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1. 发明授权

US08157831B2 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US08157831B2
公开(公告)日：2012-04-17
申请号：US11313175
申请日：2005-12-20
申请人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layer to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creature of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdrawn through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。腹腔镜可以通过隧道构件的开放远端直接观察解剖。当设备用于在组织层与患者体内的感兴趣区域之间隧穿时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层和解剖学的生物分离时，工作空间。解剖空间创建完毕后，通过切口取出装置和腹腔镜。如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将穿透构件插入形成球囊的球囊的内部，穿过隧道构件的通常为圆柱形的辊，并且优选地通过使用整体气囊盖将隧道构件插入到隧道构件以形成半刚性钝头封闭器。

2. 发明授权

US08282665B2 Apparatus and method for dissecting tissue layers 失效
标题翻译：用于解剖组织层的装置和方法
公开(公告)号：US08282665B2
公开(公告)日：2012-10-09
申请号：US11975901
申请日：2007-10-22
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
IPC分类号： A61M29/02
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various apparatus permitting observation during tunneling and balloon dissection are disclosed. In one embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope inserted into the tubular member to permit observation of the procedure during tunneling to a desired location and balloon inflation. An elongated neck of the balloon is secured to the tunneling member, and permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进和气球解剖期间允许观察的各种装置。在一个实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧穿期间观察手术到期望的位置和球囊膨胀。气囊的细长的颈部被固定到隧道构件上，并且允许管状构件在充气之后从气囊中略微抽出以便于观察。气囊已经进入身体所需的位置后，它被充气以解剖组织并创建一个操作空间。还公开了各种气球结构和可重复使用的设计。

3. 发明授权

US07862505B2 Method and apparatus for combined dissection and retraction 有权
标题翻译：用于组合解剖和收缩的方法和装置
公开(公告)号：US07862505B2
公开(公告)日：2011-01-04
申请号：US11177621
申请日：2005-07-08
申请人： Kenneth H. Mollenauer , James E. Jervis
发明人： Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61M29/02
摘要： A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.
摘要翻译：一种用于从第二组织层解剖第一组织层，然后保持打开用于执行外科手术的解剖空间的方法和装置。该方法包括以下步骤：在体内进行切口，将放气的气囊解剖器引入切口中，使气囊解剖器膨胀，以使第一层组织从第二层组织切除，以顺序地在解剖空间内展开牵开器以打开解剖空间，并且可选地放气或排空气囊解剖器以打开用于外科手术的腔。该装置包括组合的解剖器 - 牵开器，其具有设置在气球解剖器的表面上并与之一体化的气囊牵开器。

4. 发明授权

US06632234B2 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US06632234B2
公开(公告)日：2003-10-14
申请号：US09873886
申请日：2001-06-04
申请人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layers to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creation of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdraw through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。腹腔镜可以通过隧道构件的开放远端直接观察解剖。当设备用于在组织层之间隧穿到患者身体内的感兴趣区域时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层的分离和创建解剖学工作空间。解剖空间创建完毕后，装置和腹腔镜通过切口退出。如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道成员形成一个半刚性钝头封闭器。

5. 发明授权

US06468205B1 Method and apparatus for combined dissection and retraction 有权
标题翻译：用于组合解剖和收缩的方法和装置
公开(公告)号：US06468205B1
公开(公告)日：2002-10-22
申请号：US09472765
申请日：1999-12-27
申请人： Kenneth H. Mollenauer , James E. Jervis
发明人： Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B1900
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61M29/02
摘要： A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.
摘要翻译：一种用于从第二组织层解剖第一组织层，然后保持打开用于执行外科手术的解剖空间的方法和装置。该方法包括以下步骤：在体内进行切口，将放气的气囊解剖器引入切口中，使气囊解剖器膨胀，以使第一层组织从第二层组织切除，以顺序地在解剖空间内展开牵开器以打开解剖空间，并且可选地放气或排空气囊解剖器以打开用于外科手术的腔。该装置包括组合的解剖器 - 牵开器，其具有设置在气球解剖器的表面上并与之一体化的气囊牵开器。

6. 发明授权

US06319246B1 Laparoscopic access port for surgical instruments or the hand 有权
标题翻译：手术器械或手的腹腔镜入口
公开(公告)号：US06319246B1
公开(公告)日：2001-11-20
申请号：US09451570
申请日：1999-11-30
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B1700
CPC分类号： A61B17/3462 , A61B17/3423 , A61B17/3498 , A61B46/10 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

7. 发明授权

US6032671A Method and apparatus for combined dissection and retraction 失效
公开(公告)号：US6032671A
公开(公告)日：2000-03-07
申请号：US93102
申请日：1998-06-08
申请人： Kenneth H. Mollenauer , James E. Jervis
发明人： Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61F2/958 , A61M29/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61M29/02
摘要： A method and apparatus for dissecting a first layer of tissue from a second layer of tissue and thereafter holding open an anatomic space for the performance of a surgical procedure. The method includes steps of making an incision in a body, introducing a deflated balloon dissector into the incision, inflating the balloon dissector to effect dissection of the first layer of tissue from the second layer of tissue, deploying a retractor within the anatomic space in order to hold open the anatomic space, and optionally deflating or evacuating the balloon dissector to open a cavity for surgical manipulations. The apparatus includes a combined dissector-retractor having a balloon retractor disposed upon the surface of the balloon dissector and integrated therewith.

