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91. 发明申请

US20100268164A1 Trocar for Laparoscopic Surgery 有权
标题翻译：腹腔镜手术套管针
公开(公告)号：US20100268164A1
公开(公告)日：2010-10-21
申请号：US12740867
申请日：2009-03-31
申请人： Hyun-Kook Chung
发明人： Hyun-Kook Chung
IPC分类号： A61B17/34
CPC分类号： A61B17/3496 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B17/3498 , A61B2017/00526 , A61B2017/3464 , A61B2017/3484
摘要： The present invention relates to a trocar for laparoscopic surgery for performing the laparoscopic surgery through a surgical instrument by making a puncture in the abdomen of a patient, the trocar including: a head unit 10 including an upper case 11 and a lower cover 12; a base unit 20 including a lower case 24 having a trocar sleeve fixing protrusion 21 in a lower part thereof and a coupling member 25 installed at an upper surface thereof; a trocar sleeve 17 installed at the trocar sleeve fixing protrusion 21; a lip valve 60 installed within the head unit 10 and having a tapered lower part; an insertion unit 30 installed at the upper part of the lip valve 60; a button unit 40 including a button 41 elastically installed at an elastic bush 43; and a trocar needle 50 introduced into the trocar sleeve 17 through the lip valve 60 or the insertion unit 30.
摘要翻译：本发明涉及一种用于腹腔镜手术的套针针，其用于通过在患者的腹部穿刺而通过外科器械进行腹腔镜手术，该套针包括：包括上壳体11和下盖12的头单元10; 基部单元20，其具有在其下部具有套针套筒固定突起21的下壳体24和安装在其上表面的联接构件25; 安装在套针套筒固定突起21上的套针套筒17; 安装在头单元10内并具有锥形下部的唇形阀60; 安装在唇形阀60的上部的插入单元30; 包括弹性地安装在弹性衬套43上的按钮41的按钮单元40; 以及通过唇形阀60或插入单元30引导到套针套筒17中的套针针50。

92. 发明授权

US07815636B2 Auto-safety shut-off for energy based devices 有权
标题翻译：基于能量的设备自动关闭
公开(公告)号：US07815636B2
公开(公告)日：2010-10-19
申请号：US11164557
申请日：2005-11-29
申请人： Mark S. Ortiz
发明人： Mark S. Ortiz
IPC分类号： A61B18/12
CPC分类号： A61B18/148 , A61B17/3496 , A61B2018/00589 , A61B2018/00601 , A61B2018/124 , A61B2090/08021
摘要： Various methods and devices are provided for surgically treating tissue. In one embodiment, the device can include a shaft having proximal and distal ends and a conductive tip disposed within the distal end of the shaft and movable between a first and second position. In the first position, the conductive tip is disconnected from a conductive contact which is adapted to communicate with an energy source. In the second position, the conductive tip is in contact with the conductive contact such that energy can be delivered from an energy source through the conductive contact to the conductive tip. The conductive tip can have a variety of shapes and sizes, but in one exemplary embodiment, the conductive tip is a blunt tip. The conductive contact can include at least one lead extending therefrom and adapted to communicate with an energy source.
摘要翻译：提供了用于手术治疗组织的各种方法和装置。在一个实施例中，该装置可以包括具有近端和远端的轴和设置在轴的远端内并可在第一和第二位置之间移动的导电尖端。在第一位置，导电尖端与适于与能量源通信的导电触头断开。在第二位置，导电尖端与导电接触件接触，使得能量能够从能量源通过导电接触件传送到导电尖端。导电尖端可以具有各种形状和尺寸，但是在一个示例性实施例中，导电尖端是钝头。导电接触件可以包括从其延伸的至少一个引线并适于与能量源通信。

93. 发明授权

US07815567B2 Split hoop wound retractor 有权
标题翻译：分割箍缠绕牵开器
公开(公告)号：US07815567B2
公开(公告)日：2010-10-19
申请号：US11548765
申请日：2006-10-12
申请人： Jeremy J Albrecht , Charles C Hart , John R. Brustad , Gary M Johnson
发明人： Jeremy J Albrecht , Charles C Hart , John R. Brustad , Gary M Johnson
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop placed therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

