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1. 发明授权

US08758236B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US08758236B2
公开(公告)日：2014-06-24
申请号：US13467825
申请日：2012-05-09
申请人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
发明人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
IPC分类号： A61B1/32 , A61B17/02
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要： A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译：用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。缩回装置可以包括可展开的可调节框架，其支撑护套，并且与护套一起缩回切口。缩回装置可以包括外环和耦合到护套的相对端的内环，并且还包括用于将护套放置在内环和外环之间的张力的装置，从而缩回切口。

2. 发明申请

US20120289785A1 WOUND RETRACTOR 有权
标题翻译：绕线器
公开(公告)号：US20120289785A1
公开(公告)日：2012-11-15
申请号：US13467825
申请日：2012-05-09
申请人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
发明人： Jeremy J. Albrecht , Charles C. Hart , Eric Nguyen , Haruyasu Yawata , Nabil Hilal
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要： A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译：用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。缩回装置可以包括可展开的可调节框架，其支撑护套，并且与护套一起缩回切口。缩回装置可以包括外环和耦合到护套的相对端的内环，并且还包括用于将护套放置在内环和外环之间的张力的装置，从而缩回切口。

3. 发明申请

US20100249527A1 HAND ACCESS LAPAROSCOPIC DEVICE 有权
标题翻译：手持式手术器械
公开(公告)号：US20100249527A1
公开(公告)日：2010-09-30
申请号：US12815986
申请日：2010-06-15
申请人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
发明人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
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： 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平齐，减少了通过吹入患者腹部产生的“穹隆”现象。

4. 发明申请

US20110112374A1 HAND ACCESS LAPAROSCOPIC DEVICE 有权
标题翻译：手持式手术器械
公开(公告)号：US20110112374A1
公开(公告)日：2011-05-12
申请号：US13006727
申请日：2011-01-14
申请人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
发明人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
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： 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平齐，减少了通过吹入患者腹部产生的“穹隆”现象。

5. 发明授权

US07591802B2 Seal housing having anti-inversion features 有权
标题翻译：密封外壳具有防反转功能
公开(公告)号：US07591802B2
公开(公告)日：2009-09-22
申请号：US11119189
申请日：2005-04-29
申请人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
发明人： Gary M. Johnson , Jeremy J. Albrecht , Nabil Hilal , Charles C. Hart
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/34 , A61B17/3417 , A61B17/3462 , A61B2017/3464 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/0646 , A61M2039/0653
摘要： The invention is directed to a trocar adapted to form a seal around a surgical instrument, the trocar comprising a cannula having an axis extending between a proximal end and a distal end; a housing having a proximal wall and forming with the cannula a working channel sized and configured to receive the instrument; a septum seal disposed in the housing and extending transverse to the axis of the cannula across the working channel, the septum seal having a normal state when the instrument is absent from the working channel and a stretched state when the instrument is being withdrawn from the working channel; portions of the proximal wall of the housing defining an orifice sized and configured to receive the instrument into the working channel; and an elastomeric ring-shaped projection extending axially distally between the proximal wall and the septum seal, the ring-shaped projection having an axial length adapted to deform to prevent inversion and binding of the septum seal and the orifice upon withdrawal of the surgical instrument. In particular, the septum seal is prevented from reaching the orifice in the proximal wall of the housing when the instrument is withdrawn. The projection may be bonded, insert-molded, or compressively fitted to the proximal wall of the housing. The projection may be formed of an elastomeric material such as natural or synthetic rubber. The projection may further comprise a plurality of portions or fingers extending axially distally from the proximal wall, each of the extending portions or fingers may further include a living hinge. In another aspect, the ring-shaped projection may be formed on the surface of the septum seal instead of the proximal wall of the housing. That is, the ring-shaped projection may be formed to extend axially proximally from the surface of the septum seal toward the proximal wall of the housing.
摘要翻译：本发明涉及适于在外科器械周围形成密封的套针针，套管针包括具有在近端和远端之间延伸的轴线的插管; 壳体，其具有近侧壁并与套管形成工作通道，工作通道的尺寸和构造用于接收仪器; 隔膜密封件，其设置在壳体中并且跨过工作通道横向于套管的轴线延伸，当仪器不在工作通道中时，隔膜密封件具有正常状态，并且当仪器从工作通道中撤出时的拉伸状态渠道; 壳体的近侧壁的部分限定了尺寸和构造成将仪器接纳到工作通道中的孔口; 以及在近端壁和隔膜密封件之间沿轴向向远侧延伸的弹性环形突起，所述环形突起具有适于变形的轴向长度，以防止在外科器械撤回时隔垫密封件和孔口的反转和结合。特别地，当取出仪器时，防止隔垫密封件到达外壳近端的孔口。突起可以被接合，嵌入成型或压缩地装配到壳体的近侧壁。突起可以由弹性体材料形成，例如天然或合成橡胶。突出部还可以包括从近侧壁向轴向延伸的多个部分或手指，每个延伸部分或手指还可包括活动铰链。另一方面，环形突起可以形成在隔膜密封件的表面上而不是壳体的近侧壁上。也就是说，环形突起可以形成为从隔膜密封件的表面朝向壳体的近侧壁的轴向向近侧延伸。