8. 发明授权

US6004337A Apparatus for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用于腹腔镜可视化开发用于腹腔镜手术的解剖空间的装置
公开(公告)号：US6004337A
公开(公告)日：1999-12-21
申请号：US990385
申请日：1997-12-15
申请人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej K. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/32 , A61B17/00
CPC分类号： A61B17/32 , A61B2017/320048
摘要： Apparatus for creating an anatomic space in tissue in a body of a patient using a cannula with proximal and distal extremities and a bore extending therethrough to provide an open end. A balloon having an inflated space is provided. The balloon is capable of assuming collapsed and inflated conditions. A retainer is carried by the balloon for forming the balloon when in a collapsed condition into a generally cylindrical roll to aid in inserting the balloon into the tissue. An obturator shaft having a rounded distal end is sized so that it extends through the cannula and into the roll. A laparoscope can be introduced into the obturator shaft to permit viewing through the obturator shaft and the balloon. An inflation tube is provided for inflating the balloon after it is disposed in the tissue to cause the balloon to progressively expand to create separation forces in the tissue to create the anatomic space.
摘要翻译：用于使用具有近端和远端四肢的套管以及穿过其延伸以提供开放端的孔来在患者身体中的组织中产生解剖空间的装置。提供具有充气空间的气球。气球能够承担塌缩和膨胀的状况。保持器由气囊承载，以在塌缩状态下形成气囊以形成大致圆柱形的辊以有助于将气囊插入组织中。具有圆形远端的闭孔轴的尺寸设计成使得其延伸穿过套管并进入辊中。腹腔镜可以被引入到闭孔轴中以允许通过闭孔轴和气囊观察。提供充气管，用于在将气囊放置在组织中之后对气囊进行充气，以使气囊逐渐膨胀以在组织中产生分离力以产生解剖空间。

9. 发明授权

US5607443A Expansible tunneling apparatus for creating an anatomic working space with laparoscopic observation 失效
标题翻译：用于通过腹腔镜观察创建解剖工作空间的可扩展隧道装置
公开(公告)号：US5607443A
公开(公告)日：1997-03-04
申请号：US267488
申请日：1994-06-29
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , James E. Jervis
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , James E. Jervis
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61B18/08 , A61B19/00 , A61F2/00 , A61F2/958 , A61M25/06 , A61M29/02 , A61M29/00
CPC分类号： A61B17/0218 , A61B17/320016 , A61B18/08 , A61F2/0063 , A61M25/0668 , A61M25/1002 , A61B17/3421 , A61B17/3439 , A61B2017/00557 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61B90/361 , A61F2002/0072 , A61M29/02
摘要： An expansible laparoscopic tunneling apparatus for creating an anatomic working space. The apparatus provides laparoscopic observation both during tunneling operations, when the apparatus is advanced bluntly to a desired location within the body of a patient, and during subsequent tissue dissection when a balloon associated with the apparatus is inflated to create the working space. In a preferred embodiment, the apparatus comprises a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to cooperatively form a blunt tipped obturator. The tunneling member has a bore sized to accept a conventional laparoscope, and a blunt distal end to facilitate tunneling. A trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member wherein the combination of the tunneling member and rolled balloon forms a semi-rigid blunt tipped obturator. A horseshoe shaped balloon for dissecting around obstructions within the body is also disclosed.
摘要翻译：一种用于创建解剖工作空间的可扩展的腹腔镜隧道装置。该装置在隧道操作期间，当设备直接前进到患者身体内的期望位置时，以及在随后的组织解剖期间，当与装置相关联的气囊被充气以产生工作空间时，提供腹腔镜观察。在优选实施例中，该装置包括中空隧道构件和设置在隧道构件的远端处的可充气气囊，以协同地形成钝头堵塞器。隧道构件具有尺寸适于接受常规腹腔镜的孔，以及用于促进隧道的钝的远端。可以将套针针插入到切口中以提供对先前创建的外科手术进行空间的访问。通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道构件，其中隧道构件和滚动气球的组合形成半刚性钝头尖端填塞器。还公开了一种用于解剖身体内的障碍物的马蹄形气囊。

10. 发明授权

US6024736A Laparascopic access port for surgical instruments or the hand 失效
标题翻译：用于手术器械或手的Laparascopic进出口
公开(公告)号：US6024736A
公开(公告)日：2000-02-15
申请号：US902144
申请日：1997-07-29
申请人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
发明人： Roger A. de la Torre , James Stephen Scott , George D. Hermann , Thomas A. Howell , James E. Jervis , Kenneth H. Mollenauer , Roderick A. Young
IPC分类号： A61B17/34 , A61B19/08 , A61B17/00
CPC分类号： A61B17/3462 , A61B17/3423 , A61B46/10 , A61B17/3498 , A61B2017/3419 , A61B2017/3449 , A61B2017/349 , A61B2017/3492
摘要： A flexible, fluid-tight envelope provides access for a hand and surgical instruments through a body tissue incision while maintaining insufflation pressure or a pneumoperitoneum within the body. The envelope is transparent and has an interior volume with opposite proximal and distal ends. A first opening in the envelope at the proximal end adjoins the incision in the body tissue and is secured and sealed to the body tissue. The second opening at the envelope distal end is provided with a closure member that seals closed the second opening on itself or around the forearm of a surgeon or a surgical instrument inserted into the interior volume of the envelope.
摘要翻译：柔软的，流体密封的信封通过身体组织切口提供手和手术器械的通路，同时保持身体内的吹气压力或气腹。外壳是透明的，具有相对的近端和远端的内部容积。在近端的信封中的第一开口与身体组织中的切口相邻并被固定并密封到身体组织。在封套远端处的第二个开口设置有封闭构件，该封闭构件封闭其本身或围绕插入到外壳的内部容积中的外科医生的前臂或外科手术器械的第二开口。

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