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1. 发明授权

US07798998B2 Elastically deformable surgical access device 有权
标题翻译：弹性变形手术进入装置
公开(公告)号：US07798998B2
公开(公告)日：2010-09-21
申请号：US11544856
申请日：2006-10-06
申请人： Ronald J. Thompson , Dominick Mastri , Kurt Azarbarzin , Jack B. Stubbs
发明人： Ronald J. Thompson , Dominick Mastri , Kurt Azarbarzin , Jack B. Stubbs
IPC分类号： A61M5/178
CPC分类号： A61B17/3421 , A61B17/3431 , A61B17/3439 , A61B17/3498 , A61B2017/3486 , A61M39/0247 , A61M39/045 , A61M2039/0279 , A61M2039/0294
摘要： A surgical access device is provided having a surgical access port. The surgical access port has an elongated body with opposed proximal and distal end portions, and defines a longitudinal axis. The body has a central lumen extending therethrough and includes a resilient bulb portion formed between the proximal and distal end portions of the body. The resilient bulb portion is adapted and configured to transition, through engagement with an insertion device, between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter and a second length for insertion and removal through a patient's abdominal wall, and to be retained in place therethrough. The second diameter is less than the first diameter, and the second length is greater than the first length.
摘要翻译：提供具有手术进入口的外科进入装置。外科进入口具有细长体，其具有相对的近端部分和远端部分，并且限定纵向轴线。主体具有延伸穿过其中的中心腔，并且包括形成在主体的近端部分和远端部分之间的弹性球形部分。弹性灯泡部分适于并且构造成通过与插入装置的接合而转换在灯泡部分具有第一直径和第一长度的第一状态和灯泡部分具有第二直径的第二状态之间，第二长度用于通过患者的腹壁插入和移除，并且通过其保持就位。第二直径小于第一直径，第二长度大于第一长度。

2. 发明申请

US20080086167A1 Elastically deformable surgical access device 有权
标题翻译：弹性变形手术进入装置
公开(公告)号：US20080086167A1
公开(公告)日：2008-04-10
申请号：US11544856
申请日：2006-10-06
申请人： Dominick Mastri , Kurt Azarbarzin , Jack B. Stubbs
发明人： Dominick Mastri , Kurt Azarbarzin , Jack B. Stubbs
IPC分类号： A61M29/00
CPC分类号： A61B17/3421 , A61B17/3431 , A61B17/3439 , A61B17/3498 , A61B2017/3486 , A61M39/0247 , A61M39/045 , A61M2039/0279 , A61M2039/0294
摘要： A surgical access device is provided having a surgical access port. The surgical access port has an elongated body with opposed proximal and distal end portions, and defines a longitudinal axis. The body has a central lumen extending therethrough and includes a resilient bulb portion formed between the proximal and distal end portions of the body. The resilient bulb portion is adapted and configured to transition, through engagement with an insertion device, between a first condition in which the bulb portion has a first diameter and a first length and a second condition in which the bulb portion has a second diameter and a second length for insertion and removal through a patient's abdominal wall, and to be retained in place therethrough. The second diameter is less than the first diameter, and the second length is greater than the first length.
摘要翻译：提供具有手术进入口的外科进入装置。外科进入口具有细长体，其具有相对的近端部分和远端部分，并且限定纵向轴线。主体具有延伸穿过其中的中心腔，并且包括形成在主体的近端部分和远端部分之间的弹性球形部分。弹性灯泡部分适于并且构造成通过与插入装置接合而转换在灯泡部分具有第一直径和第一长度的第一状态和灯泡部分具有第二直径的第二状态之间第二长度用于通过患者的腹壁插入和移除，并且通过其保持就位。第二直径小于第一直径，第二长度大于第一长度。

3. 发明授权

US07338473B2 Pneumoseal trocar arrangement 有权
标题翻译：肺尘埃套管针布置
公开(公告)号：US07338473B2
公开(公告)日：2008-03-04
申请号：US10776923
申请日：2004-02-11
申请人： Michael J. Campbell , Donald N. Halgren , George A. J. Hartman , Ken Parker , Jack B. Stubbs , Ronald J. Thompson
发明人： Michael J. Campbell , Donald N. Halgren , George A. J. Hartman , Ken Parker , Jack B. Stubbs , Ronald J. Thompson
IPC分类号： A61M5/178
CPC分类号： A61B17/3498 , A61B17/3421 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/00265 , A61B2090/064
摘要： A cannula assembly for the maintenance of an operative pneumoperitoneum in a patient comprising an elongated cannula having a proximal end and a distal end. A removable valve is securely arranged in the proximal end of the cannula to provide a seal and minimize the escape of gas introduced into the patient's pneumoperitoneum when an operative instrument is passed therethrough.
摘要翻译：一种用于维持患者手术气腹的插管组件，包括具有近端和远端的细长插管。可移除的阀被牢固地布置在套管的近端中以提供密封并且当手术器械穿过其中时引入到患者气腹中的气体的逸出最小化。

