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1. 发明申请

US20060161190A1 Disposable laparoscopic instrument 审中-公开
标题翻译：一次性腹腔镜仪
公开(公告)号：US20060161190A1
公开(公告)日：2006-07-20
申请号：US11334027
申请日：2006-01-18
申请人： Donald Gadberry , Gary Johnson , Jeremy Albrecht , David Okihisa , Said Hilal , Arkadiusz Strokosz
发明人： Donald Gadberry , Gary Johnson , Jeremy Albrecht , David Okihisa , Said Hilal , Arkadiusz Strokosz
IPC分类号： A61B17/32 , A61B17/28
CPC分类号： A61B17/29 , A61B10/06 , A61B17/1608 , A61B17/3201 , A61B18/1445 , A61B2017/0023 , A61B2017/2902 , A61B2017/292 , A61B2017/2929 , A61B2017/2934 , A61B2017/2936 , A61B2017/294 , A61B2017/2945 , A61B2018/1432
摘要： The invention is directed to a surgical instrument including a handle assembly and a shaft assembly. The handle assembly further includes a fixed handle and a pivoting handle. The shaft assembly extends from the handle assembly and further includes an outer tube and an inner actuation rod that slides coaxially with the outer tube. The shaft assembly includes a rotatable knob to provide 360° rotation. The actuation rod has a proximal end and a distal end; the proximal end has a ball end that couples with the pivoting handle to form a rotatable ball-and-socket joint. The outer tube is formed of plastic and fits over the actuation rod to function as an electrical insulator.
摘要翻译：本发明涉及一种包括手柄组件和轴组件的手术器械。手柄组件还包括固定手柄和枢转手柄。轴组件从手柄组件延伸，并且还包括与外管同轴滑动的外管和内致动杆。轴组件包括可旋转旋钮以提供360度旋转。致动杆具有近端和远端; 近端具有与枢转手柄耦合的球端，以形成可旋转的球窝接头。外管由塑料制成，并配合在致动杆上，用作电绝缘体。

2. 发明申请

US20080086074A1 VISUAL INSUFFLATION PORT 有权
标题翻译：视觉消毒口
公开(公告)号：US20080086074A1
公开(公告)日：2008-04-10
申请号：US11868883
申请日：2007-10-08
申请人： Scott Taylor , Paul Balschweit , Jeremy Albrecht , Gary Johnson , Said Hilal , Zoran Falkenstein
发明人： Scott Taylor , Paul Balschweit , Jeremy Albrecht , Gary Johnson , Said Hilal , Zoran Falkenstein
IPC分类号： A61M13/00 , A61B1/01 , A61M25/01
CPC分类号： A61B17/3474 , A61B1/0008 , A61B1/00154 , A61B1/015 , A61B1/127 , A61B1/3132 , A61B17/3498 , A61B90/361 , A61B2017/00907 , A61B2017/3441 , A61B2017/3454 , A61B2017/3456 , A61B2017/346 , A61M13/003
摘要： A visual insufflation obturator is provided. The obturator includes seals, valves, screens and/or various other tip features to eliminate the ingress of fluids, matter and/or gas that can disrupt the visual field of the laparoscope disposed within the obturator. The obturator provides additional features such as lens and anti-fog features to further increase visibility of the scope, efficiently insufflate the patient and ultimately provide an access channel into the insufflated abdomen once the visual insufflation obturator is removed.
摘要翻译：提供视觉吹气闭孔器。闭孔器包括密封件，阀门，筛网和/或各种其它尖端特征，以消除流体，物质和/或气体的进入，这些流体，物质和/或气体可能破坏设置在闭孔器内的腹腔镜的视野。闭孔器提供了额外的特征，例如镜片和防雾功能，以进一步提高镜架的可视性，有效地填充患者，并且一旦去除了视觉注射闭孔器，就最终提供进入吸入腹腔的通道。

3. 发明申请

US20070185387A1 Split hoop wound retractor with gel pad 有权
标题翻译：分体箍卷绕牵引器与凝胶垫
公开(公告)号：US20070185387A1
公开(公告)日：2007-08-09
申请号：US11548758
申请日：2006-10-12
申请人： Jeremy Albrecht , Jennifer Ko , Gary Johnson , John Brustad , Donald Gadberry
发明人： Jeremy Albrecht , Jennifer Ko , Gary Johnson , John Brustad , Donald Gadberry
IPC分类号： A61B1/32
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 placed 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，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。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。

