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51. 发明申请

US20120289785A1 WOUND RETRACTOR 有权
标题翻译：绕线器
公开(公告)号：US20120289785A1
公开(公告)日：2012-11-15
申请号：US13467825
申请日：2012-05-09
申请人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
发明人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要： A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译：用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。缩回装置可以包括可展开的可调节框架，其支撑护套，并且与护套一起缩回切口。缩回装置可以包括外环和耦合到护套的相对端的内环，并且还包括用于将护套放置在内环和外环之间的张力的装置，从而缩回切口。

52. 发明申请

US20110112374A1 HAND ACCESS LAPAROSCOPIC DEVICE 有权
标题翻译：手持式手术器械
公开(公告)号：US20110112374A1
公开(公告)日：2011-05-12
申请号：US13006727
申请日：2011-01-14
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。

53. 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。

54. 发明授权

US07591802B2 Seal housing having anti-inversion features 有权
标题翻译：密封外壳具有防反转功能
公开(公告)号：US07591802B2
公开(公告)日：2009-09-22
申请号：US11119189
申请日：2005-04-29
申请人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
发明人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/34 , A61B17/3417 , A61B17/3462 , A61B2017/3464 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/0646 , A61M2039/0653
摘要： The invention is directed to a trocar adapted to form a seal around a surgical instrument, the trocar comprising a cannula having an axis extending between a proximal end and a distal end; a housing having a proximal wall and forming with the cannula a working channel sized and configured to receive the instrument; a septum seal disposed in the housing and extending transverse to the axis of the cannula across the working channel, the septum seal having a normal state when the instrument is absent from the working channel and a stretched state when the instrument is being withdrawn from the working channel; portions of the proximal wall of the housing defining an orifice sized and configured to receive the instrument into the working channel; and an elastomeric ring-shaped projection extending axially distally between the proximal wall and the septum seal, the ring-shaped projection having an axial length adapted to deform to prevent inversion and binding of the septum seal and the orifice upon withdrawal of the surgical instrument. In particular, the septum seal is prevented from reaching the orifice in the proximal wall of the housing when the instrument is withdrawn. The projection may be bonded, insert-molded, or compressively fitted to the proximal wall of the housing. The projection may be formed of an elastomeric material such as natural or synthetic rubber. The projection may further comprise a plurality of portions or fingers extending axially distally from the proximal wall, each of the extending portions or fingers may further include a living hinge. In another aspect, the ring-shaped projection may be formed on the surface of the septum seal instead of the proximal wall of the housing. That is, the ring-shaped projection may be formed to extend axially proximally from the surface of the septum seal toward the proximal wall of the housing.
摘要翻译：本发明涉及适于在外科器械周围形成密封的套针针，套管针包括具有在近端和远端之间延伸的轴线的插管; 壳体，其具有近侧壁并与套管形成工作通道，工作通道的尺寸和构造用于接收仪器; 隔膜密封件，其设置在壳体中并且跨过工作通道横向于套管的轴线延伸，当仪器不在工作通道中时，隔膜密封件具有正常状态，并且当仪器从工作通道中撤出时的拉伸状态渠道; 壳体的近侧壁的部分限定了尺寸和构造成将仪器接纳到工作通道中的孔口; 以及在近端壁和隔膜密封件之间沿轴向向远侧延伸的弹性环形突起，所述环形突起具有适于变形的轴向长度，以防止在外科器械撤回时隔垫密封件和孔口的反转和结合。特别地，当取出仪器时，防止隔垫密封件到达外壳近端的孔口。突起可以被接合，嵌入成型或压缩地装配到壳体的近侧壁。突起可以由弹性体材料形成，例如天然或合成橡胶。突出部还可以包括从近侧壁向轴向延伸的多个部分或手指，每个延伸部分或手指还可包括活动铰链。另一方面，环形突起可以形成在隔膜密封件的表面上而不是壳体的近侧壁上。也就是说，环形突起可以形成为从隔膜密封件的表面朝向壳体的近侧壁的轴向向近侧延伸。

55. 发明授权

US08118785B2 Surgical access device with pendent valve 有权
标题翻译：手术进入装置带悬吊阀
公开(公告)号：US08118785B2
公开(公告)日：2012-02-21
申请号：US11423741
申请日：2006-06-13
申请人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle
发明人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3423 , A61B17/3462 , A61B2017/3464
摘要： A surgical access device, such as a trocar, includes a pendent valve having an elongate structure extending from a proximal end to a septum valve disposed at a distal end. In operation, the elongate structure follows the angle of the instrument to pre-position the septum valve into the path of the instrument where it is not significantly challenged during instrument insertion or manipulation. The pendant valve can be made to float at both the proximal end and the distal end of the elongate structure, to further reduce the vulnerability of the septum valve. Since the valve is less vulnerable to instrument insertion, it can be formed to minimize friction and maximize the functional range of the access device.
摘要翻译：手术进入装置，例如套管针，包括具有从近端延伸到设置在远端的隔膜阀的细长结构的侧悬阀。在操作中，细长结构遵循仪器的角度，以将隔膜阀预先定位到仪器的路径中，在仪器插入或操纵期间，隔膜阀不会受到严重的挑战。悬挂阀可以制成在细长结构的近端和远端两侧浮动，以进一步降低隔膜阀的脆弱性。由于阀门不易受仪器插入的影响，因此可以形成最小化摩擦力并最大化进入设备的功能范围。