4. 发明授权

US06056766A Stabilized trocar, and method of using same 失效
标题翻译：稳定套管针及其使用方法
公开(公告)号：US06056766A
公开(公告)日：2000-05-02
申请号：US94305
申请日：1998-06-09
申请人： Ronald J. Thompson , Jack B. Stubbs
发明人： Ronald J. Thompson , Jack B. Stubbs
IPC分类号： A61B17/34
CPC分类号： A61B17/3496 , A61B17/3421 , A61B2017/3484 , A61B2017/3492
摘要： A trocar employing an internal stabilizer and an optional external stabilizer is provided. The internal stabilizer is passed through the tissue wall along with the cannula, with the internal stabilizer in a retracted position. Once the cannula has been extended into the anatomical cavity, the stabilizer returns to its normal, extended position. Movement of the stabilizer between its retracted and extended positions is effected by advancement and retraction of the obturator. A method of inserting the trocar cannula is also provided.
摘要翻译：提供采用内部稳定器和可选的外部稳定器的套管针。内部稳定器与套管一起通过组织壁，内部稳定器处于缩回位置。一旦套管已经延伸到解剖腔中，则稳定器返回其正常的延伸位置。稳定器在其缩回位置和延伸位置之间的运动通过闭孔器的前进和缩回来实现。还提供了一种插入套管针插管的方法。

5. 发明授权

US6021781A Intraurethral pressure monitoring assembly and method of treating incontinence using same 失效
标题翻译：尿道内压力监测组件及其使用方法治疗失禁
公开(公告)号：US6021781A
公开(公告)日：2000-02-08
申请号：US040957
申请日：1998-03-18
申请人： Ronald J. Thompson , Jack B. Stubbs
发明人： Ronald J. Thompson , Jack B. Stubbs
IPC分类号： A61B5/03 , A61B19/00
CPC分类号： A61B5/036
摘要： A method of treating urinary incontinence in a patient by: providing a pressure monitor probe comprising a catheter having a pressure responsive region and a distal portion, the pressure responsive region spaced a predetermined distance from the distal portion; inserting the pressure monitor probe into the patient's urethra such that the distal portion is positioned in the patient's bladder adjacent the UVJ, thereby positioning the pressure responsive region of the catheter within the urethra a predetermined distance from the UVJ; and surgically modifying the pressure applied against the urethra while monitoring the pressure applied against the urethra using the probe. An intraurethral pressure monitor probe and an intraurethral pressure monitoring assembly are also provided.
摘要翻译：一种通过以下方式治疗患者的尿失禁的方法：提供包括具有压力响应区域和远侧部分的导管的压力监测探头，所述压力响应区域与所述远端部分隔开预定距离; 将压力监测器探针插入患者的尿道，使得远端部分位于患者的膀胱中邻近UVJ，从而将导尿管的压力响应区域定位在与UVJ相距预定距离的尿道内; 并且在使用探针监测对尿道施加的压力的同时手术改变施加于尿道的压力。还提供了尿道内压力监测探头和尿道内压力监测组件。

6. 发明授权

US07413559B2 Gas flow trocar arrangement 有权
标题翻译：气流套管针布置
公开(公告)号：US07413559B2
公开(公告)日：2008-08-19
申请号：US11517751
申请日：2006-09-08
申请人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
发明人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
IPC分类号： A61M5/178
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3474 , A61B2017/00265 , A61B2090/064 , A61M37/00
摘要： A trocar assembly for use in surgery in a patient, comprising an elongated outer tubular member having a first or proximal end and a second or distal end. The proximal end has a housing enclosing a fluid pressure chamber therein. The distal end of the outer tubular member has a gaseous fluid discharge arrangement therethrough, through which a medical instrument is disposed for surgical manipulation of the patient.
摘要翻译：一种用于患者手术的套管针组件，包括具有第一或近端和第二或远端的细长外管状构件。近端具有在其中包围流体压力室的壳体。外管状构件的远端具有穿过其中的气体流体排放装置，医疗器械通过该远处设置用于患者的手术操作。

7. 发明授权

US07285112B2 Gas flow trocar arrangement 有权
标题翻译：气流套管针布置
公开(公告)号：US07285112B2
公开(公告)日：2007-10-23
申请号：US10739872
申请日：2003-12-18
申请人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
发明人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
IPC分类号： A61M5/178
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3474 , A61B2017/00265 , A61B2090/064 , A61M37/00
摘要： A trocar assembly for use in surgery in a patient, comprising an elongated outer tubular member having a first or proximal end and a second or distal end. The proximal end has a housing enclosing a fluid pressure chamber therein. The distal end of the outer tubular member has a gaseous fluid discharge arrangement therethrough, through which a medical instrument is disposed for surgical manipulation of the patient.
摘要翻译：一种用于患者手术的套管针组件，包括具有第一或近端和第二或远端的细长外管状构件。近端具有在其中包围流体压力室的壳体。外管状构件的远端具有穿过其中的气体流体排放装置，医疗器械通过该远处设置用于患者的手术操作。

