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21. 发明申请

US20110066105A1 STEERABLE KINK-RESISTANT SHEATH 有权
标题翻译：可转换的耐酸洗
公开(公告)号：US20110066105A1
公开(公告)日：2011-03-17
申请号：US12950782
申请日：2010-11-19
申请人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle , Donald L. Gadberry
发明人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle , Donald L. Gadberry
IPC分类号： A61M25/092 , B65H81/06
CPC分类号： A61B17/3421 , A61B2017/003 , B29C53/58 , B29C63/18 , B29D23/18 , B29K2019/00 , B29K2083/00 , B29L2031/7546 , B32B1/08
摘要： A steerable kink resistant access device is provided having an elongated body and a steerable portion; methods for manufacturing the kink resistant device are also provided. The access sheath has an outside diameter sufficiently small so that it may be inserted into a body cavity or conduit. The access sheath typically has two internal lumen, a first lumen sized and configured as an access to a surgical site and a second lumen sized and configured to contain a tensioning device that, when acted upon, will deflect the steerable portion. The tensioning device may be directly or remotely attached to an actuation device that operates to control the tensioning and loosening of the tensioning device.
摘要翻译：提供了一种具有细长主体和可操纵部分的可转向扭结接近装置; 还提供了用于制造扭结装置的方法。进入护套具有足够小的外径，使得其可以插入体腔或导管中。进入护套通常具有两个内腔，第一腔的尺寸和构造为进入手术部位，第二腔具有尺寸和构造成容纳张紧装置，所述张紧装置在作用时将使可转向部分偏转。张紧装置可以直接或远程地附接到操作以控制张紧装置的张紧和松动的致动装置。

22. 发明申请

US20110060193A1 SPLIT HOOP WOUND RETRACTOR 有权
标题翻译：分体式绕线器
公开(公告)号：US20110060193A1
公开(公告)日：2011-03-10
申请号：US12905932
申请日：2010-10-15
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。

23. 发明授权

US07878974B2 Hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术
公开(公告)号：US07878974B2
公开(公告)日：2011-02-01
申请号：US12815986
申请日：2010-06-15
申请人： John R Brustad , Jeremy J Albrecht , Nabil Hilal , Gary M Johnson , Charles C Hart
发明人： John R Brustad , Jeremy J Albrecht , Nabil Hilal , Gary M Johnson , Charles C Hart
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring. The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译：本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。凝胶帽包括结合到帽的凝胶。该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。

24. 发明申请

US20100305408A1 WOUND RETRACTOR WITH GEL CAP 有权
标题翻译：带盖帽的回缩器
公开(公告)号：US20100305408A1
公开(公告)日：2010-12-02
申请号：US12791666
申请日：2010-06-01
申请人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
发明人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
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 positioned 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，其中每个包括具有定位在其中的刚性的，不一致的分割箍的内腔。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，以密封由卷绕器在体腔和体腔外部产生的开口

25. 发明授权

US07736306B2 Hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术
公开(公告)号：US07736306B2
公开(公告)日：2010-06-15
申请号：US11548955
申请日：2006-10-12
申请人： John R Brustad , Jeremy J Albrecht , Nabil Hilal , Gary M Johnson , Charles C. Hart
发明人： John R Brustad , Jeremy J Albrecht , Nabil Hilal , Gary M Johnson , Charles C. Hart
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced.
摘要翻译：本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。凝胶帽包括结合到帽的凝胶。该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。随着凝胶厚度降低并且能够基本上平齐，减少了通过吹入患者腹部产生的“穹隆”现象。

26. 发明授权

US07534317B2 Kink-resistant access sheath and method of making same 有权
标题翻译：抗折接线护套及其制作方法
公开(公告)号：US07534317B2
公开(公告)日：2009-05-19
申请号：US11319870
申请日：2005-12-28
申请人： John R. Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C. Hart
发明人： John R. Brustad , Payam Adlparvar , Wassim R. Aliahmad , Canh T. Tran , Nabil Hilal , Boun Pravong , Raffi S. Pinedjian , Charles C. Hart
IPC分类号： B65H81/00 , B32B37/00
CPC分类号： A61M25/0012 , A61B17/3415 , A61B2017/00526 , A61M25/0045 , A61M25/005 , A61M25/0662 , B29C47/0023 , B29C47/004 , B29C47/0064 , B29C47/025 , B29C47/027 , B29C53/60 , B29C61/006 , B29L2023/00
摘要： A method of manufacturing a kink resistant sheath includes the steps of coating a wire with a plastic material to form an inner tube, placing a braid over the inner tube, applying a spring reinforcement over the braid and applying a second layer of plastic material over the assembly to form an outer tube of a braided reinforced sheath. The plastic material is preferably polyurethane but may be a thermoplastic, thermoset or any plastic material having hard and/or soft durometer.
摘要翻译：制造耐扭结护套的方法包括以下步骤：用塑料材料涂覆线以形成内管，将编织物放置在内管上方，在编织物上施加弹簧加强件，并将第二层塑料材料施加在组装形成编织增强护套的外管。塑料材料优选为聚氨酯，但可以是热塑性，热固性或具有硬和/或软硬度的任何塑料材料。

