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41. 发明授权

US07708713B2 Insufflating optical surgical instrument 有权
标题翻译：吸入光学手术器械
公开(公告)号：US07708713B2
公开(公告)日：2010-05-04
申请号：US11170567
申请日：2005-06-29
申请人： Jeremy J. Albrecht , John R. Brustad , Scott V. Taylor , Gary M. Johnson , Nabil Hilal
发明人： Jeremy J. Albrecht , John R. Brustad , Scott V. Taylor , Gary M. Johnson , Nabil Hilal
IPC分类号： A61M37/00
CPC分类号： A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region.
摘要翻译：公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械，包括具有沿近端和远端之间的轴延伸的吹入通道的轴，所述吹入通道适于连接到在近端处于压力下的流体源，在轴的远端处的尖端，以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔，并且适于在压力下将流体排出灌注腹部区域。尖端和轴中的至少一个由诸如聚碳酸酯的半透明或透明材料形成，以便于腹壁和腹部区域的可视化。

42. 发明授权

US08128590B2 Insufflating optical surgical instruments 有权
标题翻译：吸入光学手术器械
公开(公告)号：US08128590B2
公开(公告)日：2012-03-06
申请号：US12766118
申请日：2010-04-23
申请人： Jeremy J. Albrecht , John R Brustad , Scott V Taylor , Gary M. Johnson , Nabil Hilal
发明人： Jeremy J. Albrecht , John R Brustad , Scott V Taylor , Gary M. Johnson , Nabil Hilal
IPC分类号： A61M37/00
CPC分类号： A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is translucent or transparent to facilitate visualization of the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel.
摘要翻译：公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械，包括具有吹气通道的轴，所述吹气通道适于连接到近端处于压力下的流体源，所述轴以及形成在所述尖端处或所述轴处的至少一个通气孔与所述吹入通道相连，并适于在压力下排出所述流体以吸入所述腹部区域。尖端和轴中的至少一个是半透明或透明的，以便于腹部区域的可视化。轴包括沿近端和远端之间的轴线延伸的腔，以能够插入腹腔镜。管腔和吹气通道可以形成为单独通道或一个共享通道。

43. 发明申请

US20100210998A1 INSUFFLATING OPTICAL SURGICAL INSTRUMENTS 有权
标题翻译：消除光学手术仪器
公开(公告)号：US20100210998A1
公开(公告)日：2010-08-19
申请号：US12766118
申请日：2010-04-23
申请人： Jeremy J. Albrecht , John R. Brustad , Scott V. Taylor , Gary M. Johnson , Nabil Hilal
发明人： Jeremy J. Albrecht , John R. Brustad , Scott V. Taylor , Gary M. Johnson , Nabil Hilal
IPC分类号： A61M13/00
CPC分类号： A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel. The tip may be blunt, the shaft and the tip may be integrally formed, and the vent hole may be of any geometric shape including round, oval, square and rectangular. The blunt tip may further comprise a marker to indicate penetration of the abdominal wall. In another aspect, the tip may be sharp, pointed or bladed to facilitate penetration of body tissue.
摘要翻译：公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械，包括具有沿近端和远端之间的轴延伸的吹入通道的轴，所述吹入通道适于连接到在近端处于压力下的流体源，在轴的远端处的尖端，以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔，并且适于在压力下将流体排出灌注腹部区域。尖端和轴中的至少一个由诸如聚碳酸酯的半透明或透明材料形成，以便于腹壁和腹部区域的可视化。轴包括沿近端和远端之间的轴线延伸的腔，以能够插入腹腔镜。管腔和吹气通道可以形成为单独通道或一个共享通道。尖端可以是钝的，轴和尖端可以一体地形成，并且通气孔可以是包括圆形，椭圆形，正方形和矩形的任何几何形状。钝尖可以进一步包括指示腹壁穿透的标记。在另一方面，尖端可以是尖锐的，尖的或叶片的，以便于穿透身体组织。

