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1. 发明公开

EP1997445A1 Self constructing orifice seal 有权
标题翻译： SelbstzusammenziehendeÖffnungsdichtung
公开(公告)号：EP1997445A1
公开(公告)日：2008-12-03
申请号：EP08251851.5
申请日：2008-05-28
申请人： Tyco Healthcare Group, LP
发明人： Gresham, Richard D.
IPC分类号： A61B17/34 , A61M39/06
CPC分类号： A61B17/3462 , A61M39/06 , A61M2039/0633 , A61M2039/0653
摘要： An apparatus is disclosed for the reception of a surgical instrument inserted through a cannula assembly. An orifice in a seal member defines a central longitudinal axis in general alignment with the cannula assembly. The seal member includes an elastic member for engaging the surgical object about the orifice and forming a fluid-tight interface. A fiber loop is at least partially embedded in the elastic member and serves to compress central portions of the elastic member around the instrument. The fiber loop may form a loop around the orifice and may cooperate with other fiber loops similarly embedded in the seal.
摘要翻译：公开了一种用于接收通过插管组件插入的外科器械的装置。密封构件中的孔限定了与插管组件大致对准的中心纵向轴线。密封构件包括弹性构件，用于使手术物体围绕孔口接合并形成流体密封界面。纤维环至少部分地嵌入在弹性构件中，并且用于压缩围绕仪器的弹性构件的中心部分。纤维环可以围绕孔形成环，并且可以与类似地嵌入密封件中的其它纤维环协作。

2. 发明公开

EP1629787A2 Gel seal for a surgical trocar apparatus 有权
标题翻译：用于外科套管针设备的凝胶密封件
公开(公告)号：EP1629787A2
公开(公告)日：2006-03-01
申请号：EP05017503.3
申请日：2005-08-11
申请人： Tyco Healthcare Group LP
发明人： Gresham, Richard D.
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3415 , A61B17/3462
摘要： A seal assembly (100) for use with an access device during a surgical procedure includes a housing (204) having a passageway therethrough dimensioned to permit passage of a surgical instrument and being adapted for mounting to a trocar device, and a seal (104) comprising a gel material and being mounted to the housing across the passageway. The seal includes inner seal portions defining an access channel dimensioned to form a substantial sealing relation with an object therethrough and substantially close in the absence of the surgical instrument. The seal preferably comprises a second material (302) having a hardness greater than a hardness of the gel material. The gel material may be selected from the group consisting of urethane gel, silicon gel.
摘要翻译：一种用于在外科手术过程中与进入装置一起使用的密封组件（100）包括：壳体（204），其具有通过其的尺寸以允许手术器械通过并且适于安装到套管针装置的通道;以及密封件（104）包括凝胶材料并且跨通道安装到外壳。该密封件包括内部密封部分，该内部密封部分限定进入通道，该进入通道的尺寸被设计为与穿过其中的物体形成基本密封关系并且在没有手术器械的情况下基本上闭合。密封件优选包括硬度大于凝胶材料硬度的第二材料（302）。凝胶材料可以选自聚氨酯凝胶，硅凝胶。

3. 发明公开

EP2147644A1 Surgical portal apparatus with waffle seal 审中-公开
标题翻译： Chirurgische Portalvorrichtung mit Schnittversiegelung
公开(公告)号：EP2147644A1
公开(公告)日：2010-01-27
申请号：EP09251621.0
申请日：2009-06-23
申请人： Tyco Healthcare Group LP
发明人： Bettuchi, Michael , Gresham, Richard D.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3498 , A61B17/00234 , A61B17/3421 , A61B17/3462 , A61B2017/00862
摘要： A surgical portal apparatus includes a portal housing, an elongated portal member connected to the portal housing and depending therefrom, and a seal member comprising a resilient material and being mounted to the portal housing. The portal housing and the portal member have an axial bore for reception and passage of a surgical object. The seal member includes leading and trailing faces and has inner portions defining a passage to permit passage of a surgical object. One of the leading and trailing faces defines a plurality of recessed cells formed within interconnected struts. The interconnected struts are relatively flexible to flex upon radial offset manipulation of the object to permit corresponding movement of the passage while substantially maintaining a seal about the surgical object. At least some of the recessed cells define a generally rectangular arrangement. Preferably, the leading end face of the seal member has the recessed cells.
摘要翻译：手术入口装置包括入口壳体，连接到入口壳体并从其中悬垂的细长入口构件，以及密封构件，其包括弹性材料并且安装到入口壳体。入口外壳和入口构件具有用于接收和通过手术物体的轴向孔。密封构件包括前缘和后表面，并且具有限定通道以允许手术物体通过的内部部分。前后面之一限定了形成在互连支柱内的多个凹槽。相互连接的支柱相对柔性，以在对象的径向偏移操作时弯曲以允许通道的相应移动，同时基本上保持围绕手术对象的密封。至少一些凹进的单元限定了大致矩形的布置。优选地，密封构件的前端面具有凹槽。