27. 发明授权

US06958037B2 Wound retraction apparatus and method 有权
标题翻译：伤口收缩装置及方法
公开(公告)号：US06958037B2
公开(公告)日：2005-10-25
申请号：US10399209
申请日：2001-10-20
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Payam Adlparvar , Scott Taylor , Gary R. Dulak , Michael J. Dunn , Norman L. Morales , Charles C. Hart , Robert R. Bowes
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B1/32 , A61B17/0293 , A61B17/3423 , A61B17/3431 , A61B2017/3484
摘要： A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring 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 elements 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.
摘要翻译：外科伤口牵开器适于将可拉伸至期望直径的伤口扩张，牵开器包括直径大于伤口所需直径的第一环，并适于在伤口内部配置。第二环的直径大于伤口所需的直径，并且适于在伤口的外部配置。多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。这些元件延伸穿过伤口以在伤口上施加径向缩回力，这取决于分离第一环和第二环的距离。缩回元件，既可扩张也不可扩张，可以考虑在环处的适当的附接元件，以提供收缩力的变化。利用合适的缩回套筒，可以提供第三环以形成圆周保持器以改变收回力。环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成周向保持器的步骤。

28. 发明授权

US06582472B2 Kinetic stent 失效
标题翻译：动力支架
公开(公告)号：US06582472B2
公开(公告)日：2003-06-24
申请号：US08806337
申请日：1997-02-26
申请人： Charles C. Hart
发明人： Charles C. Hart
IPC分类号： A61F206
CPC分类号： A61F2/82 , A61F2/04 , A61F2/848 , A61F2/90 , A61F2/95 , A61F2230/0067 , A61M27/008
摘要： The disclosed stent is formed of an elongate, flexible duct having a very thin wall and a preformed diameter, length, and shape. The stent is constructed of a woven tubular structure of multiple strands or elements. The woven tubular structure is thermally set to a predetermined diameter and length, so that the “at rest” or natural condition of the tubular structure is predictable. A retention or holding member can be formed at one or both of the ends of the stent. This retention member can be reduced in diameter for insertion into the body passage. The woven tubular structure provides a path for fluids to flow in and around the stent, while a patent lumen is being developed. The woven tubular structure allows the stent to be extended or stretched over a guidewire or other noncompressive member, to thereby reduce the diameter of the stent for insertion of the stent into a body passage.
摘要翻译：所公开的支架由具有非常薄的壁和预制直径，长度和形状的细长的柔性管道形成。支架由多根线或元件的编织管状结构构成。编织管状结构被热定形为预定直径和长度，使得管状结构的“静止”或自然状态是可预测的。可以在支架的一端或两端形成保持或保持构件。该保持构件可以减小直径以插入身体通道。织造的管状结构提供流体在支架内和周围流动的路径，同时正在开发专利流明。编织管状结构允许支架在导丝或其它非压缩构件上延伸或拉伸，从而减小支架的直径以将支架插入身体通道。

29. 发明授权

US06579304B1 Surgical clamp with improved traction 失效
标题翻译：手术钳具有改善的牵引力
公开(公告)号：US06579304B1
公开(公告)日：2003-06-17
申请号：US08923211
申请日：1997-09-04
申请人： Charles C. Hart , Haruyasu Yawata , Robert Fishburn , Donald L. Gadberry , Eduardo Chi-Sing
发明人： Charles C. Hart , Haruyasu Yawata , Robert Fishburn , Donald L. Gadberry , Eduardo Chi-Sing
IPC分类号： A61B1728
CPC分类号： A61B17/02 , A61B17/122 , A61B17/1227 , A61B2017/2825 , A61B2017/2829
摘要： A surgical clamp includes opposing jaws and a covering enhancing traction between the jaws and a body conduit. A multiplicity of fibers oriented to extend longitudinally between the clamp and conduit may be composed of filaments and either woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material, adding its own characteristics to the resulting fabric insert or clamp.
摘要翻译：手术夹具包括相对的钳口和覆盖物，其增强了钳口和身体导管之间的牵引力。定向为在夹具和导管之间纵向延伸的多根纤维可以由细丝组成，也可以是编织的或非织造的以形成织物。各种编织被设想为提供不同的纹理，每一种具有其自身的牵引特性。织物的性质可以控制平滑度，吸收性和质感等特性。纤维或细丝可以由任何固体或半固体材料形成，将其自己的特征加到所得的织物插入物或夹具上。

30. 发明授权

US06395021B1 Ureteral stent system apparatus and method 失效
标题翻译：输尿管支架系统装置及方法
公开(公告)号：US06395021B1
公开(公告)日：2002-05-28
申请号：US09303113
申请日：1999-04-30
申请人： Charles C. Hart , Ralph V. Clayman , John R. Brustad , Frans Vandenbroek , Richard C. Ewers
发明人： Charles C. Hart , Ralph V. Clayman , John R. Brustad , Frans Vandenbroek , Richard C. Ewers
IPC分类号： A61F206
CPC分类号： A61F2/04 , A61F2/042 , A61F2/82 , A61F2/848 , A61F2/90 , A61F2/95 , A61F2002/048 , A61F2250/0067 , A61M27/008
摘要： A stent having an elongate tubular configuration is formed of a plurality of elongate elements interwoven or braided to form a tubular configuration. The elements may be relatively strong and rigid, but movable relative to each other within the weave or braid in order to provide the stent with generally soft characteristics. The elements may be formed of different materials, such as an absorbent material permitting the stent to be doped with materials such as drugs and chemicals. Even the absorbency can be controlled and varied to provide a predetermined time-release of the absorbent.
摘要翻译：具有细长管状结构的支架由多个细长元件形成，交织或编织以形成管状构型。这些元件可以是相对较强且刚性的，但是可以在编织物或编织物内相对于彼此移动，以便为支架提供通常柔软的特性。元件可以由不同的材料形成，例如允许支架掺杂材料如药物和化学品的吸收材料。甚至可以控制和改变吸光度以提供吸收剂的预定时间释放。

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