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1. 发明授权

US09393042B2 Coaxial trocar seals havng sequential adjacent openings 有权
标题翻译：同轴套管针密封件有连续的相邻开口
公开(公告)号：US09393042B2
公开(公告)日：2016-07-19
申请号：US13483457
申请日：2012-05-30
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61B17/34 , A61M39/06 , A61B17/02
CPC分类号： A61B17/3462 , A61B17/0218 , A61M39/06 , A61M2039/062 , A61M2039/0633 , A61M2039/064 , A61M2039/0686
摘要： An instrument seal of a surgical access device is provided and includes a plurality of nested coaxial seals arranged to cooperate and form a complete, circumferential seal around an inserted instrument.
摘要翻译：提供了外科进入装置的仪器密封件，并且包括多个嵌套的同轴密封件，其布置成在插入的器械周围配合并形成完整的周向密封。

2. 发明授权

US09101354B2 Wound retractor with gel cap 有权
标题翻译：带有胶帽的伤口牵开器
公开(公告)号：US09101354B2
公开(公告)日：2015-08-11
申请号：US13598218
申请日：2012-08-29
申请人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
发明人： Jeremy J. Albrecht , Charles C. Hart , John R. Brustad , Gary M. Johnson , Jennifer T. Ko , Donald L. Gadberry
IPC分类号： A61B17/34 , A61B17/02 , A61B19/00 , A61B17/00 , A61B19/02
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： An incrementally adjustable wound retractor, which provides access to a body cavity, includes an inner ring having a diameter greater than the desired diameter of the wound incision, an outer ring having an annular axis and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve disposed in a generally cylindrical form between the inner and outer rings. The outer ring includes first and second circular tubes spaced apart axially with each including a lumen having a rigid, noncompliant split hoop positioned therein. The outer ring may be rolled over itself and around the annular axis to retract the sleeve with sufficient force to stretch the incision to the desired diameter. A gel cap seal may be coupled to the outer ring outside of the biological body to seal the opening produced by the wound retractor between the body cavity and outside the body cavity.
摘要翻译：提供进入体腔的增量可调的伤口牵开器包括直径大于所述伤口切口所需直径的内环，具有环形轴线的外环和直径大于伤口切口的期望直径的内环以及在内环和外环之间以大致圆柱形的形式设置的柔性套管。外环包括轴向间隔开的第一和第二圆形管，其中每个包括具有定位在其中的刚性的，不一致的分割箍的内腔。外环可以自身滚动并围绕环形轴线以足够的力使套筒缩回以将切口拉伸到期望的直径。凝胶帽密封件可以联接到生物体外部的外环，以密封由卷绕牵开器在体腔和体腔外部产生的开口。

3. 发明授权

US08998935B2 Surgical staple-clip and applier 有权
标题翻译：手术夹钳和敷贴器
公开(公告)号：US08998935B2
公开(公告)日：2015-04-07
申请号：US12200582
申请日：2008-08-28
申请人： Charles C Hart
发明人： Charles C Hart
IPC分类号： A61B17/08 , A61B17/064 , A61B17/122 , A61B17/068 , A61B17/128 , A61B17/00
CPC分类号： A61B17/0682 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/08 , A61B17/105 , A61B17/122 , A61B17/1285 , A61B2017/00858 , A61B2017/0641 , A61B2017/0649 , A61B2017/1225
摘要： A surgical staple-clip including a clip component and a securing member is used in a wide range of surgical procedures. The staple-clip may be introduced to a surgical site in an un-assembled condition through a small port or trocar. An applier for the staple-clip comprising a pair of opposed jaw-like channels is provided to position and apply the clip component and the securing member. The clip component is positioned around a target tissue and is compressed or clamped upon the tissue using only the force required for a specific surgical procedure such as occlusion, ligation or fixation. When the clip component is properly applied, the securing member is urged forward and over the clip component to secure the staple-clip. The clip component may include traction enhancement features such as surface interruptions, bumps, valleys and ridges. With the staple-clip of the invention, the force required to constrict or occlude the tissue is separate from the force required to secure and maintain the staple-clip in position and, as a result, the body tissue is not over-compressed and nourishment to the body tissue is maintained. Other aspects of the invention include thumb actuated clip appliers for use in hand assisted laparoscopy (HAL) In one embodiment, a clip applier includes a handle and a thumb actuated mechanism that is used to slidably release clips onto a body tissue or vessel by sliding the thumb actuated mechanism forward and backward using only one hand. In another aspect of the invention, a two-stage clip is disclosed having a clip component and a staple component for securing the clip after it has been properly positioned.
摘要翻译：包括夹子组件和固定构件的外科手术夹夹用于广泛的手术过程。钉夹可以通过小口或套管针以未装配的状态被引入外科手术部位。用于包括一对相对的颚状通道的缝钉夹的施放器被设置以定位和施加夹子部件和固定部件。夹子组件围绕目标组织定位，并且仅使用特定外科手术所需的力（例如闭塞，结扎或固定）压缩或夹紧在组织上。当适当地施加夹子部件时，固定构件被推向夹持部件的上方并固定在钉夹上。夹子组件可以包括牵引增强特征，例如表面中断，凸起，谷和脊。利用本发明的钉夹，收缩或闭塞组织所需的力与将钉夹固定并保持在适当位置所需的力分离，因此，身体组织不被过度压缩和营养维持身体组织。本发明的其他方面包括用于手辅助腹腔镜（HAL）的拇指致动的施夹器。在一个实施例中，施夹器包括手柄和拇指致动机构，其用于通过滑动将夹子滑动到身体组织或容器上拇指启动机构使用一只手向前和向后。在本发明的另一方面，公开了一种具有夹子部件和用于在夹具被适当定位之后固定夹子的钉部件的两级夹子。