56. 发明申请

US20090005739A1 MULTI-SEAL TROCAR SYSTEM 有权
标题翻译：多密封系统
公开(公告)号：US20090005739A1
公开(公告)日：2009-01-01
申请号：US12208000
申请日：2008-09-10
申请人： Charles C. Hart , John R. Brustad , Nabil Hilal , Said S. Hilal
发明人： Charles C. Hart , John R. Brustad , Nabil Hilal , Said S. Hilal
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B2017/3464
摘要： A multi-seal trocar system includes a plurality of co-axial sealing elements adapted for forming a seal with either a large or small instrument. Small and large sealing elements are disposed in an in-line arrangement such that a-single port is provided for instrument insertion. A zero seal is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element is configured such that insertion of a large instrument automatically moves the small sealing element out of its path, thereby avoiding contact with the large instrument.
摘要翻译：多密封套管针系统包括适于与大型或小型仪器形成密封件的多个同轴密封元件。小型和大型密封元件以串联布置设置，使得提供用于仪器插入的单个端口。零密封件被设置在密封元件的远侧以密封系统的工作通道，并且当没有插入仪器时防止回流。小密封元件构造成使得大型仪器的插入自动地将小密封元件移动到其路径之外，从而避免与大型仪器接触。

57. 发明申请

US20070277921A1 STEERABLE KINK-RESISTANT SHEATH 有权
标题翻译：可转换的耐酸洗
公开(公告)号：US20070277921A1
公开(公告)日：2007-12-06
申请号：US11695449
申请日：2007-04-02
申请人： Charles Hart , John Brustad , Nabil Hilal , Henry Kahle , Donald Gadberry
发明人： Charles Hart , John Brustad , Nabil Hilal , Henry Kahle , Donald Gadberry
IPC分类号： B29D23/18
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. 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转向部分的可转向扭结接近装置。进入护套具有足够小的外径，使得其可以插入体腔或管道中。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。

58. 发明申请

US20070085232A1 Method of making a hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术方法
公开(公告)号：US20070085232A1
公开(公告)日：2007-04-19
申请号：US11548746
申请日：2006-10-12
申请人： John Brustad , Jeremy Albrecht , Nabil Hilal , Gary Johnson , Charles Hart
发明人： John Brustad , Jeremy Albrecht , Nabil Hilal , Gary Johnson , Charles Hart
IPC分类号： B28B3/02
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。

59. 发明申请

US20060264991A1 Seal housing having anti-inversion features 有权
公开(公告)号：US20060264991A1
公开(公告)日：2006-11-23
申请号：US11119189
申请日：2005-04-29
申请人： Gary Johnson , Jeremy Albrecht , Nabil Hilal , Charles Hart
发明人： Gary Johnson , Jeremy Albrecht , Nabil Hilal , Charles Hart
IPC分类号： A61B17/32
CPC分类号： A61B17/3498 , A61B17/34 , A61B17/3417 , A61B17/3462 , A61B2017/3464 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/0646 , A61M2039/0653
摘要： The invention is directed to a trocar adapted to form a seal around a surgical instrument, the trocar comprising a cannula having an axis extending between a proximal end and a distal end; a housing having a proximal wall and forming with the cannula a working channel sized and configured to receive the instrument; a septum seal disposed in the housing and extending transverse to the axis of the cannula across the working channel, the septum seal having a normal state when the instrument is absent from the working channel and a stretched state when the instrument is being withdrawn from the working channel; portions of the proximal wall of the housing defining an orifice sized and configured to receive the instrument into the working channel; and an elastomeric ring-shaped projection extending axially distally between the proximal wall and the septum seal, the ring-shaped projection having an axial length adapted to deform to prevent inversion and binding of the septum seal and the orifice upon withdrawal of the surgical instrument. In particular, the septum seal is prevented from reaching the orifice in the proximal wall of the housing when the instrument is withdrawn. The projection may be bonded, insert-molded, or compressively fitted to the proximal wall of the housing. The projection may be formed of an elastomeric material such as natural or synthetic rubber. The projection may further comprise a plurality of portions or fingers extending axially distally from the proximal wall, each of the extending portions or fingers may further include a living hinge. In another aspect, the ring-shaped projection may be formed on the surface of the septum seal instead of the proximal wall of the housing. That is, the ring-shaped projection may be formed to extend axially proximally from the surface of the septum seal toward the proximal wall of the housing.

60. 发明申请

US20050203543A1 Surgical guide valve 审中-公开
标题翻译：手术导阀
公开(公告)号：US20050203543A1
公开(公告)日：2005-09-15
申请号：US10802125
申请日：2004-03-15
申请人： Nabil Hilal , Charles Hart
发明人： Nabil Hilal , Charles Hart
IPC分类号： A61M39/06 , A61F11/00
CPC分类号： A61M39/0693
摘要： A surgical access valve is adapted to introduce an instrument into a body cavity or conduit. The valve includes a valve housing and a seal material disposed in the housing. Portions of the seal material define an instrument channel that is normally closed to inhibit fluid communication through the seal material. A dilator is moveable distally to open at least a portion of the instrument channel thereby facilitating passage of the instrument through the seal material, and is also moveable proximally to facilitate formation of a seal around the instrument. The dilator can be biased to a distal position and detented in a proximal position to facilitate one single-handed operation of the valve.
摘要翻译：外科进入阀适于将器械引入体腔或导管中。阀包括阀壳体和设置在壳体中的密封材料。密封材料的一部分限定了通常关闭以阻止通过密封材料的流体连通的仪器通道。扩张器可向远侧移动以打开仪器通道的至少一部分，从而便于仪器通过密封材料，并且还可向近侧移动以便于围绕仪器形成密封。扩张器可以被偏压到远侧位置并且在近侧位置被锁定以便于单向操作阀。

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