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71. 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。

72. 发明授权

US09125555B2 Method for manufacturing a surgical valve 有权
标题翻译：手术阀的制造方法
公开(公告)号：US09125555B2
公开(公告)日：2015-09-08
申请号：US13591958
申请日：2012-08-22
申请人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
发明人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
IPC分类号： B29C65/00 , A61B1/00 , A61B1/307 , A61M39/06 , A61B17/34
CPC分类号： A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
摘要： A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
摘要翻译：手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。提供远端引导管以便于手术器械逆行插入到密封材料中。在组装期间，通过壳体部分将压力施加到密封材料上，以形成周向密封并封闭仪器通道。可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。可以提供限位突片以便于该锁定力的控制。

73. 发明申请

US20120313325A1 SURGICAL GEL SEAL 有权
标题翻译：手术密封
公开(公告)号：US20120313325A1
公开(公告)日：2012-12-13
申请号：US13591958
申请日：2012-08-22
申请人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
发明人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
IPC分类号： F16J15/14
CPC分类号： A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
摘要： A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
摘要翻译：手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。提供远端引导管以便于手术器械逆行插入到密封材料中。在组装期间，通过壳体部分将压力施加到密封材料上，以形成周向密封并封闭仪器通道。可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。可以提供限位突片以便于该锁定力的控制。

74. 发明申请

US20120296348A1 APPARATUS FOR MANIPULATING AND SECURING TISSUE 有权
标题翻译：用于操作和安全组织的装置
公开(公告)号：US20120296348A1
公开(公告)日：2012-11-22
申请号：US13491273
申请日：2012-06-07
申请人： Vahid Saadat , Richard C. Ewers , Cang C. Laduca , Robert A. Vaughan , Chris Rothe , Kenneth J. Michlitsch
发明人： Vahid Saadat , Richard C. Ewers , Cang C. Laduca , Robert A. Vaughan , Chris Rothe , Kenneth J. Michlitsch
IPC分类号： A61B17/04
CPC分类号： A61F5/0086 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0487 , A61B17/06 , A61B17/06066 , A61B17/064 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/1285 , A61B17/29 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0475 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/081 , A61B2017/3488
摘要： Apparatus for manipulating and securing tissue are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably dispose through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. The stabilizing members can be adapted to become angled relative to longitudinal axis of the elongate tubular member. Moreover, one or all the articulation controls and functions can be integrated into a singular handle assembly connectable to the tissue manipulation assembly via a rigid or flexible tubular body.
摘要翻译：本文描述了用于操纵和固定组织的装置。在组织折叠在患者身体内部时，组织操作组件通常可以具有细长的管状构件，可滑动地配置穿过管状构件的接合构件和适于经由螺旋构件接合组织的远端，组织稳定构件所述管状构件远端适于在其间稳定组织，以及可围绕所述组织稳定器枢转的输送管。稳定构件可以适于相对于细长管状构件的纵向轴线成角度。此外，一个或所有关节运动控制和功能可以集成到通过刚性或柔性管状体连接到组织操作组件的单个手柄组件中。

75. 发明授权

US08262622B2 Surgical gel seal 有权
标题翻译：手术凝胶密封
公开(公告)号：US08262622B2
公开(公告)日：2012-09-11
申请号：US10695295
申请日：2003-10-28
申请人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
发明人： Joseph A. Gonzales , Boun Pravong , Richard C. Ewers , Richard L. Myers
IPC分类号： A61M5/178 , A61B1/307
CPC分类号： A61B1/00137 , A61B1/307 , A61B17/3462 , A61M39/0606 , A61M2039/0633 , A61M2039/066 , B29C65/00
摘要： A surgical valve includes a housing with a proximal housing portion and a distal housing portion cooperating to define a gel cavity. A seal material is disposed in the gel cavity and includes a gel having flow characteristics and incompressible characteristics. A distal guide tube is provided to facilitate retrograde insertion of a surgical instrument into the seal material. During assembly, pressure is applied by the housing portions to the seal material in order to form a circumferential seal and to close an instrument channel. Manufacture can be facilitated by use of a mandrel for maintaining the structural elements in axial alignment. Complimentary screw threads disposed between the first and second housing portions can be used to pressurize the gel and thereby create a locking force on an inserted instrument. Detented tabs can be provided to facilitate control of this locking force.
摘要翻译：手术阀包括具有近端壳体部分的壳体和协作以限定凝胶腔的远端壳体部分。密封材料设置在凝胶腔中，并且包括具有流动特性和不可压缩特性的凝胶。提供远端引导管以便于手术器械逆行插入到密封材料中。在组装期间，通过壳体部分将压力施加到密封材料上，以便形成周向密封并封闭器械通道。可以通过使用用于将结构元件保持轴向对准的心轴来促进制造。设置在第一和第二壳体部分之间的免费螺纹螺纹可用于对凝胶加压，从而在插入的仪器上产生锁定力。可以提供限位突片以便于该锁定力的控制。