4. 发明授权

US08932214B2 Surgical access system 有权
标题翻译：手术进入系统
公开(公告)号：US08932214B2
公开(公告)日：2015-01-13
申请号：US13105179
申请日：2011-05-11
申请人： Charles C. Hart , Edward D. Pingleton
发明人： Charles C. Hart , Edward D. Pingleton
IPC分类号： A61B1/32 , A61B17/34 , A61B17/02 , A61B17/00
CPC分类号： A61B17/0293 , A61B17/3423 , A61B17/3498 , A61B2017/00265
摘要： The invention is directed to a surgical access system that provides access to a surgical area while maintaining pneumoperitoneum during laparoscopic surgery. The access system comprises a sheath retractor adapted to dilate a wound stretchable to a desired diameter and a detachable seal adapted to be removable from the sheath retractor. In another aspect, the detachable seal comprising a valve including a plurality of overlapping sheets defining an access channel that extends into communication with the incision in the patient. Each of the overlapping sheets includes a portion of the perimeter that is not fixed to the inner diameter of the ring, which provide open edges defining the access channel.
摘要翻译：本发明涉及一种在腹腔镜手术期间保持气腹的外科手术区域的外科进入系统。所述进入系统包括套管牵开器，所述护套牵开器适于将可拉伸到期望直径的伤口扩张，并且适于可从所述鞘收缩器移除的可拆卸密封件。在另一方面，所述可拆卸密封件包括阀，所述阀包括多个重叠的片材，所述多个重叠片材限定了与所述患者体内的切口连通的进入通道。每个重叠片材包括未固定到环的内径的周边的一部分，其提供限定接入通道的开口边缘。

5. 发明授权

US08764452B2 Portable laparoscopic trainer 有权
标题翻译：便携式腹腔镜教练
公开(公告)号：US08764452B2
公开(公告)日：2014-07-01
申请号：US13248449
申请日：2011-09-29
申请人： Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Rick Conklin , Eduardo Bolanos , Adam Hoke , Jacob J. Filek , Michael Palermo
发明人： Boun Pravong , Kennii Pravongviengkham , Lee Cohen , Charles C. Hart , Vivek Sikri , Zoran Falkenstein , Rick Conklin , Eduardo Bolanos , Adam Hoke , Jacob J. Filek , Michael Palermo
IPC分类号： G09B23/28 , G09B23/30
CPC分类号： G09B23/285 , G09B5/02 , G09B23/30 , G09B23/306 , G09B23/34
摘要： A portable surgical training device is provided. The trainer includes a top cover spaced apart from a base to form a simulated body cavity for locating model organs that are substantially obscured from the field of view of the user. The top cover includes a video display, fixed insertion ports and interchangeable inserts containing simulated tissue layers. The training device has open sides for demonstrating and training lateral surgical techniques including a simulated or live tissue colon attached to a support leg for simulating transanal minimally invasive surgery. A training endoscope with an adjustable focal length for use with the trainer and, in particular, with optical trocars is disclosed. The surgical trainer can be angled and is well suited for training laparoscopic surgery techniques and demonstrating surgical instruments.
摘要翻译：提供便携式外科手术训练装置。训练器包括与基座间隔开的顶盖，以形成模拟体腔，用于定位从使用者视野基本遮蔽的模型器官。顶盖包括视频显示器，固定插入端口和包含模拟组织层的可互换插入件。训练装置具有展示和训练横向手术技术的开放性，包括连接到支撑腿的模拟或活组织结肠，用于模拟经肛门微创手术。公开了一种具有可调节焦距的训练内窥镜，用于训练者，特别是与光学套针。手术训练器可以成角度，非常适合于培养腹腔镜手术技术和展示手术器械。

6. 发明授权

US08721826B2 Steerable kink-resistant sheath 有权
标题翻译：可转向扭结护套
公开(公告)号：US08721826B2
公开(公告)日：2014-05-13
申请号：US12950782
申请日：2010-11-19
申请人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle , Donald L. Gadberry
发明人： Charles C. Hart , John R. Brustad , Nabil Hilal , Henry Kahle , Donald L. Gadberry
IPC分类号： B29C47/02 , B29C53/58 , A61M25/00
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; methods for manufacturing the kink resistant device are also provided. 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操纵部分的可转向扭结接近装置; 还提供了用于制造扭结装置的方法。进入护套具有足够小的外径，使得其可以插入体腔或导管中。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。

