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71. 发明授权

US07771395B2 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：US07771395B2
公开(公告)日：2010-08-10
申请号：US11423801
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。

72. 发明申请

US20070208300A1 GAS INSUFFLATION AND SUCTION/IRRIGATION TUBING 审中-公开
标题翻译：气体消除和吸入/灌溉管道
公开(公告)号：US20070208300A1
公开(公告)日：2007-09-06
申请号：US11680835
申请日：2007-03-01
申请人： Boun Pravong , Kennii Pravongviengkham , Nabil Hilal , John R. Brustad , Zoran Falkenstein
发明人： Boun Pravong , Kennii Pravongviengkham , Nabil Hilal , John R. Brustad , Zoran Falkenstein
IPC分类号： A61M29/00 , A61M25/00
CPC分类号： A61M39/08 , A61M1/008 , A61M13/003 , F16L11/115 , F16L11/15 , F16L27/12
摘要： A medical tubing being flexible and kink-free as gas insufflation tubing and non-collapsible as suction/irrigation tubing is provided. The tubing is lightweight and thin-walled. The tubing has a generally rigid but thin walled with a structural shape or is generally soft and thin-walled tubing with a hard re-enforcement.
摘要翻译：一种医用管道是灵活的，无消毒作为气体吹入管道，并且不可收缩的吸入/冲洗管道。管材重量轻，薄壁。管道具有通常刚性但薄壁的结构形状，或者通常是软和薄壁管道，具有硬重新执行。

73. 发明申请

US20070118167A1 TRACTION TROCAR APPARATUS AND METHOD 审中-公开
标题翻译： TRACTION TROCAR设备和方法
公开(公告)号：US20070118167A1
公开(公告)日：2007-05-24
申请号：US11624583
申请日：2007-01-18
申请人： Charles Hart , Edward Pingleton , John Brustad , Nabil Hilal , Raffi Pinedjian
发明人： Charles Hart , Edward Pingleton , John Brustad , Nabil Hilal , Raffi Pinedjian
IPC分类号： A61B17/34
CPC分类号： A61B17/34 , A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B17/3476 , A61B17/3496 , A61B2017/32006 , A61B2017/3454 , A61B2090/08021
摘要： The trocar system includes a cannula insertable through a body wall using an obturator having a distal tip. A traction tread disposed interiorly of the obturator inverts at the distal tip and extends proximally along the outer surface of the obturator or cannula. At the distal tip the tread can facilitate parting rather than cutting the tissue Along the outer surface, the tread can engage the tissue to pull it proximally along the advancing obturator. This produces counter forces which can result in a net proximal force facilitating distention of the abdominal wall and separation of the abdominal wall from internal organs The traction tread can be axially and/or radially continuous. An associated method of operation includes the steps of contacting the body wall with the traction tread at the distal tip, and engaging the body wall with the traction tread along wall portions facing the outer surface
摘要翻译：套管针系统包括可使用具有远端尖端的闭孔器通过体壁插入的套管。设置在封闭器内部的牵引踏板在远端顶端反转，并沿闭塞器或插管的外表面向近侧延伸。在远侧末端，胎面可以促进分离而不是切割组织。沿着外表面，胎面可以接合组织以沿前进的闭孔向近侧拉动。这产生反作用力，其可导致净近侧力促进腹壁的膨胀并使腹壁与内部器官分离。牵引踏板可以轴向和/或径向连续。相关联的操作方法包括以下步骤：使身体壁与远侧末端处的牵引踏板接触，并且使其与牵引踏板接合，沿着面向外表面的壁部分

74. 发明申请

US20060224121A1 SURGICAL ACCESS DEVICE WITH PENDENT VALVE 有权
公开(公告)号：US20060224121A1
公开(公告)日：2006-10-05
申请号：US11423801
申请日：2006-06-13
申请人： Charles Hart , John Brustad , Nabil Hilal , Henry Kahle
发明人： Charles Hart , John 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.

75. 发明授权

US06939296B2 Laparoscopic illumination apparatus and method 有权
标题翻译：腹腔镜照明装置及方法
公开(公告)号：US06939296B2
公开(公告)日：2005-09-06
申请号：US10436522
申请日：2003-05-13
申请人： Richard C. Ewers , Gary R. Dulak , Nabil Hilal
发明人： Richard C. Ewers , Gary R. Dulak , Nabil Hilal
IPC分类号： A61B1/313 , A61B1/32 , A61B17/34 , A61B19/00
CPC分类号： A61B1/06 , A61B1/3132 , A61B1/32 , A61B17/3423 , A61B17/3498 , A61B90/30 , A61B2017/00902
摘要： An access device particularly adapted for use in laparoscopic surgery facilitates access with instruments, such as the hand of the surgeon, across a body wall and into a body cavity. The device can be formed of a gel material having properties for forming a zero seal, or an instrument seal with a wide range of instrument diameters. The gel material can be translucent facilitating illumination and visualization of the surgical site through the access device.
摘要翻译：特别适用于腹腔镜手术的进入装置便于使用诸如外科医生的手的器械穿过体壁进入体腔。该装置可以由具有用于形成零密封的性质的凝胶材料或具有宽范围的仪器直径的仪器密封件形成。凝胶材料可以是半透明的，便于通过进入装置对外科手术部位的照明和可视化。