4. 发明授权

EP1774918B1 Trocar anchor 有权
标题翻译：套管用紧固件
公开(公告)号：EP1774918B1
公开(公告)日：2009-12-16
申请号：EP06021336.0
申请日：2006-10-11
申请人： Tyco Healthcare Group LP
发明人： Wenchell, Thomas , Gresham, Richard D.
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B2017/3419 , A61B2017/3484 , A61B2017/3486
摘要： Apparatus and methods for providing access to a body cavity without substantial loss of inflation gas therein. The apparatus includes an access assembly that has a tubular member having a proximal end, a distal end, an elastic portion interposed the proximal end and the distal end, and a lumen therethrough. An anchor sleeve is disposed coaxially over the tubular member and has a radially expandable region. The anchor sleeve is moveable between an axially elongated configuration and an axially shortened configuration and is biased toward the axially shortened configuration by a force exerted by the elastic portion of the tubular member. The axially shortened configuration corresponds to the anchor sleeve being in the fully deployed position. Methods for providing anchored access to a cavity within a patient are also disclosed.

5. 发明公开

EP2351533A1 Access assembly with seal lubricant mechanism 审中-公开
标题翻译：使用密封润滑机构进入组件
公开(公告)号：EP2351533A1
公开(公告)日：2011-08-03
申请号：EP11003057.4
申请日：2008-10-16
申请人： Tyco Healthcare Group LP
发明人： Bettuchi, Michael , Paul, Stephen R. , Heinrich, Russell , Gresham, Richard D. , Schiretz, Frank Richard Jr. , Switzer, Michael D.
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3462 , A61B2017/0084 , A61M39/06 , A61M39/0693 , A61M2039/0036 , A61M2039/0081 , A61M2039/0633 , A61M2039/0646 , A61M2039/0653 , A61M2039/068
摘要： A surgical access apparatus 100 comprising: a housing 110 having at least one vessel 210 associated therewith, the at least one vessel being defined by a plurality of walls 212 that describe an interior space 214 that is configured and dimensioned to retain a fluid, the at least one vessel 210 having at least one egress 216 that is configured and dimensioned for fluid communication such that the fluid may be dispensed from the at least one vessel 210, and a biasing member 218 disposed within the at least one vessel 210 to facilitate dispensation of the fluid, the biasing member 218 including a pusher element 220 that is operatively connected to a spring 222; a cannula sleeve 130 extending from the housing; a seal member 120 disposed within the housing and defining an aperture therethrough; and characterised in that the seal member 120 is movable from a first position to a second position upon the insertion of a surgical instrument into the aperture thereof, the seal member substantially abutting the at least one egress 216 in the first position and at least partially exposing the at least one egress in the second position.
摘要翻译：外科手术进入装置100包括：具有至少一个与其相关联的至少一个容器210的外壳110，所述至少一个容器由描述内部空间214的多个壁212限定，所述内部空间214被配置和定尺寸为保持流体，所述at 具有至少一个出口216的至少一个容器210，所述出口216被配置和确定尺寸以用于流体连通以使得所述流体可以从所述至少一个容器210被分配;以及偏置构件218，其被设置在所述至少一个容器210内以便于分配流体，偏压构件218包括可操作地连接到弹簧222的推动器元件220; 从壳体延伸的套管套筒130; 密封构件120，其布置在壳体内并限定穿过其中的孔; 并且其特征在于，在将外科器械插入到其孔中时，密封构件120能够从第一位置移动到第二位置，密封构件在第一位置基本上邻接至少一个出口216并且至少部分地暴露该至少一个出口处于第二位置。

6. 发明授权

EP1629787B1 Gel seal for a surgical trocar apparatus 有权
标题翻译：凝胶密封件用于手术的套管针装置
公开(公告)号：EP1629787B1
公开(公告)日：2010-03-31
申请号：EP05017503.3
申请日：2005-08-11
申请人： Tyco Healthcare Group LP
发明人： Gresham, Richard D.
IPC分类号： A61B17/34
CPC分类号： A61B17/3498 , A61B17/3415 , A61B17/3462

