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1. 发明申请

US20070085232A1 Method of making a hand access laparoscopic device 有权
标题翻译：手动腹腔镜手术方法
公开(公告)号：US20070085232A1
公开(公告)日：2007-04-19
申请号：US11548746
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： B28B3/02
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。

2. 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。

3. 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

4. 发明申请

US20050113936A1 Surface treatments and modifications using nanostructure materials 审中-公开
标题翻译：使用纳米结构材料的表面处理和修饰
公开(公告)号：US20050113936A1
公开(公告)日：2005-05-26
申请号：US10976506
申请日：2004-10-29
申请人： John Brustad , Nabil Hilal , Gary Johnson , Charles Hart
发明人： John Brustad , Nabil Hilal , Gary Johnson , Charles Hart
IPC分类号： A61B17/00 , A61B17/02 , A61B17/06 , A61B17/064 , A61B17/122 , A61F2/00 , A61F2/02 , A61F2/04 , A61F2/06 , A61F2/24 , B05D3/00 , C09D20060101
CPC分类号： A61B17/064 , A61B17/02 , A61B17/06166 , A61B17/122 , A61B2017/00345 , A61B2017/00858 , A61F2002/0086 , A61L27/30 , A61L31/082 , A61L2400/12 , A61L2400/18
摘要： The invention is directed to nanostructure surface treatments, coatings or modifications formed from nanoscale building blocks. The nanostructure surface treatments, modifications or coatings have hydrophobic, hydrophilic and surface adherence properties. The nanoscale building blocks have orientation, geometry, packing density and composition that may be adjusted to control the unique surface characteristics of the desired treatment, coating or modification. Applications of this nanostructure technology include surgical clips, staples, retractors, sutures and manipulators where an improvement in traction, retention or occlusion is desired without excessive material or tissue deformation or where high compressive forces would be undesirable, dangerous or ineffective. In one aspect, a nanostructure surface treatment for a medical device having an external surface is disclosed, wherein the treatment is applied on the external surface to provide a hydrophobic or a hydrophilic surface. With this aspect, the treatment comprises titanium dioxide and provides nanoscopic structures having nearly vertical sidewalls. The treated surface of the device has contact angles greater than or equal to 150 degrees. The vertical sidewalls provide a negative capillary effect and have a width of about 200 nm. The vertical sidewalls attach to a wet surface by the negative capillary effect. The van der Waals forces of the vertical sidewalls enable the treated surface to attach to a dry surface. The treatment may be vapor deposited and cured on the device, or the treatment may be laser blasted on the device.
摘要翻译：本发明涉及纳米结构表面处理，由纳米级结构单元形成的涂层或改性。纳米结构表面处理，改性或涂层具有疏水性，亲水性和表面附着性。纳米级结构单元具有取向，几何形状，填充密度和组成，可以调节以控制所需处理，涂层或改性的独特表面特性。该纳米结构技术的应用包括手术夹，钉，牵开器，缝合线和操纵器，其中希望改善牵引力，保持力或闭塞，而不会产生过多的材料或组织变形，或者高压缩力是不希望的，危险的或无效的。一方面，公开了一种具有外表面的医疗器械的纳米结构表面处理，其中将处理施加在外表面上以提供疏水或亲水表面。在这方面，处理包括二氧化钛并提供具有近似垂直侧壁的纳米结构。该设备的被处理表面具有大于或等于150度的接触角。垂直侧壁提供负毛细管效应并具有约200nm的宽度。垂直侧壁通过负毛细管效应附着在潮湿的表面上。垂直侧壁的范德华力使得经处理的表面附着在干燥的表面上。处理可以在装置上气相沉积和固化，或者可以在装置上激光喷射处理。

5. 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。

6. 发明申请

US20060264991A1 Seal housing having anti-inversion features 有权
公开(公告)号：US20060264991A1
公开(公告)日：2006-11-23
申请号：US11119189
申请日：2005-04-29
申请人： Gary Johnson , Jeremy Albrecht , Nabil Hilal , Charles Hart
发明人： Gary Johnson , Jeremy Albrecht , Nabil Hilal , Charles Hart
IPC分类号： A61B17/32
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.

