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71. 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。

72. 发明申请

US20150238225A1 LAPAROSCOPIC SURGICAL APPARATUS 审中-公开
标题翻译： LAPAROSCOPIC手术装置
公开(公告)号：US20150238225A1
公开(公告)日：2015-08-27
申请号：US14632877
申请日：2015-02-26
申请人： SEIKO EPSON CORPORATION
发明人： Hirokazu SEKINO , Hideki KOJIMA , Koichiro MIYAZAKI
IPC分类号： A61B17/34 , A61B17/00 , A61B18/14 , A61B17/3203
CPC分类号： A61B17/3462 , A61B17/3203 , A61B18/1482 , A61B2017/22074 , A61B2018/00946 , A61B2018/1475 , A61B2090/0811
摘要： A fluid ejection device includes a fluid ejection tube having a forward end nozzle inserted into an abdominal cavity. The fluid ejection tube, accommodated in a cylindrical casing section, is movable in an extending direction. The fluid ejection tube moves in the extending direction, interlocked with a sliding operation of a sealing state switching operation section on the outside of the casing section. Fixed and sliding sealing sections, which seal the inside of the abdominal cavity off from outside, are arranged between the fluid ejection tube and an inner wall surface of the casing section. The fixed and sliding sealing sections shift from a first sealing state with a first airtightness to a second sealing state with a higher airtightness, through movement of the fluid ejection tube by the sealing state switching operation section. The fluid ejection device is electrically drivable when the second sealing state is established.
摘要翻译：流体喷射装置包括具有插入腹腔中的前端喷嘴的流体喷射管。容纳在圆筒形壳体部分中的流体喷射管可沿延伸方向移动。流体喷射管沿着延伸方向移动，与壳体部分外侧的密封状态切换操作部分的滑动操作互锁。固定和滑动的密封部分将腹腔内部从外部密封，布置在流体喷射管和套管部分的内壁表面之间。固定滑动密封部分通过密封状态切换操作部分通过流体喷射管的移动，从具有第一气密性的第一密封状态转换到具有较高气密性的第二密封状态。当建立第二密封状态时，流体喷射装置可电驱动。

73. 发明申请

US20150230868A1 Needle Guide For Percutaneous Lung Biopsy 审中-公开
标题翻译：针刺经皮肺活检
公开(公告)号：US20150230868A1
公开(公告)日：2015-08-20
申请号：US14625230
申请日：2015-02-18
申请人： JJ Dogs LLC
发明人： Sean Miller
IPC分类号： A61B19/00 , A61B17/34 , A61B10/02 , A61B10/04
CPC分类号： A61B10/0283 , A61B10/04 , A61B17/3403 , A61B17/3462 , A61B90/40 , A61B2010/045 , A61B2017/00809 , A61B2017/00902 , A61B2017/306 , A61B2017/3407
摘要： A needle guide for use in percutaneous lung biopsy procedures includes a cup that can be affixed in air-tight engagement to the patient's skin around the incision. The cup includes a hub adapted to receive an introducer or biopsy needle in sealed engagement as the needle is advanced into the incision. The cup may be transparent to allow visualization of the incision to facilitate navigation of the needle into the incision. The needle guide is further provided with a fluid tube for engagement with a syringe operable to draw a slight vacuum within the cup to thereby prevent infiltration of air into the incision during the biopsy procedure.
摘要翻译：用于经皮肺活检程序的针引导件包括可以与切口周围的患者皮肤以气密接合的方式固定的杯。杯子包括适于在针进入切口时以密封接合的方式接纳导引器或活检针的毂。杯子可以是透明的，以允许切口的可视化以便于将针导向切口。针引导件还设置有用于与可操作以在杯内抽取轻微真空的注射器接合的流体管，从而防止在活检过程期间空气渗透到切口中。

74. 发明授权

US09095300B2 Wound retractor device 有权
标题翻译：伤口牵开装置
公开(公告)号：US09095300B2
公开(公告)日：2015-08-04
申请号：US13655286
申请日：2012-10-18
申请人： Atropos Limited
发明人： Frank Bonadio , John Butler , Trevor Vaugh , Shane Joseph MacNally , Alan Reid
IPC分类号： A61B1/32 , A61B17/02 , A61B17/34 , A61B17/00
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/3423 , A61B17/3431 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B2017/00557 , A61B2017/0212 , A61B2017/0225 , A61B2017/3443 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492
摘要： A surgical device may include a wound retractor. The wound retractor may include a distal member, a proximal member, and a wound retracting sleeve extending between the distal member and the proximal member. The surgical device may also include a sealing assembly coupled to the wound retractor.
摘要翻译：手术装置可以包括伤口牵开器。伤口牵开器可以包括远侧构件，近端构件和在远侧构件和近端构件之间延伸的卷绕缩回套筒。手术装置还可以包括联接到伤口牵开器的密封组件。