7. 发明公开

EP2036507A1 Composite seal and method for manufacturing 审中-公开
标题翻译： Verbundstoffsiegel和Herstellungsverfahren
公开(公告)号：EP2036507A1
公开(公告)日：2009-03-18
申请号：EP08252970.2
申请日：2008-09-08
申请人： Tyco Healthcare Group LP
发明人： Berry, Danny , Bettuchi, Michael , Gresham, Richard D. , Izzo, Steven L.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3498 , A61B2017/00526 , A61B2017/0084 , A61B2017/00853 , A61B2017/3464 , Y10T29/49888
摘要： The present disclosure provides a composite surgical seal for use in a surgical access device which defines an access channel through it and includes a seal member configured and dimensioned to form a seal with a housing interior wall of a surgical access device. The seal member includes a layer defining an orifice therethrough and a fabric layer substantially encapsulating the resilient layer such that a surface of the resilient layer which defines the orifice is covered by the fabric layer. The access channel is configured and dimensioned such that insertion of a surgical instrument into the access channel causes the seal member to form a substantial sealing relation with the surgical instrument inserted therethrough. A method of forming a composite surgical seal in accordance with the present disclosure is also provided herewith.
摘要翻译：本公开提供了一种用于外科进入装置的复合手术密封件，其限定通过其的通道，并且包括密封构件，所述密封构件构造和尺寸设计成与外科进入装置的壳体内壁形成密封。密封构件包括限定穿过其中的孔的层和基本上密封弹性层的织物层，使得限定孔的弹性层的表面被织物层覆盖。进入通道的构造和尺寸使得外科器械插入进入通道中导致密封构件与插入其中的手术器械形成实质的密封关系。本文还提供了形成根据本公开的复合外科用密封件的方法。

8. 发明授权

EP2133031B1 Stabilization assist device for trocar 有权
标题翻译：对于套管针稳定支承装置
公开(公告)号：EP2133031B1
公开(公告)日：2012-06-20
申请号：EP09172125.8
申请日：2007-07-31
申请人： Tyco Healthcare Group LP
发明人： Soltz, Michael A. , Prommersberger, Megan L. , Gresham, Richard D.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3417 , A61B2017/00898 , A61B2017/00942 , A61B2017/3419 , A61B2017/3484

9. 发明公开

EP1862129A3 Multiple coil staple and staple applier 有权
标题翻译：具有多个匝和订书机的钳
公开(公告)号：EP1862129A3
公开(公告)日：2010-06-30
申请号：EP06011500.3
申请日：2006-06-02
申请人： Tyco Healthcare Group LP
发明人： Viola, Frank J , Gresham, Richard D. , Blier, Kenneth , Merten, Paul , Sapiente, Jospeh , Holsten, Henry E. , Heinrich, Russell
IPC分类号： A61B17/068 , A61B17/072 , A61B17/064
CPC分类号： A61B17/0644 , A61B17/0682 , A61B17/0684 , A61B17/0686 , A61B2017/0498 , A61B2017/0725 , A61B2017/07264 , B25C5/0257 , Y10S227/902
摘要： A multiple coil staple is provided which includes a baekspm and a pair of spaced legs. The backspan includes one or more pockets configured to induce coiling of the legs of the staple. A multiple coil staple applier is also provided which includes a pusher having a distal face defining a staple engagement surface and one or more staple deforming pockets. Each staple deforming pocket is configured to induce coiling of the legs of a staple. The multiple coil staple and staple applier facilitate joining of tissues havilig wider ranges of thicknesses using a single size staple.

10. 发明公开

EP2133031A1 Stabilization assist device for trocar 有权
标题翻译： Stabilisierungsunterstützungsvorrichtungfüreinen Trokar
公开(公告)号：EP2133031A1
公开(公告)日：2009-12-16
申请号：EP09172125.8
申请日：2007-07-31
申请人： Tyco Healthcare Group LP
发明人： Soltz, Michael A. , Prommersberger, Megan L. , Gresham, Richard D.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3417 , A61B2017/00898 , A61B2017/00942 , A61B2017/3419 , A61B2017/3484
摘要： A stabilizer (10,60) is provided to secure and fix the position of a cannula assembly (26) relative to tissue. The stabilizer is a liquid swellable member (12) which expands within an incision in tissue in response to the absorption of a liquid. The stabilizer includes an inner adhesive layer to secure the stabilizer relative to a cannula assembly. The stabilizer is formed of a polymeric gel or foam. In one embodiment, the stabilizer is fixedly secured to an elongate tubular member (36) of a cannula assembly. In an alternative embodiment, the stabilizer is mounted for longitudinal movement along an elongate tubular member of a cannula assembly.
摘要翻译：提供稳定器（10,60）以相对于组织固定和固定插管组件（26）的位置。稳定剂是液体可膨胀构件（12），其响应于液体的吸收而在组织内的切口内膨胀。稳定器包括内部粘合剂层，以相对于插管组件固定稳定器。稳定剂由聚合物凝胶或泡沫形成。在一个实施例中，稳定器固定地固定到套管组件的细长管状构件（36）上。在替代实施例中，稳定器被安装成沿着插管组件的细长管状构件纵向移动。

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