8. 发明授权

US08216189B2 Continuous gas flow trocar assembly 有权
标题翻译：连续气流套管针组件
公开(公告)号：US08216189B2
公开(公告)日：2012-07-10
申请号：US11517750
申请日：2006-09-08
申请人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
发明人： Jack B. Stubbs , Ronald J. Thompson , George A. J. Hartman , Donald N. Halgren , Michael J. Campbell
IPC分类号： A61M5/178
CPC分类号： A61B17/3421 , A61B17/3423 , A61B17/3474 , A61B2017/00265 , A61B2090/064
摘要： A trocar assembly for providing a pressurized insufflation fluid into a patient cavity and for providing sealable access to the patient cavity by a surgical instrument. The assembly comprises an inner tubular member having a proximal end and a distal end. An outer tubular member is disposed about the inner tubular member, the outer tubular member having a proximal end and a distal end. The distal end of the inner tubular member and the distal end of the outer tubular member define a trocar seal nozzle arranged therebetween.
摘要翻译：一种套管针组件，用于将加压吹入流体提供到患者腔体中并用于通过手术器械提供对患者腔体的可密封通路。组件包括具有近端和远端的内管状构件。外部管状构件围绕内部管状构件设置，外部管状构件具有近端和远端。内管状构件的远端和外管状构件的远端限定了布置在其间的套针阀密封喷嘴。

9. 发明授权

US06447527B1 Apparatus and methods for the penetration of tissue 有权
标题翻译：用于穿透组织的装置和方法
公开(公告)号：US06447527B1
公开(公告)日：2002-09-10
申请号：US09199654
申请日：1998-11-25
申请人： Ronald J. Thompson , Jack B. Stubbs
发明人： Ronald J. Thompson , Jack B. Stubbs
IPC分类号： A61B1732
CPC分类号： A61B17/3494 , A61B17/3211 , A61B17/3417 , A61B90/13 , A61B2017/00424 , A61B2017/00738 , A61B2017/3488 , A61B2090/034 , A61B2090/306 , A61B2090/3945
摘要： An instrument for directing the insertion of a penetration member urged through tissue. The instrument includes a shaft, and a backstop positioned at a distal end of the shaft. The backstop and shaft are configured such that the backstop may be positioned adjacent one side of the tissue to be penetrated, and a penetration member may thereafter be urged through the opposite side of the tissue into the backstop. A method of penetrating the tissue wall of an anatomical cavity is also provided.
摘要翻译：用于引导穿透组件的插入的仪器被推动穿过组织。该仪器包括轴和位于轴的远端的支撑件。后挡板和轴被构造成使得止回器可以邻近要穿透的组织的一侧定位，并且此后可以将穿透构件推动通过组织的相对侧进入止挡。还提供了穿透解剖腔的组织壁的方法。

10. 发明授权

US6030402A Apparatus and methods for the penetration of tissue, and the creation of an opening therein 失效
标题翻译：用于穿透组织的装置和方法，以及在其中形成开口
公开(公告)号：US6030402A
公开(公告)日：2000-02-29
申请号：US65254
申请日：1998-04-23
申请人： Ronald J. Thompson , Jack B. Stubbs
发明人： Ronald J. Thompson , Jack B. Stubbs
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3494 , A61B90/13 , A61B17/3211 , A61B17/3417 , A61B2017/00424 , A61B2017/00738 , A61B2017/3488 , A61B2090/034 , A61B2090/306 , A61B2090/3945
摘要： An instrument for the penetration of tissue, including a backstop assembly having a shaft and a backstop; and a penetration member slidingly engaged with the backstop shaft, and configured for penetrating tissue. The backstop assembly and the penetration member are configured such that the backstop may be positioned adjacent tissue to be penetrated, such that as the penetration member is urged through the tissue along the backstop shaft, the backstop will limit the depth of penetration of the penetration member through the tissue. A method of using this instrument is also provided.
摘要翻译：一种用于渗透组织的仪器，包括具有轴和止动器的止回组件; 以及穿透构件，其与所述止回轴滑动接合，并且构造成用于穿透组织。止回组件和穿透构件被构造成使得止回器可以邻近要穿透的组织定位，使得当穿透构件被推动通过沿着止动轴的组织时，止动器将限制穿透构件的穿透深度通过组织。还提供了使用该仪器的方法。

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