7. 发明申请

US20070106319A1 Trocars with advanced fixation 有权
标题翻译： Trocars与先进的固定
公开(公告)号：US20070106319A1
公开(公告)日：2007-05-10
申请号：US11270181
申请日：2005-11-09
申请人： Gigi Au , Jeremy Albrecht , Charles Hart , Gary Johnson , John Brustad
发明人： Gigi Au , Jeremy Albrecht , Charles Hart , Gary Johnson , John Brustad
IPC分类号： A61M29/00 , A61M5/178
CPC分类号： A61B17/34 , A61B17/3421 , A61B2017/3484 , A61B2017/349
摘要： A trocar fixation device includes a cannula and an elongate tube mounted onto and coupled to the exterior surface of the cannula with the distal end of the cannula extending distally beyond the distal end of the elongate tube. The elongate tube includes a plurality of slits cut at an angle to a longitudinal axis of the elongate tube. The trocar fixation device is activated by rotating the proximal-end region of the elongate tube in a first direction and is deactivated by rotating the proximal-end region of the elongate tube in a second direction, opposite to the first direction. Activation of the trocar fixation device compresses the material positioned between adjacent slits and forces the material radially outwardly, away from the exterior surface of the cannula, thereby forming ridges. Deactivation of the trocar fixation device returns the exterior surface of the elongate tube to a substantially smooth condition.
摘要翻译：套管针固定装置包括插管和安装到套管的外表面上并连接到套管的外表面的细长管，套管的远端向远侧延伸超过细长管的远端。细长管包括与细长管的纵向轴线成一定角度切割的多个切口。套管针固定装置通过沿着第一方向旋转细长管的近端区域而被激活，并且通过沿与第一方向相反的第二方向旋转细长管的近端区域来停用。套针针固定装置的激活压缩位于相邻狭缝之间的材料，并迫使材料径向向外，远离插管的外表面，从而形成脊。套针针固定装置的停用将细长管的外表面返回到基本平滑的状态。

8. 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。

9. 发明申请

US20050209619A1 Surgical access port and method of using same 有权
公开(公告)号：US20050209619A1
公开(公告)日：2005-09-22
申请号：US10805864
申请日：2004-03-22
申请人： Gary Johnson , John Brustad , Charles Hart
发明人： Gary Johnson , John Brustad , Charles Hart
IPC分类号： A61B17/00 , A61B17/34 , A61B17/32
CPC分类号： A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要： The present invention relates to a surgical access port for insertion into a body cavity having an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip disposed at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip operates to move from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing operably connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip. The retention member may be biased to hold the distal tip in an off-axis position when there is no axial load, or it may be lightly held in axial alignment and subsequently deflected in the presence of an instrument within the tubular body. The distal tip, which may comprise one or more parts or petals, may reposition to the side of the tubular body in a substantially right-angled condition in the second, retaining position. The repositioned tip remains in an off-axis condition until removal of the access port, at which time the distal tip automatically realigns with the axis of the tubular body as the access port is withdrawn from the body wall. The tubular body may be a thin walled tube. The distal tip may comprise a conical, tapered or rounded shape to separate tissue layers. The distal tip may be solid or hollow, which may act as a specimen bag by closing on a specimen and pulled inside the tip during removal of the access port. The distal tip may be formed from a clear material to allow viewing through an endoscope during placement of the surgical access port.

10. 发明申请

US20050165444A1 Tissue fusion/welder apparatus corporation 有权
标题翻译：组织熔接设备公司
公开(公告)号：US20050165444A1
公开(公告)日：2005-07-28
申请号：US10504279
申请日：2003-01-16
申请人： Charles Hart , Gary Johnson , Said Hilal , John Brustad
发明人： Charles Hart , Gary Johnson , Said Hilal , John Brustad
IPC分类号： A61B17/12 , A61B20060101 , A61B17/00 , A61B17/08 , A61B17/32 , A61B18/04 , A61B18/12 , A61B18/14
CPC分类号： A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要： A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.
摘要翻译：组织焊接装置适于将第一片组织熔合到第二片组织中，所述第二片组织布置在表面邻近关系中。细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。热源耦合到穿透构件，用于使限定通道的组织变性。这种变性组织形成将第一片组织结合到第二片组织的柱。化学试剂可以用穿透构件携带到组织。

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