94. 发明申请

US20100210914A1 CIRCULAR SURGICAL RETRACTOR 有权
标题翻译：圆形外科手术器械
公开(公告)号：US20100210914A1
公开(公告)日：2010-08-19
申请号：US12768328
申请日：2010-04-27
申请人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad
发明人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/02 , A61B17/0218 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00526 , A61B2017/0225 , A61B2017/0287 , A61B2017/3419 , A61B2017/347 , A61B2050/005 , A61B2050/0051
摘要： A wound retractor for retracting a surgical incision includes an inner ring, an outer ring and a distensible sleeve coupled to the inner and outer rings. The outer ring includes at least a pair of circular tubes coupled to each other. At least one of the circular tubes includes a lumen and a split that forms open ends. A noncompliant tubular hoop having a split therein is positioned in the lumen. The tubular hoop is oriented with its open ends positioned away from the split of the circular tubes. A core is positioned in the lumen of the tubular hoop. The core has a first end and a second end and is oriented with the ends positioned away from the split in the tubular hoop. The circular tubes may be parallel or may form a helical pattern similar to a Mobius strip.
摘要翻译：用于缩回手术切口的缠绕牵开器包括联接到内环和外环的内环，外环和可扩张套管。外环包括彼此耦合的至少一对圆形管。圆形管中的至少一个包括形成开放端的管腔和裂口。其中分开的不合适的管状环位于内腔中。管状环被定向成其开口端定位成远离圆形管的分割。核心位于管状箍的内腔中。芯具有第一端和第二端，并且其端部定位成远离管状箍中的裂缝。圆形管可以是平行的或可以形成类似于Mobius条的螺旋形图案。

95. 发明授权

US07738969B2 Devices and methods for selective surgical removal of tissue 有权
公开(公告)号：US07738969B2
公开(公告)日：2010-06-15
申请号：US12357289
申请日：2009-01-21
申请人： Jeffery L. Bleich
发明人： Jeffery L. Bleich
IPC分类号： A61B5/04 , A61B5/05 , A61B10/00 , A61B17/00 , A61B17/56 , A61F5/04 , A61N1/00
CPC分类号： A61B17/320758 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B17/3401 , A61B17/3403 , A61B17/3421 , A61B17/3496 , A61B18/1477 , A61B18/1487 , A61B90/04 , A61B2017/00261 , A61B2017/00287 , A61B2017/003 , A61B2017/00867 , A61B2017/320004 , A61B2017/320044 , A61B2017/32006 , A61B2018/1407 , A61B2018/1425 , A61B2090/061 , A61B2090/08021 , A61F2/0045 , A61N1/0551 , A61N1/36017
摘要： Methods and apparatus are provided for selective surgical removal of tissue. In one variation, tissue may be ablated, resected, removed, or otherwise remodeled by standard small endoscopic tools delivered into the epidural space through an epidural needle. The sharp tip of the needle in the epidural space, can be converted to a blunt tipped instrument for further safe advancement. The current invention includes specific tools that enable safe tissue modification in the epidural space, including a barrier that separates the area where tissue modification will take place from adjacent vulnerable neural and vascular structures. A nerve stimulator may be provided to reduce a risk of inadvertent neural abrasion.