76. 发明申请

US20120226105A1 SURGICAL ACCESS APPARATUS AND METHOD 审中-公开
标题翻译：外科手术设备及方法
公开(公告)号：US20120226105A1
公开(公告)日：2012-09-06
申请号：US13312393
申请日：2011-12-06
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A surgical access device is adapted for performing laparoscopic surgical procedures with at least one instrument passing through the surgical access device and through an incision in the abdominal wall of a patient with the abdominal cavity pressurized with an insufflation gas. The surgical access device comprises an access seal. The material of the access seal is adapted to form a seal to generally maintain insufflation pressure within the abdominal cavity. At least one opening is formed through the material of the access seal between a proximal portion and a distal portion of the access seal. The at least one opening when operatively disposed is in communication with the incision and forms a working channel between a location external to the abdominal wall and a location internal to the abdominal wall. The material of the access seal conforms to a surface of an instrument inserted through the working channel.
摘要翻译：外科进入装置适于执行腹腔镜外科手术，其中至少一个器械通过外科进入装置，并通过患有腹部腔的切口在腹腔内用吹入气体加压。手术进入装置包括进入密封件。进入密封件的材料适于形成密封件，以通常维持腹腔内的注入压力。通过进入密封件的近端部分和远端部分之间的进入密封件的材料形成至少一个开口。当操作性地设置时，所述至少一个开口与所述切口连通并且在所述腹壁外部的位置与所述腹壁内部的位置之间形成工作通道。进入密封件的材料符合通过工作通道插入的仪器的表面。

77. 发明授权

US08216252B2 Tissue manipulation and securement system 有权
标题翻译：组织操纵和固定系统
公开(公告)号：US08216252B2
公开(公告)日：2012-07-10
申请号：US11070863
申请日：2005-03-01
申请人： Robert A. Vaughan , Cang C. Lam , Richard C. Ewers , Vahid Saadat
发明人： Robert A. Vaughan , Cang C. Lam , Richard C. Ewers , Vahid Saadat
IPC分类号： A61B17/08
CPC分类号： A61B17/0401 , A61B17/0487 , A61B17/06066 , A61B17/29 , A61B2017/00278 , A61B2017/0409 , A61B2017/0419 , A61B2017/0464 , A61B2017/0496 , A61B2017/06052 , A61B2017/06076 , A61B2017/2923 , A61B2017/2927 , A61B2017/3488
摘要： Tissue manipulation and securement systems are described herein. A tissue manipulation assembly is pivotably coupled to the distal end of a tubular member and has a lower jaw member and an upper jaw member pivotably coupled to the lower jaw member. A reconfigurable launch tube is also pivotably coupled to the upper jaw member and is used to urge the jaw members from a low-profile configuration to an open configuration for receiving tissue. The tissue manipulation assembly may be advanced through a shape-lockable endoscopic device, a conventional endoscope, or directly by itself into a patient. A second tool can be used in combination with the tissue manipulation assembly to engage tissue and manipulate the tissue in conjunction with the tissue manipulation assembly.
摘要翻译：本文描述了组织操纵和固定系统。组织操作组件可枢转地联接到管状构件的远端，并且具有下颚构件和可枢转地联接到下颚构件的上颚构件。可重构的发射管也可枢转地联接到上钳口构件，并且用于将钳口构件从小轮廓构造推动到用于接收组织的打开构型。组织操作组件可以通过形状可锁定内窥镜装置，常规内窥镜，或者直接自身进入患者。第二工具可以与组织操作组件组合使用以接合组织并且与组织操作组件一起操作组织。