44. 发明授权

US08597250B2 Trocar stability assembly 有权
标题翻译：套管车稳定装配
公开(公告)号：US08597250B2
公开(公告)日：2013-12-03
申请号：US13454685
申请日：2012-04-24
申请人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
发明人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
IPC分类号： A61M5/178
CPC分类号： A61B17/3423 , A61B17/3421 , A61B2017/3407 , A61B2017/347 , A61B2017/349 , A61B2017/3492
摘要： A stability assembly for a trocar cannula includes a conical stability member, a base, and a cannula retention member. The base has a passage defining an inner surface, and a constriction in the passage. The cannula retention member is rotatable within the passage, and advancement of the cannula retention member over the constriction reduces the inner diameter of the passage to restrain a cannula in the passage. Various latch mechanisms including interface surfaces on the base and the cannula retention member can be used in the stability assembly to secure the stability assembly around a cannula. Various conical stability members can be used in the stability assembly.
摘要翻译：用于套管针套管的稳定性组件包括锥形稳定构件，基座和套管保持构件。基部具有限定内表面的通道和通道中的收缩部。套管保持构件可在通道内旋转，并且套管保持构件在收缩部之上的前进减小了通道的内径以限制通道中的套管。可以在稳定性组件中使用包括底座和插管保持构件上的界面的各种闭锁机构，以将稳定性组件固定在套管周围。在稳定性组件中可以使用各种锥形稳定性构件。

45. 发明申请

US20120209205A1 TROCAR STABILITY ASSEMBLY 有权
标题翻译： TROCAR稳定装置
公开(公告)号：US20120209205A1
公开(公告)日：2012-08-16
申请号：US13454685
申请日：2012-04-24
申请人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
发明人： David T. Okihisa , Russell E. Ahlberg , Gary M. Johnson , Jeremy J. Albrecht , Michael L. Michaud , Benjamin A. Gianneschi
IPC分类号： A61B17/34
CPC分类号： A61B17/3423 , A61B17/3421 , A61B2017/3407 , A61B2017/347 , A61B2017/349 , A61B2017/3492
摘要： A stability assembly for a trocar cannula includes a conical stability member, a base, and a cannula retention member. The base has a passage defining an inner surface, and a constriction in the passage. The cannula retention member is rotatable within the passage, and advancement of the cannula retention member over the constriction reduces the inner diameter of the passage to restrain a cannula in the passage. Various latch mechanisms including interface surfaces on the base and the cannula retention member can be used in the stability assembly to secure the stability assembly around a cannula. Various conical stability members can be used in the stability assembly.
摘要翻译：用于套管针套管的稳定性组件包括锥形稳定构件，基座和套管保持构件。基部具有限定内表面的通道和通道中的收缩部。套管保持构件可在通道内旋转，并且套管保持构件在收缩部之上的前进减小了通道的内径以限制通道中的套管。可以在稳定性组件中使用包括底座和插管保持构件上的界面的各种闭锁机构，以将稳定性组件固定在套管周围。在稳定性组件中可以使用各种锥形稳定性构件。

46. 发明授权

US08226552B2 Surgical retractor 有权
标题翻译：手术牵开器
公开(公告)号：US08226552B2
公开(公告)日：2012-07-24
申请号：US12119414
申请日：2008-05-12
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
IPC分类号： A61B1/32
CPC分类号： A61B17/3423
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall. The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor. The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。

47. 发明授权

US08109873B2 Surgical retractor with gel pad 有权
标题翻译：手术牵开器带有凝胶垫
公开(公告)号：US08109873B2
公开(公告)日：2012-02-07
申请号：US12119371
申请日：2008-05-12
申请人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
发明人： Jeremy J. Albrecht , Jennifer T. Ko , Gary M. Johnson , John R. Brustad , Kevin K. Dang
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00477 , A61B2017/3435
摘要： A surgical access device has a surgical retractor having a noncompliant outer ring with an annular axis, an inner ring, and a sleeve coupling the outer ring to the inner ring. The noncompliant outer ring is adapted to roll over itself around the annular axis to roll the sleeve around the outer ring to retract and seal an opening in a biological body wall. The access device may include a lid adapted for being coupled to the noncompliant outer ring of the surgical retractor. The outer ring of the surgical retractor has a cross-sectional shape that prohibits the lid from being partially or incorrectly coupled to the outer ring of the surgical retractor.
摘要翻译：外科进入装置具有外科牵开器，该外科牵开器具有带有环形轴线的不合规的外环，内环和将外环连接到内环的套管。不符合规定的外圈适于围绕环形轴线自我滚动以使套筒围绕外圈滚动以缩回和密封生物体壁中的开口。进入装置可以包括适于联接到手术牵开器的不符合外环的盖子。外科牵开器的外环具有禁止盖部分地或不正确地联接到手术牵开器的外环的横截面形状。