96. 发明授权

US07729738B2 Stabilized tissue penetrating catheters 有权
标题翻译：稳定组织穿透导管
公开(公告)号：US07729738B2
公开(公告)日：2010-06-01
申请号：US10773836
申请日：2004-02-05
申请人： J. Christopher Flaherty , Joshua Makower
发明人： J. Christopher Flaherty , Joshua Makower
IPC分类号： A61B5/05
CPC分类号： A61B17/12045 , A61B1/3137 , A61B8/12 , A61B8/445 , A61B8/4488 , A61B17/00234 , A61B17/00491 , A61B17/0057 , A61B17/0643 , A61B17/11 , A61B17/12022 , A61B17/12109 , A61B17/12136 , A61B17/12172 , A61B17/3207 , A61B17/320725 , A61B17/3417 , A61B17/3496 , A61B18/00 , A61B18/1445 , A61B18/1477 , A61B18/1492 , A61B18/24 , A61B90/361 , A61B90/39 , A61B90/40 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/00455 , A61B2017/00504 , A61B2017/00641 , A61B2017/1107 , A61B2017/1139 , A61B2017/12127 , A61B2017/22038 , A61B2017/22069 , A61B2017/22072 , A61B2017/22077 , A61B2017/306 , A61B2017/347 , A61B2017/3488 , A61B2018/00392 , A61B2018/00869 , A61B2018/1425 , A61B2090/378 , A61B2090/3784 , A61B2090/3925 , A61B2090/3929 , A61B2090/3958 , A61F2/07 , A61F2/2493 , A61F2/90 , A61F2/95 , A61F2002/30079 , A61F2002/8486 , A61F2002/9517 , A61F2210/009 , A61K31/195 , A61M25/0147 , A61M25/0155 , A61M29/02 , A61M2025/0076 , A61M2025/018 , A61M2025/1052
摘要： A tissue penetrating catheter that is usable to advance a tissue penetrator from within a blood vessel, through the wall of the blood vessel to a target location. The catheter includes at least one stabilizing device thereon for stabilizing catheter prior to advancing the tissue penetrator. The tissue penetrator may extend through a lumen in the body of the catheter and project transversely through an exit port. The stabilizing device may be located closely adjacent to the exit port, or may surround the exit port. The stabilizing device may be one or more balloons, or other mechanical structure that is expandable into contact with the inner luminal wall of the blood vessel. Desirably, the exit port is forced into contact with the blood vessel wall to shorten the distance that the tissue penetrator projects from the catheter body to the target location. The catheter is particular useful for forming blood flow tracts between blood vessels, in particular in coronary revascularization procedures. Methods of utilizing such a catheter to bypass an arterial obstruction is also disclosed.
摘要翻译：组织穿透导管，其可用于将组织穿透器从血管内延伸通过血管的壁到达目标位置。导管包括至少一个稳定装置，用于在推进组织穿透器之前稳定导管。组织穿透器可延伸穿过导管体内的内腔并横向穿过出口延伸。稳定装置可以紧邻出口定位，或可围绕出口。稳定装置可以是一个或多个气囊，或可膨胀成与血管的内腔壁接触的其它机械结构。理想地，出口被迫与血管壁接触，以缩短组织穿透器从导管主体伸出到目标位置的距离。该导管特别适用于在血管之间形成血流束，特别是在冠状动脉血运重建手术中。还公开了利用这种导管绕过动脉阻塞物的方法。

97. 发明授权

US07691089B2 Adjustable trocar washer 有权
标题翻译：可调套管洗衣机
公开(公告)号：US07691089B2
公开(公告)日：2010-04-06
申请号：US11158155
申请日：2005-06-21
申请人： Richard D. Gresham
发明人： Richard D. Gresham
IPC分类号： A61M5/32
CPC分类号： A61B17/3417 , A61B17/3474 , A61B17/3496 , A61B2017/3486 , A61B2017/3492
摘要： An adjustable trocar washer is provided to facilitate sealing an incision in skin. The adjustable trocar washer is configured for use with a trocar or cannula assembly. The adjustable trocar washer generally includes a compressible collar and a skirt formed at the distal end of the compressible collar for sealing an incision in skin. The compressible collar is longitudinally movable along an elongate tubular member associated with the trocar or cannula assembly. A latch mechanism is provided on the compressible collar to secure the collar in a compressed condition about the elongate tubular member.
摘要翻译：提供可调套管洗衣机以便于在皮肤中密封切口。可调套管洗衣机被配置为与套管针或套管组件一起使用。可调套管针垫圈通常包括可压缩套环和形成在可压缩套环的远端处的裙部，用于密封皮肤中的切口。可压缩套环可以沿着与套管针或插管组件相关联的细长管状构件纵向移动。在可压缩套环上设有一个锁定机构，以将套环固定在围绕细长管状构件的压缩状态。

98. 发明申请

US20100081988A1 FIRST-ENTRY TROCAR SYSTEM 有权
标题翻译：第一进入TROCAR系统
公开(公告)号：US20100081988A1
公开(公告)日：2010-04-01
申请号：US12569652
申请日：2009-09-29
申请人： Henry Kahle , Arkadiusz Strokosz , Scott V. Taylor
发明人： Henry Kahle , Arkadiusz Strokosz , Scott V. Taylor
IPC分类号： A61M13/00 , A61B17/34
CPC分类号： A61B17/3474 , A61B1/00154 , A61B1/313 , A61B1/3132 , A61B17/00234 , A61B17/0218 , A61B17/3417 , A61B17/3423 , A61B17/3496 , A61B90/36 , A61B90/361 , A61B2017/00902 , A61B2017/00907 , A61B2017/3419 , A61B2017/3454
摘要： A surgical access system comprises a trocar, an insufflating optical obturator slidably insertable into the trocar, and a laparoscope slidably insertable into the obturator. A distal end of the obturator comprises a tip, at least a portion of which comprises a wall with a generally uniform thickness comprising a transparent material. At least one vent hole disposed at the obturator tip is fluidly connected to a gas flow channel defined by an interior surface of the obturator and the laparoscope, which is fluidly connected to an insufflation gas inlet disposed at a proximal end of the trocar. Improved optical characteristics of the trocar system permit precise and accurate visual placement thereof into a body cavity. Accordingly the access system is suitable as a first entry surgical access system. Embodiments of the trocar access are also useful for drug delivery, and/or for fluid and/or tissue aspiration.
摘要翻译：手术进入系统包括套管针，可滑动地插入套针针的吸入式光学闭塞器和可滑动地插入到闭塞器中的腹腔镜。封闭器的远端包括尖端，其末端的至少一部分包括具有大致均匀厚度的壁，包括透明材料。设置在闭塞器尖端处的至少一个通气孔流体地连接到由封闭器和腹腔镜的内表面限定的气体流动通道，所述气体流动通道流体地连接到设置在套管针的近端的吹入气体入口。套管针系统的改进的光学特性允许精确和准确的视觉放置到体腔中。因此，接入系统适合作为第一入门手术进入系统。套管针访问的实施例也可用于药物递送和/或用于流体和/或组织抽吸。