4. 发明申请

US20070239108A1 Balloon trocar 有权
标题翻译：气球套管针
公开(公告)号：US20070239108A1
公开(公告)日：2007-10-11
申请号：US11374188
申请日：2006-03-13
申请人： Jeremy Albrecht , Gigi Au , Eric Nguyen , Donald Gadberry , John Brustad , Gary Johnson , Charles Hart
发明人： Jeremy Albrecht , Gigi Au , Eric Nguyen , Donald Gadberry , John Brustad , Gary Johnson , Charles Hart
IPC分类号： A61M29/00 , A61M5/178
CPC分类号： A61B17/3417 , A61B17/0218 , A61B17/3415 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/00477 , A61B2017/00557 , A61B2017/22051 , A61B2017/3419 , A61B2017/3433 , A61B2017/3445 , A61B2017/347 , A61B2017/3486 , A61B2017/3488 , A61B2017/349 , A61J15/0053 , A61M25/04 , A61M39/0247 , A61M39/06 , A61M2039/0261 , A61M2039/0273 , A61M2039/0279 , A61M2039/0294 , A61M2039/062 , A61M2039/0626 , A61M2039/0686
摘要： A balloon trocar includes a cannula assembly including a cannula and an outer sleeve fitting over the cannula. The distal end of the outer sleeve is proximal to the distal end of the cannula. A balloon is coupled to a distal portion of the sleeve and a distal portion of the cannula. The outer surface of the cannula includes a plurality of longitudinal channels for transmitting gas or fluid to the balloon. A bolster having a gel pad at its distal portion is slidably mounted to the cannula assembly and may be locked in a desired position. In use, the trocar is inserted into an incision through a body wall and into a body cavity. The balloon is inflated and the cannula assembly pulled proximally against the incision while the bolster is slid distally to the body wall and locked in place to seal the incision with the compressed balloon.
摘要翻译：气球套管针包括插管组件，其包括套管和套管上的外套管。外套筒的远端靠近套管的远端。气囊联接到套管的远端部分和套管的远端部分。套管的外表面包括用于将气体或流体传送到球囊的多个纵向通道。在其远端部分具有凝胶垫的枕头可滑动地安装到套管组件上并且可以锁定在期望的位置。在使用中，套针针通过体壁插入切口并进入体腔。气囊被充气，并且套管组件向近侧拉动抵靠切口，同时将垫片向远侧滑动到体壁并锁定到位以用压缩气囊密封切口。

5. 发明申请

US20070088204A1 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：US20070088204A1
公开(公告)日：2007-04-19
申请号：US11548781
申请日：2006-10-12
申请人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson , Jennifer Ko , Donald Gadberry
发明人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson , Jennifer Ko , Donald Gadberry
IPC分类号： A61B1/32
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，每个管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。

6. 发明申请

US20050241647A1 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US20050241647A1
公开(公告)日：2005-11-03
申请号：US10516198
申请日：2003-06-03
申请人： Eric Nguyen , Donald Gadberry , Gary Johnson , Charles Hart , John Brustad , Robert Bowes , Jeremy Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald Gadberry , Gary Johnson , Charles Hart , John Brustad , Robert Bowes , Jeremy Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61B17/02 , A61B17/34 , A61B19/08 , A61F13/00 , A61L31/00
CPC分类号： A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B17/3423 , A61B17/3498 , A61B2017/00889 , A61B2017/00938 , A61B2017/0225 , A61B2017/3419 , A61B2017/3435
摘要： An incrementally adjustable wound retractor (100), having a first ring (102) with a diameter greater than the desired diameter of the wound incision. A second ring (104), having an annular axis and a diameter greater than the desired diameter of the wound incision. A flexible sleeve (106), disposed in a generally cylindrical form between the first and second rings (102, 104), the second ring may be rolled over itself and around the annular axis to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译：一种增量可调的伤口牵开器（100），具有直径大于所述伤口切口所需直径的第一环（102）。第二环（104），其具有环形轴线和直径大于所述伤口切口的期望直径。柔性套筒（106）以大致圆柱形的形式设置在第一和第二环（102,104）之间，第二环可绕其自身并围绕环形轴线滚动以提供具有足以拉伸的自由基缩回力的套筒切口至所需直径。