76. 发明授权

US06558350B1 Drainage catheter 有权
标题翻译：排水导管
公开(公告)号：US06558350B1
公开(公告)日：2003-05-06
申请号：US09598014
申请日：2000-06-20
申请人： Charles C. Hart , Ralph V. Clayman , Said Hilal , Nabil Hilal , John Brustad , Bounsavanh Pravongviengkham , Gary R. Dulak
发明人： Charles C. Hart , Ralph V. Clayman , Said Hilal , Nabil Hilal , John Brustad , Bounsavanh Pravongviengkham , Gary R. Dulak
IPC分类号： A61M2900
CPC分类号： A61M25/0017 , A61M25/04
摘要： A drainage catheter is adapted to drain fluid from the body cavity through a body conduit and includes an elongate tube having a distal end and a retention member disposed at the distal end and adapted for movement between the low-profile state facilitating insertion of the catheter and a high-profile state facilitating the tension of the catheter in its operative position. A woven mesh forms at least a portion of one of the tube and the retention member, and can be made permeable or impermeable in various regions of the catheter. The woven mesh can be formed of filaments heat-settable so that the catheter automatically moves to the high-profile state. Insertion of the catheter can be facilitated using an obturator and a guidewire in an associated method, an obturator facilitating insertion of the catheter can be removed to permit the catheter to automatically return to a normal, high-profile state.
摘要翻译：引流导管适于通过体导管从体腔排出流体，并且包括细长管，其具有远端和设置在远端处的保持构件，并且适于在促进导管插入的低轮廓状态和促进导管在其操作位置的张力的高轮廓状态。编织网形成管和保持构件中的一个的至少一部分，并且可以在导管的各个区域中形成为可渗透的或不可渗透的。编织网可以由可热固化的细丝形成，使得导管自动移动到高轮廓状态。导管的插入可以通过使用封闭器和相关联的方法中的导丝来促进，可以去除促进导管插入的闭孔器，以允许导管自动返回到正常的高轮廓状态。

77. 发明授权

US06099553A Suture clinch 失效
标题翻译：缝合线
公开(公告)号：US06099553A
公开(公告)日：2000-08-08
申请号：US082495
申请日：1998-05-21
申请人： Charles C. Hart , Nabil Hilal , Said Hilal
发明人： Charles C. Hart , Nabil Hilal , Said Hilal
IPC分类号： F16B1/02 , A61B17/04 , A44B1/04
CPC分类号： A61B17/0487 , A61B2017/0454 , A61B2017/0464 , A61B2017/0488 , Y10T24/398 , Y10T24/4709
摘要： A suture system for closing a wound defined by tissue portions includes an elongate suture having a pair of ends adapted for threading relative to the tissue portions leaving the suture ends free. A securing mechanism has a first position for capturing the suture ends and a second position for permanently holding the suture ends in a fixed relationship, with the suture tensioned to maintain the tissue portions in close proximity. In a third position, the securing mechanism frictionally engages the suture ends in a sliding relationship. In an associated method, continuous tension is placed on the suture ends during operation of the securing mechanism.
摘要翻译：用于封闭由组织部分限定的伤口的缝合线系统包括细长的缝合线，其具有适于相对于组织部分进行穿线的一对端部，使得缝线端部自由。固定机构具有用于捕获缝合线端部的第一位置和用于以固定关系永久地保持缝合线端部的第二位置，其中缝合线张紧以将组织部分保持紧密接近。在第三位置，固定机构以滑动关系摩擦地接合缝合线端部。在相关联的方法中，在固定机构的操作期间，连续的张力被放置在缝线端上。

78. 发明授权

US5344420A Surgical trocar 失效
标题翻译：手术套管
公开(公告)号：US5344420A
公开(公告)日：1994-09-06
申请号：US152242
申请日：1993-11-12
申请人： Nabil Hilal , Said S. Hilal
发明人： Nabil Hilal , Said S. Hilal
IPC分类号： A61B17/32 , A61B17/34 , A61B18/12 , A61B18/14 , A61B19/00 , A61M13/00
CPC分类号： A61B18/1206 , A61B17/3417 , A61B17/3476 , A61B18/12 , A61B18/1487 , A61M13/00 , A61B17/320068 , A61B18/1402 , A61B2018/0066 , A61B2090/064 , A61M2210/10
摘要： A surgical trocar includes an operative sleeve adapted for disposition across a tissue barrier and an obturator removably disposed in the sleeve. A source of energy is introduced to a cutting element disposed at the distal end of the obturator for energizing the cutting element to cut tissue barrier. The distal end of the obturator and the distal end of the operative sleeve can be advanced through the cut tissue and the obturator removed leaving the sleeve operatively disposed for further surgery.
摘要翻译：手术套管包括适于在组织屏障上布置的操作套管和可移除地设置在套筒中的闭孔器。将能量源引入设置在封闭器的远端处的切割元件，用于激励切割元件以切割组织屏障。闭塞器的远端和手术套管的远端可以推进穿过切割的组织，并且去除闭塞器，使得套筒可操作地设置用于进一步手术。

79. 发明授权

US08613727B2 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：US08613727B2
公开(公告)日：2013-12-24
申请号：US11423819
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。

80. 发明授权

US08562569B2 Surgical access device with pendent valve 有权
公开(公告)号：US08562569B2
公开(公告)日：2013-10-22
申请号：US13401509
申请日：2012-02-21
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.

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