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    • 5. 发明申请
    • WOUND RETRACTION APPARATUS AND METHOD
    • 回绕装置和方法
    • US20070225569A1
    • 2007-09-27
    • US11755305
    • 2007-05-30
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • Richard EwersJohn BrustadEdward PingletonNabil HilalPayam AdlparvarScott TaylorGary DulakMichael DunnNorman MoralesCharles HartRobert Bowes
    • A61B1/32
    • A61B1/32A61B17/0293A61B17/3423A61B17/3431A61B2017/3484
    • A surgical wound retractor is adapted to dilate a wound stretchable to a desired diameter, the retractor includes a first ring having a diameter greater than that desired for the wound and being adapted for disposition interiorly of the wound. A second ring has a diameter greater than that desired for the wound and is adapted for disposition exteriorly of the wound. A plurality of retraction elements are disposed in a generally cylindrical relationship to each other, between the first ring and the second ring. These elements extend through the wound to exert a radial retraction force on the wound which is dependent on the distance separating the first ring and the second ring Retraction elements, both distensible and non-distensible are contemplated with appropriate attachment means at the rings to provide for variations in the retraction force. With a suitable retraction sleeve, a third ring can be provided to form a circumferential retainer to vary the retraction force. Rings can also be made inflatable or self-expanding to vary the retraction force An associated method includes the step of rolling the second ring circumferentially of the third ring to form the circumferential retainer.
    • 外科伤口牵开器适于将可拉伸至期望直径的伤口扩张,牵开器包括直径大于伤口所需直径的第一环,并适于在伤口内部配置。 第二环的直径大于伤口所需的直径,并且适于在伤口的外部配置。 多个退回元件在第一环和第二环之间以大致圆柱形的关系设置。 这些元件延伸穿过伤口以在伤口上施加径向缩回力,这取决于分离第一环和第二环的距离,缩回元件是可伸长的和不可扩张的,在环处有合适的附接装置,以提供 收缩力的变化。 利用合适的缩回套筒,可以提供第三环以形成圆周保持器以改变收回力。 环也可以制成充气或自膨胀以改变收缩力。相关联的方法包括在第三环周向滚动第二环以形成圆周保持器的步骤。
    • 6. 发明授权
    • Surgical instrument access device
    • 手术器械进入装置
    • US07163510B2
    • 2007-01-16
    • US10666579
    • 2003-09-17
    • Henry KahlePayam AdlparvarGary M. Johnson
    • Henry KahlePayam AdlparvarGary M. Johnson
    • A61B1/32
    • A61B17/3423A61B5/024A61B5/0507A61B5/08A61B5/6889A61B5/6898A61B17/0293A61B17/3431A61B17/3498A61B2017/00526
    • A surgical access device includes a single valve that forms a seal with a body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal for an instrument having a diameter up to about 37 mm. The valve can include a gel material and the access channel can include a protective sleeve to provide for wound protection during insertion and withdrawal of a sharp surgical instrument. The valve further comprises a cap ring which may be inserted or molded with the gel material. The protective sleeve may be bonded or molded around an inner diameter of the cap ring. The protective sleeve may be a single tubular member, or may comprise a plurality of axially extending sleeve members having a plurality of axial slits. The protective sleeve and the cap ring may comprise of the same or different materials. The surgical access device further comprises at least one support ring disposed circumferentially of the valve forming a hollow space, and a wound retractor operatively placed in the hollow space. The wound retractor includes an inner ring, an outer ring, and a flexible sleeve connecting the inner ring and the outer ring.
