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    • 1. 发明申请
    • SURGICAL INSTRUMENT ACCESS DEVICE
    • 手术仪器接入装置
    • US20070151566A1
    • 2007-07-05
    • US11564409
    • 2006-11-29
    • Henry KahlePayam AdlparvarGary Johnson
    • Henry KahlePayam AdlparvarGary Johnson
    • A61B19/08
    • 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接合或模制。保护套可以是单个管状构件,或者可以包括多个轴向延伸的具有多个轴向狭缝的套筒构件。保护套和盖环可以 包括相同或不同的材料。外科进入装置还包括至少一个支撑环,所述至少一个支撑环设置在形成中空空间的阀的圆周上,以及可操作地放置在中空空间中的缠绕牵开器。 卷绕卷收器包括内环,外圈和连接内圈和外圈的柔性套管。
    • 2. 发明申请
    • Surgical instrument access device
    • 手术器械进入装置
    • US20050059865A1
    • 2005-03-17
    • US10666579
    • 2003-09-17
    • Henry KahlePayam AdlparvarGary Johnson
    • Henry KahlePayam AdlparvarGary Johnson
    • A61B17/00A61B17/34A61B1/32
    • 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。
    • 3. 发明申请
    • Medical tubing having variable characteristics and method of making same
    • 具有可变特性的医用管及其制造方法
    • US20050165366A1
    • 2005-07-28
    • US10766138
    • 2004-01-28
    • John BrustadSaid HilalNabil HilalCharles HartGary JohnsonSerene HilalGhassan SakakineDonald GadberryEdward PingletonMatthew PetrimePayam AdlparvarCarl HadleyKenneth Vu
    • John BrustadSaid HilalNabil HilalCharles HartGary JohnsonSerene HilalGhassan SakakineDonald GadberryEdward PingletonMatthew PetrimePayam AdlparvarCarl HadleyKenneth Vu
    • A61B17/00A61B17/34A61M25/00A61M5/00
    • A61M25/0012A61B1/0011A61B1/0055A61B17/3421A61B2017/003A61M25/0043
    • 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.
    • 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
    • Shielded septum trocar seal
    • 屏蔽隔离套管针密封
    • US20050131349A1
    • 2005-06-16
    • US11000123
    • 2004-11-30
    • Jeremy AlbrechtGary JohnsonHenry Kahle
    • Jeremy AlbrechtGary JohnsonHenry Kahle
    • A61B17/34A61M39/06A61M5/178
    • A61B17/34A61B17/3496A61B17/3498
    • 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.
    • 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。
    • 8. 发明申请
    • Bladeless optical obturator
    • 无光学光学闭孔器
    • US20050065543A1
    • 2005-03-24
    • US10956167
    • 2004-10-01
    • Henry KahleArkadiusz StrokoszKimball McGinleyScott TaylorGary JohnsonJohn Brustad
    • Henry KahleArkadiusz StrokoszKimball McGinleyScott TaylorGary JohnsonJohn Brustad
    • A61B20060101A61B17/00A61B17/32A61B17/34A61B19/00
    • A61B17/3417A61B1/3132A61B17/3415A61B17/3421A61B17/3423A61B17/3462A61B17/3468A61B17/3474A61B17/3478A61B17/3496A61B90/361A61B90/92A61B2017/0046A61B2017/00477A61B2017/00907A61B2017/320044A61B2017/3425A61B2017/3445A61B2017/3456A61B2017/346A61B2017/3464A61B2017/347A61B2090/3937
    • The invention is directed to a bladeless trocar obturator to separate or divaricate body tissue during insertion through a body wall. In one aspect, the obturator of the invention comprises a shaft extending along an axis between a proximal end and a distal end; and a bladeless tip disposed at the distal end of the shaft and having a generally tapered configuration with an outer surface, the outer surface extending distally to a blunt point with a pair of side sections having a common shape and being separated by at least one intermediate section, wherein each of the side sections extends from the blunt point radially outwardly with progressive positions proximally along the axis, and the shaft is sized and configured to receive an optical instrument having a distal end to receive an image of the body tissue. With this aspect, the tapered configuration facilitates separation of different layers of the body tissue and provides proper alignment of the tip between the layers. The side sections include a distal portion and a proximal portion, the distal portion of the side sections being twisted radially with respect to the proximal portion of the side sections. The intermediate section includes a distal portion and a proximal portion, the distal portion of the intermediate section being twisted in a first radial direction and the proximal portion of the intermediate section being twisted in a second radial direction opposite the first radial direction.
    • 本发明涉及一种无插管套管针闭塞器,用于在插入穿过体壁时分离或分离身体组织。 一方面,本发明的闭孔器包括沿着近端和远端之间的轴延伸的轴; 以及设置在所述轴的远端处并且具有大致锥形构造并具有外表面的无叶尖,所述外表面向远侧延伸到钝点,一对侧部具有共同的形状并且被至少一个中间体 其中每个所述侧部分从所述钝点径向向外延伸,并具有沿所述轴向近端的渐进位置,并且所述轴的尺寸和构造用于容纳具有远端以接收所述身体组织的图像的光学仪器。 通过这个方面,锥形配置便于分离身体组织的不同层,并提供顶层在层之间的适当对准。 侧部包括远端部分和近端部分,侧部分的远侧部分相对于侧部部分的近端部分径向扭转。 中间部分包括远端部分和近端部分,中间部分的远端部分在第一径向方向上扭转,并且中间部分的近端部分在与第一径向方向相反的第二径向扭转。