48. 发明申请

US20110054260A1 MULTI-FUNCTIONAL SURGICAL ACCESS SYSTEM 有权
标题翻译：多功能外科手术系统
公开(公告)号：US20110054260A1
公开(公告)日：2011-03-03
申请号：US12873115
申请日：2010-08-31
申请人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
发明人： Jeremy J. Albrecht , Eric Nguyen , Matthew M. Becerra , Gary M. Johnson , John R. Brustad , Ghassan Sakakine
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/3431 , A61B17/3494 , A61B17/3496 , A61B2090/0801
摘要： A surgical access system comprises a wound retractor comprising an outer anchor, an inner anchor, and a flexible, tubular sheath extending therebetween. Embodiments of the outer anchor comprise an outer ring rotatable around an annular axis thereof, thereby rolling the sheath therearound when retracting an incision or opening in a body wall. The sheath comprises a plurality of fibers or strands that improve the abrasion and puncture resistance thereof. Consequently, the surgical access system is useful in procedures in which damage to the sheath is likely, for example, orthopedic hip replacement, and spinal procedures. In some embodiments, the sheath tapers from the outer ring to the inner ring.
摘要翻译：外科进入系统包括缠绕牵开器，其包括在其间延伸的外部锚固件，内部锚固件和柔性管状护套。外部锚固件的实施例包括可围绕其环形轴线旋转的外环，从而当缩回体壁中的切口或开口时在其周围滚动护套。护套包括提高其耐磨性和耐刺穿性的多个纤维或股线。因此，外科手术进入系统可用于其中可能损伤皮肤的程序，例如矫形髋关节置换术和脊柱手术。在一些实施例中，护套从外环逐渐变细到内圈。

49. 发明申请

US20100249527A1 HAND ACCESS LAPAROSCOPIC DEVICE 有权
标题翻译：手持式手术器械
公开(公告)号：US20100249527A1
公开(公告)日：2010-09-30
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。

50. 发明授权

US09265899B2 Insufflating access system 有权
标题翻译：吸入式入口系统
公开(公告)号：US09265899B2
公开(公告)日：2016-02-23
申请号：US12359964
申请日：2009-01-26
申请人： Jeremy J. Albrecht , Gary M. Johnson , John R. Brustad
发明人： Jeremy J. Albrecht , Gary M. Johnson , John R. Brustad
IPC分类号： A61M13/00 , A61B17/34 , A61B17/00
CPC分类号： A61M13/003 , A61B17/3439 , A61B17/3474 , A61B2017/00907 , A61B2017/3441 , A61B2017/3456 , A61B2017/347
摘要： Systems, devices, and methods permit insufflation of a body cavity prior to the insertion of a cannula into the body cavity. Some embodiments of an access system comprise an obturator, a trocar, and a fluid flow channel. The access system has a closed configuration, in which a distal end of the access system is fluidly isolated from the fluid flow channel, and an open configuration, in which the distal end of the access system is fluidly connected to the fluid flow channel, thereby permitting fluid flow, for example, an insufflation gas into a body cavity.
摘要翻译：系统，装置和方法允许在将插管插入体腔内之前吹入体腔。进入系统的一些实施例包括闭孔器，套管针和流体流动通道。进入系统具有闭合构造，其中进入系统的远端与流体流动通道流体隔离，并且打开构造，其中进入系统的远端流体地连接到流体流动通道，从而允许流体流动，例如，将吹入气体流入体腔。

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