    • 手术进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有用于在不存在仪器的情况下产生零密封的特性,以及用于具有高达约37mm直径的仪器的仪器密封件。 阀可以包括凝胶材料,并且进入通道可以包括保护套筒,以在插入和抽出锋利的外科器械期间提供伤口保护。 阀还包括可以用凝胶材料插入或模制的盖环。 保护套可以围绕盖环的内径粘合或模制。 保护套可以是单个管状构件,或者可以包括具有多个轴向狭缝的多个轴向延伸的套筒构件。 保护套和盖环可以由相同或不同的材料组成。 外科进入装置还包括形成中空空间的阀周向设置的至少一个支撑环和可操作地放置在中空空间中的卷绕牵开器。 卷绕卷收器包括内环,外圈和连接内圈和外圈的柔性套管。
    • 7. 发明申请
    • Surgical access apparatus and method
    • 手术进入装置及方法
    • US20060030755A1
    • 2006-02-09
    • US11244647
    • 2005-10-05
    • Richard EwersJohn BrustadEdward PingletonNabil HilalGary DulakPayam AdlparvarRobert Bowes
    • Richard EwersJohn BrustadEdward PingletonNabil HilalGary DulakPayam AdlparvarRobert Bowes
    • A61B1/32
    • A61B17/3423A61B17/0218A61B17/0293A61B17/3474A61B17/3498A61B2017/00265A61B2017/00526A61B2017/3419A61B2017/3445A61B2017/3492A61M13/003
    • A surgical access device includes a single valve that forms a seal with the body wall and provides an access channel into a body cavity. The valve has properties for creating a zero seal in the absence of an instrument as well as an instrument seal with instruments having a full range of instrument diameter. The valve can include a gel and preferably an ultragel comprised of an elastomer and an 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, thereby providing hand access into the cavity. A method for making the surgical access device includes the combining of a gelling agent with an oil, preferably in a molding process. A method for using the device includes steps for creating an opening with the instrument. In a particular process, 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. The valve and method are particularly adapted for laparoscopic surgery wherein the abdominal cavity is insufflated with a gas thereby requiring the zero seal, the instrument seal, and the organ seal in various procedures.
    • 外科进入装置包括与主体壁形成密封并且将进入通道提供到体腔中的单个阀。 该阀具有在没有仪器的情况下产生零密封的特性,以及具有仪器直径范围的仪器的仪器密封。 该阀可以包括凝胶,优选地包括由弹性体和提供大于1000%的伸长率和小于5肖氏A的硬度的油的超细颗粒。单个阀可用作手动口,其中仪器包括外科医生的手臂 ,从而提供手进入空腔。 用于制造外科进入装置的方法包括胶凝剂与油的组合,优选在模制过程中。 一种使用该装置的方法包括用该仪器产生开口的步骤。 在特定的过程中,器官可以通过单个阀从体腔中移除,以在器官在体腔外部寻址时产生器官密封。 该阀和方法特别适用于腹腔镜手术,其中腹腔用气体吹入,因此需要零密封,器械密封和器官密封。
    • 9. 发明授权
    • Suture securing device and method
    • 缝线固定装置及方法
    • US07625387B2
    • 2009-12-01
    • US10702871
    • 2003-11-05
    • Matthew A. WixeyCharles C. HartPayam Adlparvar
    • Matthew A. WixeyCharles C. HartPayam Adlparvar
    • A61B17/04
    • A61B17/0487A61B2017/045A61B2017/0488
    • The invention is directed to a device and method for securing a passed surgical suture in a manner similar to a tied knot. The suture securing device comprises a male piece having a top portion, a center shaft having one end connected to the top portion, and an end member having a capturing feature connected to another end of the center shaft; and a female piece having a top end and a bottom end comprising a column being generally cylindrical in shape and forming a hollow opening along its length, wherein the opening slidingly receives the center shaft and a suture to be captured and held by the capturing feature, the suture being secured in place between the column and the center shaft. The assembled male and female pieces are irreversibly interlocked and form a lightly compressed, convoluted or tortuous pathway. The capturing feature is formed to engage and obliquely capture the suture from different angles.
    • 本发明涉及一种用于以类似于束缚结的方式固定通过的手术缝合线的装置和方法。 所述缝合线固定装置包括:阳件,其具有顶部,中心轴的一端连接到所述顶部;以及端部构件,其具有连接到所述中心轴的另一端的捕获特征; 以及具有顶端和底端的阴件,其包括通常为圆柱形的柱,并且沿着其长度形成中空的开口,其中所述开口滑动地接收所述中心轴和缝合线以被所述捕获特征捕获和保持, 缝合线被固定在柱和中心轴之间的适当位置。 组合的阳性和阴性片段是不可逆地互锁的并且形成轻微压缩,褶皱或曲折的路径。 捕获特征被形成为从不同的角度接合并倾斜地捕获缝合线。