7. 发明申请

US20070088241A1 Hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术
公开(公告)号：US20070088241A1
公开(公告)日：2007-04-19
申请号：US11548955
申请日：2006-10-12
申请人： John Brustad , Jeremy Albrecht , Nabil Hilal , Gary Johnson , Charles Hart
发明人： John Brustad , Jeremy Albrecht , Nabil Hilal , Gary Johnson , Charles Hart
IPC分类号： A61F13/00
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： The invention relates to a hand access laparoscopy device having a gelcap, a retainer, a sleeve and a retention ring The gelcap includes gel that is bonded to a cap. The cap includes an inner cylindrical wall to which the gel in bonded, thereby providing a sealing area between the device and the wound in a body wall. By securing the gel to the inner cylindrical wall, the thickness of the gel and corresponding cap is minimized along with the overall footprint of the device. With the gel thickness reduced and able to be substantially flush, the “doming” phenomenon produced by insufflation of a patient's abdomen is reduced
摘要翻译：本发明涉及具有凝胶帽，保持器，套筒和保持环的手动腹腔镜装置。凝胶帽包括结合到帽的凝胶。该盖包括内部圆柱形壁，凝胶粘合到该内壁上，由此在该体壁中在该装置和该伤口之间提供密封区域。通过将凝胶固定到内圆柱形壁上，凝胶和相应的盖的厚度与装置的总体占地面积最小化。随着凝胶厚度降低并且能够基本上齐平，通过吹入患者腹部产生的“穹隆”现象减少

8. 发明申请

US20050288622A1 Insufflating optical surgical instrument 有权
标题翻译：吸入光学手术器械
公开(公告)号：US20050288622A1
公开(公告)日：2005-12-29
申请号：US11170567
申请日：2005-06-29
申请人： Jeremy Albrecht , John Brustad , Scott Taylor , Gary Johnson , Nabil Hilal
发明人： Jeremy Albrecht , John Brustad , Scott Taylor , Gary Johnson , Nabil Hilal
IPC分类号： A61B17/34 , A61B19/00 , A61M37/00
CPC分类号： A61M13/003 , A61B1/06 , A61B17/3417 , A61B17/3462 , A61B17/3474 , A61B17/3494 , A61B90/361 , A61B2017/3454 , A61B2017/346 , A61B2017/349 , A61M2202/0007 , A61M2202/02 , A61M2202/0468 , A61M2205/3337
摘要： An insufflating surgical instrument adapted for movement across an abdominal wall to insufflate an abdominal region of a patient is disclosed comprising a shaft having an insufflation channel extending along an axis between a proximal end and a distal end, the insufflation channel being adapted for connection to a source of fluid under pressure at the proximal end, a tip at the distal end of the shaft, and at least one vent hole formed at the tip or the shaft being in connection with the insufflation channel and being adapted to expel the fluid under pressure to insufflate the abdominal region. At least one of the tip and the shaft is formed of a translucent or transparent material such as polycarbonate to facilitate visualization of the abdominal wall and the abdominal region. The shaft includes a lumen extending along the axis between the proximal end and the distal end to enable insertion of a laparoscope. The lumen and insufflation channel may be formed as separate channels or as one shared channel. The tip may be blunt, the shaft and the tip may be integrally formed, and the vent hole may be of any geometric shape including round, oval, square and rectangular. The blunt tip may further comprise a marker to indicate penetration of the abdominal wall. In another aspect, the tip may be sharp, pointed or bladed to facilitate penetration of body tissue.
摘要翻译：公开了一种适于穿过腹壁移动以吹入患者腹部区域的吹入式手术器械，包括具有沿近端和远端之间的轴延伸的吹入通道的轴，所述吹入通道适于连接到在近端处于压力下的流体源，在轴的远端处的尖端，以及形成在尖端处的至少一个通气孔或与吹气通道连接的至少一个通气孔，并且适于在压力下将流体排出灌注腹部区域。至少前端和轴中的一个被一半透明或透明的材料形成，诸如聚碳酸酯，以便于腹壁和腹部区域的可视化。轴包括沿近端和远端之间的轴线延伸的腔，以能够插入腹腔镜。管腔和吹气通道可以形成为单独通道或一个共享通道。尖端可以是钝的，在轴和尖端可以一体地形成，并且所述通风孔可以是任何几何形状，包括圆形，椭圆形，方形和矩形的。钝尖可以进一步包括指示腹壁穿透的标记。在另一方面，尖端可以是尖锐的，尖的或叶片的，以便于穿透身体组织。