6. 发明授权

US08647265B2 Hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术
公开(公告)号：US08647265B2
公开(公告)日：2014-02-11
申请号：US13006727
申请日：2011-01-14
申请人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
发明人： John R. Brustad , Jeremy J. Albrecht , Nabil Hilal , Gary M. Johnson , Charles C. Hart
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： 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平齐，减少了通过吹入患者腹部产生的“穹隆”现象。

7. 发明授权

US07913697B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US07913697B2
公开(公告)日：2011-03-29
申请号：US12693242
申请日：2010-01-25
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
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。

8. 发明授权

US07650887B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US07650887B2
公开(公告)日：2010-01-26
申请号：US10516198
申请日：2003-06-03
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes, II , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes, II , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
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。

9. 发明授权

US08973583B2 Wound retractor 有权
标题翻译：伤口牵开器
公开(公告)号：US08973583B2
公开(公告)日：2015-03-10
申请号：US13533453
申请日：2012-06-26
申请人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
发明人： Eric Nguyen , Donald L. Gadberry , Gary M. Johnson , Charles C. Hart , John R. Brustad , Robert R. Bowes , Jeremy J. Albrecht , Ghassan Sakakine , Henry Kahle
IPC分类号： A61F13/00
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 (500), having a first ring (504) with a diameter greater than the desired diameter of the wound incision, a flexible second ring (502), having a lumen and a diameter greater than the desired diameter of the wound incision, and a flexible sleeve (506), disposed in a generally cylindrical form between the first and second rings (502, 504), where the second ring may be rolled over itself to provide a sleeve with a radical retraction force sufficient to stretch the incision to the desired diameter.
摘要翻译：一种可增加可调的伤口牵开器（500），具有直径大于所述伤口切口所需直径的第一环（504），具有大于所述直径的所需直径的内腔和直径的柔性第二环（502）以及柔性套筒（506），其以大致圆柱形的形式设置在第一和第二环（502,504）之间，其中第二环可以在其自身上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。

10. 发明授权

US08939946B2 Balloon trocar 有权
标题翻译：气球套管针
公开(公告)号：US08939946B2
公开(公告)日：2015-01-27
申请号：US13438566
申请日：2012-04-03
申请人： Jeremy J. Albrecht , Gigi Au , Eric Nguyen , Donald L. Gadberry , John R. Brustad , Gary M. Johnson , Charles C. Hart
发明人： Jeremy J. Albrecht , Gigi Au , Eric Nguyen , Donald L. Gadberry , John R. Brustad , Gary M. Johnson , Charles C. Hart
IPC分类号： A61M5/00 , A61B17/34 , A61M5/175 , A61B17/02 , A61B17/00
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。气囊膨胀，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在适当位置以用压缩气囊密封切口。

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