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    • 2. 发明授权
    • Retractable disposable tip reusable trocar obturator
    • 可伸缩一次性尖头可重复使用的套管针闭塞器
    • US5772678A
    • 1998-06-30
    • US546015
    • 1995-10-20
    • Rodger ThomasonJames E. CarterNeil H. NavesMark J. LegomeJose M. Velez
    • Rodger ThomasonJames E. CarterNeil H. NavesMark J. LegomeJose M. Velez
    • A61B17/00A61B17/34
    • A61B17/3417A61B17/3496A61B2017/0023
    • A manual dilating trocar uses an automatically retracting stylet. The stylet is threaded through a dilating obturator which is, in turn, inserted into a trocar sheath. A spring near the handle of the stylet serves to urge the stylet cutting tip into a retracted position so that it can be held within the dilating tip of the dilating obturator. When a surgeon seeks to pierce a body cavity so as to perform laparoscopic surgery or the like, the handle is engaged to overcome the bias of the spring so that the stylet's cutting tip is exposed. Upon piercing of the exterior body-cavity layer, the stylet may be withdrawn to ensure that no underlying organs or tissue are damaged by the sharp stylet tip. Once the dilation of the initial stylet wound has been completed and the trocar sheath has been introduced into the body cavity, the dilating obturator may also be removed from within the trocar sheath in order to provide a channel into the body cavity. In an alternative embodiment, the stylet may be spring biased to expose the cutting tip, and a lock pin may be used so that energy stored in the spring can be brought to bear upon the stylet and to deliver a sharp cutting thrust of the stylet tip against any tough or obstructive tissue.
    • 手动扩张套管针使用自动缩回的探针。 探针穿过一个膨胀的闭孔器,该闭孔器又插入一个套针套管中。 在探针附近的弹簧用于将探针切割尖端推入缩回位置,使其能够保持在扩张闭孔器的扩张尖端内。 当外科医生试图刺穿体腔以执行腹腔镜手术等时,手柄被接合以克服弹簧的偏压,使得探针的切割尖端暴露。 在穿透外部体腔层时,可以取出探针以确保没有下方的器官或组织被尖锐的探针针尖损坏。 一旦初始探针伤口的扩张已经完成并且套管针鞘被引入体腔中,扩张闭孔器也可以从套管针鞘内移除,以便提供通道进入体腔。 在替代实施例中,探针可以被弹簧偏置以暴露切割尖端,并且可以使用锁定销,使得存储在弹簧中的能量可以承受在探针上并且传递探针尖端的尖锐切削推力 抵抗任何坚韧或阻塞性组织。
    • 4. 发明授权
    • Insertable suture passing grasping probe and methodology for using same
    • 可插入缝合通过抓握探针及其使用方法
    • US5954734A
    • 1999-09-21
    • US150313
    • 1998-09-09
    • Rodger D. ThomasonJames E. CarterMark J. LegomeNeil H. Naves
    • Rodger D. ThomasonJames E. CarterMark J. LegomeNeil H. Naves
    • A61B17/00A61B17/04A61B17/06A61B17/28A61B17/34A61B19/00
    • A61B17/06066A61B17/0469A61B17/0483A61B17/0057A61B17/0482A61B17/282A61B17/3417A61B2017/00349A61B2017/0046A61B2017/00637A61B2017/00663A61B2017/047A61B2017/2825A61B2090/0813
    • A surgical instrument, guide, and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue. A tip of a surgical instrument in a standard suture-/needle-driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip is provided. Insertion of the tip/suture through tissue until the tip is seen through the peritoneum by direct vision begins the wound-closing procedure. The suture is released by opening and withdrawing the tip from the guide. The suture is recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion. The tip grasps the suture and pulls the suture through the guide. The suture is pulled outside the wound, providing for rapid closure of the surgical incision. The guide is insertable within the wound to be closed and guides the surgical instrument at a predetermined angle from the longitudinal axis of the guide for optimum wound closure. Alternative embodiments of the guide include providing a slot through which non-linear surgical instruments may pass through an open or enclosed passageway.