99. 发明申请

US20100063529A1 SAFETY-STOP DEVICE 审中-公开
标题翻译：安全停止装置
公开(公告)号：US20100063529A1
公开(公告)日：2010-03-11
申请号：US12022704
申请日：2008-01-30
申请人： John P. BUSER , Patrick Diesfeld
发明人： John P. BUSER , Patrick Diesfeld
IPC分类号： A61B17/34
CPC分类号： A61B17/3496 , A61B2017/3492 , A61B2090/036 , A61B2090/062
摘要： A safety-stop device for use with a trochar which is adjustably attachable to the trochar tube to prevent inadvertent cuts being made to a patient. The safety-stop device has retention component for retaining it onto the trochar tube; a registration component for registering a pre-determined insertion point of the trochar; a stop component for preventing additional insertion of the trochar after the pre-determined insertion point has been attained; and a plurality wings with apertures on the base for securely suturing the safety-stop device to a patient by suturing through the apertures and into the patient. The base and wings are made of any thermoplastic material.
摘要翻译：一种安全停止装置，其可与可调节地附接到所述针刺管的trochar一起使用以防止对患者的无意切割。安全停止装置具有用于将其保持在套管上的保持部件; 注册部件，用于注册所述针刺的预定插入点; 用于防止在预先确定的插入点之后额外插入针刺的停止部件; 以及在基座上具有孔的多个翼，用于通过缝合穿过孔并进入患者来将安全停止装置牢固地缝合到患者。基座和机翼由任何热塑性材料制成。

100. 发明申请

US20100016799A1 Surgical protection device for a surgical sealing element and surgical sealing system 有权
标题翻译：手术密封元件手术保护装置及手术密封系统
公开(公告)号：US20100016799A1
公开(公告)日：2010-01-21
申请号：US12459944
申请日：2009-07-08
申请人： Tom Schweitzer , Rupert Mayenberger
发明人： Tom Schweitzer , Rupert Mayenberger
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B17/3496 , A61B17/3498 , A61B2017/00477 , A61B2017/3464
摘要： In order to improve a surgical protection device for a surgical sealing element of a surgical sealing system comprising a trocar, the sealing element having an insertion opening which can be widened, the protection device comprising a base member which can be arranged on the trocar or on a part thereof, is closed in a ring shape and has an opening and several protection elements which are arranged in circumferential direction and point parallel or towards a longitudinal axis of the protection device, the protection elements having free ends pointing essentially in a distal direction, such that protection of the sealing element can be as complete as possible irrespective of the degree of expansion thereof, it is suggested that at least some of the protection elements have retaining elements on an outer side at their free ends or in the area of their free ends for engagement with the sealing element.Furthermore, an improved surgical sealing system is suggested.
摘要翻译：为了改进包括套针针的手术密封系统的手术密封元件的外科手术保护装置，该密封元件具有可以加宽的插入开口，该保护装置包括基部构件，该基座构件可布置在套管针上或其一部分以环形封闭，并且具有开口和若干保护元件，其沿圆周方向布置并且指向平行或朝向保护装置的纵向轴线，保护元件具有基本上在远端方向上指向的自由端，使得密封元件的保护可以尽可能完整，而不管其膨胀程度如何，建议至少一些保护元件在其自由端的外侧或其自由端的区域中具有保持元件端部用于与密封元件接合。此外，建议改进的手术密封系统。

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