-tight seal during subsequent lateral manipulation of the surgical object.
摘要翻译：本公开涉及适于可释放地接收手术对象的类型的手术密封件或阀。本文公开的密封件限定了孔，其构造成在其插入时保持与外科物体基本上不流体密封的密封，并且包括连接到密封件的至少一个缆索构件，其有助于在随后的侧面中维持基本上不透气的密封操纵手术对象。

7. 发明授权

US06325812B1 Trocar system having expandable port 失效
标题翻译：具有可扩展端口的套管针系统
公开(公告)号：US06325812B1
公开(公告)日：2001-12-04
申请号：US09477227
申请日：2000-01-04
申请人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
发明人： William R. Dubrul , Craig K. Tsuji , John E. Carlson
IPC分类号： A61B1734
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M25/0662 , A61M2025/0025
摘要： An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens. Trocar valves may be removably attached to the proximal end of the expansion member to permit the apparatus to be used as a trocar system in laparoscopic procedures where the patient's abdomen has been insufflated. An anchoring means may optionally be provided at the distal end of the expansion member.
摘要翻译：用于形成和扩大经皮穿透的装置和方法包括在其轴向腔内容纳细长膨胀构件的细长扩张构件。膨胀管包括管状编织物，其通常包括非弹性细丝网，其可从小直径构型径向扩展为大直径构造，并且可选地被可移除护套覆盖。扩张管经腹腔镜手术经皮导入患者体内的目标部位，通常在腹部。然后去除护套（如果存在），然后管状编织物通过膨胀构件通过其内腔的轴向插入而径向膨胀。管状编织物通过网状物的轴向缩短而锚定并保持在适当位置，以允许随后更换膨胀构件以提供不同直径的入口腔。套管针阀可以可移除地附接到膨胀构件的近端，以允许该装置在腹腔镜手术中用作套管针系统，其中患者的腹部已被吹入。可以可选地在扩张构件的远端设置锚固装置。

8. 发明授权

US6080174A Trocar system having expandable port 失效
公开(公告)号：US6080174A
公开(公告)日：2000-06-27
申请号：US424696
申请日：1995-04-19
申请人： William R. Dubrul , Craig K. Tsuji
发明人： William R. Dubrul , Craig K. Tsuji
IPC分类号： A61B1/00 , A61B17/00 , A61B17/34 , A61B19/00 , A61F2/00 , A61M25/06
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M2025/0025 , A61M25/0662
摘要： An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens. Trocar valves may be removably attached to the proximal end of the expansion member to permit the apparatus to be used as a trocar system in laparoscopic procedures where the patient's abdomen has been insufflated. An anchoring means may optionally be provided at the distal end of the expansion member.

9. 发明授权

US5431676A Trocar system having expandable port 失效
标题翻译：具有可扩展端口的套管针系统
公开(公告)号：US5431676A
公开(公告)日：1995-07-11
申请号：US26922
申请日：1993-03-05
申请人： William R. Dubrul , Craig K. Tsuji
发明人： William R. Dubrul , Craig K. Tsuji
IPC分类号： A61B1/00 , A61B17/00 , A61B17/34 , A61B19/00 , A61F2/00 , A61M25/06
CPC分类号： A61B17/3439 , A61B17/00234 , A61B17/3431 , A61B17/3474 , A61B2017/00986 , A61B2017/3484 , A61B2090/0815 , A61F2/0063 , A61M2025/0025 , A61M25/0662
摘要： An apparatus and method for forming and enlarging percutaneous penetrations comprises an elongate dilation member which receives an elongate expansion member in an axial lumen thereof. The dilation tube includes a tubular braid which usually comprises a mesh of non-elastic filaments which are radially expandable from a small diameter configuration to a large diameter configuration and which is optionally covered by a removable sheath. The dilation tube is percutaneously introduced to a target site within a patient's body, usually within the abdomen in a laparoscopic procedure. The sheath (if present) is then removed, and the tubular braid thereafter radially expanded by axial insertion of the expansion member through its lumen. The tubular braid is anchored by axial shortening of the mesh and remains in place to permit subsequent exchange of dilation members to provide for different diameter access lumens. Trocar valves may be removably attached to the proximal end of the expansion member to permit the apparatus to be used as a trocar system in laparoscopic procedures where the patient's abdomen has been insufflated. An anchoring element may optionally be provided at the distal end of the expansion member.
摘要翻译：用于形成和扩大经皮穿透的装置和方法包括在其轴向腔内容纳细长膨胀构件的细长扩张构件。膨胀管包括管状编织物，其通常包括非弹性细丝网，其可从小直径构型径向扩展为大直径构造，并且可选地被可移除护套覆盖。扩张管经腹腔镜手术经皮导入患者体内的目标部位，通常在腹部。然后去除护套（如果存在），然后管状编织物通过膨胀构件通过其内腔的轴向插入而径向膨胀。管状编织物通过网状物的轴向缩短而锚定并保持在适当位置，以允许随后更换膨胀构件以提供不同直径的入口腔。套管针阀可以可移除地附接到膨胀构件的近端，以允许该装置在腹腔镜手术中用作套管针系统，其中患者的腹部已被吹入。锚定元件可以可选地设置在膨胀构件的远端处。

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