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1. 发明授权

US08147458B2 Multi-seal trocar system 有权
标题翻译：多密封套管针系统
公开(公告)号：US08147458B2
公开(公告)日：2012-04-03
申请号：US12208000
申请日：2008-09-10
申请人： Charles C Hart , John R Brustad , Nabil Hilal , Said Hilal
发明人： Charles C Hart , John R Brustad , Nabil Hilal , Said Hilal
IPC分类号： A61M5/178
CPC分类号： A61B17/3462 , A61B2017/3464
摘要： A multi-seal trocar system includes a plurality of co-axial sealing elements adapted for forming a seal with either a large or small instrument. Small and large sealing elements are disposed in an in-line arrangement such that a-single port is provided for instrument insertion. A zero seal is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element is configured such that insertion of a large instrument automatically moves the small sealing element out of its path, thereby avoiding contact with the large instrument.
摘要翻译：多密封套管针系统包括适于与大型或小型仪器形成密封件的多个同轴密封元件。小型和大型密封元件以串联布置设置，使得提供用于仪器插入的单个端口。零密封件被设置在密封元件的远侧以密封系统的工作通道，并且当没有插入仪器时防止回流。小密封元件被构造成使得大型仪器的插入自动地将小密封元件移出其路径，从而避免与大型仪器接触。

2. 发明授权

US5954732A Suturing apparatus and method 失效
标题翻译：缝合装置及方法
公开(公告)号：US5954732A
公开(公告)日：1999-09-21
申请号：US926875
申请日：1997-09-10
申请人： Charles C. Hart , Brett Trauthen , Nabil Hilal , Said Hilal , Bounsavanh Pravongviengkham
发明人： Charles C. Hart , Brett Trauthen , Nabil Hilal , Said Hilal , Bounsavanh Pravongviengkham
IPC分类号： A61B17/00 , A61B17/04
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0483 , A61B17/0057 , A61B17/0482 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472
摘要： A suturing apparatus adapted to close an incision and an anterior tissue wall includes an elongate support structure having an axis extending between a proximal end and distal end. A receiver disposed at the distal end is insertable through the incision in a low-profile state and expanded to a high-profile state on the far side of the tissue wall. Needles carried by the support structure are operable to extend through the support wall on either side of the incision and into the expanded receiver. Sutures advanced through the needles are captured by the receiver after the needles are removed and the receiver is returned to its low-profile state. Removal of the suturing apparatus from the incision draws the captured suture ends outwardly through the incision. A novel suture knot can be tied in the four suture ends and moved into proximity with the tissue wall to close the incision.
摘要翻译：适于闭合切口和前组织壁的缝合装置包括具有在近端和远端之间延伸的轴线的细长支撑结构。设置在远端的接收器可以通过切口以低轮廓状态插入，并且在组织壁的远侧扩展到高轮廓状态。由支撑结构承载的针可操作地延伸穿过切口两侧的支撑壁并进入扩展的接收器。在针被移除并且接收器返回到其低调状态之后，穿过针的缝合线被接收器捕获。从缝合处去除缝合装置通过切口将捕获的缝线端向外拉。一条新颖的缝合结可以绑在四条缝线端上，并移动到组织壁附近以封闭切口。

3. 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。

4. 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。

5. 发明申请

US20050165366A1 Medical tubing having variable characteristics and method of making same 审中-公开
标题翻译：具有可变特性的医用管及其制造方法
公开(公告)号：US20050165366A1
公开(公告)日：2005-07-28
申请号：US10766138
申请日：2004-01-28
申请人： John Brustad , Said Hilal , Nabil Hilal , Charles Hart , Gary Johnson , Serene Hilal , Ghassan Sakakine , Donald Gadberry , Edward Pingleton , Matthew Petrime , Payam Adlparvar , Carl Hadley , Kenneth Vu
发明人： John Brustad , Said Hilal , Nabil Hilal , Charles Hart , Gary Johnson , Serene Hilal , Ghassan Sakakine , Donald Gadberry , Edward Pingleton , Matthew Petrime , Payam Adlparvar , Carl Hadley , Kenneth Vu
IPC分类号： A61B17/00 , A61B17/34 , A61M25/00 , A61M5/00
CPC分类号： A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要： The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may be formed of a thermoplastic or a thermoset material. The ring-shaped elements may include plastic rings, metallic rings, un-reinforced plastic rings and/or metal reinforced plastic rings assembled along the length of the tubular structure to provide variable flexibility and kink-resistance. The tubular structure may have a cross-section of any geometric shape and it may be bent, twisted or curved without kinking. The ring-shaped elements may have different flexural modulus. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. The ring-shaped elements may be metallic and may be bonded with a resilient, flexible elastomeric adhesive, wherein the ring-shaped elements may have different lengths and may be fused closer or further apart to one another depending on the characteristics of a portion or section of the tubing. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. The ring-shaped elements may be truncated to provide a bending bias. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure. In yet another aspect of the invention, some of the ring-shaped elements may be radiopaque, or the ring-shaped elements may comprise of different colors to operate as indicators along the tubular structure.
摘要翻译：本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。管道包括多个单独的离散的大体环形元件，其串联布置并且熔合或粘合在一起形成连续的管状结构。环形元件可以由热塑性材料或热固性材料形成。环形元件可以包括沿着管状结构的长度组装的塑料环，金属环，未增强塑料环和/或金属增强塑料环，以提供可变的柔性和抗扭结性。管状结构可以具有任何几何形状的横截面，并且其可以弯曲，扭曲或弯曲而没有扭结。环形元件可以具有不同的弯曲模量。环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。环形元件可以是金属的并且可以用弹性的柔性弹性体粘合剂粘合，其中环形元件可以具有不同的长度，并且可以根据部分或部分的特性彼此靠近或更远地彼此熔合的管道。在本发明的另一方面，医疗管道还可包括用于控制管状结构的次管腔和拉线。环形元件可以被截断以提供弯曲偏压。在本发明的另一方面，环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。在本发明的另一方面，一些环形元件可以是不透射线的，或者环形元件可以包括不同颜色以作为沿着管状结构的指示器。