75. 发明申请

US20150201963A1 INTRODUCER SHEATH AND METHODS 审中-公开
标题翻译：介绍风和方法
公开(公告)号：US20150201963A1
公开(公告)日：2015-07-23
申请号：US14600660
申请日：2015-01-20
申请人： Merit Medical Systems, Inc.
发明人： Jeremy W. Snow
IPC分类号： A61B17/34 , A61M39/02 , A61B10/02
CPC分类号： A61M39/02 , A61B10/0233 , A61B17/3421 , A61B17/3462 , A61B2017/00477 , A61M39/06 , A61M39/10 , A61M2039/0202 , A61M2039/062 , A61M2039/0633 , A61M2039/1027
摘要： A medical device for accessing body tissue or fluid is disclosed. The medical device may include an introducer sheath and a valve that impedes the flow of fluid through the introducer sheath. An assembly for selectively coupling components of a medical device is also disclosed. The assembly may comprise two components configured to engage with one another by at least a snap fit-type connection. This connection may facilitate disengagement of the two components via actuation of a release mechanism.
摘要翻译：公开了用于进入身体组织或流体的医疗装置。医疗装置可以包括导引鞘和阻止通过导引鞘的流体流动的阀。还公开了用于选择性地联接医疗装置的部件的组件。组件可以包括被配置成通过至少卡扣配合型连接彼此接合的两个部件。该连接可以通过释放机构的致动而促进两个部件脱离接合。

76. 发明授权

US09078697B2 Surgical portal apparatus including movable housing 有权
标题翻译：手术入口设备包括可移动外壳
公开(公告)号：US09078697B2
公开(公告)日：2015-07-14
申请号：US12717280
申请日：2010-03-04
申请人： Michael E. Abrams , Jeffrey P. Radziunas
发明人： Michael E. Abrams , Jeffrey P. Radziunas
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B17/3462 , A61B17/02 , A61B17/3421 , A61B17/3423 , A61B2017/3425
摘要： A surgical portal apparatus includes a housing and a cannula member. The housing includes a seal mount and a flexible housing wall. The cannula member is connected to the housing and defines a longitudinal axis and passageway. The seal mount has an internal seal. The flexible housing wall is dimensioned to permit both axial and radial movement of the seal mount with respect to the longitudinal axis between a first position of the seal mount and a plurality of second positions of the seal mount. The seal mount may be biased by a biasing member toward the first position. In an embodiment, the biasing member is a spring that is engageable with the cannula member and the seal mount.
摘要翻译：手术入口装置包括壳体和套管构件。壳体包括密封安装件和柔性外壳壁。套管构件连接到壳体并且限定纵向轴线和通道。密封安装具有内部密封。该柔性外壳壁的尺寸被设计成允许密封安装件相对于纵向轴线在密封件安装件的第一位置和密封件安装件的多个第二位置之间的轴向和径向移动。密封安装件可以被偏置构件偏向第一位置。在一个实施例中，偏置构件是可与插管构件和密封件安装件接合的弹簧。

77. 发明授权

US09078695B2 Methods and devices for accessing a body cavity using a surgical access device with modular seal components 有权
标题翻译：使用具有模块化密封部件的手术进入装置进入体腔的方法和装置
公开(公告)号：US09078695B2
公开(公告)日：2015-07-14
申请号：US12479395
申请日：2009-06-05
申请人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey David Messerly , William Bruce Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
发明人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey David Messerly , William Bruce Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
IPC分类号： A61B17/32 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/00287 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3484 , A61B2017/3488
摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.
摘要翻译：提供了用于提供通过组织进入外科手术部位的方法和装置。在一个实施例中，外科进入装置可以包括中空管状构件和模块化密封构件。模块化密封构件可以构造成径向跨越管状构件的内腔，并且可拆卸地且可更换地配合到管状构件的一部分。接入设备还可以包括多个接入端口，每个接入端口可被配置为在相应的期望位置处与模块化密封构件配合。