78. 发明申请

US20100042115A1 NEEDLE ASSEMBLY FOR TISSUE MANIPULATION 有权
标题翻译：用于组织操作的针组件
公开(公告)号：US20100042115A1
公开(公告)日：2010-02-18
申请号：US12579295
申请日：2009-10-14
申请人： Vahid Saadat , Chris Rothe , Richard C. Ewers
发明人： Vahid Saadat , Chris Rothe , Richard C. Ewers
IPC分类号： A61B17/10
CPC分类号： A61B17/0401 , A61B17/0469 , A61B17/0487 , A61B17/06066 , A61B17/064 , A61B17/08 , A61B17/10 , A61B17/29 , A61B2017/00349 , A61B2017/00867 , A61B2017/0404 , A61B2017/0409 , A61B2017/0417 , A61B2017/0419 , A61B2017/0445 , A61B2017/0446 , A61B2017/045 , A61B2017/0451 , A61B2017/0454 , A61B2017/0456 , A61B2017/0458 , A61B2017/0459 , A61B2017/0461 , A61B2017/0462 , A61B2017/0464 , A61B2017/0475 , A61B2017/0488 , A61B2017/0496 , A61B2017/06052 , A61B2017/081 , A61B2017/3488
摘要： Needle assemblies for tissue manipulation are described herein. In creating tissue folds within the body of a patient, a tissue manipulation assembly may generally have an elongate tubular member, an engagement member slidably disposed through the tubular member and a distal end adapted to engage tissue via a helical member, tissue stabilizing members positioned at the tubular member distal end which are adapted to stabilize tissue therebetween, and a delivery tube pivotable about the tissue stabilizer. A needle deployment assembly is deployable through the tissue manipulation assembly via a handle assembly, through the tubular member, and into or through tissue. An elongate pusher is translationally disposed within a sheath of the needle deployment assembly and can be urged distally for deploying an anchor assembly from the sheath distal end. The anchor assembly is positioned distally of the pusher within the sheath.
摘要翻译：用于组织操作的针组件在本文中描述。在组织折叠在患者体内产生时，组织操作组件通常可以具有细长的管状构件，可滑动地设置穿过管状构件的接合构件和适于通过螺旋构件接合组织的远端，组织稳定构件所述管状构件远端适于在其间稳定组织，以及可围绕所述组织稳定器枢转的输送管。针部署组件可经由手柄组件穿过组织操纵组件展开，穿过管状构件，并且进入或穿过组织。细长的推动器平移地设置在针展开组件的护套内，并且可以向远侧推动以从护套远端展开锚固组件。锚固组件位于鞘内的推动器的远侧。

79. 发明授权

US07618426B2 Apparatus and methods for forming gastrointestinal tissue approximations 有权
标题翻译：用于形成胃肠组织近似的装置和方法
公开(公告)号：US07618426B2
公开(公告)日：2009-11-17
申请号：US10639162
申请日：2003-08-11
申请人： Richard C. Ewers , Boris Reydel , Cang Lam , Eugene Chen , Brent D. Seybold , Rodney Brenneman , Vahid C. Saadat
发明人： Richard C. Ewers , Boris Reydel , Cang Lam , Eugene Chen , Brent D. Seybold , Rodney Brenneman , Vahid C. Saadat
IPC分类号： A61B17/00 , A61B17/10 , A61B17/12 , A61B17/125
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/0487 , A61B17/0644 , A61B17/29 , A61B17/3421 , A61B17/3468 , A61B17/3478 , A61B2017/0404 , A61B2017/0417 , A61B2017/0419 , A61B2017/0458 , A61B2017/0464 , A61B2017/0496 , A61B2017/061 , A61B2017/3445 , A61B2017/3488
摘要： Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.
摘要翻译：提供了设备和方法，用于通过在第一组织接触点处接合组织来形成胃肠组织折叠，将第一组织接触点从最初远端到第二组织接触点的位置移动到第二接触点的近侧的位置，以形成组织折叠，并且使锚固组件穿过第二组织接触点附近的组织褶皱延伸。

80. 发明授权

US07481765B2 Surgical access apparatus and method 有权
公开(公告)号：US07481765B2
公开(公告)日：2009-01-27
申请号：US11244647
申请日：2005-10-05
申请人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
发明人： Richard C. Ewers , John R. Brustad , Edward D. Pingleton , Nabil Hilal , Gary R. Dulak , Payam Adlparvar , Robert R. Bowes
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/0293 , A61B17/3474 , A61B17/3498 , A61B2017/00265 , A61B2017/00526 , A61B2017/3419 , A61B2017/3445 , A61B2017/3492 , A61M13/003
摘要： A surgical access device includes a single valve forming a seal with the body wall and providing an access channel into a body cavity. The valve has properties for creating a zero-seal in the absence of an instrument and an instrument seal with instruments. The valve can include a gel comprised of an elastomer and oil providing elongation greater than 1000 percent and durometer less than 5 Shore A. The single valve can be used as a hand port where the instrument comprises the arm of a surgeon. A method for making the surgical access device includes combining a gelling agent with oil, preferably in a molding process. A method for using the device includes creating an opening with the instrument. An organ can be removed from the body cavity through the single valve to create an organ seal while the organ is addressed externally of the body cavity.

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