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    • 31. 发明公开
    • Surgical hand access apparatus
    • 手术手访问装置
    • EP2407091A2
    • 2012-01-18
    • EP11007271.7
    • 2005-04-05
    • Tyco Healthcare Group LP
    • Wenchell, Thomas
    • A61B1/32A61B17/34
    • A61B1/313A61B17/3423A61B17/3462A61B17/3498A61B2017/00265A61B2017/3482A61B2017/3484A61B2017/3492
    • A surgical access apparatus comprising: a liner base (104) including a lower ring (170) adapted for insertion through an opening within body tissue, an access housing (102) having an upper ring (172) adapted to be positioned outside body tissue and a sleeve (168) interconnecting said lower and upper rings (172), at least a portion of said liner base (104) adapted for positioning within the opening in the body tissue to line the opening and retract the body tissue defining the opening, a tensioning member (182) extending between the upper ring (172) and lower ring (170) configured and dimensioned to displace the lower ring (170) toward the upper ring (172) upon rotation of the upper ring (172); an outer base ring (106) forming a seal with the upper ring (172) of the liner base (104) and being releasable therefrom, the outer base ring (106) and upper ring (172) of the liner base (104) maintaining the relative position of the upper and lower rings (172, 170); and a seal (142), at least partially supported by the access housing (102) and providing access to the opening in the body tissue.
    • 一种外科手术进入装置,包括:衬垫基座(104),其包括适于穿过身体组织内的开口插入的下环(170),具有适于定位在身体组织外部的上环(172)的进入壳体(102) 连接所述下部和上部环(172)的套筒(168),所述衬里基部(104)的至少一部分适于定位在所述身体组织中的所述开口内以使所述开口为线并缩回限定所述开口的所述身体组织, (172)和下环(170)之间延伸的张紧构件(182),其构造和尺寸设定为在上环(172)旋转时使下环(170)朝上环(172)移位; 与衬套基部(104)的上部环(172)形成密封并且可从其中释放的外部基部环(106),衬里基部(104)的外部基部环(106)和上部环(172) 上部环和下部环(172,170)的相对位置; 和密封件(142),所述密封件(142)至少部分地由所述通路壳体(102)支撑并且提供通向所述身体组织中的所述开口的通路。
    • 32. 发明公开
    • Surgical access port
    • Chirurgischer Zugriffsanschluss
    • EP2364654A1
    • 2011-09-14
    • EP11250291.9
    • 2011-03-11
    • Tyco Healthcare Group LP
    • Carter, SallyHotter, Joseph
    • A61B17/34
    • A61B17/34A61B2017/348A61B2017/3482A61B2017/3484
    • A surgical access port apparatus includes a portal member including an outer wall defining a longitudinal axis and having a proximal end, a distal end, and a lumen configured to allow a surgical instrument to pass therethrough and a securing member operatively connected to the distal end of the outer wall of portal member. The securing member is movable with respect to the portal member between an initial at least partially coiled condition defining a first transverse dimension and an activated condition defining a second transverse dimension greater than the first transverse dimension to engage body tissue to assist in retaining the portal member within the body tissue.
    • 外科进入口装置包括入口构件,所述入口构件包括限定纵向轴线的外壁,并且具有近端,远端和被配置为允许外科器械通过的内腔,以及可操作地连接到远端的固定构件 入口构件的外壁。 所述固定构件可相对于所述入口构件移动,所述初始至少部分盘绕状态限定第一横向尺寸和限定大于所述第一横向尺寸的第二横向尺寸的活动状态,以接合身体组织以帮助保持所述入口构件 在身体组织内。
    • 35. 发明公开
    • Portal device
    • Portalvorrichtung
    • EP2233091A2
    • 2010-09-29
    • EP10250602.9
    • 2010-03-26
    • Tyco Healthcare Group, LP
    • Fischvogt, GregoryBettuchi, MichealHathaway, Peter
    • A61B17/34
    • A61B17/3421A61B2017/00867A61B2017/3484
    • A surgical portal device includes a body portion defining a longitudinal axis and having a proximal end, a distal end, and a lumen configured to allow a surgical instrument to pass therethrough. At least one securing member is disposed in mechanical cooperation with the body portion and is longitudinally translatable with respect to the body portion between a first, non-actuated position and a second, actuated position. The one securing mechanism has a fixation segment configured to grasp tissue when the one securing member is in the second, actuated position to facilitate fixation of the body portion within the tissue. The body portion may include a channel. The one securing member may be disposed at least partially within the channel and is longitudinally translatable with respect to the channel.