78. 发明申请

US20150148611A1 INSTRUMENT ACCESS DEVICE 有权
标题翻译：仪器访问设备
公开(公告)号：US20150148611A1
公开(公告)日：2015-05-28
申请号：US14471838
申请日：2014-08-28
申请人： Atropos Limited
发明人： Frank BONADIO , John BUTLER , Trevor VAUGH
IPC分类号： A61B17/02 , A61M13/00 , A61B17/34
CPC分类号： A61B17/0293 , A61B1/32 , A61B17/0218 , A61B17/3421 , A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B17/3474 , A61B17/3498 , A61B90/40 , A61B2017/00477 , A61B2017/00557 , A61B2017/0225 , A61B2017/3429 , A61B2017/3435 , A61B2017/3443 , A61B2017/347 , A61B2017/3482 , A61B2017/3492 , A61M13/003
摘要： An instrument access device (500) comprises a distal O-ring (11) for insertion into a wound interior, a proximal member for location externally of a wound opening and a sleeve (12) extending in two layers between the distal O-ring (11) and the proximal member. The proximal member comprises an inner proximal ring member (25) and an outer proximal ring member (24) between which the sleeve (12) is led. A seal housing (300) is mounted to the inner proximal ring member (25). A gelatinous elastomeric seal (302) with a pinhole opening (303) therethrough is received in the housing (300). An instrument may be extended through the seal (302) to access the wound interior through the retracted wound opening in a sealed manner.
摘要翻译：仪器进入装置（500）包括用于插入伤口内部的远端O形环（11），用于位于伤口的外部的近端构件和在远端O形环（2）之间延伸两层的套筒（12） 11）和近端构件。近端构件包括内近端环构件（25）和外近端环构件（24），套筒（12）在其之间被引导。密封壳体（300）安装到内侧近端环构件（25）。具有穿过其中的针孔开口（303）的凝胶状弹性体密封件（302）被容纳在壳体（300）中。仪器可以通过密封件（302）延伸，以密封的方式通过缩回的卷绕开口进入伤口内部。

79. 发明申请

US20150133739A1 Laparoscopic Instrument and Cannula Assembly and Related Surgical Method 有权
标题翻译：腹腔镜手术和插管组装及相关手术方法
公开(公告)号：US20150133739A1
公开(公告)日：2015-05-14
申请号：US14599675
申请日：2015-01-19
申请人： Covidien LP
发明人： Gregory Piskun , Anatoly Konik , Dan Rottenberg
IPC分类号： A61B17/34 , A61B17/02
CPC分类号： A61B17/3423 , A61B17/0218 , A61B17/2909 , A61B17/3403 , A61B17/3421 , A61B17/3462 , A61B17/3498 , A61B2017/2904 , A61B2017/2905 , A61B2017/292 , A61B2017/2929 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2017/347 , A61B2017/3492
摘要： A laparoscopic port assembly includes a cannula unit including three cannulas each extending at an acute angle relative to a base. The cannulas are flexible for receiving respective angulated laparoscopic instruments. The cannula unit is rotatingly received in a port holder for rotation about a longitudinal axis of the holder, the holder being disposable in an opening in a patient's skin.
摘要翻译：腹腔镜组件包括插管单元，其包括三个插管，每个插管相对于基座以锐角延伸。插管对于接收相应的角度腹腔镜手术是灵活的。套管单元旋转地容纳在端口保持器中，用于围绕保持器的纵向轴线旋转，保持器一次性处于患者皮肤的开口中。

80. 发明申请

US20150133736A1 Endoscopic Surgical Instruments and Related Methods 有权
标题翻译：内镜手术器械及相关方法
公开(公告)号：US20150133736A1
公开(公告)日：2015-05-14
申请号：US14481811
申请日：2014-09-09
申请人： Gimmi GmbH
发明人： Thilo Henzler , Steve Eubanks , Wayne Shortt
IPC分类号： A61B17/34 , A61B17/02
CPC分类号： A61B17/3498 , A61B1/00068 , A61B1/00135 , A61B1/00137 , A61B17/29 , A61B17/3421 , A61B17/3462 , A61B2017/00336 , A61B2017/347
摘要： A minimally invasive surgical system includes a surgical instrument having an elongate body portion and an oversleeve, through which the elongate body portion of the surgical instrument is extendable. A valve assembly is associated with one of the oversleeve or the surgical instrument. Mating structure is associated with two or more of the oversleeve, the surgical instrument and the valve assembly, the mating structure is operable to limit or prevent relative movement between the oversleeve and the surgical instrument.
摘要翻译：微创手术系统包括具有细长主体部分和套筒的外科器械，外科器械的细长主体部分可通过该套筒延伸。阀组件与套管或手术器械中的一个相关联。交配结构与两个或多个套管，手术器械和阀组件相关联，配合结构可操作以限制或防止套管和外科器械之间的相对运动。

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