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    • 3. 发明公开
    • Wound retraction apparatus
    • 伤口收缩装置
    • EP2272436A1
    • 2011-01-12
    • EP10184731.7
    • 2001-10-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • Ewers, Richard CBrustad, John RPingleton, Edward DHilal, NabilAdlparvar, PayamTaylor, ScottDulak, Gary RDunn, Michael JMorales, NormanHart, Charles CBowes, Robert R II
    • A61B17/00A61B17/02A61B17/34
    • A61B17/0293A61B17/3423A61B17/3431A61B2017/00407A61B2017/00544A61B2017/00557A61B2017/3419
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring (14c) having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring (16c) has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Claimed is a one-way mechanism coupled to a sheath and adapted to allow the sheath to be drawn proximally to exert a radial retraction force on the wound and to achieve a proper degree of tension while preventing movement of the sheath in a distal direction.
    • 外科伤口牵开器适于扩张可拉伸至期望直径的伤口,牵开器包括直径大于伤口所需直径且适于在伤口内部布置的第一环(14c)。 第二环(16c)的直径大于伤口所需的直径并且适于在伤口外部布置。 多个收缩元件在第一环和第二环之间以大体圆柱形关系设置。 这些元件延伸穿过伤口以在伤口上施加径向回缩力,这取决于分隔第一环和第二环的距离。 预期收缩元件和可扩张元件均具有在环上的适当附接装置以提供收缩力的变化。 采用合适的回缩套筒,可以设置第三环以形成周向保持器以改变回缩力。 声称是联接到护套并适于允许护套向近侧拉动以在伤口上施加径向回缩力并且实现适当程度的张力同时防止护套在远侧方向上运动的单向机构。
    • 5. 发明公开
    • Wound retraction apparatus
    • 伤口收缩装置
    • EP2275040A1
    • 2011-01-19
    • EP10184661.6
    • 2001-10-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • Ewers, Richard CBrustad, John RPingleton, Edward DHilal, NabilAdlparvar, PayamTaylor, ScottDulak, Gary RDunn, Michael JMorales, NormanHart, Charles CBowes, Robert R II
    • A61B17/00A61B17/34A61B17/02
    • A61B17/0293A61B17/3423A61B17/3431A61B2017/00407A61B2017/00544A61B2017/00557A61B2017/3419
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring (14a) having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring (74) has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring (16a) can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于扩张可拉伸至期望直径的伤口,牵开器包括直径大于伤口所需直径并且适于在伤口内部布置的第一环(14a)。 第二环(74)的直径大于伤口所需的直径并适于在伤口外部布置。 多个收缩元件在第一环和第二环之间以大体圆柱形关系设置。 这些元件延伸穿过伤口以在伤口上施加径向回缩力,这取决于分隔第一环和第二环的距离。 预期收缩元件和可扩张元件均具有在环上的适当附接装置以提供收缩力的变化。 利用合适的缩回套筒,可以设置第三环(16a)以形成周向保持器以改变回缩力。 戒指也可以做成可充气或自我膨胀来改变收缩力。 相关联的方法包括沿第三环的周向滚动第二环以形成周向保持器的步骤。
    • 8. 发明公开
    • Wound retraction apparatus
    • 伤口收缩装置
    • EP2289424A1
    • 2011-03-02
    • EP10184677.2
    • 2001-10-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • Ewers, Richard CBrustad, John RPingleton, Edward DHilal, NabilAdlparvar, PayamTaylor, ScottDulak, Gary RDunn, Michael JMorales, NormanHart, Charles CBowes, Robert R II
    • A61B17/00A61B17/02A61B17/34
    • A61B17/0293A61B17/3423A61B17/3431A61B2017/00407A61B2017/00544A61B2017/00557A61B2017/3419
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring (14) having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring (16) has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements (36) are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means (38) at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于扩张可拉伸至期望直径的伤口,牵开器包括直径大于伤口所需直径且适于在伤口内部布置的第一环(14)。 第二环(16)的直径大于伤口所需的直径并且适于在伤口外部布置。 多个回缩元件(36)在第一环和第二环之间以彼此大致圆柱关系布置。 这些元件延伸穿过伤口以在伤口上施加径向回缩力,这取决于分隔第一环和第二环的距离。 预期回缩元件(可扩张和不可扩张)均具有在环处的适当附接装置(38)以提供回缩力的变化。 采用合适的回缩套筒,可以设置第三环以形成周向保持器以改变回缩力。 戒指也可以做成可充气或自我膨胀来改变收缩力。 相关联的方法包括沿第三环的周向滚动第二环以形成周向保持器的步骤。
    • 10. 发明公开
    • Wound retraction apparatus
    • 伤口收缩装置
    • EP2301445A1
    • 2011-03-30
    • EP10184681.4
    • 2001-10-20
    • APPLIED MEDICAL RESOURCES CORPORATION
    • Ewers, Richard CBrustad, John RPingleton, Edward DHilal, NabilAdlparvar, PayamTaylor, ScottDulak, Gary RDunn, Michael JMorales, NormanHart, Charles CBowes, Robert R II
    • A61B17/00A61B17/02A61B17/34
    • A61B17/0293A61B17/3423A61B17/3431A61B2017/00407A61B2017/00544A61B2017/00557A61B2017/3419
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring (14b) having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring (83) has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring. Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring (16b) can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force. The claimed embodiment is adopted to roll the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于扩张可拉伸至期望直径的伤口,牵开器包括直径大于伤口所需直径且适于伤口内部布置的第一环(14b)。 第二环(83)的直径大于伤口所需的直径并适于在伤口外部布置。 多个收缩元件在第一环和第二环之间以大体圆柱形关系设置。 这些元件延伸穿过伤口以在伤口上施加径向回缩力,这取决于分隔第一环和第二环的距离。 预期收缩元件和可扩张元件均具有在环上的适当附接装置以提供收缩力的变化。 利用合适的缩回套筒,可以设置第三环(16b)以形成周向保持器以改变回缩力。 戒指也可以做成可充气或自我膨胀来改变收缩力。 所要求保护的实施例被采用以在第三环的周向上滚动第二环以形成周向保持器。