    • 手术入口装置包括限定纵向轴线并具有近端,远端和构造成允许外科器械通过其的内腔的主体部分。 至少一个固定构件与主体部分机械协作地设置并且可相对于主体部分在第一非致动位置和第二致动位置之间纵向平移。 一个固定机构具有固定部分,该固定部分构造成当一个固定部件处于第二致动位置时抓握组织,以便于主体部分在组织内的固定。 主体部分可以包括通道。 一个固定构件可以至少部分地设置在通道内并且可相对于通道纵向平移。
    • 36. 发明公开
    • Port fixation using expandable threads
    • Anschlussbefestigung unter Verwendung erweiterbarer Gewinde
    • EP2228025A1
    • 2010-09-15
    • EP10250429.7
    • 2010-03-09
    • Tyco Healthcare Group LP
    • Bettuchi, MichaelFischvogt, GregoryTaylor, Eric
    • A61B17/34
    • A61B17/3421A61B2017/3484A61B2017/349
    • The present disclosure describes a surgical access apparatus including an access member with a longitudinal opening defining an internal dimension suitable for removable receipt of a surgical instrument. The access member has a thread mounted thereon that is movable between a first condition and a second condition. When the thread is in the first condition, the access member defines a first outer dimension that allows for positioning of the access member within a tissue tract, and when the thread is in the second condition, the access member defines a second, larger outer dimension to facilitate anchoring of the access member within the tissue tract. As the thread moves between the first and second conditions, the internal dimension of the longitudinal opening extending through the access member remains substantially constant.
    • 本公开描述了一种外科进入装置,其包括具有限定适合于可移除地接收外科器械的内部尺寸的纵向开口的进入构件。 进入构件具有安装在其上的螺纹,其可在第一状态和第二状态之间移动。 当螺纹处于第一状态时,进入构件限定允许将进入构件定位在组织管道内的第一外部尺寸,并且当螺纹处于第二状态时,进入构件限定第二较大的外部尺寸 以便于将进入构件锚定在组织道内。 当螺纹在第一和第二条件之间移动时,延伸穿过通道构件的纵向开口的内部尺寸基本保持不变。
    • 37. 发明公开
    • Port fixation with filament actuating member
    • 用细丝驱动部件进行端口固定
    • EP2218413A2
    • 2010-08-18
    • EP10250279.6
    • 2010-02-17
    • Tyco Healthcare Group LP
    • Hathaway, PeterFischvogt, Gregory
    • A61B17/34
    • A61B17/3423A61B17/3439A61B2017/3484
    • The present disclosure relates to surgical access apparatus for positioning within a percutaneous tissue tract to facilitate access to an underlying surgical worksite. In one embodiment, the disclosed surgical access includes a housing with proximal and distal ends that is configured to removably receive at least one surgical instrument, a tubular member that extends distally from the housing along a longitudinal axis, a connective member that is secured to the tubular member, either internally or externally, at least one filament that is secured to the connective member so as to extend proximally therefrom, and at least one manual member that is secured to the at least one filament.
    • 本公开涉及用于定位在经皮组织管道内以便于进入下面的手术工地的外科手术进入装置。 在一个实施例中,所公开的外科手术通路包括具有近端和远端的壳体,所述壳体构造成可移除地接收至少一个手术器械,管状构件,所述管状构件沿着纵向轴线从壳体向远侧延伸;连接构件, 管状构件,在内部或外部,至少一根固定到连接构件以便从其向近端延伸的细丝,以及至少一个固定到至少一根细丝上的手动构件。