6. 发明申请

US20050033342A1 Multi-seal trocar system 有权
标题翻译：多密封套管针系统
公开(公告)号：US20050033342A1
公开(公告)日：2005-02-10
申请号：US10495671
申请日：2001-11-13
申请人： Charles Hart , John Brustad , Nabil Hilal , Said Hilal
发明人： Charles Hart , John Brustad , Nabil Hilal , Said Hilal
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B2017/3464
摘要： A multi-seal trocar system (10) includes a plurality of co-axial sealing elements (30 60,80) adapted for forming a seal with either a large or small instrument. Small and large scaling elements (45,62) are disposed in an in-line arrangement such that a single port is provided for instrument insertion. A zero seal (80) is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted The small sealing element (45) is configured such that insertion of a large instrument automatically moves the small sealing element (45) out of its path, thereby avoiding contact with the large instrument
摘要翻译：多密封套管针系统（10）包括适于与大型或小型仪器形成密封件的多个同轴密封元件（30,60,80）。小型和大型缩放元件（45,62）以串联排列设置，使得提供用于仪器插入的单个端口。零密封件（80）被设置在密封元件的远侧以密封系统的工作通道，并且当没有仪器被插入时防止回流。小密封元件（45）构造成使得大型仪器的插入自动地移动小型密封元件（45）脱离其路径，从而避免与大型仪器接触

7. 发明授权

US08562598B2 Electrosurgical system 有权
标题翻译：电外科系统
公开(公告)号：US08562598B2
公开(公告)日：2013-10-22
申请号：US12416668
申请日：2009-04-01
申请人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号： A61B18/18 , A61B18/14
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要翻译：电外科系统可以包括电外科发生器，反馈电路或控制器以及电外科手术工具。反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。电外科系统可以包括多个用于不同电外科手术的电外科工具，并且可以包括各种用户界面特征和音频/视觉性能指标。电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。

8. 发明授权

US08118785B2 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：US08118785B2
公开(公告)日：2012-02-21
申请号：US11423741
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。

9. 发明申请

US20090248022A1 ELECTROSURGICAL SYSTEM 有权
标题翻译：电磁系统
公开(公告)号：US20090248022A1
公开(公告)日：2009-10-01
申请号：US12416695
申请日：2009-04-01
申请人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人： Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated.
摘要翻译：提供相位终点确定以自动停止向组织施加能量。在施加能量之前，通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。

10. 发明申请

US20090005739A1 MULTI-SEAL TROCAR SYSTEM 有权
标题翻译：多密封系统
公开(公告)号：US20090005739A1
公开(公告)日：2009-01-01
申请号：US12208000
申请日：2008-09-10
申请人： Charles C. Hart , John R. Brustad , Nabil Hilal , Said S. Hilal
发明人： Charles C. Hart , John R. Brustad , Nabil Hilal , Said S. Hilal
IPC分类号： A61B17/34
CPC分类号： A61B17/3462 , A61B2017/3464
摘要： A multi-seal trocar system includes a plurality of co-axial sealing elements adapted for forming a seal with either a large or small instrument. Small and large sealing elements are disposed in an in-line arrangement such that a-single port is provided for instrument insertion. A zero seal is disposed distally of the sealing elements to seal a working channel of the system and to prevent backflow when no instruments are inserted. The small sealing element is configured such that insertion of a large instrument automatically moves the small sealing element out of its path, thereby avoiding contact with the large instrument.
摘要翻译：多密封套管针系统包括适于与大型或小型仪器形成密封件的多个同轴密封元件。小型和大型密封元件以串联布置设置，使得提供用于仪器插入的单个端口。零密封件被设置在密封元件的远侧以密封系统的工作通道，并且当没有插入仪器时防止回流。小密封元件构造成使得大型仪器的插入自动地将小密封元件移动到其路径之外，从而避免与大型仪器接触。

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