9. 发明申请

US20050131349A1 Shielded septum trocar seal 审中-公开
标题翻译：屏蔽隔离套管针密封
公开(公告)号：US20050131349A1
公开(公告)日：2005-06-16
申请号：US11000123
申请日：2004-11-30
申请人： Jeremy Albrecht , Gary Johnson , Henry Kahle
发明人： Jeremy Albrecht , Gary Johnson , Henry Kahle
IPC分类号： A61B17/34 , A61M39/06 , A61M5/178
CPC分类号： A61B17/34 , A61B17/3496 , A61B17/3498
摘要： The invention is directed to a trocar assembly having a channel defined along an elongate axis, the trocar assembly being adapted to receive a surgical instrument, the trocar assembly comprising a septum seal disposed in the channel including a seal tip having a proximal facing surface, the seal tip including portions defining an orifice; and a septum shield including a tubular member having a proximal end and a distal end, and a plurality of blades or leaflets protruding distally from the distal end of the tubular member, the septum shield being placed inside the septum seal such that the blades engage the proximal facing surface of the seal tip. The trocar assembly may further comprise a zero closure seal such as a double duckbill valve disposed in the channel outside of the septum seal. The septum shield operates to reduce the drag force and to minimize axial movement of the septum shield and the instrument during insertion and removal of the instrument through the septum seal. The septum shield may be formed from a rigid plastic material, and the septum seal may be formed of an elastomeric material. The blades or leaflets may overlap or offset one another. The orifice may be expandable to accommodate the instrument having a diameter of about 5-15 mm. The blades or leaflets have distal tips that glide or roll against the instrument during placement of the instrument. The distal tips may comprise of a combination of material, durometer and shield geometry to control the behavior of the septum shield. The trocar assembly may further comprise a second septum shield disposed outside of the septum seal.
摘要翻译：本发明涉及具有沿着细长轴线限定的通道的套管针组件，所述套管针组件适于接纳外科器械，所述套管针组件包括设置在所述通道中的隔垫密封件，所述隔膜密封件包括具有近端面的表面的密封末端，密封尖端包括限定孔口的部分; 以及隔膜，其包括具有近端和远端的管状构件，以及从所述管状构件的远端向远侧突出的多个叶片或小叶，所述隔垫被放置在所述隔膜密封件的内部，使得所述叶片接合密封尖端的面向近侧的表面。套管针组件还可以包括零封闭密封件，例如设置在隔膜密封件外部的通道中的双鸭嘴阀。隔垫屏蔽件用于减小阻力并且在通过隔膜密封件插入和移除仪器期间最小化隔膜屏蔽件和仪器的轴向移动。隔垫可以由刚性塑料材料形成，并且隔垫密封件可以由弹性体材料形成。叶片或传单可能彼此重叠或相互抵消。孔口可以是可扩张的，以容纳具有大约5-15mm直径的仪器。叶片或小叶具有在放置仪器期间滑动或滚动仪器的远端尖端。远端尖端可以由材料，硬度和屏蔽几何组合组成，以控制隔膜屏蔽的行为。套管针组件还可以包括设置在隔膜密封件外部的第二隔垫。

10. 发明申请

US20070149859A1 Split hoop wound retractor 有权
标题翻译：分割箍缠绕牵开器
公开(公告)号：US20070149859A1
公开(公告)日：2007-06-28
申请号：US11548765
申请日：2006-10-12
申请人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson
发明人： Jeremy Albrecht , Charles Hart , John Brustad , Gary Johnson
IPC分类号： A61B1/32
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 placed 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，每个包括内腔，其具有放置在其中的刚性，不一致的分割箍。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。

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