7. 发明授权

US08632490B2 Insufflation gas warmer and humidifier 有权
标题翻译：吹气加热器和加湿器
公开(公告)号：US08632490B2
公开(公告)日：2014-01-21
申请号：US13419069
申请日：2012-03-13
申请人： Charles C. Hart , John R. Brustad , Zoran Falkenstein
发明人： Charles C. Hart , John R. Brustad , Zoran Falkenstein
IPC分类号： A61M13/00
CPC分类号： A61M13/003 , A61B17/3474
摘要： An insufflation gas warmer and humidifier apparatus and methods are provided. Insufflation gas is received from a bulky insufflation tubing. Insufflation gas received travels through, in one aspect, a channel or winding flow path, in a passage. The configuration of the passage ensures that the insufflation gas, which travels through the passage, receives sufficient heat and moisture. A humidifying reservoir humidifies the insufflation gas as the insufflation gas is passed to the passage. In one aspect, an oxygenator introduces slight amounts of oxygen into the insufflation gas. A warmer connected to the passage warms the gas in the passage. The warmer, in one aspect, contains a reactive agent that when exposed to air produces heat that is transferred to the passage to warm the insufflation gas within the passage.
摘要翻译：提供了一种吹气加温器和加湿装置和方法。从大体积吹入管接收吹入气体。在一个方面，接收的吹入气体在通道中穿过通道或卷绕流动路径。通道的构造确保了通过通道的吹入气体受到足够的热量和湿气。当吹入气体通过通道时，加湿容器加湿吹入气体。一方面，氧合器将少量的氧气引入吹入气体。与通道连接的暖气暖气通道中的气体。在一个方面，暖气器包含一种反应剂，当暴露在空气中时，会产生传递到通道的热量，以加热通道内的吹入气体。

8. 发明申请

US20130296655A1 SURGICAL ACCESS DEVICE COMPRISING INTERNAL RETRACTOR 有权
标题翻译：包括内部收缩器的外科手术装置
公开(公告)号：US20130296655A1
公开(公告)日：2013-11-07
申请号：US13909669
申请日：2013-06-04
申请人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia Tran
发明人： Charles C. Hart , Gary M. Johnson , Eric Nguyen , Edward D. Pingleton , Kennii Pravongviengkham , Ghassan Sakakine , Serene Wachli , John R. Brustad , Olivia Tran
IPC分类号： A61B17/02
CPC分类号： A61B17/0293 , A61B17/3423 , A61B2017/00265
摘要： Devices, methods, and systems provide a surgical access device comprising an internal retractor device integrated with or coupled to a body wall or wound retractor. The wound retractor retracts an opening in a body wall into a body cavity, while the internal retractor permits a user to control the positions of internal structures within the body cavity, thereby permitting a user to define a surgical field. Embodiments of the internal retractor are adjustable.
摘要翻译：装置，方法和系统提供了一种外科进入装置，其包括与身体壁或缠绕的牵开器集成或联接的内部牵开器装置。卷绕的收缩器将体壁中的开口缩回到体腔中，而内部牵开器允许使用者控制体腔内的内部结构的位置，从而允许使用者限定外科手术领域。内部牵开器的实施例是可调节的。

9. 发明授权

US08551089B2 Tissue fusion/welder apparatus and method 有权
公开(公告)号：US08551089B2
公开(公告)日：2013-10-08
申请号：US12611352
申请日：2009-11-03
申请人： Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
发明人： Charles C. Hart , Gary M. Johnson , Said S. Hilal , John R. Brustad , Edward D. Pingleton
IPC分类号： A61B18/14
CPC分类号： A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要： A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.

10. 发明授权

US08292853B2 Self-sealing cannula having integrated seals 有权
标题翻译：具有集成密封件的自密封插管
公开(公告)号：US08292853B2
公开(公告)日：2012-10-23
申请号：US10807974
申请日：2004-03-24
申请人： Charles C. Hart , John R. Brustad
发明人： Charles C. Hart , John R. Brustad
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B17/3417 , A61B17/3439 , A61B17/3498 , A61B2017/2905 , A61B2017/3441
摘要： The present invention relates to a surgical access device comprising an elongate tubular member having a working channel and a proximal end and a distal end, a septum seal integrally formed at the distal end of the tubular member, and a zero seal disposed at the distal end of the tubular member and distal to the septum seal, the zero seal being sized and configured to seal when no instrument is in place within the working channel of the tubular member, and the zero seal being coupled to the septum seal The zero seal may be a duckbill seal having opposing lip portions separated by a slit portion. The opposing lip portions are coated with or attached to a soft or occlusive material.
摘要翻译：本发明涉及一种手术进入装置，其包括具有工作通道和近端和远端的细长管状构件，一体地形成在管状构件的远端的隔膜密封件，以及设置在远端的零密封件的管状构件并且远离隔膜密封件，零密封件的尺寸和构造在当管状构件的工作通道内没有仪器就位时密封，并且零密封件联接到隔膜密封件。零密封件可以是具有由狭缝部分分开的相对的唇部的鸭嘴形密封件。相对的唇部被涂覆或附着到柔软或闭塞的材料上。

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