    • 能够用于闭合腹膜筋膜,闭塞出血血管(如下腹部)的手术器械,导向器和方法,以及用于将缝合材料准确地通过引导件进入组织的所有用途。 提供了具有尖锐尖端的标准缝合/针驱动位置的手术器械的尖端,外科医生用尖锐的尖端抓住缝合材料打开和关闭。 通过组织插入尖端/缝合直到通过直接视觉通过腹膜观察尖端开始创伤闭合程序。 通过从引导件中打开和取出尖端来释放缝合线。 缝合线通过使用引导件来重新引导尖端并刺穿与第一插入点相对的组织。 尖端抓住缝合线并将缝合线拉过引导件。 将缝线拉出伤口外面,为手术切口快速关闭。 引导件可插入伤口内以封闭,并将外科器械从引导件的纵向轴线以预定角度引导,以最佳伤口闭合。 该引导件的替代实施例包括提供一个狭槽,非线性外科器械可通过该狭槽穿过开放或封闭的通道。
    • 5. 发明授权
    • Insertable suture passing grasping probe and methodology for using same
    • 可插入缝合通过抓握探针及其使用方法
    • US06183485B2
    • 2001-02-06
    • US09360826
    • 1999-07-26
    • Rodger D. ThomasonJames E. CarterMark J. LegomeNeil H. Naves
    • Rodger D. ThomasonJames E. CarterMark J. LegomeNeil H. Naves
    • A61B1704
    • A61B17/06066A61B17/0057A61B17/0469A61B17/0482A61B17/0483A61B17/282A61B17/3417A61B2017/00349A61B2017/0046A61B2017/00637A61B2017/00663A61B2017/047A61B2017/2825A61B2090/0813
    • A surgical instrument, guide, and method capable of being used for closure of peritoneum fascia, occlusion of bleeding vessels such as inferior epigastric, and for all uses related to accurately passing suture material through a guide into tissue. A tip of a surgical instrument in a standard suture-/needle-driving position with a sharp tip that opens and closes with the surgeon grasping suture material with the sharp tip is provided. Insertion of the tip/suture through tissue until the tip is seen through the peritoneum by direct vision begins the wound-closing procedure. The suture is released by opening and withdrawing the tip from the guide. The suture is recovered by using the guide to redirect the tip and puncturing the tissue opposite the first point of insertion. The tip grasps the suture and pulls the suture through the guide. The suture is pulled outside the wound, providing for rapid closure of the surgical incision. The guide is insertable within the wound to be closed and guides the surgical instrument at a predetermined angle from the longitudinal axis of the guide for optimum wound closure. Alternative embodiments of the guide include providing a slot through which non-linear surgical instruments may pass through an open or enclosed passageway.
    • 能够用于闭合腹膜筋膜,闭塞出血血管(如下腹部)的手术器械,导向器和方法,以及用于将缝合材料准确地通过引导件进入组织的所有用途。 提供了具有尖锐尖端的标准缝合/针驱动位置的手术器械的尖端,外科医生用尖锐的尖端抓住缝合材料打开和关闭。 通过组织插入尖端/缝合直到通过直接视觉通过腹膜观察尖端开始创伤闭合程序。 通过从引导件中打开和取出尖端来释放缝合线。 缝合线通过使用引导件来重新引导尖端并刺穿与第一插入点相对的组织。 尖端抓住缝合线并将缝合线拉过引导件。 将缝线拉出伤口外面,为手术切口快速关闭。 引导件可插入伤口内以封闭,并将外科器械从引导件的纵向轴线以预定角度引导,以最佳伤口闭合。 该引导件的替代实施例包括提供一个狭槽,非线性外科器械可通过该狭槽穿过开放或封闭的通道。
    • 7. 发明授权
    • Leg protector
    • 护腿器
    • US5031247A
    • 1991-07-16
    • US502059
    • 1990-03-30
    • James E. Carter
    • James E. Carter
    • A41D13/05A41D17/00
    • A41D17/00A41D13/0543A41D13/0568Y10S2/91Y10S2/919
    • A protective leg covering is manufactured from a single piece of material. The material is cut into a blank having a rectangular shape. It is designed to be wrapped around the leg, securing snugly but comfortably two to three inches above the knee with the longitudinal edges of the leg section extending down to the top of the arch of the foot in front and above the bottom of the heel in back. A hook and pile closure sewn at the corners of the top and the bottom elevations of said blank of material provides the user with adjustability to the desired snugness of the fit. The device is light weight, having no metal strips, straps or other heavy objects required in its construction, requires nothing to be removed or adjusted on the leg or foot to be attached to the leg of the wearer, and is easy and quick to put on and take off.
    • 保护性腿罩由单件材料制成。 将材料切成具有矩形形状的坯料。 它被设计成围绕腿部缠绕,紧固而舒适地固定在膝盖上方两到三英寸,其中腿部的纵向边缘向下延伸到足部的脚的顶部,并且在脚后面的底部的上方 背部。 在所述材料坯料的顶部和底部高度的角落处缝合的钩和绒头端口为使用者提供了适合所需拟合的舒适性的可调整性。 该装置重量轻,在其结构中不需要金属带,带子或其他重物,在腿或脚上不需要移除或调节以附着到穿戴者的腿部,并且容易且快速地放置 起飞。
    • 9. 发明授权
    • Debris/storage bag
    • 碎片/储物袋
    • US5326175A
    • 1994-07-05
    • US867496
    • 1992-04-13
    • James E. Carter
    • James E. Carter
    • A01D75/00B65D33/14
    • A01D75/008A01D2101/00
    • A debris/storage bag that attaches with straps connected to at least two different sides of the bag. The straps are designed to attach to both fixed and variable distances. The debris/storage bag features: (1) a pocket or pockets attached preferably to the exterior of the bag; (2) a flap covering for the opening of the debris/storage bag that can be fastened to keep the contents of the bag from falling out; (3) elastic and non-elastic straps used in conjunction with adjustable fasteners to attach the debris/storage bag to a wide variety of objects with different size circumferences and varying distances between the top and bottom fastening positions.
    • 附着在与袋子的至少两个不同侧面相连的带子的碎片/储存袋。 带子被设计成连接固定和可变距离。 碎片/储存袋的特点是:(1)优选地附在袋子的外部的口袋或口袋; (2)用于打开碎片/储存袋的挡板,其可以被紧固以保持袋的内容物不会脱落; (3)与可调节紧固件结合使用的弹性和非弹性带,以将碎片/储存袋附着到具有不同尺寸周长的各种物体,以及顶部和底部紧固位置之间的变化距离。